Science.gov

Sample records for health recovery programs

  1. A review of mental health recovery programs in selected industrialized countries.

    PubMed

    Pincus, Harold A; Spaeth-Rublee, Brigitta; Sara, Grant; Goldner, Elliot M; Prince, Pamela N; Ramanuj, Parashar; Gaebel, Wolfgang; Zielasek, Jürgen; Großimlinghaus, Isabell; Wrigley, Margo; van Weeghel, Jaap; Smith, Mark; Ruud, Torleif; Mitchell, John R; Patton, Lisa

    2016-01-01

    The concept of recovery has gained increasing attention and many mental health systems have taken steps to move towards more recovery oriented practice and service structures. This article represents a description of current recovery-oriented programs in participating countries including recovery measurement tools. Although there is growing acceptance that recovery needs to be one of the key domains of quality in mental health care, the implementation and delivery of recovery oriented services and corresponding evaluation strategies as an integral part of mental health care have been lacking.

  2. SHPPS 2006 School Health Policies and Programs Study--Crisis Preparedness, Response, and Recovery

    ERIC Educational Resources Information Center

    Centers for Disease Control and Prevention, 2007

    2007-01-01

    The School Health Policies and Programs Study (SHPPS) is a national survey periodically conducted to assess school health policies and programs at the state, district, school, and classroom levels. This brief presents data on crisis preparedness, response, and recovery as it pertains to health services, mental health and social services, nutrition…

  3. A mental health program for ground zero rescue and recovery workers: cases and observations.

    PubMed

    Katz, Craig L; Smith, Rebecca; Silverton, Marsha; Holmes, Anastasia; Bravo, Carlos; Jones, Kristina; Kiliman, Marta; Lopez, Norma; Malkoff, Laurie; Marrone, Kathryn; Neuman, Alla; Stephens, Tricia; Tavarez, Wendy; Yarowsky, Anne; Levin, Stephen; Herbert, Robin

    2006-09-01

    Clinical vignettes from the World Trade Center Worker and Volunteer Mental Health Monitoring and Treatment Program at the Mount Sinai Medical Center in New York City are presented. The hospital-based program pairs mental health screenings with federally funded occupational medical screenings to identify persons with mental health problems related to their rescue and recovery roles. The program also provides on-site mental health treatment. The cases illustrate the diverse mental health needs of the rescue and recovery workers, some of whom initially sought treatment years after September 11, 2001. The cases show that in addition to symptoms of posttraumatic stress disorder, workers experienced survivor guilt, distressing memories of childhood trauma, shame associated with intense feelings, substance abuse relapse, psychosis, and problems with family relationships.

  4. Evaluation of the Waste Tire Resources Recovery Program and Environmental Health Policy in Taiwan

    PubMed Central

    Chen, Chia-Ching; Yamada, Tetsuji; Chiu, I-Ming; Liu, Yi-Kuen

    2009-01-01

    This paper examines the effectiveness of Taiwanese environmental health policies, whose aim is to improve environmental quality by reducing tire waste via the Tire Resource Recovery Program. The results confirm that implemented environmental health policies improve the overall health of the population (i.e. a decrease in death caused by bronchitis and other respiratory diseases). Current policy expenditures are far below the optimal level, as it is estimated that a ten percent increase in the subsidy would decrease the number of deaths caused by bronchitis and other respiratory diseases by 0.58% per county/city per year on average. PMID:19440434

  5. Evaluation of the waste Tire Resources Recovery Program and environmental health policy in Taiwan.

    PubMed

    Chen, Chia-Ching; Yamada, Tetsuji; Chiu, I-Ming; Liu, Yi-Kuen

    2009-03-01

    This paper examines the effectiveness of Taiwanese environmental health policies, whose aim is to improve environmental quality by reducing tire waste via the Tire Resource Recovery Program. The results confirm that implemented environmental health policies improve the overall health of the population (i.e. a decrease in death caused by bronchitis and other respiratory diseases). Current policy expenditures are far below the optimal level, as it is estimated that a ten percent increase in the subsidy would decrease the number of deaths caused by bronchitis and other respiratory diseases by 0.58% per county/city per year on average.

  6. The Partners in Recovery program: mental health commissioning using value co-creation.

    PubMed

    Cheverton, Jeff; Janamian, Tina

    2016-04-18

    The Australian Government's Partners in Recovery (PIR) program established a new form of mental health intervention which required multiple sectors, services and consumers to work in a more collaborative way. Brisbane North Primary Health Network applied a value co-creation approach with partners and end users, engaging more than 100 organisations in the development of a funding submission to PIR. Engagement platforms were established and continue to provide opportunities for new co-creation experiences. Initially, seven provider agencies - later expanded to eight to include an Aboriginal and Torres Strait Islander provider organisation - worked collaboratively as a Consortium Management Committee. The co-creation development process has been part of achieving the co-created outcomes, which include new initiatives, changes to existing interventions and referral practices, and an increased understanding and awareness of end users' needs.

  7. Skills for Psychological Recovery: Evaluation of a post-disaster mental health training program

    PubMed Central

    Wade, Darryl; Crompton, David; Howard, Alexandra; Stevens, Naomi; Metcalf, Olivia; Brymer, Melissa; Ruzek, Josef; Watson, Patricia; Bryant, Richard; Forbes, David

    2014-01-01

    Skills for Psychological Recovery (SPR) is a brief skills-based approach to assist community members to better cope after a disaster or other tragedy. This paper reports on an evaluation of a large SPR training and support program following floods and cyclones in Queensland, Australia. The program sought to recruit, train and support competent SPR trainers; provide systematic high-quality training in SPR skills for practitioners; improve the confidence of a large number of practitioners to use SPR; and encourage practitioners' use of SPR with community members. Trainers recruited to the program facilitated 49 training sessions for 788 practitioners across Queensland. Trainers were assessed by practitioners to have high-level competencies to run training sessions. Practitioners reported improved confidence to use each SPR intervention following training and at 6 months post-training. Based on available data, more than 6 out of 10 practitioners used an SPR intervention during the follow up period, with each intervention used by over half of the practitioners at both 3 and 6 months. The most frequently reported barrier to using SPR was not having seen a community member with problems requiring SPR. For trainers, a psychology background and cognitive-behavioral therapy (CBT) orientation were unrelated to their competencies to facilitate practitioner training sessions. For practitioners, a psychology background and to some extent a CBT orientation were related to confidence to use SPR interventions. In summary, this study provides details of an evaluation of a large-scale mental health training and support program to enhance response to meet the mental health needs of those affected by disaster. PMID:28229008

  8. Maslow and mental health recovery: a comparative study of homeless programs for adults with serious mental illness.

    PubMed

    Henwood, Benjamin F; Derejko, Katie-Sue; Couture, Julie; Padgett, Deborah K

    2015-03-01

    This mixed-methods study uses Maslow's hierarchy as a theoretical lens to investigate the experiences of 63 newly enrolled clients of housing first and traditional programs for adults with serious mental illness who have experienced homelessness. Quantitative findings suggests that identifying self-actualization goals is associated with not having one's basic needs met rather than from the fulfillment of basic needs. Qualitative findings suggest a more complex relationship between basic needs, goal setting, and the meaning of self-actualization. Transforming mental health care into a recovery-oriented system will require further consideration of person-centered care planning as well as the impact of limited resources especially for those living in poverty.

  9. Maslow and Mental Health Recovery: A Comparative Study of Homeless Programs for Adults with Serious Mental Illness

    PubMed Central

    Derejko, Katie-Sue; Couture, Julie; Padgett, Deborah K.

    2014-01-01

    This mixed-methods study uses Maslow’s hierarchy as a theoretical lens to investigate the experiences of 63 newly enrolled clients of housing first and traditional programs for adults with serious mental illness who have experienced homelessness. Quantitative findings suggests that identifying self-actualization goals is associated with not having one’s basic needs met rather than from the fulfillment of basic needs. Qualitative findings suggest a more complex relationship between basic needs, goal setting, and the meaning of self-actualization. Transforming mental health care into a recovery-oriented system will require further consideration of person-centered care planning as well as the impact of limited resources especially for those living in poverty. PMID:24518968

  10. Biomass Program Recovery Act Factsheet

    SciTech Connect

    2010-03-01

    The Biomass Program has awarded about $718 million in American Recovery and Reinvestment Act (Recovery Act) funds. The projects the Program is supporting are intended to: Accelerate advanced biofuels research, development, and demonstration; Speed the deployment and commercialization of advanced biofuels and bioproducts; Further the U.S. bioindustry through market transformation and creating or saving a range of jobs.

  11. Collegiate Recovery Programs

    ERIC Educational Resources Information Center

    Harris, Kitty S.; Kimball, Thomas G.; Casiraghi, Ann M.; Maison, Sara J.

    2014-01-01

    More than ever, people are seeking substance use disorder treatment during the adolescent and young adult stages of development. Developmentally, many of these young adults new to recovery are in the process of making career decisions that may require attendance at a college or university. However, the collegiate environment is not conducive to a…

  12. Uses and abuses of recovery: implementing recovery-oriented practices in mental health systems.

    PubMed

    Slade, Mike; Amering, Michaela; Farkas, Marianne; Hamilton, Bridget; O'Hagan, Mary; Panther, Graham; Perkins, Rachel; Shepherd, Geoff; Tse, Samson; Whitley, Rob

    2014-02-01

    An understanding of recovery as a personal and subjective experience has emerged within mental health systems. This meaning of recovery now underpins mental health policy in many countries. Developing a focus on this type of recovery will involve transformation within mental health systems. Human systems do not easily transform. In this paper, we identify seven mis-uses ("abuses") of the concept of recovery: recovery is the latest model; recovery does not apply to "my" patients; services can make people recover through effective treatment; compulsory detention and treatment aid recovery; a recovery orientation means closing services; recovery is about making people independent and normal; and contributing to society happens only after the person is recovered. We then identify ten empirically-validated interventions which support recovery, by targeting key recovery processes of connectedness, hope, identity, meaning and empowerment (the CHIME framework). The ten interventions are peer support workers, advance directives, wellness recovery action planning, illness management and recovery, REFOCUS, strengths model, recovery colleges or recovery education programs, individual placement and support, supported housing, and mental health trialogues. Finally, three scientific challenges are identified: broadening cultural understandings of recovery, implementing organizational transformation, and promoting citizenship.

  13. A Randomized Controlled Trial of the Community-Friendly Health Recovery Program (CHRP) Among High-Risk Drug Users in Treatment

    PubMed Central

    Lee, I-Ching; Baldwin, Patrick

    2013-01-01

    Existing evidence-based HIV risk reduction interventions have not been designed for implementation within clinical settings, such as methadone maintenance programs, where many high-risk drug users seek treatment services. We therefore systematically developed an adapted, significantly shortened, version of a comprehensive evidence-based intervention called the Community-friendly Health Recovery Program (CHRP) which has demonstrated preliminary evidence of efficacy in a feasibility/acceptability study already published. In a randomized controlled trial reported here, we tested the efficacy of the CHRP intervention among high-risk drug users newly enrolled in drug treatment at an inner-city methadone maintenance program. The CHRP intervention produced improvements in drug risk reduction knowledge as well as demonstrated sex- and drug-risk reduction skills. Support was found for the IMB model of health behavior change. Implications for future intervention research and practice are considered. PMID:23835735

  14. Environmental Assessment Radioactive Source Recovery Program

    SciTech Connect

    1995-12-20

    In a response to potential risks to public health and safety, the U.S. Department of Energy (DOE) is evaluating the recovery of sealed neutron sources under the Radioactive Source Recovery Program (RSRP). This proposed program would enhance the DOE`s and the U.S. Nuclear Regulatory Commission`s (NRC`s) joint capabilities in the safe management of commercially held radioactive source materials. Currently there are no federal or commercial options for the recovery, storage, or disposal of sealed neutron sources. This Environmental Assessment (EA) analyzes the potential environmental impacts that would be expected to occur if the DOE were to implement a program for the receipt and recovery at the Los Alamos National Laboratory (LANL), Los Alamos, New Mexico, of unwanted and excess plutonium-beryllium ({sup 238}Pu-Be) and americium-beryllium ({sup 241}Am-Be) sealed neutron sources. About 1 kg (2.2 lb) plutonium and 3 kg (6.6 lb) americium would be recovered over a 15-year project. Personnel at LANL would receive neutron sources from companies, universities, source brokers, and government agencies across the country. These neutron sources would be temporarily stored in floor holes at the CMR Hot Cell Facility. Recovery reduces the neutron emissions from the source material and refers to a process by which: (1) the stainless steel cladding is removed from the neutron source material, (2) the mixture of the radioactive material (Pu-238 or Am-241) and beryllium that constitutes the neutron source material is chemically separated (recovered), and (3) the recovered Pu-238 or Am-241 is converted to an oxide form ({sup 238}PuO{sub 2} or {sup 241}AmO{sub 2}). The proposed action would include placing the {sup 238}PuO{sub 2} or {sup 241}AmO{sub 2} in interim storage in a special nuclear material vault at the LANL Plutonium Facility.

