摘要:

AbstractThis paper describes the correlates and predictors of exposure to housing stressors among a sample of people with serious mental health problems and assesses the extent to which this experience detracts from their well‐being in the community. Data were collected in a cross‐sactional, two‐city sample study conducted in two of New Zealand's largest cities, Auckland and Christchurch. Respondents were 203 former psychiatric inpatients, who, compared to random samples of the general population in the two cities, were younger, more often single, more residentially mobile, and more likely to be of ethnic minority status. Measures of respondents’ housing situations and standard demographic variables were collected, along with outcome measures including the World Health Organization Alcohol Use Disorders Identification Test (AUDIT) (Babor&Grant 1989) and the 12‐item General Health Questionnaire (GHQ‐12) (Goldberg&Williams 1988).The principal housing problem in both cities was overcrowding. Coldness, cost and issues of maintenance were also of concern. Respondents could generally cite only passive coping strategies for dealing with these housing problems. Factor analysis was used to identify three housing stressor scales:‘physical condition’,‘cost’, and 'space/amenity’. Multiple regression analysis demonstrated that socio‐economic factors are significant predictors of housing stressors, with those respondents most dependent on social welfare living in the worst dwellings, as measured by the‘physical condition’ scale. This scale had the strongest relationship with psychiatric distress, as measured by the GHQ. These results lead us to conclude that concerns with respect to housing for people with serious mental health problems must move beyond issued of availability and affordability and emb

ISSN:0966-0410    

DOI:10.1111/j.1365-2524.1993.tb00228.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

AbstractThis paper reports on changes in service use over a 2 1/2‐year period among people aged 85+ at baseline. The socio‐demographic, social, pyschological and physical characteristics of the consistently high utilizers and the consistently low utilizers of services are described. The strongest predictor of total service use was functional ability. The analyses confirmed that a small proportion of people are likely to account for the most expenditure on health and social servi

ISSN:0966-0410    

DOI:10.1111/j.1365-2524.1993.tb00229.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

AbstractThe objective of this research was to assess the value of a self‐completed questionnaire in identifying unmet needs amongst elderly patients in primary care. The setting was one general practice in Liverpool.A questionnaire was sent to all patients aged 75 and over on the practice age‐sex register (n=498). Responses were compared with existing practice records. Measures were: self‐reports of need with 18 questions covering social support, disability, recent life stresses and mood changes; recent contact with members of the practice team; perceived need to see members of the practice team; and evidence in practice records of recent contact and of awareness of elderly patients’ reported needs.There was an 84% response rate. Respondents reported a median score of three problems each (interquartile range 2–5), especially in social support, mobility, bereavement, illnesses and mood states. For people reporting six or more problems, practice records noted less than 50% of problems relating to social support, bereavement and memory. Amongst all respondents, those reporting problems with disability, recent illness and depressed mood were more likely to have been in recent contact with the primary care team than those who did not report such problems. Three further problems‐social isolation, bereavement and memory loss‐were not associated with increased likelihood of recent contact with the practice team, but were significantly associated with respondents’ expressed need to see a member of the practice.The self‐completed questionnaire highlighted gaps in the primary care team's awareness of and response to elderly patients’ social and psy

ISSN:0966-0410    

DOI:10.1111/j.1365-2524.1993.tb00230.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

AbstractTrends in poverty and changes in service provision are combining to make the promotion of health in poverty a particular challenge to health and welfare practitioners. The evidence suggests that practitioner groups have failed to respond adequately to this challenge.Factors concerned with professional perceptions of poverty, the nature of qualifying and post‐qualifying education and the difficulties associated with taking research into practice all appear, in some way, to contribute to practitioners’ failure to incorporate a poverty perspective in their work. A team training approach appears to offer one way forward in the practice‐setting. Using a team training approach, the‘Health Promotion in Poverty Project’ has sought to enable the lessons learnt from the broad base of poverty theory and research to be used by practitioners to build responsive and integrated support strategies for low‐income families with depende

ISSN:0966-0410    

DOI:10.1111/j.1365-2524.1993.tb00231.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0966-0410    

DOI:10.1111/j.1365-2524.1993.tb00232.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0966-0410    

DOI:10.1111/j.1365-2524.1993.tb00233.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Book reviewed in this article:Review article‐The legal basis of welfarePublic Law and Health Service AccountabilityThe Welfare of Citizens: Developing New Social RightsState Regulation and the Medical ProfessionSkills for Caring: Communication SkillsSkill for Caring: Families and GroupsPediatric and Adolescent AIDS: Research Findings from the Social SciencesPrivate Risks and Public DangersBooks received for revi

ISSN:0966-0410    

DOI:10.1111/j.1365-2524.1993.tb00234.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY