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https://www.readbyqxmd.com/read/28641069/the-present-retirement-crisis-and-how-social-workers-can-respond
#1
David B Miller, M Terry Hokenstad, Kristen Berg
In recent years, research on Americans' retirement readiness indicates a wide range of preparedness for the golden years. Struggling to recover from the economic downturn of the Great Recession, millions of Americans maintain inadequate savings needed to maintain their post-employment standard of living. Described as a "crisis" by researchers, retirement for some Americans may include significant choices regarding continued employment and utilization of social welfare services. This paper describes the factors contributing to the present retirement crisis and what roles social workers can play in addressing the needs of older retirees...
June 22, 2017: Journal of Gerontological Social Work
https://www.readbyqxmd.com/read/28634565/home-based-telepsychiatry-in-us-urban-area
#2
Alireza Amirsadri, Jaclynne Burns, Albert Pizzuti, Cynthia L Arfken
Telepsychiatry expands access to psychiatric care. However, telepsychiatry for elderly adults is only reimbursed in the US if the patient is assessed while in a clinical setting. This case study presents a homebound older woman previously hospitalized for schizophrenia who had not seen a psychiatrist in over 20 years. Care was provided with hybrid telepsychiatry (team-based practice with social worker traveling to the home with electronic tablet for connection with psychiatrist). The intervention resulted in detecting unrecognized depression and complex trauma...
2017: Case Reports in Psychiatry
https://www.readbyqxmd.com/read/28633509/a-qualitative-study-exploring-awareness-and-attitudes-towards-tuberculosis-in-migrant-populations-in-a-metropolitan-district-council-in-the-north-of-england
#3
C E Humphreys, A Lee, C Offer, R Spencer-Henshall, E Okereke
Background: The majority of tuberculosis (TB) cases in the UK occur among people born in high-burden countries (73%), and are concentrated in large urban centres. This study explores migrants' attitudes and beliefs towards TB in an English District where the incidence is higher than the UK average. Methods: Community engagement workers ran 26 focus groups using a standardized questionnaire. Purposeful sampling was used to obtain a cross-section of migrant communities...
June 17, 2017: Journal of Public Health
https://www.readbyqxmd.com/read/28631228/the-socio-ecological-model-approach-to-understanding-barriers-and-facilitators-to-the-accessing-of-health-services-by-sex-workers-a-systematic-review
#4
REVIEW
Polly H X Ma, Zenobia C Y Chan, Alice Yuen Loke
Inequities in accessing health care persist among sex workers. The purpose of the review is to understand the health-seeking behaviours of sex workers and their access to health care services with socio-ecological model. Of 3852 citations screened, 30 met the inclusion criteria for this review. The access that sex workers have to health services is a complex issue. A wide range of barriers and facilitators at multiple levels could influence sex workers' utilization of health care services, such as health or service information, stigma, social support, quality of health care, available, accessible and affordable services, healthcare policy...
June 19, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28623361/burden-of-sleep-disturbances-and-associated-risk-factors-a-cross-sectional-survey-among-hiv-infected-persons-on-antiretroviral-therapy-across-china
#5
Xiaojie Huang, Huiqin Li, Kathrine Meyers, Wei Xia, Zhihao Meng, Chongxi Li, Jinsong Bai, Shenghua He, Weiping Cai, Chengyu Huang, Shuiqing Liu, Hui Wang, Xuemei Ling, Ping Ma, Daling Tan, Fuxiang Wang, Lianguo Ruan, Hongxin Zhao, Hongxia Wei, Yanfen Liu, Jianhua Yu, Hongzhou Lu, Min Wang, Tong Zhang, Hui Chen, Hao Wu
This study evaluated the prevalence and factors associated with sleep disturbance in a large cohort of HIV-infected patients across China. A cross-sectional study was conducted among HIV-infected patients on antiretroviral therapy at 20 AIDS clinics. The Pittsburgh Sleep Quality Index was self-administered by subjects. Socio-demographic characteristics, medical history and HIV-related clinical data were collected. 4103 patients had complete data for analysis. Sleep disturbances were observed in 43.1% of patients...
