Relevant bibliographies by topics / Illness recovery

Academic literature on the topic 'Illness recovery'

Author: Grafiati
Published: 10 December 2022
Last updated: 28 January 2023

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Journal articles on the topic "Illness recovery"

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Gujrathi, Ashish. "Plasma Therapy Gains Attention in Treatment of Viral Infections, Dermatological Illness, and Orthopedic Illnesses." Journal of Clinical Research and Reports 10, no. 4 (February 28, 2022): 01–03. http://dx.doi.org/10.31579/2690-1919/234.

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Plasma therapy is one of the major chapters in medicines. Convalescent plasma therapy, another term for plasma therapy involves the use of blood from a person who has recovered from a particular illness to help others who are suffering from the same disease. The plasma of this blood is likely to contain antibodies that can help other patients fight the same illness, especially if viruses or pathogens are compromising the immunity system. Plasma therapy speeds up the recovery and helps manage symptoms. Moreover, it is used in wound healing, face rejuvenation, and androgenetic alopecia. It can help patients suffering from Covid-19, which increased its demand since the Covid-19 outbreak.
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Schaap, Gerko, Marleen Wensink, Carine J. M. Doggen, Job van der Palen, Harald E. Vonkeman, and Christina Bode. "“It Really Is an Elusive Illness”—Post-COVID-19 Illness Perceptions and Recovery Strategies: A Thematic Analysis." International Journal of Environmental Research and Public Health 19, no. 20 (October 11, 2022): 13003. http://dx.doi.org/10.3390/ijerph192013003.

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A substantial number of patients report persisting symptoms after a COVID-19 infection: so-called post-COVID-19 syndrome. There is limited research on patients’ perspectives on post-COVID-19 symptoms and ways to recover. This qualitative study explored the illness perceptions and recovery strategies of patients who had been hospitalised for COVID-19. Differences between recovered and non-recovered patients were investigated. Semi-structured in-depth interviews were held with 24 participating patients (8 recovered and 16 non-recovered) 7 to 12 months after hospital discharge. Data were interpreted using reflexive thematic analysis. Four overarching themes were identified: (I) symptoms after hospital discharge; (II) impact of COVID-19 on daily life and self-identity; (III) uncertainty about COVID-19; and (IV) dealing with COVID-19. Formerly hospitalised post-COVID-19 patients seem to have difficulties with making sense of their illness and gaining control over their recovery. The majority of non-recovered participants continue to suffer mostly from weakness or fatigue, dyspnoea and cognitive dysfunction. No notable differences in illness beliefs were observed between recovered and non-recovered participants
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Whitwell, David. "The myth of recovery from mental illness." Psychiatric Bulletin 23, no. 10 (October 1999): 621–22. http://dx.doi.org/10.1192/pb.23.10.621.

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Recovery from mental illness is a fairly straightforward concept to members of the general public: “am I going to recover”, “what are the chances of recovery”, or “is our son/daughter ever likely to recover”? These are the sorts of questions that doctors and psychiatrists get asked every day.
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Lipczynska, Sonya. "Recovery from mental illness." Journal of Mental Health 20, no. 4 (July 19, 2011): 420–22. http://dx.doi.org/10.3109/09638237.2011.600787.

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Watts, David. "Between illness and recovery." Lancet 350, no. 9072 (July 1997): 227. http://dx.doi.org/10.1016/s0140-6736(05)62404-x.

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Rangel, L., M. E. Garralda, M. Levin, and H. Roberts. "The course of severe chronic fatigue syndrome in childhood." Journal of the Royal Society of Medicine 93, no. 3 (March 2000): 129–34. http://dx.doi.org/10.1177/014107680009300306.

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Summary Little has been reported on prognostic indicators in children with chronic fatigue syndrome (CFS). We used interviews with children and parents, a mean of 45.5 months after illness onset, to follow up 25 cases of CFS referred to tertiary paediatric psychiatric clinics. At its worst, the illness had been markedly handicapping (prolonged bed-rest and school absence in two-thirds); mean time out of school was one academic year. Two-thirds, however, had recovered and resumed normal activities—mean duration of illness to recovery/assessment 38 months—and none had developed other medical conditions. Recovery was associated with specific physical triggers to the illness, with start of illness in the autumn school term and with higher socioeconomic status. Severe fatigue states in children can cause serious and longlasting handicap but most children recover.
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Korsbek, Lisa. "Illness insight and recovery: How important is illness insight in peoples’ recovery process?" Psychiatric Rehabilitation Journal 36, no. 3 (2013): 222–25. http://dx.doi.org/10.1037/prj0000018.

