scholarly journals Supporting older adults with health and social care needs in the community—a case study of case management in Ontario’s home and community care system

2019 ◽  
Vol 19 (4) ◽  
pp. 237
Author(s):  
Julia Ho ◽  
Kerry Kuluski ◽  
Karen Spalding ◽  
Fiona Miller
Keyword(s):  
Older Adults ◽  
Case Management ◽  
Social Care ◽  
Community Care ◽  
Care Needs ◽  
Home And Community Care ◽  
Health And Social Care ◽  
Care System

scholarly journals Identifying and understanding the health and social care needs of older adults with multiple chronic conditions and their caregivers: a protocol for a scoping review

BMJ Open ◽  
2017 ◽  
Vol 7 (12) ◽  
pp. e018247 ◽  
Author(s):  
Elana Commisso ◽  
Katherine S McGilton ◽  
Ana Patricia Ayala ◽  
Melissa, K Andrew ◽  
Howard Bergman ◽  
...  
Keyword(s):  
Older Adults ◽  
Family Caregivers ◽  
Scoping Review ◽  
Chronic Conditions ◽  
Social Care ◽  
Grey Literature ◽  
Well Being ◽  
Multiple Chronic Conditions ◽  
Care Needs ◽  
Health And Social Care

IntroductionPeople are living longer; however, they are not necessarily experiencing good health and well-being as they age. Many older adults live with multiple chronic conditions (MCC), and complex health issues, which adversely affect their day-to-day functioning and overall quality of life. As a result, they frequently rely on the support of friend and/or family caregivers. Caregivers of older adults with MCC often face challenges to their own well-being and also require support. Currently, not enough is known about the health and social care needs of older adults with MCC and the needs of their caregivers or how best to identify and meet these needs. This study will examine and synthesise the literature on the needs of older adults with MCC and those of their caregivers, and identify gaps in evidence and directions for further research.Methods and analysisWe will conduct a scoping review of the peer-reviewed and grey literature using the updated Arksey and O’Malley framework. The literature will be identified using a multidatabase and grey literature search strategy developed by a health sciences librarian. Papers, reports and other materials addressing the health and social care needs of older adults and their friend/family caregivers will be included. Search results will be screened, independently, by two reviewers, and data will be abstracted from included literature and charted in duplicate.Ethics and disseminationThis scoping review does not require ethics approval. We anticipate that study findings will inform novel strategies for identifying and ascertaining the health and social care needs of older adults living with MCC and those of their caregivers. Working with knowledge-user members of our team, we will prepare materials and presentations to disseminate findings to relevant stakeholder and end-user groups at local, national and international levels. We will also publish our findings in a peer-reviewed journal.

scholarly journals Assessment, Allocation, And Management Of Home And Community Care Services For Medically Complex Children : A Case Study

2021 ◽  
Author(s):  
David Salib
Keyword(s):  
Community Care ◽  
Assessment Tool ◽  
Assessment Tools ◽  
Local Health ◽  
Health Human Resource ◽  
Care Needs ◽  
Care Services ◽  
Home And Community Care ◽  
Care Coordinators

This study examines the experiences of CCAC Care Coordinators when assessing, allocating, and managing medically complex children who require home and community care services. A case-study design was implemented, employing a focus group with seven Care Coordinators and an analysis of the 14 Local Health Integration Networks (LHINs) Integrated Health Service Plans (IHSPs) across Ontario. Three major findings arose from the study. First, families are experiencing increased levels of burden related to the child's care responsibilities. Second, there remains a health human resource shortage of individuals with a specialization in paediatrics in the home and community sector. Third, Care Coordinators function as street-level bureaucrats when allocating publicly funded services without the use of a standardized assessment tool. Ultimately, a model of care needs to be implemented supporting a balanced approach to assessment, utilizing standard assessment tools while providing a means for Care Coordinators to utilize their expertise in allocating services.

scholarly journals Identifying and understanding the health and social care needs of Indigenous older adults with multiple chronic conditions and their caregivers: a scoping review

