Mental Health and Psychosocial Calls in the Prehospital Setting in Ontario

Mental Health and Psychosocial Calls in the Prehospital Setting in Ontario PDF Author: Polly Christine Ford-Jones
Publisher:
ISBN:
Category :
Languages : en
Pages : 0

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Book Description
Paramedics have seldom been included in discussions of mental health care and yet play a significant role in the chain of mental health care for many. This thesis explores the nature of paramedic work and the mental health and psychosocial calls encountered by paramedics in the community. This project is a case study of mental health and psychosocial calls in paramedicine in Ontario and was designed to explore the care provided by paramedics on mental health and psychosocial calls, the training and resources for these calls, and the experiences of paramedics in managing these calls. Using both a feminist political economy and social determinants of health approach, this thesis explores questions around care provision on the front lines, but also beyond into community mental health services and to the social determinants of health impacting an individuals need for care from paramedic services. I conducted interviews with front-line paramedics, paramedic services management, paramedic educators and Base Hospital physicians/managers; observation in three paramedic services including urban, rural/suburban and rural with varying degrees of engagement on the issue of mental health in paramedicine; and document analyses of the standards guiding paramedic practice in this area. This thesis reframes issues of mental health calls in paramedicine from an issue of misuse of emergency services, to one which accounts for the contexts creating distress as well as existing constraints for work and care. Findings from this study support enhanced training and education for paramedics, specific mental health related programming for paramedic services, as well as the importance of working conditions for both care providers and care recipients. I argue that there must be a balance between efforts placed on establishing appropriate supports for managing mental health and psychosocial calls as well as addressing necessary training and education in this area, while simultaneously ensuring sufficient focus remains at the level of prevention at the broader social, political, and economic determinants of physical and mental health.

Mental Health and Psychosocial Calls in the Prehospital Setting in Ontario

Mental Health and Psychosocial Calls in the Prehospital Setting in Ontario PDF Author: Polly Christine Ford-Jones
Publisher:
ISBN:
Category :
Languages : en
Pages : 0

Get Book Here

Book Description
Paramedics have seldom been included in discussions of mental health care and yet play a significant role in the chain of mental health care for many. This thesis explores the nature of paramedic work and the mental health and psychosocial calls encountered by paramedics in the community. This project is a case study of mental health and psychosocial calls in paramedicine in Ontario and was designed to explore the care provided by paramedics on mental health and psychosocial calls, the training and resources for these calls, and the experiences of paramedics in managing these calls. Using both a feminist political economy and social determinants of health approach, this thesis explores questions around care provision on the front lines, but also beyond into community mental health services and to the social determinants of health impacting an individuals need for care from paramedic services. I conducted interviews with front-line paramedics, paramedic services management, paramedic educators and Base Hospital physicians/managers; observation in three paramedic services including urban, rural/suburban and rural with varying degrees of engagement on the issue of mental health in paramedicine; and document analyses of the standards guiding paramedic practice in this area. This thesis reframes issues of mental health calls in paramedicine from an issue of misuse of emergency services, to one which accounts for the contexts creating distress as well as existing constraints for work and care. Findings from this study support enhanced training and education for paramedics, specific mental health related programming for paramedic services, as well as the importance of working conditions for both care providers and care recipients. I argue that there must be a balance between efforts placed on establishing appropriate supports for managing mental health and psychosocial calls as well as addressing necessary training and education in this area, while simultaneously ensuring sufficient focus remains at the level of prevention at the broader social, political, and economic determinants of physical and mental health.

Prehospital Behavioral Emergencies and Crisis Response

Prehospital Behavioral Emergencies and Crisis Response PDF Author: American Academy of Orthopaedic Surgeons (AAOS),
Publisher: Jones & Bartlett Publishers
ISBN: 0763774200
Category : Medical
Languages : en
Pages : 310

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Book Description
Prehospital Behavioral Emergencies and Crisis Response was designed to complement Jones & Bartlett Learning's Continuing Education series. This resource educates readers on the crisis and behavioral health issues of patients in the prehospital environment. Separated into three parts, coverage includes: the acute behavioral crisis, chronic mental health issues, and prehospital response. Prehospital Behavioral Emergencies and Crisis Response simplifies various types of diagnosed mental disorders such as mood, personality, eating, and sleeping, as well as schizophrenia and psychosis. This is a great resource for continuing education courses and is also appropriate for any basic, intermediate, or paramedic prehospital provider course. Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition.

