Medicine and Health Sciences Commons^™

Insurance Coverage During Transitions: Evidence From Medicaid Automatic Enrollment For Children Receiving Supplemental Security Income, Stephanie Rennane, Danielle Sobol, Bradley D Stein, Andrew Dick

Student and Faculty Publications

OBJECTIVES: To analyze relationships between Medicaid automatic enrollment for child Supplemental Security Income (SSI) recipients and health insurance coverage during transitions.

DATA SOURCES AND STUDY SETTING: Medical Expenditure Panel Study, 2000-2020 and National Survey for Children with Special Health Care Needs, 2001-2010.

STUDY DESIGN: Leveraging variation in SSI-Medicaid automatic enrollment status across regions and over time, we estimate a regression model to quantify associations between automatic enrollment and insurance coverage. We validate our findings in the NS-CSHCN.

DATA COLLECTION: Our sample includes children receiving SSI for a disability. We also analyze a subsample of children newly enrolled in SSI.

PRINCIPAL …

Inclusion Of Children With Disabilities In Qualitative Health Research: A Scoping Review, Janet Njelesani, Vongai Mlambo, Tsedenia Denekew, Jean Hunleth

2020-Current year OA Pubs

BACKGROUND: Children with disabilities have the right to participate in health research so their priorities, needs, and experiences are included. Health research based primarily on adult report risks misrepresenting children with disabilities and their needs, and contributes to exclusion and a lack of diversity in the experiences being captured. Prioritizing the participation of children with disabilities enhances the relevance, meaningfulness, and impact of research.

METHODS: A scoping review was conducted to critically examine the participation of children with disabilities in qualitative health research. The electronic databases PubMed, PsychInfo, Embase, and Google Scholar were searched. Inclusion criteria included qualitative health studies …

A Collaborative Approach To Decision Making Through Developmental Monitoring To Provide Individualized Services For Children With Cerebral Palsy., Doreen J Bartlett, Sarah W Mccoy, Lisa A Chiarello, Lisa Avery, Barbara Galuppi, On Track Study Team

Physical Therapy Publications

In this Perspective, we suggest a process to improve physical and occupational therapists’ and families’ collaboration to provide appropriate, efficient, and effective evidence-based services to improve motor function, self-care performance, and participation in family and recreation activities for children with cerebral palsy (CP). This process is informed by 2 multisite prospective cohort studies (Move & PLAY and On Track). The heterogeneity of children with CP is described, limiting the utility of evidence from randomized controlled trials and systematic reviews to inform service planning for children with CP. An evidence-based alternative using prospective cohort studies that produce knowledge of determinants of …

Interrelationships Of Functional Status And Health Conditions In Children With Cerebral Palsy: A Descriptive Study., Doreen Bartlett, Emily Dyszuk, Barbara Galuppi, Jan Willem Gorter

Physical Therapy Publications

PURPOSE: To examine the relationship among the Gross Motor Function Classification System (GMFCS), the Manual Ability Classification System (MACS), and the Communication Function Classification System (CFCS) in children with cerebral palsy (CP) and to determine the average number and effect of health conditions.

METHODS: Participants were 671 children with CP aged 2 to 12 years from Canada and the United States. Cross-tabulation of functional classifications and averages were computed for the number and impact of health conditions and comparisons among groups.

RESULTS: A total of 78 of the 125 possible classification combinations were recorded. Most frequent were GMFCS I, MACS …

Health Outcomes Of Hispanic Parents Caring For Children With Disabilities, Nelson Sanchez

FIU Electronic Theses and Dissertations

The purpose of this correlational study is to investigate the impact of the child’s functional status, family context, parent acculturation, and social support on parenting stress and, ultimately, on parents physical and mental health. A convenience sample of 50 Hispanic parents was recruited through a Facebook page and from agencies in South Florida providing services to children with disabilities and their families. The parents ages range from 21 to 62 years and the majority were mothers (n= 45). The majority of parents in this study live in low income households, have no college education, showed little participation in the workforce, …

Physical Activities In The Nys/Bya Program On The Turtle Mountain Chippewa Reservation: A Resource Guide For Adaptation, Lauren Herbert, Melissa Hoffman

