Proper utilization of the nursing process in home health agencies and community health services.
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A concept of Community Paediatrics has been described comprising clinical care to individual children including identification, diagnosis, and care of the handicapped child, expertise in preventive paediatric techniques, and the provision of investigation and advice in connexion with social and educational proboems. Its relationship to Community Medicine, General Practice, and Consulting Paediatrics has been discussed and a long-term training scheme is outlined. In the immediate future the deployment is envisaged of senior clinical Medical Officers now employed by Local Authorities.
The various sources of referral to a Regional Child Assessment Centre are enumerated. The question of referrals from paramedicals, education and social services and from parents are discussed.
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This study examines the views of community mental health practitioners toward aftercare services and deinstitutionalized patients. A survey of 361 practitioners in Allegheny County, Pennsylvania, finds that these views are related to practitioner experience in psychotherapeutic practice, professional affiliation, educational level, and amount of specialization in aftercare. Implications are drawn for staffing and structuring community mental health aftercare services in ways that are likely to enhance practitioner committment to aftercare.
The health plans of the Tower Hamlets district management team were studied to determine what effects the report of the Resource Allocation Working Party and the White Paper "Priorities in the Health and Social Services" have had on resource allocation in a teaching district. The study showed that at present acute services are allocated a greater proportion of the district budget than occurs nationally, while geriatrics, mental health, and community services receive proportionately less. In the next three years spending on acute services is expected to decrease, while spending on geriatric facilities and community services will increase. Nevertheless, cuts in acute services will take place mainly through a reduction in the number of beds serving a community function, concentrating all acute services in the teaching hospital. Services to the district might be better maintained by creating a community hospital to meet the needs of patients who would otherwise need to be accommodated in acute beds with unnecessarily expensive support services.
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