Care management journals : Journal of case management ; The journal of long term home health care最新文献

{"title":"Suicide and older adults in postdisaster northeastern Japan.","authors":"John W Traphagan","doi":"10.1891/1521-0987.14.1.32","DOIUrl":"https://doi.org/10.1891/1521-0987.14.1.32","url":null,"abstract":"","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"14 1","pages":"32-40"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1891/1521-0987.14.1.32","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31469090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrating behavioral and physical health services and organizational merger.","authors":"Thomas J Blakely,&nbsp;Gregory M Dziadosz","doi":"10.1891/1521-0987.14.2.84","DOIUrl":"https://doi.org/10.1891/1521-0987.14.2.84","url":null,"abstract":"<p><p>This article describes the process of the merger of two mental health agencies with a primary care physical health provider to establish within the merged structure an integrated behavioral and physical health delivery system. The purpose of this article is to share our experience with those administrators and staff of agencies planning an integration initiative of behavioral and physical health services.</p>","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"14 2","pages":"84-8"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1891/1521-0987.14.2.84","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31644499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Government public housing health needs assessment: focus on race, ethnicity, and the older adult: background, methods, and demographics.","authors":"Steven Lascher,&nbsp;Wesley Tasir-Rodriguez,&nbsp;Grace Moon,&nbsp;Maria Irizzary,&nbsp;Matthew Baney,&nbsp;F Russell Kellogg","doi":"10.1891/1521-0987.14.2.118","DOIUrl":"https://doi.org/10.1891/1521-0987.14.2.118","url":null,"abstract":"<p><p>St. Vincent's Catholic Medical Centers of New York initiated a study in 2009 to assess the health needs of residents of New York City (NYC) municipal housing at the Robert Fulton public housing complex in Manhattan. The aim of this project was to provide valid data on perceived health services needs of the residents of a NYC housing project. These data may also be used to support hospital and community collaborative strategic decisions for developing resident-appropriate health and social services and would be valuable for use in formulating policies and programs by other interested nonprofit health and social services organizations and government. We designed a 28-item instrument and pilot tested it with our research team and members of the population under study. The English and Spanish surveys were designed as an in-person surveyor-administered instruments addressing four domains: demographics, access and barriers to health care services, risk behaviors, and perceived health needs. The sampling was an apartment-level stratified random sampling. A 20%, 188 apartment sample was drawn from the population of 944 housing units. Our response rate was 92% (173/188 apartments). Background methods, and demographic results are reported in this article. A second article will report on the needs assessment results.</p>","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"14 2","pages":"118-24"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1891/1521-0987.14.2.118","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31644503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes of senior reach gatekeeper referrals: comparison of the Spokane gatekeeper program, Colorado Senior Reach, and Mid-Kansas Senior Outreach.","authors":"David A Bartsch,&nbsp;Vicki K Rodgers,&nbsp;Don Strong","doi":"10.1891/1521-0987.14.1.11","DOIUrl":"https://doi.org/10.1891/1521-0987.14.1.11","url":null,"abstract":"<p><p>Outcomes of older adults referred for care management and mental health services through the senior reach gatekeeper model of case finding were examined in this study and compared with the Spokane gatekeeper model Colorado Senior Reach and the Mid-Kansas Senior Outreach (MKSO) programs are the two Senior Reach Gatekeeper programs modeled after the Spokane program, employing the same community education and gatekeeper model and with mental health treatment for elderly adults in need of support. The three mature programs were compared on seniors served isolation, and depression ratings. Nontraditional community gatekeepers were trained and referred seniors in need. Findings indicate that individuals served by the two Senior Reach Gatekeeper programs demonstrated significant improvements. Isolation indicators such as social isolation decreased and depression symptoms and suicide ideation also decreased. These findings for two Senior Reach Gatekeeper programs demonstrate that the gatekeeper approach to training community partners worked in referring at-risk seniors in need in meeting their needs, and in having a positive impact on their lives.</p>","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"14 1","pages":"11-20"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1891/1521-0987.14.1.11","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31469088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Continuing to work toward a convention on the rights of older persons.","authors":"Helen R Hamlin,&nbsp;Mary J Mayer,&nbsp;Valerie Levy","doi":"10.1891/1521-0987.14.3.174","DOIUrl":"https://doi.org/10.1891/1521-0987.14.3.174","url":null,"abstract":"","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"14 3","pages":"174-9"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1891/1521-0987.14.3.174","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31909380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health, suicide, and self-centered behavior: focus on the japanese family and the elderly.","authors":"John W Traphagan","doi":"10.1891/1521-0987.14.3.158","DOIUrl":"https://doi.org/10.1891/1521-0987.14.3.158","url":null,"abstract":"<p><p>My mother-in-law is very selfish because she has been living alone for a long time. She is so used to living alone that she thinks nothing of doing things like vacuuming at midnight. My mother-in-law only talks about herself and doesn't seem very interested in her son or what other people say or are doing. This makes it difficult to interact and communicate with her. I do not want to take care of my mother-in-law should she become ill and this is something I think about, since my husband is the eldest son.</p>","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"14 3","pages":"158-68"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1891/1521-0987.14.3.158","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31909378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with implementation of the POLST paradigm: results from a survey of Florida physicians.","authors":"Juliana J Matthews,&nbsp;Carly Elizabeth Souther","doi":"10.1891/1521-0987.14.4.247","DOIUrl":"https://doi.org/10.1891/1521-0987.14.4.247","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate physicians' awareness and attitudes regarding the Physician Orders for Life-Sustaining Treatment (POLST) concept and to identify barriers and opportunities for its expansion.