Custodial Care Research Articles

Custodial and perinatal care patterns of women who received prenatal care while incarcerated in the Arkansas state prison system, 2014–2019

BackgroundThe extraordinary growth in women’s incarceration over the past several decades has resulted in calls for expansion of research into their unique needs and experiences, including those related to pregnancy and perinatal care. However, while research into the health outcomes of women who are incarcerated while pregnant has grown, research on women’s custodial and perinatal care patterns has remained nearly non-existent. Here, we sought to describe (1) the characteristics of the population of women who came to be incarcerated in a state prison system during pregnancy and (2) the characteristics of women’s custodial and perinatal care patterns during and after incarceration.MethodsWe conducted a retrospective chart review of the population of women who received perinatal care while incarcerated in the Arkansas state prison system over a 5-year period from June 2014 to May 2019. Electronic medical records and state prison records were merged to form our study population. Data were from 212 women (Mage = 28.4 years; 75.0% non-Latina White) with a singleton pregnancy who received at least one obstetric care visit while incarcerated.ResultsDrug-related convictions were the most common crimes leading to women’s incarceration while pregnant, and violent crime convictions were rare. Nearly half (43.4%) of women who gave birth in custody did so within 90 days of admission and the great majority (80.4%) released within 1-year of giving birth, including 13.3% who released within 30 days.DiscussionThe frequency with which women who became incarcerated while pregnant released from prison either prior to or shortly after giving birth was a striking, novel finding of this study given the implications for perinatal care disruption among a high-risk population and the harms of forced separation from infants within hours of birth.ConclusionsDiversionary programs for pregnant women convicted of crimes, particularly in states without current access, are urgently needed and should be a priority for future policy work.

HOW GRANDPARENT COUPLES ENGAGE IN FAMILY LEISURE WITH GRANDCHILDREN

Abstract There is limited understanding of how grandparent couples negotiate time with grandchildren. Family leisure is often purposive by being planned, facilitated, and executed by parents or grandparents to achieve goals such as improved interaction, communication, and family cohesion. Moving beyond studies of counting time in leisure, few studies of family leisure have included how people experience leisure as couples. Guided by a life course approach, this qualitative study provides insight to an understanding of the process of family leisure among grandparent couples by examining how both individuals in a couple experience family leisure with their grandchildren. Grandparent couples (n=10) ranged in age from 60 to 75 years old (M=66.8, SD=5.01). The grandparents interviewed were not providing custodial care to their grandchildren. Participants completed individual interviews that were then analyzed at the couple level. Through constructivist grounded theory, this study developed a process model of grandparents’ decision-making that unfolded into four options for engaging in family leisure with grandchildren. The four options included: wanting a grandparent fix, going with the flow when invited by children, hosting grandchildren in their homes, and meeting expectations for family gatherings. Grandparent couples often described more than one option of family leisure based on their life course dimensions (i.e., individual, family, and sociohistorical). Implications for application in the fields of recreation and family sciences will be discussed.

Divergencies between a medical and a psychiatric hospitalization: Admissions, aggressiveness, and characterological suicidality in severe personality disorders

ContextThere have been significant advances in organizational and administrative practices of modern psychiatric institutions. These advances have allowed their capitalization in the therapeutic use of social sub-systems and the interaction between staff and patients, in inpatient hospital programs. The therapeutic use of the interaction between patients and personnel is the essence of contemporary psychiatric divisions: this is what truly distinguishes modern psychiatric services from traditional medical models. However, the enormous gap between these advances and their more universal applications to the contemporary psychiatric hospital is disconcerting. Objectives(a) To raise awareness of the differences between a medical and a psychiatric inpatient program; (b) so as to truly appreciate the importance of the therapeutic use of the interaction between personnel and patients; (c) particularly in the context of treating aggressiveness and characterological suicidality in severe personality disorders. MethodIn this study the divergencies between a medical and a psychiatric hospitalization are critically explored along four dimensions: (1) body versus mind; (2) reasons for admissions; (3) pharmacological approaches; and (4) characterological suicidality and aggressiveness in severe personality disorders. ResultsLamentably, the non-delimited and confusing transposition of traditional and psychiatric models, in inpatient psychiatric programs which do not integrate a comprehensive supraordinate psychotherapeutic framework at the service of their primary tasks, results in the risk of highly restrictive and merely custodial care of patients; unintegrated salads of multiple psychotherapeutic modalities, without a holistic approximation to articulate them; and the mixture of interventions that cancel each other out and could even result iatrogenic for patients and staff. It is precisely in the dimensions of characterological suicidality and aggressiveness, that the overall containment and treatment of suicidal behavior and the rampant infiltration of aggression in severe personality pathology call for a clear demarcation between a medical model and a genuinely psychiatric one. InterpretationsContrary to the erroneous prediction of a few decades ago, about the disappearance of the psychiatric hospital, the need of modern psychiatric institutions and psychiatry programs that integrate the achievements and contemporary proposals in mental health and psychotherapeutic sciences is more imperative than ever. This situation will demand an ongoing effort to explore critically our psychiatric practices and to address the enormous challenges represented by the training of staff, professors, and residents in psychiatry, toward the optimal use and advancement of available hospital resources.

