Granville Neighborhood Health Center (GNHC) in Milwaukee, Wisconsin, was conceived out of community need and the vision of Risen Savior Lutheran Church, Wisconsin Lutheran College (WLC), and community leaders. GNHC offers free healthcare services monthly to the uninsured and a service-learning and clinical site for nursing and other students at ...

To analyze the inquiries sent to an online ask-the-rheumatologist service in order to identify the users' needs and requirements. The official web site of the German Competence Network Rheumatology (www.rheumanet.org) provided expert information for patients, relatives, and physicians. We analyzed the content of 1,133 inquiries posted over 5 years and ...

Fragile X syndrome (FXS) is the most common form of inherited mental retardation and is caused by the loss of function for Fragile X Mental Retardation Protein (FMRP), a selective RNA-binding protein with a demonstrated role in the localized translation of target mRNAs at synapses. Several recent studies provide compelling ...

The international community has compelling humanitarian, political, security and economic reasons to engage in rebuilding and strengthening health systems in fragile states. Improvements in health services and systems help to strengthen civil society and to restore legitimacy to governments. Effective engagement with fragile states to inform the design of health ...

The Myspace project was launched in 2008 to develop a novel approach to engage with younger sexual health service users. The aim was to use a social networking site as a patient forum, to gain feedback on how to improve services and to make sexual health information accessible to a ...

This study content analyzed a randomly selected stratified national sample of 203 four-year United States colleges' counseling center Web sites to assess the degree to which such sites feature information and reference services for lesbian, gay, bisexual, and transgender (LGBT) collegians. Results revealed that LGBT-targeted communications were infrequent. For instance, ...

Fragile X mental retardation protein (FMRP) is highly enriched in neurons and binds to approximately 4% of mRNAs in mammalian brain. Its loss is a hallmark of fragile X syndrome (FXS), the most common form of mental retardation. In this review we discuss the mutation in the fragile X mental ...

Refugees experience higher levels of emotional, psychological and physical distress than the general migrant population during settlement in a new country. Safety in the home can be a major concern and is an issue of which occupational therapists should be aware. Occupational therapists working with refugees in many contexts feel ...

Background  The rights to choose where and with whom to live are widely endorsed but commonly denied to adults with intellectual disabilities (ID). The current study provides a contemporary benchmark on the degree of choice exercised by adult service users in the USA. Method  Data came from the National Core ...

Communication with home can be beneficial to deployed service members' mental health, morale, and occupational effectiveness. Conversely a lack of communication with home increases the risk of developing mental health problems. Therefore it is important to ensure that communications media is both affordable and accessible while on deployment. However, contact ...

Maltreated children placed in out-of-home care are at high risk for exhibiting symptoms of psychopathology by virtue of their exposure to numerous risk factors. Research examining cumulative risk has consistently found that the accumulation of risk factors increases the likelihood of mental health problems. The goal of the current study ...

ACCESSIBLE SUMMARY: • During the last ten years there has been a major change in developing mental health services generally, and crisis resolution and home treatment (CRHT) services especially. Many Western countries have made a shift in perspective from in-hospital care to home treatment. The new approach is based on ...

ABSTRACTBackground: Although community psychiatric services commonly encounter cases where intervention is needed due to persons' unclean or cluttered living conditions, evidence concerning the referral rate and prevalence of severe domestic squalor is sparse.Methods: Between 2000 and 2009, ratings of cleanliness and clutter have been made in all cases of people ...

Greece is facing the issue of increasing elderly population and therefore local municipalities started the 'Help at Home' programme. The aim of this study is to investigate the elderly's satisfaction from the 'Help at Home' programme in a prefecture of central Greece. The sample consisted of 300 elderly people who ...

This article presents an overview of the Older Americans Act (OAA) so that home health clinicians may become more knowledgeable about this healthcare legislation. The OAA was passed in 1965 and has evolved significantly over time. The purpose of the OAA is to help older adults maintain their highest level ...

The prevalence of mental disorders in long-term care (LTC) homes is high, but quality and availability of mental health services to assess and help in management of cases have been criticized. Literature concerning mental health problems in LTC homes was reviewed, especially regarding models of mental health service delivery and ...

We investigated the perceptions of people about the safety, security and privacy of a telecare monitoring system for adults with developmental disabilities living in residential settings. The telecare system was used by remote caregivers overnight, when staff were not present in the homes. We surveyed 127 people from different stakeholder ...

