Addiction treatment often requires medical, psychosocial and social expertise - and benefits from collaboration. The pronounced role of social authorities in evaluation and treatment is unique to the addiction field. Unified responsibility for evaluation and treatment of addiction is under consideration. Treatment of psychiatric and physical co-morbidity benefits from a unified responsibility within the hospital system.
Adult Day Care (ADC) is increasingly being recognized as an important sub-system of the continuing care system. This paper reviews models developed in the United States and Britain and compares them, and the services they offer, with centres in British Columbia, Canada. Data on British Columbia are from a study in which all 49 centres in the province provided detailed information about their staffing, operating characteristics, activities and services. The study found B.C. compared favourably in providing services needed by ADC clients. Key differences between the B.C. centres and those in the U.S. and U.K. were: a larger proportion of B.C. centres were not affiliated with any other organization; B.C. centres admitted a range of clients and were less likely to cater exclusively to special needs groups; and, B.C. centres were more likely than centres in the U.S. to provide a number of services such as: dental care, transportation, bathing and physiotherapy.
A comparative data analysis of the federal statistical survey of social services for the elderly citizens and disabled persons in outpatient departments and day hospitals in Russian Federation was submitted. It included the data on the number of organizations providing social services, the number of individuals served, the number of full-time staff positions for the years 2006-2011. It had been revealed that during this period the number of social rehabilitation centers, health centers and hospices for the elderly citizens were reduced in Russia that in turn caused the significant decrease of hospital beds and persons served per year. The data on the activities of hospitals and residential institutions in social services system for the elderly citizens and disabled persons, as well as the number of persons served over the period of 2009-2011 had been analyzed. Analytical results thus obtained shown that one of the new approaches in solving these sociogerontological problems on system management of outpatient departments, day hospitals and residential institutions in Russia are an optimization of the institutional structure, reorganization of hospital beds capacity, refurbishment of present and construction of new buildings.
The paper considers the topical aspects of the health status and sociomedical needs of children and adolescents; it shows it necessary to transform the activity of primary pediatric service facilities at the stage of reforming the country's public health system. The results of one of the largest sociological studies conducted among district pediatricians as to the organization of therapeutical-and-prophylactic and sociomedical and to children are discussed.
Research and citizens have noted failures in coordinating health and social services and professionals, and the need to address this issue to realize benefits from increasing specialisation. Different methods have been proposed and one has been structural integration of separate services within one organisation. This paper reports an empirical longitudinal study of the development of an integrated health and social care organisation in Sweden combining service provision, purchasing and political governance for a defined population. The study found a combination of influences contributed to the development of this new organisation. The initial structural macro-integration facilitated, but did not of itself result in better clinical care coordination. Other actions were needed to modify the specialised systems and cultures which the organisation inherited. The study design was not able to establish with any degree of certainty whether better patient and cost outcomes resulted, but it did find structural and process changes which make improved outcomes likely. The study concludes that coordinated actions at different levels and of different types were needed to achieve care coordination for patients and that a phased approach was necessary where management capacity and outside expertise are limited.
Parents of a young child with severe disabilities are facing a large range of new challenges; furthermore, most of these families have extended social needs regarding information, financial support, day care facilities, disability aids, etc. Many parents with disabled children have been found to be dissatisfied with social services. This study explores parents' experiences with Danish social services during their transition to a new daily life after the birth of a severely disabled child.
Repeated qualitative interviews were performed individually with 16 parents of a severely disabled young child during the first two years after the diagnosis of the child's disabilities. Data were analysed using grounded theory.
We found that the encounter with the social services increased stress in the families. Parental expectations were not met, especially regarding information; parents felt clientized, and obtaining social support was very resource consuming. Parents' needs regarding practical support and empathic case-working were not met and they spent much time and effort due to lacking continuity between sectors.
Parents have specific needs when becoming clients in the social service system whose organisation of social services needs improvement. Health care professionals are advised to identify problems and support cooperation between the parents and the social service system, as well as to report the health-related consequences of prolonged and inefficient case-working for the child and its parents.
was received from Socialministeriet, Landsforeningen LEV, Ronald McDonalds Børnefond, Susie og Peter Robinsohns fond, Rosalie Petersens fond, PLU-fonden, Ville Heises fond, Sygesikringens forskningsfond, Helsefonden, Elsass fonden.
The increasing cultural diversity among professional social workers has resulted in the need to examine critically some of the earlier notions about the epistemology, ontology, and methodology of social work research and practice. One outcome of these analyses about how and by whom research projects are carried out is the emergence of "native," "indigenous," or "insider" research in which scholars conduct studies with populations and communities and identity groups of which they are also members. This article reports the work of a native social work researcher who conducted an ethnographic study with her social identity group. The complex and inherent challenges of being both an insider with intimate knowledge of one's study population and an outsider as researcher are explored. Implications for social work research and practice with regard to native social work perspectives and methods also are discussed.
Daycare services are seen as a valuable means of helping old people to continue living in their own homes. Relatively little is known about care approaches in daycare units and how they benefit the clients themselves. This work attempts to show the way in which the care approaches in daycare units are constituted.
Participant observation that was concluded with individual interviews with the directors of the units.
The findings show that beneficial care approaches in these daycare units establish practices and habits that give a particular structure to the course of everyday life of the patient with dementia, enhance the person's sense of normality, and allow him/her to enjoy being among others, while being appreciated as the person he or she is.
Well-organized and knowledgeable daycare service not only provides relief from care for the relatives, but also supports and enriches the lives of the individuals with dementia.