Commentary: The Legal System Response to Child Maltreatment.

Legal actions are perhaps the most powerful responses to child maltreatment. Criminal and child protection investigation and forensic interviewing can provide the evidence needed to support a child victim's disclosure. Prosecution of child maltreatment can hold perpetrators accountable. Juvenile and family court actions can provide for children's safety and oversee their care in state custody and journey to a permanent home. This commentary introduces readers to a special issue of the journalChild Maltreatmentthat focuses on the legal system response to child abuse and neglect. We provide an overview of the issue's 11 research articles and additional commentary. These works provide crucial new knowledge on gaining information from child victims involved in the legal system, on the law enforcement and prosecution response to child maltreatment, and on the legal framework supporting child protection.

Level of Care Appropriateness in VA Inpatient Surgery Cases.

Within the Veterans Health Administration, utilization management (UM) focuses on reducing unnecessary or inappropriate hospitalizations by applying evidence-based criteria to evaluate whether the patient is placed in the right level of care. This study examined inpatient surgery cases to classify reasons for not meeting criteria and to identify the appropriate level of care for admissions and subsequent bed days of care. There were 129 VA Medical Centers in which inpatient UM reviews were performed during that time, of which 109 facilities had UM reviews conducted in Surgery Service. All admissions to surgery service during fiscal year 2019 (October 1, 2018 to September 30, 2019) that had a UM review entered in the national database were extracted, including current level of care, recommended level of care, and reasons for not meeting criteria. The following demographic and diagnostic fields were supplemented from a national data warehouse: age, gender, marital status, race, ethnicity, and service connection status. Data were analyzed with descriptive statistics. Characteristics of patient demographics were compared using the χ2 test for categorical variables and the Student's t test. A total of 363,963 reviews met conditions to be included in the study: 87,755 surgical admission reviews and 276,208 continued stay reviews. There were 71,274 admission reviews (81.22%) and 198,521 (71.87%) continued stay reviews that met the InterQual criteria. The primary reason for not meeting admission criteria was clinical variance (27.70%), followed by inappropriate level of care (26.85%). The leading reason for not meeting continued stay criteria was inappropriate level of care (27.81%), followed by clinical instability (25.67%). Of the admission reviews not meeting admission criteria, 64.89% were in the wrong level of care and 64.05% of continued stay reviews were also in the wrong level of care. Half of the admission reviews not meeting criteria had a recommended level of care as home/outpatient (43.51%), whereas nearly one-third (28.81%) continued stay reviews showed a recommended level of care of custodial care or skilled nursing. This study identified system inefficiencies through admission and continued stay reviews of surgical inpatients. Patients admitted for ambulatory surgery or for preoperative testing prior to day of surgery resulted in avoidable bed days of care that may have contributed to patient flow issues and limited the available hospital beds for other patients. Through early collaboration with case management and care coordination professionals, alternatives can be explored that safely address the patient needs, such as temporary lodging options. There may be conditions or complications that can be anticipated on the basis of patient history. Proactive efforts to address these conditions may help avoid unnecessary bed days and extended lengths of stay.

