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1 – 10 of over 2000Derek Ward, Martin Severs and Tara Dean
The continued expansion of the intermediate care initiative has resulted in the use of alternative care settings, such as nursing and care homes, for the delivery of…
Abstract
The continued expansion of the intermediate care initiative has resulted in the use of alternative care settings, such as nursing and care homes, for the delivery of rehabilitative interventions for older people. In this paper, we report on the findings from the second stage of a national survey of rehabilitation schemes that use care home settings. The survey reveals a wide range of approaches and standards, leading us to ask whether there is a gap between policy goals, good practice and actual service provision. The care home rehabilitation schemes were selected on the basis that they offered, as a minimum, rehabilitation to improve an older person's physical status.
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Eddie C.M. Hui, Joe T.Y. Wong and Janice K.M. Wan
The long‐standing urban decay problem in Hong Kong continues to receive attention from the government and concerned organisations. However, little attention is paid to the…
Abstract
Purpose
The long‐standing urban decay problem in Hong Kong continues to receive attention from the government and concerned organisations. However, little attention is paid to the financial benefits that can be achieved after old buildings are rehabilitated. This study seeks to evaluate and quantify the value enhancement of aging buildings resulting from rehabilitation.
Design/methodology/approach
Using the direct sales comparison method, the study critically examines over 80 sample buildings across Hong Kong. Residential properties with rehabilitation completed in the public sector are chosen as samples for numerical analysis.
Findings
The results show that: the capital value of the sample buildings after rehabilitation increased by an average of 35.6 percent; the overall appreciation rate of the sample buildings (35.6 percent) exceeds that of other buildings in the same district (20.8 percent); the average price increase of the sample buildings (25.7 percent after adjustment) is greater than that of Type B (40‐69.9 square meters) buildings (18.9 percent) in Hong Kong; positive growth in transaction volume is evidenced from the sample buildings in four districts; and, on average, the benefit to cost ratio of rehabilitation per unit is 10.9 and the net benefit per square foot is HK$461.4 (or US$59.2).
Research limitations/implications
There are potential risks of error arising from the use of assumptions, price adjustments, limited sample size and data from the secondary source.
Practical implications
The analysis is of relevance in confirming the value enhancement arising from rehabilitation and the findings provide a motive for the industry and public for rehabilitation.
Originality/value
The significance of this study is the quantification of the positive effect of rehabilitation.
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This article was commissioned to gain an insight, from a service user's perspective, into residential rehabilitation and the treatment system in general. Andy Green, who has been…
Abstract
This article was commissioned to gain an insight, from a service user's perspective, into residential rehabilitation and the treatment system in general. Andy Green, who has been through residential rehabilitation a number of times, poignantly highlights its benefits and drawbacks in this self‐reflective piece based on his experiences from 2000 to the present day.
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The current evidence to support rehabilitation commissioned and/or provided by social services gives some promising indications. However, it also reveals an urgent need for more…
Abstract
The current evidence to support rehabilitation commissioned and/or provided by social services gives some promising indications. However, it also reveals an urgent need for more and better information about what works best and for whom.
The Old City of Aleppo, a UNESCO World Cultural Heritage site, a living town of 110,000 inhabitants residing in thousands of historical courtyard houses and an important…
Abstract
The Old City of Aleppo, a UNESCO World Cultural Heritage site, a living town of 110,000 inhabitants residing in thousands of historical courtyard houses and an important commercial centre is now the subject of an internationally recognized rehabilitation scheme. This paper describes the history of this project and identifies a series of lessons to be learnt about the complex process of rehabilitation in a living historic environment.
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Kerri Eagle, Trevor Ma and Barbara Sinclair
The purpose of this paper is to inform the development of an evidence-based and effective rehabilitation programme to address substance use disorders in a population of patients…
Abstract
Purpose
The purpose of this paper is to inform the development of an evidence-based and effective rehabilitation programme to address substance use disorders in a population of patients with severe mental illness and mental disorders detained in a secure forensic psychiatric facility. A clinical review identified a high prevalence of substance use disorders in the patient population at a secure forensic facility in Sydney, Australia with only a limited number of patients being assessed and offered interventions for substance use problems.
Design/methodology/approach
A literature review was undertaken specifically looking at articles between 2009 and 2017 that considered models of care or approaches to substance use rehabilitation in patients with co-morbid psychiatric disorders. Articles were considered based on their relevance to the purpose and the environment of a secure forensic facility.
Findings
The literature review emphasised the need for a cohesive model of care integrating substance use rehabilitation with mental health care. Comprehensive assessment and individualised approaches that incorporated patient choice and stages of change were considered essential components to any dual diagnosis rehabilitation programme.
