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Nursing home AND models of care AND mental health

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https://www.readbyqxmd.com/read/27853854/-dissemination-of-psychotherapy-modules-for-traumatized-refugees-experience-gained-from-trauma-work-in-crisis-and-conflict-regions
#1
T Elbert, S Wilker, M Schauer, F Neuner
With each additional accumulative exposure to severe and traumatic stressors, the likelihood of developing mental health problems and physical diseases increases. Displaced individuals have usually experienced a number of serious threats to health due to organized violence in their home country or attacks during the flight. Frequently, domestic violence adds additional strain to the stressors experienced. The resulting impairments in psychosocial functioning reduce the resources needed for social adjustment and integration...
November 16, 2016: Der Nervenarzt
https://www.readbyqxmd.com/read/27766621/through-the-looking-glass-estimating-effects-of-medical-homes-for-people-with-severe-mental-illness
#2
Marisa Elena Domino, Mona Kilany, Rebecca Wells, Joseph P Morrissey
OBJECTIVE: To examine whether medical homes have heterogeneous effects in different subpopulations, leveraging the interpretations from a variety of statistical techniques. DATA SOURCES/STUDY SETTING: Secondary claims data from the NC Medicaid program for 2004-2007. The sample included all adults with diagnoses of schizophrenia, bipolar disorder, or major depression who were not dually enrolled in Medicare or in a nursing facility. STUDY DESIGN: We modeled a number of monthly service use, adherence, and expenditure outcomes using fixed effects, generalized estimating equation with and without inverse probability of treatment weights, and instrumental variables analyses...
October 21, 2016: Health Services Research
https://www.readbyqxmd.com/read/27755325/effectiveness-of-nursing-discharge-planning-interventions-on-health-related-outcomes-in-discharged-elderly-inpatients-a-systematic-review
#3
Cedric Mabire, Andrew Dwyer, Antoine Garnier, Joanie Pellet
BACKGROUND: Inadequate discharge planning for the growing elderly population poses significant challenges for health services. Effective discharge planning interventions have been examined in several studies, but little information is available on nursing's role or the specific components of these interventions. Despite the research published on the importance of discharge planning, the impact on patient's health outcomes still needs to be proven in practice. OBJECTIVES: To determine the best available evidence on the effectiveness of discharge planning interventions involving at least one nurse on health-related outcomes for elderly inpatients discharged home and to assess the relative impact of individual components of discharge planning interventions...
September 2016: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/27686012/interventions-to-support-recovery-after-domestic-and-sexual-violence-in-primary-care
#4
Kelsey Hegarty, Laura Tarzia, Leesa Hooker, Angela Taft
Experiences of domestic and sexual violence are common in patients attending primary care. Most often they are not identified due to barriers to asking by health practitioners and disclosure by patients. Women are more likely than men to experience such violence and present with mental and physical health symptoms to health practitioners. If identified through screening or case finding as experiencing violence they need to be supported to recover from these traumas. This paper draws on systematic reviews published in 2013-2015 and a further literature search undertaken to identify recent intervention studies relevant to recovery from domestic and sexual violence in primary care...
October 2016: International Review of Psychiatry
https://www.readbyqxmd.com/read/27631964/randomized-trial-of-an-integrated-behavioral-health-home-the-health-outcomes-management-and-evaluation-home-study
#5
Benjamin G Druss, Silke A von Esenwein, Gretl E Glick, Emily Deubler, Cathy Lally, Martha C Ward, Kimberly J Rask
OBJECTIVE: Behavioral health homes provide primary care health services to patients with serious mental illness treated in community mental health settings. The objective of this study was to compare quality and outcomes of care between an integrated behavioral health home and usual care. METHOD: The study was a randomized trial of a behavioral health home developed as a partnership between a community mental health center and a Federally Qualified Health Center...
