Why 'Integrated Care' remains a Legacy Issue

Define 'integrated care'?

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group - population

Protect myself [You Government] Protect me* The individual need to  'do' something with this model,  not just think about it.  The personal sense (illusion) of doing, with yet another install of Wamp, Drupal ...	Complexity Systems Uncertainty Legacy - issues Evidence-Based Care?
*(I have a duty of care to protect my family and community and not become the next casualty.) Protect my loved ones and community	Evidence-Based Policy? The National Risk Register 2017 Is a tabletop exercise in pandemic  planning and response sufficient? The Political sense of thinking as 'doing'. (This is where the lamp is always on.) Tick here

See also:

'Desk-topping' i [ c/o BBC Radio 4 today 5 Feb. ]

Image source:
https://www.trident-crisis-solutions.co.uk/ (risk register)
https://www.bumc.bu.edu/ (tick box)

Contextual and other forms of Collapse ...

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"I will get through this."

what is invisible

"Nowadays, digital technology is transforming our lives at an accelerating pace. This sometimes feels wildly liberating. But it is often terrifying too, because cyberspace is so disorientating. More specifically, in the cyberworld there is a constant problem of what anthropologists call "context collapse": it is hard to discern the contours of social interactions because the factors that used to frame our cultural lives are only half-present".

"We will get through this together."

my emphasis


At times such as this - the COVID19 pandemic - we are all trying to maintain the semblance of  "I will get through this." and "We will get through this together"; trying to self-care and in-so-doing care for friends, family, community and the population.

At times when our cultural and personal lives are not even 'half-present', there is an increased need for sense-making, for balance and orientation. While the tool we seek is a vaccine and preparedness for the next one, there are tools to reduce the impact of the several forms of collapse we are presently  experiencing.


Please see also initial post:

https://hodges-model.blogspot.com/2019/10/liminality-in-how-ancient-rituals-help.html

- sourced from and acknowledged Gillian Tett:

Tett, Gillian. 2019, How ancient rituals help us adapt to the digital age. FT Weekend, Magazine, June 29-30, p.46.

Exiled from our Museums ...

Questions of Politics, History and Now?

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self -	- isolation
	Past Disquiet - Artists, International Solidarity and Museums in Exile

"The International Art Exhibition for Palestine took place in Beirut in 1978 and mobilized international networks of artists in solidarity with anti-imperialist movements of the 1960s and ’70s. In that era, individual artists and artist collectives assembled collections; organized touring exhibitions, public interventions and actions; and collaborated with institutions and political movements. Their aim was to lend support and bring artistic engagement to protests against the ongoing war in Vietnam, the Pinochet dictatorship in Chile, and the apartheid regime in South Africa, and they were aligned in international solidarity for anti-colonial struggles. Past Disquiet brings together contributions from scholars, curators and writers who reflect on these marginalized histories and undertakings that took place in Baghdad, Beirut, Belgrade, Damascus, Paris, Rabat, Tokyo, and Warsaw. The book also offers translations of primary texts and recent interviews with some of the artists involved."

Kristine Khouri and Rasha Salti, eds. (2019) Past Disquiet: Artists, International Solidarity and Museums in Exile, Chicago, IL., University of Chicago Press.

See also: Exhibition: "Library of Exile"


My source: Cundy, A. (2019) Art's brave new world, Life&Arts, FT Weekend, 9-10 February, p.11.

Coronavirus: Under a conceptual Macroscope

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Cognitive access info clarity in communications Motivation Anxiety Isolation Impact upon mental health Psychological Trauma Staff Wellbeing during COVID19 Information Mis-Information Stay HOME [unless: homeLESS?]* Self-isolation Self-exile  Long COVID (My education?) Long COVID (My mental health?) My health literacy: touching my own face 'distance' hand washing  +++ watch the road as a pedestrian too SELF-CARE

Coronavirus transmission Epidemiological Modelling Statistics Triage Duration of Self-Isolation ICU beds Ventilators - INNOVATION Industrial production Excel & NEC [UK] extra beds Recovery - Rehabilitation Physical access info Logistics (transmission) Testing kits Anti-body test PPE Evidence: Face coverings Personal Protection Equipment Vaccine Research Development PHYSICAL DISTANCING 2 metres Long COVID (My physical health?)