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Thoits, Peggy A. "Mental Health Treatment Histories, Recovery, and Well-being." Society and Mental Health 12, no. 1 (January 8, 2022): 1–16. http://dx.doi.org/10.1177/21568693211068879.

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Epidemiological and sociological research on recovery from mental disorder is based on three rarely tested medical model assumptions: (1) recovery without treatment is the result of less severe illness, (2) treatment predicts recovery, and (3) recovery and well–being do not depend on individuals’ treatment histories. I challenge these assumptions using National Comorbidity Survey-Replication data for individuals with any disorder occurring prior to the current year ( N = 2,305). Results indicated that (1) untreated remissions were fully explained by less serious prior illness, (2) treated individuals were less likely to recover due to more serious illness, and (3) people who had past–only treatment were more likely to recover than the never–treated, while those in recurring and recently initiated care were less likely to recover. Treatment histories predicted greater well–being only if recovery had been attained. Histories of care help to explain recovery rates and suggest new directions for treatment–seeking theory and research.
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Murdock, Debbie. "Understanding Women’s Recovery from Illness." Mental Health Practice 4, no. 3 (November 1, 2000): 29. http://dx.doi.org/10.7748/mhp.4.3.29.s21.

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Chesters, Janice, Meredith Fletcher, and Rebecca Jones. "Mental illness recovery and place." Australian e-Journal for the Advancement of Mental Health 4, no. 2 (January 2005): 89–97. http://dx.doi.org/10.5172/jamh.4.2.89.

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Dissertations / Theses on the topic "Illness recovery"

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Bibby, Paul. "Experiences of recovery in mental illness." Thesis, University of Edinburgh, 2009. http://hdl.handle.net/1842/4104.

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Introduction In recent years the concept of ‘recovery’ has become increasingly prevalent in both government and health service policy, and in the terminology used by mental health service users. The current study examines the experiences of recovery as described by service users living in a rural / semi-rural population. This is in contrast to the majority of similar studies, which have tended to focus on urban centres where population characteristics, and the services available to service users, differ in many ways. As such, the aim of the current study was to add to the growing theory regarding what constitutes recovery from the viewpoint of service users living in a relatively remote area of the UK. Methodology Eight adult participants, all of whom defined themselves as either recovering or having recovered from significant mental health problems, were interviewed about their experiences using a semi-structured interview. Interviews were audio-recorded, transcribed and analysed for emerging themes using a social constructionist version of Grounded Theory. Data Analysis & Discussion Analysis revealed a consistent set of themes emerging from the participant interviews. These are encapsulated in the concept of reflection and integration, and the dynamic nature of these phenomena over time. Participants made reference to the nature of their problems and the impact they had on relationships, the treatment they had sought and received, and the effects of their experiences on their notions of themselves as individuals. Conclusions The findings of the current study are discussed in the light of existing relevant literature and in relation to current policy initiatives. Comparisons to the emerging theory regarding recovery are drawn, and distinctions made between the existing theory and the findings which appear to be particularly pertinent to the sample population. Suggestions for clinical applications are made. Limitations of the study are also addressed, and areas for potential further research are outlined.
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Yates, Bernice Helen. "Illness demands and social support during recovery from a cardiac illness event /." Thesis, Connect to this title online; UW restricted, 1989. http://hdl.handle.net/1773/7268.

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Scott, A. I. F. "Recovery from depressive illness after electroconvulsive therapy." Thesis, University of Edinburgh, 1990. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.661691.