  15. DoD And VA Health Care: Federal Recovery Coordination Program Continues to Expand But Faces Significant Challenges

    DTIC Science & Technology

    2011-03-01

    FRCP enrollees have more than one diagnosis. a“Medical diagnosis” includes diagnoses such as stroke , heart attack, and cancer. b“Other” includes...coordinator or case manager Acute care Rehab Reintegration Lifetime follow-up Clinical Nonclinical Recovery plan VA/DOD Federal Recovery Coordination...coordinator or case manager Acute care Rehab Reintegration Lifetime follow-up Clinical Nonclinical Recovery plan VA Spinal Cord Injury and Disorders

  16. Mental health nurses' views of recovery within an acute setting.

    PubMed

    Cleary, Michelle; Horsfall, Jan; O'Hara-Aarons, Maureen; Hunt, Glenn E

    2013-06-01

    How the principles of a recovery-oriented mental health service are incorporated in the day-to-day nursing practice of mental health nurses in inpatient settings is unclear. In this study, we interviewed 21 mental health nurses working in acute inpatient mental health units about a range of recovery-focused topics. Three overlapping themes were identified: (i) the perception of recovery; (ii) congruent humanistic approaches; and (iii) practical realities. Only four interviewees had some formal training about recovery. Most respondents recognize that positive attitudes, person-centred care, hope, education about mental illness, medication and side-effects, and the acknowledgement of individual recovery pathways are necessary to prevent readmission, and are central to a better life for people who live with a mental illness. This research supports the view that ideas and practices associated with the recovery movement have been adopted to some degree by nurses working at the acute end of the services continuum. However, most saw the recovery orientation as rhetoric rather than as an appropriately resourced, coordinated, and integrated program. These nurses, however, speak of much more detailed aspects of working with patients and being required to prepare them for the exigencies of living in the community post-discharge.

  17. Evaluating a measure of social health derived from two mental health recovery measures: the California Quality of Life (CA-QOL) and Mental Health Statistics Improvement Program Consumer Survey (MHSIP).

    PubMed

    Carlson, Jordan A; Sarkin, Andrew J; Levack, Ashley E; Sklar, Marisa; Tally, Steven R; Gilmer, Todd P; Groessl, Erik J

    2011-08-01

    Social health is important to measure when assessing outcomes in community mental health. Our objective was to validate social health scales using items from two broader commonly used measures that assess mental health outcomes. Participants were 609 adults receiving psychological treatment services. Items were identified from the California Quality of Life (CA-QOL) and Mental Health Statistics Improvement Program (MHSIP) outcome measures by their conceptual correspondence with social health and compared to the Social Functioning Questionnaire (SFQ) using correlational analyses. Pearson correlations for the identified CA-QOL and MSHIP items with the SFQ ranged from .42 to .62, and the identified scale scores produced Pearson correlation coefficients of .56, .70, and, .70 with the SFQ. Concurrent validity with social health was supported for the identified scales. The current inclusion of these assessment tools allows community mental health programs to include social health in their assessments.

  18. 50 CFR 679.45 - IFQ cost recovery program.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 50 Wildlife and Fisheries 9 2010-10-01 2010-10-01 false IFQ cost recovery program. 679.45 Section... Fishing Quota Management Measures § 679.45 IFQ cost recovery program. (a) Cost recovery fees—(1...) Annual report. NMFS will publish annually a report describing the status of the IFQ Cost Recovery Program....

  19. 75 FR 7448 - Species Recovery Grants to Tribes Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-19

    ... National Oceanic and Atmospheric Administration RIN 0648-ZC15 Species Recovery Grants to Tribes Program... Recovery Grants to Tribes Program. The principal objective of the Program is to support recovery efforts... species. Recovery efforts may involve management, research, monitoring, and outreach activities or...

  20. 50 CFR 679.45 - IFQ cost recovery program.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 50 Wildlife and Fisheries 11 2011-10-01 2011-10-01 false IFQ cost recovery program. 679.45 Section... Fishing Quota Management Measures § 679.45 IFQ cost recovery program. (a) Cost recovery fees—(1...) Annual report. NMFS will publish annually a report describing the status of the IFQ Cost Recovery Program....

  1. Resource Recovery Overview [Teacher's Guide]; Resource Recovery and You [Student Book]. Resource Recovery Education Program.

    ERIC Educational Resources Information Center

    National Center for Resource Recovery, Inc., Washington, DC.

    The Resource Recovery Education Program contains a variety of ideas, approaches, and learning aids for teaching about solid waste disposal at the secondary level. The program kit consists of a teacher's guide which provides an overview; separate teacher's guides for social studies, science, and industrial arts; a student booklet of readings; and a…

  2. Health Promotion Program.

    ERIC Educational Resources Information Center

    McClary, Cheryl

    The Health Promotion Program began with establishment of a one-credit course in health promotion and wellness and the training of family practice residents at the Mountain Area Health Education Center to serve as lab leaders in the course. The course later became part of the university's general education requirements. In addition, a health…

  3. 36 CFR 72.52 - Recovery Action Program grant applications.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 36 Parks, Forests, and Public Property 1 2010-07-01 2010-07-01 false Recovery Action Program grant... INTERIOR URBAN PARK AND RECREATION RECOVERY ACT OF 1978 Grant Selection, Approval and Administration § 72.52 Recovery Action Program grant applications. The application procedure for Recovery Action...

  4. Exploring the effect of organizational culture on consumer perceptions of agency support for mental health recovery.

    PubMed

    Clossey, Laurene; Rheinheimer, David

    2014-05-01

    This research explores the impact of mental health agency culture on consumers' perceptions of agency support for their recovery. This study hypothesized that a constructive organizational culture must be present for consumers to perceive agency support for recovery. A sample of 12 mental health agencies in rural Pennsylvania participated in the research. Agency administrators completed an instrument called the recovery oriented service environment, which measured the number of recovery model program components offered by the agency. Consumers completed the recovery oriented services indicators, which taps into their perception of agency support for recovery. Direct service staff completed the organizational social context, which measured their agency's culture. Results showed that in this sample stronger consumer perceptions of agency support for recovery were correlated with higher ratings of agency constructive culture. The results suggest that agency culture is an important variable to target when implementing recovery model programming.

  5. Teaching Resource Recovery in Social Studies. Resource Recovery Education Program.

    ERIC Educational Resources Information Center

    National Center for Resource Recovery, Inc., Washington, DC.

    This guide, one component of the Resource Recovery Education Kit (see SO 007 866 for a description), contains ideas and activities for teaching about solid waste disposal in secondary level social studies classes. Among the course objectives are the following: (1) to explore the impact of our society on the problem of solid waste and the need for…

  6. Teaching Resource Recovery in Industrial Arts. Resource Recovery Education Program.

    ERIC Educational Resources Information Center

    National Center for Resource Recovery, Inc., Washington, DC.

    This guide, one component of the Resource Recovery Education Kit (See SO 007 866 for a description), contains ideas and activities for teaching about solid waste disposal in secondary level industrial arts classes. Among the course objectives are the following: (1) to understand that litter represents a small but highly visible portion of our…

  7. Teaching Resource Recovery in Science. Resource Recovery Education Program.

    ERIC Educational Resources Information Center

    National Center for Resource Recovery, Inc., Washington, DC.

    This guide, one component of the Resource Recovery Education Kit (see SO 007 866 for a description), contains ideas and activities for teaching about solid waste disposal in secondary level science classes. Among the course objectives are the following: (1) to understand that sufficient technology exists to recover a greater segment of the…

  8. Recovery Competencies for New Zealand Mental Health Workers.

    ERIC Educational Resources Information Center

    O'Hagan, Mary

    This book contains a detailed report of the recovery principles set out in the Mental Health Commission's Blueprint for Mental Health Services in New Zealand. The competencies, endorsed by the New Zealand government, describe what mental health workers need to know about using the recovery approach in their work with people with mental illness.…

  9. Facilitating College Students' Recovery through the Use of Collegiate Recovery Programs

    ERIC Educational Resources Information Center

    DePue, M. Kristina; Hagedorn, W. Bryce

    2015-01-01

    This article describes an untapped resource that counselors can use to help serve the multiple needs of college students recovering from addiction: collegiate recovery programs. The authors provide detailed information about the collegiate recovery population and give examples of successful programs. Implications for future research are discussed,…

  10. Instruments for measuring mental health recovery: a systematic review.

    PubMed

    Sklar, Marisa; Groessl, Erik J; O'Connell, Maria; Davidson, Larry; Aarons, Gregory A

    2013-12-01

    Persons in recovery, providers, and policymakers alike are advocating for recovery-oriented mental health care, with the promotion of recovery becoming a prominent feature of mental health policy in the United States and internationally. One step toward creating a recovery-oriented system of care is to use recovery-oriented outcome measures. Numerous instruments have been developed to assess progress towards mental health recovery. This review identifies instruments of mental health recovery and evaluates the appropriateness of their use including their psychometric properties, ease of administration, and service-user involvement in their development. A literature search using the Medline and Psych-INFO databases was conducted, identifying 21 instruments for potential inclusion in this review, of which thirteen met inclusion criteria. Results suggest only three instruments (25%) have had their psychometric properties assessed in three or more unique samples of participants. Ease of administration varied between instruments, and for the majority of instruments, development included service user involvement. This review updates and expands previous reviews of instruments to assess mental health recovery. As mental health care continues to transform to a recovery-oriented model of service delivery, this review may facilitate selection of appropriate assessments of mental health recovery for systems to use in evaluating and improving the care they provide.

  11. Decision Making in Recovery-Oriented Mental Health Care

    PubMed Central

    Matthias, Marianne S.; Salyers, Michelle P.; Rollins, Angela L.; Frankel, Richard M.

    2014-01-01

    Objective Patient-centered communication has been linked to patient satisfaction, treatment adherence and outcomes. Shared decision making (SDM) has been advocated as an important and ethically essential aspect of patient-centered care, but SDM has received relatively little attention in mental health care, despite studies indicating that consumers want to be involved in decisions. This is particularly important in a recovery-oriented system, where consumers are active participants in their treatment and rehabilitation. Because medication management is a key component of recovery from severe mental illnesses, this study explores how consumers and providers make decisions in medication management consultations. Methods Four providers (3 psychiatrists, 1 nurse practitioner) and 40 consumers with severe mental illness (10 consumers per provider) were recruited from a community mental health center with a recovery-oriented focus. We directly observed 40 medication management appointments. Observations were audio recorded and transcribed. We used emergent thematic analysis to characterize decision making processes. Results Providers initiated most decisions, although they often invited consumers to participate in decision making. Decisions initiated by consumers elicited a greater degree of discussion and disagreement, but also frequently resulted in consumers’ preferences prevailing. Consultations generally exhibited more characteristics of person-centeredness than SDM. Conclusions and Implications for Practice While we observed a high degree of person-centeredness, SDM was not prevalent. Interventions helping consumers to take greater initiative when working with service providers may be helpful. For example, programs using tools such as peer instruction, internet-based software, and individual case-manager instruction all have shown promise for enhancing SDM in mental health treatment. Further research is needed to determine the degree of SDM in other settings (e

  12. National Weatherization Assistance Program Characterization Describing the Recovery Act Period

    SciTech Connect

    Tonn, Bruce Edward; Rose, Erin M.; Hawkins, Beth A.

    2015-10-01

    This report characterizes the U.S. Department of Energy s Weatherization Assistance Program (WAP) during the American Recovery and Reinvestment Act of 2009 (Recovery Act) period. This research was one component of the Recovery Act evaluation of WAP. The report presents the results of surveys administered to Grantees (i.e., state weatherization offices) and Subgrantees (i.e., local weatherization agencies). The report also documents the ramp up and ramp down of weatherization production and direct employment during the Recovery Act period and other challenges faced by the Grantees and Subgrantees during this period. Program operations during the Recovery Act (Program Year 2010) are compared to operations during the year previous to the Recovery Act (Program Year 2008).

  13. Reading Recovery Program Evaluation. Report 1992-93.

    ERIC Educational Resources Information Center

    Salinas, Analida; And Others

    A study evaluated the effectiveness of the first two years of the Reading Recovery program at the McAllen Independent School District, Texas. Thirteen campuses participated in the first year (1991-92) while 16 campuses participated in 1993. In addition, the Literacy Program, designed to expand the positive effects of Reading Recovery strategies in…

  14. Getting the Most from Your Reading Recovery[R] Program.

    ERIC Educational Resources Information Center

    Jones, Noel K.

    1998-01-01

    This paper focuses on the administrative support needed to establish a Reading Recovery program that works effectively at school and district levels. It first establishes three important ideas for Reading Recovery to work: leadership is required; change cannot be accomplished in one or two years; and program effectiveness is dependent upon the…

  15. Recovery practice in community mental health teams: national survey

    PubMed Central

    Leamy, M.; Clarke, E.; Le Boutillier, C.; Bird, V.; Choudhury, R.; MacPherson, R.; Pesola, F.; Sabas, K.; Williams, J.; Williams, P.; Slade, M.

