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PubMed2004

Social services and the Single Assessment Process: early warning signs?

Following the publication of policy documents such as the NHS Plan and the National Service Framework for Older People, health and social care agencies in the UK have been charged with devising and implementing a Single Assessment Process by April 2004. Although service users and carers are often frustrated at having to give the same information to many different professionals, this paper cites research which raises significant doubts about the present capacity of social services departments to deliver on this government initiative. Based on telephone interviews with 25 local authorities, this paper describes the findings of research into the use of dependency measures in residential and nursing care. Although this research was conducted prior to the introduction of the Single Assessment Process, the study suggests that some local agencies may lack the expertise and skills to develop effective assessment tools/scales and that considerable Developmental work may be required to prepare organisations for April 2004.

Aged↗
PubMed1987

Medical and social service provision for families of children with NTD.

The supply of services to the families of children with spina bifida participating in the South Wales longitudinal study was reviewed. Initially general information and contact with other mothers were the commonest needs; as the children grew older the need for practical, material and financial help took priority. Parents were, generally, very satisfied with support provided by hospital staff with whom they had frequent, regular contact. Contact with health visitors and social workers was considered insufficient and unsatisfactory. Mothers of more severely disabled children were most likely to receive visits, but some saw none and contact with the social services decreased as the children got older. The locally organised parents association (SWASBAH) was able to provide information, financial assistance, holiday accommodation, and contact with others in a similar position; all of which were common, but otherwise inadequately met, needs. Despite improvements, particularly in financial benefits, over the course of the study, at 18 years parents appeared largely unsupported as they faced major changes in their children's lives. Throughout the study support from SWASBAH and the interviewer appeared to far outweight the statutory, non-medical, support.

Adolescent↗
PubMedDate not supplied

Toward a community-based national rural policy: the importance of the social services sector.

Although discussions of rural America's challenges have surfaced at regular intervals over the past half-century, the issue is receiving significantly greater substantive policy discussion today, as a dialogue regarding the development of a more integrative, community-based, national rural policy begins to emerge. This article outlines this unique "rural policy moment," assesses the potential for a community-based rural policy for our nation, and discusses the critical role rural social services practice and policy play in supporting these opportunities to address the significant challenges faced by rural people.

Adult↗
PubMed2005

Interdisciplinary collaboration between primary care, social insurance and social services in the rehabilitation of people with musculoskeletal disorder: effects on self-rated health and physical performance.

Previous research shows there can be good results from co-financing between welfare sectors on the perceived quality of interprofessional collaboration. However, little is known about the impact on patient outcome of such schemes. This study aimed to assess whether co-financed teams with personnel from primary care, social insurance and social services have any effect on patients' health status. A comparative study of patients attending health care centres with and without a co-financed collaboration model was carried out. Although research has shown positive results from co-financed collaboration on staff and organization, we could not find that this new interdisciplinary team structure gave a better patient health outcome than conventional care.

Adolescent↗
PubMedDate not supplied

A model for the integration of community-based health and social services.

This article describes a program designed by a case management organization and home health agency to improve the delivery of home care to the elderly. The results of a modified experimental-control study indicate that the cost of the services to the experimental group, who received comprehensive assessments, consolidated case management and joint monitoring, was less than the control group with an accompanying improvement in the quality of care. It is suggested that the program may be a practical model for local, community social service and health agencies seeking a way to increase continuity of care, improved quality, and reduce costs without difficult organizational and system changes.

Aged↗
PubMed1993

Management is performance: strategies for client-centered practice in social service organizations.

The political nature of human services is a given. The multiple constituency dilemma coupled with the retrenchment of the 1970s and 1980s has led to a great gulf separating managers from clients, and managers from front-line personnel. These political factors have been reinforced by management theory and the blind adoption of "state-of-the-art" management technologies developed in business and the military, and the separation has gained legitimacy. The result is less than optimal service, a dissatisfied workforce, and continued attacks for being inefficient, self-serving, and ineffective. The purpose of this article is to portray an alternative form of human service management. Its vision places clients center stage in our organizations and places the manager as the director and producer. It accepts the premises that "management is the principle engine of progress" (Levitt, 1976) and that management is performance. It then lays a foundation for client-centered management by presenting four principles for social service administrators who desire to adopt this perspective in their daily practice. An elaboration of the skills and methods of client-centered management can be found in a recently published text (Rapp & Poertner, 1991).

Administrative Personnel↗
PubMed1984

The American Psychiatric Association's model law on confidentiality of health and social service records: allowing patients to examine and correct their mental health records.

Traditionally, mental patients have been denied access to their own mental health records, even though third parties such as insurance companies, prospective employers, and government agencies have access to the records and use them in deciding whether to grant benefits or employment to the patients. Adoption of the American Psychiatric Association's Model Law on Confidentiality of Health and Social Services Records would end this anomaly by allowing patients to examine their own records. This article examines the problems that arise from the inaccessibility to patients of their records and the present inability of the law to remedy these problems. It then summarizes the major access provisions of the Model Law, suggests ways it can be improved to further protect patient interests, and sets forth the probable clinical benefits that will result from access.

Confidentiality↗
PubMed2002

Establishing partnerships with social services agencies for community health education.

Nursing education is currently faced with many changes in both the academic and clinical environments. A significant challenge is to provide students with meaningful clinical placements. Experiences in clinical placements allow students to test assessment, critical thinking, communication, and decision-making skills in real and culturally diverse world situations. Nursing faculties need to develop new and innovative approaches for students to gain the necessary clinical experience. This article describes a community health clinical placement designed and implemented through a partnership of academic and social service organizations. It details the conception, growth, and development of student nursing clinics based in elderly and disabled housing sites.

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