Joint physical custody in Germany: legal framework and results of the Family Models in Germany (FAMOD) study

Abstract Only since a landmark decision by the Federal Court of Justice on 1 February 2017 has it been clear that family courts in Germany can order symmetric joint physical custody against the will of one parent. The prerequisite is that this solution is in the child’s best interests. This article analyses which criteria have been used by courts to order this physical custody arrangement since the decision. It also presents the results of the Family Models in Germany (FAMOD) study, which the authors conducted in Germany by interviewing a total of 1,554 families to investigate the living conditions of children cared for in joint physical custody care arrangements. Joint physical custody children were compared to children growing up in sole physical custody arrangements. Results show that joint physical custody can be a good solution for parents who succeed in keeping interparental conflict away from their children and reach an amicable agreement on the care of their children after separation. However, the advantages of joint physical custody were more apparent for children in the age group of 7–14 years than for younger children in the age group of 2–6 years. Furthermore, asymmetric joint physical custody seemed to have more positive effects on children’s well-being than symmetric joint physical custody.

Social Model Hospice Residential Care Homes: Whom Do They Really Serve?

Most prefer to die at home, but the Medicare Hospice Benefit does not cover custodial care, making it difficult for terminally ill patients with housing insecurity and/or caregiver instability to access hospice care at home. To examine the characteristics of patients who received end-of-life care in community-run, residential care homes (RCHs) operating under the social model hospice. A retrospective chart review of 500 residents who were admitted to one of three RCHs in Upstate New York over a 15-year period (2004-2019). Patients served by the RCHs included 318 (63.6%) women and 182 (36.4%) men aged 34-101 (M = 77.8). The majority (94.9%) were Caucasian and most had cancer diagnoses (71.6%). Prior to admission, most (93%) patients resided in a private residence, and nearly half (47%) lived alone, but most (81.7%) had full- or part-time caregivers. Nearly all patients were admitted either directly from a hospital (47.5%) or private home (47.2%). Over half (52%) were admitted to RCHs within a month of hospice enrollment, and 20.1% enrolled concurrent with admission. While the average length of stay was 21days, 50% died within 10days of admission. Community-run RCHs represent a unique approach for improving access to hospice home care for patients with home insecurity and/or caregiver instability, yet most patients had prior caregiver coverage and were admitted from a hospital or home setting, suggesting there is a need for community care settings for patients unable to remain at home in the final weeks or days prior to death.

The Net Benefits and Residual Cost from U.S. Border Management of the Initially Inadmissible

AbstractBorder management is a government activity affecting immigration and the economy. Benefit–cost and equivalent decision analyses are used to evaluate U.S. border management for 2017. Controversial issues arise. Among these are the issue of standing and the values of asylum, a criminal career, child custodial care, foreign deaths, fiscal and labor market effects, and distributional weighting. Sixteen unique shadow prices (imputed marginal value) are computed. Those shadow pries are combined with proportions and levels of border management outcomes. The aggregate result is not only a large expected present value net benefit per year from managed outcomes of $46.6 billion but also a large residual unmanaged annual cost of $23.7 billion. Significant uncertainty exists, but estimated net benefits remain positive.

Act Normal – Excerpts

act normal starts in an institution where children categorized & constructed as intellectually inferior are placed into custodial care \ opened in 1876 as the hospital for idiots & imbeciles it closed in 2009 as the Huronia Regional Centre.

The Experiences of People Who Are Incarcerated in Accessing Mental Health Care: A Qualitative Meta-Ethnography.

This meta-ethnography synthesizes the findings of seven qualitative studies on the experiences of people who are incarcerated in accessing mental health care with a goal of better understanding the scope of these experiences and identifying gaps in custodial mental health care. Noblit and Hare's meta-ethnographic approach was used. Five themes were identified: stressful incarceration environments, lack of resources, care is not patient centered, lack of trust, and the value of therapeutic relationships. Findings suggest that the custodial mental healthcare system may provide care that is misaligned with the needs of people who are accessing it. Limitations of this meta-ethnography include the small number of studies identified for review, the diverse foci of the studies, the diversity of the custodial and mental health systems in the four countries from which the studies came, and the unaddressed mixing of jail and prison data in three of the studies. Future research should focus on obtaining additional perspectives from people who are accessing custodial mental healthcare services in jail and prison, exploring the differences between the experiences of people in jail versus prison, and identifying ways to develop and maintain high-quality therapeutic relationships between people who are incarcerated and custodial mental healthcare providers, including nurses who work in custodial facilities.

Care and Cultural Exclusion in Restoration Spain: Transgressive Caregiving in Galdós’s Misericordia

Benito Pérez Galdós’s Misericordia (1897) represents two opposing models of providing care for diseased, disabled, or degenerate subjects: custodial care aimed at controlling social deviance and caregiving that takes into account the needs of the care recipient. I propose that, through the caregiving model, the protagonist, Benina, establishes a powerful stance against medical and economic discourses that devalued the lives of marginal subjects. This analysis examines the relationship between the categories of disease, disability, and degeneration; the role of custodial care and caregiving in the nineteenth-century Spanish economy; and how both models respond to the possibility of contagion, as well as the political implications of these responses.

