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Supporting Parents With Psychiatric Disabilities And Promoting Recovery: An International Challenge, Peter van der Ende, Joanne Nicholson 2010 Hanze University of Applied Sciences

Supporting Parents With Psychiatric Disabilities And Promoting Recovery: An International Challenge, Peter Van Der Ende, Joanne Nicholson

Joanne Nicholson

Introduction: Parenting is a significant life role for adults with psychiatric disabilities. Not only is success in this role a normal life goal for many, but functioning as well as possible as parents would seem to be intimately related to the recovery process and successful functioning in other major life domains. Research on the prevalence and needs of parents with psychiatric disabilities in two countries, the U.S. and The Netherlands, provides the framework for developing and testing interventions. Essential program components include supports for parents in meeting their children’s needs as well as managing their own. Research Question ...


The Massachusetts Family Networks Implementation Study, Susan Maciolek, Joanne Nicholson, Jodi Adams, Bernice Gershenson, Katherine Woolsey, Brenda Warren 2010 Massachusetts Department of Social Services

The Massachusetts Family Networks Implementation Study, Susan Maciolek, Joanne Nicholson, Jodi Adams, Bernice Gershenson, Katherine Woolsey, Brenda Warren

Joanne Nicholson

Family Networks is a comprehensive systems transformation initiative to redesign and integrate traditional categorical services across the Commonwealth into local systems of care for children, youth, and families served by the child welfare system. The Family Networks Implementation Study, a partnership between the Massachusetts Department of Social Services (MA/DSS) and the University of Massachusetts Medical School, is a two-year study of the process of implementing local systems of care that began in January 2007, and will continue through December 2008. Findings from the Family Networks Implementation Study will inform MA/DSS strategic planning, system refinements, and the Family Networks ...


Regional Collaborations As A Way Forward For Maternal, Newborn And Child Health:The South Asian Healthcare Professional Workshop, Jennifer H. Requejo, Kadidiatou Toure, Zulfiqar Ahmed Bhutta, Imtiaz Katz, Shahida Zaidi, andres de Francisco 2010 Aga Khan University

Regional Collaborations As A Way Forward For Maternal, Newborn And Child Health:The South Asian Healthcare Professional Workshop, Jennifer H. Requejo, Kadidiatou Toure, Zulfiqar Ahmed Bhutta, Imtiaz Katz, Shahida Zaidi, Andres De Francisco

Woman and Child Health

This article reviews the importance of regional initiatives in the context of global efforts to achieve the Millennium Development Goal 4 and 5 and describes the action-oriented multi-country healthcare professional association (HCPA) workshops organized by the Partnership for Maternal, Newborn and Child Health. The South Asian HCPA workshop served as a catalyst for strengthening the ability of HCPAs in South Asian countries to organize and coordinate their activities effectively, play a larger role in national planning, and collaborate with other key stakeholders in maternal, newborn and child health.


La Medicina Alternativa En Oaxaca: Su Coexistencia Con La Medicina Alópata, Katie Deeg 2010 SIT Study Abroad

La Medicina Alternativa En Oaxaca: Su Coexistencia Con La Medicina Alópata, Katie Deeg

Independent Study Project (ISP) Collection

En este ensayo exploro la coexistencia entre la medicina alternativa y la alópata en Oaxaca y determino que, dada la relevancia cultural de la medicina alternativa y el estatus deficiente de la salud y servicios médicos en el estado, la promoción de la medicina alternativa es importante para ayudar a la gente a alcanzar la mejor calidad posible de salud. Primero presento una definición de la medicina alternativa dentro del contexto de Oaxaca y describo su presencia en Oaxaca. Considerando la naturaleza de la coexistencia entre la medicina alternativa y alópata, presento mis descubrimientos sobre la importancia de usar los ...


A Multi-Disciplinary, Whole-Of-Family Approach To Supporting Parents With Mental Illness, Joanne Nicholson 2010 University of Massachusetts Medical School

A Multi-Disciplinary, Whole-Of-Family Approach To Supporting Parents With Mental Illness, Joanne Nicholson

Systems and Psychosocial Advances Research Center Publications and Presentations

Summary: Family members are likely to have multiple and overlapping needs & roles – individuals with mental illness, carers & siblings. There are many opportunities & strategies for intervention. The best care requires the engagement of multiple stakeholders working in partnership.


