Value Integrated Care a Social Care Intervention
Table of Contents
Children as victims of Negligence and Physical Abuse- 5
Lower Learning Abilities in children- 6
Integrated care on Addictive Issues 7
Integrated care is used as an intervention to provide people with different health and social care necessities. Through the integration care, both the health and social organizations are working collectively to deliver the interventions that enhance health and social results. Social care interventions involve person-centered strategies and changes in activities. The integrated care in the United Kingdom has drawn the hypothesis of laws to grant answers to the augmented problems founded on social care organizations. This paper deals with the provision of integrated health and social care in the United Kingdom, where the government, as well as other health organizations, have embraced new different approaches to promote integration in health and social care to its populace. These approaches are founded on a national context for collaboration, which provisions local solutions, provides better financial incentives comprising research with diverse payments, and contracting systems.
Background
For the last four decades, the integration of health and social care has been a strategic objective of the victorious United Kingdom government. A variety of strategies and financial implements have been utilized in the UK, though the overall improvement has appeared patchy and restricted (Baxter et al., 2018, Pg 5). This is because of various reasons comprising variances in culture and the ways of operations, funding, and the accountability provisions and distinct regulation systems that evaluate the performance of separate organizations and not as an organization wholly. There has been a universal agreement that new engagements have been complicated and confusing. Most frequently fail to guarantee that individuals receive appropriate services at the right time and place. Given that most westernized countries face the challenge of an aging population needing more coordinated care and support for a combination of care and support needs, UK expertise in attempting to identify integrated care strategies would be of benefit to other nations. Since 1997, the decentralization of healthcare policy responsibilities to different authorities in Wales, Scotland, and Northern Ireland has contributed to rising policy disparity between these nations.
Integrated healthcare offers integrated, coordinated, secure, and efficient coverage for everyone's health needs through the coordination and distribution of healthcare. Integrated care strategies focus on the availability of services, who delivers these services effectively, and how patient access is supported. Integrated care includes collaboration and cooperation among service providers. It takes place through primary, secondary, and tertiary treatments and extends across the "medical neighborhoods" far beyond the regular home or separate provider of a patient. The interconnected health area comprises healthcare professionals, clinicians, hospitals, and allies. Also, it is strongly linked with patient-centered care; the patient, support, or care and his or her healthcare professionals have informed and actively shared decisions (Baxter et al., 2018, Pg. 29). Primarily, this partnership and coordination will be made possible and promoted through implementing active structures and systems.
Coffering to the case study presented, Leana, who is only 13 years, is suffering from emotional and behavioral difficulties (EBD). Emotional and behavioral complications have recently been progressively diagnosed in children, creating the most common chronic youthful situations. In the absence of timely and appropriate treatment, the EBD condition poses a long-term personal and community level concerns. Integrated healthcare, while working with children's emotional and behavioral implications with children serving systems, enhances the results of the care provided (Lowry, Hale, Draper & Smith., 2019, Pg.160). The main objective is to improve the quality and cost-effectiveness of healthcare to individuals by confirming that the services are appropriately coordinated and centered on their requirements. Thus, it is crucial to diagnose the demands of treating EBD to include Leana at the early stages of child development. In the UK, the EBD child problems are happening at an alarming rate, affecting the overall healthcare and children's growth.
Generally, children who typically have distinctive healthcare requirements encounter social demographical patterned difficulties in having access to healthcare, with less known concerning how these indicators character the access to healthcare amongst children suffering from EBD, and they compare to the patterns which are observed amongst the children without EBD. The kids with EBD typically get fewer researches as well as to policy attention as compared to kids with other unique requirements. Thus they are less probably to get treated even if EBD considerably affects the families and the society generally. To abolish the adverse health results and other long-term problems of EBD, assessing the effects of EBD on admittance to care, and evaluating the structural aspects of health care admission is crucial. To effectively deal with the treatment of behavioral care difficulties in the social care environment, early childhood intervention will be essential (England-Mason et al., 2017, Pg. 52). Similarly, to augment the responses' results, the integrated healthcare interventions are highly recommended to account for the entire health and wellbeing of a child.
