Biomedical subjects

Maria Załuska

Publications and source records attributed to Maria Załuska.

4 recordsLinked to original sources

PubMedDate not supplied

[The importance of community services for rehabilitation and social support to decrease psychiatric hospitalization].

GOAL: The evaluation of community services for social support concerning minimalization of psychiatric hospitalizations. METHOD: Mean duration, global time and the number of stays in hospital ward, day treatment ward and "home hospitalisation"; in two year periods before and after their admission to an Occupational Therapy Workshop (O.T.W.), a Community Home Of Mutual Help (C.H.O.M.H.) or to Community Specialised Social Help Services (C.S.S.H.S.) at home were compared in the group of 73 chronic patients. RESULTS: In two years after the admission to the social support units, the number of all the hospitalizations was decreased (twice or three times). A mean duration of stay in the hospital ward and in the day treatment ward shortened (from 101 days to 48.4 days, from 108 days to 73.3 days), and "home hospitalisation" prolonged (from 112 days to 190 days). The global time of stay in the hospital and in the day ward became significantly shorter (by 12.2% and 5.1%), but "home hospitalisation" did not change significantly. The most effective was the care of specialised services at home connected with the participation at the same time in one of the day units O.T.W. or the C.H.O.M.H. (16 persons). The minimalization of the number (3x) and the time of staying in the day treatment ward referred to the participants of the O.T.W. or the C.H.O.M.H. (by 7.2%, 7.9%), but not of the C.S.S.H.S. at home. CONCLUSIONS: Introducing of O.T.W., C.H.O.M.H. and C.S.S.H.S. resulted in a significant reduction of hospital stays. The best results come from the combination of the care given by the daily units (O.T.W. or C.H.O.M.H.) with specialised services at home. The care supplied at the O.T.W. or the C.H.O.M.H. reduced the number and time of staying in the day treatment ward.

Adult↗

PubMedDate not supplied

[The influence of community support services on the costs of treatment of chronically mentally ill patients].

AIM: To determine changes in costs of treatment for chronically mentally ill patients after their admittance to new social help units; Vocational Rehabilitation Center, Community Center of Mutual Help and Specialised Social Help Services at Client's Home. METHOD: In the group of 73 chronically mentally ill persons, for two years before and after their admission to social help units, the global amount of care (months x persons) and all the costs (PLN) in both social help and mental health systems were compared. RESULTS: For two years after the admission to the mentioned services all the costs in mental health system were significantly decreasing (71.9%), but new costs in social welfare system emerged. The overall costs of care were higher than before, but the elevation (35.4%) of all the costs was not so high as the increase (99,3%) of the care. The structure of care was improved (more day-, and less stationary care). The "out of the pocket" expenses for patients increased. CONCLUSIONS: The implementation of social help services for chronic mentally ill patients is reducing the amount of stationary and day treatment, but increasing active community treatment. Money in the health system is saved, but all the expenses on community care are increased. Coordination of care and finances between the mental health and social welfare is needed. Common financing for both systems is questionable because of impending over medicalisation. The allocation of money saved to early rehabilitation in schizophrenia would be profitable in the future.

Adult↗

PubMedDate not supplied

[Specifics of working with chronic mentally ill patients in Specialised Social Help Services--experiences in training and supervision meetings].

Information was presented on the development and efficiency of The Specialised Psychiatric Social Help Services for the mentally ill in Poland. It took into consideration the specifics of this work and formal requirements for special training of the staff. The experiences of the 3.5 years of work of the specialised services in the Warszawa Targówek district (October 1997 - June 2001) were discussed. Organisational solutions and basic data about clients and staff and establishments and experiences coming from training and supervision meetings were discussed. Problems and difficulties most often experienced by the staff workers at their work with chronic mentally ill patients were described. Consideration was put from one side on the big rotation of the staff and from the other on the need of the extension of the theoretical and practical knowledge as well as of supervision and support was often mentioned in the questionnaire. A need of elaborating the programme of training and professional courses for workers of the specialised psychiatric social help services was also pointed out.

Adult↗

PubMedDate not supplied

[Social support of chronically mentally ill patients].

AIM: Assessment of the social support system of mentally ill persons covered by a local rehabilitation programme situated in Targówek, Warsaw. METHOD: The sample consists of 92 participants with serious mental illness. Bizoń's Social Support Inventory and Social Support Map were used. RESULTS: Patients' social networks were small (9 persons in average) but had a broad scope of functions. Therapists from community rehabilitation services constitute the biggest group of persons included in the individual network of social support. Lack of emotional support is observed. CONCLUSION: Participation in a local system of rehabilitation improves the quantity and quality of individual systems of social support.

Adult↗