    2016-01-01

    Background There is consensus about the importance of ‘recovery’ in mental health services, but the link between recovery orientation of mental health teams and personal recovery of individuals has been underresearched. Aims To investigate differences in team leader, clinician and service user perspectives of recovery orientation of community adult mental health teams in England. Method In six English mental health National Health Service (NHS) trusts, randomly chosen community adult mental health teams were surveyed. A random sample of ten patients, one team leader and a convenience sample of five clinicians were surveyed from each team. All respondents rated the recovery orientation of their team using parallel versions of the Recovery Self Assessment (RSA). In addition, service users also rated their own personal recovery using the Questionnaire about Processes of Recovery (QPR). Results Team leaders (n = 22) rated recovery orientation higher than clinicians (n = 109) or patients (n = 120) (Wald(2) = 7.0, P = 0.03), and both NHS trust and team type influenced RSA ratings. Patient-rated recovery orientation was a predictor of personal recovery (b = 0.58, 95% CI 0.31–0.85, P<0.001). Team leaders and clinicians with experience of mental illness (39%) or supporting a family member or friend with mental illness (76%) did not differ in their RSA ratings from other team leaders or clinicians. Conclusions Compared with team leaders, frontline clinicians and service users have less positive views on recovery orientation. Increasing recovery orientation may support personal recovery. PMID:27340113

  16. Implications of Recovering for Mental Health Systems and Programs.

    ERIC Educational Resources Information Center

    Spaniol, LeRoy

    This presentation outlines the implications of psychiatric disability recovery for mental health systems and programs. Schizophrenia and other serious psychiatric disabilities have been viewed as irreversible illnesses with increasing disability over time. Mental health program planning, policies, and practices have been developed and implemented…

  17. Mental health recovery: Lived experience of consumers, carers and nurses.

    PubMed

    Jacob, Sini; Munro, Ian; Taylor, Beverley Joan

    2014-09-06

    Abstract Background Mental health recovery is a prominent topic of discussion in the global mental health settings. The concept of mental health recovery brought about a major shift in the traditional philosophical views of many mental health systems. Aim The purpose of this article is to outline the results of a qualitative study on mental health recovery, which involved mental health consumers, carers and mental health nurses from an Area Mental Health Service in Victoria, Australia. This paper is part one of the results that explored the meaning of recovery. Methods The study used van Manen's hermeneutic phenomenology to analyse the data. Findings Themes suggested that the cohort had varying views on recovery that were similar and dissimilar. The similar views were categorised under two processes involving the self, an internal process and an external process. These two processes involved reclaiming various aspects of oneself, living life, cure or absence of symptoms and contribution to community. The dissimilar views involved returning to pre-illness state and recovery was impossible. Conclusion This study highlights the need for placing importance to the person's sense of self in the recovery process.

  18. Mental health recovery: lived experience of consumers, carers and nurses.

    PubMed

    Jacob, Sini; Munro, Ian; Taylor, Beverley Joan

    2015-01-01

    Background Mental health recovery is a prominent topic of discussion in the global mental health settings. The concept of mental health recovery brought about a major shift in the traditional philosophical views of many mental health systems. Aim The purpose of this article is to outline the results of a qualitative study on mental health recovery, which involved mental health consumers, carers and mental health nurses from an Area Mental Health Service in Victoria, Australia. This paper is Part One of the results that explored the meaning of recovery. Methods The study used van Manen's hermeneutic phenomenology to analyse the data. Findings Themes suggested that the cohort had varying views on recovery that were similar and dissimilar. The similar views were categorised under two processes involving the self, an internal process and an external process. These two processes involved reclaiming various aspects of oneself, living life, cure or absence of symptoms and contribution to community. The dissimilar views involved returning to pre-illness state and recovery was impossible. Conclusion This study highlights the need for placing importance on the person's sense of self in the recovery process.

  19. Flight crew health stabilization program

    NASA Technical Reports Server (NTRS)

    Wooley, B. C.; Mccollum, G. W.

    1975-01-01

    The flight crew health stabilization program was developed to minimize or eliminate the possibility of adverse alterations in the health of flight crews during immediate preflight, flight, and postflight periods. The elements of the program, which include clinical medicine, immunology, exposure prevention, and epidemiological surveillance, are discussed briefly. No crewmember illness was reported for the missions for which the program was in effect.

  20. 36 CFR 72.52 - Recovery Action Program grant applications.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 36 Parks, Forests, and Public Property 1 2014-07-01 2014-07-01 false Recovery Action Program grant applications. 72.52 Section 72.52 Parks, Forests, and Public Property NATIONAL PARK SERVICE, DEPARTMENT OF THE INTERIOR URBAN PARK AND RECREATION RECOVERY ACT OF 1978 Grant Selection, Approval and Administration §...

  1. 36 CFR 72.52 - Recovery Action Program grant applications.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 36 Parks, Forests, and Public Property 1 2011-07-01 2011-07-01 false Recovery Action Program grant applications. 72.52 Section 72.52 Parks, Forests, and Public Property NATIONAL PARK SERVICE, DEPARTMENT OF THE INTERIOR URBAN PARK AND RECREATION RECOVERY ACT OF 1978 Grant Selection, Approval and Administration §...

  2. 36 CFR 72.52 - Recovery Action Program grant applications.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 36 Parks, Forests, and Public Property 1 2013-07-01 2013-07-01 false Recovery Action Program grant applications. 72.52 Section 72.52 Parks, Forests, and Public Property NATIONAL PARK SERVICE, DEPARTMENT OF THE INTERIOR URBAN PARK AND RECREATION RECOVERY ACT OF 1978 Grant Selection, Approval and Administration §...

  3. 36 CFR 72.52 - Recovery Action Program grant applications.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 36 Parks, Forests, and Public Property 1 2012-07-01 2012-07-01 false Recovery Action Program grant applications. 72.52 Section 72.52 Parks, Forests, and Public Property NATIONAL PARK SERVICE, DEPARTMENT OF THE INTERIOR URBAN PARK AND RECREATION RECOVERY ACT OF 1978 Grant Selection, Approval and Administration §...

  4. Wide Area Recovery and Resiliency Program (WARRP) Integrated Program Plan

    DTIC Science & Technology

    2011-06-01

    the respiratory system, damaging mucous membranes and causing pulmonary edema . Severe mustard gas burns (i.e., where more than 50% of the victim’s...economic resilience and recovery challenges and develop innovative recommendations and strategies to accelerate economic recovery.  Develop/refine...Objectives Better understand the economic resilience and recovery challenges and develop innovative recommendations and strategies to accelerate

  5. Migrant Health - Legislation and Programs.

    ERIC Educational Resources Information Center

    National Migrant Information Clearinghouse, Austin, TX. Juarez-Lincoln Center.

    The Public Health Service Act was amended in 1962 to authorize grants to establish family health service clinics for domestic agricultural migratory workers and to improve the health conditions of these workers and their families. Approximately 100 programs currently provide migrant health services. As a result of the low level of funding of these…

  6. 41 CFR 109-45.1004 - Recovery and use of precious metals through the DOD Precious Metals Recovery Program.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... precious metals through the DOD Precious Metals Recovery Program. 109-45.1004 Section 109-45.1004 Public... PERSONAL PROPERTY 45.10-Recovery of Precious Metals § 109-45.1004 Recovery and use of precious metals through the DOD Precious Metals Recovery Program. DOE operates its own precious metals pool and...

  7. 41 CFR 109-45.1004 - Recovery and use of precious metals through the DOD Precious Metals Recovery Program.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... precious metals through the DOD Precious Metals Recovery Program. 109-45.1004 Section 109-45.1004 Public... PERSONAL PROPERTY 45.10-Recovery of Precious Metals § 109-45.1004 Recovery and use of precious metals through the DOD Precious Metals Recovery Program. DOE operates its own precious metals pool and...

  8. 41 CFR 109-45.1004 - Recovery and use of precious metals through the DOD Precious Metals Recovery Program.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... precious metals through the DOD Precious Metals Recovery Program. 109-45.1004 Section 109-45.1004 Public... PERSONAL PROPERTY 45.10-Recovery of Precious Metals § 109-45.1004 Recovery and use of precious metals through the DOD Precious Metals Recovery Program. DOE operates its own precious metals pool and...

  9. 41 CFR 109-45.1004 - Recovery and use of precious metals through the DOD Precious Metals Recovery Program.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... precious metals through the DOD Precious Metals Recovery Program. 109-45.1004 Section 109-45.1004 Public... PERSONAL PROPERTY 45.10-Recovery of Precious Metals § 109-45.1004 Recovery and use of precious metals through the DOD Precious Metals Recovery Program. DOE operates its own precious metals pool and...

  10. 41 CFR 109-45.1004 - Recovery and use of precious metals through the DOD Precious Metals Recovery Program.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... precious metals through the DOD Precious Metals Recovery Program. 109-45.1004 Section 109-45.1004 Public... PERSONAL PROPERTY 45.10-Recovery of Precious Metals § 109-45.1004 Recovery and use of precious metals through the DOD Precious Metals Recovery Program. DOE operates its own precious metals pool and...

  11. Recovery: what mental health nurses and service users say about the concept of recovery.

    PubMed

    Aston, V; Coffey, M

    2012-04-01

    This study presents a thematic analysis of focus group talk to examine what recovery in mental health means to service users and nurses. Data were collected from two focus groups, one group of service users and one group of nurses. The service user group (n=6) were adults with previous or recent experience of inpatient mental health services. The nursing group were registered nurses (n=5) of various grades and experience currently working in inpatient mental health services in one region of the U.K. Thematic analysis using Krueger and Casey's framework led to four themes being developed. These were 'understandings of recovery', 'semantics', 'therapeutics' and 'a journey'. While the recovery concept was not new to either group, understandings of recovery were vague and contradictory.

  12. Mental health recovery for psychiatric inpatient services: perceived importance of the elements of recovery.

    PubMed

    Siu, B W M; Ng, B F L; Li, V C K; Yeung, Y M; Lee, M K L; Leung, A Y H

    2012-06-01

    OBJECTIVES. To develop a questionnaire for measuring the perceived importance of the elements of mental health recovery in psychiatric inpatients in Hong Kong and to test the psychometric properties of the questionnaire. METHODS. Thematic content analysis of identified literature on mental health recovery was performed to identify the elements related to mental health recovery. A questionnaire was developed to assess the perceived importance of the identified elements. An expert panel was set up to evaluate the content validity and patient focus group's face validity of the questionnaire. Participants were recruited from medium-stay and rehabilitation wards of Castle Peak Hospital. RESULTS. A total of 101 psychiatric inpatients completed the questionnaire, the majority of whom suffered from schizophrenia (75%). Having meaning in life was rated by 91% of the participants as an important element of recovery, followed by hope (86%) and general health and wellness (85%). Cronbach's alpha for internal consistency was 0.91. Explorative factor analysis yielded 7 factors and intraclass correlation coefficients revealed a fair-to-good test-retest reliability. CONCLUSIONS. The results supported the psychometric properties of the questionnaire for measurement of mental health recovery and serve as a basis for the future development of recovery-oriented services in the psychiatric inpatient settings in this locality.

  13. The Mental Health Recovery Movement and Family Therapy, Part II: A Collaborative, Appreciative Approach for Supporting Mental Health Recovery

    ERIC Educational Resources Information Center

    Gehart, Diane R.

    2012-01-01

    A continuation of Part I, which introduced mental health recovery concepts to family therapists, Part II of this article outlines a collaborative, appreciative approach for working in recovery-oriented contexts. This approach draws primarily upon postmodern therapies, which have numerous social justice and strength-based practices that are easily…

  14. Health Programs for Veterans

    MedlinePlus

    ... Z) Hepatitis HIV Mental Health Mental Health Home Suicide Prevention Substance Abuse Military Sexual Trauma PTSD Research ( ... information and services National Center for Post-Traumatic Stress Disorder The center of excellence for research and ...

  15. Credit Recovery Programs. What Works Clearinghouse Intervention Report

    ERIC Educational Resources Information Center

    What Works Clearinghouse, 2015

    2015-01-01

    "Credit recovery programs" allow high school students to recover course credit, through in-school, online, or mixed modes, for classes they previously failed. The WWC reviewed the research on these programs and their impacts on middle school, junior high school, or high school students at risk of dropping out or who have already dropped…

  16. Revitalizing school health programs worldwide.

    PubMed

    Benzian, Habib

    2010-10-01

    Each year, the Shils Fund recognizes outstanding activities that help improve oral health. The program is named in memory of Dr. Edward B. Shils, who led the Dental Manufacturers of America and Dental Dealers of America for more than 50 years. A 2010 Shils Award will be given to an innovative school health initiative called Fit For Schools Program (FFSP) in the Philippines. Such recognition in the US indicates the lessons that can be learned from a program initially tailored for another country. Health in a highly industrialized nation can be enhanced by heeding the FFSP principles used to craft an effective health promotion initiative. This evidence-based intervention is not exclusively an oral health initiative; it is an integration with other evidence-based health interventions and models a sustainable public-private partnership to advance positive health outcomes in socially responsible entrepreneurial ways. As the editor of this column in Compendium, I wish to applaud both leaders of FFSP: Dr. Habib Benzian and Dr. Bella Monse. The following article was written by the senior advisor, Dr. Benzian, who modestly refers to the program's receipt of another award from the World Bank, the United Nations Development Program, and the World Health Organization in 2009. To my knowledge, the presentation of that award was the first time a health promotion project led by dentists has ever received such high-level global recognition and was one of three projects so recognized for innovative solutions to global health in that year.

