Relevant bibliographies by topics / Community health services – great britain – finance

Academic literature on the topic 'Community health services – great britain – finance'

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Published: 26 July 2024
Last updated: 27 July 2024

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Journal articles on the topic "Community health services – great britain – finance"

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Coid, Jeremy, Min Yang, Peter Tyrer, Amanda Roberts, and Simone Ullrich. "Prevalence and correlates of personality disorder in Great Britain." British Journal of Psychiatry 188, no. 5 (May 2006): 423–31. http://dx.doi.org/10.1192/bjp.188.5.423.

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BackgroundEpidemiological data on personality disorders, comorbidity and associated use of services are essential for health service policy.AimsTo measure the prevalence and correlates of personality disorder in a representative community sample.MethodThe Structured Clinical Interview for DSM-IV Axis II disorders was used to measure personality disorder in 626 persons aged 16-74 years in households in England, Scotland and Wales, in atwo-phase survey.ResultsThe weighted prevalence of personality disorder was 4.4% (95% CI 2.9-6.7). Rates were highest among men, separated and unemployed participants in urban locations. High use of healthcare services was confounded by comorbid mental disorder and substance misuse. Cluster B disorders were associated with early institutional care and criminality.ConclusionsPersonality disorder is common in the community especially in urban areas. Services are normally restricted to symptomatic, help-seeking individuals, but a vulnerable group with cluster B disorders can be identified early are in care during childhood and enter the criminal justice system when young. This suggests the need for preventive interventions at the public mental health level.
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Haddad, Peter, and Martin Knapp. "Health professionals' views of services for schizophrenia – fragmentation and inequality." Psychiatric Bulletin 24, no. 2 (February 2000): 47–50. http://dx.doi.org/10.1192/pb.24.2.47.

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There has been much debate about effective treatments, service configurations and costs within Britain's mental health care system, but it has largely taken place in academic and management circles. We were interested in the views of those providing care. We organised a meeting of community psychiatric nurses, general practitioners and consultant psychiatrists (funded with an educational grant from Zeneca Pharmaceuticals). Participants worked in various parts of Great Britain, including rural and inner city areas. The authors facilitated the discussion, the emphasis of which was on participants' clinical experience.
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Anderson, Stuart. "Community pharmacists and tobacco in Great Britain: from selling cigarettes to smoking cessation services." Addiction 102, no. 5 (May 2007): 704–12. http://dx.doi.org/10.1111/j.1360-0443.2007.01790.x.

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Walker, Alan. "Enlarging the Caring Capacity of the Community: Informal Support Networks and the Welfare State." International Journal of Health Services 17, no. 3 (July 1987): 369–86. http://dx.doi.org/10.2190/q4x5-ac1d-lbg0-5l63.

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In common with most modern industrial societies, Great Britain is facing the unique late 20th century phenomenon of rapidly increasing numbers of people, especially very elderly people, requiring health and social care. The response in Britain has been to search for ways to enlarge the caring capacity of the “community” and, thereby, reduce the demands on public health and social services. Similar policy responses have been developed in other capitalist societies such as Canada, France, and the United States. Although a policy of “community care”-the provision of state services in people's own homes-was followed by governments of both major British political parties over the postwar period, under the right wing neo-monetarist regime of the present Thatcher administration the locus of policy has shifted toward encouraging greater reliance on the informal support networks of kin, friends, and neighbors. The reasons for this sea-change are explored and the assumptions that these networks are “natural” and necessarily the proper matrix of care are examined critically. This analysis draws on the results of recent research which indicates that informal support networks have significant limitations and that a policy based on withdrawing public services in the hope that these networks will fill the growing care gap is likely to be counterproductive. In conclusion, the author indicates the areas where further research is required to provide a sound basis for policy.
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Coleman, Barbara J. "European Models of Long-Term Care in the Home and Community." International Journal of Health Services 25, no. 3 (July 1995): 455–74. http://dx.doi.org/10.2190/fyp6-dlwy-wkkt-6nnj.

