Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Clients”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 55 records · Page 3Linked to original sources
PubMed2002

Attorney-client trust among convicted criminal defendants: preliminary examination of the attorney-client trust scale.

The current study describes the development of the Attorney-Client Trust Scale (ACTS), a measure designed to assess a client's trust in his or her attorney. A sample of 307 male inmates completed the ACTS and provided information about their most recent case and attorney. Low ACTS scores were associated with having a court-appointed attorney, going to trial, and receiving a lengthy prison sentence. High ACTS scores were related to satisfaction with sentences and attorneys. In addition, findings suggest that perceptions about attorneys' interpersonal skills were as important as perceptions about legal skills in forming opinions about overall lawyering ability. It is recommended that attorneys employ a well rounded assortment of interpersonal skills to foster their clients' trust and to make better use of the limited amount of time they have to spend with clients.

Adult↗
PubMed2002

[Client-orientation versus institutional-orientation. What helps towards client-orientation in psychiatric settings?].

Client- or Patient-Orientation is seen as an indicator for quality of psychiatric work. How to observe and record this orientation? Three different concepts are presented: the German A11, a staff- and client-oriented documentation, Soteria Bern, and Shepherd's 25 homes-investigation around London. Four areas of typical conflicts of interest between client- and institutional orientation are presented with examples: duty times, strategies to fill up beds, "creaming off", and application-talks for clients to enter a residential setting. On the basis of the quality of Life and Care research and the 3 concepts above questions for visiting and evaluating homes and living groups and for personal check-ups are presented.

Conflict of Interest↗
PubMed1995

Client assessment tool: a means to enhance nurse-client-physician collaboration.

The fast pace of a headache clinic prompted the authors to develop chart forms which covered all aspects of history and treatment specific to headache clients. The effort proved to be beneficial in promoting better communication between caregivers and clients due to ease and thoroughness of documentation. Use of such a tool may promote cost effectiveness, better nurse-client-physician relationships and ultimately improved client outcomes.

Communication↗
PubMed1998

Health teaching needs of clients with serious and persistent mental illness: client and provider perspectives.

1. Clients are interested in health education regardless of age, sex, or primary Axis I diagnosis. 2. Contrasts between staff and client ratings suggest that results support the practice of assessing clients' own perceptions of their needs in treatment planning and developing educational programs. 3. Items ranked as having most interest to clients included: psychiatric medication and side effects; getting what you need from the mental health system; and ways to solve problems.

Adult↗
PubMedDate not supplied

Effect of preventive dentistry training program for caregivers in community facilities on caregiver and client behavior and client oral hygiene.

The influx of persons with developmental disabilities into community-based programs has required the development, expansion and improved integration of community-based services. The role of caregivers in these community settings has become pivotal. However, with regard to daily activities, oral hygiene is often a low priority. Few attempts have been made to study caregiver participation in oral disease prevention and practices. This study evaluated the effects of an indirect training program, where caregivers were trained but the ultimate effects were demonstrated in adult clients. In addition, these effects were demonstrated in community care settings. A multiple baseline design, across three group homes, included 11 adult clients with developmental disabilities. This study evaluated the effects of training, instruction to use training and coaching on the presence of caregivers during oral hygiene sessions, the duration of toothbrushing and plaque scores of the clients. The results of this investigation demonstrated that there was an increase in caregiver presence and duration of brushing with a concurrent decrease in plaque scores. Caregivers responding to social validation questionnaires believed that 8 out of 11 clients had increased skills. This study demonstrates that caregiver training, combined with specific instructions to use training information and coaching of caregivers, can have a positive impact on the oral health of individuals with developmental disabilities living in community settings.

Adult↗
PubMed1990

Defense mechanisms in clients and non-clients as mediated by gender and sex-role.

This study examined defense mechanism utilization patterns of psychotherapy clients vs. individuals without mental health history, by administering the Defense Mechanism Inventory to 104 subjects. Concurrently, the mediating influence of gender and sex-role on defense mechanism utilization was assessed. Results indicated that gender and sex-role were significant in mediating the use of Turning against Self defenses and Turning against Other defenses, respectively. More importantly, however, psychotherapy clients differed from non-clients in their increased use of Projection and their decreased use of Principalization. Use of Projection was mediated further by a gender by sex-role interaction, which complicates the interpretation of the presence of Projection in an individual for the clinician.

Adolescent↗
PubMed2007

Client-veterinarian communication: skills for client centered dialogue and shared decision making.

This article reviews three decision-making models for veterinary-client and physician-patient interactions and proposes adaptation of the 4E communication model from human medicine for application in veterinary-client interactions. These models incorporate specific communication skills for achieving the four components fo a client interview: engagement, empathy, education, and enlistment.