  17. Behavioral Health Program Element

    NASA Technical Reports Server (NTRS)

    Leveton, Lauren B.

    2006-01-01

    The project goal is to develop behavioral health prevention and maintenance system for continued crew health, safety, and performance for exploration missions. The basic scope includes a) Operationally-relevant research related to clinical cognitive and behavioral health of crewmembers; b) Ground-based studies using analog environments (Antarctic, NEEMO, simulations, and other testbeds; c) ISS studies (ISSMP) focusing on operational issues related to behavioral health outcomes and standards; d) Technology development activities for monitoring and diagnostic tools; and e) Cross-disciplinary research (e.g., human factors and habitability research, skeletal muscle, radiation).

  18. Mental Ill Health, Recovery and the Family Assemblage.

    PubMed

    Price-Robertson, Rhys; Manderson, Lenore; Duff, Cameron

    2017-02-13

    The recovery approach is now among the most influential paradigms shaping mental health policy and practice across the English-speaking world. While recovery is normally presented as a deeply personal process, critics have challenged the individualism underpinning this view. A growing literature on "family recovery" explores the ways in which people, especially parents with mental ill health, can find it impossible to separate their own recovery experiences from the processes of family life. While sympathetic to this literature, we argue that it remains limited by its anthropocentricity, and therefore struggles to account for the varied human and nonhuman entities and forces involved in the creation and maintenance of family life. The current analysis is based on an ethnographic study conducted in Australia, which focused on families in which the father experiences mental ill health. We employ the emerging concept of the "family assemblage" to explore how the material, social, discursive and affective components of family life enabled and impeded these fathers' recovery trajectories. Viewing families as heterogeneous assemblages allows for novel insights into some of the most basic aspects of recovery, challenging existing conceptions of the roles and significance of emotion, identity and agency in the family recovery process.

  19. Community mental health nurses' perspectives of recovery-oriented practice.

    PubMed

    Gale, J; Marshall-Lucette, S

    2012-05-01

    Recovery-oriented practice, an approach aligned towards the service user perspective, has dominated the mental health care arena. Numerous studies have explored service users' accounts of the purpose, meaning and importance of 'recovery'; however, far less is known about healthcare staff confidence in its application to care delivery. A self-efficacy questionnaire and content analysis of nursing course documents were used to investigate a cohort of community mental health nurses' recovery-oriented practice and to determine the extent to which the current continuing professional development curriculum met their educational needs in this regard. Twenty-three community mental health nurses completed a self-efficacy questionnaire and 28 course documents were analysed. The findings revealed high levels of nurses' confidence in their understanding and ability to apply the recovery model and low levels of confidence were found in areas of social inclusion. The content analysis found only one course document that used the whole term 'recovery model'. The findings suggest a gap in the nurses' perceived ability and confidence in recovery-oriented practice with what is taught academically. Hence, nursing education needs to be more explicitly focused on the recovery model and its application to care delivery.

  20. [Mental health in the family health program].

    PubMed

    Souza, Aline de Jesus Fontineli; Matias, Gina Nogueira; Gomes, Kenia de Fátima Alencar; Parente, Adriana da Cunha Menezes

    2007-01-01

    A descriptive study whose objective was to identify the education and actions of the nurse in Mental Health (MH), in the Family Health Program. The sample consisted of 134 acting nurses at the Family Health Program in Teresina, Piauí The results show that 95.5% don't have the specified education in MH. Of those interviewed, 97% state that there are patients, in their assigned areas, that need this type of care. The referenced actions were home visits (60%) appointments (27.7%), referrals (21.5%), medication delivery (15.4%), inactivity (14.6%), ambulatory service (7.7%), community therapy (5.4%) and casework (0.8%). Methods and strategies of public policies related to this area should be revisited and instituted in order to (re)direct ways of reform in the actions and services of mental health.

  1. Art Making as a Mental Health Recovery Tool for Change and Coping

    ERIC Educational Resources Information Center

    Van Lith, Theresa

    2015-01-01

    The intrinsic benefits of art making may be implicated in how and why people with mental illness turn to art therapy to aid their recovery. In this longitudinal multiple case study adult participants (N = 12) with severe and ongoing mental illness were recruited through their involvement in diverse community mental health art therapy programs. An…

  2. Using the tidal model of mental health recovery to plan primary health care for women in residential substance abuse recovery.

    PubMed

    Young, Brenda B

    2010-09-01

    Women currently are 30% of the substance abuse recovery population in North America and have gender specific treatment needs as they enter the difficult work of recovery. Important among women's specific needs as they enter recovery is the need for a focus on primary health care. Few models designed to guide the provision of health care for this population are available in the literature. The Tidal Model of Mental Health Recovery and Reclamation is based on the concept of nursing as "caring with" persons in the experience of distress. Given the emphasis in this model on developing a partnership between caregiver and client, it is especially appropriate for women in recovery for substance abuse. The Tidal Model, integrated with the United States Substance Abuse and Mental Health Services' CSAT model for comprehensive alcohol and other drug (AOD) abuse treatment, is used to guide planning for delivery of primary health care in a residential women's substance abuse recovery center in the Midwest. This article describes the Tidal Model, and identifies how the model can improve the delivery of primary care to women in residential substance abuse treatment. Strategies for implementation of the model are proposed. Evaluation and outcome criteria are identified.

  3. [Empowerment and health promotion programming].

    PubMed

    Laverack, G

    2008-12-01

    Health promotion often presents a tension between "bottom up" and "top down" programming. "Bottom-up" is associated with community empowerment and begins on issues of concern to particular groups or individuals and regards an increase in overall control as an important element of the health outcome. "Top-down" is associated with disease prevention efforts and begins by seeking to involve beneficiaries on issues defined by health agencies. It regards improvements in health behaviours or bio-medical indicators as the important outcome and community empowerment is viewed simply as a means to the end of health behaviour change. The tension between these two approaches is not unresolvable, and this article presents a framework, the "parallel-track", intended to assist health promotion practitioners to systematically accommodate community empowerment goals within "top-down" health programming.

  4. Environmental health program activities

    NASA Technical Reports Server (NTRS)

    Bergtholdt, C. P.

    1969-01-01

    Activities reported include studies on toxic air contaminants, excessive noise, poor lighting, food sanitation, water pollution, and exposure to nonionizing radiation as health hazards. Formulations for a radiological health manual provide guidance to personnel in the procurement and safe handling of radiation producing equipment and Apollo mission planning. A literature search and development of a water analysis laboratory are outlined to obtain information regarding microbiological problems involving potable water, waste management, and personal hygiene.

  5. 78 FR 24756 - Health Center Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-26

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Health Center Program AGENCY: Health... Health System. SUMMARY: The Health Resources and Services Administration (HRSA) will be...

  6. 76 FR 1441 - Health Center Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-10

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Health Center Program AGENCY: Health... Park Health Council, Inc. SUMMARY: The Health Resources and Services Administration (HRSA)...

  7. 75 FR 32797 - Health Center Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-09

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Health Center Program AGENCY: Health... Area Primary Health Care, Inc. SUMMARY: The Health Resources and Services Administration (HRSA) will...

  8. 76 FR 17139 - Health Center Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-28

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Health Center Program AGENCY: Health... Park Health Council, Inc. SUMMARY: The Health Resources and Services Administration (HRSA)...

  9. 75 FR 2549 - Health Center Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-15

    ... From the Federal Register Online via the Government Publishing Office ] DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Health Center Program AGENCY: Health... Health Care Affiliates. SUMMARY: The Health Resources and Services Administration (HRSA) will...

  10. An Operating Environmental Health Program

    NASA Technical Reports Server (NTRS)

    Lipana, J. G.; Masters, R. L.; Winter, W. R.

    1971-01-01

    Some concepts of an operational program for medical and environmental health are outlined. Medical services of this program are primarily concerned with emergency care, laboratory examinations, advice to private physician with patient permission, medical monitoring activities, and suggestions for treatment or control of the malfunction.

  11. Characteristics of students participating in Collegiate Recovery Programs: A national survey

    PubMed Central

    Laudet, Alexandre B.; Harris, Kitty; Kimball, Thomas; Winters, Ken C.; Moberg, D. Paul

    2014-01-01

    Relapse rates are high among individuals with substance use disorders (SUD), and for young people pursuing a college education, the high rates of substance use on campus can jeopardize recovery. Collegiate Recovery Programs (CRPs) are an innovative campus-based model of recovery support that is gaining popularity but remains under-investigated. This study reports on the first nationwide survey of CRP-enrolled students (N = 486 from 29 different CRPs). Using an online survey, we collected information on background, SUD and recovery history, and current functioning. Most students (43% females, mean age = 26) had used multiple substances, had high levels of SUD severity, high rates of treatment and 12-step participation. Fully 40% smoke. Many reported criminal justice involvement and periods of homelessness. Notably, many reported being in recovery from, and currently engaging in multiple behavioral addictions-e.g., eating disorders, and sex and love addiction. Findings highlight the high rates of co-occurring addictions in this under-examined population and underline the need for treatment, recovery support programs and college health services to provide integrated support for mental health and behavioral addictions to SUD-affected young people. PMID:25481690

  12. In College and in Recovery: Reasons for Joining a Collegiate Recovery Program

    ERIC Educational Resources Information Center

    Laudet, Alexandre B.; Harris, Kitty; Kimball, Thomas; Winters, Ken C.; Moberg, D. Paul

    2016-01-01

    Objective: Collegiate Recovery Programs (CRPs), a campus-based peer support model for students recovering from substance abuse problems, grew exponentially in the past decade, yet remain unexplored. Methods: This mixed-methods study examines students' reasons for CRP enrollment to guide academic institutions and referral sources. Students (N =…

  13. Army Occupational Health Program, 1978.

    DTIC Science & Technology

    1978-01-01

    AD A072 913 ARMY ENVIRONMENTAL HYGIENE AGENCY ABERDEEN PROVING SR—ETC Fit 6/5 ARMY OCCUPATIONAL HEALTH PROGRAM, 1978.CU) UNCLASSIFIED 1978 C A CROC...irC ~ ~~5 ~ ¶5 “u UNITE D STATES ARMY ENVIRONMENTAL HYGIENE AGENCY U ABERDEEN PROVING GROUND, MO 21010 ARMY OCCUPATIONAL HEALTH PROGRAM...M.D. COL , MC Di rector, Occupati onal and Environmental Health _ _ _/ Acccs3ion For NTL, ~~ i&1 Un~~~~~~ ced J~~.t~.C1 c~ t io n___________ — J A

  14. Spaces of sobriety/sites of power: examining social model alcohol recovery programs as therapeutic landscapes.

    PubMed

    Wilton, Robert; Deverteuil, Geoffrey

    2006-08-01

    While there has been interest in geographical variations in alcohol use and their implications for health, similar attention has not been given to geographies of alcohol treatment and recovery. This paper is concerned with exploring these geographies of alcohol recovery and treatment. Specifically, the paper uses the therapeutic landscape concept coupled with Foucault's concept of governmentality to frame a qualitative case study of a 'social model' recovery community in San Pedro, California. Analysis of the programs operating in San Pedro consisting of observation and interviews, demonstrates the complexity and contradictory character of such recovery landscapes. In particular, the governmentality perspective suggests that spaces created for alcohol recovery and support can be simultaneously understood as sites designed to govern the health-related conduct of individuals. Within programs, clients were provided with support and encouragement from staff and peers, but these same relations also made possible surveillance and the governing of daily routines. In the neighbourhood, program staff intervened to create 'healthy' spaces but these interventions also shaped the conduct of local residents and contributed to the spatial regulation of problem groups. While a focus on governmentality does not preclude recognition of the positive effects associated with therapeutic landscapes, it does provide an opportunity for further consideration of the complexities underlying such environments.

  15. Formative evaluation: Developing measures for online family mental health recovery education.

    PubMed

    Rue, Lisa A; Estrada, Samantha; Floren, Michael; MacKinnon, Krista

    2016-04-01

    Families facing mental health challenges have very limited access to ongoing support. A formative evaluation of Families Healing Together (FHT), a new online family mental health recovery program was conducted using five waves (N=108) of data. Exploratory factor analysis of the measures identified as important to the program theory found strong reliability evidence (α=.77-.86) for 6 constructs. A poor response rate (25%) did not allow for valid pre and postoutcome evaluation, however we did have enough information to assess the psychometric properties of the new measures. The new evaluation tool accounted for 34% of the variance in Capacity to Support Family Member, and nearly 50% of the variance in Hopefulness toward Recovery. New programs without existing measures require formative evaluation strategies that accurately describe program activities in order to develop outcome measures sensitive to novel aspects of program components. Most outcome measures are developed for individuals with mental health challenges not family members. These new measures may be beneficial to effectively evaluate programs that promote family recovery and wellness.

  16. Behaviour Recovery: A Whole-School Program for Mainstream Schools.

    ERIC Educational Resources Information Center

    Rogers, Bill

    This book offers guidance on teaching behavior to children with behavior problems, based on the premise that a small percentage of children need one-to-one modeling and rehearsal to enable them to "recover" the behaviors that those in the typical range have established already. The behavior recovery program emphasizes the whole-school nature of…

  17. 75 FR 21001 - Health Center Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-22

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Health Center Program AGENCY: Health... Cornerstone Care, Inc. SUMMARY: The Health Resources and Services Administration (HRSA) will be...