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In the 1980s, faced with a rapidly increasing elderly population and soaring costs of health and long-term care services, many European governments began to reexamine fiscal policies that often encouraged institutionalization of frail and dependent elders. A number of these countries have now turned to new models of home and community-based care. This report describes home care policies that serve the needs of frail elders in Sweden, Denmark, the Netherlands, and Great Britain, with special attention to experimental projects that have tested varying approaches for providing high quality, low-cost care in the home and in the community. The central governments in these countries have developed long-term care systems that improve quality of care, ensure more efficient delivery of services, and control or lower costs. They have (1) discouraged the building of additional nursing homes and instead supported the development and expansion of a range of housing alternatives; (2) shifted greater responsibility to local governments for delivering long-term care services, bringing those services closer to those who need them; (3) developed care management techniques that enable care providers to better target appropriate services to each elderly client; and (4) provided incentives for different types of care providers to coordinate their work, resulting in improved service delivery and greater client satisfaction.
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Sussman, Sam. "The First Asylums in Canada: A Response to Neglectful Community Care and Current Trends." Canadian Journal of Psychiatry 43, no. 3 (April 1998): 260–64. http://dx.doi.org/10.1177/070674379804300304.

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Objective: Humane treatment and care of mentally ill people can be viewed from a historical perspective. Intramural (the institution) and extramural (the community) initiatives are not mutually exclusive. Method: The evolution of the psychiatric institution in Canada as the primary method of care is presented from an historical perspective. A province-by-province review of provisions for mentally ill people prior to asylum construction reveals that humanitarian motives and a growing sensitivity to social and medical problems gave rise to institutional psychiatry. The influence of Great Britain, France, and, to a lesser extent, the United States in the construction of asylums in Canada is highlighted. The contemporary redirection of the Canadian mental health system toward “dehospitalization” is discussed and delineated. Results: Early promoters of asylums were genuinely concerned with alleviating human suffering, which led to the separation of mental health services from the community and from those proffered to the criminal and indigent populations. While the results of the past institutional era were mixed, it is hoped that the “care” cycle will not repeat itself in the form of undesireable community alternatives. Conclusion: Severely psychiatrically disabled individuals can be cared for in the community if appropriate services exist.
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Rowe, Jed. "The management of falls in older people: from research to practice." Reviews in Clinical Gerontology 10, no. 4 (November 2000): 397–406. http://dx.doi.org/10.1017/s0959259800010492.

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Falls are common in late life. Evidence from New Zealand, the United States and Great Britain suggest that about a third of people aged over 65 will fall each year, a proportion that rises to about half for the community-dwelling population older than 85 years. Falls are the leading cause of death from injury in older people. Although many falls do not cause serious injury, nor precipitate referral to the health services for 30–50% of fallers, those that do have major consequences. From a purely financial perspective, acute care of those with falls is estimated to cost $10 billion per annum in the United States.
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Chin, Rui-Ernn Natassia, and Mao Fong Lim. "From Infancy to Modern Day: The History of Mother and Baby Units in the United Kingdom." BJPsych Open 8, S1 (June 2022): S47. http://dx.doi.org/10.1192/bjo.2022.183.

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AimsMother and baby units (MBUs) are inpatient units where women with severe acute postpartum psychiatric problems can be cared for alongside their babies. This is currently considered to be gold-standard care, recognising the importance of early childhood bonding and family-centered care. Great Britain has spearheaded the development of the MBU, however the history of MBUs in the United Kingdom (UK) has never been published.MethodsThrough a narrative review of published and grey literature, we explore the development of the MBU in the UK, from its infancy to modern day.ResultsWe outline the history of the MBU model of care, from its early conception to current state. We also examine factors contributing towards the expansion of MBUs and more broadly, the expansion of perinatal mental health services throughout the UK. We also briefly describe the approach to MBUs worldwide, taking into consideration sociocultural differences and approaches to caring for the mother-baby dyad.ConclusionSince its conception, there has been considerable investment in and expansion of perinatal mental health services, both in community and inpatient settings. Sustained research and continued advocacy is required to expand provision of care.
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Herron, J. "Emergency mental health services in the community Edited by Michael Phelan, Geraldine Strathdee, and Graham Thornicroft. Great Britain: Cambridge University Press, 1995. 361 pp. $79.95." Clinical Psychology Review 17, no. 4 (1997): 445–46. http://dx.doi.org/10.1016/s0272-7358(97)83768-3.