June 16, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28622589/improving-outcomes-for-babies-and-toddlers-in-child-welfare-a-model-for-infant-mental-health-intervention-and-collaboration
#6
Susan Chinitz, Hazel Guzman, Ellen Amstutz, Joaniko Kohchi, Miriam Alkon
Children under three comprise a sizable and growing proportion of foster care placements. Very young children who enter the child welfare system experience disruptions of critical attachments that are essential to this formative stage of brain development, as well as other traumatic events, leaving them at great risk for lifelong impairments. To reverse these concerning outcomes, babies who have been removed from their homes require intensive, relationship-based interventions that promote secure attachment to a primary caregiver and holistic attention the child's developmental needs...
June 13, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28622481/hospice-visit-patterns-in-the-last-seven-days-of-life-and-the-service-intensity-add-on-payment
#7
Pedro L Gozalo, Joan M Teno, Carol Spence
BACKGROUND: Hospice in-person visits in the last week of life are critical to ensure quality of care. In 2016, The Centers for Medicare & Medicaid Services (CMS) introduced a Service Intensity Add-on (SIA) payment for in-person routine home care (RHC) visits by a registered nurse or social worker in the last 7 days of life. OBJECTIVES: The aim of the study was to examine visit patterns in the last week of life and provide SIA payment impact estimates. DESIGN/MEASUREMENTS: Hospice data from 42 volunteer hospice programs for the 6-year period of 2005-2010 were examined...
June 16, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28614519/historical-and-cultural-aspects-of-the-provision-of-care-at-an-indigenous-healthcare-service-facility
#8
Aridiane Alves Ribeiro, Cássia Irene Spinelli Arantes, Dulce Maria Rosa Gualda, Lídia Aparecida Rossi
This case study aimed to interpret the underlying historical and cultural aspects of the provision of care at an indigenous healthcare service facility. This is an interpretive, case study-type research with qualitative approach, which was conducted in 2012 at the Indigenous Health Support Center (CASAI) of the State of Mato Grosso do Sul, Brazil. Data were collected by means systematic observation, documentary analyses and semi-structured interviews with ten health professionals. Data review was performed according to an approach based on social anthropology and health anthropology...
June 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28613993/a-multifactorial-approach-to-predicting-death-anxiety-assessing-the-role-of-religiosity-susceptibility-to-mortality-cues-and-individual-differences
#9
Carrie French, Nathan Greenauer, Catherine Mello
Death anxiety is not only experienced by individuals receiving end-of-life care, but also by family members, social workers, and other service providers who support these individuals. Thus, identifying predictors of individual differences in experienced death anxiety levels may have both theoretical and clinical ramifications. The present study assessed the relative influence of religiosity, susceptibility to mortality cues, state and trait anxiety, and demographic factors in the experience of death anxiety through an online survey distributed to members of two online communities related to end-of-life care...
June 14, 2017: Journal of Social Work in End-of-life & Palliative Care
https://www.readbyqxmd.com/read/28610633/health-care-users-key-community-informants-and-primary-health-care-workers-views-on-health-health-promotion-health-assets-and-deficits-qualitative-study-in-seven-spanish-regions
#10
Mariona Pons-Vigués, Anna Berenguera, Núria Coma-Auli, Haizea Pombo-Ramos, Sebastià March, Angela Asensio-Martínez, Patricia Moreno-Peral, Sara Mora-Simón, Maria Martínez-Andrés, Enriqueta Pujol-Ribera
BACKGROUND: Although some articles have analysed the definitions of health and health promotion from the perspective of health-care users and health care professionals, no published studies include the simultaneous participation of health-care users, primary health care professionals and key community informants. Understanding the perception of health and health promotion amongst these different stakeholders is crucial for the design and implementation of successful, equitable and sustainable measures that improve the health and wellbeing of populations...
