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Mandatory reporting of domestic violence cases in Cyprus; barriers to the effectiveness of mandatory reporting and issues for future practice
- Author:
- PANAYIOTOPOULOS Christos
- Journal article citation:
- European Journal of Social Work, 14(3), 2011, pp.379-402.
- Publisher:
- Taylor and Francis
In Cyprus, domestic violence and child abuse rates have been slowly but steadily increasing. In order to monitor the phenomenon and to be able to design policy programmes, the law services introduced mandatory reporting of all child abuse and domestic violence cases in 1998. All involved agencies must report every case within 7 days to the Attorney General’s Office. However, mandatory reporting does not appear to have led to any change. The aim of this study was to provide a process evaluation of mandatory reporting and specifically to investigate the causes and obstacles leading to the insufficient implementation of mandatory reporting. Data was collected by means of documentary analysis and in-depth semi-structured interviews with stakeholders from social, health, education and law services. The findings demonstrate gaps in the policy, poor planning on behalf of the law services, and lack of coordination and communication between all the services involved. The issues that make the implementation of mandatory reporting in Cyprus inefficient and ineffective are discussed and recommendations are provided. These include the development of a mediator scheme, which can act as a screening point and liaise with the Attorney General's Office and the involved services.
Mental health and housing: resources for commissioners and providers: integrated care
- Authors:
- MOLYNEUX Peter, VAN DOORN Andrew
- Publisher:
- National Mental Health Development Unit
- Publication year:
- 2011
- Pagination:
- 4p.
- Place of publication:
- London
This short briefing paper is for commissioners, providers and users of services to help them place mental health and housing in wider NHS, social care and local agendas. The paper provides an overview of the policy context; the increasing integration between health and social care; and the role of integrated care in delivering better care and better value for money.
The dialectics between specialization and integration: politicians' and managers' views on forms of organization in the Swedish social services
- Authors:
- PERLINSKI Marek, et al
- Journal article citation:
- Administration in Social Work, 35(1), January 2011, pp.60-87.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article focuses on the views and attitudes of politicians and managers in relation to Swedish social service organisations. In particular, it examines the factors that influence organisational processes within the personal social services (PSS), and how different organisational models affect social workers' interventions. This study is based on interviews with 3 politicians and 12 managers responsible for the PSS in 3 Swedish municipalities with different organisational models: a specialised organisation; an integrated organisation; and a combined organisation with elements of both specialisation and integration. The respondents predominantly reported a sense of satisfaction with their own PSS organisation. The results are presented in tables comparing the advantages and disadvantages of the different PSS models with regard to context, social workers, interventions, and results. The main results are summarised in a heuristic model that presents a number of fundamental intra-organisational factors that influence the organising of the PSS.
The evidence base for integrated care
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2008
- Pagination:
- 20p.
- Place of publication:
- London
This document is intended to support prospective Integrated Care Organisation pilots to develop their applications. This review of the evidence identifies: the changes integration brings about; the conditions that support successful integration; and gaps in the evidence base that evaluations of the pilots might help address. Vertical integration describes a context where different components of a supply chain are brought together in a single organisation. In health care, it can describe the situation where agencies involved at different stages of the care pathway are part of a single organisation, or where payer and provider agencies are part of a single organisation. The document concludes that there is evidence that suggests integration can be an effective way of delivering health care and that it can provide opportunities to break down barriers between primary and secondary health care, as well as health and social care. The evidence also highlights conditions that support successful integration which should be taken into account by the Integrated Care Pilots. A number of key findings and lessons for prospective Integrated Care Organisation pilots are provided.
Telehealthcare: time for action: SSAC one-day forum on telehealthcare technologies for assisted living: Informatics Forum, University of Edinburgh 27 October, 2009: executive summary
- Author:
- SCOTTISH SCIENCE ADVISORY COUNCIL
- Publisher:
- Scottish Science Advisory Council
- Publication year:
- 2010
- Pagination:
- 9p.
- Place of publication:
- Edinburgh
This report summarises a one day forum on telehealthcare organised by the Scottish Science Advisory Council. It looked at the part technologies for assisted living could play in meeting the challenges of caring for an aging population. The key stakeholders attending overwhelmingly concluded that now is the time for action. A 5-step action plan emerged; the vision - articulating a vision for THC in Scotland; the leadership - providing the leadership to implement THC and set up the infrastructure required; technology and procurement - establishing technology standards and innovative procurement policies; Scotland the testbed - taking the initiative in THC research and development, thus establishing Scotland as an internationally-recognised centre of excellence and as a testbed for THC, especially in remote areas; and THC for all -implementing a nationwide THC solution as an integral part of NHS Scotland.
Telehealthcare: time for action: SSAC one-day forum on telehealthcare technologies for assisted living: Informatics Forum, University of Edinburgh 27 October, 2009
- Author:
- SCOTTISH SCIENCE ADVISORY COUNCIL
- Publisher:
- Scottish Science Advisory Council
- Publication year:
- 2010
- Pagination:
- 57p.