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Godfrey, Christine. "‘The development of alcohol strategies in England and Wales’: a review." Psychiatric Bulletin 17, no. 12 (December 1993): 726. http://dx.doi.org/10.1192/pb.17.12.726.

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The misuse of alcohol causes a range of health, legal, social and employment problems for the individual and the rest of society. Many agencies are involved in dealing with the consequences of alcohol misuse and providing services to those with problems. Sources of funds to finance interventions for drinkers whether from health authorities, social services, probation or other sources are very limited. Without some coordination there will be a tendency for each funder to shift responsibility and costs. These difficulties have been recognised and in 1989 a government health circular was issued emphasising the need for the development of local multi-agency alcohol misuse prevention strategies. Implementing policies such as community care and Health of the Nation also require multi-agency co-operation if they are to fulfil their aims. The survey of the development of local alcohol strategies reported in this paper (Wallace et al, 1993) is therefore of great interest.
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Dissertations / Theses on the topic "Community health services – great britain – finance"

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French, Katherine Meriel. "The geography of avoidable and premature mortality in Great Britain : 1981 - 1998." Thesis, University of Bristol, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.271979.

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White, Christopher P. "NHS resource allocation 1997 to 2003 with particular reference to the impact on rural areas." Thesis, St Andrews, 2009. http://hdl.handle.net/10023/825.

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Chan, Yu-sin, and 陳如[xian]. "A historical review of recovery movement and mental health policy : from asylum to community care in UK and Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2014. http://hdl.handle.net/10722/206553.

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Background A psychiatric disorder influences one’s affect, mind and behaviors and psychiatric symptoms, such as disorganized speech, bizarre behaviors, delusion that influence one’s motivation, social interest, independence and self-care. Therefore, society stereotypically labels the mentally ill patients as “weak” and “dangerous”, a special group to be taken care of, treated and controlled. As a result, asylums and institutions become necessary for the mentally ill patients. Reviewing the asylums and institution period, it was shown that the care and treatment was inhuman and very limited. Starting 1950s’, there was a voice criticizing that it violated the patients’ human right to keep them in hospital after they had recovered from the acute stage. Consequently, deinstitutionalization and the community care were developed in this period. These policies also led to the consumer movement in 1970s’. Over time, the mental health policy has changed continuously. However, the stigma from society and the consumer movement were still apparent as shown by various patterns. Aims This study explores the core factors of the mental health services through systematic historical review of the recovery movement and mental health policy, and intends to find out the important insight to improve the mental health services in Hong Kong. Methodology This study chooses England as an example since the earliest recovery movement started from England. Before 1997, Hong Kong was a Crown colony, so its mental health policy was influenced by England. This study sets out to review related records and documents, including the literature, journals, government documents, reports, newspapers, yearbooks, files and textbooks. After collecting the information and analyzing the contents, the themes will be integrated to find out the core influence factors of the mental health services. Results After reviewing the overall history of rehabilitation movement in mental health in England and Hong Kong, it is concluded that the development pathway should focus on “Treatment and Care” and “De-stigmatization”. Conclusions “Treatment and Care” and “De-stigmatization” are the key influence factors, judging from history of the recovery movement and mental health policy development. Thus, a good mental health service should solve these two problems.
published_or_final_version
Psychological Medicine
Master
Master of Psychological Medicine
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Hawthorne, Kamila. "Overcoming cross-cultural differences in diabetes management : making diabetes health education relevant to a British South Asian community." Thesis, University of Manchester, 1997. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.674726.

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Pearsall, Robert. "Improving healthy living in adults with serious mental illness." Thesis, University of Oxford, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.669927.

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Favell, Margaret Elizabeth, and n/a. "Power, control and accountability in a voluntary organisation : the implications for professional staff and service delivery." University of Otago. Department of Social Work and Community Development, 2007. http://adt.otago.ac.nz./public/adt-NZDU20071003.101609.

