An Action Research methodology was used to revise the St George Mental Health Rehabilitation Service. A review committee found several limitations in the existing system, and a new model to address these problems was devised. During an 18-month period, the new model was implemented. Obstacles to change, such as staff resistance, were not systematically encountered due to the method of change us...

BACKGROUND During the course of 2007 it became clear through Community Mental Health Team meetings that a number of staff had chronic anxiety/depression patients who required a very high level of input. This group was characterised by high service use, resistance to medication regimes, resistance to ‘‘talking therapies’’ such as cognitive behavioural therapy (CBT), long, unbroken involvement wi...

there are no known studies that have been conducted focusing on the congruency or discrepancy of pre service agricultural education programmes in relation to secondary school agriculture teaching in zimbabwe. the purpose of this study was therefore to make a qualitative investigation on the contribution of pre service agricultural education training programmes to the teaching of high school agr...

Drawing on rich data from the Integra evaluation of integrated HIV and reproductive-health services, we explored the interaction of systems hardware and software factors to explain why some facilities were able to implement and sustain integrated service delivery while others were not. This article draws on detailed mixed-methods data for four case-study facilities offering reproductive-health ...

with their primary care and are more trusting of doctors who are not restricted to treating only members of a single health plan, according to a new study published in the Archives of Internal Medicine and funded by the Agency for Healthcare Research and Quality. The findings are derived from a study of 6,000 Massachusetts State government employees by a team of researchers led by Dana Gelb Saf...

OBJECTIVES To explore the experiences and views of men who have sex with men (MSM) on attending clinical sexual health services and their preferences regarding service characteristics in the context of the disproportionate burden of STIs experienced by this group. The wider study aim was to develop a risk assessment tool for use in sexual health clinics. METHODS Qualitative study comprising e...

background: health information system (his) has been utilized for collecting, processing, storing, and transferring the required information for planning and decision‑making at different levels of health sector to provide quality services. in this study, in order to provide high‑quality his, primary health care (phc) providers’ perspective on current challenges and barriers were investigated. m...

BACKGROUND The need to balance resources between community and hospital-based mental health services in the post-deinstitutionalisation era has been well-documented. However, few indicators have been developed to monitor the relationship between community and hospital services, in either developed or developing countries. There is a particular need for such indicators in the South African conte...

BACKGROUND A study of involvement initiatives within secure mental health services across one UK region, where these have been organized to reflect alliances between staff and service users. There is little previous relevant international research, but constraints upon effective involvement have been noted. OBJECTIVE To explore and evaluate involvement initiatives in secure mental health sett...

BACKGROUND This paper describes the development of a model of Comprehensive Primary Health Care (CPHC) applicable to the Australian context. CPHC holds promise as an effective model of health system organization able to improve population health and increase health equity. However, there is little literature that describes and evaluates CPHC as a whole, with most evaluation focusing on specific...