Halfway Houses
Group Homes
Nursing Homes
Home Care Services
Homes for the Aged
Home Care Agencies
Accidents, Home
Home Care Services, Hospital-Based
Improving staff nutritional practices in community-based group homes: evaluation, training, and management. (1/47)
We evaluated the effectiveness of a staff training and management package on nutritional practices in two community-based group homes serving adults with developmental disabilities. Food storage, menu development, and meal preparation were trained in a multiple baseline format, followed by supervisor feedback. All staff behaviors increased after training and were maintained for up to 1 year. Biological indices reflected collateral improvements in the health of consumers, and surveys of staff and parents established social validity. (+info)Primary health care services for single homeless people: defects and opportunities. (2/47)
BACKGROUND: An innovative residential centre in west London during 1997-1998 helped older rough sleepers leave the streets and resettle in conventional homes. Many clients presented with multiple physical illnesses complicated by chronicity and poor management. The centre initially experienced difficulties in obtaining health care for the residents, briefly relied on an A&E department for treatment of serious and minor ailments, and latterly was served by a GP practice supported by special funding. OBJECTIVE: The aims of this study were to describe the problems of providing at short notice primary health care services to a high-need group, and the prospective opportunities for the delivery of the required care. METHOD: A monitoring study collected routine operational data, life histories from 88 residents using a semi-structured questionnaire and information from 61 residents about their contacts with GPs before residence in the centre. Interviews were also conducted with the centre's staff, a Health Authority officer and a GP who treated the residents. RESULTS: The medical care of the residents was a major concern. Many had physical illnesses yet three-fifths had not seen a GP for more than 5 years. Many were not registered, even among those who recently had become homeless. It was difficult to organize the residents' medical care and to access special funding at short notice. When funding was secured, there were difficulties in contracting the service. CONCLUSION: Current registration and commissioning procedures are ill fitted to provide primary care services to a high-needs group at short notice. Primary Care Groups, special funding and contractual arrangements provide opportunities for GPs and primary health care workers to provide an improved service to marginalized and special needs groups. The responsibility to identify and respond to exceptional needs should be clearly defined and allocated. (+info)Health care management of adults with Down syndrome. (3/47)
The family physician's holistic approach to patients forms the basis of good health care for adults with Down syndrome. Patients with Down syndrome are likely to have a variety of illnesses, including thyroid disease, diabetes, depression, obsessive-compulsive disorder, hearing loss, atlantoaxial subluxation and Alzheimer's disease. In addition to routine health screening, patients with Down syndrome should be screened for sleep apnea, hypothyroidism, signs and symptoms of spinal cord compression and dementia. Patients with Down syndrome may have an unusual presentation of an ordinary illness or condition, and behavior changes or a loss of function may be the only indication of medical illnesses. Plans for long-term living arrangements, estate planning and custody arrangements should be discussed with the parents or guardians. Because of improvements in health care and better education, and because more people with this condition are being raised at home, most adults with Down syndrome can expect to function well enough to live in a group home and hold a meaningful job. (+info)The effects of extinction, noncontingent reinforcement and differential reinforcement of other behavior as control procedures. (4/47)
Several techniques have been used in applied research as controls for the introduction of a reinforcement contingency, including extinction, noncontingent reinforcement (NCR), and differential reinforcement of other behavior (DRO). Little research, however, has examined the relative strengths and limitations of these "reversal" controls. We compared the effects of extinction with those of NCR and DRO in both multi-element and reversal designs, with respect to (a) rate and amount of response decrement, (b) rate of response recovery following reintroduction of reinforcement, and (c) any positive or negative side effects associated with transitions. Results indicated that extinction generally produced the most consistent and rapid reversal effects, with few observed negative side effects. (+info)Sequential and matching analyses of self-injurious behavior a case of overmatching in the natural environment. (5/47)
In this study, we examined the relation between naturally occurring rates of self-injurious behavior and appropriate communicative behavior using prospective sequential and matching analyses of descriptive data. Results from both analyses suggested reliable covariation between both forms of behavior and staff attention. Findings are discussed in terms of the applicability of quantitative descriptive analyses to characterize behavior-environment relations in natural contexts. (+info)Ongoing consultation as a method of improving performance of staff members in a group home. (6/47)
