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Lessons from the Integrated Domestic Abuse Programme, for the implementation of Building Better Relationships
- Author:
- HUGHES Will
- Journal article citation:
- Probation Journal, 64(2), 2017, pp.129-145.
- Publisher:
- Sage
This paper offers reflections on the Integrated Domestic Abuse Programme (IDAP), and its implications for the Building Better Relationships programme (BBR), which has now replaced IDAP as the main criminal justice intervention for male domestic violence perpetrators in England and Wales. While the BBR programme should be regarded with optimism, many of the principles underpinning IDAP are of ongoing relevance for practice with abusive men. There has been a tendency to distort IDAP and the broader Duluth model in discussions of interventions for perpetrators of domestic abuse. Although the BBR programme constitutes some changes of direction, its successful implementation requires continuity in the application of facilitator judgement, knowledge of group dynamics, non-judgemental dialogue, willingness to ‘challenge’, and responsiveness to individual service users. (Publisher abstract)
Care coordination: translating policy into practice for older people
- Authors:
- SEDDON Diane, et al
- Journal article citation:
- Quality in Ageing and Older Adults, 14(2), 2013, pp.81-92.
- Publisher:
- Emerald
The findings from research on the implementation of Unified Assessment (UA) policy and the work of care coordinators who oversee the delivery of support to older people with complex needs are presented. The research used a mixed methods approach that included staff interviews (n=95) and focus groups (n=3) spanning eight local authority areas; one in North, Mid and South Wales. The care coordinator role is controversial and the lack of common terminology across health and social care obscures its importance. It is seen as a social care responsibility. Limited ownership amongst healthcare professionals leads to tensions in practice. The challenges of breaking down silo thinking embedded in established professional practices are highlighted as are infrastructural and capacity deficits. Disparities between policy intentions and practice means that UA is failing to meet core objectives relating to the delivery of seamless support. Practice implications identified are that practice development may be supported by: guidelines that are more prescriptive and include a formal role definition; joint training to promote shared understanding of key concepts; investment in administrative and IT infrastructures; and more coordinated direction at strategic level. (Edited publisher abstract)
Outcomes of coordinated and integrated interventions targeting frail elderly people: a systematic review of randomised controlled trials
- Authors:
- EKLUND Kajsa, WIHELMSON Katarina
- Journal article citation:
- Health and Social Care in the Community, 17(5), September 2009, pp.447-458.
- Publisher:
- Wiley
This systematic review examined randomised controlled trials on integrated and coordinated interventions targeting frail elderly people living in the community, their outcome measurements and their effects on the client, the caregiver and healthcare utilisation. A literature search of PubMed, AgeLine, Cinahl and AMED was carried out with the following inclusion criteria: original article; integrated intervention including case management or equivalent coordinated organisation; frail elderly people living in the community; randomised controlled trials; in the English language, and published in refereed journals between 1997 and July 2007. The final review included nine articles, each describing one original integrated intervention study. Of these, one was from Italy, three from the USA and five from Canada. Seven studies reported at least one outcome measurement significantly in favour of the intervention, one reported no difference and one was in favour of the control. Five of the studies reported at least one outcome on client level in favour of the intervention. Only two studies reported caregiver outcomes, both in favour of the intervention for caregiver satisfaction, but with no effect on caregiver burden. Outcomes focusing on healthcare utilisation were significantly in favour of the intervention in five of the studies. Five of the studies used outcome measurements with unclear psychometric properties and four used disease-specific measurements. This review provides some evidence that integrated and coordinated care is beneficial for the population of frail elderly people and reduces health care utilisation. There is a lack of knowledge about how integrated and coordinated care affects the caregiver. This review pinpoints the importance of using valid outcome measurements and describing both the content and implementation of the intervention.
Domestic violence: working with men: research, practice experiences and integrated responses
- Authors:
- DAY Andrew, et al
- Publisher:
- Federation Press
- Publication year:
- 2009
- Pagination:
- 270p., bibliog.
