Sammendrag:The rising number of older people living with disabilities and chronic diseases has increased home care needs. Studies and reviews exploring preventive approaches have proliferated, creating a need for a synthesis of evidence. We conducted a systematic review of systematic reviews to evaluate the effectiveness of preventive home visiting approaches for older people. Of the 5,973 citations identified in over 30 scientific and grey literature databases, 10 papers met all inclusion criteria. Systematic reviews were considered if they included controlled trials comparing interventions with and without professional home care. We found that interventions often included comprehensive geriatric assessments and follow-up visits. Results indicate that multidimensional preventive home visiting programs might have the potential to reduce mortality, in particular for younger subjects, and show a potential to improve functional autonomy, but these findings should be interpreted with caution due to the diversity of the interventions analysed.Omsorgsbiblioteket har ikke tilgang til å publisere dette dokumentet i fulltekst. Kanskje ditt lokale bibliotek kan hjelpe deg, eller kanskje du kommer videre med lenken nedenfor.

Basé sur deux entrevues semi-dirigées effectuées auprès de personnes qui vivent des problèmes de santé mentale et qui ont vécu des périodes d’incarcération, cet article explore leurs points de vue sur les systèmes de la santé et de la justice. Leurs témoignages illustrent le clivage qui semble exister entre les besoins des personnes atteintes de trouble mental et les soins qui leur sont prodigués. Les auteurs concluent qu’il existe une difficile jonction entre besoins et services qui semble provenir de sources diverses (préjugés, manque de formation du personnel, processus administratif complexe) et les éléments qui la facilitent apparaissent peu nombreux (entraide entre les détenus, organismes d’aide aux personnes ayant un trouble mental).Based on two open-ended interviews with people suffering from a mental illness and who have been incarcerated, this article explores their perspectives on both health and justice systems. In their view, there is a divide between the needs of people with mental health problems and the care that is offered. The difficult juncture between needs and services seems to have numerous explanations (prejudice, lack of training of personnel, difficult administrative process, lack of communication between “inside” and “outside”); and the elements that could facilitate this juncture appear to be scarce (mutual help among inmates, community based mental help organizations).Basándose en dos entrevistas semidirigidas efectuadas con personas que viven con problemas de salud mental y que han vivido períodos de encarcelamiento, este artículo explora sus puntos de vista acerca de los sistemas de salud y justicia. Sus testimonios ilustran la diferencia que existe entre las necesidades de las personas que sufren de trastornos mentales y los cuidados que les son prodigados. Los autores concluyen que existe una conexión difícil entre las necesidades y los servicios, que parece provenir de diversas fuentes (prejuicios, falta de formación del personal, procesos administrativos complejos) y los elementos que la facilitan parecen poco numerosos (ayuda mutua entre los detenidos, organismos de ayuda a personas con trastornos mentales).Este artigo, baseado em duas entrevistas semi-estruturadas realizadas com pessoas que sofrem problemas de saúde mental e que vivenciaram períodos de encarceramento, explora os pontos de vista destas pessoas sobre os sistemas de saúde e de justiça. Seus testemunhos ilustram a brecha que existe entre as necessidades das pessoas que apresentam transtornos mentais e os cuidados que lhes são prestados. Os autores concluem que existe uma difícil relação entre necessidades e serviços por diversos motivos (preconceitos, falta de formação dos funcionários, processo administrativo complexo) e os elementos que a facilitam parecem pouco numerosos (entreajuda entre os detentos, organismos de ajuda às pessoas que apresentam transtornos mentais)

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