Animals↗
PubMed2001

Ward atmosphere, client satisfaction, and client motivation in a psychiatric work rehabilitation unit.

This study investigated the ward atmosphere of a psychiatric work rehabilitation unit and its relationships to clients' satisfaction with the unit and client motivation, operationalised as proneness to set personal goals for their rehabilitation. The Community-oriented Programs Environment Scale was used and 52 clients participated. Their report of the ward atmosphere was in accordance with recommended levels on 5 sub-scales out of 10. A regression analysis revealed that optimal levels of order-and-organization and support were of importance for satisfaction with the unit. An optimal level of support was associated with a high rating of personal goals. This study added two therapeutically interesting factors-satisfaction and motivation-to the flora of factors that have been related to perceptions of the ward atmosphere.

Adult↗
PubMed2002

Results from the 4th National Clients of Treatment Service Agencies census: changes in clients' substance use and other characteristics.

OBJECTIVE: The 2001 Clients of Treatment Service Agencies (COTSA) census, the fourth since 1990, was conducted to enable a comparison of the drug and alcohol-related problems being treated over an 11-year period. METHOD: The 24-hour census was conducted on Wednesday 2 May 2001 in all Australian States and Territories. All agencies providing treatment for drug and alcohol problems in Australia were asked to provide demographic, treatment and substance use information about all clients treated on census day. The data were analysed with frequencies and basic descriptive statistics. RESULTS: Of the agencies surveyed, 90.3% responded. The census suggests that, among the treatment population, the mean age of substance users has decreased and the proportion of clients who are women has increased. Treatment for opiate, cannabis and amphetamine problems increased; treatment for alcohol problems decreased. Substance use patterns differed according to sex, age, size of the population centre, and Indigenous status. CONCLUSIONS AND IMPLICATONS: Changes among the treatment population reflect changes in demographics and substance use among the broader drug-using community, with the exception of the presentation of alcohol problems for treatment. The reasons for the apparent decline in treatment for alcohol problems are not clear, although a number of factors, such as changes in treatment strategies and facilities and relative increases in other substance use problems, are considered. Any decrease in treatment for a significant health problem such as alcohol use disorder will have considerable public health implications.

Adult↗
PubMed2006

Characteristics of Project Liberty clients that predicted referrals to intensive mental health services.

OBJECTIVE: The authors describe characteristics of Project Liberty crisis counseling recipients that predicted referral to more intensive professional mental health treatments over the two-year period after the terrorist attacks on the World Trade Center. METHODS: Random-effects ordinal regression models were applied to data from 684,500 logs of Project Liberty service encounters for individual counseling sessions. RESULTS: Overall, about 9 percent of individual counseling visits ended with a referral to professional mental health services. Individuals needing intensive mental health treatment continued to enter Project Liberty for two years after the World Trade Center attacks. The strongest predictor of referral was having reactions to the attack that fell into a greater number of the four domains assessed-behavioral, emotional, physical, or cognitive domains. Individuals with reactions in four domains were most likely to be referred. Those who had greater attack-related exposure were also more likely to be referred. CONCLUSIONS: It is important to provide long-term access to brief counseling and triage services and to target these interventions specifically to individuals displaying greater distress or impairment and having more traumatic exposure.

Affective Symptoms↗
PubMed2003

'Client satisfaction'--guidelines for assessing the quality of leprosy services from the clients' perspective.

In order to ensure that leprosy patients are detected and treated adequately, it is essential that they are satisfied with the services provided. Their satisfaction can be analysed by assessing the quality of the services from a client perspective. This will give crucial information for the identification of strengths and weaknesses of leprosy services, e.g. in areas such as health seeking behaviour and regularity of treatment. It necessitates, however, that special attention is given to clients' opinions and ideas, both of which are rarely included in reviews and evaluations of leprosy programmes. Hence, an initiative was taken to formulate guidelines for the conducting of a study on client satisfaction. These guidelines were pre-tested in two countries, Nepal and Brazil. The development and contents of these guidelines are highlighted and discussed in this paper.

Brazil↗
PubMed2003

Measuring client satisfaction with public education III: group effects in client satisfaction.