- Place of publication:
- Edinburgh
Recognising the challenges posed by caring for an aging population, the Scottish Science Advisory Council organised a one-day forum looking at the part technologies for assisted living could play in meeting these challenges. It brought together key stakeholders who overwhelmingly concluded that now is the time for action. Telehealthcare (THC) is expected to deliver better care for all and, by using technology to integrate services more cost-effectively and efficiently, to gradually become part of everyday life. Mature technologies exist, though further research and development will be required for more advanced, sophisticated and usable facilities. Participants agreed that Scotland needed to: make THC an integral part of the care system; set up the infrastructure to deliver it nationwide; train carers, health and care workers; and educate THC users and the general public. A 5-step action plan emerged; articulating a vision for THC in Scotland; providing the leadership to implement THC and set up the infrastructure required; establishing technology standards and innovative procurement policies; taking the initiative in THC research and development, thus establishing Scotland as an internationally-recognised centre of excellence and as a testbed for THC, especially in remote areas; and implementing a nationwide THC solution as an integral part of NHS Scotland.
Getting it together
- Author:
- CURTIS Lisa
- Journal article citation:
- Every Child Journal, 2(2), 2011, pp.25-32.
- Publisher:
- Imaginative Minds
- Place of publication:
- Birmingham
Good interagency working is the essential for professionals working with young people. Now, a framework has been developed by the Children’s Workforce Development Council to help managers and leaders identify the skills practitioners need. This article discusses the development of the Skills Development Framework, a non-mandatory framework to complement the specialist skills used to deliver services and used to model good joint working practice. The framework describes integrated working skills and process-related skills that support integrated working. These skills apply to all levels up to expert practitioners, mangers and leaders. The framework was developed to help those working with the development of young people operate in a collaborative, integrated way. The article describes who the framework is for, how it is used, and exactly how it promotes collaboration.
Patterns of recovery from severe mental illness: a pilot study of outcomes
- Authors:
- MILLER Leonard, et al
- Journal article citation:
- Community Mental Health Journal, 46(2), April 2010, pp.177-187.
- Publisher:
- Springer
This pilot study examined patterns of recovery from severe mental illness in a model integrated service delivery system using measures from the Milestones of Recovery Scale (MORS), a valid and reliable measure of recovery outcomes which ranges from 1 to 8 (8 levels). An aggregate MORS (6 levels) was constructed where the levels are described as follows: (1) extreme risk; (2) unengaged, poorly self-coordinating; (3) engaged, poorly self-coordinating; (4) coping and rehabilitating; (5) early recovery, and (6) self reliant. MORS data was analysed on individuals followed over time from The Village in Long Beach, California (658 observations). The models suggest that after 12 months only 8% of 'extreme risk' clients remain such. Over 40% have moved to 'engaged, poorly self-coordinating.' After 2 years, almost half of the initial 'extreme Risk' clients are 'coping/rehabilitating, 'early recovery' or 'Self reliant.' Most gains occur within 2 years.
Integrated children's centres: overcoming barriers to truly integrated services
- Author:
- BEATY Carole
- Publisher:
- Routledge
- Publication year:
- 2010
- Pagination:
- 238p.
- Place of publication:
- London
Children’s Centres designed to be a one-stop-shop to meet the needs of local communities, represent a major shift in the way children’s services are delivered to families. The author explores the way in which the development of Children’s Centres has built upon the research and experiences of initiatives such as the HeadStart programme in America and the SureStart programme. She explores the component elements that constitute truly integrative services and the key players that need to be engaged to ensure positive outcomes, including: families, the local authority, PCT, private and voluntary sectors, and faith groups. Topics covered include: the challenges faced by children’s centres; how to tackle social issues through the medium of children's centres; achieving effective multi-agency working and true collaboration; the essentials of leading and managing children’s centres; the benefits of early intervention; and how to effectively deliver health care, education and children’s services. Case studies are included throughout. The book is aimed at nursery and children’s centres managers, early years practitioners enrolled on the NPQICL or EYPS programmes, and students working towards a degree in Early Childhood Studies or MA in Early Years.
Evaluation of UK integrated care pilots: research protocol
- Authors:
- LING Tom, et al
- Journal article citation:
- International Journal of Integrated Care, 10(3), 2010, Online only
- Publisher:
- International Foundation for Integrated Care
In response to concerns that the needs of the aging population for well-integrated care were increasing, the English National Health Service (NHS) appointed 16 Integrated Care Pilots following a national competition. The pilots have a range of aims including development of new organisational structures to support integration, changes in staff roles, reducing unscheduled emergency hospital admissions, reduced length of hospital stay, increasing patient satisfaction, and reducing cost. This paper describes the evaluation of the initiative which has been commissioned. The evaluation aimed to answer the following questions: What approaches to integration have been employed by the pilots? What approaches to integration work well and in what contexts? Who benefits from integration, in what ways, and with what consequences for equity? What resources are required to make integration succeed and how can these be efficiently used? And in delivering integrated care in the English NHS, what policies and practices are: most likely to deliver the intended outcome, most capable of being implemented and most acceptable to patients, users, clinicians, managers and the wider public. A mixed methods approach was adopted including interviews with staff and patients, non-participant observation of meetings, structured written feedback from sites, questionnaires to service users and staff, and analysis of routinely collected hospital utilisation data for patients/users who had been recruited into the pilots.