Search results for ‘Subject term:"integrated services"’ Sort:
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Creation of a care trust: managing the project
- Author:
- HAYWARD-GILES Shane
- Journal article citation:
- Journal of Integrated Care, 14(5), October 2006, pp.23-24.
- Publisher:
- Emerald
The formation of Torbay's care trust was a considerable task. The author highlights four areas which he feels are of particular value to others wishing to succeed as Torbay has, these are: leadership and management; cultural issues, building success and scrutiny.
Super for some
- Author:
- CALLAGHAN David
- Journal article citation:
- Community Care, 26.10.06, 2006, pp.30-31.
- Publisher:
- Reed Business Information
Once regarded as a model for the UK to follow, the system of integrated health and social services in Northern Ireland is to be completely rebuilt. The author looks at the changes, and highlights some of the advantages and disadvantages identified.
An integrated system for care
- Author:
- BURKE Kath
- Journal article citation:
- Local Government Chronicle, 21.09.06, 2006, pp.18-19.
- Publisher:
- Emap Business
Durham has streamlined care services with the introduction of a groundbreaking computer system. This article looks at the system which helps to facilitate seamless care for older people and people with physical disabilities by joining up 10 care teams over 4 localities.
Whole-system approaches to health and social care partnerships for the frail elderly: an exploration of North American models and lessons
- Author:
- KODNER Dennis L.
- Journal article citation:
- Health and Social Care in the Community, 14(5), September 2006, pp.384-390.
- Publisher:
- Wiley
Irrespective of cross-national differences in long-term care, countries confront broadly similar challenges, including fragmented services, disjointed care, less-than-optimal quality, system inefficiencies and difficult-to-control costs. Integrated or whole-system strategies are becoming increasingly important to address these shortcomings through the seamless provision of health and social care. North America is an especially fertile proving ground for structurally oriented whole-system models. This article summarises the structure, features and outcomes of the Program of All-Inclusive Care for Elderly People (PACE) programme in the United States, and the Systeme de soins Integres pour Personnes Agees (SIPA) and the Programme of Research to Integrate Services for the Maintenance of Autonomy (PRISMA) in Canada. The review finds a somewhat positive pattern of results in terms of service access, utilisation, costs, care provision, quality, health status and client/carer satisfaction. It concludes with the identification of common characteristics which are thought to be associated with the successful impact of these partnership initiatives, as well as a call for further research to understand the relationships, if any, between whole-system models, services and outcomes in integrated care for elderly people.
The case for an integrated approach to HIV/AIDS prevention: support and treatment services in Canada
- Author:
- VEINOT Tiffany C.
- Journal article citation:
- Journal of HIV/AIDS and Social Services, 5(3/4), 2006, pp.181-199.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Worldwide, there is growing policy support for providing integrated HIV/AIDS services. Accordingly, this paper examines the challenges as well as the merits for implementing an integrated approach to HIV/AIDS services in Canada. Through a discussion of the interconnections between HIV/AIDS prevention, support, and treatment, the author outlines how these issues are fundamentally intertwined in the lives of people living with HIV/AIDS (PHAs) and those at risk of HIV infection. This suggests that provision of comprehensive HIV/AIDS services requires approaching these issues from an integrated perspective. The author outlines two existing models of integrated HIV/AIDS services to show the potential viability of such an approach, and concludes with policy recommendations to support service integration. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Care management for older people: does integration make a difference?
- Authors:
- CHALLIS David, et al
- Journal article citation:
- Journal of Interprofessional Care, 20(4), August 2006, pp.335-348.
- Publisher:
- Taylor and Francis
England and Northern Ireland provide examples of different degrees of integration of health and social care within broadly similar administrative and funding frameworks. This paper examines whether integrated structures appear to impact upon the operation of care management, a key approach to providing coordinated care for vulnerable older people. It draws on a study undertaken by the Personal Social Services Research Unit (PSSRU) and funded by the Department of Health to evaluate the different forms and types of care management that have emerged since the NHS and Community Care Act for two user groups: older people and people with mental health problems. Results found there appeared to be more evidence of integrated practice between health and social care in Northern Ireland than England, although some key features, such as intensive care management, were no more evident. It is concluded that further investigation is required as to the extent to which integrated structures have impacted upon patterns of professional working and underlying beliefs about roles.
Availability of integrated care for co-occurring substance abuse and psychiatric conditions
- Authors:
- DUCHARME Lori J., KNUDSEN Hannah K., ROMAN Paul M.
- Journal article citation:
- Community Mental Health Journal, 42(4), August 2006, pp.363-375.
- Publisher:
- Springer
The co-occurrence of psychiatric conditions and substance abuse presents significant challenges for behavioural healthcare providers. The need for integrated care has received substantial recent attention from clinical, research, and funding entities. However, the availability of integrated care has been low, carrying potential adverse implications for quality of care and treatment outcomes. This article describes the prevalence and key correlates of the availability of integrated care for co-occurring conditions within public and private-sector addiction treatment programs in the United States. Several organizational attributes, caseload characteristics, and service provision patterns were associated with the availability of integrated care.
Managing effective partnerships in older people's services
- Author:
- NILES Henk
- Journal article citation:
- Health and Social Care in the Community, 14(5), September 2006, pp.391-399.
- Publisher:
- Wiley
The integration of older people's services is a challenge to all countries with an ageing population. Although it is widely acknowledged that acute care, long-term care, social care, housing, leisure, education and other services should all operate in a more 'joined-up manner', achieving this in practice remains extremely difficult. Against this background, the European Union (EU) Care and Management of Services for Older People in Europe Network (CARMEN) project set out to explore the management of integrated care in 11 EU countries. Summarising key themes from the project, this paper explores the management of integrated care, the skills required, the mechanisms which aid successful integrated approaches, and future research priorities. Although very challenging, the concept of integrated care is still a promising way forward when seeking to meet the challenges of an ageing society.
The development of a new integrated mental health service for people with learning disabilities
- Authors:
- HALL Ian, et al
- Journal article citation:
- British Journal of Learning Disabilities, 34(2), June 2006, pp.82-87.
- Publisher:
- Wiley
It is now well recognized that people with learning disabilities experience the full range of psychiatric disorders. Public policy in the United Kingdom advocates that people with learning disabilities should access mainstream mental health services. The authors discuss the challenges this policy presents, and then describe the processes they went through to set up a service that properly enabled such access. They describe the service model in some detail, then reflect on overcoming barriers to implementation, and how we maintain the service model. Finally some lessons for future service development initiatives are highlighted.
Duty teams a dying breed
- Author:
- LARKMAN Chris
- Journal article citation:
- Community Care, 16.03.06, 2006, pp.34-35.
- Publisher:
- Reed Business Information
This article looks at the functioning of the social services emergency duty teams which have been operating a generic service for more than 30 years. It recommends that action is needed now to evaluate the service in order to realign with the specialist day services.