Background: Effective communication is key to team working in healthcare. It can be negatively impacted upon by existing cultures, logistical challenges, role confusion, and a lack of collaborative approaches to practice. Clinical guidelines recommend using the International Classification of Functioning, Disability and Health (ICF) to aid communication within stroke teams. Yet no empirical evidence exists on the process or outcomes of such implementation. Aims: This project aimed to explore ways the ICF could be used with an acute stroke service and identify key learning from the implementation process. Methods: Using an action research framework, iterative cycles were used within exploratory, innovatory and reflective phases. Content analysis was used to map patient notes’ entries to ICF categories. Thematic analysis was undertaken, using a model of immersion and crystallisation, on data generated via interview and focus group, e-mail communications, minutes from meetings, field notes and a reflective diary. Descriptive statistics were used to analyse quantitative questionnaire data. Data from all sources were combined to determine key findings. Findings: Participants chose to develop an ICF-based team transfer of care report with an ICF glossary to aid completion. Five overall themes were determined; the need to: (1) adopt the ICF in ways that met local service needs; and (2) adapt the ICF language and format. Once implemented, the ICF: (3) fostered communication within and beyond the stroke team; (4) promoted holistic thinking; and (5) helped to clarify team roles. Conclusions: These are the first empirical findings within stroke services that demonstrate how to make the ICF a clinical reality. Participants needed to adapt and own the ICF to adopt it. When implemented, it enabled specific team communication challenges to be overcome. The use of action research to implement the ICF has facilitated sustained change and improvements to communication, thus benefiting patient care.

<p> The purpose of this study is to examine the relationship between general health condition, living arrangements, socioeconomic status, and depression among elderly adults. The California Health Interview Survey (CHIS) 2011-2012 dataset was utilized in order to conduct the secondary analysis of variables for this study. This study found that there is a significant relationship between general health condition, socioeconomic status, ethnicity, gender, and depression among the sample of elderly adult participants. The results from this study found that elderly participants who reported a poor general health condition (self-rated health) had higher levels of depression, and elderly adults who reported an excellent general health condition had lower levels of depression. A low socioeconomic status was correlated to higher levels of depression among elderly adults. This study also found that elderly minorities have higher levels of depression when compared to their counterparts. Female elderly adults were found to have higher levels of depression than males in this study. The results of this study serve to raise awareness and contribute knowledge of significant contributing factors correlated to depression among the elderly population.</p>

<p> The purpose of this study was to locate a potential funding source and write a grant to fund a program designed for older adults who suffer from serious mental illness. In this program, the older adults would be using computerized activities to enhance memory. Another portion ofthe program would be dedicated to the prevention of falls through the use of rhythmic steps in music. The program would be held by the host agency, Life Sharing Health Care in the city ofNorwalk, California, once the Archstone Foundation approved and funded the grant proposal. Since memory loss and falls are prevalent in the older adult population, it is essential to create programs whose mission is to prevent these problems from occurring or at least reduce the impairment and frequency. The actual submission and/or funding of this grant was not a requirement for the successful completion of the project.</p>

Thesis (Ph.D.)--Pacific Graduate School of Psychology, 1992. / Source: Dissertation Abstracts International, Volume: 53-03, Section: B, page: 1615. Chair: Dolores Gallagher-Thompson.

yes / This article explores some of the challenges involved in a collaborative mental health partnership, drawing on the reflections of two project members from the Chainama College of Health Sciences in Zambia and the Leeds Metropolitan University in England. The aim of the project was to support the education and training of the mental health workforce in Zambia as services shift from institutional to community-based care. The discussion is located within Gray’s ‘three-pronged dilemma’ and debates concerning the internationalisation agenda in social work and higher education. The conclusion emphasises the benefits and tensions of partnership working between ‘developed’ and ‘developing’ countries.

Thesis (M.S.W.)--University of Hong Kong, 1985.

<p> The proposed support group was designed for older Cambodian refugees who suffer from any mental health conditions primarily from the Khmer Rouge regime. Although the genocide occurred three decades ago, many refugees still suffer from posttraumatic stress disorder (PTSD), depression, anxiety, and other mental illnesses, especially among the older generation. The support group will consist of older Cambodian refugees who had lived through the Cambodian genocide (1975-1979), are 55 year of age or older, are currently residing in the Long Beach community and suffer from any mental health condition diagnosed for more than 1 year. The goal of the proposed group is to strengthen the support and connection among the Cambodian refugee elders. The actual submission and/or funding of the grant were not a requirement for the successful completion of this project.</p>

High-risk organizations are continuously striving to minimize risks and establish a safe working environment. While technology and high standards are crucial, a core aspect of an effective safety management system lies in safe human behaviour and this constitutes the main theme for this thesis. In order to assess the state of safety of an organization from a behavioural perspective, safety compliance (SC) and safety citizenship behaviour (SCB) were measured through interviews and quantitative studies with an emphasis on understanding the key aspects of leadership style and associated mediating factors that influence employees' safety compliance and safety citizenship behaviour.

Managed clinical and care networks (MCNs) have emerged in Scotland as a collaborative form of organising within health and between health and social services. Bringing together disparate disciplines and professions their aim has been to allow work across service and sector boundaries to improve care for patients. Whilst MCN prevalence has increased and policy has moved to centralise this method of organising, many research questions remain. These include: how can we understand the form, function and impact of MCNs, and further, what are the underlying motivations for practitioners and managers to organise in this way? Focussing in on the work of 3 voluntary MCNs operating in Scotland, the centrality of practice emerges. Practice is defined broadly to encompass both the interactions between practitioner-patient and practitioner-population. From this, the MCN becomes conceptualised as a set of activities focussed around ground-level clinical MCN service issues and top-level policy direction. Through considering work the interplay between ethics and scientific evidence emerges. The inherent uncertainty and suffering of daily practice comes to the fore, these concepts are brought together within a framework, morals-in-practice. Further, using the hermeneutic dynamics of alterity, openness and transcendence, MCNs can be understood as providing a space to foster creative responses to the wicked problems created by health and social service design and delivery. The organising opportunities provided by MCNs thus arguably serve several organisational and social functions, providing a forum to: mutually support and respond to the intrinsically challenging nature of practice understood; debate morals-in-practice helping to ensuring collective clinical governance; sharing of organisational knowledge; planning, delivery and audit of services; and creatively respond to wicked problems. By focussing in on the work, the practice particularities of each individual MCN are resultantly emphasised, whilst still maintaining recognition that much of the NHS operational context is more widely shared. Through this these voluntary MCNs, at least, can be viewed as an organising form which has emerged in response to the complexities of modern health and social service, care, design and delivery.

<p> This study examined sociocultural predictors of mental health treatment utilization among a combined clinical and community sample of Black older adults experiencing depression, anxiety and/ or traumatic events. A secondary analysis of a cross-sectional study that investigated the prevalence of depression and the factors associated with it among African Americans, and Caribbean Blacks over the age of 55 living in New York City using binominal logistic regression analyses. The current study investigated how the sociocultural factors of ethnicity, mental health beliefs, ethnic identity, spirituality, and religiosity predicted utilization of formal and informal mental health treatment services. The findings highlight the significance of ethnicity, depression, mental health beliefs and spirituality as predictors of utilization of mental health services. Caribbean Black older adults underutilized mental health treatment services of any type. The current study suggests that attitudes and beliefs about mental illness and health practices is a factor that should been taken into account by clinicians when assessing, diagnosing, treating and trying to maintain adherence to services of older Black adults. </p>