A model of ongoing consultation was implemented in a community group home for 8 adults with severe and profound mental retardation. Two consultants, highly experienced in working with people with mental retardation and in the procedures used in group homes, taught staff members to use a token reinforcement system, to engage the adults in a variety of activities, and to improve the content and style of the staff members' interactions with the adults. The consultants taught skills to 9 staff members through brief mini-workshops, direct observation of the staff members' use of the skills during regular activities in the group home, and individual verbal feedback regarding a staff member's performance of the skills. Evaluation of the ongoing consultation process by the 2 consultants showed it to be effective in improving the performance of the staff members and in changing the behaviors of the adults who lived in the home. Continued implementation of the process, however, appeared to be necessary for the behavior changes of staff members to be maintained at high levels. (+info)The cost-effectiveness of independent housing for the chronically mentally ill: do housing and neighborhood features matter? (7/47)
OBJECTIVE: To determine the effects of housing and neighborhood features on residential instability and the costs of mental health services for individuals with chronic mental illness (CMI). DATA SOURCES: Medicaid and service provider data on the mental health service utilization of 670 individuals with CMI between 1988 and 1993 were combined with primary data on housing attributes and costs, as well as census data on neighborhood characteristics. Study participants were living in independent housing units developed under the Robert Wood Johnson Foundation Program on Chronic Mental Illness in four of nine demonstration cities between 1988 and 1993. STUDY DESIGN: Participants were assigned on a first-come, first-served basis to housing units as they became available for occupancy after renovation by the housing providers. Multivariate statistical models are used to examine the relationship between features of the residential environment and three outcomes that were measured during the participant's occupancy in a study property: residential instability, community-based service costs, and hospital-based service costs. To assess cost-effectiveness, the mental health care cost savings associated with some residential features are compared with the cost of providing housing with these features. DATA COLLECTION/EXTRACTION METHODS: Health service utilization data were obtained from Medicaid and from state and local departments of mental health. Non-mental-health services, substance abuse services, and pharmaceuticals were screened out. PRINCIPAL FINDINGS: Study participants living in newer and properly maintained buildings had lower mental health care costs and residential instability. Buildings with a richer set of amenity features, neighborhoods with no outward signs of physical deterioration, and neighborhoods with newer housing stock were also associated with reduced mental health care costs. Study participants were more residentially stable in buildings with fewer units and where a greater proportion of tenants were other individuals with CMI. Mental health care costs and residential instability tend to be reduced in neighborhoods with many nonresidential land uses and a higher proportion of renters. Mixed-race neighborhoods are associated with reduced probability of mental health hospitalization, but they also are associated with much higher hospitalization costs if hospitalized. The degree of income mixing in the neighborhood has no effect. CONCLUSIONS: Several of the key findings are consistent with theoretical expectations that higher-quality housing and neighborhoods lead to better mental health outcomes among individuals with CMI. The mental health care cost savings associated with these favorable features far outweigh the costs of developing and operating properties with them. Support for the hypothesis that "diverse-disorganized" neighborhoods are more accepting of individuals with CMI and, hence, associated with better mental health outcomes, is mixed. (+info)Social validation of component behaviors of following instructions, accepting criticism, and negotiating. (8/47)
This study evaluated whether behaviors often taught as part of social skills training are judged favorably by others. Community judges evaluated the performances of people in various situations requiring one of three social skills: following instructions, accepting criticism, and negotiating to resolve conflicts. These skills were displayed in videotaped scenes by actors with and without mental retardation who acted out roles that had different types of authority relationships, and when different components or clusters of behavior (nonverbal, specific verbal, or general verbal behaviors) were performed well or poorly. The highest ratings by judges were of videotaped scenes that depicted correct use of all behaviors, regardless of which skill was being examined, whether or not the actor had mental retardation, or what the relationship was between the two actors. The lowest ratings were of videotaped scenes that depicted poor performance of all behaviors, and intermediate ratings were obtained when only some of the behaviors were performed poorly. These results, as well as the verbal responses of judges to questions, indicated that the different behaviors commonly used in teaching the skills of following instructions, accepting criticism, and negotiating are relevant to judgment of social performance, and are likely to be reinforced and maintained by social contingencies. (+info)A halfway house, also known as a sober living house or transitional housing, is not strictly a medical term but a social service concept. However, it does have significant relevance to the medical field, particularly in mental health and substance abuse treatment. A halfway house is a supervised residential facility that provides intermediate-term housing and support services for individuals who are transitioning from institutionalized settings such as hospitals, prisons, or rehabilitation centers back into the community.