Evaluation of Fife Forensic CMHT Liaison Services Over 10 Years

AimsFife FCMHT offer two forms of liaison; a court liaison service and a consultation service open to any professional requiring guidance on managing a person with mental disorder and offending behaviour. Our aims are to evaluate these services by analysing the number of referrals, reason for referral and outcomes in order to assess how our services are being used and help identify any areas for improvement.MethodsDetails about each referral made to the court liaison and consultation services and outcomes were recorded from January 2011 to December 2021. Data were analysed in excel.ResultsCourt Liaison Service1044 referrals were made; 778 of these were assessed. 98.7% were seen on day of referral. 76 required inpatient admission, 9 of whom had to be remanded in custody to await appropriate bed. Age ranged 15–78 years. Of those deemed fit to continue through court, 33% were felt to require further mental health input.Consultation Service280 referrals were made. Age ranged 15–83 years. The majority of referrals to this service came from criminal justice social work and NHS fife services. The majority of referrals were for specific advice or help with risk assessment and management. The average time between referral and consultation was 9.4 days.ConclusionReassuringly, our team responds promptly to referrals.25.5% of referrals made to the court service did not require assessment after triage. Only 7.3% of referrals required diversion away from the court system. Whilst 33% of those deemed fit to continue were identified as requiring further mental health input, this was often in the form of signposting to local services. As referrals are usually seen by health care in custody, this suggests mental health training for these teams would be of benefit to prevent delays in court proceedings and prevent unnecessary referrals.Of concern are those patients remanded in custody to await a psychiatric bed. Whilst numbers are small, it is an unacceptable outcome for these patients. This occurs due to no bed being available or a requirement for assessment by the admitting unit. This mirrors findings from the Barron Report.Our consultation service sees requests from a vast array of professionals. We believe this to be an efficient way for services to access the expertise within our team, avoiding unnecessary referrals causing delays to patient care. The majority of these referrals were for advice over a specific matter which can be dealt with succinctly by the team.

Uptake of COVID-19 Vaccination Among Frontline Workers in California State Prisons

Prisons and jails are high-risk environments for COVID-19. Vaccination levels among workers in many such settings remain markedly lower than those of residents and members of surrounding communities. The situation is troubling because prison staff are a key vector for COVID-19 transmission. To assess patterns and timing of staff vaccination in California state prisons and identify individual-level and community-level factors associated with remaining unvaccinated. This cohort study used data from December 22, 2020, through June 30, 2021, to quantify the fractions of staff and incarcerated residents who remained unvaccinated among 23 472 custody and 7617 health care staff who worked in roles requiring direct contact with residents at 33 of the 35 prisons operated by the California Department of Corrections and Rehabilitation. Multivariable probit regressions assessed demographic, community, and peer factors associated with staff vaccination uptake. Remaining unvaccinated throughout the study period. Of 23 472 custody staff, 3751 (16%) were women, and 1454 (6%) were Asian/Pacific Islander individuals, 1571 (7%) Black individuals, 9008 (38%) Hispanic individuals, and 6666 (28%) White individuals. Of 7617 health care staff, 5434 (71%) were women, and 2148 (28%) were Asian/Pacific Islander individuals, 1201 (16%) Black individuals, 1409 (18%) Hispanic individuals, and 1771 (23%) White individuals. A total of 6103 custody staff (26%) and 3961 health care staff (52%) received 1 or more doses of a COVID-19 vaccine during the first 2 months vaccines were offered, but vaccination rates stagnated thereafter. By June 30, 2021, 14 317 custody staff (61%) and 2819 health care staff (37%) remained unvaccinated. In adjusted analyses, remaining unvaccinated was positively associated with younger age (custody staff: age, 18-29 years vs ≥60 years, 75% [95% CI, 73%-76%] vs 45% [95% CI, 42%-48%]; health care staff: 52% [95% CI, 48%-56%] vs 29% [95% CI, 27%-32%]), prior COVID-19 infection (custody staff: 67% [95% CI, 66%-68%] vs 59% [95% CI, 59%-60%]; health care staff: 44% [95% CI, 42%-47%] vs 36% [95% CI, 36%-36%]), residing in a community with relatively low rates of vaccination (custody staff: 75th vs 25th percentile:, 63% [95% CI, 62%-63%] vs 60% [95% CI, 59%-60%]; health care staff: 40% [95% CI, 39%-41%] vs 34% [95% CI, 33%-35%]), and sharing shifts with coworkers who had relatively low rates of vaccination (custody staff: 75th vs 25th percentile, 64% [95% CI, 62%-66%] vs 59% [95% CI, 57%-61%]; health care staff: 38% [95% CI, 36%-41%] vs 35% [95% CI, 31%-39%]). This cohort study of California state prison custody and health care staff found that vaccination uptake plateaued at levels that posed ongoing risks of further outbreaks in the prisons and continuing transmission from prisons to surrounding communities. Prison staff decisions to forgo vaccination appear to be multifactorial, and vaccine mandates may be necessary to achieve adequate levels of immunity in this high-risk setting.

