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Related Concept Videos

Community Based Intervention01:30

Community Based Intervention

Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Specialized Care Centers and Settings-I01:30

Specialized Care Centers and Settings-I

Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
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Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Restorative Care01:19

Restorative Care

Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
Continuing Care01:25

Continuing Care

Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities

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Updated: Jun 3, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
06:52

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

Is deinstitutionalization working in our community?

Ann Hamden1, Richard Newton, Kay McCauley-Elsom

  • 1Community Mental Health, Latrobe Regional Hospital, Traralgon, Victoria, Australia. ahamden@lrh.com.au

International Journal of Mental Health Nursing
|April 1, 2011
PubMed
Summary
This summary is machine-generated.

Community care units (CCUs) improve quality of life for residents by reducing psychiatric re-admissions. However, CCU bed shortages create

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Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults
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Published on: February 8, 2019

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Last Updated: Jun 3, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
06:52

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults
04:13

Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults

Published on: February 8, 2019

Area of Science:

  • Psychiatry and Mental Health Services Research
  • Community Psychology
  • Health Services Management

Background:

  • Deinstitutionalization has shifted mental healthcare towards community-based models.
  • Community Care Units (CCUs) aim to provide long-term support and improve quality of life.
  • Access to CCU beds remains a challenge, impacting vulnerable patient populations.

Purpose of the Study:

  • To evaluate the impact of deinstitutionalization on patients admitted to a regional Community Care Unit (CCU) from 1996-2007.
  • To assess the influence of CCU stays on length of stay, re-admission rates to acute psychiatric care, and overall quality of life.
  • To identify challenges and propose recommendations for improving community mental health services.

Main Methods:

  • Exploratory study design.
  • Analysis of patient data including admissions, lengths of stay, and re-admission rates to acute psychiatric care.
  • Qualitative assessment of quality of life factors for CCU residents.

Main Results:

  • CCU residents reported enhanced quality of life, attributed to friendships and a home-like environment.
  • Reduced re-admissions to acute psychiatric care units were observed among CCU residents.
  • Significant challenges exist for individuals unable to access CCU beds, leading to 'revolving door' admissions, homelessness, and substance abuse.

Conclusions:

  • CCUs positively impact quality of life and reduce acute psychiatric re-admissions for their residents.
  • Further improvements in CCUs require greater emphasis on employment/vocational services and social inclusion.
  • Assertive community treatment and community packages are recommended for individuals awaiting CCU placement or ineligible, to mitigate disability from relapses.