Community Care in Camberwell

1984 ◽  
Vol 145 (2) ◽  
pp. 178-186 ◽  
Author(s):  
Elizabeth Sturt
Keyword(s):  
Patient Care ◽  
Residential Care ◽  
Day Care ◽  
Community Care ◽  
Important Determinant ◽  
First Year ◽  
Short Term ◽  
Term Care ◽  
Residential Services ◽  
History Of

SummaryA census was taken of all patients in psychiatric hostels and homes, psychiatric day care, and short-term in-patient care who also had at least one year's history of contact with services. During the following two years, 61% of the patients stayed continuously in day or residential care, while 17% were discharged from care within the first year and made no further use of day or residential services. Two main patterns of contact were evident–repeated short-term in-patient care or longer-term care in services outside hospital. Their most important determinant was whether a viable marriage still existed for the patient.

scholarly journals Examining Consequences Related to Unmet Care Needs Across the Long-Term Care Continuum

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 90-90
Author(s):  
Meghan Jenkins Morales ◽  
Stephanie Robert
Keyword(s):  
Older Adults ◽  
Activities Of Daily Living ◽  
Residential Care ◽  
Informal Care ◽  
Daily Living ◽  
Long Term Care ◽  
Community Care ◽  
Term Care ◽  
Care Arrangement

Abstract At some point in our lives, approximately 70% of us will need support to help with daily care. Without adequate assistance we may experience unmet care need consequences (UCNC) – such as skipping meals, going without clean clothes, or taking the wrong medication. This study examines the likelihood of experiencing UCNC related to gaps in assistance with activities of daily living (ADL) and instrumental activities of daily living (IADL) across long-term care arrangements: informal community care, paid community care, residential care, and nursing homes. We examine a sample of older adults receiving assistance in a care arrangement (N=2,499) from the nationally representative 2015 National Health and Aging Trends Study. Cross-sectional and longitudinal regression models, adjusting for differences in demographic and health/functioning characteristics, examine if type of care arrangement in 2015 is associated with UCNC in 2015 and change in UCNC by 2017. Holding all else constant, there were no significant differences in UCNC related to ADLs in 2015 across care arrangements. However, those receiving paid community care were more likely to experience UCNC related to IADLs (going without clean clothes, groceries, or a hot meal and making medication errors) compared to those receiving only informal care (OR=1.64, p<.05) or residential care (OR=2.19, p<.01). By 2017, paid care was also significantly associated with continued UCNC, but older adults in informal care arrangements were most likely to experience a new UCNC. Results suggest improving/expanding assistance with IADLs among community-dwelling older adults, and promoting equitable access to residential care, to reduce UCNC.

scholarly journals Service innovations: Sherbrook partial hospitalisation unit

2001 ◽  
Vol 25 (2) ◽  
pp. 56-58 ◽  
Author(s):  
M. L. Wesson ◽  
P. Walmsley
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Community Care ◽  
Patient Admission ◽  
First Year ◽  
Clinical Implications ◽  
Short Stay ◽  
Short Term ◽  
Extended Day ◽  
Innovative System

Aims and MethodNationally, a variety of community care projects are being developed to replace institution-based care. We describe an innovative system of providing mental health care in Southport, combining an extended day service with short-term hospital admission – the partial hospitalisation philosophy.ResultsDuring the first year of operation 438 assessments took place with 27% of patients being admitted to a crisis bed and a further 25% supported via attendance at the unit.Twelve per cent needed in-patient admission and 10% were deemed not to require any involvement of the mental health service.Clinical ImplicationsThe use of short-stay admission coupled with extended day care and crisis line support can provide a viable alternative to admission to the acute ward.

scholarly journals The use of adult psychiatric day care facilities in Worcester

1990 ◽  
Vol 14 (4) ◽  
pp. 200-202
Author(s):  
Margaret du Feu
Keyword(s):  
Mentally Ill ◽  
Day Care ◽  
White Paper ◽  
Day Hospital ◽  
Short Term ◽  
Term Care ◽  
Care Facilities ◽  
Provision Of Services ◽  
Day Hospitals

The 1975 White Paper Better Services for the Mentally Ill recognises different roles for day hospitals, day centres and the voluntary sector in the provision of psychiatric day care. Two broad client groups, needing short-term support or long-term care, are described. However, Vaughn (1983 and 1985) and Wilkinson (1984) have reviewed lack of co-ordinated planning in the provision of services and the placement of clients. Carter (1981) in a major survey of day care, showed that in many cases it was difficult to differentiate between day hospital and day centre services or client groups.

Influence of Emotional Distress among Supporters on the Outcome of Psychogeriatric Day Care

1987 ◽  
Vol 150 (2) ◽  
pp. 219-223 ◽  
Author(s):  
C. J. Gilleard
Keyword(s):  
Emotional Distress ◽  
Day Care ◽  
Hospital Care ◽  
Long Term Care ◽  
Community Care ◽  
Day Hospital ◽  
Term Care

From a sample of consecutive referrals for psychogeriatric day care, the influence of the supporters' emotional distress and self-reported strain, together with the number of problems presented by the patient, was examined in relation to outcome, 6–7 months after initial attendance. A higher level of problems and the failure to achieve any reduction in reported distress were both found to contribute to the breakdown of community care and to the subsequent institutionalisation of the patient. Day hospital care was associated with a significant reduction in emotional distress for the majority of relatives, although for relatives whose distress was not alleviated by their dependents' attendance, admission to long-term care did produce such a reduction.

