1 in 3 will be older adults by 2025 in Japan

In June Dr Mayumi Hayashi described Japan's vision of 'total care' for its older population in HSJ. The article that prompts this post follows another with lessons for England.

Referring to a "2025 vision" this forward thinking has its roots in established systems of healthcare set up in 1961 and social care established in 2000 (p.25).

Care integration is not new as a fundamental issue in health and social care. It is for me a career legacy issue. As a student nurse it was discussed and debated, closely allied with multidisciplinary and holistic (joined up physical and mental health) care. Even now 37 years later it will drive many arguments and policy deliberations in the run up to the next election here.

Many nations are faced with stark demographics. As the population ages and works its way through wooden blocks, Rubik cubes, it is the population pyramid that takes on increasing significance.


Dr Hayashi lists the need for inclusion, integration and continuation of four components that are essential to the realisation of this vision:

• maximising the integration of healthcare and social care;
• promoting policies for prevention and outreach together with safeguarding;
• embedding supported living programmes and dementia friendly community initiatives; and
• addressing “late life specific” housing needs.

I have mapped these to Hodges' model below:

individual
INTERPERSONAL : SCIENCES

humanistic ------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

group

embedding supported living programmes and dementia friendly community initiatives	integration of health and social care
"late life specific" housing needs (integration of health and social care)	promoting policies for prevention and outreach, together with safeguarding

It becomes clear to see in Japan, China and other nations how telecare and smart homes have a role to play. Getting the basics of integrated care resolved firstly is the prerequisite whatever the culture.

Where achieved the integration of health and social care can act as a diagonal brace as it straddles two care domains. Perhaps the model also reflects the ongoing challenges of parity in esteem in mental health care and physical care; and the funding ambiguity for people living with dementia as opposed to other medical conditions?

In January 2014 the FT Weekend magazine also featured an article on ageing in Japan.

Hayashi, M. (2014) Japan's vision of a 'total care' future looks bright, Health Service Journal, 124, 6404, 25-27. 

FT magazine cover image:
https://www.facebook.com/financialtimes/photos/a.10150157857040750.297340.8860325749/10152119294570750/?type=1

Compare and contrast potential - Energy for Change Index and Hodges' model

The biopsychosocial model is quite all encompassing used as it is to help explain and represent pain, explain human development and balance the physical excesses of psychiatry.

For all its scope the biopsychosocial model is two domains short of Hodges' model.

Hodges' model is dated though, a child of the mid-1980s. The biopsychosocial model predates Hodges' and as models of nursing have fallen out of favour in terms of the attention they receive the biopsychosocial is subjected to critique as per:

Ghaemi, S.N. (2009). The rise and fall of the biopsychosocial model. Br J Psychiatry.195(1):3–4.

Hatala, A.R. (2012). The status of the “biopsychosocial” model in health psychology: Towards an integrated approach and a critique of cultural conceptions. Open Journal of Medical Psychology, 1, 51-62. doi: 10.4236/ojmp.2021.14009

A cursory check reveals a diverse and current literature on the biopsychosocial model. If this is positive for the general role of 'models' in health and social care education and learning then there is another encouraging source in the five energies for change with its five domains, as per the figure:

The five energy domains

• Spiritual
• Social
• Physical
• Psychological
• Intellectual

There is clearly great similarity with Hodges' model although in h2cm the spiritual combines all the four domains of which the political also replaces the intellectual. I would equate the intellectual with the psychological, accepting of course the existence of individual and group psychologies. Being intellectual and becoming intellectual to the extent of an individual realising their potential has long been recognised as a political matter and consequence (Freire). As such the Political domain within Hodges' model is central to its relevance within the field of engagement and innovation and beyond.

Whilst the energy for change domains have a specific derivation and (instrumental) purpose I would suggest that a possible strength for Hodges' might lie in the notion (which it is) that there is an underlying conceptual structure from which the domains arise. This structure might support the model's application in time, as well as assuring its longevity and the stamina of its champion.


My prompt: Land, M., et al. (2014) Pedal to the metal to improve the NHS. HSJ, 124, 6389, 26-27.

