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Mateo's experience leaving residential care: systemic constraints as obstacles to placement
- Author:
- CIMMARUSTI Rocco A.
- Journal article citation:
- Residential Treatment for Children and Youth, 29(1), January 2012, pp.1-12.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Sometimes a case will remain intractable despite efforts to create or support change. This article uses a multisystems perspective to examine the concept of constraints to change. The multisystems model focuses on the interactions within and between the client and the variety of levels of the environment that surrounds the client and within which the client interacts. A case example of transition planning for Mateo, an intellectually disabled and mentally ill 20-year-old male residing in a residential treatment programme, is used as a means for examining this concept. A multileveled systemic perspective is applied to analyse the contribution of various constraints on the progress of the case. The constraints that affected Mateo were: his predisposition to mental illness; his mild intellectual disability; the psychological impact of early childhood trauma; and his occasional physical aggression. Lessons to be learned from this case are elucidated. They include: the importance of and guidelines for thinking in a multileveled systemic way when dealing with clients involved in numerous service systems; and the value of professionals exploring their own constraining impact on a case.
Family reunification of youth in foster care with complex mental health needs: barriers and recommendations
- Authors:
- LEE Elissa E., et al
- Journal article citation:
- Child and Adolescent Social Work Journal, 29(3), June 2012, pp.185-202.
- Publisher:
- Springer
This study presents findings of a formative evaluation of an innovative pilot program designed to reunify and reintegrate looked after young people with complex mental and behavioural needs in residential treatment centres or therapeutic foster care with their families in the community. Data collection methods included in-depth structured case file reviews and semi-structured interviews with the youth, as well as their caregivers, child protection services caseworkers, and pilot program staff. The participants provided important insights regarding system, program, and case-level barriers to the successful reunification of these youth back into the community. Training, practice, and policy recommendations are discussed.
Out of area treatments in mental health: the Leeds experience
- Author:
- PRITLOVE Jeremy
- Journal article citation:
- Mental Health Today, May 2012, pp.19-21.
- Publisher:
- Pavilion
- Place of publication:
- Hove
A common feature of mental health services is the sending of patients far from their own community to receive inpatient care. Concern has been expressed nationally about the extent and effect of out of area treatments. In Leeds, this concern led a local independent health monitoring group, Leeds Hospital Alert, to undertake 2 studies on out of area treatments over the period 2004-2010. The findings show that the number of patients sent outside Leeds for inpatient psychiatric treatment have increased by a factor of 8, from 23 in the 2004 to 196 in 2010. However, there was a dramatic decline in the figures in the last year. Up to 2009 there had been a steady year-on-year growth in numbers to reach a peak of 403 in 2009. This reduction had followed action by the provider, Leeds Partnerships Trust, to reduce the number of out of area treatment placements. The vast majority of out of area treatments were simply due to the lack of inpatient beds in Leeds. This article considers the costs of out of area treatments, both in terms of the impact on patients and their families, and the financial cost to the NHS. It concludes that action to reduce the number of out of area treatments due to inadequate bed capacity in Leeds should be a priority.
Find Me Good Care
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2012
- Place of publication:
- London
Find Me Good Care is a website to help people to make choices about care and support for themselves or other adults in England. This includes care and support at home and in a residential setting. The site combines advice and information about choosing care with a comparable database of services. It also allows you to create your own Good Care Planner online so that you can save all the information that you find most useful in one place. The site has three main sections: a care planner to help plan care and support for yourself or someone else; a search facility to allow you to search for care and support services across England; information on paying for care and care costs. The site is developed and managed by the Social Care Institute for Excellence.
Statistics on community care for adults in Northern Ireland 2011-2012
- Author:
- NORTHERN IRELAND. Department of Health, Social Services and Public Safety
- Publisher:
- Northern Ireland. Department of Health, Social Services and Public Safety
- Publication year:
- 2012
- Pagination:
- 142
- Place of publication:
- Belfast
An annual statistical report presenting information on a range of community activity gathered from HSC Trusts. It also includes comparisons over the past five years for the main activities. Activities covered include: contacts with HSC Trusts; residential and nursing home care packages; meals on wheels services; residential and nursing home care accommodation; and day care facilities. Services provided include those for older people, people with mental health problems, people with learning disabilities and people with physical and sensory disability. (Original abstract)