Search results for ‘Subject term:"medical model"’ Sort:
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Applying addictions harm reduction lessons to mental healthcare
- Authors:
- KRAUSZ Reinhard M., et al
- Journal article citation:
- Advances in Dual Diagnosis, 7(2), 2014, pp.73-79.
- Publisher:
- Emerald
Purpose: Psychiatry and other areas of mental healthcare have a limited reach. According to the National Comorbidity Survey in the USA the majority of people with mental illnesses do not get any professional support. The current “acute care focus” treatment paradigm directs funding toward hospitals, medications and institutions. The purpose of this paper is to explore the appropriateness of this approach. Design/methodology/approach: To assess the acute care focus in mental healthcare, the authors will contrast it with an alternative paradigm of harm reduction. Findings: The authors argue that harm reduction principles based on the experiences of addiction medicine may be an added value to the current system of care along with structural reforms regarding early intervention and community-focused care. Originality/value: This discussion paper contributes to a growing body of literature recognising the inefficiencies of the present acute care centered paradigm in healthcare. (Edited publisher abstract)
Medical model on top
- Author:
- METTERI Anna
- Journal article citation:
- Community Care, 26.9.02, 2002, p.48.
- Publisher:
- Reed Business Information
Looks at Finnish mental health care policy where the medical model in psychiatry has been strengthened. Argues that it is now up to staff to move towards more collaborative methods of working.
Flexible services
- Author:
- OLIVER M.
- Journal article citation:
- Nursing Times, 6.4.88, 1988, pp.25-28.
- Publisher:
- Nursing Times
Argues that the medical model of disability is a barrier to the provision of a community nursing service which satisfies the needs of the clients.
Challenging paternalism and promoting the user participation of older people with dementia in multi disciplinary assessment
- Author:
- MALYNOWSKYJ. Pawlina
- Publisher:
- Social Care Association
- Publication year:
- 1999
- Pagination:
- 44p.,bibliog.
- Place of publication:
- Surbiton
Dissertation demonstrating why the medical model on its own in inappropriate for an understanding of people with dementia and offering an alternative approach from an anti discriminatory perspective, which can inform the multidisciplinary assessment of people with dementia in line with community care principles.
Is assessment working? - policy and practice in care management
- Author:
- BALDWIN Mark
- Journal article citation:
- Practice: Social Work in Action, 8(4), 1996, pp.53-59.
- Publisher:
- Taylor and Francis
Draws upon research carried out by the author during 1994/5, including interviews with care managers and their managers in two contrasting Social Services Departments. The author notes that, if care managers want advice on how to practice, there is a wealth of literature to inform them, from a range of sources. It then asks to what extent care managers are following this advice, particularly that "borrowed" by their Local Authorities to assist in the compiling of care management handbooks. Argues that, with notable exceptions, much of the good practice intended by the introduction of care management is being undermined by the resistance of care managers who dislike the managerialist approach of the changes and instead cling to a more traditional medical model of professional practice.
Commentary on: The personal touch: building bridges between social services and primary health care
- Author:
- PEARSON Maggie
- Journal article citation:
- Community Care Management and Planning, 2(5), October 1994, pp.151-152.
- Publisher:
- Pavillion
Argues that there may still be a long way to go before the dominance of the medical model is challenged in the public's eyes, and the autonomous competence of social workers is given the respect it deserves.
Primary health care provision for people with learning difficulties
- Author:
- RODGERS Jackie
- Journal article citation:
- Health and Social Care in the Community, 2(1), January 1994, pp.11-17.
- Publisher:
- Wiley
The health care needs of people with learning difficulties living in the community are in danger of being ignored. Discussion of such needs is inhibited by a fear of 'remedicalization', that is, returning to a domination of a medical model of health in the lives of people with learning difficulties. In a new synthesis of the literature, this paper reviews evidence that health care needs are not being met. It considers the potential for a more effective Primary Health Care (PHC) service through better interprofessional collaboration between Primary Health Care Teams (PHCTs) and Community Learning Difficulty Teams (CLDTs). The meaning of collaboration, in theory and practice is explored, and the reasons it can be difficult to achieve are discussed. Finally, ways in which improvements in PHC for people with learning difficulties can be attained are suggested.
Model behaviour
- Author:
- JAMES Adam
- Journal article citation:
- Nursing Times, 21.9.00, 2000, pp.28-29.
- Publisher:
- Nursing Times
A group of nurses who believe the medical model of treatment is failing people with mental illness have helped develop an innovative home treatment service for third client group.
Seniors' experiences of client-centered residential care
- Authors:
- EALES Jacquie, KEATING Norah, DAMSMA Annita
- Journal article citation:
- Ageing and Society, 21(3), May 2001, pp.279-296.
- Publisher:
- Cambridge University Press
The philosophy concerning long-term care for frail seniors has shifted from a provider-driven, medical model toward a more client-centered, social model. Reports on qualitative in-depth interviews conducted with residents of adult family living and assisted living programmes in western Canada to better understand the elements that residents themselves felt were integral to client-centred care. Three main themes emerged for the data analysis: the physical setting, people within the setting, and the community were important areas of expression of residents' values and preferences; the decision about where to live influenced whether the residential care environment was congruent with residents' values and preferences; contentment resulted when there was a good fit between preferences and experiences, reflecting the essence of residents' perspective of client-centred care. Concludes that choices among models of care, appropriates staffing levels and training, and recognition of family contributions may improve the practice of client-centred care.