Day-Care Infections Up Short Term, Down Later

2011 ◽  
Vol 45 (3) ◽  
pp. 14
Author(s):  
MARY ANN MOON
Keyword(s):  
Day Care ◽  
Short Term

Sobre Educação, Arte e Vídeoarte: rupturas, resiliência e práticas de ensino/aprendizagem na sala de aula

2020 ◽  
Author(s):  
Nélia Lúcia Fonseca
Keyword(s):  
High School ◽  
High School Students ◽  
Video Art ◽  
Theory And Practice ◽  
First Year ◽  
School Students ◽  
Forest School ◽  
Moving Images ◽  
History Of ◽  
Teaching Learning

This study first approaches the history of the observer’s gaze, that is, as observers, we are forming or constructing our way of visualizing moving images. Secondly, it reaffirms the importance and need of resistance of the teaching / learning of Art as a compulsory curricular component for high school. Finally, the third part reports an experience with video art production in a class of first year high school students, establishing an interrelationship between theory and practice, that is, we study video art content to reach the production of videos, aiming as a final result, the art videos created by the students of the Reference Center in Environmental Education Forest School Prof. Eidorfe Moreira High School. The first and second stages of this research share a theoretical part of the Master ‘s thesis, Making films on the Island: audiovisual production as an escape line in Cotijuba, periphery of Belem, completed in 2013.

STEREOTACTIC HYPO-FRACTIONAL RADIOTHERAPY OF PATIENTS WITH LUNG CANCER I-IIA CLINICAL STAGE: THE ROLE OF SUVMAX ASSESSMENT IN 18F-FDG PET/CT FOR MONITORING TREATMENT OUTCOMES

2017 ◽  
Vol 63 (4) ◽  
pp. 632-638
Author(s):  
Tatyana Borisova ◽  
Arif Allakhverdiev ◽  
Yuriy Gerasimov ◽  
Nadezhda Meshcheryakova ◽  
Mikhail Dolgushin ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Treatment Effectiveness ◽  
Clinical Stage ◽  
First Year ◽  
Pet Ct ◽  
History Of ◽  
Single Factor Analysis ◽  
Fdg Pet Ct ◽  
Second Tumor ◽  
Monitoring Treatment

Material and methods: Since 2014, 33 patients with lung cancer of clinical stage I-IIa (cT1N0M0 - 12 patients, with T2N0M0 - 21 patients) have undergone SRT. Verification of tumor process was obtained in 30 patients. A third of patients (n = 10) had a history of metachronic primary-multiple tumors and 31 patients had peripheral lung cancer. The used variants of SRT fractionation were as followed: 10Gr x 5 fractions (n = 22) and 7Gr x 8 fractions (n = 11) - BED 100Gy. Results: With a median follow-up of 21 months (range 3-37 months), 4 patients (12 %) within the first year had a loco-regional and distant progression, of which two died. During the year one patient died from complications of treatment, one - from the progression of the second tumor. One- and two-year local control was 94 %. Overall and disease-free 2-year survival was 84 % (95 % CI, 70 - 99) and 83.2 % (95 % CI, 70.5 - 99), respectively. Single-factor analysis revealed a significant effect on the overall survival of the fractionation regimen (p = 0.04). The effect of the baseline SUVmax tended to be reliable (p = 0.07). Conclusions: In order to implement the principles of risk-adaptive radiation therapy it is necessary to consider the initial SUVmax of tumor as one of potential predictive and predicative markers of treatment effectiveness.

Epistemic Crisis

2018 ◽  
Author(s):  
Yochai Benkler ◽  
Robert Faris ◽  
Hal Roberts
Keyword(s):  
Public Sphere ◽  
Intellectual History ◽  
Public Institutions ◽  
First Year ◽  
Fake News ◽  
Media And Politics ◽  
Social Divisions ◽  
Echo Chambers ◽  
History Of ◽  
Media Ecosystem

This chapter describes the contours of the epistemic crisis in media and politics that threatens the integrity of democratic processes, erodes trust in public institutions, and exacerbates social divisions. It lays out the centrality of partisanship, asymmetric polarization, and political radicalization in understanding the current maladies of political media. It investigates the main actors who used the asymmetric media ecosystem to influence the formation of beliefs and the propagation of disinformation in the American public sphere, and to manipulate political coverage during the election and the first year of the Trump presidency, , including “fake news” entrepreneurs/political clickbait fabricators; Russian hackers, bots, and sockpuppets; the Facebook algorithm and online echo chambers; and Cambridge Analytica. The chapter also provides definitions of propaganda and related concepts, as well as a brief intellectual history of the study of propaganda.

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