scholarly journals Local community policy for community care development

2014 ◽  
Vol 14 (6) ◽  
Author(s):  
Vesna Zupančič
Keyword(s):  
Local Community ◽  
Community Care ◽  
Community Policy ◽  
Care Development

scholarly journals Who's in the lions' den?

1996 ◽  
Vol 20 (2) ◽  
pp. 68-71 ◽  
Author(s):  
Geoffrey Wolff ◽  
Soumitra Pathare ◽  
Tom Craig ◽  
Julian Left
Keyword(s):  
Mentally Ill ◽  
Local Community ◽  
Community Care ◽  
Psychiatric Treatment ◽  
Psychiatric Hospitals ◽  
Care Policy ◽  
Suburban Communities ◽  
Cost Cutting ◽  
Local Residents

Most long-stay patients discharged from psychiatric hospitals under community care policy are being accommodated in suburban communities. The communities' attitudes have a major bearing on the success of this policy. A census of perceptions of psychiatric services was conducted in two areas prior to the opening of long-stay supported houses for the mentally ill. Many respondents (37%) had a negative perception of psychiatric treatment in hospital. Most (82%) had heard of community care policy but few (29%) knew about the imminent opening of supported houses for the long-term mentally HI in their own street. Most respondents (66%) were against the closure of psychiatric hospitals and many saw It as a cost cutting exorcise. The majority agreed with the idea of long-stay patients being discharged into smaller units in the community although a substantial minority (20%) thought it would have a bad effect on the local community. An overwhelming majority of respondents (91%) thought it was important for local residents to be given information about new mental health facilities in their neighbourhood. Respondents were worried that patients would not get adequate support and that they might be dangerous. If community care policy is to succeed, attention needs to be paid to the community's opinions and desire for information about local services.

scholarly journals LO35: Impact of EMS direct referral to community care on services received

CJEM ◽  
2017 ◽  
Vol 19 (S1) ◽  
pp. S39-S40
Author(s):  
K. Van Aarsen ◽  
A. Dukelow CHE ◽  
M. Lewell ◽  
J.R. Loosley ◽  
S. Pancino
Keyword(s):  
Home Care ◽  
Local Community ◽  
Community Care ◽  
Care Service ◽  
Community Services ◽  
Primary Objective ◽  
Direct Result ◽  
Care Access ◽  
Number Of Patients ◽  
Direct Referral

Introduction: The Community Referral by Emergency Medical Services (CREMS) program was implemented in January 2015 in Southwestern Ontario. The program allows Paramedics, who are interacting with a patient as a direct result of a call to 9-1-1, to directly refer patients in need of home care support to their local Community Care Access Centre (CCAC) for needs assessment. If indicated, subsequent referrals are made to specific services (e.g. nursing, physiotherapy and geriatrics) by the CCAC. Ideally, CREMS connects each patient with appropriate, timely care, supporting individual needs. Similar referral programs have been implemented in communities with preliminary data showing positive results. The primary objective of this project was to evaluate the success of the CREMS program by determining the number of referrals made by EMS in London-Middlesex to CCAC since implementation as well as the proportion of referred patients receiving a new or increase in service due to EMS referral. Methods: Data for all CCAC referrals from London-Middlesex EMS was collected for a thirteen month period (February 2015-February 2016). Data was evaluated for quantity of referrals and proportion that led to a patient receiving new or increased home care service. Results: There were 436 referrals made in the study period which represented 391 individuals. 54% of patients were between 65-84 years of age. Of the 391 patients, 162 (41%) were not known to CCAC and of those 119 (73%) received a new service due to EMS referral. The most common new services were occupational therapy (61%) and nursing (47%). Of the 229 (59%) of patients that were already known to CCAC, 101 (44%) received an increase in service due to EMS referral. No patients refused a new or increase in service. Conclusion: Of all patients referred to CCAC, 56% received a new service or had a change in existing services which suggests that a large number of patients benefited from early EMS referral to community services. The results of this project provide impetus to continue and expand the CREMS program. Future studies will evaluate if the implementation of this program has reduced patient reliance on 911 requests for paramedic care as well as Emergency Department transports.

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