Today an increasing number of people with functional limitations are ageing in their homes. Although the home has become an arena for assessment and implementation of services, little is known about how the interrelationships between ideological and practical circumstances influence the allocation of such welfare services. This explorative study applied ...

This study tracked the ability of U.S. nursing homes to provide on-site mental health services after the Omnibus Budget Reconciliation Act (OBRA) of 1987 mandated the detection and treatment of mental illness among nursing home patients. The study also determined cross-sectional correlates of service availability and models of services. Retrospective ...

Location of health facilities closer to the communities they serve, bringing together health and other services and, where possible, through technologies such as telehealth, enabling patients to undergo more treatment in their own homes, are already major talking points among those responsible for future estates planning. However, as Ian Greggor, ...

Objectives. This article examines family and social factors that affect refugee mental health during resettlement by presenting qualitative analysis of the concept of home and its functional and psychological meanings based on findings from research with Sudanese refugees in Canada. Design. Data were collected in two successive multi-method, community-based studies ...

OBJECTIVE: To examine the associations between 2 types of continuing care retirement communities' (CCRC) residents regarding physical function and perceived quality of life. METHODS: Cross-sectional study (n=406). Eligibility criteria include age 65 years or older, residents of independent living units, and intact cognition (MMSE>or=24). All-inclusive CCRCs provide unlimited access to ...

The effectiveness of modified-directly observed therapy (m-DOT), an adherence support intervention adapted from TB DOTS programmes, has been documented. Describing the implementation process and acceptability of this intervention is important for scaling up, replication in other settings and future research. In a randomised trial in Mombasa, Kenya, patients were assigned ...

To explore the relationship between fatigue and performance of activities of daily living (ADL), use of assistive devices, home-help service and community mobility services in older clients with chronic heart failure. A cross-sectional descriptive study of 40 patients was performed using the Multidimensional Fatigue Inventory, the Staircase of ADL, Assessment ...

AIMS AND OBJECTIVES: The purposes of this study were to understand the functions of hospital-based home care for people with severe mental illness in Taiwan, and the factors that affect functions of professionals who provide hospital-based home care. BACKGROUND: Hospital-based home care is a service which provides those people with ...

OBJECTIVE: The goal was to describe the mental and physical health of caregivers and the home environments of children who have been investigated by child protective services (CPS). METHODS: Subjects were 5299 children 0 to 14 years of age, from the National Survey of Child and Adolescent Well-being, a cohort ...

Medicaid's coverage for home health services is a critical source of support for individuals with chronic needs. Generally, the Medicaid services available to individuals striving to stay in the community, such as personal care services or a package of home and community-based services delivered through a waiver or state plan ...

OBJECTIVE: A growing body of research supports the value of mental health intervention to treat people affected by disasters. This study used a mixed-methods approach to evaluate pre- and posthurricane mental health service use in Florida nursing homes. METHODS: A questionnaire was administered to 258 directors of nursing, administrators, and ...

In Australia, the Home and Community Care (HACC) program provides services in the community to frail elderly living at home and their carers. Surprisingly little is known about the health of people who use these services. In this study we sought to describe health-related factors associated with use of HACC ...

BACKGROUND: To maintain the sustainability of public long-term care insurance (LTCI) in Japan, a preventive care policy was introduced in 2006 that seeks to promote active improvement in functional status of elderly people who need only light care. This policy promotes the use of day care services to facilitate functional ...

Home healthcare services are important in aging societies worldwide. The present nationwide study of health insurance data examined the utilization and delivery patterns, including diagnostic indications, for home healthcare services used by seniors in Taiwan. Patients ≥65 years of age who received home healthcare services during 2004 under the Taiwanese ...

Despite the burgeoning number of well-validated interventions that have been shown in randomized trials to produce superior outcomes compared to usual services, it is estimated that only 10% of public systems deliver evidence-based mental health services. In California, for example, more than 15,000 children are placed in group homes or ...

Even though it has been shown that peer support to mothers at home helps to increase exclusive breastfeeding, little is known about the experiences of peer supporters themselves and what is required of them to fulfil their day-to-day tasks. Therefore, a community-based randomised control trial using trained "lay" women to ...

