Continuum of Care

Evashwick, Connie

doi:10.4135/9781412956208.n54

Cited by 39 publications

(60 citation statements)

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“…This change of perspective has been called refamilization (1,8). Another related theoretical concept is that of the person-centred continuum of care (9). According to this model, service users can obtain the service they need at any time and in any situation.…”

Section: Concept Of Caring Society and Continuity Of Carementioning

confidence: 99%

Family Carers' Perspectives on Integrated Community Care in the Czech Republic

Křížová¹,

Janečková²,

Běláček³

2016

Cent Eur J Public Health

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SUMMARYAim: The problem of family care for people dependent on another person has only recently become a focus of research. As demand for health and social services has not been adequately met by public service providers, growing attention has been given to informal care and the integration of families within systems of health and social care at the community level. This paper presents the results of a survey on informal carers' views and opinions under the current conditions of social support in the Czech Republic. The survey was based on theoretical concepts of caring societies, deinstitutionalization, refamilization, and integrated community care, and aimed to shed light on caring families' experiences and needs in the Czech Republic.Methods: Family lay carers completed an original self-administered questionnaire. A convenient sample of 200 family carers was selected.Results: The survey collected information about the most influential factors in determining whether the families continue to provide care for their relatives in the household. More than 50% of the caregivers provide care from moral and emotional reasons. Financial problems, risk of losing their jobs, and further deterioration of health of the person they care for emerged as key risk factors, but overall, determination among carers to continue providing care "at any cost" was high (53%).Conclusions: Involving local communities and services, e.g. general practitioners (GPs) to a greater extent in the coordination of various social and health services, and in support mechanisms at the juncture between informal and formal care would make it easier for family carers to continue providing long-term care.

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Section: Concept Of Caring Society and Continuity Of Carementioning

confidence: 99%

Family Carers' Perspectives on Integrated Community Care in the Czech Republic

Křížová¹,

Janečková²,

Běláček³

2016

Cent Eur J Public Health

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“…Additionally, this stability is further confirmed by the fact that 61.2% of the LTC and 74.13% of the HCBS beneficiaries were in the program for the entire 24 months, even though Medicaid beneficiaries are notorious for poor follow through to ensure continuous eligibility (Evashwick, 2001;Huber, 2005 risk ranked High or Moderate are usually experiencing inpatient admissions into acute care facilities or experiencing changes in condition, (e g., pattern of recurring falls, incident(s), injury or complaint, reports of abuse or neglect, increased frequency of hospitalization, or prolonged, precipitous or significant change in health or functional status). HCBS beneficiaries are risk ranked for the risk of imminent institutionalization into a LTC facility.…”

Section: Enabling-thementioning

confidence: 85%

“…Katz, Kniepmann, & Papsidero, 1984;Evashwick, 2001;Katz & Akpom, 1976;Katz, Ford, Moskowitz, Jackson, & Jaffe, 1963)) or IADLs, (e.g., managing money, telephony, grocery shopping, personal shopping, using transportation, housekeeping and/or medication management (Branch et al, 1984;Evashwick, 2001;Katz & Akpom, 1976;Katz et al, 1963;Pratt, 2004)) can fall on a continuum from independent performance by the beneficiary to complete care of the beneficiary, see Appendix B, for LTSS Covered…”

mentioning

confidence: 99%

“…ADLs and IADLs deteriorate to different levels of deficiency based upon each individual's aging process (Evashwick, 2001;Katz & Akpom, 1976;Katz et al, 1963). ADL's deteriorate in the reverse order as they are acquired during normal development.…”

mentioning

confidence: 99%

“…ADL's deteriorate in the reverse order as they are acquired during normal development. If deterioration deviates from the reversal of the order of acquisition, the etiology of that deterioration is not simple aging, but is secondary to pathology (Branch et al, 1984;Evashwick, 2001;Katz & Akpom, 1976;Katz et al, 1963). This is the importance of a thorough comprehensive needs assessment -to ascertain the beneficiary's capacity to perform ADLs and IADLs by accurately identifying the beneficiaries' unique placement along a supported self-care continuum and the natural support(s) currently facilitating the supported self-care.…”

mentioning

confidence: 99%

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Comparing total expenditures by source of long-term services and supports.

Corder¹

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Continuum beliefs of mental illness: a systematic review of measures

Tomczyk

Schlick

Gansler

et al. 2022

Soc Psychiatry Psychiatr Epidemiol

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Purpose The continuum of mental health/illness has been subject to scientific debate for decades. While current research indicates that continuum belief interventions can reduce mental health stigma and improve treatment seeking in affected populations, no study has yet systematically examined measures of continuum beliefs. Methods This preregistered systematic review summarizes measures of continuum beliefs. Following the PRISMA statement, three scientific databases (PubMed, PsycInfo and PsycArticles via EBSCOhost, Web of Science) are searched, instruments are described and discussed regarding their scope, and methodological quality. Results Overall, 7351 records were identified, with 35 studies reporting relevant findings on 11 measures. Most studies examined general population samples and used vignette-based measures. Schizophrenia and depression were most commonly examined, few studies focused on dementia, ADHD, OCD, eating disorders, and problematic alcohol use, or compared continuum beliefs across disorders. Validity was very good for most measures, but reliability was rarely tested. Measures mostly assessed beliefs in the normality of mental health symptoms or the normality of persons with such symptoms but rarely nosological aspects (i.e., categorical v continuous conceptualization of mental disorders). Conclusions Current research provides psychometrically sound instruments to examine continuum beliefs for a variety of mental disorders. While studies suggest utility for general population samples and mental health professionals, more research is necessary to corroborate findings, for instance, regarding age (e.g., in adolescents), gender, or type of mental disorder. Future research should also compare self-report ratings, and vignette-based measures, include measures of nosological concepts to fully grasp the continuum concept of mental illness. Preregistration PROSPERO: CRD42019123606.

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Continuum of Care

Cited by 39 publications

References 0 publications

Family Carers' Perspectives on Integrated Community Care in the Czech Republic

Family Carers' Perspectives on Integrated Community Care in the Czech Republic

Comparing total expenditures by source of long-term services and supports.

Continuum beliefs of mental illness: a systematic review of measures

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