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Experiment One Plasma concentrations of oxytocin-associated neurophysin and prolactin were measured before and after the first treatment in a course of electro- convulsive therapy (ECT) given to 25 depressed patients. Plasma neurophysin concentration was measured by the radioimmunoassay (RIA) of Robinson (1975). The percentage peak increase in plasma neurophysin concentration was three times greater (p < 0.001) in the 16 depressed patients who had a good outcome two months after the last ECT compared with the nine who did not. The rise in plasma neurophysin concentration correlated (rho = 0.46, p < 0.05) with improvement in symptoms measured by the Hamilton Rating Scale for Depreseion (HRSD). There was no difference in the percentage peak increase in plasma prolactin concentration between patients who had a good outcome two months after the last ECT and those who did not. The rise in plasma prolactin concentration did not correlate with improvement in HRSD score. Experiment Two Serum concentrations of the vasopressin- (nHpI) and oxytocin-associated neurophysins (hNpII) were measured by the RIA of Legros et al. (1969) before and after the first ECT in a course of treatment given to 19 unipolar depressed patients. The percentage peak increase in nHpII was four times greater (p < 0.001) in the six patients who had a good outcome two months after the last ECT than in the patients who had a poor outcome. The rise in serum hNpII correlated with improvement in HRSD score (r = 0.50, p < 0.05) and improvement in score on the Montgomery and Asberg Depression Rating Scale (r = 0.47, p < 0.05). The rise in serum nHpI concentration did not correlate with improvement. There were no significant correlations between spikewave activity or total seizure activity measured by a six-channel electroencephalogram (EEG) and the rise in either of the neurophysins. Experiment Three Serum concentrations of the nHpI and nHpII were measured at the first and last treatments in a course of ECT given to 17 unipolar depressed patients (seven of whom also took part in Experiment Two). There were no significant differences in the average release of either neurophysin between the first and last treatments. There were no significant correlations between alterations in the release of the neurophysins between the first and last treatments and improvement in symptoms of depression. Conclusions Although there is a correlation between the release of hNpII after the first ECT and improvement in symptoms of depressive illness, the correlation is not sufficiently close to be of clinical utility in the prediction of ECT outcome. The reason for the correlation is not known. There was no support for the hypothesis that the release of nHpII was a correlate of cerebral seizure activity. The release of nHpII may be a sensitive measure of electrical stimulation in the midbrain or may occur at the same time as the release of a neurotransmitter with mood-regulating activity.
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Sapochnik, Manuela. "Illness perceptions and recovery style in schizophrenia." Thesis, University College London (University of London), 2005. http://discovery.ucl.ac.uk/1446771/.

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The literature review focuses on the perceptions and beliefs that individuals with schizophrenia hold about their illness, and how these may relate to outcome. The literature regarding Illness Perception in general, and Recovery Style in particular, illustrates how Health Psychology-based models may be useful in terms of understanding illness behaviour. The review concludes that this may well be a fruitful area for the development of theory-driven interventions to improve individuals' quality of life after a diagnosis of schizophrenia. The empirical paper reports a cross-sectional study investigating whether Illness Perceptions and Recovery Style are related to impairment or quality of life in a sample with relatively chronic schizophrenia. The main findings were that a more Integrating Recovery Style was associated with better outcome in all domains and that Illness Perceptions of greater coherence of the illness experience, and less emotional distress were associated with both better quality of life and a more Integrating Recovery Style. The critical review addresses the main topics of the clinical, practical and scientific implications of the findings of the empirical paper and attempts to link the findings to related areas of research such as models of trauma and attachment, in order understand the meaning of the findings in the context of this particular illness.
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Farrell, Kathleen M. "SELF-STIGMATIZATION AND RECOVERY FROM MENTAL ILLNESS." University of Cincinnati / OhioLINK, 2001. http://rave.ohiolink.edu/etdc/view?acc_num=ucin984583293.

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Andresen, Retta. "The experience of recovery from schizophrenia development of a definition, model and measure of recovery /." Access electronically, 2007. http://www.library.uow.edu.au/adt-NWU/public/adt-NWU20080703.161126/index.html.

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Landeen, Janet. "Recovery in schizophrenia, hope, self-efficacy, and illness intrusiveness." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0025/NQ49956.pdf.

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YANGARBER-HICKS, NATALIA ISAACOVNA. "RELIGIOUS COPING STYLES AND RECOVERY FROM SERIOUS MENTAL ILLNESS." University of Cincinnati / OhioLINK, 2002. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1021898649.

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Cherrington, Candace C. "Illness representation after Acute Myocardial Infarction : impact on recovery /." The Ohio State University, 2001. http://rave.ohiolink.edu/etdc/view?acc_num=osu1488204276530951.

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Gandhi, Trishna. "The role of illness representations in recovery from cardiovascular disease." Thesis, University of Sheffield, 2015. http://etheses.whiterose.ac.uk/9637/.