September 15, 2016: American Journal of Psychiatry
https://www.readbyqxmd.com/read/27564927/perceived-barriers-and-home-care-needs-when-adapting-to-a-fecal-ostomy-a-phenomenological-study
#6
Burcu Cengiz, Zuhal Bahar
PURPOSE: The aim of this study was to determine perceived barriers to adaptation to life with a fecal ostomy based on the Health Belief Model and to reveal home care needs related to these perceptions. DESIGN: Phenomenological study. SUBJECTS AND SETTING: Twelve participants undergoing ileostomy or colostomy within 3 months of data collection participated in the study. The participants were recruited from Stomatherapy Outpatient Clinic of Dokuz Eylül University Hospital...
August 25, 2016: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/27332294/adoption-of-speech-recognition-technology-in-community-healthcare-nursing
#7
Dawood Al-Masslawi, Lori Block, Charlene Ronquillo
Adoption of new health information technology is shown to be challenging. However, the degree to which new technology will be adopted can be predicted by measures of usefulness and ease of use. In this work these key determining factors are focused on for design of a wound documentation tool. In the context of wound care at home, consistent with evidence in the literature from similar settings, use of Speech Recognition Technology (SRT) for patient documentation has shown promise. To achieve a user-centred design, the results from a conducted ethnographic fieldwork are used to inform SRT features; furthermore, exploratory prototyping is used to collect feedback about the wound documentation tool from home care nurses...
2016: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/27321603/protective-and-risk-factors-for-5-year-survival-in-the-oldest-veterans-data-from-the-veterans-health-administration
#8
Jinmyoung Cho, Laurel A Copeland, Eileen M Stock, John E Zeber, Marcos I Restrepo, Andrea A MacCarthy, Marcia G Ory, Paul A Smith, Alan B Stevens
OBJECTIVES: To characterize physical and mental diseases and use of healthcare services and identify factors associated with mortality in the oldest individuals using the Veterans Health Administration (VHA). DESIGN: Retrospective study with 5-year survival follow-up. SETTING: VHA, system-wide. PARTICIPANTS: Veterans using the VHA aged 80 and older as of October 2008 (N = 721,588: n = 665,249 aged 80-89, n = 56,118 aged 90-99, n = 221 aged 100-115)...
June 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27144999/patient-centered-homes-and-integrated-behavioral-health-care-reclaiming-the-role-of-consultant-for-psychiatric-mental-health-nurse-practitioner
#9
Victoria Soltis-Jarrett
The notion of patient-centered care has long been linked with nursing practice since Florence Nightingale. The discipline of nursing is focused on the holistic care of individuals, families, and communities in times of sickness and/or health. However, in psychiatric-mental health nursing, the concepts of mental health and psychiatric illness still remain marginalized in our health care delivery systems, as well as in nursing education, knowledge development, and practice. Even with the concept of patient-centered homes, acute and primary care providers are reluctant to embrace care of those with psychiatric illness in their respective settings...
June 2016: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/27110737/person-centered-care-for-older-adults-with-serious-mental-illness-and-substance-misuse-within-a-program-of-all-inclusive-care-for-the-elderly
#10
Pamela Z Cacchione, Lisa Eible, Le'Roi L Gill, Steven F Huege
Providing person-centered care (PCC) to older adults with dual diagnosis, co-occurring serious mental illness (SMI), and substance misuse is complex and requires an interprofessional team. Older adults, who qualify for both Medicaid and Medicare (i.e., dual-eligibles) are overrepresented in the population of older adults with SMI and substance misuse. Programs of All-Inclusive Care for the Elderly (PACE) exist to support community living needs of nursing home-eligible older adults and are increasingly in a position to serve older adults with SMI and substance misuse issues...