SOCIAL DISTANCING DISTANT SOCIALISING^ Staying connected family, friends, community - using social media to reduce - Social Isolation Social Media - Public Protection Role? Community Response Social Care - 'Enforced' PJParalysis? Volunteers Protect Our NHS 'Social' rehearsal? Future preparedness? Public understanding of Science

WHO: Pandemic REPORTING National :: International Consistency - Standards Lockdown Reversing Lockdown: Government Communications: (Mis-)use of media National reporting Emphasis upon economic impact? Response of Businesses Transparency of contracts, 'deals' Definition of 'Key workers' NHS England Law - Policing Policy (distancing#)

*General Population Health Status, Health systems, Healthcare systems, Politics of Health, Socio-Economics - austerity, Inequality, Inequity, Preparedness .. the Collective ...

^#Political lack of coherence in policy: Poor integration.

^Thank you @SelfCareWeekEU

21 Aug update: See also -

Sheridan Rains, L., Johnson, S., Barnett, P. et al. Early impacts of the COVID-19 pandemic on mental health care and on people with mental health conditions: framework synthesis of international experiences and responses. Soc Psychiatry Psychiatr Epidemiol (2020). https://doi.org/10.1007/s00127-020-01924-7

Image source:
By CDC/ Alissa Eckert, MS; Dan Higgins, MAM - This media comes from the Centers for Disease Control and Prevention's Public Health Image Library (PHIL), with identification number #23312.Note: Not all PHIL images are public domain; be sure to check copyright status and credit authors and content providers., Public Domain,
https://commons.wikimedia.org/w/index.php?curid=86444014

To revisit post pandemic? 

There is scope to improve the placement of concepts as per Hodges' model.

Exhibition: "Library of Exile"

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"A roofless pavilion about the size of a shipping container, it is lined with shelves holding some 2,000 books ...

"The scope of "exile" is certainly wide. The World Health Organisation estimates that 1bn people - almost one in eight of the global population - are living as migrants, of whom 68m have been forcibly displaced." p.8.

by exiled writers. ... The library represents a kind of communal autobiography of the displaced person through history, from Cicero to Dante to the European émigrés of the 20th century and present-day author-exiles such as Elif Shafak and Aleksander Hemon. The installation is itself migratory, having arrived in London following sojourns in Venice and Dresden. From here it will travel to Mosul, Iran, where it will remain." p.8

My sources:
Atkins, W. (2020) You can't go home again, Life&Arts, FT Weekend. 14-15 March, p.8
and British Museum.

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My source:
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n.b. My revalidation is due and in (hopeful) preparation for a further three years 2020-2023 I will apply for this myself.

Book review: v Critical Mental Health Nursing: observations from the inside

Through January - March 2020 I've been checking the blog posts from the start in 2006, sorting the wheat from chaff. The task complete means that:

• posts - basically not 'read'; 
• what is this about (or, what was I thinking!)?
• dated conference calls, courses, events, consultations, calls for papers;
• broken links;
• posts with  (way) too many links;
• old links to domains that had been 'repurposed' or hijacked (drugs, dentistry, dating, games ...)

- have all been deleted.

I found a link to another non-existent blog-post and this draft post on a book review from early 2019.

This may be a waste of time. But it felt quite cathartic. Putting twitter down and not posting may also  help me focus attention on the things I really need to do.

<>

Following on from Part i, Part ii Part iii and Part iv.

Finally, I am teasing out points that highlight the role of Hodges' model.

Foucault had views that are seminal in the politics of mental health and society and views that perturb.

Critical Mental Health Nursing

Marc Roberts in chapter 7 uses Foucault for the book's critical project of the 'history of the present'. To begin however there is the challenge of how to encapsulate critical, reflective thinking and our identity or 'self' in Foucault's work. Through other sources, Robert's notes that the


"conceptual considerations surrounding the distinctions between critical thinking and reflection" (p.125) which can "broadly be understood as a multifaceted cognitive and affective capability that requires a variety of intellectual skills and emotional attributes."

A role for creativity is acknowledged in

"the analysis and clarification of issues and areas of concern; the gathering and appraisal of evidence, research and theory; the questioning and challenging of assumptions, values and beliefs, and the synthesis and application of information to produce alternative and innovative ways of thinking and behaving." (p.126).

c/o Assoc. Prof. Nazilla Khanlou: Connecting - Hodges' model & Women's Health

From: Nazilla Khanlou

To: peter jones

Sent: Tuesday, 28 January 2020, 23:18:15 GMT

Subject: Re: Connecting - Hodges' model & Women's Health

Hi Peter,

I hope all is well. Yesterday in the PhD level 2 Seminar course that I teach (for PhD in Nursing students) we discussed your publication and 2 by 2 template. Thank you for letting me know about your work!