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This thesis aimed to explore the use of the Common Sense Model (Levanthal, 1980) in cardiovascular populations. The literature review critically evaluates the application of clinical interventions developed using the Common Sense Model (CSM), in a cardiovascular disease population. The research report used a cross-sectional design to investigate the relationship between illness representations using the CSM, coping, and psychological and functional outcomes in a post-stroke population.
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Books on the topic "Illness recovery"

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Ho-Yen, Darrel. Better recovery from viral illness. 2nd ed. The Old Schoolhouse, Kirkhill, Inverness IV5 7TE: DodonaBooks, 1987.

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G, Oades Lindsay, Caputi Peter, and Wiley online library, eds. Psychological recovery: Beyond mental illness. Chichester, West Sussex, UK: Wiley, 2011.

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Benders-Hadi, Nikole, and Mary E. Barber, eds. Motherhood, Mental Illness and Recovery. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-01318-3.

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Lysaker, Paul H., and Reid E. Klion. Recovery, Meaning-Making, and Severe Mental Illness. First edition. | New York : Routledge, 2017.: Routledge, 2017. http://dx.doi.org/10.4324/9781315447001.

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Tucker, William. Narratives of Recovery from Serious Mental Illness. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-33727-2.

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Voices of recovery. Boston, MA: Center for Psychiatric Rehabilitation, 2009.

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Coleman, Ron. Recovery: An alien concept. Wormit: P & P Press, 2004.

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Spaniol, LeRoy J. The experience of recovery. Boston, Mass: Center for Psychiatric Rehabilitation, 1994.

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Nettles, Saundra Murray. Crazy visitation: A chronicle of illness and recovery. Athens: University of Georgia Press, 2001.

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Walsh, Joseph. Social work practice and recovery from mental illness. Chicago, Ill: Lyceum Books, 2013.

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Book chapters on the topic "Illness recovery"

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Dombrowski, Fredrick, Tom Alexander, and Tricia L. Chandler. "Recovery Programming." In Co-occurring Mental Illness and Substance Use Disorders, 177–95. New York: Routledge, 2022. http://dx.doi.org/10.4324/9781003220916-17.

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Nicholson, Joanne. "Supporting Mothers Living with Mental Illnesses in Recovery." In Motherhood, Mental Illness and Recovery, 3–17. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-01318-3_1.

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Burling, Angela D. "Moving Out of Darkness." In Motherhood, Mental Illness and Recovery, 127–33. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-01318-3_10.

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DuBois, Suzanne. "As My Heart Beats." In Motherhood, Mental Illness and Recovery, 135–38. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-01318-3_11.

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Ingle, Taressa. "Don’t Give Up." In Motherhood, Mental Illness and Recovery, 139–42. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-01318-3_12.

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Standridge, Amanda, and Ellen Darling. "Pregnant on the Psychiatric Unit: One Woman’s Journey Through the State Mental Health System and into Motherhood." In Motherhood, Mental Illness and Recovery, 143–46. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-01318-3_13.

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Maura, K. "There and Back Again." In Motherhood, Mental Illness and Recovery, 147–50. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-01318-3_14.

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Stettenbenz, Amanda. "Be True to Yourself." In Motherhood, Mental Illness and Recovery, 151–54. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-01318-3_15.

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O’Connor, Jocelyn. "Second Chance Motherhood." In Motherhood, Mental Illness and Recovery, 155–59. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-01318-3_16.

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Melchick, Jessica. "Love Endures Time." In Motherhood, Mental Illness and Recovery, 161. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-01318-3_17.

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Conference papers on the topic "Illness recovery"

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Calkins, K., and J. L. Guttormson. "Critical Illness Survivors' Perceptions of Recovery." In American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX. American Thoracic Society, 2019. http://dx.doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a4146.

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Scheunemann, L. P., J. S. White, S. Prinjha, M. E. Hamm, T. D. Girard, E. R. Skidmore, C. F. Reynolds III, and N. E. Leland. "Critical Illness Survivors' Perceived Barriers and Facilitators to Functional Recovery." In American Thoracic Society 2020 International Conference, May 15-20, 2020 - Philadelphia, PA. American Thoracic Society, 2020. http://dx.doi.org/10.1164/ajrccm-conference.2020.201.1_meetingabstracts.a2801.

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Vermeir, Peter, Margot De Leye, Robbe Grymonprez, Arthur Goethals, Ruben Vermeir, Luc Vanden Bossche, and An Mariman. "456 The impact of sleep on the recovery of sport injuries." In IOC World Conference on Prevention of Injury & Illness in Sport 2021. BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine, 2021. http://dx.doi.org/10.1136/bjsports-2021-ioc.417.

