Recorded at Sunny Hill Health Centre for Children on Sep. 20, 2007

No description available.

During the last 50 years, there has been a transfer of care for individuals living with mental disorders from predominately institutional settings to predominately community settings. The purpose of this research was to document the closure of Brandon Mental Health Centre (BMHC) and to look at long-term outcomes for discharged individuals. These objectives were met by interviewing key people involved in the closure and through analysis of administrative data. To support individuals after BMHC closed, new services were developed in four priority areas: adult inpatient and crisis response services, adult rehabilitation and consumer support services, psychogeriatric services, and child and adolescent services. Visits to a general practitioner for a mental disorder by individuals discharged from BMHC decreased significantly over the follow-up period while visits to a psychiatrist increased significantly. Mortality rates, physician visits, and hospital admissions were higher in former BMHC residents than in a matched cohort.

This master thesis is an analysis of how the amount of health centers per inhabitant has changed since the Swedish government implemented a new health care reform in 2010. The reform implies a free choice of health centers in the Swedish regions and opens up the market for private firms. The purpose of the thesis is to study the effects of the different financing systems toward the health centers in the regions. The models are based on theories of the need of health care. Two of the independent variables which are studied are income and age. The empirical results go hand in hand with the health theories about where there should be a bigger need of health care. The implementation of the new health care reform changed the effect of the independent variables marginally. The conclusion of the thesis is that there should be more studies which take the different financing systems in account and are focusing on if the health care reform is following the guide lines of the health care system of Sweden.

During the last 50 years, there has been a transfer of care for individuals living with mental disorders from predominately institutional settings to predominately community settings. The purpose of this research was to document the closure of Brandon Mental Health Centre (BMHC) and to look at long-term outcomes for discharged individuals. These objectives were met by interviewing key people involved in the closure and through analysis of administrative data. To support individuals after BMHC closed, new services were developed in four priority areas: adult inpatient and crisis response services, adult rehabilitation and consumer support services, psychogeriatric services, and child and adolescent services. Visits to a general practitioner for a mental disorder by individuals discharged from BMHC decreased significantly over the follow-up period while visits to a psychiatrist increased significantly. Mortality rates, physician visits, and hospital admissions were higher in former BMHC residents than in a matched cohort.

Thesis (B.A. Hons.) -- University of Adelaide, Dept. of Psychology, 1977.

Effective linkage to HIV care and treatment for all people diagnosed with HIV is crucial if positive treatment outcomes are to be realised. The study used the client records for all those newly diagnosed with HIV through the two entry points for HIV testing between January 2016 and December 2016. The aim of the study was to determine the proportions between the linkages to HIV care and treatment as per entry point for the people diagnosed with HIV at a Norton Health Centre in Zimbabwe. More importantly, the study sought to make recommendations to improve linkage per entry point. This was achieved through determining the proportion of individuals diagnosed with HIV that had documented evidence of linkage to HIV care and treatment by entry point. The study also evaluated the association between the entry point of HIV diagnosis and the linkage to HIV care and treatment.. In total, 239 clients’ records were reviewed who were over the age of 16 years. Overall, 144 (60%) had documented evidence of being linked to HIV care while about 95 (40%) of the client records had no documented evidence of linkage to HIV care. 143(60%) had documented evidence of initiation on antiretroviral therapy (ART) while about 96 (40%) had no documented evidence of initiation on ART. A statistically significant association between entry point for HIV diagnosis and the linkage to HIV care and treatment was demonstrated. A statistically significant higher proportion of females was demonstrated to be linked to HIV care and treatment than for males. The Prevention of Mother to Child Transmission of HIV (PMTCT) entry point showed higher linkages than OPD and wards entry point. Therefore, there is need to make put measures in place that encourage all clients that are diagnosed with HIV through the various entry points at the health centre to be linked to HIV care and treatment. The study made recommendations based on the findings. It is also recommended that male partners be encouraged to accompany their female expectant partners when attending PMTCT sessions. Youth were found to be lower in terms of linkages and the youth user friendly centre is recommended so as to attract more youths to come for testing. / Health Studies / M.A. (Public Health)

