Aging and Mental Health, 8(5), September 2004, pp.460-468.
Publisher:
Taylor and Francis
To enable older people with severe and persistent mental illness to live in the community, the Dutch mental health sector has developed a program for supported living in residential homes for the elderly. It provides for the permanent stationing of mental health workers (MHWs) in elder care facilities to support both the resident patients and the elder care staff. The authors examined associations between the number of MHW staff and the degree to which (1) patients were integrated into the community and (2) elder care workers had developed effective working alliances with their patients. Participants included 110 patients participating in 18 supported living programs in the Netherlands. Community integration was assessed in face-to-face interviews with the patients about their perceived influence over daily life, involvement in social activities, and social network size. The quality of the worker-patient relationship was assessed using the Dutch Working Alliance Questionnaire for Community Care, completed by the elder care worker primarily responsible for each patient. After differentiation of the MHW staff into medically trained and nurse-trained professionals, associations with outcome measures were found only for the nurse-trained staff. The more hours of nurse-trained staff capacity per patient, the more influence perceived by the patients, and the more directiveness shown by the elder care workers in their contacts with patients. The impact of supported living programs in residential homes for the elderly appears to be determined in part by the caseloads of the on-site MHWs.
To enable older people with severe and persistent mental illness to live in the community, the Dutch mental health sector has developed a program for supported living in residential homes for the elderly. It provides for the permanent stationing of mental health workers (MHWs) in elder care facilities to support both the resident patients and the elder care staff. The authors examined associations between the number of MHW staff and the degree to which (1) patients were integrated into the community and (2) elder care workers had developed effective working alliances with their patients. Participants included 110 patients participating in 18 supported living programs in the Netherlands. Community integration was assessed in face-to-face interviews with the patients about their perceived influence over daily life, involvement in social activities, and social network size. The quality of the worker-patient relationship was assessed using the Dutch Working Alliance Questionnaire for Community Care, completed by the elder care worker primarily responsible for each patient. After differentiation of the MHW staff into medically trained and nurse-trained professionals, associations with outcome measures were found only for the nurse-trained staff. The more hours of nurse-trained staff capacity per patient, the more influence perceived by the patients, and the more directiveness shown by the elder care workers in their contacts with patients. The impact of supported living programs in residential homes for the elderly appears to be determined in part by the caseloads of the on-site MHWs.
Subject terms:
mental health problems, nursing homes, older people, patients, supported living, staff-user relationships, ageing, care homes, community care, crime;
Scotland. Scottish Executive. Central Research Unit
Publication year:
2000
Pagination:
125p.,bibliog.
Place of publication:
Edinburgh
Aims to provide a summary of current and recent UK and international literature on the sentencing of dangerous offenders and the subsequent management of these offenders, whether in hospital or prison settings, and upon release into the community. The research is divided by country, split up into those who use a community protection approach, those who use a clinical approach, and other jurisdictions. It concludes with an examination of the issue of compliance with the European Convention on Human Rights.
Aims to provide a summary of current and recent UK and international literature on the sentencing of dangerous offenders and the subsequent management of these offenders, whether in hospital or prison settings, and upon release into the community. The research is divided by country, split up into those who use a community protection approach, those who use a clinical approach, and other jurisdictions. It concludes with an examination of the issue of compliance with the European Convention on Human Rights.
Subject terms:
hospitals, human rights, law, law courts, legal proceedings, mental health problems, offenders, psychiatry, prisons, rape, sentences, sex offenders, sexual offences, treatment, therapy and treatment, violence, dangerous offenders, crime, criminal justice;
Location(s):
Canada, Australia, Belgium, Denmark, England, Hungary, Iceland, Finland, France, Italy, Germany, Netherlands, New Zealand, Norway, Poland, Switzerland, Scotland, Spain, United States, Wales