Public Health Insurance Utilization In New York City, 2008, Rachael Varra 2010 Center for Latin American, Caribbean, and Latino Studies

Public Health Insurance Utilization In New York City, 2008, Rachael Varra

Center for Latin American, Caribbean, and Latino Studies

Introduction: This study examines demographic and socioeconomic factors of racial/ethnic groups in New York City between as of 2008 – particularly the utilization of public health insurance (PHI) benefits.

Methods: Data on Latinos and other racial/ethnic groups were obtained from the U.S. Census Bureau American Community Survey, reorganized for public use by the Minnesota Population Center, University of Minnesota, IPUMSusa. Cases in the dataset were weighted and analyzed to produce population estimates.

Results: Of the 25% of New Yorkers receiving PHI in 2008, the absolute number of whites, blacks and Latinos receiving PHI was similar. However, greater proportions ...


Access To Mental Health Services And Family Impact Of Rural Children With Mental Health Problems, Jennifer D. Lenardson MHS, Erika C. Ziller PhD, David Lambert PhD, Melanie M. Race MS, Anush Yousefian Hansen MS, MA 2010 University of Southern Maine, Muskie School of Public Service, Maine Rural Health Research Center

Access To Mental Health Services And Family Impact Of Rural Children With Mental Health Problems, Jennifer D. Lenardson Mhs, Erika C. Ziller Phd, David Lambert Phd, Melanie M. Race Ms, Anush Yousefian Hansen Ms, Ma

Behavioral Health

Mental health problems have considerable impact on children and their families and some of these impacts are higher in rural than urban areas. Rural children are slightly but significantly more likely to have a mental health problem than urban children, are more likely to have a behavioral difficulty, and are more likely to be usually or always affected by their condition. Compared to urban children, rural children are more likely to go without access to all parent-reported needed mental health services and their families spend more time coordinating their care. This working paper and policy brief provide information on prevalence ...


A New Way Of Relating: Perceptions Associated With A Team-Based Error Disclosure Simulation Intervention, Lianne Jeffs, Sherry Espin, Sarah Shannon, Wendy Levinson, Melanie Kazman Kohn, Lorelei Lingard 2010 Ryerson University

A New Way Of Relating: Perceptions Associated With A Team-Based Error Disclosure Simulation Intervention, Lianne Jeffs, Sherry Espin, Sarah Shannon, Wendy Levinson, Melanie Kazman Kohn, Lorelei Lingard

Lorelei Lingard

BACKGROUND: Despite the call for open and team-based approaches to error disclosure, the participation beyond physicians and managers is not a common practice in health care settings. Moreover, within the growing literature base on error disclosure, team-based error disclosure is an emerging concept. To address this knowledge gap, a study was undertaken to explore the perceptions associated with an educational simulation intervention for team-based error disclosure.

METHODS: A qualitative study that involved analysis of data obtained from semi-structured interviews with a sample of 6 physicians, 6 surgeons, and 12 nurses recruited from the three participating hospitals.

RESULTS: Perceptions from study ...


Credentials As Cultural Capital: The Pursuit Of Higher Degrees Among Academic Medical Trainees, Orlee Guttman, Lorelei Lingard 2010 The University of Western Ontario

Credentials As Cultural Capital: The Pursuit Of Higher Degrees Among Academic Medical Trainees, Orlee Guttman, Lorelei Lingard

Lorelei Lingard

BACKGROUND: Growing numbers of postgraduate medical trainees pursue master's or PhD degrees together with professional education. This study explored students' motivation for undertaking these degrees and considered theoretical explanations for the forces shaping this phenomenon.

METHOD: Using constructivist grounded theory methods, interviews were conducted with 14 fellows pursuing higher degrees during subspecialty pediatric training. Emergent themes were identified from transcripts using constant comparative analysis.

RESULTS: Participants pursued higher degrees to be more competitive for academic jobs and to increase their credibility within their field. Academic medicine was felt to demand ever-increasing credentials to position trainees as a good investment ...