Archival Interventions and Disentangling Legacy Records

Appraisal and disposition of government records at Library and Archives Canada (LAC) focuses primarily on acquiring the “right” records to best document a given function of the Government of Canada. Once records pass into LAC’s care, access is provided through an inconsistent approach of online descriptive records and on-site finding aids, often with minimal or incorrect contextualizing information that hinders their overall discoverability and use. Through a study of both the legacy photographic records in the National Film Board of Canada Fonds and the recontextualization project currently underway at LAC, the author examines the history of the record, from recordkeeping practices to the transfer to LAC, and some of the interventions by the archives to describe and shape these records over several generations of custodial care. All of these various actions have had a hidden impact on the use and understanding of both the individual records and the larger collection. This article provides a case study in how rearrangement based on research into creators, organizational recordkeeping systems, and archival custodial practices can draw out complex, multiple provenances and provide researchers with a fuller contextual history of the record.

The personal recovery movement in Singapore – past, present and future

The personal recovery movement is beginning to gain traction within Singapore's mental healthcare systems. We believe it is timely to give a broad overview of how it developed and provide suggestions on how it can evolve further. From the early custodial care in the 1800s to the community-centric programmes of the 1900s and early 2000s, we now find ourselves at the forefront of yet another paradigm shift towards a more consumer-centric model of care. The following decades will allow personal recovery practitioners and researchers to innovate and identify unique but culturally appropriate care frameworks. We also discuss how the movement can continue to complement existing mental healthcare systems and efforts.

Seasonal influenza vaccination is associated with reduced risk of death among Medicare beneficiaries☆

BackgroundInfluenza causes substantial mortality, especially among older persons. Influenza vaccines are rarely more than 50% effective and rarely reach more than half of the US Medicare population, which is primarily an aged population. We wished to estimate the association between vaccination and mortality reduction. MethodWe used the US Center for Medicare and Medicaid Services (CMS) DataLink Project to determine vaccination status and timing during the 2017–2018 influenza season for more than 26 million Medicare enrollees. Patient-level demographic, health, co-morbidity, hospitalization, vaccination, and healthcare utilization claims data were supplied as covariates to general linear models in order to isolate and estimate the association between participation in the vaccination program and relative risk of death. FindingsThe 2017–2018 seasonal influenza vaccine reduced (Relative Risk Ratio [RRR] 0.936 [95% CI = 0.918–0.954]) the risk of all-cause death among beneficiaries following a hospitalization for sepsis and moreover the risk of death without a prior hospitalization during the 2.5-month outcome window (RRR 0.870 [95% CI = 0.853–0.887]). We estimate the number needed to vaccinate (NNV) to prevent a death in the ten-week outcome window is between 1,515 beneficiaries (95% CI = 1,351–1,754; derived from the average treatment effect of augmented inverse probability weighting) and 1,960 beneficiaries (95% CI = 1,695–2,381; derived from the average marginal effect of logistic regression). Among beneficiaries requiring hospitalization, the greatest death risk reduction accrued to those 85 + years of age who were hospitalized with sepsis, RRR 0.92 [95% CI = 0.89–0.95]. No apparent benefit was realized by beneficiaries who required custodial (nursing home) care. InterpretationSeasonal influenza immunization is associated with relative reduction of death risk among non-institutionalized Medicare beneficiaries. FundingAll authors are full-time or contractual employees of the United States Federal Government, Department of Health and Human Services, the funding agency.