  18. 78 FR 25457 - Health Center Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-01

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Health Center Program AGENCY: Health... Center, Inc. for provision of services in Gwinnett County, Georgia. SUMMARY: The Health Resources...

  19. Thermoelectric Waste Heat Recovery Program for Passenger Vehicles

    SciTech Connect

    Jovovic, Vladimir

    2015-12-31

    Gentherm began work in October 2011 to develop a Thermoelectric Waste Energy Recovery System for passenger vehicle applications. Partners in this program were BMW and Tenneco. Tenneco, in the role of TIER 1 supplier, developed the system-level packaging of the thermoelectric power generator. As the OEM, BMW Group demonstrated the TEG system in their vehicle in the final program phase. Gentherm demonstrated the performance of the TEG in medium duty and heavy duty vehicles. Technology developed and demonstrated in this program showed potential to reduce fuel consumption in medium and heavy duty vehicles. In light duty vehicles it showed more modest potential.

  20. Military Occupational Health Surveillance Program

    DTIC Science & Technology

    1979-06-01

    Responses were received from 37 HSC medical treatment facilities (100%) regarding their occupational health surveillance programs. The occupational ...personnel determined to be potentially exposed to occupational or job- related hazards, medical surveillance programs are limited, if available at all. An...exposed to occupational or job-related hazards would require more adequate staffing to provide the services. Identification of personnel at risk could be

  1. Developing a model of recovery in mental health

    PubMed Central

    Noiseux, Sylvie; St-Cyr Tribble, Denise; Leclerc, Claude; Ricard, Nicole; Corin, Ellen; Morissette, Raymond; Lambert, Roseline

    2009-01-01

    Background The recovery process is characterized by the interaction of a set of individual, environmental and organizational conditions common to different people suffering with a mental health problem. The fact that most of the studies have been working with schizophrenic patients we cannot extend what has been learned about the process of recovery to other types of mental problem. In the meantime, the prevalence of anxiety, affective and borderline personality disorders continues to increase, imposing a significant socioeconomic burden on the Canadian healthcare system and on the patients, their family and significant other [1]. The aim of this study is to put forward a theoretical model of the recovery process for people with mental health problem schizophrenic, affective, anxiety and borderline personality disorders, family members and a significant care provider. Method and design To operationalize the study, a qualitative, inductive design was chosen. Qualitative research open the way to learning – the inside – about different perspectives and issues people face in their process of recovery. The study proposal is involving a multisite study that will be conducted in three different cities of the Province of Québec in Canada: Montréal, Québec and Trois-Rivières. The plan is to select 108 participants, divided into four comparison groups representing four types of mental health problem. Each comparison group (n = 27) will be made up of 9 units. Each unit will comprise one person with a mental health problem (schizophrenia, affective anxiety, and borderline personality disorders. Data will be collected through semi-structured open-ended interview. The in-depth qualitative analysis inspired from the grounded theory approach will permit the illustration of the recovery process. Discussion The transformation of our Health Care System and the importance being put on the people well-being and autonomy development of the person who are suffering with mental

  2. Weatherization and Intergovernmental Program - The State Energy Program and the American Recovery and Reinvestment Act

    SciTech Connect

    2010-06-01

    To help the nation weather the ongoing economic downturn and meet key energy goals, the State Energy Program (SEP) will invest $3.1 billion from the American Recovery and Reinvestment Act of 2009 (Recovery Act) for additional grants. These grants do not require matching state funds.

  3. Designing and managing successful endangered species recovery programs

    NASA Astrophysics Data System (ADS)

    Clark, Tim W.; Crete, Ron; Cada, John

    1989-03-01

    Endangered species recovery is characterized by complexity and uncertainty in both its biological and organizational aspects. To improve performance in the organizational dimension, some models of organizations are briefly introduced with an emphasis on the organization as a system for processing information, i.e., for successfully dealing with the high uncertainty in the task environment. A strong task orientation,which rewards achievement of the primary goal, is suggested as ideal for this task, as is generative rationality, which encourages workers to observe, critique, and generate new ideas. The parallel organization—a flexible, participatory, problem-solving structure set up alongside traditional bureaucracies—is offered as a useful structure for meeting the demands of uncertainties encountered during recovery. Task forces and projects teams can be set up as parallel organizations. Improved managerial functions include coordinating roles to facilitate the flow and use of information; decision making to avoid “groupthink”—the defects, symptoms, and countermeasures are described; and productive, active management of the inevitable conflict. The inability of organizations to solve dilemmas, to examine their own structures and management, and to change themselves for more effective, efficient, and equitable performance is seen as the major obstacle to improved recovery programs. Some recommendations for effecting change in bureaucracies are made along with a call for case studies detailing the organizational dimensions of endangered species recovery programs.

  4. Health Occupations Extended Campus Program.

    ERIC Educational Resources Information Center

    Likhite, Vivek

    A Health Occupations Program designed as an integrated science course offers students at Evanston Township High School (Illinois) an opportunity to master science skills, content, and laboratory techniques while working and studying within local hospitals (the Evanston Hospital and St. Francis Hospital) as well as within their high school…

  5. 78 FR 54256 - Health Careers Opportunity Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-03

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Health Careers Opportunity Program AGENCY: Health Resources and Services Administration (HRSA), HHS. ACTION: Notice of Noncompetitive...

  6. New Careers in the Indian Health Program.

    ERIC Educational Resources Information Center

    Health Services and Mental Health Administration (DHEW), Bethesda, MD.

    The Indian Health Service program has enabled large numbers of American Indians to play a significant role in the design and delivery of health services to their communities. The Indian Health Service provides training programs in various health-related areas. These programs have provided many Indians their first opportunity for employment, while…

  7. 3 CFR - State Children's Health Insurance Program

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 3 The President 1 2010-01-01 2010-01-01 false State Children's Health Insurance Program Presidential Documents Other Presidential Documents Memorandum of February 4, 2009 State Children's Health Insurance Program Memorandum for the Secretary of Health and Human Services The State Children's Health Insurance Program (SCHIP) encourages States...

  8. 13 CFR 120.398 - America's Recovery Capital (ARC) Loan Program.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 13 Business Credit and Assistance 1 2012-01-01 2012-01-01 false America's Recovery Capital (ARC... BUSINESS LOANS Special Purpose Loans America's Recovery Capital (business Stabilization) Loan Program-Arc Loan Program § 120.398 America's Recovery Capital (ARC) Loan Program. (a) Purpose. The purpose of...

  9. 40 CFR 256.31 - Recommendations for developing and implementing resource conservation and recovery programs.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... implementing resource conservation and recovery programs. 256.31 Section 256.31 Protection of Environment... SOLID WASTE MANAGEMENT PLANS Resource Conservation and Resource Recovery Programs § 256.31 Recommendations for developing and implementing resource conservation and recovery programs. (a) In order...

  10. 40 CFR 256.31 - Recommendations for developing and implementing resource conservation and recovery programs.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... implementing resource conservation and recovery programs. 256.31 Section 256.31 Protection of Environment... SOLID WASTE MANAGEMENT PLANS Resource Conservation and Resource Recovery Programs § 256.31 Recommendations for developing and implementing resource conservation and recovery programs. (a) In order...

  11. 40 CFR 256.31 - Recommendations for developing and implementing resource conservation and recovery programs.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... implementing resource conservation and recovery programs. 256.31 Section 256.31 Protection of Environment... SOLID WASTE MANAGEMENT PLANS Resource Conservation and Resource Recovery Programs § 256.31 Recommendations for developing and implementing resource conservation and recovery programs. (a) In order...

  12. Mental health recovery and economic recovery after the tsunami: high-frequency longitudinal evidence from Sri Lankan small business owners.

    PubMed

    de Mel, Suresh; McKenzie, David; Woodruff, Christopher

    2008-02-01

    A sample of 561 Sri Lanka microenterprise owners affected to various extents by the December 2004 Indian Ocean tsunami were surveyed five times at quarterly intervals between March 2005 and April 2006. Mental health recovery was measured through questions on return to normalcy and change in life outlook. Business profits were used to measure livelihoods recovery. We find that these mental health process measures are correlated with post-traumatic stress disorder and general mental health in a validation survey, and display similar correlates to both in the cross-section. However, socioeconomic factors are not found to be significant in predicting the dynamics of mental health recovery in a fixed effects logistic regression. Mental health recovery from a given initial level therefore appears to depend largely on time since the disaster, and not on economic recovery of an individual's livelihood.

  13. Measurement control program for new special recovery. [Plutonium scrap recovery facility

    SciTech Connect

    Hsue, S.T.; Campbell, K.; Barlich, G.

    1987-04-01

    This report summarizes the design of the measurement control (MC) program for the New Special Recovery facility. The MC program is divided into two levels. Level 1 MC checks are performed at the individual instrument computer and will always be functional even when the instrument-control computer is down. The level 1 MCs are divided into statistical checks for both bias and precision, and diagnostic checks. All the instruments are connected on line to an instrument-control computer to which the measurement results can be communicated. Level 2 MC analyses are performed at this computer. The analyses consist of control charts for bias and precision and statistical tests used as analytic supplements to the control charts. They provide the desired detection sensitivity and yet can be interpreted quickly and easily. Recommendations are also made in terms of the frequency of the tests, the standard used, and other operational aspects of the MC program. 16 refs., 11 figs., 10 tabs.

  14. Recovery stories: An anthropological exploration of moral agency in stories of mental health recovery.

    PubMed

    Myers, Neely Anne Laurenzo

    2016-08-01

    Moral agency has been loosely defined as the freedom to aspire to a "good life" that makes possible intimate relationships with others. This article uses ethnographic research to further the discussion of the role of moral agency in mental health recovery. This article attends to the ebb and flow of moral agency in the life stories of three people diagnosed with a serious psychiatric disability at different stages in their individual recoveries to illustrate particular aspects of moral agency relevant for recovery. From these, a more complex notion of moral agency emerges as the freedom not only to aspire to a "good life," but also to achieve a "good" life through having both the intention to aspire and access to resources that help bring one's life plans to fruition. Each storyteller describes an initial Aristotelian peripeteia, or "breach" of life plan, followed by an erosion of moral agency and sense of connection to others. The stories then diverge: some have the resources needed to preserve moral agency, and others attempt to replenish moral agency that has been eroded. In these stories, the resources for preserving and nourishing moral agency include the ability to cultivate the social bases of self-respect, autobiographical power, and peopled opportunities. These stories cumulatively suggest that without such resources one's attempts to preserve or nourish the moral agency needed for recovery after the peripeteia, which is often perpetuated by the onset and experience of serious mental illness, may fall short.

  15. The recovery model and complex health needs: what health psychology can learn from mental health and substance misuse service provision.

    PubMed

    Webb, Lucy

    2012-07-01

    This article reviews key arguments around evidence-based practice and outlines the methodological demands for effective adoption of recovery model principles. The recovery model is outlined and demonstrated as compatible with current needs in substance misuse service provision. However, the concepts of evidence-based practice and the recovery model are currently incompatible unless the current value system of evidence-based practice changes to accommodate the methodologies demanded by the recovery model. It is suggested that critical health psychology has an important role to play in widening the scope of evidence-based practice to better accommodate complex social health needs.

  16. Space radiation health program plan

    NASA Technical Reports Server (NTRS)

    1991-01-01

    The Space Radiation Health Program intends to establish the scientific basis for the radiation protection of humans engaged in the exploration of space, with particular emphasis on the establishment of a firm knowledge base to support cancer risk assessment for future planetary exploration. This document sets forth the technical and management components involved in the implementation of the Space Radiation Health Program, which is a major part of the Life Sciences Division (LSD) effort in the Office of Space Science and Applications (OSSA) at the National Aeronautics and Space Administration (NASA). For the purpose of implementing this program, the Life Sciences Division supports scientific research into the fundamental mechanisms of radiation effects on living systems and the interaction of radiation with cells, tissues, and organs, and the development of instruments and processes for measuring radiation and its effects. The Life Sciences Division supports researchers at universities, NASA field centers, non-profit research institutes and national laboratories; establishes interagency agreements for cooperative use and development of facilities; and conducts a space-based research program using available and future spaceflight vehicles.

  17. Microbial enhanced oil recovery and wettability research program

    SciTech Connect

    Thomas, C.P.; Bala, G.A.; Duvall, M.L.