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Sudjiwanati, Ms, and Mr Suparno. "The Benefit of Renewable Indonesian Traditional Therapyto Enhance Recovery of Physical-Mental Illness." In 2018 3rd International Conference on Education, Sports, Arts and Management Engineering (ICESAME 2018). Paris, France: Atlantis Press, 2018. http://dx.doi.org/10.2991/amca-18.2018.133.

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Baveja, S., B. Akpa, J. Ferris, J. Hecht, E. Heidel, and R. Dhand. "Recovery of Muscle Strength and Endurance after Hospitalization in Patients with Medical Illness." In American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX. American Thoracic Society, 2019. http://dx.doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a2064.

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Green, Brady, Monica Lin, Anthony Schache, Jodie McClelland, Adam Semciw, Andrew Rotstein, Jill Cook, and Tania Pizzari. "035 Can we predict recovery and re-injury following calf muscle strain injury?" In IOC World Conference on Prevention of Injury & Illness in Sport 2021. BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine, 2021. http://dx.doi.org/10.1136/bjsports-2021-ioc.33.

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Martin, Jennifer, Elspeth McKay, and Janki Shankar. "Bias Misinformation and Disinformation: Mental Health Employment and Human Computer Interaction." In InSITE 2006: Informing Science + IT Education Conference. Informing Science Institute, 2006. http://dx.doi.org/10.28945/3016.

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This paper explores the design and application of information communication technologies and human computer interaction for people recovering from severe mental illness wishing to gain employment. It is argued bias, misinformation and disinformation limit opportunities for people recovering from mental illness who are seeking employment. Issues of bias are explored in relation to systems design as well as dominant socially constructed paradigms of ‘mental health’ and ‘mental illness’ and employment. Misinformation is discussed according to the contemporary dominant paradigm of ‘recovery’ as well as web resources, discrimination and employment. Disinformation is considered in terms of media myths and stereotypes and vocational rehabilitation. Multidisciplinary collaboration is required to meet the ICT needs of this diverse group.
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Hoang, Doan B., Doug Elliott, Sharon Mckinley, Priyadarsi Nanda, Jurgen Schulte, and Duc Nguyen. "Tele-monitoring techniques to support recovery at home for survivors of a critical illness." In 2012 IEEE International Symposium on Signal Processing and Information Technology (ISSPIT). IEEE, 2012. http://dx.doi.org/10.1109/isspit.2012.6621268.

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Bass, B., S. Ziatabar, Y. Leigh, M. Fenster, and N. Schluger. "Descriptive Analysis of Patients with Persistent Dyspnea Following Virologic Recovery from Acute COVID-19 Illness." In American Thoracic Society 2022 International Conference, May 13-18, 2022 - San Francisco, CA. American Thoracic Society, 2022. http://dx.doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a2806.

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Yazawa, Toru, Yukio Shimoda, and Tomoo Katsuyama. "Evaluation of Wellness by Detrended Fluctuation Analysis of Heartbeats." In ASME 2010 International Mechanical Engineering Congress and Exposition. ASMEDC, 2010. http://dx.doi.org/10.1115/imece2010-37854.

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We used detrended fluctuation analysis (DFA), which was originally developed by Peng et al. (1995) to check power-law characteristics, to study the heartbeats of various subjects. Our purpose was to determine whether DFA is a useful method for the evaluation of a subject’s quality of recovery from cardiovascular-related illness and transition to a normal healthy state. Here, we report on subjects who underwent rehabilitation thermal therapy, subjects who developed premature ventricular contractions, and other subjects, including healthy subjects. The perceived level of wellness varies among subjects because the physiology of no 2 individuals is identical. However, several case studies have shown how wellness of subjects can be evaluated using heartbeat recordings. We conclude that DFA is a new, useful numerical method for quantifying the degree of wellness and the transition from sickness to wellness.
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Reports on the topic "Illness recovery"

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Goh, Yong Shian, Jenna Ow Yong, and Ziqiang Li. Effectiveness of Illness Management and Recovery Program on people with severe mental illnesses: A systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, October 2022. http://dx.doi.org/10.37766/inplasy2022.10.0005.