In order to provide equitable access to hospice at home palliative care services, it is important to identify the socio-economic factors associated with poorer access. In this population-based study we aimed to test the inverse care law by exploring how socio-economic status and other key demographic indicators were associated with ...

OBJECTIVE: The aim of this qualitative research was to understand how runaway girls perceive the processes involved in leaving home and the meaning they attribute to it. METHOD: Findings are based on in-depth interviews with 10 Israeli girls aged 13-17 with a history of running away from home. RESULTS: The ...

AIM AND OBJECTIVES: The purpose of this study is to generate a substantive theory of hospital-based home care for people with severe mental illness in Taiwan. BACKGROUND: Despite the documented advantages of hospital-based home care services, there is a lack of information and understanding regarding the practices, functions and limitations. ...

This pilot study investigated the feasibility of delivering an individualized program of oral home telecare training using PC-based, real-time interactive videoconferencing via the Internet to meet the unique challenges of dental care for people with tetraplegia. A home-based videoconferencing method was tested with two adults with tetraplegia and an occupational ...

This research investigated state variation in the use of out-of-home mental health services among children and youth enrolled in Medicaid during 2003. Medicaid claims from three states were used to describe the demographic and diagnostic characteristics of children and youth under age 22 who received mental health services in general ...

The Home Independence Program (HIP) is a short-term restorative programme targeted at older home-care clients, who do not have a diagnosis of dementia, when they are first referred for assistance or when they are referred for additional services because their needs have increased. This study compared the outcomes for individuals ...

The Going Home Plus project facilitates the transition of individuals from hospitals, nursing facilities, and intermediate care facilities for the mentally retarded (ICF-MRs) into community settings. The project is a collaborative effort between the State of Hawai'i Department of Human Services (DHS), the University of Hawai'i Center on Disability Studies ...

Individuals with serious mental illness often are unable to access consumer- and family-oriented community care, resulting in repeated hospitalizations, incarceration, and homelessness. The "medical home" concept was developed in primary care to provide accessible and accountable services for individuals with chronic medical conditions. Building on the work done in primary ...

Self-reported satisfaction and sense of well-being were assessed in a sample of 1,885 adults with intellectual and developmental disabilities receiving Medicaid Home and Community Based Services (HCBS) and Intermediate Care Facility (ICF/MR) services in 6 states. Questions dealt with such topics as loneliness, feeling afraid at home and in one's ...

Home health and hospice services can constitute important elements in the continuum of care for older adults diagnosed with cancer. The Balanced Budget Act (BBA) of 1997 included provisions affecting those services. The first objective of this study is to assess the effect of the BBA of 1997 on home ...

It is argued that various factors including the increasingly ageing population will require more care services to be delivered to users in their own homes. Desirable characteristics of such services are outlined. The Open Services Gateway initiative has been adopted as a widely accepted framework that is particularly suitable for ...

BACKGROUND: The rate of unscheduled readmissions is an important quality indicator with financial implications for hospitals. OBJECTIVE: To determine if resident-staffed services have more favorable outcomes compared to hospitalist services, predictors of readmissions were determined within an academic hospital. METHODS: From November 1, 2006 to April 30, 2007, 5943 admissions ...

Home modifications are part of the occupational therapy interventions provided to persons with functional limitations in the home environment. Home modification services often involve many different actors, and persons experiencing a need for home modifications have to navigate through a network of service organizations and professional actors. The aim of ...

BACKGROUND: Similar patient populations and favorable regulations have led many home health agencies to become Medicare and/or Medicaid certified as hospice agencies (mixed), but home health and hospice programs differ in focus and scope. Little research has been performed examining the differences between mixed hospices and those agencies only certified ...

Using a natural quasi-experimental pretest/posttest design, residents in randomly selected homes in a suburb of Los Angeles were surveyed about their perceptions of their neighborhoods with respect to cohesion and sense of community. Responses from the pretest surveys--administered before the construction of a freeway that would bisect the city--were compared ...

With the aging of the population, the healthcare system needs to shift from the actual hospital-centred system developed in the past century for dealing with acute diseases and a young population toward a home-centred system, more appropriate for serving older people with chronic diseases. Funding of home care should not ...

BACKGROUND: Current policy in the UK and elsewhere places emphasis on the provision of mental health services in the least restrictive setting, whilst also recognising that some children will require inpatient care. As a result, there are a range of mental health services to manage young people with serious mental ...