Mental health services for rural elderly: Innovative service strategies

Chalifoux, Zona L.; Neese, Jane B.; Buckwalter, Kathleen C.; Litwak, Eugene; Abraham, Ivo

doi:10.1007/bf02251046

Cited by 35 publications

(22 citation statements)

References 37 publications

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“…These include improved patient long-term physical and mental health (Shortell et al, 2000), greater innovativeness (Hodges & Hernandez, 1999), more flexibility in providing services, and more integrated provision of mental health services care (Birelson, 1998;Chalifoux et al, 1996;Katon et al, 1999;Mechanic, 1996Mechanic, , 1998. Our research also suggests that where the goals of the providers were congruent, collaboration went more smoothly.…”

Section: Resultsmentioning

confidence: 62%

Interagency and interprofessional collaboration in community care: the interdependence of structures and values

Johnson

Wistow

Schulz

et al. 2003

Journal of Interprofessional Care

107

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This paper considers the problems of interagency and interprofessional collaboration in community care in Great Britain from the combined perspectives of UK and US researchers. The research team drew on empirical and theoretical literature from both countries to construct a framework for analysing inter- and intra-organisational theories of joint working. This analysis, supplemented and supported by local case studies conducted by the researchers, generates a framework recommendation against which the government's initiatives for partnership working in the NHS plan 2000 and subsequently can be critically reviewed. In particular, at a time when structural integration--via Care Trusts--is being seriously considered, they highlight the vital importance of integrated systems of goal setting, authority and multidisciplinary service delivery rather than a narrow focus on structural integration alone.

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Section: Resultsmentioning

confidence: 62%

Interagency and interprofessional collaboration in community care: the interdependence of structures and values

Johnson

Wistow

Schulz

et al. 2003

Journal of Interprofessional Care

107

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“…Keefover et al 1996) suggest that because rural carers confront singular challenges in fulfilling their caring roles, the attitudes and coping strategies they bring to the role may be equally unique, manifest in a higher tolerance to cognitive impairment that enables informal carers to delay, or avoid, the institutional placement of the care recipient. It has also been argued that rural settings offer a stronger sense of community and greater tolerance to those displaying deviant behaviour than urban areas, and that there are fewer bureaucratic barriers to formal care support (Chalifoux et al 1996). While this is undoubtedly true for some rural settings, communities vary, and there is evidence that rural dwelling can also increase the challenges for some individuals and their carers.…”

Section: Rural Carementioning

confidence: 94%

“…Lack of trained professionals affects both the development and provision of services, leading those care professionals that are available to take a generalist approach that can disadvantage those requiring specialist geriatric services. As a result, as work in the USA indicates, rural areas tend to have a high proportion of nursing home care and a lack of comprehensive community-based care systems, leading many frail or confused elderly to be institutionalized in environments that provide for their physical care, but which have no active treatment for their emotional problems (Chalifoux et al 1996).…”

Section: Rural Carementioning

confidence: 98%

“…While this is undoubtedly true for some rural settings, communities vary, and there is evidence that rural dwelling can also increase the challenges for some individuals and their carers. Heightened visibility of individuals experiencing poor mental health, for example, may contribute to their stigmatization and social isolation (Milligan 1996 (Chalifoux et al 1996).…”

Section: Rural Carementioning

confidence: 99%

“…The complex health, socio-economic and environmental problems faced by elderly care recipients and their carers in rural locales can place them at an increased health risk to that of their urban counterparts (Chalifoux et al 1996), and can be compounded by limited knowledge of local resources (Magilvy and Congdon 2000). While formal care services in rural areas are improving, barriers such as distance, geography, poor distribution of support services and local infrastructure (e.g.…”

Section: Rural Carementioning

confidence: 99%

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Location or dis-location? Towards a conceptualization of people and place in the care-giving experience

Milligan

2003

Social & Cultural Geography

137

101

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Over the last two decades we have seen an increased interest in informal care within both political and academic communities in the UK. This has stemmed in large part from an increased emphasis on the home-space as the preferred site of care provision and a resultant increase in the complexity of the care-giving relationship. The explicitly spatial dimensions of this caring relationship, however, are vastly under-researched. This paper represents one attempt to redress the gap by examining the importance of place, and its conceptualization, in the care of frail older people. In doing so, the paper focuses, firstly, on the spatial manifestation of care at various scales, identifying some of the processes behind variations in the care-giving experience and, secondly, using the example of dementia care, it considers how Augé's concepts of anthropological place and non-space, when applied to domestic and institutional care settings, can facilitate a more nuanced understanding of the importance of people and place in the construction and delivery of care to frail older people.

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