Image: (please see title and image link)

Health and Social Care Policy: Always - from a distance

individual
INTERPERSONAL : SCIENCES

humanistic ------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

group

"Cura te ipsum." - "Take care of your own self."

mental health	physical
social	policy

Additional link:
http://en.wikipedia.org/wiki/Cura_te_ipsum


Latin source: Mediawatch, tpm the philosophers' magazine, 2nd quarter 2014, p.14.

(which cites: http://www.3ammagazine.com/3am/cura-te-ipsum/ )

Bleeding holism

Holistic, integrated and 

person centered care

 is what happens when 

 respect and empathy 

bleed.

i c u

individual

INTERPERSONAL : SCIENCES

humanistic ------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

group

tears	tears
Avatar image "I see me through your eyes."	te ar s

Wired: Avatar 2, 3 and 4

ICU - Intensive Care Unit

Image: http://i1.ytimg.com/vi/Ek5C0NhnNlA/maxresdefault.jpg

If you must rumple the care domains - rumple them together

individual
INTERPERSONAL : SCIENCES
humanistic ------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL

group

'A Man’s body and his mind, 
with the utmost reverence to both I speak it, 
are exactly like a jerkin, and a jerkin’s lining; – 

rumple the one	– you rumple the other.’ 1

¹ Sterne L. The Life and Opinions of Tristram Shandy, Gentleman (1761), vol. 3, ch. 4 (eds M New, J New). University of Florida Press, 1978.

Source: Royal College of Psychiatrists (2013) Whole-person care: from rhetoric to reality Achieving parity between mental and physical health. Occasional Paper 88, March 2013. p.2.

Don't RAID on my Care Domains

individual

INTERPERSONAL : SCIENCES
humanistic ------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL

group

Assessment Person-centred, Holistic, Equality of Esteem in Care, Self-care, Literacies	Rapid Co-ordination, Speed, Synchronization, Length of Stay, Physical access, Systems
Discharge Communities of practice, Resources, After-care, Communications, Education	Interface Policy, Infrastructure, Integration, Choices, Liaison, E-records, Information Sharing

Additional links:

RAPID ASSESSMENT INTERFACE DISCHARGE (RAID) Prof George Tadros

With money in mind: The benefits of liaison psychiatry, MHN

ERCIM News No. 97 Special theme: "Cyber-Physical Systems"

Dear ERCIM News Reader,

ERCIM News No. 97 has just been published at http://ercim-news.ercim.eu/en97

Special theme: "Cyber-Physical Systems"
http://ercim-news.ercim.eu/en97/special/

Guest editors:
- Maria Domenica Di Benedetto, University of L’Aquila, Center of Excellence DEWS
- Françoise Lamnabhi-Lagarrigue, CNRS, Laboratoire des Signaux et Systèmes
- Erwin Schoitsch, AIT Austrian Institute of Technology/AARIT.

Keynote: "The Importance of Cyber-Physical Systems for Industry" by Clas Jacobson, Chief Scientist for United Technologies Systems & Controls Engineering, USA

This issue is also available for download as:
pdf:  http://ercim-news.ercim.eu/images/stories/EN97/EN97-web.pdf
epub: http://ercim-news.ercim.eu/images/stories/EN97/EN97.epub

Next issue: No. 98, July 2014 - Special Theme: "Smart Cities"
(the call will be published shortly at http://ercim-news.ercim.eu/call)

Thank you for your interest in ERCIM News.
Feel free to forward this message to others who might be interested.

Best regards,
Peter Kunz
ERCIM News central editor

Includes:
Optogenetics to Unravel the Mechanisms of Parkinsonian Symptoms
Big Data in Healthcare: Intensive Care Units as a Case Study
SEMEOTICONS: Face Reading to Help People stay Healthy

--------------------------------------------------------------------------------------
Cor Baayen Award 2014: Nominate a promising young researcher. Deadline: 30 April
http://www.ercim.eu/activity/cor-baayen-award
-------------------------------------------------------------------
ERCIM "Alain Bensoussan" Fellowship Programme
ERCIM offers fellowships for PhD holders from all over the world. The next round is open. Application deadline: 30 April 2014 http://fellowship.ercim.eu/

Follow us on twitter http://twitter.com/#!/ercim_news
and join the open ERCIM LinkedIn Group http://www.linkedin.com/groups/ERCIM-81390

Informatics in Primary Care - journal

Informatics in Primary Care Journal

On Wednesday I visited HC2014. Having the week off and with the event literally on the doorstep (London in 2015) it was very convenient.

