scholarly journals Home care assistants’ perspectives on detecting mental health problems and promoting mental health among community-dwelling seniors with multimorbidity

2016 ◽  
pp. 83 ◽  
Author(s):  
Åke Grundberg ◽  
Anna Hansson ◽  
Dorota Religa ◽  
Pernilla Hillerås
Keyword(s):  
Mental Health ◽  
Home Care ◽  
Mental Health Problems ◽  
Health Problems ◽  
Community Dwelling

Evolve Therapeutic Services: Outcomes for Children and Young People in Out-of-Home Care with Complex Behavioural and Mental Health Problems

2017 ◽  
Vol 42 (4) ◽  
pp. 277-284 ◽  
Author(s):  
Kathryn Eadie
Keyword(s):  
Mental Health ◽  
Young People ◽  
Home Care ◽  
Repeated Measures ◽  
Mental Health Problems ◽  
Health Problems ◽  
Post Treatment ◽  
Children And Young People ◽  
Out Of Home Care ◽  
Therapeutic Services

This study evaluated Evolve Therapeutic Services, an innovative Queensland, Australian programme employing a trauma-informed collaborative wrap-round model of care in combination with a flexible intervention approach that is individually tailored to children and young people in out-of-home care who present with complex and extreme behavioural and mental health problems. The sample consisted of 768 children and young people. Three measures, the Children's Global Assessment Scale, Health of the Nation Outcome Scales for Children and Adolescents and the Strengths and Difficulties Questionnaire were used to assess functioning via a pre-post treatment design. Outcomes were assessed by comparing pre and post-treatment mean scores using repeated-measurest-tests. For estimates of differences in the proportion of children and young people in the clinical range between pre and post-treatment the McNemar test was used. In addition, surveys were completed by carers and stakeholders. Results provided a demographic profile, clinical profile and pre and post-treatment comparisons. Results revealed significant improvements across a range of problem areas: general functioning and adjustment; antisocial behaviour; overactivity and poor attention; non-accidental self-injury; problems with scholastic and language skills; emotional symptoms; peer and family relationships; self-care and independence; and school attendance. Survey data supported the outcomes from the stakeholder-rated and carer-rated measures. Findings provide ongoing evidence for the effectiveness of the therapeutic intervention programme.

scholarly journals The language, literacy and mental health profiles of adolescents in out-of-home care: An Australian sample

2020 ◽  
Vol 36 (3) ◽  
pp. 151-163 ◽  
Author(s):  
Pamela Snow ◽  
Emina McLean ◽  
Margarita Frederico
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Home Care ◽  
Oral Language ◽  
Mental Health Problems ◽  
Health Problems ◽  
Mental Health Status ◽  
Language And Literacy ◽  
Out Of Home Care ◽  
The Average Range

Adolescents in the care of the state have complex developmental needs that include low academic attainment. The aim of this study was to describe the language and literacy profiles of adolescents (aged 13–19) in out-of-home care (‘looked after children’). Mental health status, biopsychosocial history, and education and employment histories were also documented. Twenty-six adolescents were assessed by a speech and language therapist. Ninety-two percent had oral language skills below the average range on the Clinical Evaluation of Language Fundamentals: 4th edition, with 62% scoring two or more standard deviations below the mean. Ninety-two percent of participants scored below the average range on two or more subtests of the Test of Language Competence: Expanded edition. On the York Assessment of Reading Comprehension, 92% scored in the very low range and 65% were below-average on single-word reading. Fifty percent of participants reported a diagnosis/symptoms of depression and 54% reported a diagnosis/symptoms of anxiety. The correlation between oral language and literacy was modest but significant ( r = 0.502; p ⩽ 0.05); no significant correlations were found between oral language, literacy and mental health status, suggesting that mental health problems are a comorbidity rather than a correlate of language and literacy difficulties. Language and literacy difficulties are highly prevalent in this population. Language disorders are likely to be undiagnosed in the context of significant mental health problems, and disrupted schooling and accommodation. Speech-language therapy scope of practice needs to include out-of-home care populations in order to foster developmentally appropriate language and literacy skills that maximize school success, both academically and socially.

Dementelcoach: effect of telephone coaching on carers of community-dwelling people with dementia

2011 ◽  
Vol 24 (2) ◽  
pp. 212-222 ◽  
Author(s):  
Lisa D. van Mierlo ◽  
Franka J. M. Meiland ◽  
Rose-Marie Dröes
Keyword(s):  
Mental Health ◽  
Day Care ◽  
Mental Health Problems ◽  
Comparison Group ◽  
Informal Caregivers ◽  
Health Problems ◽  
Respite Care ◽  
Community Dwelling ◽  
People With Dementia ◽  
Telephone Coaching

ABSTRACTBackground: Dementelcoach is a new telephone intervention to support informal caregivers of community-dwelling people with dementia. The effectiveness of this intervention was evaluated on burden and mental health problems of informal caregivers.Methods: A pre-test/post-test comparison group design was used with three groups of informal caregivers. Two of the groups were experimental and received either (1) telephone coaching or (2) telephone coaching in combination with respite care (psychogeriatric day care); the third was a comparison group which received day care only. Telephone coaching was offered by trained coaches once every two to three weeks over a period of 20 weeks.Results: Informal caregivers who received telephone coaching in combination with respite care reported significantly less burden compared to caregivers who received telecoaching only, and they experienced significantly fewer mental health problems than those who received day care only.Conclusion: Telecoaching according to the principles of Dementelcoach combined with respite care (psychogeriatric day care) is more effective in reducing burden and health complaints in informal caregivers of community-dwelling people with dementia than telecoaching or day care only.

scholarly journals Collaboration between home care staff, leaders and care partners of older people with mental health problems: a focus on personhood

2019 ◽  
Vol 34 (1) ◽  
pp. 128-138
Author(s):  
Camilla Anker‐Hansen ◽  
Kirsti Skovdahl ◽  
Brendan McCormack ◽  
Siri Tønnessen
Keyword(s):  
Mental Health ◽  
Home Care ◽  
Older People ◽  
Mental Health Problems ◽  
Health Problems ◽  
Care Staff ◽  
Care Partners
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