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Results for 'models'

Results 1 - 10 of 24

Interventions to promote early discharge and avoid inappropriate hospital (re)admission: a systematic review

COFFEY Alice, et al
2019

Increasing pressure on limited healthcare resources has necessitated the development of measures promoting early discharge and avoiding inappropriate hospital (re)admission. This systematic review examines the evidence for interventions in acute hospitals including (i) hospital-patient discharge to home, community services or other settings, (ii) hospital discharge to another care setting, and (iii) reduction or prevention of inappropriate hospital (re)admissions. Academic electronic databases were searched from 2005 to 2018. In total, ninety-four eligible papers were included. Interventions were categorized into: (1) pre-discharge exclusively delivered in the acute care hospital, (2) pre- and post-discharge delivered by acute care hospital, (3) post-discharge delivered at home and (4) delivered only in a post-acute facility. Mixed results were found regarding the effectiveness of many types of interventions. Interventions exclusively delivered in the acute hospital pre-discharge and those involving education were most common but their effectiveness was limited in avoiding (re)admission. Successful pre- and post-discharge interventions focused on multidisciplinary approaches. Post-discharge interventions exclusively delivered at home reduced hospital stay and contributed to patient satisfaction. Existing systematic reviews on tele-health and long-term care interventions suggest insufficient evidence for admission avoidance. The most effective interventions to avoid inappropriate re-admission to hospital and promote early discharge included integrated systems between hospital and the community care, multidisciplinary service provision, individualization of services, discharge planning initiated in hospital and specialist follow-up.

Active ingredients: the Aesop planning and evaluation model for arts with a social purpose

AESOP, BOP Consulting
2018

This short paper outlines a logic model developed for the planning and evaluation of the Dance to Health project, with suggestions of how it can be used in practice. The project aimed to develop a better understanding of the ways in which arts interventions in health and social contexts actually work, and to improve the ways these are designed and their impacts measured. The Active Ingredients logic model, includes: Inputs - such as the specific arts practice, venues and health or social care setting; and Outputs - volume of arts sessions and number of beneficiaries. It also summarises a set of ‘Active Ingredients’ in participatory arts work, which are summarised under the headings of ‘Engaging and Imagining’. The model will be useful for those involved in the evaluation and planning of arts interventions, as well as policymakers interested in arts as interventions.

What works in social prescribing?

CORDIS BRIGHT
2019

Based on a review of the literature, this evidence summary highlights the potential of social prescribing services to combat the root social causes of ill health and alleviate demand on healthcare services. The review provides a definition of social prescribing and outlines the key ingredients for successful social prescribing services. These key ingredients cover: funding, buy-in of health professionals, referral process, link workers, patient-centred care, collaborative working and integration between different sectors. The review also explores potential barriers to the widespread adoption of social prescribing services. It notes that robust evidence for social prescribing remains weak, with the majority of evaluations small in scale and poorly designed.

Dementia-friendly Brent: a model of community

TILKI Mary
2018

Report on the London borough of Brent's dynamic social movement helping to make the borough dementia friendly. Community Action on Dementia Brent (CADBrent) is a dynamic social movement that aims to make the London borough dementia friendly, accessible and inclusive of black and minority ethnic (BME) communities. Much has been achieved since the movement began five years ago. Some of the schemes discussed in the article include: Dementia peer support project; dementia friendly Mapesbury; The De-Cafe - memory cafe; Whole street of support; The Shed and Parnerships in Innovative Education.

VCSE sector engagement and social prescribing

VEASEY Phil, NEFF Jennifer, MONK-OZGUL Leeann
2018

This report, commissioned by the Greater London Authority, looks at the role of the voluntary, community and social enterprise (VCSE) sector in delivering social prescribing in London and the challenges and opportunities the sector faces. It draws on case studies to highlight good and effective practice and successful partnerships models. It also outlines the resources required in terms of leadership, staff training, fundraising, technological, capacity building and other support to build an effective business case for voluntary and community-sector organisations to engage with social prescribing. The final sections suggest ways to engage voluntary sector organisations in the development and delivery of a social prescribing strategy in London and identifies specific roles for the Mayor and GLA for taking forward social prescribing. The report draws consultation with 100 experts across the VCSE sector, commissioners from the statutory-sector commissioners and representatives of the health and social care sectors.

Strategies employed by older people to manage loneliness: systematic review of qualitative studies and model development

KHARICHA Kalpa, et al
2018

Objectives: To (i) systematically identify and review strategies employed by community dwelling lonely older people to manage their loneliness and (ii) develop a model for managing loneliness. Methods: A narrative synthesis review of English-language qualitative evidence, following Economic and Social Research Council guidance. Seven electronic databases were searched (1990–January 2017). The narrative synthesis included tabulation, thematic analysis, and conceptual model development. All co-authors assessed eligibility of final papers and reached a consensus on analytic themes. Results: From 3,043 records, 11 studies were eligible including a total of 502 older people. Strategies employed to manage loneliness can be described by a model with two overarching dimensions, one related to the context of coping (alone or with/in reference to others), the other related to strategy type (prevention/action or acceptance/endurance of loneliness). The dynamic and subjective nature of loneliness is reflected in the variety of coping mechanisms, drawing on individual coping styles and highlighting considerable efforts in managing time, contacting others, and keeping loneliness hidden. Cognitive strategies were used to re-frame negative feelings, to make them more manageable or to shift the focus from the present or themselves. Few unsuccessful strategies were described. Conclusion: Strategies to manage loneliness vary from prevention/action through to acceptance and endurance. There are distinct preferences to cope alone or involve others; only those in the latter category are likely to engage with services and social activities. Older people who deal with their loneliness privately may find it difficult to articulate an inability to cope.