I'd received an email the evening before on the new informatics federation and heard the official announcement in the opening session. My last HC event was 2005, my first 1986 also in Manchester if I remember correctly.

I posted the federation news this morning. On the BCS stand I picked up a copy of the INFORMATICS IN PRIMARY CARE.

This journal is open access. Despite the title and perhaps illustrative of the dependencies within and need to integrate health (and social care) the journal's coverage is broad and inclusive:

We are interested in how computerised medical records can better record the clinical status of patients and can be used to measure the quality, safety and efficiency of health care professionals and organisations – including primary care, hospital, mental health, and social and community care.  The scope of the journal also includes integrated care and how genetic data might be used to enhance health care.

I will reflect a little more on HC2014 soon.

The limitations of the healthcare sector

4

many

decades there 

have been recurring 

issues, austerity measures, 

requirements, policy challenges, 

policy initiatives, gaps between theory 

and practice, a crisis in compassionate care, 

rising waiting times and a plethora of other concerns.

All these then and much more 

affect the

 healthcare

 sector

Clearly, there is no 'magic wand', but there must be a way to address some of the difficulties? 

Within health and social care, locally, nationally and globally we need a tool to help improve interprofessional reflective practice, to support person-centered, holistic care across physical, emotional, social, political and spiritual domains of care. 

The future demands a resource (free, open, easy to learn) that can also facilitate self-care, health literacy and the many carers within families and communities.

 

So, how big is your picture?

Cognitive Informatics and other forms?

Over the past couple of months I've posted on topics that include an example of Hodges' model related to the post's particular theme. In McGonigle and Mastrian's Nursing Informatics and the Foundation of Knowledge, Second Edition (2012) on page 63 the editors cite Wang (2003):

Cognitive informatics attempts to solve problems in two connected areas in a bidirectional and multidisciplinary approach. In one direction, CI uses informatics and computing techniques to investigate cognitive science problems, such as memory, learning and reasoning; in the other direction, CI uses cognitive theories to investigate problems in informatics, computing and software engineering (p.120). 

I will leave it to you to consider the INTRA-INTERPERSONAL and SCIENCES domains, and not (just) how Wang's cognitive informatics 'fits' within Hodges' model, but what of the many other informatics fields. Here they seem like stepping stones, but taken together where do they lead to, from, ... about ...?


Wang, Y. (2003), Cognitive Informatics: A New Transdisciplinary Research Field, Brain and Mind: A Transdisciplinary Journal of Neuroscience and Neurophilosophy, Vol.4, No.2. pp.115-127.  

Student engagement survey UK pilot – Year 2: HEA

Forwarded from the HEA

The National Survey of Student Engagement (NSSE) was designed to measure students’ participation in activities and practices that are known to relate to improvements in learning. It asks about the amount and quality of effort that students invest in their studies, as well as the extent to which their courses and institutions are supportive and encouraging. It was developed and first used in North America in 2000, and has now been adapted and implemented in Australia, New Zealand, South Africa and Ireland.

In early 2013, nine UK institutions piloted a range of survey questions derived from NSSE. The questions were focused on four key areas:

• Critical thinking. Four questions asked students about the emphasis their coursework placed on a range of mental activities such as evaluating and applying information.

• Course challenge. Three questions focused on how their courses have encouraged them to work hard.

• Collaborative learning. Three questions asked students how often they had interacted with other students in a range of ways.

• Academic integration. Five questions explored students’ interaction with academic staff, participation in class and discussions with others outside class.

8500 students responded, and the report of the first year of the pilot will be published on 6 November 2013 and will be available at www.heacademy.ac.uk/surveys. The report contains analysis of the results, as well as findings from interviews with students about the questions used.

In order to allow more institutions to take part in this project, and to collect more data for research purposes, the project will run again in spring/summer 2014.

Participation in this project allows institutions to ask students about the extent to which they are investing effort in their studies, to identify areas where more encouragement and opportunities to engage may be required. Institutions will be able to benchmark their own results against the aggregate UK results, both at institutional and subject level, to better understand their students’ engagement.