<p>Sammanfattning</p><p>Nästan 100 % av alla barn som föds i Sverige kommer i kontakt med BVC. Syftet med BVCs verksamhet är hälsoövervakning, rådgivning och att stödja föräldrar i föräldrarollen.</p><p>Syftet med denna studie var att beskriva hur föräldrar upplever kontakten med BVC.</p><p>Studien har en deskriptiv kvantitativ design och en kvalitativ del med analys av innehållet i de öppna frågorna. Den genomfördes i ett område i mellansverige. Alla föräldrar som besökte BVC under en vecka i oktober 2006 blev tillfrågade om att delta i studien. Tjugoen BVC fördelade på 18 olika städer/samhällen har ingått i studien. Totalt delades 524 enkäter ut under den aktuella veckan. Av dessa var 402 enkäter ifyllda och inlämnade (n = 402). Överlag var föräldrarna nöjda med sin kontakt med BVC. Det föräldrarna uppskattade mest var BVC-sjuksköterkan och möjligheten att fråga om ”vad som helst”. En källa till missnöje var möjligheten att nå BVC via telefon. BVC-sjuksköterskan är ett stort stöd för nyblivna föräldrar. Relationen mellan sjuksköterskan och föräldrarna är mycket viktig för att BVCs syfte ska uppfyllas.</p> / <p>Abstract</p><p>Nearly 100% of all children born in Sweden get in contact with the Child Health Centre (BVC). The aim with the BVC´s activity is health supervise, counselling and to support parents in their parenting role. The purpose of this study was to describe how parents experience their contact with BVC. The study has a deskriptiv quantitative design and a qualitative part with analysis of the contents of the open questions. It was carried out in an area in the middle of Sweden. All parents who visited BVC one week in October 2006, was asked to participate in the study. Twenty-one BVC divided on 18 different Cities/Communities have participated in the study. A sum of total 524 questionnaires was handed out during this week. Out of these 402 questionnaires were returned completed. For the most part the parents were pleased with their contact with the BVC. The contact with the nurse at BVC and the oppertunity to ask “about anything” were things that the parents appreciated the most.</p><p>The possibility to reach the BVC by phone was a source of dissatisfaction.The nurse at BVC is a great support to new becomed parents. The relationship between the nurse and the parents is very important to fulfil the purpose of the child health centres activity.</p>

Sammanfattning Nästan 100 % av alla barn som föds i Sverige kommer i kontakt med BVC. Syftet med BVCs verksamhet är hälsoövervakning, rådgivning och att stödja föräldrar i föräldrarollen. Syftet med denna studie var att beskriva hur föräldrar upplever kontakten med BVC. Studien har en deskriptiv kvantitativ design och en kvalitativ del med analys av innehållet i de öppna frågorna. Den genomfördes i ett område i mellansverige. Alla föräldrar som besökte BVC under en vecka i oktober 2006 blev tillfrågade om att delta i studien. Tjugoen BVC fördelade på 18 olika städer/samhällen har ingått i studien. Totalt delades 524 enkäter ut under den aktuella veckan. Av dessa var 402 enkäter ifyllda och inlämnade (n = 402). Överlag var föräldrarna nöjda med sin kontakt med BVC. Det föräldrarna uppskattade mest var BVC-sjuksköterkan och möjligheten att fråga om ”vad som helst”. En källa till missnöje var möjligheten att nå BVC via telefon. BVC-sjuksköterskan är ett stort stöd för nyblivna föräldrar. Relationen mellan sjuksköterskan och föräldrarna är mycket viktig för att BVCs syfte ska uppfyllas. / Abstract Nearly 100% of all children born in Sweden get in contact with the Child Health Centre (BVC). The aim with the BVC´s activity is health supervise, counselling and to support parents in their parenting role. The purpose of this study was to describe how parents experience their contact with BVC. The study has a deskriptiv quantitative design and a qualitative part with analysis of the contents of the open questions. It was carried out in an area in the middle of Sweden. All parents who visited BVC one week in October 2006, was asked to participate in the study. Twenty-one BVC divided on 18 different Cities/Communities have participated in the study. A sum of total 524 questionnaires was handed out during this week. Out of these 402 questionnaires were returned completed. For the most part the parents were pleased with their contact with the BVC. The contact with the nurse at BVC and the oppertunity to ask “about anything” were things that the parents appreciated the most. The possibility to reach the BVC by phone was a source of dissatisfaction.The nurse at BVC is a great support to new becomed parents. The relationship between the nurse and the parents is very important to fulfil the purpose of the child health centres activity.

Att bli förälder är en omtumlande upplevelse. För de föräldrar som vill ha stöd ska detta också finnas tillgängligt för att de med trygghet ska kunna möta barnets behov och stärka dess utveckling. BVC-sjuksköterskan har en central uppgift när det gäller att ge stöd till föräldrar med barn i åldrarna 0-6 år. Syftet med studien var att beskriva BVC-sjuksköterskors erfarenheter av att ge stöd i föräldraskapet. Metoden som användes var en kvalitativ innehållsanalys med induktiv ansats beskriven av Lundman och Hällgren Graneheim. Datainsamling gjordes genom intervjuer med fyra BVC-sjuksköterskor. Resultatet visade att BVC-sjuksköterskan upplevde att föräldrastöd var något som utfördes varje gång hon träffade föräldrarna. Genom att finnas till för familjen och stärka föräldrarnas egna resurser kunde hon stödja dem i föräldraskapet. Ett förändrat samhälle krävde dock en förändrad barnhälsovård och de resurser som gavs påverkade det stöd som kunde erbjudas föräldrarna. / Becoming a parent is an overwhelming experience. It is important to have support available for those who need it in order for parents to safely meet the needs of their child, and to strengthen the development of their child. The Child Health Nurse has a central role in supporting parents with childen aged 0-6 years. The aim of this study was to describe Child Health Nurses experiences of supporting parents. The method being used was a qualitative content analysis with an inductive approach described by Lundman and Hällgren Graneheim. The data was collected through interviews with four Child Health Nurses. The result shows that the Child Health Nurses experienced that parenting support was something which took place each time they met with the parents. By being there for the family and by strengthening the own resources of the parents, she could support their parenting. A changed society demanded a change in child health care and the conditions given influenced the support available for parents.