Objectives Residential and long-term care facilities struggle to support older residents who expe... more Objectives Residential and long-term care facilities struggle to support older residents who experience a loss of autonomy, use psychoactive substances and face issues related to their consumption. Substance use can interact negatively with other physical, mental health or social conditions (e.g., homelessness) to create particularly complex profiles. In Quebec, as in many other countries around the world, there are often no clear guidelines for the care of elderly residents using psychoactive substances. The purpose of this study is to document the characteristics of existing interventions and practices towards older people who use psychoactive substances in residential and long-term care facilities in order to support decision makers with improvement of services and quality of care. Methods We carried out a scoping review of the scientific literature. We consulted 7 scientific databases (MEDLINE, EmBASE, PsychINFO, CINAHL, SocIndex, Ageline, Érudit). To identify the relevant grey literature, we explored the websites of governmental, non-governmental organizations and professional associations in the fields of addiction and aging in a selection of OECD countries. In addition, 31 experts were solicited to enhance the documentary research process. We conducted a thematic analysis on 65 documents. Results The philosophies underlying practices related to substance use reflect a hard balance to strike between priorities to be given to health, safety, and respect for human rights in residential and long-term-care settings. These philosophies, and the practices that stem from them, are distributed along a continuum ranging from the demand for abstinence to a total "laissez-faire" approach to substance use. Services offered are varied and involve complementary expertise in the health and social fields to meet the complex needs of this population. Finally, a diversity of organizational dynamics is observed: proposed interventions regarding substance use can be structured programs, informal interventions, internal substance use management policies, or specific settings for older adults who use substances, such as wet eldercare facilities. Conclusion This portrait of the interventions that target the use of psychoactive substances in residential and long-term care settings may assist care workers and service managers in Quebec and internationally, with clinical practice improvements. This may ultimately support both seniors-dedicated and addiction services. In view of population aging and the complex needs of older populations, clear guidelines are crucial to ensure the quality of care and services in these settings.
Canadian Journal of Behavioural Science / Revue canadienne des sciences du comportement, 2010
La consommation de substances psychoactives (SPA) et la criminalité sont des phénomènes étroiteme... more La consommation de substances psychoactives (SPA) et la criminalité sont des phénomènes étroitement liés. La consommation de SPA est d’ailleurs un des risques et des besoins liés aux facteurs criminogènes augmentant le risque de récidive chez les délinquants juvéniles. Le dépistage de cette problématique est donc important afin de guider les interventions auprès de ces clientèles. La validité concomitante de
A summary of the effects of the localization (devolution) of the management of Texas child care s... more A summary of the effects of the localization (devolution) of the management of Texas child care subsidy system to local boards throughout the state.
American research into “post-career” employment reveals the growing number of people with dual st... more American research into “post-career” employment reveals the growing number of people with dual status – both retired and active – on the job market, and this dual status takes a variety of forms. The frontiers between work and retirement are becoming more fuzzy, and reflect the increasing diversity of individual working careers. After identifying various structural and institutional factors which partly account for this boom in “post-career” employment, the article summarizes the main research findings which highlight the strong social differentiation between three different groups of workers: the “precarious”, the “competitive” and the “protected”, each characterized by specific gender and “race” profiles. For each of these groups, the factors of income, education and career history give rise to very different “postcareer” employment patterns. Workers in the first group – the vast majority – are often “forced” to return to work, under conditions even less advantageous than those ex...
Background and Purpose: In the 2.5 years since Hurricane Katrina dispersed hundreds of thousands ... more Background and Purpose: In the 2.5 years since Hurricane Katrina dispersed hundreds of thousands of Gulf Coast residents throughout the U.S., little research has focused on the long-term recovery of survivors and efforts of case managers to assist them (Appleseed, 2006; Kromm & Sturgis, 2008). However, many survivors of Hurricane Katrina continue to experience complex and long-term needs (Appleseed, 2006). This study examines the work context in which case managers attempt to meet those needs. Methods: The data presented are drawn from a telephone survey of Katrina Aid Today (KAT) case managers and supervisors (N=170) working with survivors of Hurricane Katrina in 32 states in both host and disaster-affected areas. Brief telephone interviews were conducted with respondents (predominantly African American and European American females). The interviews focused on a series of open-ended questions about the respondent's experience with Hurricane Katrina, work area, caseload, and asp...
Skip to Main Content. Home | Browse by... |. Contact Us | find us on facebook. Child Care & E... more Skip to Main Content. Home | Browse by... |. Contact Us | find us on facebook. Child Care & Early Education Research Connections. ...
Hurricane Katrina exposed serious deficiencies in the social support safety net at the federal, s... more Hurricane Katrina exposed serious deficiencies in the social support safety net at the federal, state, and local level. This article explores the impacts of the disrupted safety net through participant observation and interviews with service providers and evacuees ...
Abstract This article presents a case study of the reception of low-income Hurricane Katrina evac... more Abstract This article presents a case study of the reception of low-income Hurricane Katrina evacuees in Austin, Texas, to reveal the multiple barriers and problems faced by families and individuals dislodged by Katrina, as well as the difficulties faced by the service providers. The authors ...