June 13, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28610626/social-accountability-in-primary-health-care-in-west-and-central-africa-exploring-the-role-of-health-facility-committees
#11
Elsbet Lodenstein, Eric Mafuta, Adolphe C Kpatchavi, Jean Servais, Marjolein Dieleman, Jacqueline E W Broerse, Alpha Amadou Bano Barry, Thérèse M N Mambu, Jurrien Toonen
BACKGROUND: Social accountability has been emphasised as an important strategy to increase the quality, equity, and responsiveness of health services. In many countries, health facility committees (HFCs) provide the accountability interface between health providers and citizens or users of health services. This article explores the social accountability practices facilitated by HFCs in Benin, Guinea and the Democratic Republic of Congo. METHODS: The paper is based on a cross-case comparison of 11 HFCs across the three countries...
June 13, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28604354/mental-health-insurance-parity-and-provider-wages
#12
Ezra Golberstein, Susan H Busch
BACKGROUND: Policymakers frequently mandate that employers or insurers provide insurance benefits deemed to be critical to individuals' well-being. However, in the presence of private market imperfections, mandates that increase demand for a service can lead to price increases for that service, without necessarily affecting the quantity being supplied. We test this idea empirically by looking at mental health parity mandates. OBJECTIVE: This study evaluated whether implementation of parity laws was associated with changes in mental health provider wages...
June 1, 2017: Journal of Mental Health Policy and Economics
https://www.readbyqxmd.com/read/28599674/cluster-randomized-trial-of-a-mhealth-intervention-imtecho-to-improve-delivery-of-proven-maternal-neonatal-and-child-care-interventions-through-community-based-accredited-social-health-activists-ashas-by-enhancing-their-motivation-and-strengthening-supervision
#13
Dhiren Modi, Shrey Desai, Kapilkumar Dave, Shobha Shah, Gayatri Desai, Nishith Dholakia, Ravi Gopalan, Pankaj Shah
BACKGROUND: To facilitate the delivery of proven maternal, neonatal, and child health (MNCH) services, a new cadre of village-based frontline workers, called the Accredited Social Health Activists (ASHAs), was created in 2005 under the aegis of the National Rural Health Mission in India. Evaluations have noted that coverage of selected MNCH services to be delivered by the ASHAs is low. Reasons for low coverage are inadequate supervision and support to ASHAs apart from insufficient skills, poor quality of training, and complexity of tasks to be performed...
June 9, 2017: Trials
https://www.readbyqxmd.com/read/28599656/transitional-care-for-rheumatic-conditions-in-europe-current-clinical-practice-and-available-resources
#14
Daniel Clemente, Leticia Leon, Helen Foster, Loreto Carmona, Kirsten Minden
OBJECTIVE: To assess European pediatric rheumatology providers' current clinical practices and resources used in the transition from child-centered to adult-oriented care. METHODS: European pediatric rheumatologists were invited to complete a 17-item anonymized e-survey assessing current transition practices, transition policy awareness, and needs in advance of the publication of EULAR/PReS recommendations on transition. RESULTS: The response rate was 121/276 (44%), including responses from 115 centers in 22 European Union countries...
June 9, 2017: Pediatric Rheumatology Online Journal
https://www.readbyqxmd.com/read/28597864/motivating-and-demotivating-factors-for-community-health-workers-a-qualitative-study-in-urban-slums-of-delhi-india
#15
Mathew Sunil George, Shradha Pant, Niveditha Devasenapathy, Suparna Ghosh-Jerath, Sanjay P Zodpey
Background Community health workers play an important role in delivering health-care services, especially to underserved populations in low- and middle-income countries. They have been shown to be successful in providing a range of preventive, promotive and curative services. This qualitative study investigated the factors motivating or demotivating community health workers in urban settings in Delhi, India. Methods In this sub-study of the ANCHUL (Ante Natal and Child Healthcare in Urban Slums) implementation research project, four focus-group discussions and nine in-depth interviews were conducted with community health workers and medical officers...
