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In the following years, the world population will keep growing and, simultaneously, there will be more and more chronic diseases. The current hospitalisation infrastructures cannot live up to this changing context and have to rethink to new processes. One of these processes is known as home care. Even if the idea is to propose the same quality of cares at home than at hospital, the home care services have to face different logistic problems. Some of them have already been met in the hospital logistics, some other are entirely new. 

Therefore, this paper aims at analysing the logistics problems in the home care systems in the Belgian home care systems. To this end, real-life interviews and a review of the scientific literature will be carried out. The main goal is to identify the gaps, if any, that could exist between the literature and the Belgian reality. Moreover, the paper describes the current solutions to problems met in the Belgian home care systems, once again based on the array of interviews that have been carried out. In the literature, we observed four main problems: (1) the network design, (2) the production and suppliers of medicines, (3) the nurses routing, (4) and finally, the management of inventory. Otherwise, this paper suggests a mathematical model for the nurses routing, suitable in the Belgian home care systems. After some interviews with members of Belgian home care systems, we are truly able to say that there is a gap between the literature and the reality. However, those problems are not always developed in the reality when they effectively occur. 

This paper is divided into five parts. It starts with the presentation of the concept of home care with some details of financing and foreign models. Then, we carry on with the main differences existing between the industrial logistics, hospital logistics and home care logistics, including some comments about information systems and key performance indicators. In addition, we highlight the logistic problems of home care met in the literature such as routing problem, districting problem and also, carry out a comparative analysis of the studied logistic problems. Finally, as a last chapter, we develop the used methods to achieve the goals of this paper.

home care, home health care, home care logistics, logistic problems in home care, logistic problems in home health care, literature review, Belgian Home Care. --- Sciences économiques & de gestion > Production, distribution & gestion de la chaîne logistique

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When children are in distress or at risk in their homes, social service agencies may institute a number of measures. The most drastic entails removing such children from their homes and placing them in foster care. But placement often fails. Many children, some with severe and long-standing psychological, social, and educational handicaps, simply leave one unstable environment for another. In many cases, things just get worse. Paul Steinhauer, a child psychiatrist at Toronto's Hospital for Sick Children, argues that foster placement has suffered from a lack of proven or generally acceptable models of intervention. It has further been impeded by decreases in the funding of social services and by ambivalence, on the part of both society and the mental health professions, towards the child welfare system. These factors have combined to produce a high failure rate, decreasing morale, and widespread disillusionment and burn-out in both foster parents and child welfare workers. In this book Steinhauer brings together the fragmented research that has been done in a number of different disciplines. From this body of work he develops a model of intervention based on an understanding of attachment theory, development theory, and the practice of mental health consultation. The model provides a basis for pragmatic decision making and step-by-step guidelines for implementation of many of its components. Steinhauer provides an important tool in the struggle to protect society's most vulnerable population.

Foster home care --- Foster children --- Child welfare --- Foster youth --- Children --- Child placing --- Foster care, Home --- Foster family care --- Fosterage (Foster home care) --- Fostering (Foster home care) --- Child care services --- Group homes --- Psychology. --- Institutional care

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Based on government-commissioned research and part of the Supporting Parents initiative, this book addresses each stage of the care process, from placement selection to leaving foster care. The authors consider which kinds of professional support at which stages make a difference, and the foster carer parenting skills that are crucial.

Foster home care --- Teenagers --- Adolescents --- Teen-agers --- Teens --- Young adults (Teenagers) --- Youth --- Child placing --- Foster care, Home --- Foster family care --- Fosterage (Foster home care) --- Fostering (Foster home care) --- Child care services --- Child welfare --- Children --- Group homes --- Institutional care

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Understanding Looked After Children is an accessible guide to understanding the mental health needs of children in foster care and the role of foster carers and support networks in helping these children. The authors provide foster carers with an insight into the psychological issues experienced by children in the care system, and the impact of these issues on the foster family. Chapters cover cultural, social and legal structures associated with foster care and both the relevant child psychology theory and examples drawn from real-life situations. The authors give advice on how to address

Foster children --- Foster home care --- Child placing --- Foster care, Home --- Foster family care --- Fosterage (Foster home care) --- Fostering (Foster home care) --- Child care services --- Child welfare --- Children --- Group homes --- Foster youth --- Psychology. --- Psychological aspects. --- Institutional care

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"When Deborah Gold and her husband signed up to foster parent in their rural mountain community, they did not foresee that it would lead to a rollercoaster fifteen years of involvement with the traumatized yet resilient birth family. They fell in love with Michael (a toddler when he came to them), yet they had to reckon with the knowledge that he could leave their lives at any time. In Counting Down, Gold artfully tells her story of forging a family within an often-confounding system, in ways that defied the expectations of everyone involved. The remarkable characters we meet include social workers, a birth mother with the courage to give her children the childhood she never had herself, and a father parenting from prison. We also encounter members of a remarkable fellowship of Appalachian foster parents--gay, straight, right, left, evangelical, and atheist--united by love, loss, and quality hand-me-downs. Unlike child welfare manuals and textbooks, Gold's memoir brings us a foster parent's perspective (and, through Michael's own poetry and essays, that of a former foster child). The book shakes up common assumptions, and offers a hopeful look at an experience usually portrayed as bleak. For those who have fostered, Counting Down will be validating and familiar; for everyone else, it will inspire."--Amazon.com.

Foster home care. --- Child placing --- Foster care, Home --- Foster family care --- Fosterage (Foster home care) --- Fostering (Foster home care) --- Child care services --- Child welfare --- Children --- Group homes --- Institutional care --- Gold, Deborah --- Family. --- Appalachian Region. --- Appalachia --- Appalachian Mountains Region