Communities And Health: The Case Of Inner-City Violence And Asthma, Andrea J. Apter 2010 University of Pennsylvania

Communities And Health: The Case Of Inner-City Violence And Asthma, Andrea J. Apter

Issue Briefs

The social forces that affect individual health are powerful and yet poorly understood. For example, the health burden of asthma is especially large for residents of low-income, inner-city neighborhoods. At the same time, many inner-city residents face health challenges associated with high levels of violence in their communities. Recent work has linked exposure to community violence with worsening asthma symptoms in children, but the link has not been studied in adults. This Issue Brief summarizes a new study that tracks adults with moderate to severe asthma and explores the association between exposure to community violence and subsequent asthma-related emergency department ...


The Primary Care Safety Net: Strained, Transitioning, Critical, Jessamyn Taylor 2010 George Washington University

The Primary Care Safety Net: Strained, Transitioning, Critical, Jessamyn Taylor

National Health Policy Forum

This background paper examines the primary care safety net. It describes key primary care safety net providers, including federally qualified health centers, free clinics, local health departments, and safety net hospital outpatient departments and clinics, among others. The paper also explores the changing role of the primary care safety net in a post–health reform marketplace.


High Hopes: Public Health Approaches To Reducing The Need For Health Care, Michele J. Orza 2010 George Washington University

High Hopes: Public Health Approaches To Reducing The Need For Health Care, Michele J. Orza

National Health Policy Forum

Driven in part by a desire to contain health care costs, policymakers are looking beyond medical care for opportunities to reduce the need for expensive services. This paper briefly reviews current public health concepts and strategies for improving health that emphasize nonmedical factors such as behavior, socioeconomic status, and environment. It also provides examples of how these concepts and strategies undergird many of the public health provisions of the Patient Protection and Affordable Care Act, other legislation, and several programs and initiatives. These concepts include prevention, health in all policies, global health, the One Health Initiative, and climate change and ...


Impact Of Prevalent Fractures On Quality Of Life: Baseline Results From The Global Longitudinal Study Of Osteoporosis In Women, Jonathan D. Adachi, Silvano Adami, Stephen H. Gehlbach, Frederick A. Anderson Jr., Steven Boonen, Roland D., Juliet E. Compston, Cyrus Cooper, Pierre Delmas, Adolfo Diez-Perez, Susan L. Greenspan, Frederick H. Hooven, Andrea Z. LaCroix, Robert Lindsay, J. Coen Netelenbos, Olivia Wu, Johannes Pfeilschifter, Christian Roux, Kenneth G. Saag, Phillip Sambrook, Stuart Silverman, Ethel S. Siris, Grigor Nika, Nelson B. Watts, GLOW Investigators 2010 McMaster University

Impact Of Prevalent Fractures On Quality Of Life: Baseline Results From The Global Longitudinal Study Of Osteoporosis In Women, Jonathan D. Adachi, Silvano Adami, Stephen H. Gehlbach, Frederick A. Anderson Jr., Steven Boonen, Roland D., Juliet E. Compston, Cyrus Cooper, Pierre Delmas, Adolfo Diez-Perez, Susan L. Greenspan, Frederick H. Hooven, Andrea Z. Lacroix, Robert Lindsay, J. Coen Netelenbos, Olivia Wu, Johannes Pfeilschifter, Christian Roux, Kenneth G. Saag, Phillip Sambrook, Stuart Silverman, Ethel S. Siris, Grigor Nika, Nelson B. Watts, Glow Investigators

GLOW Publications

OBJECTIVE: To examine several dimensions of health-related quality of life (HRQL) in postmenopausal women who report previous fractures, and to provide perspective by comparing these findings with those in other chronic conditions (diabetes, arthritis, lung disease).

PATIENTS AND METHODS: Fractures are a major cause of morbidity among older women. Few studies have examined HRQL in women who have had prior fractures and the effect of prior fracture location on HRQL. In this observational study of 57,141 postmenopausal women aged 55 years and older (enrollment from December 2007 to March 2009) from 17 study sites in 10 countries, HRQL was ...


