The impact of organisational factors and government policy on psychiatric nurses family focused practice with parents who have mental illness, their dependent children and families in Ireland

Government policy and organizational factors influence family focused practice in adult mental health services. However, how these aspects shape psychiatric nurses’ practice with parents who have mental illness, their dependent children and families is less well understood. Drawing on the findings of a qualitative study, this article explores the way in which Irish policy and organizational factors might influence psychiatric nurses’ family focused practice, and whether (and how) family focused practice might be further promoted. A purposive sample of 14 psychiatric nurses from eight mental health services completed semi-structured interviews in 2013. The analysis was inductive and presented as thematic networks. Both groups described how policies and organizational culture enabled and/or hindered family focused practice, with differences between community and acute participants seen. The need to develop national and international policies along with practices to embed information and support regarding parenting into ongoing care is implicated in this study.

Illegitimacy and its impact on the aid to dependent children program /

Bibliography: pages 61-66.

Aid to dependent children under the Social Security Act /

"September 1937."

Characteristics of state plans for aid to families with dependent children under the Social Security Act, Title IV-A, and for Guam, Puerto Rico, & Virgin Islands.

Description based on: 1981 ed.

Research tables based on Characteristics of state plans for aid to families with dependent children : need, eligibility, administration in effect...

Description based on: 1980 ed.; title from cover.

Final report of the Commission to Evaluate the Adequacy of the Aid to Families with Dependent Children Need and Payment Standards.

"February, 1990."

ASCS employees, Federal justices, judges, and certain dependent children [microform] : hearing before the Subcommittee on Compensation and Employment [i.e. Employee] Benefits of the Committee on Post Office and Civil Service, House of Representatives, Ninety-sixth Congress, first session, on S. 383, H.R. 2583, and H.R. 2584, July 24, 1979.

Reuse of record except for individual research requires license from Congressional Information Service, Inc.

Aid to the blind and to dependent children.

Cover title.

[County statistics]: old age assistance, aid to dependent children, aid to the blind, aid to the disabled, direct relief, medical assistance for the aged, county medical care facilities.

Mode of access: Internet.

Profile of state performance in the Aid to Families with Dependent Children Program, 1979-1980.

"October 1982"--P. [4] of cover.

Investigation of selected cases under the aid to dependent children program : Department of Public Welfare, District of Columbia Government : special report to the Subcommittee on District of Columbia, Committee on Appropriations, United States Senate.

Mode of access: Internet.

The effectiveness of in-service training and of reduced workloads in aid to dependent children; a report of an experiment conducted in Michigan

Mode of access: Internet.

Aid to families with dependent children: structural change / Burke, Vee.

"Originated 11/11/74."

Specialized managed care for children with cystic fibrosis: Resource use patterns and rate design for a high cost Medicaid population

Objective. This research study had two goals: (1) to describe resource consumption patterns for Medi-Cal children with cystic fibrosis, and (2) to explore the feasibility from a rate design perspective of developing specialized managed care plans for such a special needs population.^ Background. Children with special health care needs (CSHN) comprise about 2% of the California Medicaid pediatric population. CSHN have rare but serious health problems, such as cystic fibrosis. Medicaid programs, including Medi-Cal, are enrolling more and more beneficiaries in managed care to control costs. CSHN, however, do not fit the wellness model underlying most managed care plans. Child health advocates believe that both efficiency and quality will suffer if CSHN are removed from regionalized special care centers and scattered among general purpose plans. They believe that CSHN should be "carved out" from enrollment in general plans. One alternative is the Specialized Managed Care Plan, tailored for CSHN.^ Methods. The study population consisted of children under age 21 with CF who were eligible for Medi-Cal and California Children's Services program (CCS) during 1991. Health Care Financing Administration (HCFA) Medicaid Tape-to-Tape data were analyzed as part of a California Children's Hospital Association (CCHA) project.^ Results. Mean Medi-Cal expenditures per month enrolled were $2,302 for 457 CF children, compared to about \$1,270 for all 47,000 CCS special needs children and roughly $60 for almost 2.6 million ``regular needs'' children. For CF children, inpatient care (80\%) and outpatient drugs (9\%) were the major cost drivers, with {\it all\/} outpatient visits comprising only 2\% of expenditures. About one-third of CF children were eligible due to AFDC (Aid to Families with Dependent Children). Age group explained about 17\% of all expenditure variation. Regression analysis was used to select the best capitation rate structure (rate cells by age and eligibility group). Sensitivity analysis estimated moderate financial risk for a statewide plan (360 enrollees), but severe risk for single county implementation due to small numbers of children.^ Conclusions. Study results support the carve out of CSHN due to unique expenditure patterns. The Specialized Managed Care Plan concept appears feasible from a rate design perspective given sufficient enrollees. ^