Occupational Therapy Capstones

The percentage of children with disabilities in the United States (U.S.) is increasing at an alarming rate. According to the 2000 census, 3.9% of all families reported having a child with disabilities. As of the 2010 census, there were 53.9 million school-aged children (aged 5 to 17) in the U.S with about 2.8 million (5.2%) reporting a disability. Among the American Indian population, these rates are increasing at an even higher rate. American Indians have the highest rates of disability of any group in the United States (Nichols & Keltner, 2005). According to Waldman, Perlman, and Swerdloff (2008), more than …

Whole-Genome Sequencing And Disability In The Nicu: Exploring Practical And Ethical Challenges., Michael J. Deem

Manuscripts, Articles, Book Chapters and Other Papers

Clinical whole-genome sequencing (WGS) promises to deliver faster diagnoses and lead to better management of care in the NICU. However,several disability rights advocates have expressed concern that clinical use of genetic technologies may reinforce and perpetuate stigmatization of and discrimination against disabled persons in medical and social contexts. There is growing need, then, for clinicians and bioethicists to consider how the clinical use of WGS in the newborn period might exacerbate such harms to persons with disabilities. This article explores ways to extend these concerns to clinical WGS in neonatal care. By considering these perspectives during the early phases of …

A Manual For Caregivers Of Infants And Young Children Who Are At Risk For Or Have Experienced A Tbi: Prevention And Education, Meghan Enabnit, Stephanie Gubbels

Occupational Therapy Capstones

The prevalence of infant TBI, 0 to 4 years of age, is one of the highest population groups to experience TBI (Faul, Xu, Wald, & Coronado, 2010). The age group between 0-4 years old has contributed to 251,546 emergency department visits, 15,239 hospital visits, and 998 deaths (Faul et aI., 2010). The purpose of this scholarly project is to increase awareness and knowledge of infant and young child traumatic brain injury across all contexts, to reduce incidence of traumatic brain injury and re-injury and to promote development for the vulnerable, at-risk, infant and young child population through the creation and …

An Exploratory Study Investigating The Quality Of Life In Parents Of Children With Disabilities, Jeffrey Crain, Rebecca Lang

Occupational Therapy Capstones

The purpose of the study is to investigate caregivers' of children with disabilities perceptions related to their quality of life through engagement in meaningful occupations. Researchers hope that data from this study will contribute to the growing body of literature on caregivers of children with disabilities. Quality of life is an outcome measure that occupational therapists utilize in their practice.

Throughout the course of the study data was collected through the use of a semi structured interview tool. Researchers developed this tool to allow participants to openly express their thoughts, emotions, and experiences related to having a child with a …

The Influence Of The Environment On Play Participation In Children With Disabilities, Marcia Hamilton

Occupational Therapy Collection

Children with disabilities face challenges with accessing opportunities to play and physical activity (Owen, 2010). Statistical evidence supports the concern for the growing issue of secondary health problems related to lack of physical activity (Cooper, 1999; Council on Disabilities, 2008; Heath, 1997; National Institute for Health and Clinical Excellence, 2008; Spencer-Cavalier and Watkinson, 2010, US Department of Education, 2005). This is of further concern because of a rising incidence of disability in children (US Department of Education, 2005). This research was conducted to help provide an understanding of how children with disabilities can access play. Eleven children with moderate to …

Identifying Strategies Early Intervention Occupational Therapists Use To Teach Caregivers., Jessica L. Colyvas, L Brook Sawyer, Philippa H. Campbell

Department of Occupational Therapy Faculty Papers

This study investigated early intervention occupational therapists' use of strategies to teach caregivers. A sample of 40 videotapes made by early intervention occupational therapists was randomly selected from an archival videotape data set of provider home visits. The sample included 20 videotapes illustrating traditional services and 20 videotapes illustrating therapists providing participation-based services. Videotapes were rated using the Teaching Caregivers Scale, which rates three variables on 30-s intervals: (1) routine, (2) provider role, and (3) strategies used to teach caregivers during early intervention home visits. Regardless of the model of service, explicit teaching strategies were rarely used during home visits.

Intensive Care For Extreme Prematurity--Moving Beyond Gestational Age, Jon E Tyson, Nehal A Parikh, John Langer, Charles Green, Rosemary D Higgins

Faculty and Staff Publications

BACKGROUND: Decisions regarding whether to administer intensive care to extremely premature infants are often based on gestational age alone. However, other factors also affect the prognosis for these patients.

