Health problems and healthcare needs among youth in Swedish secure residential care

2018 ◽  
Vol 27 (4) ◽  
pp. 348-357 ◽  
Author(s):  
Bo Vinnerljung ◽  
Stefan Kling ◽  
Anders Hjern
Keyword(s):  
Residential Care ◽  
Health Problems ◽  
Healthcare Needs ◽  
Secure Residential Care

scholarly journals One is not the other: Predicting offending after discharge from secure residential care of male adolescents with four risk profiles

2021 ◽  
Vol 72 ◽  
pp. 101758
Author(s):  
E.A.W. Janssen-de Ruijter ◽  
E.A. Mulder ◽  
I.L. Bongers ◽  
J.K. Vermunt ◽  
Ch. van Nieuwenhuizen
Keyword(s):  
Residential Care ◽  
The Other ◽  
Risk Profiles ◽  
Male Adolescents ◽  
Secure Residential Care

Mental health problems in the elderly in residential care in Greece—A pilot study

2005 ◽  
Vol 9 (2) ◽  
pp. 142-145 ◽  
Author(s):  
A. Arvaniti ◽  
M. Livaditis ◽  
E. Kanioti ◽  
E. Davis ◽  
M. Samakouri ◽  
...  
Keyword(s):  
Mental Health ◽  
Pilot Study ◽  
Residential Care ◽  
Mental Health Problems ◽  
The Elderly ◽  
Health Problems

scholarly journals Referrals to secondary care in an outpatient primary care walk-in clinic for refugees in Germany: results from a secondary data analysis based on electronic medical records

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e035625
Author(s):  
Ingmar Schäfer ◽  
Jan Hendrik Oltrogge ◽  
Susanne Pruskil ◽  
Claudia Mews ◽  
Dana Schlichting ◽  
...  
Keyword(s):  
Primary Care ◽  
Secondary Care ◽  
Cox Regression ◽  
Country Of Origin ◽  
Secondary Data ◽  
Routine Data ◽  
Health Problems ◽  
Secondary Outcome ◽  
Data Set ◽  
Healthcare Needs

ObjectivesThe aims of our study were to describe the disease spectrum of refugees, to analyse to what extent their healthcare needs could be met in an outpatient primary care walk-in clinic and which cases required additional services from secondary care (ie, outpatient specialists or hospitals).DesignRetrospective longitudinal observational study.SettingThe study was based on routine data from a walk-in clinic in the largest central first reception centre in Hamburg, Germany between 4 November 2015 and 21 July 2016.Participants1467 asylum seekers with 4006 episodes of care (ie, distinctive health problems) resulting in 5545 consultations. The patients were 60% men and had a mean age of 23.2 years. About 90% of the patients were from Central Asia or from the Middle East and North Africa.Primary and secondary outcome measuresThe endpoint of our analyses was referral to secondary care. Time to event was defined as days under treatment until the first referral. Predictor variables were the patients’ diagnoses grouped in 46 categories. The data set was analysed by Cox regression allowing for multiple failure times per patient. This analysis was adjusted for age, sex and country of origin.ResultsReferrals to secondary care occurred in 15.5% of the episodes. The diagnosis groups with the highest referral rates were ‘eye’ (HR 4.9; 95% CI 3.12 to 7.8; p≤0.001), ‘teeth/gum symptom/complaint or disease’ (3.51; 2.52 to 4.9; p≤0.001) and ‘urological system/female or male genital’ (2.50; 1.66 to 3.77; p≤0.001). Age, sex and country of origin had no significant effect on time until referral.ConclusionsIn most cases, the walk-in clinic physicians could provide first-line medical care for the health problems of patients not integrated in the German healthcare system. Additional resources were needed particularly not only for visual impairment and dental problems but also for psychological disorders, antenatal care and certain infections and injuries.

