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Biomedical subjects

T Aubry

Publications and source records attributed to T Aubry.

4 recordsLinked to original sources

Family-focused case management: a case study of an innovative demonstration program.

Using results from a formative evaluation, the paper describes family-focused case management (FFCM). FFCM is an innovative community mental health service designed to support both consumers/survivors and their families. The formative evaluation used a multi-informant, multi-method approach to describe FFCM services and assess their quality. Focus groups with program stakeholders produced a "program-logic model" and identified minimum standards for FFCM. Service activities and outcomes defined in the program-logic model were typical of those offered to consumers/survivors in intensive case management programs, but were supplemented with support being offered to their families. Monitoring of service activities showed that the case manager had regular contact with families and offered them a mix of direct and indirect services that corresponded, in most cases, to defined program standards. Interviews with 14 family members and 8 consumers/survivors receiving FFCM services revealed high levels of satisfaction with most aspects of the program. Overall, evaluation findings suggest that intensive case management can be expanded to include providing support to families. Future directions for developing FFCM are discussed.

Case Management↗

Use of mental health resources in the treatment of adult out-patients with no diagnosable mental disorders.

Comparisons of adult out-patients diagnosed with V-code conditions and those with mental disorders were conducted in a number of areas related to patient and treatment characteristics. Data were collected from three community mental health centres over a 6-year period (n = 7,220) in a semi-rural region of Nova Scotia, Canada. V-code patients represented approximately one-third of the psychiatric out-patient admission in these centres. Comparisons of the two patient groups indicated that V-code patients were of a higher socio-economic status than patients diagnosed with mental disorders. The difficulties of patients with V-code conditions appeared to be less severe than those of patients with mental disorders. However, patients with V-code conditions consumed comparable treatment resources to patients with mental disorders. Both groups of patients were evaluated by their therapists as experiencing similar levels of improvement during the course of treatment. The implications of these findings for more efficient use of resources in community mental health centres are discussed.

Adaptation, Psychological↗

Community integration and quality of life: a comparison of persons with psychiatric disabilities in housing programs and community residents who are neighbors.

Fifty-one persons with psychiatric disabilities in housing programs in the Ottawa-Carleton area were compared with a matched sample of 51 community residents on several aspects of community integration and subjective quality of life. Matching criteria included sex and location (i.e., living within one square block). Results showed persons with psychiatric disabilities reporting lower levels of social contact with neighbours and general life satisfaction than community residents. Both groups showed similar levels of physical presence and sense of community in the neighbourhood. Implications of the findings for planning and improving community mental health services are discussed.

Community Mental Health Services↗