For full information on the pilot and how to be involved, along with all related documentation please see our website at http://www.heacademy.ac.uk/resources/detail/engagement_survey/pilot_call_2014

Kind Regards

Celia

Dr Celia R Brigg

Academic Lead (Business Development)

 celia.brigg at heacademy.ac.uk

The Higher Education Academy, Innovation Way, York Science Park, Heslington, York, YO10 5BR

www.heacademy.ac.uk – Twitter @HEAcademy

£150k NHS Innovation Challenge Prize for Dementia in collaboration with Janssen Healthcare Innovation

We would like to draw your attention to the following information. Please circulate as appropriate. Thank you.

 

NHS Innovation Challenge Prize for Dementia in collaboration with Janssen Healthcare Innovation

 

Prize fund: up to £150k

 

If you are working in partnership to deliver integrated care that’s making a difference to the lives of people with dementia, their carers and families – then enter the challenge and share your best practice.

 

Closing date: 4 September 2013

 

For more details please see: http://www.nhschallengeprizes.org/

-------------------------------------------------------------------------

 

Regards,

Irina Johnston

CHAIN Administrative Assistant

 

If you wish to publicise information on the CHAIN Network please email your request to: enquiries@chain-network.org.uk

 

CHAIN - Contact, Help, Advice and Information Network – is an online international network for people working in health and social care. For more information on CHAIN and joining the network please visit website: http://chain.ulcc.ac.uk/chain/index.html

3rd Int. Conference on Integrated Information: IC-ININFO, Prague Sept

Hi everyone!

I have been invited to Chair a session at the IC-ININFO 2013 conference in Prague in September and am now looking for abstracts by people interested in attending.

I am particularly interested in papers around sociotechnology or knowledge management. At this stage an abstract is required of around 250 words to me in the first instance and if I accept it, then it will go through the online review system. After acceptance of their abstract the authors have to prepare their Conference paper of up to 8 pages.

The paper submission will initiate a further single blind peer review process and the final paper will be published in the Conference Proceedings Book. More over, each author can submit a full paper to one of the supporting journals.

Please get in touch if you have an idea for this conference.

Elayne Coakes (Dr)
Senior Lecturer, Information and Knowledge Management
Room M112
The University of Westminster
coakese at WESTMINSTER.AC.UK

My source: SOCIOTECH at JISCMAIL.AC.UK

In orbit*: Where a model of global health care should be

What platform are you using 

to monitor and positively impact 
the minutiae of care 

and the whole picture?

* and in mind.

On 25 May, NASA's Phoenix lander was 10 kilometres above the surface of Mars and less than three minutes from landing when it was captured passing in front of Heimdall crater by the HiRISE camera on the Mars Reconnaissance Orbiter (MRO).

http://www.nature.com/news/2008/080604/full/453712a/box/1.html
Published online 4 June 2008 | Nature 453, 712-713 (2008) Eric Hand

Additional link:
Phoenix: A tribute

Personalised care and gravitas (literally)

The Einstein Cross Gravitational Lens
Original Image Credit & Copyright: 
  J. Rhoads (Arizona State U.) et al.

Today's Astronomy Picture of the Day is described as follows:

Most galaxies have a single nucleus -- does this galaxy have four? The strange answer leads astronomers to conclude that the nucleus of the surrounding galaxy is not even visible in this image. The central cloverleaf is rather light emitted from a background quasar. The gravitational field of the visible foreground galaxy breaks light from this distant quasar into four distinct images. The quasar must be properly aligned behind the center of a massive galaxy for a mirage like this to be evident. The general effect is known as gravitational lensing, and this specific case is known as the Einstein Cross. ...

Health care problems can weigh very heavy on the individual affected by them and their loved ones. To deliver personalised care we first need to resolve the four care domains (five including the spiritual). If personalised care is to be realised (aligned and integrated) in practice and not just two words in policy (political lensing), then we need to remember personalised care can be an illusion in itself.

Additional post:
Person centred care, wormholes, pesterers, care domains (iii)

The Enormous Theorem meets The Enormous Conceptual Framework

with Best Wishes for the Season and 2013...

Hodges' Health Career - Care Domains - Model is not a theory of health and social care.

It can however encompass the conceptual space that comprises not only health and social care, but the lived experience of individuals, and the existence of corporate and political entities (notably policy).

So while mathematicians have The Enormous Theorem, in Hodges' model we can at least reflect on what might be the enormous conceptual framework.


