RESUMO
The paper describes the results of an evaluation designed to determine the effectiveness of the social recreation component of a community-based mental health program. The program is for individuals with serious mental health problems, with a particular focus on those who perceive deficiencies in their social relationships. Findings showed that the individuals who participated in the program, in varying frequency, reported significant improvements in their self-ratings of loneliness, self-esteem, social functioning, satisfaction with social relations and leisure activities, as well as general life satisfaction. The association between particular program- or client-related factors and the outcome variables were examined to provide insights into why people changed. The merits and limitations of the evaluation methodology are discussed.
Assuntos
Serviços Comunitários de Saúde Mental/normas , Relações Interpessoais , Transtornos Mentais/reabilitação , Recreação , Adulto , Participação da Comunidade , Feminino , Humanos , Masculino , Avaliação de Programas e Projetos de Saúde , Qualidade de Vida , AutoimagemRESUMO
Because of trends in the health care environment, hospitals are restructuring to innovative patient care delivery systems. The Case Management Model, with its emphasis on quality patient care and cost containment, is gaining widespread recognition throughout Canada and the United States. In this paper, the Case Management Model is described in relation to nursing practice.