April 2017: WHO South-East Asia Journal of Public Health
https://www.readbyqxmd.com/read/28597856/challenges-and-opportunities-in-suicide-prevention-in-south-east-asia
#16
Lakshmi Vijayakumar
Suicide is a global public health problem, with over 800 000 people worldwide dying by suicide in 2012, according to the World Health Organization (WHO). The WHO South-East Asia Region is especially affected, with 39% of global suicides occurring in the 11 countries in this region. Women are a particularly vulnerable population, for a variety of social and cultural reasons. In India specifically, deaths by suicide for women peak in the age range 15-29 years. There is sufficient evidence to show that reduction of easy access to means of suicide is an effective prevention strategy...
April 2017: WHO South-East Asia Journal of Public Health
https://www.readbyqxmd.com/read/28595685/implementing-psychopharmacology-rounds-in-a-nursing-facility-to-improve-antipsychotic-usage
#17
Evan Sasson, Marian James, Berhane Wubshet, Darko Todorov, Henry Cohen
OBJECTIVES: Evaluate whether implementing of pharmacy-led psychopharmacology rounds in a nursing facility will improve the rate of antipsychotic use. DESIGN: Single-center, prospective; medication use evaluation (MUE). SETTING: Rutland Nursing Home, Brooklyn, New York. PARTICIPANTS: Nursing facility residents, excluding the pediatric unit. INTERVENTIONS: Weekly interdisciplinary psychopharmacology rounds that include: clinical pharmacists, nurse managers, medical director, social workers, and administration...
June 1, 2017: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/28593014/a-qualitative-study-on-barriers-to-achieving-high-quality-community-based-integrated-dementia-care
#18
Yoshihisa Hirakawa, Chifa Chiang, Atsuko Aoyama
Introduction: High-quality, community-based dementia care requires a comprehensive, holistic approach. This study aimed to identify the barriers to achieving efficient cooperation and coordination among medical professionals, care managers, and medical social workers, and to improve the management model of community-based, integrated dementia care. Methods: We collected qualitative data through three focus group discussions at JA Konan Kosei Hospital. Thirteen participants (four directors of nursing service departments, three chief nurses, four medical social workers, and two care managers) were recruited for the discussions...
May 2017: Journal of Rural Medicine: JRM
https://www.readbyqxmd.com/read/28589245/quitting-mental-health-services-among-racial-and-ethnic-groups-of-americans-with-depression
#19
Orion Mowbray, Rosalyn Denise Campbell, Irang Kim, Jessica A Scott
Research on racial/ethnic differences in quitting mental health services has yet to examine the multiple forms of services offered and reasons why racial/ethnic groups quit. Data from the Collaborative Psychiatric Epidemiology Surveys (CPES) examined whether race/ethnicity was related to quitting nine types of mental health services within a multivariate framework, and whether any racial/ethnic differences emerged among 16 assessed reasons for quitting mental health services (N = 437). Odds of quitting mental health services provided by social workers, non-medical health professionals, counselors, psychiatrists, and psychologists varied significantly by race/ethnicity...
June 6, 2017: Journal of Behavioral Health Services & Research
https://www.readbyqxmd.com/read/28582948/the-big-sell-managing-stigma-and-workplace-discrimination-following-moderate-to-severe-brain-injury
#20
Mary Stergiou-Kita, Alisa Grigorovich, Thecla Damianakis, Guylaine Le Dorze, Christine David, Carolyn Lemsky, Debbie Hebert
BACKGROUND: Misperceptions regarding persons with brain injuries (PWBI) can lead to stigmatization, workplace discrimination and, in turn, influence PWBIs full vocational integration. OBJECTIVE: In this study we explored how stigma may influence return-to-work processes, experiences of stigma and discrimination at the workplace for persons with (moderate to severe) brain injuries, and strategies that can be employed to manage disclosure. METHODS: Exploratory qualitative study; used in-depth interviews and an inductive thematic analytical approach in data analysis...
June 1, 2017: Work: a Journal of Prevention, Assessment, and Rehabilitation
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