    1991-07-01

    This report covers research results for the microbial enhanced oil recovery (MEOR) and wettability research program conducted by EG G Idaho, Inc. at the Idaho National Engineering Laboratory (INEL). The isolation and characterization of microbial species collected from various locations including target oil field environments is underway to develop more effective oil recovery systems for specific applications. The wettability research is a multi-year collaborative effort with the New Mexico Petroleum Recovery Research Center (NMPRRC), to evaluate reservoir wettability and its effects on oil recovery. Results from the wettability research will be applied to determine if alteration of wettability is a significant contributing mechanism for MEOR systems. Eight facultatively anaerobic surfactant producing isolates able to function in the reservoir conditions of the Minnelusa A Sands of the Powder River Basin in Wyoming were isolated from naturally occurring oil-laden environments. Isolates were characterized according to morphology, thermostability, halotolerance, growth substrates, affinity to crude oil/brine interfaces, degradative effects on crude oils, and biochemical profiles. Research at the INEL has focused on the elucidation of microbial mechanisms by which crude oil may be recovered from a reservoir and the chemical and physical properties of the reservoir that may impact the effectiveness of MEOR. Bacillus licheniformis JF-2 (ATCC 39307) has been used as a benchmark organism to quantify MEOR of medium weight crude oils (17.5 to 38.1{degrees}API) the capacity for oil recovery of Bacillus licheniformis JF-2 utilizing a sucrose-based nutrient has been elucidated using Berea sandstone cores. Spacial distribution of cells after microbial flooding has been analyzed with scanning electron microscopy. Also the effect of microbial surfactants on the interfacial tensions (IFT) of aqueous/crude oil systems has been measured. 87 refs., 60 figs., 15 tabs.

  18. 75 FR 44313 - Medicare and Medicaid Programs; Electronic Health Record Incentive Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-28

    ...This final rule implements the provisions of the American Recovery and Reinvestment Act of 2009 (ARRA) (Pub. L. 111-5) that provide incentive payments to eligible professionals (EPs), eligible hospitals and critical access hospitals (CAHs) participating in Medicare and Medicaid programs that adopt and successfully demonstrate meaningful use of certified electronic health record (EHR)......

  19. 75 FR 1843 - Medicare and Medicaid Programs; Electronic Health Record Incentive Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-13

    ...This proposed rule would implement the provisions of the American Recovery and Reinvestment Act of 2009 (ARRA) (Pub. L. 111-5) that provide incentive payments to eligible professionals (EPs) and eligible hospitals participating in Medicare and Medicaid programs that adopt and meaningfully use certified electronic health record (EHR) technology. The proposed rule would specify the--initial......

  20. In college and in recovery: Reasons for joining a Collegiate Recovery Program

    PubMed Central

    Laudet, Alexandre B.; Harris, Kitty; Kimball, Thomas; Winters, Ken C.; Moberg, D. Paul

    2016-01-01

    Objective Collegiate Recovery Programs (CRPs), a campus-based peer support model for students recovering from substance abuse problems, grew exponentially in the past decade, yet remain unexplored. Methods This mixed methods study examines students’ reasons for CRP enrollment to guide academic institutions and referral sources. Students (N = 486) from the 29 CRPs nationwide operating in 2012 completed an online survey in 2013. Results Students were somewhat older than traditional age (mean age = 26). Now sober for three years (mean), they had experienced severe dependence on multiple substances. One third reported they would not be in college were it not for a CRP, and 20% would not be at their current institution. Top reasons for joining a CRP was the need for same age peer recovery support, and wanting to ‘do college sober’ recognizing that college life challenges sobriety. Conclusions CRPs appear to meet their mission of allowing recovering students to pursue educational goals in ‘an abstinence hostile environment’ and emphasize the need for more institutions to address the support needs of students in recovery. PMID:26731130

  1. Migrant Education Health Program, 1985. Final Report.

    ERIC Educational Resources Information Center

    Colorado State Dept. of Health, Denver.

    During 1985 the Colorado Migrant Education Program and the Colorado Migrant Health Program provided a comprehensive health program for students enrolled in migrant summer schools. A total of 1,889 migrant children through age 21 (60% between 5 and 10 years of age) received health screening and physical assessment, referral for diagnosis and…

  2. 75 FR 53701 - Health Center Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-01

    ...-53702] [FR Doc No: 2010-21836] DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Health Center Program AGENCY: Health Resources and Services Administration, HHS. ACTION: Notice of Non-competitive Replacement Awards to Sunset Park Health Council, Inc. SUMMARY: The Health...

  3. Flight Crew Health Stabilization Program

    NASA Technical Reports Server (NTRS)

    Johnston, Smith L.

    2010-01-01

    This document establishes the policy and procedures for the HSP and is authorized through the Director, Johnson Space Center (JSC). This document delineates the medical operations requirements for the HSP. The HSP goals are accomplished through an awareness campaign and procedures such as limiting access to flight crewmembers, medical screening, and controlling flight crewmember activities. NASA's Human Space Flight Program uses strategic risk mitigation to achieve mission success while protecting crew health and safety. Infectious diseases can compromise crew health and mission success, especially in the immediate preflight period. The primary purpose of the Flight Crew Health Stabilization Program (HSP) is to mitigate the risk of occurrence of infectious disease among astronaut flight crews in the immediate preflight period. Infectious diseases are contracted through direct person-to-person contact, and through contact with infectious material in the environment. The HSP establishes several controls to minimize crew exposure to infectious agents. The HSP provides a quarantine environment for the crew that minimizes contact with potentially infectious material. The HSP also limits the number of individuals who come in close contact with the crew. The infection-carrying potential of these primary contacts (PCs) is minimized by educating them in ways to avoid infections and avoiding contact with the crew if they are or may be sick. The transmission of some infectious diseases can be greatly curtailed by vaccinations. PCs are strongly encouraged to maintain updated vaccinations.

  4. Early Childhood Health--Mental Health Prevention and Treatment Program.

    ERIC Educational Resources Information Center

    Rubin, Lawrence S.

    The Maimonides Early Childhood Health-Mental Health Prevention and Treatment Program is described. The program provides a broad range of preventive services to children who are five years of age and younger. Services are organized into Post-Natal and Pre-School Programs. The Post-Natal Program offers group education and counseling, individual…

  5. GRACE: Public Health Recovery Methods following an Environmental Disaster

    PubMed Central

    Svendsen, ER; Whittle, N; Wright, L; McKeown, RE; Sprayberry, K; Heim, M; Caldwell, R; Gibson, JJ; Vena, J.

    2014-01-01

    Different approaches are necessary when Community Based Participatory Research (CBPR) of environmental illness is initiated after an environmental disaster within a community. Often such events are viewed as golden scientific opportunities to do epidemiological studies. However, we believe that in such circumstances, community engagement and empowerment needs to be integrated into the public health service efforts in order for both those and any science to be successful, with special care being taken to address the immediate health needs of the community first rather than the pressing needs to answer important scientific questions. We will demonstrate how we have simultaneously provided valuable public health service, embedded generalizable scientific knowledge, and built a successful foundation for supplemental CBPR through our on-going recovery work after the chlorine gas disaster in Graniteville, South Carolina. PMID:20439226

  6. 77 FR 11127 - Medicaid Program; Announcement of Medicaid Recovery Audit Contractors (RACs) Contingency Fee Update

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-24

    ... Recovery Audit Contractors (RACs) Contingency Fee Update AGENCY: Centers for Medicare & Medicaid Services... Recovery Audit Contractors (RAC) by State Medicaid programs as authorized by section 1902(a)(42)(B) of the... that ties the Medicaid RAC contingency fee to the Medicare Recovery Audit Program with an...

  7. Learning how to recover from job stress: effects of a recovery training program on recovery, recovery-related self-efficacy, and well-being.

    PubMed

    Hahn, Verena C; Binnewies, Carmen; Sonnentag, Sabine; Mojza, Eva J

    2011-04-01

    This quasi-experimental study evaluated the effects of a recovery training program on recovery experiences (psychological detachment from work, relaxation, mastery experiences, and control during off-job time), recovery-related self-efficacy, and well-being outcomes. The training comprised two sessions held one week apart. Recovery experiences, recovery-related self-efficacy, and well-being outcomes were measured before the training (T1) and one week (T2) and three weeks (T3) after the training. A training group consisting of 48 individuals and a waitlist control group of 47 individuals were compared (N = 95). Analyses of covariance revealed an increase in recovery experiences at T2 and T3 (for mastery only at T2). Recovery-related self-efficacy and sleep quality increased at T2 and T3, perceived stress and state negative affect decreased at T3. No training effects were found for emotional exhaustion.

  8. The Meaning of Recovery from Co-Occurring Disorder: Views from Consumers and Staff Members Living and Working in Housing First Programming.

    PubMed

    Watson, Dennis P; Rollins, Angela L

    2015-10-01

    The current study seeks to understand the concept of recovery from the perspectives of consumers and staff living and working in a supportive housing model designed to serve those with co-occurring disorder. Interview and focus group data were collected from consumers and staff from four housing programs. Data analyzed using an approach that combined case study and grounded theory methodologies demonstrate that: consumers' and staff members' views of recovery were highly compatible and resistant to abstinence-based definitions of recovery; recovery is personal; stability is a foundation for recovery; recovery is a process; and the recovery process is not linear. These themes are more consistent with mental health-focused conceptions of recovery than those traditionally used within the substance abuse field, and they help demonstrate how recovery can be influenced by the organization of services in which consumers are embedded.

  9. Health Is Academic. A Guide to Coordinated School Health Programs.

    ERIC Educational Resources Information Center

    Marx, Eva, Ed.; Wooley, Susan Frelick, Ed.; Northrop, Daphne, Ed.

    This book presents a collection of papers that define comprehensive school health programs and their components and provide action steps for their implementation at the local, state, and national levels: (1) "Linking Health and Learning: An Overview of Coordinated School Health Programs" (Floretta Dukes McKenzie and Julius B. Richmond); (2)…

  10. Enhanced oil recovery and applied geoscience research program

    SciTech Connect

    Thomas, C.P.

    1992-01-01

    The objectives of this research program are to develop microbial enhanced oil recovery (MEOR) systems for application to reservoirs containing medium to heavy oils and to evaluate reservoir wettability and its effects on oil recovery. The MEOR research goals include: (a) the development of bacterial cultures that are effective for oil displacement under a broad range of reservoir conditions; (b) improved understanding of the mechanisms by which microbial systems displace oil under reservoir conditions; (c) determination of the feasibility of combining microbial systems with or following conventional enhanced oil recovery (EOR) processes, such as miscible and immiscible gas flooding, polymer and chemical flooding, and thermal methods; (d) development of an MEOR field process design; and (e) implementation of an industry cost-shared field demonstration project. The goals of the reservoir wettability project are to develop: (a) a better methods for assessment of reservoir core wettability, (b) more certainty in relating laboratory core analysis procedures to fields conditions; (c) a better understanding of the effects of reservoir matrix properties and heterogeneity on wettability, and (d) improved ability to predict and influence EOR response through control of wettability in reservoirs. The focus of this report is a comparative analysis of potentially useful surfactants produced by Bacillus licheniformis and Bacillus subtilis growing on various sources of carbohydrates. Historically, molasses has been the feedstock of choice for the in situ production of biosurfactants. We propose utilizing alternative carbon substrates (i.e., processing wastes from the agricultural industry) as replacements for molasses. These wastes are currently disposed of at a cost and may be employed as viable feedstocks for the production of biosurfactants.

  11. A GUIDE FOR HEALTH TECHNOLOGY PROGRAM PLANNING.

    ERIC Educational Resources Information Center

    KAHLER, CAROL; AND OTHERS

    THIS GUIDE TO THE PREPARATION OF A 2-YEAR COLLEGE PROGRAM IN HEALTH TECHNOLOGY LISTS CERTAIN NECESSARY PRE-CONDITIONS. BEFORE THE COURSE CAN BE ESTABLISHED, THE ADMINISTRATION MUST (1) DEFINE THE SCOPE OF THE PROGRAM, (2) BE AWARE OF ACCEPTED STANDARDS FOR TECHNICIANS IN THE HEALTH FIELD, (3) NOTE THE POSSIBLE IMPACT OF THE PROGRAM ON THE…

  12. Evaluation of a Group-Based Trauma Recovery Program in Gaza: Students' Subjective Experiences

    ERIC Educational Resources Information Center

    Barron, Ian; Abdullah, Ghassan

    2012-01-01

    Internationally, evaluation of group-based trauma recovery programs has relied upon normative outcome measures, with no studies systematically analyzing children's subjective experience for program development. In contrast, the current study explored children's experience of a Gazan recovery program "in their own words." Twenty-four…

  13. 78 FR 59121 - Basic Health Program: State Administration of Basic Health Programs; Eligibility and Enrollment...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-25

    ...This proposed rule would establish the Basic Health Program, as required by section 1331 of the Affordable Care Act. The Basic Health Program provides states the flexibility to establish a health benefits coverage program for low-income individuals who would otherwise be eligible to purchase coverage through the state's Affordable Insurance Exchange (Exchange, also called a Health Insurance......

  14. 75 FR 68811 - Recovery Publication, P-395, Fire Management Assistance Grant Program (FMAGP) Guide

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-09

    ... FEMA-2010-0066] Recovery Publication, P-395, Fire Management Assistance Grant Program (FMAGP) Guide.... SUMMARY: The Federal Emergency Management Agency (FEMA) is accepting comments on the Fire...

  15. Natural gas recovery, storage, and utilization SBIR program

    SciTech Connect

    Shoemaker, H.D.