Complaints against health care professionals providing police custodial and forensic medical/health care services in England, Wales and Northern Ireland - what do we know?

Awareness of the nature and frequency of complaints against health care professionals working in police custodial health care services could provide opportunities to improve patient safety. To explore this freedom of information requests were sent to police services in England, Wales and Northern Ireland, to professional regulatory bodies and to the Independent Office for Police Conduct. Eighty-seven percent of police services responded but only a minority provided complete responses, with data not being held, or not being held in an easily retrievable format, being provided as reasons. The nature and frequency of complaints were similar to a previous 2017 study, suggesting a failure to learn lessons from the investigation of complaints and implement change in clinical practice. No evidence of an accessible complaints handling and recording procedure was provided across the police services surveyed. Regulatory bodies provided some information on the nature of complaints made against doctors and nurses working in police custodial settings, but that for paramedics was unable to do so. It is recommended that the communication loop between police services, those bodies providing health care and forensic medical services and regulatory bodies needs to be closed. A common reporting system or the application of established complaints handling procedures and reporting structures, which could be achieved by transferring these services to the National Health Service, may enhance patient safety in police custody.

Lines of Settlement: Lost Landscapes within Maps for Future Morphologies

The value of archival documents quite often extends beyond their original purpose, as evidence contained within these artefacts, whether written or drawn, can provide veracity for new lines of heritage inquiry. Many settlements in the ‘new world’ were set out by land surveyors whose drawings charted the accurate placement and alignment of new streets and block perimeters laid upon drawings of the extant topographical landscape features. The paper discusses three settlement maps of Melbourne, Australia, through the lens of Michel de Certeau’s idea that maps are an instrument of power are not just about recording; maps are actually about appropriating and producing regimes of place. In the Australian context, the settlement drawings, prepared under the direction of the colonial administration, inadvertently depicts Country that had been under the custodial care of the First Nations peoples for millennia, and through the intentions of the settlement maps about to be irrevocably disturbed, altered or destroyed. We raise the prospect that urban and landscape design can reflect on the ‘lost landscapes’ of cultural significance, and discuss new ways of interpreting representation through an approach of design reconciliation.

Between drift and confinement: What can the study of "lunatics" in Hong Kong contribute to the historiography mental health in East Asia?

In this essay, the author reflects on his past and current research in transnational history psychiatry and the history of lunatics in Hong Kong, attempting to develop an alternative narrative in the unique free port between the East and the West concerning the conventional colonial historiography of psychiatry. He emphasizes that, in Hong Kong, the historiography of psychiatry should broaden its focus and not limited to the role of mental asylums, for modern psychiatry was almost absent in Britain's crown colony until the end of World War II, and custodial care for lunatics was only one temporary measure in a much broader network of patient repatriation. The grand project was designed not for the well-being of the mentally ill but the smooth operation of the international commercial port. In addition, the post-war institutionalization of psychiatry, including the expansion of hospitals and the creation of the psychiatric specialty in Hong Kong, did not improve the mental health of Hong Kong residents. The author argues that this is because the rapid development of modern psychiatry in the former British colony overlooked the social determinants of mental suffering. A historical understanding of psychiatry in Hong Kong is helpful to address such ignorance.

Deep Learning for Walking Behaviour Detection in Elderly People Using Smart Footwear.

The increase in the proportion of elderly in Europe brings with it certain challenges that society needs to address, such as custodial care. We propose a scalable, easily modulated and live assistive technology system, based on a comfortable smart footwear capable of detecting walking behaviour, in order to prevent possible health problems in the elderly, facilitating their urban life as independently and safety as possible. This brings with it the challenge of handling the large amounts of data generated, transmitting and pre-processing that information and analysing it with the aim of obtaining useful information in real/near-real time. This is the basis of information theory. This work presents a complete system aiming at elderly people that can detect different user behaviours/events (sitting, standing without imbalance, standing with imbalance, walking, running, tripping) through information acquired from 20 types of sensor measurements (16 piezoelectric pressure sensors, one accelerometer returning reading for the 3 axis and one temperature sensor) and warn the relatives about possible risks in near-real time. For the detection of these events, a hierarchical structure of cascading binary models is designed and applied using artificial neural network (ANN) algorithms and deep learning techniques. The best models are achieved with convolutional layered ANN and multilayer perceptrons. The overall event detection performance achieves an average accuracy and area under the ROC curve of 0.84 and 0.96, respectively.