Social Determinants of Health

Social Determinants of Health PDF Author: Toba Bryant
Publisher:
ISBN: 9780968348420
Category :
Languages : en
Pages : 94

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Book Description
The primary factors that shape the health of Canadians are not medical treatments or lifestyle choices but rather the living conditions they experience. These conditions have come to be known as the social determinants of health. This information - based on decades of research and hundreds of studies in Canada and elsewhere - is unfamiliar to most Canadians. Canadians are largely unaware that our health is shaped by how income and wealth is distributed, whether or not we are employed and if so, the working conditions we experience. Our health is also determined by the health and social services we receive, and our ability to obtain quality education, food and housing, among other factors. And contrary to the assumption that Canadians have personal control over these factors, in most cases these living conditions are - for better or worse - imposed upon us by the quality of the communities, housing situations, work settings, health and social service agencies, and educational institutions with which we interact. Improving the health of Canadians requires we think about health and its determinants in a more sophisticated manner than has been the case to date. Social Determinants of Health: The Canadian Facts considers 17 social determinants of health: 1. Income and Income Distribution 2. Education 3. Unemployment and Job Security 4. Employment and Working Conditions 5. Early Child Development 6. Food Insecurity 7. Housing 8. Social Exclusion 9. Social Safety Net 10. Health Services 11. Geography 12. Disability 13. Indigenous Ancestry 14. Gender 15. Immigration 16. Race 17. Globalization The publication outlines why they are important; how Canada is doing in addressing them; and what can be done to improve their quality. The purpose of the document is to provide promote greater awareness of the social determinants of health and the development and implementation of public policies that improve their quality.

ABC of Prehospital Emergency Medicine

ABC of Prehospital Emergency Medicine PDF Author: Tim Nutbeam
Publisher: John Wiley & Sons
ISBN: 1119698332
Category : Medical
Languages : en
Pages : 292

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Book Description
In the newly revised second edition of ABC of Prehospital Emergency Medicine, a team of experienced prehospital practitioners deliver a comprehensive up-to-date guide to the rapidly evolving field of prehospital emergency medicine. The book includes evidence-based practice and expert opinion to meet the needs of the PHEM training curriculum covering operational, clinical and system considerations. An international team of expert editors and contributors have also provided readers with: A thorough introduction to prehospital emergency medicine, including activation and deployment, personal protective equipment, and scene safety and assessment Comprehensive exploration of the primary survey, airway, breathing, and circulation assessments Practical discussions of prehospital anesthesia, analgesia, sedation, monitoring and ultrasound The prehospital management of medical, trauma and psychiatric emergencies How to care for special groups, including the elderly, obstetric, pediatric, and bariatric patients Considerations in mass casualty and chemical, biological, radiation, and nuclear incidents. ABC of Prehospital Emergency Medicine is essential reading for paramedics, doctors, nurses and other prehospital practitioners. The text is ideal for those undertaking subspecialty PHEM training, those studying for postgraduate prehospital degree modules, or practitioners undertaking PHEM exams.

Strategies to Improve Cardiac Arrest Survival

Strategies to Improve Cardiac Arrest Survival PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 030937202X
Category : Medical
Languages : en
Pages : 291

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Book Description
Cardiac arrest can strike a seemingly healthy individual of any age, race, ethnicity, or gender at any time in any location, often without warning. Cardiac arrest is the third leading cause of death in the United States, following cancer and heart disease. Four out of five cardiac arrests occur in the home, and more than 90 percent of individuals with cardiac arrest die before reaching the hospital. First and foremost, cardiac arrest treatment is a community issue - local resources and personnel must provide appropriate, high-quality care to save the life of a community member. Time between onset of arrest and provision of care is fundamental, and shortening this time is one of the best ways to reduce the risk of death and disability from cardiac arrest. Specific actions can be implemented now to decrease this time, and recent advances in science could lead to new discoveries in the causes of, and treatments for, cardiac arrest. However, specific barriers must first be addressed. Strategies to Improve Cardiac Arrest Survival examines the complete system of response to cardiac arrest in the United States and identifies opportunities within existing and new treatments, strategies, and research that promise to improve the survival and recovery of patients. The recommendations of Strategies to Improve Cardiac Arrest Survival provide high-priority actions to advance the field as a whole. This report will help citizens, government agencies, and private industry to improve health outcomes from sudden cardiac arrest across the United States.

Crisis Standards of Care

Crisis Standards of Care PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 9780309253468
Category : Medical
Languages : en
Pages : 0

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Book Description
Catastrophic disasters occurring in 2011 in the United States and worldwide-from the tornado in Joplin, Missouri, to the earthquake and tsunami in Japan, to the earthquake in New Zealand-have demonstrated that even prepared communities can be overwhelmed. In 2009, at the height of the influenza A (H1N1) pandemic, the Assistant Secretary for Preparedness and Response at the Department of Health and Human Services, along with the Department of Veterans Affairs and the National Highway Traffic Safety Administration, asked the Institute of Medicine (IOM) to convene a committee of experts to develop national guidance for use by state and local public health officials and health-sector agencies and institutions in establishing and implementing standards of care that should apply in disaster situations-both naturally occurring and man-made-under conditions of scarce resources. Building on the work of phase one (which is described in IOM's 2009 letter report, Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations), the committee developed detailed templates enumerating the functions and tasks of the key stakeholder groups involved in crisis standards of care (CSC) planning, implementation, and public engagement-state and local governments, emergency medical services (EMS), hospitals and acute care facilities, and out-of-hospital and alternate care systems. Crisis Standards of Care provides a framework for a systems approach to the development and implementation of CSC plans, and addresses the legal issues and the ethical, palliative care, and mental health issues that agencies and organizations at each level of a disaster response should address. Please note: this report is not intended to be a detailed guide to emergency preparedness or disaster response. What is described in this report is an extrapolation of existing incident management practices and principles. Crisis Standards of Care is a seven-volume set: Volume 1 provides an overview; Volume 2 pertains to state and local governments; Volume 3 pertains to emergency medical services; Volume 4 pertains to hospitals and acute care facilities; Volume 5 pertains to out-of-hospital care and alternate care systems; Volume 6 contains a public engagement toolkit; and Volume 7 contains appendixes with additional resources.

