OBJECTIVE This trial compared Mindfulness-Based Stress Reduction, adapted for therapeutic community treatment (MBTC), with treatment as usual (TAU) for reducing stress and increasing retention in a residential facility for substance use disorders. METHOD Four-hundred and fifty-nine participants, who met DSM-IV criteria for substance dependence were recruited (TAU = 164, MBTC = 295). RESULTS...

BACKGROUND although social engagement and depressive symptoms are important concerns for long-term care facility residents, the dynamic relationship between them has not been adequately studied. OBJECTIVE this study examines the relationship between social engagement and depressive symptoms and changes in social engagement and depressive symptoms among Chinese residents of long-term care faci...

BACKGROUND Most people with mental disorders are not violent. However, the lack of specific studies in this area and recent radical changes in Italy, including the closure of six Forensic Mental Hospitals, has prompted a more detailed investigation of patients with aggressive behaviour. AIMS To compare socio-demographic, clinical and treatment-related characteristics of long-term inpatients w...

BACKGROUND As in most European countries, mental health care has shifted from large hospitals to smaller community based settings in Portugal. Our study objectives were to determine: a) the characteristics of users of mental health residential facilities in Portugal; b) the quality of care provided comparing community and hospital units; and c) to investigate associations between quality of car...

CLINICAL QUESTION Is there evidence that hip protectors and vitamin D with calcium supplementation reduce hip fractures in the elderly? RESULTS The results are that vitamin D and calcium supplementation reduce incidence of hip fractures. Hip protectors provide some benefit in reducing hip fractures in elderly patients in residential facilities. IMPLEMENTATION Primary care providers should a...

STUDY OBJECTIVES To examine and describe the relationship between age and disposition in patients undergoing mechanical ventilation. DESIGN Retrospective analysis of a statewide database. SETTING All acute-care hospitals in New York State. PATIENTS All patients (n=10,473) aged > or = 18 years discharged from hospital during 1993 with a final diagnosis related group (DRG) coding of 475. ...

BACKGROUND Our aim was to design a valid and reliable consumer quality index (CQI) specifically suited to assess the experiences that homeless people, homeless youth, and abused women have with shelter and community care services. METHODS A pilot CQI questionnaire was constructed on the basis of literature study, focus group discussions with clients, concept mapping by clients and shelter wor...

recently, increased growth of the population and insufficiency of infrastructures have expedited vertical development of cities, with the outcome of which being residence in such high-rise  complexes and creation of spiritless, dull masses which lack the prerequisites of making a permanent relationship with their residents, provoke high-level alienations, and dilute one’s attachment to his/her ...

BACKGROUND Intellectual disability (ID) is a relatively high-incidence disability, with an increased risk of poor physical and mental health. Persons with ID also have lifelong support needs that must be met if they are to achieve an acceptable quality of life. Little is known about these health conditions and support needs in the African context. This study examines persons over the age of 18 ...

Many individuals living in residential care use a wheelchair as their primary means of mobility. Although studies have documented challenges encountered by residents in these facilities, few have addressed the role that wheelchairs, as potential enablers and barriers to mobility and participation, play in their lives. To better understand residents' experiences, an ethnographic study was conduc...