Prize awarded for largest mathematical proof. New Scientist, Sept 10 2011, 211, 2829. p.5.

The Bigger Picture - Hockney: Hodges' model 4 dynamic perspectives

In the decades to follow the patient, the carer, the health and social care professional must all be dynamic. All must be capable of movement - that is taking in several perspectives. As always composition is vital. So is choreography. As Hockney indicates the picture comprises both ordinary perspective and reverse perspective.


If static, found only for a moment: an assessment, plan, evaluation. A snapshot. Then moving a-gain.

Ever seeking the dynamic.
 
Acknowledgement: David Hockney


My source:
'The mass media has lost its perspective'.
David Hockney, The Financial Times, Page 11, October 27-28, 2012 

Image source:
http://www.tumblr.com/tagged/a-bigger-picture

Additional post:
http://hodges-model.blogspot.co.uk/2012/01/bigger-picture-david-hockney-ra.html

Semantic Web journal Special Issue on Cognitive Science and the Semantic Web

The Semantic Web journal invites paper submissions for a special issue on "Cognitive Approaches for the Semantic Web." The scope of the special issue includes research from cognitive science that employs Semantic Web technologies, ontologies, or Linked Data as well as semantic web research that takes inspiration from Cognitive Science findings and methods. We also invite work from domains that would benefit from a closer integration of cognitive science methods into the Semantic Web such as the digital humanities, bioinformatics, and GIScience. Submitted research may address a variety of topics including (but not limited to) reasoning, information retrieval and integration, personalization, context, patterns, user interfaces, spatial cognition, and learning. All standard paper types from the Semantic Web journal may be submitted (research paper, survey paper, tool/system paper, dataset description paper, application report, ontology description - see http://www.semantic-web-journal.org/authors ). In addition, we invite vision and position papers of the highest quality, which will be evaluated as to their potential to stimulate research investigations on the interplay between Cognitive Science and Semantic Web.

Deadlines

Paper submission deadline: January 10, 2013
Notification: March 10, 2013

Editors of the special issue:

Rob Goldstone (Indiana University, Bloomington, US)
Frank van Harmelen (VU Amsterdam, NL)
Pascal Hitzler (Kno.e.sis Center, Wright State University, Dayton, US)
Krzysztof Janowicz (University of California, Santa Barbara, US)
Kai-Uwe Kühnberger (Universität Osnabrück, DE)

Guest editorial board (to be completed)

Benjamin Adams (University of California, Santa Barbara, US)
Claudia d'Amato (University of Bari, IT)
Alan Bundy (University of Edinburgh, UK)
Jérôme Euzenat (INRIA Rhône-Alpes, FR)
Helmar Gust (Universität Osnabrück, DE)
Cory Henson (Kno.e.sis Center, Wright State University, Dayton, US)
Zhisheng Huang (VU Amsterdam, NL)
Werner Kuhn (Universität Münster, DE)
Alexander Mehler (Goethe-Universität Frankfurt am Main, DE)
Simon Scheider (Universität Münster, DE)
Christoph Schlieder (Universität Bamberg, DE)
Lael Schooler (MPI für Bildungsforschung, DE)
Wei Lee Woon (Masdar Institute, Abu Dhabi, AE)
Gudrun Ziegler (DICA-lab, University of Luxembourg, LU)
...

Contact: If you have questions, please contact us via contact @ semantic-web-journal.net .

-- Prof. Dr. Pascal Hitzler
Dept. of Computer Science, Wright State University, Dayton, OH
http://www.knoesis.org/pascal/
Semantic Web Textbook: http://www.semantic-web-book.org
Semantic Web Journal: http://www.semantic-web-journal.net

SCIE Research briefing 43: Effective supervision in social work and social care

This research briefing provides an overview of the evidence concerning the value of supervision in supporting the practice of social care and social work. It is relevant to both children’s and adult social care services and includes a consideration of supervision in integrated, multi-professional teams. While the focus is on social work and social care, some of the research reviewed includes participants from other professions such as nursing and psychology.

The briefing covers evidence on the use of different models of supervision and outcomes for workers, employers, service users and carers. It considers evidence on the costs of supervision and concludes with implications for policy-makers, practitioners, organisations, service users, carers and researchers.

Download here: 
http://www.scie.org.uk/publications/briefings/briefing43/

My source: Jill Anderson via MHHE list