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Over the last decade government policy has transformed many aspects of the welfare state and contracted out to private or voluntary non-government organisations many of the services previously provided by the state. Currently there is very little research on the benefits or disadvantages regarding standards of professional practice and delivery of these services when controlled by voluntary organisations and this research is a case study investigating these concerns. By using the case study method it is possible to understand issues by incorporating concrete examples of practice within the context that it takes place, as it is only when seen in its proper setting that the general and conceptual significance of practice is understood. This case study explores the relationships of power, control and accountability in one such non-governmental organisation, the Royal New Zealand Plunket Society and the implications these have for professional staff in the delivery of the service. The study uses the archaeology and genealogy methods suggested by Foucault. Archival material was gained from the Minutes of the meetings of the Plunket executive (1917-1984), constitution and rules. These serve to demonstrate the historical power relationships in the organisation, Plunket nurses� working conditions and how some nurses were treated. The dominant discourse in the archaeology contains two major themes, one being volunteers� autonomous 'ownership' of the organisation, and the other, the subordination of professionalism through the discipline and management of the nursing workforce. Those same themes are also dominant in the contemporary data studied in the genealogy, which highlights the constraints imposed by volunteer 'ownership' in the contemporary period. It is a feature of the "path dependency" of the organisation that the belief that volunteers had a right to discipline and control the nursing workforce has remained largely unchanged in the contemporary period. The practice and the context are personalised through interviews with some nurses so that their real-life experiences may give an in-depth understanding of the processes going on for them as professionals. This is one of multiple sources of evidence, including reports, reviews and research, used to triangulate the findings. Through the totality of these methods, insight into Plunket�s decision-making is made possible. These serve to underline the continuing lack of accountability for service delivery of nonprofessional 'owners' of the voluntary organisation and the negative impact it can have on the delivery of professional services although the greater depth in the contemporary data also highlights two new subsidiary themes; the dominance of lay knowledge over both professional and managerial knowledge, and volunteers� motives for volunteering. The contemporary interview data demonstrated how the historical culture of the organisation enabled this process to continue through poor workplace conditions, high staff attrition and, in some cases, severe personal pressure akin to workplace bullying. This study exposes the significance of the culture of organisations, and reveals that the substance of apparent altruistic voluntary organisations may be much more complex and problematic than the ideology would lead us to believe. In a field such as this, where an NGO has sole national responsibility for such an important area and where the outcomes are so poor, change must be considered. While a path dependency explanation is pessimistic about change, it is argued that the only option for professional standards of service for this, and other NGOs, lies in much more accountability and democracy in stakeholder relationships. Recommendations are made in that direction.
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McCullough, B., Neil A. Small, and S. L. Prady. "Improving smoking cessation data collection via a health visitor community of practice." 2013. http://hdl.handle.net/10454/9788.

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A Collaborations for Leadership in Applied Health Research and Care (CLAHRC) funded study engaged health visitors in investigating the ways in which routinely collected data were captured, stored, transferred, analysed and then used to inform clinical practice. This report focuses on the establishment of a community of practice (CoP) to support these activities and then presents the outcome of the CoP's investigations into the collection and use of data on one key area of concern; maternal smoking behaviour. Evidence-based recommendations for clinical practice made by the CoP ranged from simple changes to the daily working practices of health visitors to ensure accurate data collection and dissemination of information, to major changes to processes and procedures relating to data quality and data sharing. The findings of the CoP emphasised the importance of cross-discipline communication and collaboration.
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Books on the topic "Community health services – great britain – finance"

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Janet, Leece, and Bornat Joanna, eds. Developments in direct payments. Bristol: The Policy Press, 2006.

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1948-, Challis David, ed. Matching resources to needs in community care: An evaluated demonstration of a long-term care model. Aldershot, Hants, England: Gower, 1986.

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1952-, McNaught Allan, ed. Managing community health services. London: Chapman and Hall, 1991.

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1931-, Davies T. G., ed. Community health, preventive medicine and social services. 6th ed. London: Baillière Tindall, 1993.

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Roy, Griffiths. Community care: Agenda for action. London: H.M.S.O., 1988.

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F, Chadwick Ruth, and Levitt Mairi, eds. Ethical issues in community health care. London: Arnold, 1998.

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Diana, Robbins, and Great Britain. Dept. of Health., eds. Community care: Findings from DH-funded research, 1988-1992. London: H.M.S.O., 1993.

