Rehabilitation And Community Care

A practical guide to current treatment practice, Pilling shows how community care cannot simply be regarded as the natural corollary of hospital closure, but is a programme requiring careful planning and implementation.

Volume numbers determined from Scope of the guidelines, p. 12-13.

As the culminating volume in the DCP3 series, volume 9 will provide an overview of DCP3 findings and methods, a summary of messages and substantive lessons to be taken from DCP3, and a further discussion of cross-cutting and synthesizing topics across the first eight volumes. The introductory chapters (1-3) in this volume take as their starting point the elements of the Essential Packages presented in the overview chapters of each volume. First, the chapter on intersectoral policy priorities for health includes fiscal and intersectoral policies and assembles a subset of the population policies and applies strict criteria for a low-income setting in order to propose a "highest-priority" essential package. Second, the chapter on packages of care and delivery platforms for universal health coverage (UHC) includes health sector interventions, primarily clinical and public health services, and uses the same approach to propose a highest priority package of interventions and policies that meet similar criteria, provides cost estimates, and describes a pathway to UHC.

Community Rehabilitation Services for People with Disabilities delves into the changes happening in the disability services in the United States. The book focuses on how these changes are affecting the way professionals and agencies relate to people with disabilities and their families. The text aims to provide an introductory view of the community revolution in disability services. The book is divided into three parts. Part 1 breaks down the underlying principles of the community revolution in disability services. Part 2 discusses the problems and issues in the implementation of these principles. Part 3 accounts for the changes in practices and value orientations of professionals involved in providing services for people with disabilities. The book will provide a rich source of insight for healthcare professionals, social workers, nurses, caregivers, teachers, counselors, psychiatrists, therapists, and community planners.

Describes a planning process, for use by managers, that can lead to better basic and referral services for the many people suffering form disabilities in developing countries. The guide is intended for managers of services where the community-based rehabilitation approach has been adopted. Highly practical, and supported by abundant checklists, examples, and model timetables and forms, the manual can be used in training courses or for self-study by managers interested in improving their planning skills. The manual has five chapters. The first provides definitions of terms and concepts useful in understanding disability and rehabilitation, explains how a community-based rehabilitation program operates in conjunction with referral services, and gives a brief description of the management cycle. The next two chapters provide training modules. Chapter two, on assessing the current situation, presents three modules describing components of a situation analysis, followed by a suggested method for setting priorities based on the analysis. Information ranges from possible sources of data on numbers and types of disabilities, through a list of common disabilities and their preventable and non-preventable causes, to examples of factors to be considered when setting priorities. The six modules in chapter three begin with advice on setting objectives and targets. The remaining modules cover five other components of the planning process: selecting strategies, listing activities, identifying sources, estimating costs, and reviewing the plan. Chapter four describes six activities involved in implementing a program. The manual concludes with a chapter outlining the components of program evaluation and the information that should be gathered and analyzed.

This edited collection is the first complete guide for rehabilitation professionals seeking to engage a whole-person, biopsychosocial, and mind-body medicine integrated approach to care. Drawing on the foundations of integrative medicine, Integrative Rehabilitation Practice (IRP) goes beyond the treatment of symptoms to explore multiple levels, roots, and possible contributing factors to individual's health experience. IRP acknowledges the complex inseparability of biological, behavioral, psychosocial, spiritual, and environmental influences. The book covers both the theoretical foundations of IRP and applications to practice in the fields of physical therapy, occupational therapy, yoga therapy, speech and language therapy, and many other professions. Featuring contributions from Matthew J. Taylor, Marlysa Sullivan, Andra DeVoght and other professionals, case studies, storytelling, and reflective exercises, this cross-disciplinary clinical training guide is essential reading for all rehabilitation professionals, as well as others interested in advancing whole-person care.

Most of the published materials referred to in this paper concern environmental rather than additudinal variables, reflecting a generalized preoccupation with systems, rather than deliverers. The expectation usually is that improved delivery of services will occur when more efficient mechanisms are found which bring potential clients and waiting services into a more functional relationship. Essentially, these new mechanisms are expected to achieve the following: 1) Expedite the process through which clients get to services and services get to clients; 2) Serve more clients more successfully at a reasonable social and economic cost; 3) Perform the task with the available professional and nonprofessional manpower resources; 4) Enhance client motivation and self-regard in the course of delivering the service; 5) Provide ample opportunities for client choice and decision making in the delivery process; 6) Protect potential clients, insofar as possible, from deterrent biases, caprices, and personal ideologies of those who serve them; and 7) Eliminate client deprivation resulting from worker apathy, inefficiency, and unprofessionalism. Preliminary to discussing systems, it may be helpful to examine some current rehabilitation service delivery problems that confront the field.