May 1, 2016: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/27100583/the-geriatrics-in-primary-care-demonstration-integrating-comprehensive-geriatric-care-into-the-medical-home-preliminary-data
#11
Peter A Engel, Jacqueline Spencer, Todd Paul, Judith B Boardman
Three thousand nine hundred thirty-one veterans aged 75 and older receive primary care (PC) in two large practices of the Department of Veterans Affairs (VA) Boston Healthcare System. Cognitive and functional disabilities are endemic in this group, creating needs that predictably exceed available or appropriate resources. To address this problem, Geriatrics in Primary Care (GPC) embeds geriatric services directly into primary care. An on-site consulting geriatrician and geriatric nurse care manager work directly with PC colleagues in medicine, nursing, social work, pharmacy, and mental health within the VA medical home...
April 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/26871704/implementation-of-an-interdisciplinary-team-based-complex-care-support-health-care-model-at-an-academic-medical-center-impact-on-health-care-utilization-and-quality-of-life
#12
Christine Ritchie, Robin Andersen, Jessica Eng, Sarah K Garrigues, Gina Intinarelli, Helen Kao, Suzanne Kawahara, Kanan Patel, Lisa Sapiro, Anne Thibault, Erika Tunick, Deborah E Barnes
INTRODUCTION: The Geriatric Resources for the Assessment and Care of Elders (GRACE) program has been shown to decrease acute care utilization and increase patient self-rated health in low-income seniors at community-based health centers. AIMS: To describe adaptation of the GRACE model to include adults of all ages (named Care Support) and to evaluate the process and impact of Care Support implementation at an urban academic medical center. SETTING: 152 high-risk patients (≥5 ED visits or ≥2 hospitalizations in the past 12 months) enrolled from four medical clinics from 4/29/2013 to 5/31/2014...
2016: PloS One
https://www.readbyqxmd.com/read/26663424/cost-effectiveness-of-a-chronic-care-model-for-frail-older-adults-in-primary-care-economic-evaluation-alongside-a-stepped-wedge-cluster-randomized-trial
#13
Karen M van Leeuwen, Judith E Bosmans, Aaltje P D Jansen, Emiel O Hoogendijk, Maaike E Muntinga, Hein P J van Hout, Giel Nijpels, Henriette E van der Horst, Maurits W van Tulder
OBJECTIVES: To compare the cost-effectiveness of the Geriatric Care Model (GCM), an integrated care model for frail older adults based on the Chronic Care Model, with that of usual care. DESIGN: Economic evaluation alongside a 24-month stepped-wedge cluster-randomized controlled trial. SETTING: Primary care (35 practices) in two regions in the Netherlands. PARTICIPANTS: Community-dwelling older adults who were frail according to their primary care physicians and the Program on Research for Integrating Services for the Maintenance of Autonomy case-finding tool questionnaire (N = 1,147)...
December 11, 2015: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/26663134/a-model-program-of-community-based-supports-for-older-adults-at-risk-of-nursing-facility-placement
#14
Alan B Stevens, Angela K Hochhalter, Rashmita Basu, Emily R Smith, Jennifer L Thorud, Chanhee Jo, Richard McGhee
Transitioning an older adult into a nursing facility is a major life event for older adults (care recipients, CRs) and their family caregivers (CGs). This article describes the implementation of a community living program and presents findings on important health and well-being indicators. One hundred ninety-one participants aged 60 and older not eligible for or currently enrolled in Medicaid and meeting four risk domains (functional, health, cognitive/emotional, informal support system) were enrolled for the 10-month program...
December 11, 2015: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/26568229/the-need-for-a-social-revolution-in-residential-care
#15
REVIEW
Kristine Theurer, W Ben Mortenson, Robyn Stone, Melinda Suto, Virpi Timonen, Julia Rozanova
Loneliness and depression are serious mental health concerns across the spectrum of residential care, from nursing homes to assisted and retirement living. Psychosocial care provided to residents to address these concerns is typically based on a long-standing tradition of 'light' social events, such as games, trips, and social gatherings, planned and implemented by staff. Although these activities provide enjoyment for some, loneliness and depression persist and the lack of resident input perpetuates the stereotype of residents as passive recipients of care...
