Integrated Care for Ireland in an International Context: Challenges for Policy, Institutions and Specific Service User Needs

INTEGRATED CARE IN IRELAND IN AN INTERNATIONAL CONTEXT aims to bring the debate on the future of integrated care in Ireland to a wider audience than heretofore. It is intended to guide the thinking of policy-makers and the whole panoply of different health and social care professions that are stakeholders in the process. Equally important, it is hoped that groups representing the needs of the general population, those with disability, mental illness, older people with specific needs and others also will benefit from the text. The whole project is to improve the overall health and wellbeing of all who live in Ireland.

It is hoped also that this publication will be a spur to the further development of research and teaching in the area of integrated care, as well as being a catalyst for the resourcing and implementation of improved public policy in the area. As such, this book will be important to students and lecturers across the disciplines of medicine, social work, social care, gerontology, addiction, health management, lawyers in health and human rights areas, mental health therapists and other sister professions that are not included here, such as occupational and speech / language / auditory therapies.

Contents

Figures

Tables

Acknowledgments

Dedication

Contributors

Foreword

Introduction

1: Integrated Care in Ireland: Progress from Policy to Practice to Date / Tom O’Connor

SECTION I: ECONOMIC AND PUBLIC POLICY INSIGHTS FROM IRELAND AND ABROAD

2: The Integrated Service in Northern Ireland  / Jim Campbell, Gavin Davidson and Michael Donnelly

3: Integrated Discharge Planning: A Programme Manager’s View  / William Reddy

4: Which is the Right Model of Universal Health Insurance for Ireland? / Steve Thomas and Catherine Darker

5: Integrated Care: Pathfindings from Sweden / Bengt Ahgren and Runo Axelsson

SECTION II: THE BIOMEDICAL AND SOCIAL INTERFACE OF INTEGRATED CARE: THEORY, POLICY AND SERVICE USERS’ NEEDS

6: Integrated Diabetes Care: “It Means Different Things to Different People” / Sheena McHugh and Ivan Perry

7: An Examination of the Irish NDRIC Framework of Integrated Care for Drug Users / Laura Desmond and Tom O’Connor

8: The Future of Integrated Care in Ireland / Vanessa Hetherington, Faisal Shaikh and Sean Tierney

SECTION III: INTERPROFESSIONAL CHALLENGES: POLICY TRANSLATION AND PRACTICAL DELIVERY

9: Challenges for Primary Care on the Road to Integrated Care / Diarmuid Quinlan and Joe Moran

10: Interprofessional Education: Applying an International Programme in an Irish Context / Ona McGrath

11: Primary Care, Social Work and Integrated Care: A New Way of Delivering Services? / Deirdre Jacob

12: Primary Care Teams in Ireland from the Perspective of General Practice / Margaret O’Riordan and Claire Collins

SECTION IV: INTEGRATED CARE, THE OLDER PERSON AND DEMENTIA

13: Health Service Integration for the Elderly: An Uneven Journey in Canada / Margaret MacAdam

14: Dementia and Integrated Care: A Dream or Reality? / Suzanne Cahill

15: Integrated Care for Older People in Ireland: Perhaps Jam Tomorrow? / Desmond O’Neill

16: Integrated Care Pathways for People with Dementia: Exploring the Potential for Ireland and the Forthcoming National Dementia Strategy / Kate Irving, Lisa McGarrigle, Grainne McGettrick and Maurice O’Connell

SECTION V: INTEGRATED CARE FOR MENTAL HEALTH AND DISABILITY SERVICE USERS

17: Integrated Care in Mental Health / John Saunders

18: Integrated Care Pathways in Mental Health: Recent Developments in Scotland / Mark Fleming, Linda McKechnie and David Thomson

19: Equal Recognition Before the Law: A Call for a Statutory Social Care Advocate for Vulnerable Adults in Integrating Health and Social Care / Moira Jenkins

20: Integrated Supports for People with Disabilities / Eithne Fitzgerald

Conclusion