Suchergebnisse

While rates of disengagement from mental health services remain high, the Housing First program has succeeded in engaging those who are hardest-to-reach, people who have experienced long-term homelessness and co-occurring disorders. This study uses ethnographic methods to explore service engagement within Housing First, focusing on how social processes contribute to program effectiveness. Conducting participant observation and interviews, researchers followed 10 clients and 14 case managers from two treatment teams, over the course of a year. The study used symbolic interactionism as its theoretical framework. In data analysis, therefore, the researchers explored meaning-making within social exchanges. The sites and activities of the program provided a context that made it possible for case managers and residents to create shared narratives about residents' experiences related to housing. The variation of these sites and activities led case managers to permeate many aspects of clients' lives, playing roles similar to those of friends and family. The quality of the interaction became apparent from how case managers paid attention, listened, and communicated while engaging in these shared activities. This study illustrates that while the structural aspects of Housing First provided the context and opportunities for engagement, the quality of the interaction between the case managers and residents played a key role in engagement.

The need for integrated health care in the united states / Victoria Stanhope -- Integrated health care models and frameworks / W. Patrick Sullivan -- Population health / Heather Klusaritz, Julie A. Cederbaum, and Max Krauss -- The evolution of health care policy / Jennifer Manuel and Stacey Barrenger -- The patient protection and affordable care act of 2010 / Victoria Stanhope and Meredith Doherty -- Chapter 6.health care financing / Peter C. Campanelli, Andrew F. Cleek, and Mary M. McKay -- Workforce development / Anthony Salerno, Jeff Capobianco, and Larry Fricks -- Working in integrated health care settings / Neil Calman, Virna Little, and Elizabeth Matthews -- Screening and brief interventions / Evan Senreich and Shulamith Lala A. Straussner -- Person-centered care / Victoria Stanhope and Mimi Choy-Brown -- Evidence-based social work practice in integrated health care / Shelly A. Wiechelt and Shulamith Lala A. Straussner -- Transitional care / Helle Thorning -- Integrated health care for children and adolescents / Diane M. Mirabito, Aminda Heckman Chomanczuk, and Judith Siegel -- Integrated health care roles for social workers / Lynn Videka, Brenda Ohta, Anna M. Blackburn, Virgen Luce, and Peggy Morton -- Interprofessional practice / Janna Heyman -- Health information technology / Elizabeth Matthews, Benjamin Clemens, and Jordana Rutigliano -- Evaluating integrated health care / Benjamin F. Henwood, Elizabeth Siantz, and Todd Gilmer -- Index

The aim of this study was to examine the extent of and variation in person-centered care across programs within community mental health clinics. Service plans ( N = 160) from programs within eight clinics were assessed for person-centered care planning using an objective fidelity measure. Univariate statistics calculated overall fidelity to person-centered care planning and mixed-effect regression models examined person-centered care planning by program type. Overall, providers demonstrated low levels of competency in person-centered care planning. There were significant differences according to program type, with providers from assertive community treatment programs demonstrating the highest level of competency. Providers need more training and support to implement person-centered care consistently across community mental health programs. Those program types with associated fidelity measures that include person-centered care had a higher level of competence confirming the value of fidelity measurement in promoting quality services.