December 2015: Journal of Aging Studies
https://www.readbyqxmd.com/read/26552318/-the-asahi-model-regional-mental-health-services-at-department-of-psychiatry-and-child-psychiatry-asahi-general-hospital
#16
REVIEW
Tsutomu Aoki
The Asahi model, Psychiatric Services of Department of Psychiatry and Child Psychiatry, Asahi General Hospital, is characterized by multiple dimensions of mental health services, such as multidisciplinary team approach, medical cooperation, specialized psychiatric treatment of acute care, clozapine and modified ECT, outreach services of home nursing and assertive community treatment, and the close and mutual coordination with housing services and social welfare services. The Asahi Model makes it possible to be deinstitutionalized, to improve patients satisfaction, to shorten hospitalization, to decrease psychiatric emergency visits and to be of service in a natural disaster...
2015: Seishin Shinkeigaku Zasshi, Psychiatria et Neurologia Japonica
https://www.readbyqxmd.com/read/26363704/care-workers-health-in-swiss-nursing-homes-and-its-association-with-psychosocial-work-environment-a-cross-sectional-study
#17
Suzanne R Dhaini, Franziska Zúñiga, Dietmar Ausserhofer, Michael Simon, Regina Kunz, Sabina De Geest, Rene Schwendimann
BACKGROUND: Previous studies have demonstrated poor health of care workers in nursing homes. Yet, little is known about the prevalence of physical and mental health outcomes, and their associations with the psychosocial work environment in nursing homes. OBJECTIVES: (1) To explore the prevalence of physical and mental health outcomes of care workers in Swiss nursing homes, (2) their association with psychosocial work environment. METHODS: This is a secondary data analysis of the cross-sectional Swiss Nursing Home Human Resources Project (SHURP)...
January 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/26303064/managing-preconceived-expectations-mental-health-service-users-experiences-of-going-home-from-hospital-a-grounded-theory-study
#18
B Keogh, P Callaghan, A Higgins
ACCESSIBLE SUMMARY: What is known on the subject? The time of discharge from a mental health hospital can be challenging for mental health service users, with high rates of readmission in the immediate months following discharge. Although some research exists that explores service users' perspectives of being discharged, little evidence exists that explores the processes influencing or used by service users' to adapt to the transition from in-patient acute mental health service. What this papers adds to existing knowledge? The findings of this grounded theory study demonstrates the strategies service users used to managed their own, as well as their social audiences, preconceived expectations arising from their new identity as 'psychiatric patients' following their discharge from hospital...
November 2015: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/26265435/the-effect-of-cognitive-appraisal-in-middle-aged-women-stroke-survivors-and-the-psychological-health-of-their-caregivers-a-follow-up-study
#19
Ming-Hsiu Wu, Sheuan Lee, Hui-Yi Su, Hsiang-Chu Pai
AIMS AND OBJECTIVES: This study identified the factors that affect health-related quality of life at one and six months post-stroke in women who have undergone a mild stroke and that affect their informal caregivers' psychological health status. BACKGROUND: Middle-aged women perform the main care roles in a family. When they suffer a stroke, it upsets the equilibrium of their family life. DESIGN: This is a longitudinal design. METHODS: This prospective follow-up study recruited 41 middle-aged women stroke survivors (mean age = 54...
November 2015: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/26242433/-a-long-way-home-the-current-state-of-care-provided-by-family-caregivers-and-public-health-nurses-to-persons-with-mental-illness-in-the-community
#20
Yu-Chu Huang, Yu-Hui Wang
According to Taiwan's Health and Welfare Ministry statistics, Taiwan had a total of 122,538 people who were officially registered as mentally disabled at the end of December 2013. Worldwide, schizophrenia ranks as the sixth most burdensome disease in terms of total expenditures. The present paper uses the two actual care stories of the families of mental illness patients and compares and contrasts these with the community mental illness care models used in other countries. The hospital-based psychiatric and community-based mental illness care that is practiced in Taiwan presents dilemmas and has long focused on "disease-orientated care" rather than holistic care...
August 2015: Hu Li za Zhi the Journal of Nursing
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