Using Hospital Discharge Abstract Data To Identify Incident Breast Cancer Cases And Assess Quality Of Care, Elaine J. Yuen, Daniel Z. Louis, Carol Rabinowitz, Vittorio maio, L. Cisbani, R. DePalma, R. Grilli 2010 Thomas Jefferson University

Using Hospital Discharge Abstract Data To Identify Incident Breast Cancer Cases And Assess Quality Of Care, Elaine J. Yuen, Daniel Z. Louis, Carol Rabinowitz, Vittorio Maio, L. Cisbani, R. Depalma, R. Grilli

College of Population Health Faculty Papers

No abstract provided.


The Importance Of Examining Movements Within The Us Health Caresystem: Sequential Logit Modeling, Chioun Lee, Stephanie L L. Ayers, Jennie Jacobs Kronenfeld, Jemima A. Frimpong, Patrick A. Rivers, Sam S. Kim 2010 Rutgers University - New Brunswick/Piscataway

The Importance Of Examining Movements Within The Us Health Caresystem: Sequential Logit Modeling, Chioun Lee, Stephanie L L. Ayers, Jennie Jacobs Kronenfeld, Jemima A. Frimpong, Patrick A. Rivers, Sam S. Kim

Open Dartmouth: Faculty Open Access Articles

Utilization of specialty care may not be a discrete, isolated behavior but rather, a behavior of sequential movements within the health care system. Although patients may often visit their primary care physician and receive a referral before utilizing specialty care, prior studies have underestimated the importance of accounting for these sequential movements. The sample included 6,772 adults aged 18 years and older who participated in the 2001 Survey on Disparities in Quality of Care, sponsored by the Commonwealth Fund. A sequential logit model was used to account for movement in all stages of utilization: use of any health services ...


Using N-Of-1 Trials To Improve Patient Management And Save Costs, Paul A. Scuffham, Jane Nikles, Geoffrey K. Mitchell, Michael J. Yelland, Norma Vine, Christopher J. Poulos, Peter I. Pillans, Guy Bashford, Chris Del Mar, Philip J. Schluter, Paul Glasziou 2010 Griffith University

Using N-Of-1 Trials To Improve Patient Management And Save Costs, Paul A. Scuffham, Jane Nikles, Geoffrey K. Mitchell, Michael J. Yelland, Norma Vine, Christopher J. Poulos, Peter I. Pillans, Guy Bashford, Chris Del Mar, Philip J. Schluter, Paul Glasziou

Faculty of Health Sciences & Medicine Publications

Background: N-of-1 trials test treatment effectiveness within an individual patient.

Objective: To assess (i) the impact of three different N-of-1 trials on both clinical and economic outcomes over 12 months and (ii) whether the use of N-of-1 trials to target patients' access to high-cost drugs might be cost-effective in Australia.

Design: Descriptive study of management change, persistence, and costs summarizing three N-of-1 trials.

Participants: Volunteer patients with osteoarthritis, chronic neuropathic pain or ADHD whose optimal choice of treatment was uncertain.

Interventions: Double-blind cyclical alternative medications for the three conditions.

Measures: Detailed resource use, treatment and health outcomes (response) data collected ...


Seventy-Five Trials And Eleven Systematic Reviews A Day: How Will We Ever Keep Up?, Hilda Bastian, Paul Glasziou, Iain Chalmers 2010 German Institute for Quality and Efficiency in Health Care

Seventy-Five Trials And Eleven Systematic Reviews A Day: How Will We Ever Keep Up?, Hilda Bastian, Paul Glasziou, Iain Chalmers

Faculty of Health Sciences & Medicine Publications

Thirty years ago, and a quarter of a century after randomised trials had become widely accepted, Archie Cochrane reproached the medical profession for not having managed to organise a ‘‘critical summary, by speciality or subspeciality, adapted periodically, of all relevant randomised controlled trials’’. Thirty years after Cochrane’s reproach we feel it is timely to consider the extent to which health professionals, the public and policymakers could now use ‘‘critical summaries’’ of trials for their decision-making.