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Omoregie, Jesse. Exploring recurrent variables in individual narratives of recovery from mental illnesses. Matters of Behaviour, May 2018. http://dx.doi.org/10.26455/mob.v2i1.11.

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Terry, Rachel. Individual and Community Supports that Impact Community Inclusion and Recovery for Individuals with Serious Mental Illnesses. Portland State University Library, May 2020. http://dx.doi.org/10.15760/etd.7338.

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Terry, Rachel. The Influence of Sense of Community on the Relationship Between Community Participation and Recovery for Individuals with Serious Mental Illnesses. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.5563.

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Tipton, Kelley, Brian F. Leas, Nikhil K. Mull, Shazia M. Siddique, S. Ryan Greysen, Meghan B. Lane-Fall, and Amy Y. Tsou. Interventions To Decrease Hospital Length of Stay. Agency for Healthcare Research and Quality (AHRQ), September 2021. http://dx.doi.org/10.23970/ahrqepctb40.

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Background. Timely discharge of hospitalized patients can prevent patient harm, improve patient satisfaction and quality of life, and reduce costs. Numerous strategies have been tested to improve the efficiency and safety of patient recovery and discharge, but hospitals continue to face challenges. Purpose. This Technical Brief aimed to identify and synthesize current knowledge and emerging concepts regarding systematic strategies that hospitals and health systems can implement to reduce length of stay (LOS), with emphasis on medically complex or vulnerable patients at high risk for prolonged LOS due to clinical, social, or economic barriers to timely discharge. Methods. We conducted a structured search for published and unpublished studies and conducted interviews with Key Informants representing vulnerable patients, hospitals, health systems, and clinicians. The interviews provided guidance on our research protocol, search strategy, and analysis. Due to the large and diverse evidence base, we limited our evaluation to systematic reviews of interventions to decrease hospital LOS for patients at potentially higher risk for delayed discharge; primary research studies were not included, and searches were restricted to reviews published since 2010. We cataloged the characteristics of relevant interventions and assessed evidence of their effectiveness. Findings. Our searches yielded 4,364 potential studies. After screening, we included 19 systematic reviews reported in 20 articles. The reviews described eight strategies for reducing LOS: discharge planning; geriatric assessment or consultation; medication management; clinical pathways; inter- or multidisciplinary care; case management; hospitalist services; and telehealth. All reviews included adult patients, and two reviews also included children. Interventions were frequently designed for older (often frail) patients or patients with chronic illness. One review included pregnant women at high risk for premature delivery. No reviews focused on factors linking patient vulnerability with social determinants of health. The reviews reported few details about hospital setting, context, or resources associated with the interventions studied. Evidence for effectiveness of interventions was generally not robust and often inconsistent—for example, we identified six reviews of discharge planning; three found no effect on LOS, two found LOS decreased, and one reported an increase. Many reviews also reported patient readmission rates and mortality but with similarly inconsistent results. Conclusions. A broad range of strategies have been employed to reduce LOS, but rigorous systematic reviews have not consistently demonstrated effectiveness within medically complex, high-risk, and vulnerable populations. Health system leaders, researchers, and policymakers must collaborate to address these needs.
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6

McKenna, Patrick, and Mark Evans. Emergency Relief and complex service delivery: Towards better outcomes. Queensland University of Technology, June 2021. http://dx.doi.org/10.5204/rep.eprints.211133.