The primary goal of halfway houses is to promote the reintegration of residents into society by offering a structured living environment, counseling, vocational training, and other support services that help them develop the necessary skills for independent living. Halfway houses often have rules and regulations in place to ensure the safety and well-being of their residents, including mandatory curfews, drug testing, and participation in therapy or counseling sessions.
In the context of mental health and substance abuse treatment, halfway houses can play a crucial role in supporting individuals as they navigate their recovery journey. They provide a safe and stable living environment that allows residents to focus on their treatment while gradually adjusting to life outside of an institutional setting. This transitional period is essential for many individuals, as it helps them build confidence, develop coping strategies, and establish healthy routines before fully reintegrating into society.
In summary, a halfway house is a supportive residential facility that offers intermediate-term housing and support services to individuals transitioning from institutionalized settings back into the community. While not a medical term per se, it has significant relevance to mental health and substance abuse treatment by providing a structured living environment and essential support services during the critical transitional period.
A group home is a type of residential setting where a small number of individuals with similar disabilities, such as intellectual or developmental disabilities, mental health disorders, or substance abuse issues, live together in a family-like setting. These homes are designed to provide a more normalized living environment compared to institutional settings, and aim to promote independence, community integration, and skill development for the residents. Staff members are typically present to provide support, supervision, and assistance with daily living activities as needed.
A nursing home, also known as a skilled nursing facility, is a type of residential healthcare facility that provides round-the-clock care and assistance to individuals who require a high level of medical care and support with activities of daily living. Nursing homes are designed for people who cannot be cared for at home or in an assisted living facility due to their complex medical needs, mobility limitations, or cognitive impairments.
Nursing homes provide a range of services, including:
1. Skilled nursing care: Registered nurses and licensed practical nurses provide 24-hour medical care and monitoring for residents with chronic illnesses, disabilities, or those recovering from surgery or illness.
2. Rehabilitation services: Physical, occupational, and speech therapists help residents regain strength, mobility, and communication skills after an injury, illness, or surgery.
3. Personal care: Certified nursing assistants (CNAs) help residents with activities of daily living, such as bathing, dressing, grooming, and using the bathroom.
4. Meals and nutrition: Nursing homes provide three meals a day, plus snacks, and accommodate special dietary needs.
5. Social activities: Recreational programs and social events are organized to help residents stay active and engaged with their peers.
6. Hospice care: Some nursing homes offer end-of-life care for residents who require palliative or comfort measures.
7. Secure environments: For residents with memory impairments, specialized units called memory care or Alzheimer's units provide a secure and structured environment to help maintain their safety and well-being.
When selecting a nursing home, it is essential to consider factors such as the quality of care, staff-to-resident ratio, cleanliness, and overall atmosphere to ensure the best possible experience for the resident.
Home care services, also known as home health care, refer to a wide range of health and social services delivered at an individual's residence. These services are designed to help people who have special needs or disabilities, those recovering from illness or surgery, and the elderly or frail who require assistance with activities of daily living (ADLs) or skilled nursing care.
Home care services can include:
1. Skilled Nursing Care: Provided by registered nurses (RNs), licensed practical nurses (LPNs), or licensed vocational nurses (LVNs) to administer medications, wound care, injections, and other medical treatments. They also monitor the patient's health status, provide education on disease management, and coordinate with other healthcare professionals.
2. Therapy Services: Occupational therapists, physical therapists, and speech-language pathologists help patients regain strength, mobility, coordination, balance, and communication skills after an illness or injury. They develop personalized treatment plans to improve the patient's ability to perform daily activities independently.
3. Personal Care/Assistance with Activities of Daily Living (ADLs): Home health aides and personal care assistants provide assistance with bathing, dressing, grooming, toileting, and other personal care tasks. They may also help with light housekeeping, meal preparation, and shopping.
4. Social Work Services: Provided by licensed social workers who assess the patient's psychosocial needs, connect them to community resources, and provide counseling and support for patients and their families.
5. Nutritional Support: Registered dietitians evaluate the patient's nutritional status, develop meal plans, and provide education on special diets or feeding techniques as needed.
6. Telehealth Monitoring: Remote monitoring of a patient's health status using technology such as video conferencing, wearable devices, or mobile apps to track vital signs, medication adherence, and symptoms. This allows healthcare providers to monitor patients closely and adjust treatment plans as necessary without requiring in-person visits.