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Sharlene Webkamigad ◽  
Robyn Rowe ◽  
Shanna Peltier ◽  
Amanda Froehlich Chow ◽  
Katherine S. McGilton ◽  
...  
Keyword(s):  
Older Adults ◽  
Scoping Review ◽  
Chronic Conditions ◽  
Social Care ◽  
Multiple Chronic Conditions ◽  
Care Needs ◽  
Health And Social Care

scholarly journals Care needs of elderly people with schizophrenia

2003 ◽  
Vol 182 (3) ◽  
pp. 241-247 ◽  
Author(s):  
Seamus V. Mcnulty ◽  
Laing Duncan ◽  
Margaret Semple ◽  
Graham A. Jackson ◽  
Anthony J. Pelosi
Keyword(s):  
Elderly Patients ◽  
Social Care ◽  
Community Care ◽  
Unmet Need ◽  
Continuing Care ◽  
Local Health ◽  
Psychotic Illness ◽  
Care Needs ◽  
Health And Social Care ◽  
The Uk

BackgroundLittle is known of the needs of elderly patients with psychotic illnesses.AimsTo measure the care needs of an epidemiologically based group of patients over the age of 65 years suffering from psychotic illness, using a standardised assessment.MethodAll patients aged 65 years and over with a diagnosis of schizophrenia and related disorders from a defined catchment area were identified. Their health and social care needs were investigated using the Cardinal Needs Schedule.ResultsThe 1-year prevalence of schizophrenia and related disorders was 4.44 per 1000 of the population at risk. There were high levels of unmet need for many patients, including those in National Health Service (NHS) continuing-care beds.ConclusionsMany needs were identified, all of which could be addressed using the existing skills of local health and social care professionals. The investigation raises serious concerns about standards of hospital and community care for elderly patients with schizophrenia. The findings may be unique, reflecting long-standing problems within a particularly hard-pressed part of the NHS. However, it is not known whether a similar situation exists in other parts of the UK.

scholarly journals Assessment, Allocation, And Management Of Home And Community Care Services For Medically Complex Children : A Case Study

2021 ◽  
Author(s):  
David Salib
Keyword(s):  
Community Care ◽  
Assessment Tool ◽  
Assessment Tools ◽  
Local Health ◽  
Health Human Resource ◽  
Care Needs ◽  
Care Services ◽  
Home And Community Care ◽  
Care Coordinators

This study examines the experiences of CCAC Care Coordinators when assessing, allocating, and managing medically complex children who require home and community care services. A case-study design was implemented, employing a focus group with seven Care Coordinators and an analysis of the 14 Local Health Integration Networks (LHINs) Integrated Health Service Plans (IHSPs) across Ontario. Three major findings arose from the study. First, families are experiencing increased levels of burden related to the child's care responsibilities. Second, there remains a health human resource shortage of individuals with a specialization in paediatrics in the home and community sector. Third, Care Coordinators function as street-level bureaucrats when allocating publicly funded services without the use of a standardized assessment tool. Ultimately, a model of care needs to be implemented supporting a balanced approach to assessment, utilizing standard assessment tools while providing a means for Care Coordinators to utilize their expertise in allocating services.

scholarly journals ‘Emergency’ referrals to a South London community mental handicap team (CMHT)

1992 ◽  
Vol 16 (8) ◽  
pp. 475-477 ◽  
Author(s):  
S. Gravestock ◽  
J. Bicknell
Keyword(s):  
Social Care ◽  
Community Care ◽  
Care Needs ◽  
Community Based ◽  
Mental Handicap ◽  
Department Of Health ◽  
Health And Social Care ◽  
Care Policies ◽  
Mental Handicaps ◽  
Community Based Services

As more people with mental handicaps∗ (MH) live in the community, in line with government community care policies (Department of Health, 1989), referrals to CMHTs∗ and other community based services will increase. Such referrals may be routine, urgent or emergency, come from various sources, and concern health and social care needs.

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