‘Patients come with two garbage bags full of problems and we have to sort them.’ A qualitative study of the experiences of healthcare professionals on patients admitted to short-term residential care in the Netherlands

2021 ◽  
Author(s):  
Judith H van den Besselaar ◽  
Linda Hartel ◽  
Joost D Wammes ◽  
Janet L MacNeil-Vroomen ◽  
Bianca M Buurman
Keyword(s):  
Older Adults ◽  
Qualitative Study ◽  
The Netherlands ◽  
Residential Care ◽  
General Health ◽  
Healthcare Professionals ◽  
Health Problems ◽  
Short Term ◽  
Patient Journey ◽  
Return Home

Abstract Background Short-term residential care (STRC) facilities were recently implemented in the Netherlands to provide temporary care to older adults with general health problems. The aim of STRC is to allow the individual to return home. However, 40% of patients are discharged to long-term care facilities. In-depth data about characteristics of patients admitted and challenges in providing STRC are missing. Objective To obtain perspectives of STRC professionals on the patient journey from admission to discharge. Design Qualitative study. Setting Eight nursing homes and three hospitals. Subjects A total of 28 healthcare professionals. Methods A total of 13 group interviews with in-depth reviews of 39 pseudonymised patient cases from admission to discharge. Interviews were analysed thematically. Results Many patients had complex problems that were underestimated at handover, making returning to home nearly impossible. The STRC eligibility criteria that patients have general health problems and can return home do not fit with current practice. This results in a mismatch between patient needs and the STRC that is provided. Therefore, planning care before and after discharge, such as advance care planning, social care and home adaptations, is important. Conclusions STRC is used by patients with complex health problems and pre-existing functional decline. Evidence-based guidelines, appropriate staffing and resources should be provided to STRC facilities. We need to consider the environmental context of the patient and healthcare system to enable older adults to live independently at home for longer.

scholarly journals Health Problems, Financial Capacity, and Access to Healthcare of Older Persons in Metro Dumaguete, Negros Oriental, Philippines

2021 ◽  
Vol 4 (4) ◽  
pp. 62-70
Author(s):  
Theorose June Q. Bustillo ◽  
Enrique G. Oracion ◽  
Chereisle G. Pyponco
Keyword(s):  
Older Persons ◽  
Healthcare Services ◽  
Health Problems ◽  
Access To Healthcare ◽  
Economic Conditions ◽  
Financial Capacity ◽  
Face To Face ◽  
Healthcare Needs ◽  
Health Quality

This descriptive qualitative study explored the experiences of older persons how they availed of and assessed the quality of available healthcare services to address their needs given their capacity to pay. The focus revolved around the concept of financial capacity for healthcare needs to address health problems during old age. Experiences were documented through face-to-face interviews of purposively identified eight older persons using semi-structured guide questions. Thematic analysis was applied, which revealed that financial capacity matters in health quality relative to the particular health problems the older persons have endured. The findings further revealed differentiated access to healthcare services given the variable economic conditions of older persons. This paper reiterates their recommendations that providing them the needed healthcare assistance and information about the management and prevention of common ailments affecting them may avert their health problems from becoming worse and more expensive to cure beyond their financial capacity.

scholarly journals Parental perspectives: Risk and protective factors associated with parenting quality for parents of adolescents in secure residential care

2017 ◽  
Vol 23 (4) ◽  
pp. 549-557 ◽  
Author(s):  
Annemiek T. Harder ◽  
Erik J. Knorth ◽  
Margrite E. Kalverboer ◽  
Tim Tausendfreund ◽  
Jana Knot-Dickscheit
Keyword(s):  
Protective Factors ◽  
Residential Care ◽  
Risk And Protective Factors ◽  
Factors Associated ◽  
Parenting Quality ◽  
Parental Perspectives ◽  
Secure Residential Care

Transition secured? A follow-up study of adolescents who have left secure residential care

2011 ◽  
Vol 33 (12) ◽  
pp. 2482-2488 ◽  
Author(s):  
Annemiek T. Harder ◽  
Erik J. Knorth ◽  
Margrite E. Kalverboer
Keyword(s):  
Residential Care ◽  
Follow Up Study ◽  
Secure Residential Care
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