    1993-12-31

    A Fossil Energy natural-gas topic has been a part of the DOE Small Business Innovation Research (SBIR) program since 1988. To date, 50 Phase SBIR natural-gas applications have been funded. Of these 50, 24 were successful in obtaining Phase II SBIR funding. The current Phase II natural-gas research projects awarded under the SBIR program and managed by METC are presented by award year. The presented information on these 2-year projects includes project title, awardee, and a project summary. The 1992 Phase II projects are: landfill gas recovery for vehicular natural gas and food grade carbon dioxide; brine disposal process for coalbed gas production; spontaneous natural as oxidative dimerization across mixed conducting ceramic membranes; low-cost offshore drilling system for natural gas hydrates; motorless directional drill for oil and gas wells; and development of a multiple fracture creation process for stimulation of horizontally drilled wells.The 1993 Phase II projects include: process for sweetening sour gas by direct thermolysis of hydrogen sulfide; remote leak survey capability for natural gas transport storage and distribution systems; reinterpretation of existing wellbore log data using neural-based patter recognition processes; and advanced liquid membrane system for natural gas purification.

  16. 36 CFR 72.43 - Fundable elements: Recovery Action Program grants.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 36 Parks, Forests, and Public Property 1 2011-07-01 2011-07-01 false Fundable elements: Recovery Action Program grants. 72.43 Section 72.43 Parks, Forests, and Public Property NATIONAL PARK SERVICE, DEPARTMENT OF THE INTERIOR URBAN PARK AND RECREATION RECOVERY ACT OF 1978 Grants for Recovery Action...

  17. 36 CFR 72.43 - Fundable elements: Recovery Action Program grants.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 36 Parks, Forests, and Public Property 1 2013-07-01 2013-07-01 false Fundable elements: Recovery Action Program grants. 72.43 Section 72.43 Parks, Forests, and Public Property NATIONAL PARK SERVICE, DEPARTMENT OF THE INTERIOR URBAN PARK AND RECREATION RECOVERY ACT OF 1978 Grants for Recovery Action...

  18. 36 CFR 72.43 - Fundable elements: Recovery Action Program grants.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 36 Parks, Forests, and Public Property 1 2010-07-01 2010-07-01 false Fundable elements: Recovery Action Program grants. 72.43 Section 72.43 Parks, Forests, and Public Property NATIONAL PARK SERVICE, DEPARTMENT OF THE INTERIOR URBAN PARK AND RECREATION RECOVERY ACT OF 1978 Grants for Recovery Action...

  19. 36 CFR 72.43 - Fundable elements: Recovery Action Program grants.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 36 Parks, Forests, and Public Property 1 2014-07-01 2014-07-01 false Fundable elements: Recovery Action Program grants. 72.43 Section 72.43 Parks, Forests, and Public Property NATIONAL PARK SERVICE, DEPARTMENT OF THE INTERIOR URBAN PARK AND RECREATION RECOVERY ACT OF 1978 Grants for Recovery Action...

  20. 36 CFR 72.43 - Fundable elements: Recovery Action Program grants.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 36 Parks, Forests, and Public Property 1 2012-07-01 2012-07-01 false Fundable elements: Recovery Action Program grants. 72.43 Section 72.43 Parks, Forests, and Public Property NATIONAL PARK SERVICE, DEPARTMENT OF THE INTERIOR URBAN PARK AND RECREATION RECOVERY ACT OF 1978 Grants for Recovery Action...

  1. Why Does Disaster Recovery Work Influence Mental Health?: Pathways through Physical Health and Household Income.

    PubMed

    Lowe, Sarah R; Kwok, Richard K; Payne, Julianne; Engel, Lawrence S; Galea, Sandro; Sandler, Dale P

    2016-12-01

    Disaster recovery work increases risk for mental health problems, yet the mechanisms underlying this association are unclear. We explored links from recovery work to post-traumatic stress (PTS), major depression (MD), and generalized anxiety disorder (GAD) symptoms through physical health symptoms and household income in the aftermath of the Deepwater Horizon oil spill. As part of the NIEHS GuLF STUDY, participants (N = 10,141) reported on cleanup work activities, spill-related physical health symptoms, and household income at baseline, and mental health symptoms an average of 14.69 weeks (SD = 16.79) thereafter. Cleanup work participation was associated with higher physical health symptoms, which in turn were associated with higher PTS, MD, and GAD symptoms. Similar pattern of results were found in models including workers only and investigating the influence of longer work duration and higher work-related oil exposure on mental health symptoms. In addition, longer worker duration and higher work-related oil exposure were associated with higher household income, which in turn was associated with lower MD and GAD symptoms. These findings suggest that physical health symptoms contribute to workers' risk for mental health symptoms, while higher household income, potentially from more extensive work, might mitigate risk.

  2. Experiences in Rural Mental Health. VI; Programming School Mental Health.

    ERIC Educational Resources Information Center

    Hollister, William G.; And Others

    Based on a North Carolina feasibility study (1967-73) which focused on development of a pattern for providing comprehensive mental health services to rural people, this guide deals with programming school mental health in Vance and Franklin counties. Detailing both successes and failures, this booklet presents the following program activities: (1)…

  3. ENVIRONMENTAL, ECONOMIC AND ENERGY IMPACTS OF MATERIAL RECOVERY FACILITIES - A MITE PROGRAM EVALUATION

    EPA Science Inventory

    This report documents an evaluation of the environmental, economic, and energy impacts of material recovery facilities (MRFS) conducted under the Municipal Solid Waste Innovative Technology Evaluation (MITE) Program. he MITE Program is sponsored by the U.S. Environmental Protecti...

  4. Evaluation of a Rural-Based Community Aged Intensive Recovery Program for Older Adults With Severe Mental Illness.

    PubMed

    Sadler, Paul; McIlvena, Andrea

    2015-09-01

    Community Aged Intensive Recovery (CAIR) programs are an integral part of Aged Persons Mental Health Services (APMHS); however, no study has investigated whether a rural-based intensive program benefits older clients with severe mental illness. The current sample comprised 119 older adults who were being managed by a CAIR program from July 2011 to June 2013. Three key results were found: (a) approximately three quarters of clients admitted to the CAIR program remained treated in the community; (b) the program assisted in significantly reducing the level of psychiatric symptom severity from CAIR entry to CAIR exit; and (c) the APMHS team with the CAIR program had a lower psychiatric inpatient rate compared to the APMHS team without the program. The current study highlights the importance of delivering effective rural-based CAIR programs to older adults experiencing severe mental illness.

  5. Results of an innovative university-based recovery education program for adults with psychiatric disabilities.

    PubMed

    Dunn, Erin C; Sally Rogers, E; Hutchinson, Dori S; Lyass, Asya; MacDonald Wilson, Kim L; Wallace, Lori R; Furlong-Norman, Kathleen

    2008-09-01

    This study examined the effectiveness of an educational approach to psychiatric rehabilitation called the Recovery Center. Using a quasi-experimental design we recruited 97 intervention and 81 comparison participants and examined the intervention's impact on health, mental health, subjective, and role functioning outcomes. Results suggested that this intervention was effective in improving subjective outcomes, especially empowerment and recovery attitudes, both of which received primary emphasis in the intervention. The Recovery Center, which integrates a bio-psychosocial framework with psycho-educational interventions shows promise as a complement to traditional mental health services in developing readiness for rehabilitation and promoting recovery among individuals with severe psychiatric disabilities.

  6. Cross-Validation of Mental Health Recovery Measures in a Hong Kong Chinese Sample

    ERIC Educational Resources Information Center

    Ye, Shengquan; Pan, Jia-Yan; Wong, Daniel Fu Keung; Bola, John Robert

    2013-01-01

    Objectives: The concept of recovery has begun shifting mental health service delivery from a medical perspective toward a client-centered recovery orientation. This shift is also beginning in Hong Kong, but its development is hampered by a dearth of available measures in Chinese. Method: This article translates two measures of recovery (mental…

  7. Cross-Validating Chinese Language Mental Health Recovery Measures in Hong Kong

    ERIC Educational Resources Information Center

    Bola, John; Chan, Tiffany Hill Ching; Chen, Eric HY; Ng, Roger

    2016-01-01

    Objectives: Promoting recovery in mental health services is hampered by a shortage of reliable and valid measures, particularly in Hong Kong. We seek to cross validate two Chinese language measures of recovery and one of recovery-promoting environments. Method: A cross-sectional survey of people recovering from early episode psychosis (n = 121)…

  8. Migrant Education Health Program, 1984. Final Report.

    ERIC Educational Resources Information Center

    Colorado State Dept. of Education, Denver. Compensatory Education Services Unit.

    During 1984 the Colorado Migrant Health Program, together with the Colorado Migrant Education Program, provided students enrolled in migrant summer schools with a continuum of care which included screening and physical assessment for detection of existing and potential health problems, referral for diagnosis and treatment of identified…

  9. Migrant Education Health Program, 1982. Final Report.

    ERIC Educational Resources Information Center

    Stout, Charles L.; Swanson, Terri M.

    During 1982 the Colorado Migrant Health Program, together with the Colorado Migrant Education Program, provided students enrolled in migrant summer schools with a continuum of care which included screening and physical assessment for detection of existing and potential health problems, referral for diagnosis and treatment of identified…

  10. Migrant Education Health Program, 1983. Final Report.

    ERIC Educational Resources Information Center

    Colorado State Dept. of Health, Denver.

    During 1983 the Colorado Migrant Health Program, together with the Colorado Migrant Education Program, provided students enrolled in migrant summer schools with a continuum of care which included screening and physical assessment for detection of existing and potential health problems, referral for diagnosis and treatment of identified…

  11. Profiles of Grant Programs: Public Health Service.

    ERIC Educational Resources Information Center

    Department of Health , Education, and Welfare, Washington., DC. Office of the Secretary.

    For potential grant applicants and for the general public, the booklet describes the programs of the six Public Health Service agencies in the American health care system. Each program is described concisely in terms of: its purpose and legal basis; applicants' eligibility for grants and the basis for their award; the special requirements made of…

  12. Wide Area Recovery and Resiliency Program (WARRP) Interim Clearance Strategy for Environments Contaminated with Cesium-137

    DTIC Science & Technology

    2012-07-01

    Wide Area Recovery & Resiliency Program (WARRP) Interim Clearance Strategy for Environments Contaminated with Cesium -137 July...and Resiliency Program (WARRP) Interim Clearance Strategy for Environments Contaminated with Cesium -137 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c...speedy recovery. 15. SUBJECT TERMS WARRP, Cesium -137, Clearance Strategy, Remediation 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT

  13. 75 FR 48988 - Urban Park and Recreation Recovery Program Project Performance Reports, Conversion of Use...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-12

    ... National Park Service Urban Park and Recreation Recovery Program Project Performance Reports, Conversion of... INFORMATION: Congress passed the Urban Park and Recreation Recovery (UPARR) Act (16 U.S.C. 2501 et seq.) as... Interior to establish a grant program to help physically and economically distressed urban areas...

  14. 41 CFR 109-45.1002-3 - Precious metals recovery program monitor.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 41 Public Contracts and Property Management 3 2013-07-01 2013-07-01 false Precious metals recovery program monitor. 109-45.1002-3 Section 109-45.1002-3 Public Contracts and Property Management Federal... Metals § 109-45.1002-3 Precious metals recovery program monitor. The DPMO shall be the precious...

  15. 41 CFR 109-45.1002-3 - Precious metals recovery program monitor.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Precious metals recovery program monitor. 109-45.1002-3 Section 109-45.1002-3 Public Contracts and Property Management Federal... Metals § 109-45.1002-3 Precious metals recovery program monitor. The DPMO shall be the precious...

  16. 41 CFR 109-45.1002-3 - Precious metals recovery program monitor.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 41 Public Contracts and Property Management 3 2012-01-01 2012-01-01 false Precious metals recovery program monitor. 109-45.1002-3 Section 109-45.1002-3 Public Contracts and Property Management Federal... Metals § 109-45.1002-3 Precious metals recovery program monitor. The DPMO shall be the precious...

  17. 41 CFR 109-45.1002-3 - Precious metals recovery program monitor.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 41 Public Contracts and Property Management 3 2011-01-01 2011-01-01 false Precious metals recovery program monitor. 109-45.1002-3 Section 109-45.1002-3 Public Contracts and Property Management Federal... Metals § 109-45.1002-3 Precious metals recovery program monitor. The DPMO shall be the precious...

  18. 41 CFR 109-45.1002-3 - Precious metals recovery program monitor.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 41 Public Contracts and Property Management 3 2014-01-01 2014-01-01 false Precious metals recovery program monitor. 109-45.1002-3 Section 109-45.1002-3 Public Contracts and Property Management Federal... Metals § 109-45.1002-3 Precious metals recovery program monitor. The DPMO shall be the precious...

  19. Adaptive Management for Decision Making at the Program and Project Levels of the Missouri River Recovery Program

    SciTech Connect

    Thom, Ronald M.; Anderson, Michael G.; Tyre, Drew; Fleming, Craig A.

    2009-02-28

    The paper, “Adaptive Management: Background for Stakeholders in the Missouri River Recovery Program,” introduced the concept of adaptive management (AM), its principles and how they relate to one-another, how AM is applied, and challenges for its implementation. This companion paper describes how the AM principles were applied to specific management actions within the Missouri River Recovery Program to facilitate understanding, decision-making, and stakeholder engagement. For context, we begin with a brief synopsis of the Missouri River Recovery Program (MRRP) and the strategy for implementing adaptive management (AM) within the program; we finish with an example of AM in action within Phase I of the MRPP.