Prevalence, Knowledge And Care Patterns For Gastro-Oesophageal Reflux Disease In United States Minority Populations., Elaine Yuen, Martha Romney, Richard W. Toner, Nicole M. Cobb, Philip O. Katz, Maya Spodik, Neil I. Goldfarb 2010 Jefferson School of Population Health, Thomas Jefferson University

Prevalence, Knowledge And Care Patterns For Gastro-Oesophageal Reflux Disease In United States Minority Populations., Elaine Yuen, Martha Romney, Richard W. Toner, Nicole M. Cobb, Philip O. Katz, Maya Spodik, Neil I. Goldfarb

College of Population Health Faculty Papers

BACKGROUND: While there is evidence of ethnic variation in the prevalence of gastro-oesophageal reflux disease (GERD) symptoms, few population-based studies examine GERD symptom prevalence amongst the growing Hispanic minority in the US as well as Asians in the West. AIM: To examine the prevalence, awareness and care patterns for GERD across different ethnic groups.

METHODS: A population-based, cross-sectional survey was fielded in English, Chinese and Spanish that assessed self-reported GERD prevalence, awareness and care patterns in four ethnic groups (Caucasian, African American, Asian, Hispanic).

RESULTS: A total of 1172 subjects were included for analysis: 34.6% experienced GERD symptoms at ...


One And Only Campaign Nevada Evaluation Of Educational Materials For Injection Safety Executive Summary, Nevada Institute for Children’s Research and Policy, School of Community Health Science, University of Nevada, Las Vegas, Amanda Haboush, Tara Phebus, Kari Wolkwitz, Denise Tanata Ashby, Enrique Lopez, Christopher M. Aquino, Sheila Clark 2010 Nevada Institute for Children’s Research and Policy

One And Only Campaign Nevada Evaluation Of Educational Materials For Injection Safety Executive Summary, Nevada Institute For Children’S Research And Policy, School Of Community Health Science, University Of Nevada, Las Vegas, Amanda Haboush, Tara Phebus, Kari Wolkwitz, Denise Tanata Ashby, Enrique Lopez, Christopher M. Aquino, Sheila Clark

Nevada Institute for Children's Research and Policy Reports

The goal of the evaluation was to measure the effectiveness of the Campaign’s educational materials in raising awareness among the general public and enhancing the knowledge of healthcare personnel. Through this measurement the evaluation results would then also provide recommendations for improvements to the materials. To achieve these goals the evaluation team at NICRP created a strategic dissemination plan designed to support a formal evaluation of messages within the materials, message delivery and general knowledge and understanding of safe injection practices by both providers and the general public. Methods utilized to conduct this evaluation included:

  • Surveys of both patients ...


Review Of The Quality Of Complementary Medicines Information Resources: Summary Report, Treasure McGuire, Julie Walters, Angela Dean, Mieke van Driel, Chris Del Mar, Vicki Kotsirilos, Geraldine Moses, Steven Chong, Gary Deed, Barbara Eldred, Janet Hardy, Honey Heussler, Samantha Hollingsworth, Loretta Marron, Joy Mendel, David Pache, Kathryn Steadman, Helen Trenerry, Jared Brown, Margaret Williamson 2010 Bond University

Review Of The Quality Of Complementary Medicines Information Resources: Summary Report, Treasure Mcguire, Julie Walters, Angela Dean, Mieke Van Driel, Chris Del Mar, Vicki Kotsirilos, Geraldine Moses, Steven Chong, Gary Deed, Barbara Eldred, Janet Hardy, Honey Heussler, Samantha Hollingsworth, Loretta Marron, Joy Mendel, David Pache, Kathryn Steadman, Helen Trenerry, Jared Brown, Margaret Williamson

Treasure McGuire

Recent research conducted by the National Prescribing Service (NPS) has shown the need for improving complementary medicines (CMs) information availability and awareness for Australian health professionals and consumers. CMs information resources have been reported to be of variable quality, with some identified as inaccurate or misleading. To date, there has been no comprehensive evaluation of available information resources to help the Australian community make better informed decisions around the quality use of CMs, in order to meet the demand for high quality information on CMs.


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