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Service Implications (service + implication)
Selected AbstractsA Follow-up Study of Characteristics of Young People that Dropout and Continue Psychotherapy: Service Implications for a Clinic in the CommunityCHILD AND ADOLESCENT MENTAL HEALTH, Issue 2 2009Geoffrey Baruch Background:, The paper reports the findings from a follow-up study of the factors that contribute to whether young people dropout or continue once-weekly psychotherapy at a voluntary sector psychotherapy service for young people aged 12 to 21 years. Method:, The study uses data from an ongoing audit of the psychotherapy service that started in 1993; 882 young people were included in the study. Premature termination of treatment was defined as dropping out before the 21st session. Continuation in treatment was defined as remaining in therapy after 20 sessions. Measures and areas of interest used in the study include diagnostic measures, the Youth Self Report Form and Young Adult Self Report Form, demographic characteristics and treatment related information. Results:, Young people who continued in treatment were more likely to be older, have anxieties about sexual and relationship issues and have higher scores on self-reported anxiety-depression. Young people who dropped out of treatment were more likely to be younger, have higher self-reported delinquency scores, have a diagnosis of hyperactivity-conduct disorder and be homeless. Conclusions:, The study of treatment termination has demonstrated the value of service audit and has led to a significant change in clinical practice. [source] ,Natalizumab in paediatric multiple sclerosis and service implication'DEVELOPMENTAL MEDICINE & CHILD NEUROLOGY, Issue 9 2009Richard E Appleton MA FRCPCH No abstract is available for this article. [source] Concerns of speech-impaired people and those communicating with themHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 3 2000FRCSLT MSc Joyce Emerson Abstract This study investigated the perception and experiences of people with speech impairments and of the general public when communicating with speech impaired people. The aim was to identify the actual concerns of people and factors that make communication easier or more difficult, to inform treatment programmes and information. A triangulated approach was used. Discussion groups were held with members of the public, in-depth interviews were conducted with speech-impaired people and an experimental study examined encounters between speech-impaired people and shop workers. In a partial replication of the work of Crow (1988) the views of speech-impaired people were elicited by a questionnaire. Concerns identified in group discussions related to the importance of time and the need for information. The experiment suggested that the type of speech impairment might influence attitudes. Findings from the questionnaire and the interviews emphasized the importance of taking time and being assertive. The limitations of the findings and the possible service implications are discussed. [source] Body mass index in adults with intellectual disability: distribution, associations and service implications: a population-based prevalence studyJOURNAL OF INTELLECTUAL DISABILITY RESEARCH, Issue 4 2008S. Bhaumik Abstract Background Previous studies of weight problems in adults with intellectual disability (ID) have generally been small or selective and given conflicting results. The objectives of our large-scale study were to identify inequalities in weight problems between adults with ID and the general adult population, and to investigate factors associated with obesity and underweight within the ID population. Methods We undertook a population-based prevalence study of 1119 adults with ID aged 20 and over on the Leicestershire Learning Disability Register who participated in a programme of universal health checks and home interviews with their carers. We performed a cross-sectional analysis of the register data and compared the observed and expected prevalences of body mass index categories in the ID and general populations using indirect standardisation for age. We used logistic regression to evaluate the association of a range of probable demographic, physical, mental and skills attributes with obesity and underweight. Results In those aged 25 and over, the standardised morbidity ratio (SMR) for obesity was 0.80 (95% CI 0.64,1.00) in men and 1.48 (95% CI 1.23,1.77) in women. The SMR for underweight was 8.44 (95% CI 6.52,10.82) in men and 2.35 (95% CI 1.72,3.19) in women. Among those aged 20 and over, crude prevalences were 20.7% for obesity, 28.0% for overweight, 32.7% for normal weight and 18.6% for underweight. Obesity was associated with living independently/with family, ability to feed/drink unaided, being female, hypertension, Down syndrome and the absence of cerebral palsy. Underweight was associated with younger age, absence of Down syndrome and not taking medication. Conclusion Obesity in women and underweight in both men and women was more common in adults with ID than in the general population after controlling for differences in the age distributions between the two populations. The associated factors suggest opportunities for targeting high-risk groups within the ID population for lifestyle and behaviour modification. [source] | ||||||||||