Integrated Care in Community Settings and Psychiatric Training

Barriers to family care in psychiatric settings.

PURPOSE To identify barriers to family care in psychiatric settings and to describe family and provider perspectives about what constitutes effective family care. DESIGN AND METHODS A qualitative exploratory approach with focus groups. Seventy-eight people participated in 11 focus groups conducted with families, patients, and health professionals. FINDINGS Families identified poor quality c...

Urban Indian psychiatric patients in community care.

This study examines characteristics and problems of, and services received by Indian psychiatric patients in an urban community care setting in Canada. A census of patients of a community mental health service showed 25 Canadian Indian patients out of 2,652 patients in care, or 0.9%; whereas Canadian Indians are estimated to comprise somewhere between 1.6% and 4.8% of the general population. A ...

Ajic Applied Epidemiology in Health Care Settings and the Community

Implementation challenges in translating pivotal response training into community settings.

Implementing evidence-based practices (EBPs) for children with autism is challenging for teachers because these practices are often complex, requiring significant training and resources that are not available in most school settings. This brief investigation was designed to identify areas of strength and difficulty for teachers implementing one such EBP, pivotal response training (PRT). Observa...

Evaluating integrated and community-based care

How do we know what works? The NHS is awash with service innovations, often based in the community, which attempt to tackle the challenge of delivering high-quality community-based care for increasing numbers of people with long-term conditions. Despite this we see continuing increases in emergency hospital admissions. Over the last five years, the Nuffield Trust has undertaken evaluations of o...