</p><p><strong>Design: </strong>Cross-sectional questionnaire, using electronic survey instrument.</p><p><strong>Setting: </strong>Community.</p><p><strong>Patients: </strong>212 physicians from three Florida medical associations and the Florida State University College of Medicine clinical faculty responded to the survey. Of those, 67.9% were familiar with the concept of POLST.</p><p><strong>Measurements and main results: </strong>Data were collected using a web-based survey, completed in June-July 2012, consisting of qualitative and quantitative questions. Most (95.8%) agreed or strongly agreed that it was a physician's responsibility to discuss end-of-life care and treatment options with patients. Satisfaction with current advanced directives was highly variable. However, a consensus about potential benefits of POLST exists, including assisting the discussion of end-of-life care, decreasing unwanted treatment, and lowering costs. More than 70% of respondents reported they would be more likely to use the POLST form if provided civil and criminal immunity; however, data analysis rendered the apparent association statistically insignificant. Qualitative data were also collected in the form of respondents' recommendations and additional comments.</p><p><strong>Conclusions: </strong>Physicians vary in their knowledge and opinions regarding the POLST paradigm. Broad opportunities may exist to improve physician knowledge and attitudes toward POLST. Dissemination of educational materials to physicians involved in the end-of-life planning process may increase physician support and use of POLST.</p>","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"14 4","pages":"247-53"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1891/1521-0987.14.4.247","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32163173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social withdrawal of persons with vascular dementia associated with disturbance of basic daily activities, apathy, and impaired social judgment.","authors":"Yukiko Honda,&nbsp;Kenichi Meguro,&nbsp;Mitsue Meguro,&nbsp;Kyoko Akanuma","doi":"10.1891/1521-0987.14.2.108","DOIUrl":"https://doi.org/10.1891/1521-0987.14.2.108","url":null,"abstract":"<p><p>Patients with vascular dementia (VaD) are often isolated, withdrawn from society because of negative symptoms and functional disabilities. The aim of this study was to detect factors associated with social withdrawal in patients with VaD. The participants were 36 institutionalized patients with VaD. Social withdrawal was assessed with the social withdrawal of the Multidimensional Observation Scale for Elderly Subjects (MOSES). Possible explanatory variables were the MOSES items depression and self-care, Cognitive Abilities Screening Instrument (CASI), apathy evaluation scale (AES), and Behavioral Pathology in Alzheimer's Disease Frequency-Weighted Severity Scale (BEHAVE-AD-FW). Multiple regression analyses were conducted for two groups: Analysis 1 was performed in all patients (N = 36) and Analysis 2 was performed in the patients with the ability to move by themselves (i.e., independent walking or independent movement with a cane or a wheelchair; n = 28). In Analysis 1, MOSES item social withdrawal was correlated with AES and MOSES item self-care. In Analysis 2, MOSES item social withdrawal was correlated with AES and CASI domain abstraction and judgment. Decreased social activities of VaD were not related to general cognitive function or depression. Disturbed activities of daily living (ADLs) for self-care may involve decreased frontal lobe function, indicating that comprehensive rehabilitation for both ADL and dementia are needed to improve the social activities of patients with VaD.</p>","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"14 2","pages":"108-13"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1891/1521-0987.14.2.108","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31644501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Helen Schlarman. Interview by Marian Brickner.","authors":"Helen Schlarman","doi":"10.1891/1521-0987.14.1.65","DOIUrl":"https://doi.org/10.1891/1521-0987.14.1.65","url":null,"abstract":"","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"14 1","pages":"65-7"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1891/1521-0987.14.1.65","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31467560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A pilot study examining the awareness, attitude, and burden of informal caregivers of patients with dementia.","authors":"Farah Qadir,&nbsp;Wajiha Gulzar,&nbsp;Sabahat Haqqani,&nbsp;Amna Khalid","doi":"10.1891/1521-0987.14.4.230","DOIUrl":"https://doi.org/10.1891/1521-0987.14.4.230","url":null,"abstract":"<p><p>Pakistan is 1 of 5 countries with the highest projected increase in prevalence of dementia in the Asia Pacific region (Access Economic, 2006), where there is a lack of structured support network for caregivers in general and for dementia caregivers in specific. The caregivers and other related individuals predominantly rely on traditional familial support for caregiving. This approach places immense burdens on the familial caregivers (Shaji, 2009). In Pakistan, there is paucity of research evidence on care of patients with dementia and the needs of caregivers dealing with such patients. This study explores awareness among caregivers, their attitudes toward family members suffering from dementia, and their experience of burden. In-depth interviews were conducted with 12 caregivers of patients diagnosed with dementia in Rawalpindi/Islamabad Pakistan. There was a considerable lack of awareness about dementia as an illness among the caregivers. They reported a conflict between emotional and religious commitments to nurture older adult relatives and their experience of psychological, physical, and economic burden, resulting in occasional episodes of carelessness and violence toward them. The study indicated that women, particularly those who were employed outside of the home, reported higher levels of stress. It is suggested that support from extended family in all forms was perceived as a concrete form of stress relief by the primary caregiver. The findings of this study indicate that the social and financial burden of dementia on families of caregivers in Pakistan may be exacerbated if they do not have support. This indicates a need for multipronged intervention from both government and nongovernment organizations, as well as the community, to develop programs for caregivers that are nested within the cultural context of filial piety in Pakistan. These strategies should also be gender sensitive, giving priority to more at-risk groups.</p>","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"14 4","pages":"230-40"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1891/1521-0987.14.4.230","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32163171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}