Understanding and Navigating Mental Health Resources in the Community through a Case Study

@#This article shows how Primary Care Physicians can manage stable chronic schizophrenia with complex psycho-social issues in the community. This is made possible through improved access to mental healthcare services. The case study highlights the utilisation of the Mental Health-GP Partnership Programme and Community Mental Health Team to facilitate a smooth transition and maintenance of mental well-being in the community. Resources like Aged Psychiatry Community Assessment and Treatment Service, Assessment and Shared Care Teams, Community Intervention Teams are discussed as well as future directions to strengthen care in the community.

Hospital-to-Home: A Model for Transition of Care

@#Singapore is among the fastest-aging countries in the world. By 2030, about one in every five residents would be 65 years or older and many of them may need long-term home care. Local studies have predicted a rise in disability rates as the population ages. To meet this need, our government has ramped up home care services to enable the elderly to “age in place” at home. In line with the Singapore Ministry of Health's vision of building sustainable healthcare and the initiative of "Beyond Hospital to Home", transitional care programmes in hospitals were renamed Hospital-to-Home in April 2017.

Family resources to face adversity of forced displacement in Colombia / Los recursos familiares para afrontar la adversidad del desplazamiento forzado

Resumen Este artículo presenta los resultados de una investigación que se propuso analizar la emergencia de recursos familiares para afrontar la situación adversa del desplazamiento forzado, realizada en el departamento de Sucre, durante los años 2012 a 2014. Inicialmente, buscó determinar relaciones entre 'competencias parentales' y 'capacidades resilientes' en infantes. Posteriormente, se buscó comprender los recursos familiares que emergen en medio de la adversidad. Los resultados revelan correlaciones entre competencias parentales y capacidades resilientes de los infantes y la presencia de recursos familiares para manejar el riesgo del desplazamiento. Se configuró una metodología de carácter mixto, partiendo de un diseño correlacionai y luego se utilizaron las narrativas familiares desde el pensamiento hermenêutico de Paul Ricoeur. Se logró la conceptualización de algunos recursos familiares tales como: vínculos y redes y ocio compartido, los cuales fueron emergiendo de los datos empíricos, y pueden ser de utilidad para la puesta en acción de futuros modelos de intervención a familias en riesgo.

Abstract This article presents the results of a study that aimed to analyze the emergence of family resources to face the adverse situation of forced displacement, conducted in the department of Sucre, Colombia, during the years 2012-2014. Originally, it suggested to determine relationships between parenting skills and Infants Resilient Capacity. Subsequently, we sought to understand the family resources that emerge in the midst of adversity. The results reveal correlations between parental skills and infants resilient capabilities, and the presence of family resources to manage the risk of displacement. A methodology of mixed character was set, based on a correlation design, and then the family narratives were used from the hermeneutical thinking of Paul Ricoeur. We managed to conceptualize some family managed resources such as links and networks, and shared leisure, which emerged from empirical data and may be useful for setting in motion future models of intervention to families at risk.

Masquerade of Falls and Depression, and Transitions of Care

Falls in an elderly require a comprehensive bio-psycho-social approach to evaluate for the root causes. These may be multi-factorial, and we need to deal with most of them, if not all, in order to effectively reduce the risk for falls. Frailty is a marker of poor functional outcomes. Sarcopenia is a major modifiable risk factor for frailty. There are various community programmes providing a comprehensive range of services to keep the elderly physically, mentally, and socially active. Communication with primary care physicians is important to ensure smooth transition back into the community, optimal management of chronic diseases and minimal re-admission.