- Place of publication:
- Annandale, NSW
The authors aim to describe and discuss the provision, within Australia, of programs and integrated responses designed to reduce the incidence of domestic violence towards women among known perpetuators. The book is a result of an ongoing program, the Gold Coast Domestic Violence Integrated Response (GCDVIR) and various case studies are presented throughout, Contributors include those working with victims of domestic violence within (and out with) the GCDVIR program, facilitators to the men on the program, the police, magistrates, and community corrections officers, reflecting how key it is to involve the criminal justice system in the development of any educational and therapeutic response. Outcome data, theoretical and clinical issues relevant to integrated response program delivery are discussed. The final chapters of the book discuss the different roles facilitators can adopt in relation to the clients who are legally mandated to attend an intervention program and the overall implication of the GCDVR work for the future development of programs and services throughout Australia.
The National Academy of medicine social care framework and COVID-19 care innovations
- Authors:
- GOTTLIEB Laura M., PANTELL Matthew S., SOLOMON Loel S.
- Journal article citation:
- Journal of General Internal Medicine, early cite 29 January 2021,
- Publisher:
- Springer
- Place of publication:
- Switzerland
Despite social care interventions gaining traction in the US healthcare sector in recent years, the scaling of healthcare practices to address social adversity and coordinate care across sectors has been modest. Against this backdrop, the coronavirus pandemic arrived, which re-emphasized the interdependence of the health and social care sectors and motivated health systems to scale tools for identifying and addressing social needs. A framework on integrating social care into health care delivery developed by the National Academies of Science, Engineering, and Medicine provides a useful organizing tool to understand the social care integration innovations spurred by COVID-19, including novel approaches to social risk screening and social care interventions. As the effects of the pandemic are likely to exacerbate socioeconomic barriers to health, it is an appropriate time to apply lessons learned during the recent months to re-evaluate efforts to strengthen, scale, and sustain the health care sector’s social care activities. (Edited publisher abstract)
Interprofessional collaboration at the crossroads of group social work and family intervention: theoretical analysis of the evolution of practices leading to integrated services in New Brunswick
- Authors:
- LANTEIGNE Isabel, IANCU Penelopia
- Journal article citation:
- Groupwork, 29(1), 2020, pp.24-45.
- Publisher:
- Whiting and Birch
This article proposes a theoretical analysis of group intervention practices with families in the context of interprofessional collaboration. A short history of group intervention with families is presented before we elaborate on new hybrid models of practice. These new models are characterized by their structural and functional complexity, and by the multiplicity of forms of collaboration used during interventions. One of these innovative practices based on interprofessional collaboration is Integrated Services Delivery (ISD) for children, youth and families. This program enables interprofessional teams to develop joint intervention plans to support families who have children with mental health problems. These practice models raise issues concerning social work education with regards to collaborative work in intervention and the resolution of complex situations. (Edited publisher abstract)
Implementation of home hospitalization and early discharge as an integrated care service: a ten years pragmatic assessment
- Authors:
- HERNANDEZ Carme, et al
- Journal article citation:
- International Journal of Integrated Care, 18(2), 2018, p.12. Online only
- Publisher:
- International Foundation for Integrated Care
Home Hospitalization has proven efficacy, but its effectiveness and potential as an Integrated Care Service in a real world setting deserves to be explored. Objective: To evaluate implementation and 10 years follow-up of Home Hospitalization and Early Discharge as an Integrated Care Service in an urban healthcare district in Barcelona. Methods: Prospective study with pragmatic assessment. Patients: Surgical and medical acute and exacerbated chronic patients requiring admission into a highly specialized hospital, from 2006 to 2015. Intervention: Home-based individualized care plan, administered as a hospital-based outreach service, aiming at substituting hospitalization and implementing a transitional care strategy for optimal discharge. Main measurements: Emergency Department, readmissions and mortality. Patients’ and professionals’ perspectives, technologies and costs were evaluated. Results: 4,165 admissions (71 ± 15 yrs; Charlson Index 4 ± 3). In-hospital stay was 1 (0–3) days and the length of home-based stay was 6 (5–7) days. The 30-day readmission rate was 11% and mortality was 2%. Patients, careers and health professionals expressed high levels of satisfaction (98%). At the start, the service was reimbursed at a flat rate of 918€ per patient discharged, significantly lower than conventional hospitalization (2,879€) but still allowing the hospital to keep a balanced budget. At present, there is no difference in the payment schemes for both types of services. Conclusions: The service freed an average of 6 in-hospital days per patient. The program showed health value generation, as well as potential for synergies with community-based Integrated Care Services. (Edited publisher abstract)