Children as victims of Negligence and Physical Abuse
On the other side, Leana has also been a victim of child abuse, where her mother had initially neglected the child and physically abusive. As a consequence, Leana had to be registered with child protection. Regarding integrated health and social care, children have health rights; thus, they should be protected from physical abuse. The World Health Organization (WHO), has defined children abuse or maltreatment as all the forms of physical and psychological cruel treatment, negligence, sexual abuse or any kind of child exploitation that results from actual or potential harm to kids wellbeing, survival, growth or dignity in the context of an association of responsibility, faith or authority (Davies, O’Leary & Read, 2017, Pg. 600). Any acts, actions and words that weaken, diminish, or decrease the inherent worth and integrity of a child as an individual being are also significantly essential and expressive in the Indian meaning.
Even though child abuse can still be classified in various ways, the types of harm done could be used to impact current and future governance. Second, the form of abuse may also be described as other damaging effects on children's health and welfare: physical, sexual, and emotional abuse and neglect (the latter being intentional or ignorant). For a child victimized, these are sometimes mixed. Robust programs spanning many fields must be in place to better deter and handle child violence. Every system must not operate alone, but it should be integrated to achieve a successful method of over-representing child protection. For instance, educating the health workers to realize levels of child abuse is through itself of lesser value or even being harmful supposing the system to safeguard children or any other family member at risk is ordinarily absent or even ineffective. Decrees without implementation, present complacency. It should also be accepted that undertaking child protection is also a risky task for the experts involved. The government should have in position systems to safeguard the experts engaged in this Practice from the abusers or even the family members. The Practice will also require skilled and devoted members in the community to appliance the child safeguard system, and they should be satisfactorily be paid. Whistleblowers and accountable media cover to kid’s protection subjects are crucial mechanisms and thus need to be encouraged and fully supported through all government arms. The obligatory reporting on children abuses should be enacted through different countries, is also an essential method of supporting the experts who are committed to safeguarding children.
Children's cruel harming and neglect by parents who appear much stressed through their conditions or psychological health complications need a very diverse approach. In such a situation, latent abuse may be averted through reliable, ideologically integrated, social, and medical care. Once acknowledged, adequately qualified and resourced welfare workers, instead of law enforcers should drive the management to assist and support for the members who are in the threat (Davies, O’Leary & Read, 2017, Pg. 720). The protection of children needs to be combined and closely harmonized participation of the primary players, with the national governments granting a significant lead. Even though non-governmental organizations and UN agencies are crucial in accounting for children protection, the fundamental responsibility is on the nation's government to work closely with right encouraging groups.
