Moving Towards Family Solutions: An Introduction to an Immersive Simulation Workshop

2020 ◽  
Vol 7 (1) ◽  
pp. 21-28 ◽  
Author(s):  
Nicole Wilkea ◽  
Delia Pop ◽  
Elli Oswald ◽  
Amanda Howard ◽  
Meredith Morgan1

Residential care organisations, such as children’s homes, are well-positioned to reshape their programmes to support family-based models of care. However, new models bring unknown factors, making organisations hesitant to transition programmes. To alleviate concerns and support transition, researchers developed an experiential workshop mirroring the conditions of an organisation transitioning to family care. Workshop participants are guided through a series of activities and discussions detailing the transition of a fictional programme to a family-based model of care. The workshop focuses on six key components: engagement, case management, families, asset transitions, measurement and fundraising. The workshop also gives participants the opportunity to create a personalised plan for their programme. The goal of the current article is to present this workshop framework and share the free Facilitator’s Toolkit ( https://cafo.org/ovc/sim-lab/ ).

Author(s):  
Nicole Gilbertson Wilke ◽  
Amanda Hiles Howard ◽  
David King ◽  
Brian Carroll

Research suggests that children develop best in families. However, millions of children live in residential care centres worldwide. Many residential centres desire to transition their programs from a residential to a family-based model of care, but face barriers surrounding funding and donor support. Little research exists on how organisations address these concerns. The current article investigated the financial impact of transitioning to a family-based model of care, donor engagement practices used in this process, and changes in donor support resulting from the transition. Twenty-six organisations that had fully or partially transitioned their model completed a brief survey. Data revealed an initial increase in cost per child, but long-term the cost of services decreased. Further, findings suggested that involving donors early and using multiple methods and types of communication led to better long-term donor support. Based on these findings, five recommendations were made for organisations planning to transition their care model.


2020 ◽  
pp. archdischild-2020-320358
Author(s):  
C Ronny Cheung ◽  
Anna Finnemore ◽  
Jennifer Handforth ◽  
Richard Bohmer ◽  
Nanna Christiansen ◽  
...  

This article describes the rapid, system-wide reconfiguration of local and network services in response to the newly described paediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2 (PIMS-TS) (also known as multisystem inflammatory syndrome in children). Developing the model of care for this novel disease, whose natural history, characteristics and treatment options were still unclear, presented distinct challenges.We analyse this redesign through the lens of healthcare management science, and outline transferable principles which may be of specific and urgent relevance for paediatricians yet to experience the full impact of the COVID-19 pandemic; and more generally, for those developing a new clinical service or healthcare operating model to manage the sudden emergence of any unanticipated clinical entity. Health service leaders in areas where COVID-19 is, or will soon be, in the ascendancy, and who are anticipating the imminent influx of PIMS-TS, should use these principles and recommendations to plan an agile, responsive and system-wide model of care for these children.


2021 ◽  
pp. 205715852098847
Author(s):  
Erika Boman ◽  
Kim Gaarde ◽  
Rika Levy-Malmberg ◽  
Frances Kam Yuet Wong ◽  
Lisbeth Fagerström

In this article, we describe and critically reflect on how the PEPPA framework, a Participatory Evidence-based Patient-focused Process for Advanced Practice Nursing, was used to develop a new model of care including the nurse practitioner (NP) role in an emergency department in Norway, where the role is in its infancy. While there is limited earlier research on the applicability of the PEPPA framework, it was here found to be useful. Supported by the framework, we mapped the current model of care, identified stakeholders and participants, determined the need for a new model of care, identified priority problems and goals, and defined the new model of care and the NP role. The PEPPA framework is recommended to develop new models of care including the NP role. Nonetheless, the process has not been straightforward. It is noted that to communicate and establish the new role in a setting as demanding as an emergency department takes time. Support from the management team is essential to succeed in developing and establishing new models of care and new nursing roles, such as the nurse practitioner role.


Author(s):  
Raffaella Gualandi ◽  
Anna De Benedictis

Abstract In this letter to the Editor, we shed light on the rapid changes the Covid-19 virus has generated in hospital management. Recent experiences in the field aim to reorganizing hospital processes and policies. In this new scenario, new patient needs emerge, and a change in the hospital model of care should include them.


2020 ◽  
Vol 7 (1) ◽  
pp. 47-55 ◽  
Author(s):  
Ranjan Kanti Panda ◽  
Lopamudra Mullick ◽  
Subhadeep Adhikari ◽  
Neepa Basu ◽  
Archana Kumari

This article reflects different programmes and resource components that may be promoted to keep children with either their own family or within alternative family care, satisfying the rights of their overall development. In India, the concept of promoting family-based care mechanisms through government systems has not been fully realised, owing to lack of synergy between resource allocation and existing government programmes, policies and plans of action for child protection. Additionally, the common public discourse is that Child Care Institutions (CCIs) offer suitable care and protection for children outside the parental care. CCIs continue to be identified as the ultimate and the most common response for children at risk. This practice nullifies the scope to explore opportunities for the child to live with their family or in any alternative family care mechanisms. Child in Need Institute (CINI), 1 1 CINI is a national level development organization working on establishing child-friendly communities through its work on health, nutrition, child protection and education for the last forty-five years in India. partnering with Hope and Homes for Children, have analysed the vulnerability factors that led children to arrive at the selected CCIs in Ranchi and Khunti districts of Jharkhand in India. While working with children in the communities, CINI endeavoured to understand the drivers and vulnerabilities leading to family/child separation and what mechanisms could address the vulnerabilities at source and prevent separation. CINI promoted a participatory governance process with the involvement of community-level institutions along with children’s and women’s groups, incubating safe spaces for children that aided in identifying, tracking and promoting multi-sectoral development plans for children at risk. 


2012 ◽  
Vol 53 (3) ◽  
pp. 165-177
Author(s):  
Lesley A. Graff ◽  
George Kaoukis ◽  
Norah Vincent ◽  
Andrea Piotrowski ◽  
Jason Ediger

1998 ◽  
Vol 23 (1) ◽  
pp. 41-44 ◽  
Author(s):  
Chris Goddard

The abuse of children in residential care has been one of the major scandals of the 1990s. This paper examines the largest child abuse inquiry ever held in Britain, the public inquiry into abuse of children in Children’s Homes in North Wales. The story, it is suggested, is almost too large to comprehend and too scandalous to absorb. One major lesson to be considered is that hundreds of victims each had his or her own story to tell but few people were prepared to listen.


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