Critical Inquiries for Social Justice in Mental Health

Critical Inquiries for Social Justice in Mental Health PDF Author: Marina Morrow
Publisher: University of Toronto Press
ISBN: 1442626623
Category : Medical
Languages : en
Pages : 521

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Book Description
An exceptional showcase of interdisciplinary research, Critical Inquiries for Social Justice in Mental Health presents various critical theories, methodologies, and methods for transforming mental health research and fostering socially-just mental health practices. Marina Morrow and Lorraine Halinka Malcoe have assembled an array of international scholars, activists, and practitioners whose work exposes and disrupts the dominant neoliberal and individualist practices found in contemporary mental research, policy, and practice. The contributors employ a variety of methodologies including intersectional, decolonizing, indigenous, feminist, post-structural, transgender, queer, and critical realist approaches in order to interrogate the manifestation of power relations in mental health systems and its impact on people with mental distress. Additionally, the contributors enable the reader to reimagine systems and supports designed from the bottom up, in which the people most affected have decision-making authority over their formations. Critical Inquiries for Social Justice in Mental Health demonstrates why and how theory matters for knowledge production, policy, and practice in mental health, and it creates new imaginings of decolonized and democratized mental health systems, of abundant community-centred supports, and of a world where human differences are affirmed.

Emergency Medical Services

Emergency Medical Services PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309101743
Category : Medical
Languages : en
Pages : 311

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Book Description
Emergency Medical Services (EMS) is a critical component of our nation's emergency and trauma care system, providing response and medical transport to millions of sick and injured Americans each year. At its best, EMS is a crucial link to survival in the chain of care, but within the last several years, complex problems facing the emergency care system have emerged. Press coverage has highlighted instances of slow EMS response times, ambulance diversions, trauma center closures, and ground and air medical crashes. This heightened public awareness of problems that have been building over time has underscored the need for a review of the U.S. emergency care system. Emergency Medical Services provides the first comprehensive study on this topic. This new book examines the operational structure of EMS by presenting an in-depth analysis of the current organization, delivery, and financing of these types of services and systems. By addressing its strengths, limitations, and future challenges this book draws upon a range of concerns: • The evolving role of EMS as an integral component of the overall health care system. • EMS system planning, preparedness, and coordination at the federal, state, and local levels. • EMS funding and infrastructure investments. • EMS workforce trends and professional education. • EMS research priorities and funding. Emergency Medical Services is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.

Reducing the Burden of Injury

Reducing the Burden of Injury PDF Author: Committee on Injury Prevention and Control
Publisher: National Academies Press
ISBN: 0309593468
Category : Medical
Languages : en
Pages : 336

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Book Description
Injuries are the leading cause of death and disability among people under age 35 in the United States. Despite great strides in injury prevention over the decades, injuries result in 150,000 deaths, 2.6 million hospitalizations, and 36 million visits to the emergency room each year. Reducing the Burden of Injury describes the cost and magnitude of the injury problem in America and looks critically at the current response by the public and private sectors, including: Data and surveillance needs. Research priorities. Trauma care systems development. Infrastructure support, including training for injury professionals. Firearm safety. Coordination among federal agencies. The authors define the field of injury and establish boundaries for the field regarding intentional injuries. This book highlights the crosscutting nature of the injury field, identifies opportunities to leverage resources and expertise of the numerous parties involved, and discusses issues regarding leadership at the federal level.

Managing in Health and Social Care

Managing in Health and Social Care PDF Author: Vivien Martin
Publisher: Psychology Press
ISBN: 9780415251907
Category : Business & Economics
Languages : en
Pages : 364

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Book Description
Table of Contents List of Illustrations Introduction 1 Overview of the chapters 2 1 Your job as a manager in health and social care 5 2 Improving your effectiveness as a manager 24 3 Management and leadership 39 4 Values and vision 57 5 Mapping the service environment 75 6 Developing effective performance 93 7 Managing change 113 8 What do your customers and service users want? 135 9 Managing outcomes for service users 157 10 Quality in services 177 11 Working with standards 192 12 Management control 211 13 Managing processes 233 14 Planning and managing projects 248 15 Service planning, accountability and risk 267 16 Working with a budget 286 17 The flow of work and information 303 18 Evidence and investigation 323 Contributors 340 Acknowledgements 343 Index 345.