Practical implications
The literature regarding rehabilitation approaches for those with severe mental illness and co-morbid substance use disorders was reasonably consistent with the models of care used in relation to criminal offenders and mental illness generally. Integrated and individualised rehabilitation approaches for dual diagnosis patients could play a significant role in forensic settings.
Originality/value
Limited robust evidence for substance use rehabilitation has been published. The authors consider the existing evidence base and the underlying theory behind substance use rehabilitation to propose a model for rehabilitation in secure forensic settings. This is the first known review of substance use rehabilitation involving mentally ill offenders with dual diagnoses in secure forensic settings. This paper is the original work of the authors.
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Joseph C. Santora and James C. Sarros
This study focused on the issue of CEO tenure in three non‐profit community‐based organizations – each with an at least 25‐year long CEO tenure – located in two US northeastern…
Abstract
This study focused on the issue of CEO tenure in three non‐profit community‐based organizations – each with an at least 25‐year long CEO tenure – located in two US northeastern urban centers. Using a questionnaire and a semi‐structured interview, we investigated reasons for the CEOs’ extraordinarily long tenures in office: the CEOs themselves, their organizations, and the environments in which they operated. The following were among the data findings re the CEOs: they were founders of their organization; were power brokers within the political community; managed their staff and boards of directors; possessed a vision and continued to initiate new projects; exhibited a passion for work; and had a succession plan. Some issues for future research are presented.
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This paper presents the findings from the first stages of qualitative research into the provision of transitional residential rehabilitation in Nottinghamshire. Its purpose is to…
Abstract
This paper presents the findings from the first stages of qualitative research into the provision of transitional residential rehabilitation in Nottinghamshire. Its purpose is to identify several ‘critical success factors’ that appear to underpin effective practice.
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Nishadi Darsha Dharmarathna, Akila Randika Jayamaha, Nadeeka Dimuthu Kumari Ranadeva, Harshini Rajapakse, Chinthika Gunasekara, Neluka Fernando and Lalitha Meegoda
This study aims to evaluate the perceived effectiveness of residential treatment which follows the therapeutic community (TC) model for Sri Lankan individuals with substance use…
Abstract
Purpose
This study aims to evaluate the perceived effectiveness of residential treatment which follows the therapeutic community (TC) model for Sri Lankan individuals with substance use disorder (SUD).
Design/methodology/approach
A descriptive cross-sectional study was carried out in two selected residential treatment centers which follow the TC model as a rehabilitation approach. All the clients of the selected residential treatment centers were invited to take part in the study and data were collected from 75 consented male participants using an interviewer-administered questionnaire. The perceived effectiveness of the residential treatment was assessed using the Treatment Effectiveness Assessment instrument. Data were analyzed using descriptive statistics.
Findings
Most of the participants were Sinhalese (98.7%, n = 74) with a mean age of 27.0 ± 6.0 years. The average duration in which participants stayed at selected centers was 8.0 ± 4.0 months. Most of the participants reported that the encouragement during the program was sufficient (89.3%, n = 67), psychological support was satisfactory (89.3%, n = 67), freedom (69.5%, n = 52) and facilities were adequate (76.0%, n = 57) within the program. A higher proportion of participants said that the counselors and program guides were friendly (80.0%, n = 60), and participants were allowed to communicate with their family with restrictions (92.0%, n = 69). The mean perceived effectiveness score (score range 1–40) was 34.0 ± 7.0 and the four domain scores (score range 1–10) were substance use (9.0 ± 2.0), health (8.0 ± 2.0), lifestyle (9.0 ± 2.0) and community (9.0 ± 2.0). The majority (88.0%, n = 66) of the participants perceived a high level of treatment effectiveness.
Originality/value
There is a paucity of empirical evidence on effectiveness of TC model for individuals with SUD in South Asian countries including Sri Lanka. The findings of this study highlight that the participants perceived higher effectiveness of the residential treatment which follows the TC approach for Sri Lankan individuals with SUD.
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Sheena Asthana and Joyce Halliday
This paper considers intermediate care as part of a whole‐systems approach to care. It argues that this perspective allows a wider appreciation of the potential benefits of…
Abstract
This paper considers intermediate care as part of a whole‐systems approach to care. It argues that this perspective allows a wider appreciation of the potential benefits of intermediate care, and that this would also be a welcome feature in future research studies. The paper draws on an evaluation of intermediate care in Cornwall and outlines the central role of intermediate care co‐ordination in the whole system. The example of residential rehabilitation is then used to examine how an individual service relates to the system as a whole. Finally, factors that may also influence local systems such as partnership working and rurality are considered; these are seen as important considerations for any other authorities which might seek to replicate the Cornwall approach to intermediate care.
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