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David, Sines, ed. Community health care nursing. Oxford: Blackwell Science, 1995.

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Roy, Griffiths. Community care: Agenda for action : some reflections : BASW Trust 1989 annual lecture. Birmingham: BASW, 1989.

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Chessell, Joyce. Development of skill mix models for health visiting services. Birmingham: Preston Community Health Services and Jewel Communications Ltd., 1993.

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Book chapters on the topic "Community health services – great britain – finance"

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Shirley, Ian, Peggy Koopman-Boyden Ian Pool, and St John. "Families and Social Services." In Family Change and Family Policies in Great Britain, Canada, New Zealand, and the United States, 270–85. Oxford University PressOxford, 1998. http://dx.doi.org/10.1093/oso/9780198290254.003.0018.

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Abstract The main provisions of the ‘family wage’ in New Zealand’s post-war economy centred on the activities of the industrial court and the participation of wage-earners in the labour market (see Chapter 5). The wage itself was not limited to income, but included social components, such as predominantly free access to health and education, the widespread availability of housing and housing finance, and a comprehensive range of welfare services. The history of these services has been dominated by the changing responsibilities of central government, voluntary organizations, and to a lesser extent, private-sector agencies.
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Jones, Paul A., and Michelle Howlin. "Community finance: the emergence of credit unions in London." In Austerity, Community Action, and the Future of Citizenship. Policy Press, 2017. http://dx.doi.org/10.1332/policypress/9781447331032.003.0006.

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Inspired by a strong sense of social mission, credit unions in London, as elsewhere in Great Britain, have a long commitment to serving people on low-incomes. Recognised by the UK Government as key players in providing financial services to those marginalised by mainstream financial providers, credit unions have received significant political support and public financial investment to expand their services in low-income communities. This has been particularly important in times of austerity and hardship and of change to the welfare benefits systems. This chapter focuses on the historic development of credit unions in London, and explores how they have endeavoured to resolve the tension inherent in remaining true to their social and co-operative values and at the same time in ensuring their economic stability and independence. It discusses the background of credit unions in the capital, the challenges they have faced over the years and how they are endeavouring to reform as professional financial co-operatives serving a wide and diverse membership. East London Credit Union (ELCU) was founded by local volunteers inspired and motivated by their Christian faith to make a difference in the local community. The chapter reflects on ELCU’s mission and social commitment to assist people through hard times and the way in which has endeavoured to tackle austerity through business success.
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Hemerijck, Anton, Mariana Mazzucato, and Edoardo Reviglio. "7. Social Investment and Infrastructure." In A European Public Investment Outlook, 115–34. Open Book Publishers, 2020. http://dx.doi.org/10.11647/obp.0222.07.

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Anton Hemerijck, Mariana Mazzucato and Edoardo Reviglio, in chapter 7, offer an original perspective: the most competitive economies in the EU spend more on social policy and public services than the less successful ones. However, the twenty-first century knowledge economies are ageing societies and require European welfare states to focus as much — if not more — on ex-ante social investment capacitation than on ex-post social security compensation. The growing needs for social services will require new and updated social infrastructure. According to a report on social infrastructure in Europe coordinated by former President of the European Commission Romano Prodi in 2018, the minimal gap is estimated at €100–150 bn per annum and represents a total gap of over 1.5 tn in 2018–2030. Long-term, flexible and efficient investment in education, health and affordable housing is considered essential for the economic growth of the EU, the well-being of its people and a successful move towards upward convergence in the EU. But how do we finance the great new needs with such a pressure on public finances? The chapter suggests innovative financial solutions using institutional and community resources to lower to cost of funding of social infrastructure. One such solution is the creation of a large European Fund for Social Infrastructure, owned by State Investment Banks (SIBs) and institutional long-term investors, which would fund its operations by issuing a European Social Bond. In this endeavour, a central role must be played by the EIB and by State Investment Banks. The authors discuss the potential role of these “mission-oriented” SIBs in social innovation by changing their mission. They should not simply “compensate market failures” but also become institutions that “shape the market” and become major providers of sustainable long-term and patient finance to deliver public value.
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