Objectives Residential and long-term care facilities struggle to support older residents who expe... more Objectives Residential and long-term care facilities struggle to support older residents who experience a loss of autonomy, use psychoactive substances and face issues related to their consumption. Substance use can interact negatively with other physical, mental health or social conditions (e.g., homelessness) to create particularly complex profiles. In Quebec, as in many other countries around the world, there are often no clear guidelines for the care of elderly residents using psychoactive substances. The purpose of this study is to document the characteristics of existing interventions and practices towards older people who use psychoactive substances in residential and long-term care facilities in order to support decision makers with improvement of services and quality of care. Methods We carried out a scoping review of the scientific literature. We consulted 7 scientific databases (MEDLINE, EmBASE, PsychINFO, CINAHL, SocIndex, Ageline, Érudit). To identify the relevant grey literature, we explored the websites of governmental, non-governmental organizations and professional associations in the fields of addiction and aging in a selection of OECD countries. In addition, 31 experts were solicited to enhance the documentary research process. We conducted a thematic analysis on 65 documents. Results The philosophies underlying practices related to substance use reflect a hard balance to strike between priorities to be given to health, safety, and respect for human rights in residential and long-term-care settings. These philosophies, and the practices that stem from them, are distributed along a continuum ranging from the demand for abstinence to a total "laissez-faire" approach to substance use. Services offered are varied and involve complementary expertise in the health and social fields to meet the complex needs of this population. Finally, a diversity of organizational dynamics is observed: proposed interventions regarding substance use can be structured programs, informal interventions, internal substance use management policies, or specific settings for older adults who use substances, such as wet eldercare facilities. Conclusion This portrait of the interventions that target the use of psychoactive substances in residential and long-term care settings may assist care workers and service managers in Quebec and internationally, with clinical practice improvements. This may ultimately support both seniors-dedicated and addiction services. In view of population aging and the complex needs of older populations, clear guidelines are crucial to ensure the quality of care and services in these settings.
Canadian Journal of Behavioural Science / Revue canadienne des sciences du comportement, 2010
La consommation de substances psychoactives (SPA) et la criminalité sont des phénomènes étroiteme... more La consommation de substances psychoactives (SPA) et la criminalité sont des phénomènes étroitement liés. La consommation de SPA est d’ailleurs un des risques et des besoins liés aux facteurs criminogènes augmentant le risque de récidive chez les délinquants juvéniles. Le dépistage de cette problématique est donc important afin de guider les interventions auprès de ces clientèles. La validité concomitante de
A summary of the effects of the localization (devolution) of the management of Texas child care s... more A summary of the effects of the localization (devolution) of the management of Texas child care subsidy system to local boards throughout the state.
American research into “post-career” employment reveals the growing number of people with dual st... more American research into “post-career” employment reveals the growing number of people with dual status – both retired and active – on the job market, and this dual status takes a variety of forms. The frontiers between work and retirement are becoming more fuzzy, and reflect the increasing diversity of individual working careers. After identifying various structural and institutional factors which partly account for this boom in “post-career” employment, the article summarizes the main research findings which highlight the strong social differentiation between three different groups of workers: the “precarious”, the “competitive” and the “protected”, each characterized by specific gender and “race” profiles. For each of these groups, the factors of income, education and career history give rise to very different “postcareer” employment patterns. Workers in the first group – the vast majority – are often “forced” to return to work, under conditions even less advantageous than those ex...
Background and Purpose: In the 2.5 years since Hurricane Katrina dispersed hundreds of thousands ... more Background and Purpose: In the 2.5 years since Hurricane Katrina dispersed hundreds of thousands of Gulf Coast residents throughout the U.S., little research has focused on the long-term recovery of survivors and efforts of case managers to assist them (Appleseed, 2006; Kromm & Sturgis, 2008). However, many survivors of Hurricane Katrina continue to experience complex and long-term needs (Appleseed, 2006). This study examines the work context in which case managers attempt to meet those needs. Methods: The data presented are drawn from a telephone survey of Katrina Aid Today (KAT) case managers and supervisors (N=170) working with survivors of Hurricane Katrina in 32 states in both host and disaster-affected areas. Brief telephone interviews were conducted with respondents (predominantly African American and European American females). The interviews focused on a series of open-ended questions about the respondent's experience with Hurricane Katrina, work area, caseload, and asp...
Skip to Main Content. Home | Browse by... |. Contact Us | find us on facebook. Child Care & E... more Skip to Main Content. Home | Browse by... |. Contact Us | find us on facebook. Child Care & Early Education Research Connections. ...
Hurricane Katrina exposed serious deficiencies in the social support safety net at the federal, s... more Hurricane Katrina exposed serious deficiencies in the social support safety net at the federal, state, and local level. This article explores the impacts of the disrupted safety net through participant observation and interviews with service providers and evacuees ...
Abstract This article presents a case study of the reception of low-income Hurricane Katrina evac... more Abstract This article presents a case study of the reception of low-income Hurricane Katrina evacuees in Austin, Texas, to reveal the multiple barriers and problems faced by families and individuals dislodged by Katrina, as well as the difficulties faced by the service providers. The authors ...
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