A contracted research project to evaluate client satisfaction with public education (King and Bond, 2003; Bond and King, 2003) required that the satisfaction of certain groups of clients received particular attention. A number of target groups were specifically identified by the state education department as those requiring separate satisfaction analyses. ConQuest software (Wu, Adams and Wilson, 1997) provided convenient techniques for estimating group mean effects for identified sub-groups of the parent and student samples. This allowed for the analysis of directly comparable satisfaction estimates for groups such as these, as well as for school size, school type, school location and parents according to the year level of the child's school class. Rasch analyses of group mean effects revealed generally, that for students, differences in overall satisfaction levels between identified sub-samples and the whole student sample even if statistically significant, were, at most, substantively marginal. However, for identified groups of parents and caregivers, the results were not so equivocal: one group of indigenous Australians, and parents of children with disabilities showed marked positive group mean effects, while another group of indigenous Australians reported lower satisfaction levels than did the whole parent sample. Moreover, analyses based on groupings of schools according to their relative complexity, appeared to reiterate the finding mentioned en passant in a previous paper (King and Bond, 2003), that client satisfaction decreased as school size increased.

Adolescent↗
PubMedDate not supplied

The simulated client method: evaluating client-provider interactions in family planning clinics.

The "simulated client" method was first detailed in the family planning literature in 1985, but it has not been extensively covered since. As used by the authors to study client-provider interactions in family planning programs, this method essentially consists of sending women to a family planning service provider to request information, and interviewing them after the encounter. The women do not reveal to service providers they are participating in the study. This report describes the method; reviews some of the theoretical, ethical, and methodological issues related to it; and underlines its usefulness as a tool for examining quality-of-care issues in family planning programs.

Developing Countries↗
PubMed2005

Improving outcomes for poorly responding clients: the use of clinical support tools and feedback to clients.

We present two methods of enhancing outcome and preventing treatment failure in psychotherapy. The first involves providing therapists with a decision tree and several assessment measures for clients who are not having a positive response to psychotherapy. The organization of the decision tree and the selection of measures were based on results from psychotherapy outcome studies. The second method involves providing clients with feedback on their progress throughout the course of treatment. Both methods of providing feedback enhanced treatment outcomes and representative studies are reviewed. Use of these methods is recommended for application in routine practice.

Algorithms↗
PubMed2003

Client demands and the allocation of home care in the Netherlands. A multinomial logit model of client types, care needs and referrals.

The purpose of this paper is to estimate the volume and composition of referrals to home care on the basis of applicant characteristics. The relationships between the background and care needs of applicant groups on the one hand and the referral of home care packages on the other, are studied by means of a multinomial logit model. The model is estimated on the basis of more than 7000 requests for home care in the northern part of the Netherlands. Home health care institutions have to deal with clients who arrive from many different branches of the health care system. As a result the services or products provided by home health care institutions are characterized by wide variation. In the modeling emphasis has, therefore, been placed on the differentiation of clients and products. We find for instance that elderly chronically ill applicants have a greater chance of being referred for domestic help only, while applicants with psychosocial disorders are more liable to be offered packages that include social support. Patients discharged from hospital have a greater chance of a referral to domestic help only when they are slightly disabled, and are more likely to be offered packages including physical care when they are more disabled. The model has a range of policy applications in assessing the impact of changes in the health care system on the volume and structure of the demand for home care services. Examples are presented of the consequences of the ageing population and earlier discharge from hospitals on demand for home care packages.

Activities of Daily Living↗
PubMed1998

Transferring clients from intensive case management: impact on client functioning.

The effects of transferring clients from assertive community treatment to a less intensive (step-down) case management program were examined. Service use decreased significantly after transfer to the step-down program, and no negative effects of transfer on hospital use or client functioning were evident. Critical elements for successful step-down are suggested and discussed.

Adult↗
PubMed2001

The relationship between community psychiatric nurses and clients with severe and persistent mental illness: the client's experience.

The aim of this phenomenological study was to construct an interpretation of the experience of nurse-patient relationships, in the context of community psychiatric nursing. The purpose of this paper is to focus on the experience of the relationship from the perspective of the clients. Themes of 'having someone looking out for me', 'working in collaboration', and 'being understood and gaining understanding' were identified. This thematic structure was used to understand the meaning of the relationship for the clients. Implications for practice, education, clinical supervision and mental health services are discussed.

Adult↗
PubMed2002

Improved client participation in the rehabilitation process using a client-centred goal formulation structure.

The aim was to evaluate whether the use of a client-centred instrument, the Canadian Occupational Performance Measure (COPM), affects the patients' perception of active participation in the rehabilitation process. The study included 155 patients in the experiment group and 55 in the control group, within geriatric, stroke, and home rehabilitation. The COPM was used in the experiment group. A structured interview was performed within 2-4 weeks after discharge with 88 patients in the experiment group and 30 patients in the control group. The results show significant differences between the groups. More patients in the experiment group perceived that treatment goals were identified, were able to recall the goals, felt that they were active participants in the goal formulation process, and perceived themselves better able to manage after completed rehabilitation compared with patients in the control group. The study indicates that the COPM improves client participation in the rehabilitation process.

Activities of Daily Living↗