METHODS: We prospectively studied a cohort of 4446 infants born at 22 to 25 weeks' gestation (determined on the basis of the best obstetrical estimate) in the Neonatal Research Network of the National Institute of Child Health and Human Development to relate risk factors assessable at or before birth to the likelihood of survival, survival without profound neurodevelopmental impairment, and survival without neurodevelopmental impairment at a corrected age of 18 to …

Treating The Whole Child: Recognizing And Addressing Depression In Children With Physical Disabilities, Kathleen A. Koehn

Occupational Therapy Capstones

The purpose of this scholarly project was to develop a tool that would assist occupational therapy practitioners working with children with physical disabilities in recognizing and addressing symptoms of depression in that population. Ailey (2003) reported that symptoms of depression in children with developmental disabilities are frequently attributed incorrectly to a child's primary diagnosis, rather than depression. Because occupational therapists typically see these children more frequently than primary care physicians, they are in a prime position to assist in the screening and referral processes related to depression.

This project involved a comprehensive review of the literature, including data on the …

Birth To Three Early Intervention Parent Handbook, Sarah C. Nicholas

Occupational Therapy Capstones

The purpose of this study was to investigate family-centered advocacy in early intervention, specifically the development of a parent handbook for families of young children who are eligible to receive early intervention services in Wyoming. Early intervention programs provide services for children with disabilities ages birth to three and their families under the Individuals with Disabilities Education Improvement Act (2004), Part C. The resource handbook was designed for parents and community partners so that they may better understand and utilize early intervention in the community where they reside. The parent handbook was designed to be as a written reference of …

Training Assistance For Caregivers Working With Students With Traumatic Brain Injury, Randi L. Price

Occupational Therapy Capstones

Students who have suffered a traumatic brain injury (TBI) often require assistance from a variety of professionals and staff to complete their daily routines. Frequently it is a classroom assistant (paraprofessional), under the direction of a teacher, who attends to the student's basic and daily needs. Teachers and their assistants may receive some general training, but assistants, especially, are seldom offered an opportunity to attend trainings specific to managing the needs, difficulties, and behaviors that they are likely to encounter in their students. Unfortunately, according to J. Shuiz, Training Director and Special Education Services Coordinator for Natrona County School District …

Leveling The Playing Field: Creating Equal Access To Playgrounds For Children Of All Abilities, Sarah Kriesel-Koll

Occupational Therapy Capstones

No abstract provided.

An Aquatic Occupational Therapy Program For Children With Physical, Developmental, And Psychosocial Disabilities, Nicole E. Miller

Occupational Therapy Capstones

No abstract provided.

Effective Splinting And Wearing Schedules For The Pediatric Population, Kristin Reichmann

Occupational Therapy Capstones

No abstract provided.

Children With Disturbances In Sensory Processing: A Pilot Study Examining The Role Of The Parasympathetic Nervous System., Roseann C. Schaaf, Lucy Jane Miller, Duncan Seawell, Shannon O'Keefe

Department of Occupational Therapy Faculty Papers

This study was a preliminary investigation of parasympathetic nervous system (PNS) functioning in children with disturbances in sensory processing. The specific aims of this study were to (1) provide preliminary data about group differences in parasympathetic functions, as measured by the vagal tone index, between children with disturbances in sensory processing and those without; (2) determine effect size and power needed for future studies; and (3) to lay the foundation for further examination of the relations of parasympathetic functioning and functional behavior in children with disturbances in sensory processing. Participants were 15 children, nine with disturbances in sensory processing and …

A Review Of The Effects Of Traumatic Brain Injury Among School Aged Children: Implications For The Occupational Therapist And Intervention Team, Amanda Claesson, Laurie Rider

Occupational Therapy Capstones

No abstract provided.

North Dakota Needs And Feasibility Assessment For A Statewide Family-To-Family Network, Laurie Betting

Physical Therapy Scholarly Projects

The purpose of this study was to determine the need and feasibility of a family-to-family network within the state of North Dakota. The model for this family support network would include a process of matching experienced or "veteran" parents or a family member who has a child with a disability with parents or other family members who are just beginning to meet the challenge of a disability within the family.

The research was designed to determine priorities of families with children with disabilities as well as effective methods of recruitment, referral, and training. Furthermore, the research identified agencies and programs …