Working with Offenders' Families: information and learning to support offender management practice
- Authors:
- PUDGE Lindsey, et al
- Publisher:
- Barnardo's
- Publication year:
- 2015
- Pagination:
- 6
- Place of publication:
- Ilford
This document provides information and learning derived from the Community Support for Offenders’ Families (CSOF) pilot. Based in three different localities, CSOF aims to bring together the work of probation, as the statutory agency responsible for the management and supervision of offenders in custody and in the community, with statutory and voluntary agencies responsible for supporting children and families, seeking to raise awareness of the impact of parental/carer imprisonment/offending on children and to encourage the development of effective recording and information sharing systems. This report provides an overview of existing practices and identifies areas of practice developed during the pilot, including: promotional information, practice guidance and training, information sharing, case management and recording, and referral processes. (Edited publisher abstract)
Dementia care in the context of primary care reform: an integrative review
- Authors:
- SPENCELEY Shannon M., SEDGWICK Noelle, KEENAN Jessie
- Journal article citation:
- Aging and Mental Health, 19(2), 2014, pp.107-120.
- Publisher:
- Taylor and Francis
Objectives: This integrative review examines the influence of the primary care reform literature on the state of the evidence relating to primary care of people living with dementia. Methods: The review examined a broad range of published and grey literature (2000–2013) about the primary care of dementia, using a systematic approach set up in advance of the literature search. Databases searched included the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of Science, Cochrane Collaborative Reviews, Medline (via PubMed) and ProQuest Nursing and Allied Health Source. The review was guided by two questions: What are the evident models of primary care for dementia? How do the models line up with the other attributes of high-performing primary care? Results: A total of 2912 abstracts were retrieved against the inclusion/exclusion criteria, 67 articles were selected for for complete review, with a final 20 pieces of work selected for quality appraisal (8 quantitative research reports, 3 qualitative research reports, 7 conceptual articles and 2 pieces of grey literature). Three models were noted: carved-out (referring to organisational resource outside the practice), co-managed, and integrative-hub, all informed by different assumptions about the role of primary care in dementia. The models varied in alignment with the attributes of high-performing primary care, although very little attention was found in relation to accessibility, relational continuity or comprehensiveness of care. Conclusions: Recent literature around primary care and dementia shows promise in attending to some of the attributes of high-performing primary care but much more work is needed to truly leverage the potential value of primary care in addressing the needs of people living with dementia. (Edited publisher abstract)
Transforming a wild world: helping children and families to address neglect in the province of Quebec, Canada
- Author:
- LACHARITE Carl
- Journal article citation:
- Child Abuse Review, 23(4), 2014, pp.286-296.
- Publisher:
- Wiley
Neglect is a complex social problem with serious consequences for the fulfilment of the needs of a child by adults in the child's immediate family and social network , not only parents, but other adults who come into contact with the child (including professionals). However, child protection systems have difficulty taking into account the social nature and the relational complexity of this issue. In fact, they have, consequently, a tendency to concentrate on the parents' deficiencies with regard to their responsibility to their children. This article describes the theoretical foundation of an ecosystemic and developmental model that forms the basis for the development of integrated child neglect services in Quebec, Canada. It also describes the components and activities that aim to operationalise this ecosystemic and developmental model of child neglect (Publisher abstract)