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Emergency Relief (ER) is a Department of Social Services (DSS) funded program, delivered by 197 community organisations (ER Providers) across Australia, to assist people facing a financial crisis with financial/material aid and referrals to other support programs. ER has been playing this important role in Australian communities since 1979. Without ER, more people living in Australia who experience a financial crisis might face further harm such as crippling debt or homelessness. The Emergency Relief National Coordination Group (NCG) was established in April 2020 at the start of the COVID-19 pandemic to advise the Minister for Families and Social Services on the implementation of ER. To inform its advice to the Minister, the NCG partnered with the Institute for Governance at the University of Canberra to conduct research to understand the issues and challenges faced by ER Providers and Service Users in local contexts across Australia. The research involved a desktop review of the existing literature on ER service provision, a large survey which all Commonwealth ER Providers were invited to participate in (and 122 responses were received), interviews with a purposive sample of 18 ER Providers, and the development of a program logic and theory of change for the Commonwealth ER program to assess progress. The surveys and interviews focussed on ER Provider perceptions of the strengths, weaknesses, future challenges, and areas of improvement for current ER provision. The trend of increasing case complexity, the effectiveness of ER service delivery models in achieving outcomes for Service Users, and the significance of volunteering in the sector were investigated. Separately, an evaluation of the performance of the NCG was conducted and a summary of the evaluation is provided as an appendix to this report. Several themes emerged from the review of the existing literature such as service delivery shortcomings in dealing with case complexity, the effectiveness of case management, and repeat requests for service. Interviews with ER workers and Service Users found that an uplift in workforce capability was required to deal with increasing case complexity, leading to recommendations for more training and service standards. Several service evaluations found that ER delivered with case management led to high Service User satisfaction, played an integral role in transforming the lives of people with complex needs, and lowered repeat requests for service. A large longitudinal quantitative study revealed that more time spent with participants substantially decreased the number of repeat requests for service; and, given that repeat requests for service can be an indicator of entrenched poverty, not accessing further services is likely to suggest improvement. The interviews identified the main strengths of ER to be the rapid response and flexible use of funds to stabilise crisis situations and connect people to other supports through strong local networks. Service Users trusted the system because of these strengths, and ER was often an access point to holistic support. There were three main weaknesses identified. First, funding contracts were too short and did not cover the full costs of the program—in particular, case management for complex cases. Second, many Service Users were dependent on ER which was inconsistent with the definition and intent of the program. Third, there was inconsistency in the level of service received by Service Users in different geographic locations. These weaknesses can be improved upon with a joined-up approach featuring co-design and collaborative governance, leading to the successful commissioning of social services. The survey confirmed that volunteers were significant for ER, making up 92% of all workers and 51% of all hours worked in respondent ER programs. Of the 122 respondents, volunteers amounted to 554 full-time equivalents, a contribution valued at $39.4 million. In total there were 8,316 volunteers working in the 122 respondent ER programs. The sector can support and upskill these volunteers (and employees in addition) by developing scalable training solutions such as online training modules, updating ER service standards, and engaging in collaborative learning arrangements where large and small ER Providers share resources. More engagement with peak bodies such as Volunteering Australia might also assist the sector to improve the focus on volunteer engagement. Integrated services achieve better outcomes for complex ER cases—97% of survey respondents either agreed or strongly agreed this was the case. The research identified the dimensions of service integration most relevant to ER Providers to be case management, referrals, the breadth of services offered internally, co-location with interrelated service providers, an established network of support, workforce capability, and Service User engagement. Providers can individually focus on increasing the level of service integration for their ER program to improve their ability to deal with complex cases, which are clearly on the rise. At the system level, a more joined-up approach can also improve service integration across Australia. The key dimensions of this finding are discussed next in more detail. Case management is key for achieving Service User outcomes for complex cases—89% of survey respondents either agreed or strongly agreed this was the case. Interviewees most frequently said they would provide more case management if they could change their service model. Case management allows for more time spent with the Service User, follow up with referral partners, and a higher level of expertise in service delivery to support complex cases. Of course, it is a costly model and not currently funded for all Service Users through ER. Where case management is not available as part of ER, it might be available through a related service that is part of a network of support. Where possible, ER Providers should facilitate access to case management for Service Users who would benefit. At a system level, ER models with a greater component of case management could be implemented as test cases. Referral systems are also key for achieving Service User outcomes, which is reflected in the ER Program Logic presented on page 31. The survey and interview data show that referrals within an integrated service (internal) or in a service hub (co-located) are most effective. Where this is not possible, warm referrals within a trusted network of support are more effective than cold referrals leading to higher take-up and beneficial Service User outcomes. However, cold referrals are most common, pointing to a weakness in ER referral systems. This is because ER Providers do not operate or co-locate with interrelated services in many cases, nor do they have the case management capacity to provide warm referrals in many other cases. For mental illness support, which interviewees identified as one of the most difficult issues to deal with, ER Providers offer an integrated service only 23% of the time, warm referrals 34% of the time, and cold referrals 43% of the time. A focus on referral systems at the individual ER Provider level, and system level through a joined-up approach, might lead to better outcomes for Service Users. The program logic and theory of change for ER have been documented with input from the research findings and included in Section 4.3 on page 31. These show that ER helps people facing a financial crisis to meet their immediate needs, avoid further harm, and access a path to recovery. The research demonstrates that ER is fundamental to supporting vulnerable people in Australia and should therefore continue to be funded by government.
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