Lower Learning Abilities in children
In the instance where Leana is diagnosed with lower learning abilities, the team of PCP,
a behavioral health Care Manager and Psychiatrists Consultants will play a significant role in improving her health. The PCP will arrange for the provision and monitoring of behavioral health services. To track Leana's recovery progress and new symptoms, the implementation of a patient registry/tracking system will be drafted. The Behavioral Healthcare Manager will provide primary consultation care and brief treatment services when the need presents itself. Leana's behavioral complication cannot be treated with interventions in the first quadrant, from the cases study she has shown mild learning difficulties and has suffered from depression, anxiety and undiagnosed bipolar disorder for more than a year, therefore, early intervention implemented at the first quadrant will have no impact on the overall behavioral health of Leana. To effectively use this clinical integration model, Leana's condition can be treated in quadrant II. This quadrant is defined by moderate to high behavioral health complications and low to mild physical conditions (de Bruin, Dima, Texier & van Ganse, 2018, Pg. 1922). Leana does not suffer from any physical condition; however, she has a severe case of behavioral health complications. To successfully improve Leana's health outcomes, a team to include a PCP, Behavioral Healthcare Manager, and a Psychiatrist. She will be engaged in a group wellness program and community-based services inclusive of behavioral services to provide additional support to her recovery process. The Integrated care teams are made up of the patient, Primary Care Provider, Care Manager, and Psychiatric Consultant. The patient is the most critical person in the group, to ensure the implementation of best interventions, the patient is encouraged to participate actively and point out what is working out for them and not working out. The patient works hand in hand with the PCP and the Case Manager to track progress. To ensure the delivery of best care and intervention, the patient should raise concerns and questions on the care offered and stay informed (de Bruin, Dima, Texier & van Ganse, 2018, Pg. 1924). The PCP is responsible for maintaining accountability for monitoring and overseeing all aspects of care. The PCP is also a vital member of the integrated care teams; he/ she is responsible for making and confirming the diagnosis. The PCP collaborates in close liaison with the Case Manager to track the progress of outcomes. The Case Manager is responsible for coordinating with the PCP to develop, implement, and adjust a treatment plan. The Case Manager is responsible for answering all questions related to the treatment. Lastly, the Psychiatric Consultant is an expert consultant who provides advice to the PCP and Case Manager on treatment options and how to improve the existing treatment plan.
Integrated Care on Addictive Issues
According to the case study, Leana has been using heroin as well as smoking marijuana for self-medication on her undiagnosed bipolar disorders, where she has been battling with levels of depression and anxiety to the extent she has even struggled to commit suicide. Considering integrated health and social care, for Leana at her age, being in drug abuse is significantly risky, keeping in mind her bipolar condition has not been diagnosed through a medical professional. In some cases, individuals who engage with drugs or even alcohol abuse problems encounter numerous challenges in their lives comprising of issues of shelter, family relations, employment, criminal behaviors, and also debts.
This means Leana will require several interventions and a variety of organizations to assist her in drug abuse problems. There are several diverse treatment ideas and approaches in the drug abuse field, reflecting the various requirements and priorities of the user’s services and providers (Durbin, Hensel & Deber, 2016. Pg. 130). These approaches tend to have envisioned results. Nevertheless, it is crucial to set out the primary objective of integrated care while working for diverse philosophies. The primary purpose of integrated care is to support substance users in overcoming the problem and their related health and social problems by offering proper, coordinated, and timely treatment and care. During her recovery, she may require diverse interventions that will generally include contacts with different services providers.
The diverse interventions and services providers require to be of equivalent significance in the context of increasing a personal-centered strategy to care. The sequence with which she accesses the services and interventions need to be founded on priority, which happens following the initial inclusive evaluation. Attaining integrated care will rely on having effective mechanisms to convey and exchange philosophies between the strategic as well to the functioning levels. The strategies to be established through dialogue amongst the professionals who comprehend how these services are delivered, and what might challenge any procedure of change to the habit. Accomplishments will rely on the services providers adopting the sense of ownership and comprehension of both the rules that support integrated care and the modifications in the Practice required in delivery.
In conclusion, Leana from the case study presented suffers from behavioral health complications; these complications include depression, anxiety, substance abuse, and undiagnosed bipolar. Integrated care interventions can be used to improve the comprehensive health of the child. Integrated care has proved to be effective in treating behavioral health problems. The first step towards using integrated care is developing core competencies. The four-quadrant clinical integration method can be used to address the health needs of the child. While using this method, it is essential to identify the quadrant where the child falls under to apply the right interventions. The integrated care team is made up of the patient, PCP, A Case Manager, and a Psychiatrist. These stakeholders work in close liaison to ensure that the integrated care intervention implemented is effective. To successfully increase the outcomes of interventions, combined care interventions are recommended to address children's behavioral health. Also, to further enhance social and healthcare delivery, it is advisable to design a healthcare delivery system that integrates social care into health care.
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