7. Hospice Care: End-of-life care provided in the patient's home to manage pain, provide emotional support, and address spiritual needs. The goal is to help the patient maintain dignity and quality of life during their final days.
8. Respite Care: Temporary relief for family caregivers who need a break from caring for their loved ones. This can include short-term stays in assisted living facilities or hiring professional caregivers to provide in-home support.
I couldn't find a specific medical definition for "Homes for the Aged," as it is more commonly referred to in social work or public health contexts. However, I can provide you with some related information:
"Homes for the Aged" are typically residential facilities designed to provide housing, support services, and care for older adults, often with lower levels of medical needs compared to nursing homes. These facilities might offer assistance with activities of daily living (ADLs) such as bathing, dressing, grooming, and managing medications. They can be an alternative to aging in place or moving in with family members.
In a broader public health context, "Homes for the Aged" may fall under the category of congregate housing or assisted living facilities. These settings aim to promote social interaction, autonomy, and independence while offering help with daily tasks and ensuring the safety of their residents.
It is essential to research and visit various facilities to ensure they meet individual needs, preferences, and healthcare requirements when considering Homes for the Aged for yourself or a loved one.
Home care agencies, also known as home health care agencies, are organizations that provide various health and social services to individuals in their own homes. These services can include skilled nursing care, physical therapy, occupational therapy, speech-language pathology, medical social work, and home health aide services. The goal of home care agencies is to help individuals maintain their independence and quality of life while receiving the necessary care in the comfort of their own homes. Home care agencies must be licensed and regulated by state governments to ensure that they meet certain standards of care.
"Home accidents" is a general term that refers to unplanned events or mishaps that occur in the home environment, which may result in injury or illness. These types of accidents can happen in various areas of the home, such as the kitchen, bathroom, living room, or bedroom, and can be caused by a range of factors, including:
* Slips, trips, and falls on wet floors, uneven surfaces, or cluttered walkways
* Burns or scalds from hot stoves, ovens, or water
* Cuts or lacerations from sharp objects like knives or broken glass
* Poisoning from ingesting harmful substances like cleaning products or medications
* Strains or sprains from lifting heavy objects or performing repetitive movements
* Drowning in bathtubs, swimming pools, or other bodies of water within the home
Preventing home accidents involves identifying potential hazards and taking steps to minimize or eliminate them. This may include keeping walkways clear, using non-slip mats, properly storing sharp objects and harmful substances, installing safety devices like grab bars and railings, and ensuring that the home is well-lit and ventilated. Regular safety inspections and maintenance can also help prevent home accidents and keep the living environment safe and healthy.
Hospital-based home care services refer to medical care and support provided to patients in their own homes by healthcare professionals, with the coordination and oversight coming from a hospital-based organization. These services are typically for patients who require skilled nursing or therapy services following a hospital stay, but who do not need to be in a hospital or skilled nursing facility. The goal of hospital-based home care services is to provide high-quality, cost-effective care in the most appropriate setting, which is often the patient's home. Services may include wound care, medication management, pain management, physical therapy, occupational therapy, and speech-language pathology. Hospital-based home care services are designed to promote recovery, maintain independence, and improve quality of life for patients.
Home hemodialysis is a type of renal replacement therapy that can be performed at the patient's residence. It involves the use of a home hemodialysis machine, which pumps the patient's blood through a dialyzer to remove waste products and excess fluids. The cleaned blood is then returned back to the patient's body.
In home hemodialysis, patients or their caregivers are trained to perform the procedure themselves, typically with the help of a healthcare professional who visits their home. This allows for greater flexibility in scheduling treatments, which can be done more frequently (e.g., five to six times per week) and for longer durations than traditional in-center hemodialysis.
Home hemodialysis has been shown to have several potential benefits over in-center hemodialysis, including improved blood pressure control, better phosphate management, reduced need for medication, and potentially slower progression of kidney disease. However, it also requires a significant commitment from the patient or caregiver, as well as investment in home modifications and equipment.
Home childbirth, also known as home birth, refers to the process of giving birth in a private residence, such as one's own home, rather than in a healthcare facility like a hospital or birth center. Home childbirth is typically attended by a midwife, who provides prenatal care, attends the birth, and offers postpartum care. In some cases, a doctor may also be present at a home birth. It's important to note that home birth is not legal in all countries or regions, and even where it is legal, it may not be covered by insurance. Home childbirth carries inherent risks and should only be considered after careful consultation with healthcare providers.