FYI, these are the readings we discussed yesterday:

Epstein I, Khanlou N, Ermel RE, Sherk M, Simmonds KK, Balaquiao L,& Chang K-Y. (2019). Students who identify with a disability and instructors’ experiences in nursing practice: A scoping review. International Journal of Mental Health and Addiction , 1-28, Published online: https://doi.org/10.1007/s11469-019-00129-7

Hoeck, B., & Delmar, C. (2018). Theoretical development in the context of nursing—The hidden epistemology of nursing theory. Nursing Philosophy, 19(1), e12196. https://onlinelibrary.wiley.com/doi/abs/10.1111/nup.12196

Jones, P. (2014). Exploring the dimensions of recovery and user experience. International Journal of Person Centered Medicine, 3(4), 305-311.
https://www.researchgate.net/profile/Peter_Jones9/publication/288182688_Exploring_the_Dimensions_of_Recovery_and_User_Experience_Background_and_Conceptual_Development/links/567efd9908ae051f9ae66e93/Exploring-the-Dimensions-of-Recovery-and-User-Experience-Background-and-Conceptual-Development.pdf

Khanlou N, Mustafa N, Vazquez LM, Davidson, & Yoshida K. (2017). Mothering children with developmental disabilities: A critical perspective on health promotion. Health Care for Women International (38)6, 613-634. Available url: http://dx.doi.org/10.1080/07399332.2017.1296841

Thorne, S., Stephens, J., & Truant, T. (2016). Building qualitative study design using nursing's disciplinary epistemology. Journal of Advanced Nursing, 72(2), 451-460.

Two of the readings in the above are related to my publications (1st one I am a co-author on and the 4th one I am the first author on).

The students asked how I came to know about your work, and I indicated one of the advantages of Twitter is you connect with folks related to our field!

Thank you again,

Nazilla
---------
Nazilla Khanlou, RN, PhD
Women's Health Research Chair in Mental Health, Faculty of Health
Academic Lead, Lillian Meighen Wright Foundation Maternal Child Health Scholars Program
Associate Professor, School of Nursing
York University, HNES 3rd floor
4700 Keele Street
Toronto, ON, Canada, M3J 1P3

E-mail: nkhanlou AT yorku.ca
Twitter: https://twitter.com/YorkUOWHC

https://twitter.com/NazillaKhanlou
Website: http://nkhanlou.info.yorku.ca/

'Desk-topping' i [ c/o BBC Radio 4 today 5 Feb. ]

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'desktop' Definition #1 below is as obvious as it is brief. A desk might be topped with various things, so-called executive toys (still?), personal affects, or company related branding. It may have the proverbial in-tray, out-tray (paper still lingers?). The desk may be clear, or cluttered as a workspace. It will be the home of technology, it's PC - desktop - namesake, that shares the floor nearby, wired the sign of connectedness and energy.

'Desk-topping' To have 'papers' on the desk, might be to denote action of some sort, but how long are those 'papers' held for? The subjects of the issue at hand could be experiencing a protracted delay. The desktop in this case exemplifies not just bureaucracy, but obfuscation.

desk·top (dĕsk′tŏp′)
n.
1. The top of a desk.
2. Computers
a. The area of a display screen where images, windows, icons and other graphical items appear.
b. A computer that is designed to be used at a desk or table and is not easily moved, in contrast to a laptop or other portable device. Also called desktop computer.

https://www.thefreedictionary.com/desktop

My source:
BBC Radio 4 Today 5 February- discussion regarding historical child abuse in the Church.

Desk-topping or desktopping?

Post enigma 2008 ADLS

I've found back in 2008 there is reference to a non-existent post. I'm not sure what happened, but do remember considering this:

https://hodges-model.blogspot.com/2008/09/holistic-care-what-is-holistic.html

Creature of habit and habitat that I am, I also appear to have used the same 'strategy' of mapping concepts to the domains of Hodges' model.

In this case the focus was activities of (daily) living. It is this strategy that is employed in a draft paper still to be revised but on the Sustainable Development Goals. This exercise is not just reflective, there is a reflexive quality to it. The fact that asymmetry is revealed should not be surprising. In this post the clue is in the word 'activities' and ADLs and what is often deemed primary in theory, practice and common-sense.

To be revised ...