Innovative models of health, care and support for adults

SOCIAL CARE INSTITUTE FOR EXCELLENCE
2018

This briefing explains that innovative, often small-scale models of health, social care and support for adults could be scaled up to benefit as many people as possible. The challenge is to make scaling up successful. The briefing is based on research conducted during the spring of 2017 by Nesta, SCIE, Shared Lives Plus and PPL. It includes real life examples and case studies to show how stakeholders are involved in building and growing successful and sustainable innovations in health, care and support which provide new ways of delivering relationship-based care. It also identifies key challenges and facilitators to scaling up innovative models and makes recommendations to help make impactful innovative models become part of mainstream care. It includes case studies from North London Carers – a community network of young professionals and older neighbours which helps to reduce loneliness and increase wellbeing; Age UK’s Personalised Integrated Care programme – which brings together voluntary organisations and health and care services to support for older people living with multiple long-term conditions who are at risk of recurring hospital admission; Shared lives - adults either live with or regularly visit their chosen carer; North Yorkshire Innovation Fund – which provides funding to support voluntary and community organisations providing innovative intervention or prevention measures; and Wigan’s place-based approach. To help innovative models to flourish and scale up, it identifies keys to success as: a shared ambition to embed person- and community-centred ways of working; co-production; a new model of leadership which is collaborative and convening; investment and commissioning in approaches which result in high quality outcomes; and use of data to drive change a willingness to learn from experience.

Investing to tackle loneliness: a discussion paper

SOCIAL FINANCE
2015

This paper describes work undertaken with Age UK Herefordshire and Worcestershire to design a service that addresses loneliness, particularly among older people. The first half of the paper examines the potential costs of loneliness and the potential value to the public sector of reducing loneliness. The second half of the paper describes the outcomes-based model used in Worcestershire and sets out initial findings of the service. The service uses a model of commissioning services through a Social Impact Bond (SIB), a contract in which commissioners commit to pay investors for an improvement in social outcomes. The paper sets out some of the benefits of using social investment to fund the upfront cost of delivering a service to reduce loneliness. It also discusses the following elements of the model: measuring loneliness and additional outcomes, delivering support to the population most at risk, considering social investment and agreeing a payment mechanism.

Learning from the vanguards: supporting people and communities to stay well

NHS CONFEDERATION, et al
2018

This briefing explores how the care vanguard sites have sought to design health and care services around the needs of people who use them, focusing on the outcomes that matter to people and tailoring care to their needs and goals. It also explores how the vanguards have adopted community- and asset-based approaches to consider the broadest possible influencers on health and care. This new approach recognises that services should be designed to support people to be more involved in their own care, challenges the traditional divide between patients and professionals, and offers opportunities for better health through increased prevention and supported self-care. The briefing includes examples of practice from the vanguard sites. The briefing is part of a series developed by the NHS Confederation, NHS Clinical Commissioners, NHS Providers and Local Government Association.

Promoting asset based approaches for health and wellbeing: exploring a theory of change and challenges in evaluation

RIPPON Simon, SOUTH Jane
2017

This project explores two key areas that are critical for moving to a more systematised approach to asset based action for health. It builds on the report ‘Head, hand and heart’, from the Health Foundation, to explore further the develop a Theory of Change for asset based approaches aligned to an asset model for health and also looks at ways of evaluating and measuring the benefits and impact of asset based approaches. Drawing on the findings from site visits, interviews and a think piece event, this report presents a new Theory of Change for asset-based working. A rapid review of published and grey literature was also conducted to map and categorise evaluate approaches and measures used in asset-based programmes. The map of literature showed that a variety of methodologies and evaluation strategies are used in asset-based practice. The report summarises the approaches across the seven broad clusters of: Asset Based Community Development; Asset Mapping; Community-based evaluation; Conceptual frameworks for measurement; Resilience; Salutogenesis; and Other. The report suggests that a high level Theory of Change that incorporates an orientation phase provides an opportunity to set out the purpose and rationale of asset based activity. This can also enable measurement and evaluation to be better defined and managed, and help local actors in articulating the benefits (or not) of asset based approaches for health.

Results 1 - 10 of 24

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News

Moving Memory

Moving Memory Practice example about how the Moving Memory Dance Theatre Company is challenging perceived notions of age and ageing.

Chatty Cafe Scheme

Chatty Cafe Scheme Practice example about how the Chatty Cafe Scheme is helping to tackle loneliness by bringing people of all ages together

Oomph! Wellness

Oomph! Wellness Practice example about how Oomph! Wellness is supporting staff to get older adults active and combat growing levels of social isolation

KOMP

KOMP Practice example about how KOMP, designed by No Isolation is helping older people stay connected with their families

LAUGH research project

LAUGH research project Practice example about a research project to develop highly personalised, playful objects for people with advanced dementia
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