  20. Contraction induced muscle injury: towards personalized training and recovery programs.

    PubMed

    Givli, Sefi

    2015-02-01

    Skeletal muscles can be injured by their own contractions. Such contraction-induced injury, often accompanied by delayed onset of muscle soreness, is a leading cause of the loss of mobility in the rapidly increasing population of elderly people. Unlike other types of muscle injuries which hurt almost exclusively those who are subjected to intensive exercise such as professional athletes and soldiers in training, contraction induced injury is a phenomenon which may be experienced by people of all ages while performing a variety of daily-life activities. Subjects that experience contraction induced injury report on soreness that usually increases in intensity in the first 24 h after the activity, peaks from 24 to 72 h, and then subsides and disappears in a few days. Despite their clinical importance and wide influence, there are almost no studies, clinical, experimental or computational, that quantitatively relate between the extent of contraction induced injury and activity factors, such as number of repetitions, their frequency and magnitude. The lack of such quantitative information is even more emphasized by the fact that contraction induced injury can be used, if moderate and controlled, to improve muscle performance in the long term. Thus, if properly understood and carefully implemented, contraction induced injury can be used for the purpose of personalized training and recovery programs. In this paper, we review experimental, clinical, and theoretical works, attempting towards drawing a more quantitative description of contraction induced injury and related phenomena.

  1. Nature and determinants of customer expectations of service recovery in health care.

    PubMed

    Dasu, S; Rao, J

    1999-01-01

    Service recovery refers to the service provider's response to a dissatisfied customer. This article proposes a model of customer expectations of service recovery in health care services. The model discusses two types of service recovery expectations: will and should. An exploratory study indicates that industry reputation and personal experiences drive customers' "will-expectations" of service recovery while "should-expectations" can be explained via norm, fairness, social contract and hospitality theories.

  2. Environmental health program in NASA

    NASA Technical Reports Server (NTRS)

    Marrazzo, R. M.

    1969-01-01

    The NASA policy on environmental health uses medical and environmental concepts to: (1) Determine the health status of employees; (2) prevent illness and promote good health among employees; and (3) identify and control factors that affect the health of personnel and quality of environment. Evaluation and control of physical, chemical, radiological and biological factors surrounding personnel and which represent physiological and psychological stresses and impairment are considered.

  3. Kennedy Space Center environmental health program

    NASA Technical Reports Server (NTRS)

    Marmaro, G. M.; Cardinale, M. A.; Summerfield, B. R.; Tipton, D. A.

    1992-01-01

    The Kennedy Space Center's environmental health organization is responsible for programs which assure its employees a healthful workplace under diverse and varied working conditions. These programs encompass the disciplines of industrial hygiene, radiation protection (health physics), and environmental sanitation/pollution control. Activities range from the routine, such as normal office work, to the highly specialized, such as the processing of highly toxic and hazardous materials.

  4. Predictors of Criminal Justice Outcomes Among Mental Health Courts Participants: The Role of Perceived Coercion and Subjective Mental Health Recovery.

    PubMed

    Pratt, Christina; Yanos, Philip T; Kopelovich, Sarah L; Koerner, Joshua; Alexander, Mary Jane

    2013-04-01

    Internationally, one effort to reduce the number of people with serious mental illness (SMI) in jails and prisons is the development of Mental Health Courts (MHC). Research on MHCs to date has been disproportionately focused on the study of recidivism and re-incarceration over the potential of these problem-solving courts to facilitate mental health recovery and affect the slope or gradient of opportunity for recovery. Despite the strong conceptual links between the MHC approach and the recovery-orientation in mental health, the capacity for MHCs to facilitate recovery has not been explored. This user-informed mental health and criminal justice (MH/CJ) community based participatory (CBPR) study assesses the extent to which MHC practices align with recovery-oriented principles and may subsequently affect criminal justice outcomes. We report on the experiences and perceptions of 51 MHC participants across four metropolitan Mental Health Courts. Specifically, the current study assesses: 1) how defendants' perceptions of court practices, particularly with regard to procedural justice and coercion, relate to perceptions of mental health recovery and psychiatric symptoms, and, 2) how perceptions of procedural justice and mental health recovery relate to subsequent criminal justice outcomes. The authors hypothesized that perceived coercion and mental health recovery would be inversely related, that perceived coercion would be associated with worse criminal justice outcomes, and perceptions of mental health recovery would be associated with better criminal justice outcomes. Results suggest that perceived coercion in the MHC experience was negatively associated with perceptions of recovery among MHC participants. Perceptions of "negative pressures," a component of coercion, were important predictors of criminal justice involvement in the 12 month period following MHC admission, even when controlling for other factors that were related to criminal justice outcomes, and that

  5. Mental Health Program Reports - 5.

    ERIC Educational Resources Information Center

    Segal, Julius, Ed.

    The volume is reported to reflect the broad range of National Institute of Mental Health activities in areas of research, development of mental health manpower, and delivery of mental health services. Twenty papers examine, respectively, relationship of life histories and biochemistry of siblings and twins to schizophrenia, training of Navaho…

  6. 42 CFR 455.502 - Establishment of program.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS PROGRAM INTEGRITY: MEDICAID Medicaid Recovery Audit Contractors Program § 455.502 Establishment of program. (a) The Medicaid Recovery Audit Contractor program...

  7. 42 CFR 455.502 - Establishment of program.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS PROGRAM INTEGRITY: MEDICAID Medicaid Recovery Audit Contractors Program § 455.502 Establishment of program. (a) The Medicaid Recovery Audit Contractor program...

  8. 42 CFR 455.502 - Establishment of program.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS PROGRAM INTEGRITY: MEDICAID Medicaid Recovery Audit Contractors Program § 455.502 Establishment of program. (a) The Medicaid Recovery Audit Contractor program...

  9. 42 CFR 455.502 - Establishment of program.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS PROGRAM INTEGRITY: MEDICAID Medicaid Recovery Audit Contractors Program § 455.502 Establishment of program. (a) The Medicaid Recovery Audit Contractor program...

  10. MIGRANT HEALTH PROGRAM, NEW JERSEY 1964.

    ERIC Educational Resources Information Center

    DOUGHERTY, WILLIAM; AND OTHERS

    A MAJOR EFFORT WAS MOUNTED TO INCREASE, EXTEND, AND IMPROVE HEALTH SERVICES FOR MIGRANT AGRICULTURAL WORKERS IN NEW JERSEY DURING THE SECOND YEAR OF OPERATION, 1964. THE MIGRANT HEALTH PROGRAM PROVIDED--(1) SERVICE TO 453 CAMPS, (2) OPPORTUNITY FOR 5,000 PERSONS TO COMMUNICATE WITH THE NURSE OR OTHER HEALTH WORKER WHO VISITED THE CAMP, AND (3)…

  11. A Health Education Program That Works

    ERIC Educational Resources Information Center

    Albino, Joseph; Davis, Roy

    1975-01-01

    Recounts a successful implementation of the School Health Curriculum Project in an elementary school. Development of the program has been supported by the federal Bureau of Health Education, Center for Disease Control, and the National Clearinghouse for Smoking and Health. (Author/IRT)

  12. Disaster recovery: lessons learned from an occupational health and human resources perspective.

    PubMed

    Perce, Karen H

    2007-06-01

    Hurricane Katrina was unprecedented in its impact on individuals, businesses, community infrastructure, and national disaster support systems. The business recovery experience highlighted the key roles of human resources professionals and the occupational health nurse in assisting employees and the business to recover. Business leaders may not realize the importance of the occupational health nurse's knowledge and skills in preparing and testing the business continuity plan, and the nurse's role in the disaster recovery effort. This is a critical opportunity for the nurse to contribute. Learning from previous disaster recovery efforts is an important step in increasing the occupational health nurse's effectiveness in a business disaster recovery effort.

  13. Effectiveness of the Complete Health Improvement Program

    ERIC Educational Resources Information Center

    Hutchins, Mathew; Melancon, Jim; Sneed, Demarcus; Nunning, Jennifer

    2015-01-01

    Currently, heart disease and diabetes dominate society as the leading cause of death for Americans. In this study, we examined the effectiveness of a lifestyle enhancement program on factors related to the development of heart disease. The Wabash Valley Complete Health Improvement Program (CHIP) is a community-based lifestyle change program with…

  14. Evaluation of a Child Health Associate Program

    ERIC Educational Resources Information Center

    Dungy, Claiborne I.; Sander, Daryl L.

    1977-01-01

    The staff of the University of Colorado Child Health Associate Program critically reviewed the effectiveness of the program's structure and content during an intensive two-day seminar. Focus was on basic and clinical sciences, psychosocial skills, and proficiency testing, and the evaluations were used to improve the program. (Editor/LBH)

  15. A comprehensive refugee health screening program.

    PubMed Central

    Kennedy, J; Seymour, D J; Hummel, B J

    1999-01-01

    Nationally and internationally, there is a struggle to provide adequate health screening and assessment programs for refugees. The Department of Family Medicine at the University of Colorado Health Sciences Center in partnership with the Colorado Refugee Services Program has developed a comprehensive refugee health screening and assessment program. The program was designed to ensure access to screening and to provide better care for this vulnerable population. Key features of the program include a single point of access for all family members, full availability of appropriate interpreting services, comprehensive health assessments that include a thorough mental health screening, data collection and evaluation, and education of health care providers to deliver culturally responsive care. During the first 30 months of this program, comprehensive assessments were provided for more than 1600 refugees. Future directions include improving the efficiency of daily systems, seeking alternative sources of funding, improving follow-up and vaccination rates, expanding mental health services, and tracking health outcomes and refugees' utilization of health care services through longitudinal research. PMID:10590769

  16. The top ten concerns about recovery encountered in mental health system transformation.

    PubMed

    Davidson, Larry; O'Connell, Maria; Tondora, Janis; Styron, Thomas; Kangas, Karen

    2006-05-01

    The notion of "recovery" has recently taken center stage in guiding mental health policy and practice. However, it is not yet clear what the term means and what is to be entailed in transforming the nation's mental health system to promote it. The authors discuss the various meanings of recovery as applied to mental illness and list the top ten concerns encountered in efforts to articulate and implement recovery-oriented care. These concerns include the following: recovery is old news, recovery-oriented care adds to the burden of already stretched providers, recovery involves cure, recovery happens to very few people, recovery represents an irresponsible fad, recovery happens only after and as a result of active treatment, recovery-oriented care is implemented only through the addition of new resources, recovery-oriented care is neither reimbursable nor evidence based, recovery-oriented care devalues the role of professional intervention, and recovery-oriented care increases providers' exposure to risk and liability. These concerns are addressed through discussion of the two over-arching challenges that they pose, namely the issues of resources and risk.

  17. What does it take? California county funding requests for recovery-oriented full service partnerships under the Mental Health Services Act.

    PubMed

    Felton, Mistique C; Cashin, Cheryl E; Brown, Timothy T

    2010-10-01

    The need to move mental health systems toward more recovery-oriented treatment modes is well established. Progress has been made to define needed changes but evidence is lacking about the resources required to implement them. The Mental Health Services Act (MHSA) in California was designed to implement more recovery-oriented treatment modes. We use data from county funding requests and annual updates to examine how counties budgeted for recovery-oriented programs targeted to different age groups under MHSA. Findings indicate that initial per-client budgeting for Full Services Partnerships under MHSA was maintained in future cycles and counties budgeted less per client for children. With this analysis, we begin to benchmark resource allocation for programs that are intended to be recovery-oriented, which should be evaluated against appropriate outcome measures in the future to determine the degree of recovery-orientation.

  18. Join the Voices for Recovery: Celebrating Health: National Alcohol & Drug Addiction Recovery Month.

    ERIC Educational Resources Information Center

    Substance Abuse and Mental Health Services Administration (DHHS/PHS), Rockville, MD. Center for Substance Abuse Treatment.

    The Recovery Month observance highlights the societal benefits of substance abuse treatment, lauds the contributions of treatment providers, and promotes the message that recovery from substance abuse in all its forms is possible. The observance also encourages citizens to take action to help expand and improve the availability of effective…

  19. Attitudinal Determinants of Local Public Health Workers' Participation in Hurricane Sandy Recovery Activities.

    PubMed

    Errett, Nicole A; Egan, Shannon; Garrity, Stephanie; Rutkow, Lainie; Walsh, Lauren; Thompson, Carol B; Strauss-Riggs, Kandra; Altman, Brian; Schor, Kenneth; Barnett, Daniel J

    2015-01-01

    Local health departments play a critical role in short-, intermediate-, and long-term recovery activities after a public health emergency. However, research has not explored attitudinal determinants of health department workers' participation in the recovery phase following a disaster. Accordingly, this qualitative investigation aims to understand perceived facilitators and barriers to performing recovery-related activities following Hurricane Sandy among local health department workers. In January 2014, 2 focus groups were conducted in geographically representative clusters of local health departments affected by Hurricane Sandy (1 cluster in Maryland and 1 cluster in New Jersey). Focus groups were recorded, transcribed verbatim, and analyzed to qualitatively assess attitudes toward Hurricane Sandy recovery activities. This analysis identified 5 major thematic categories as facilitators and barriers to participation in recovery activities: training, safety, family preparedness, policies and planning, and efficacy. Systems that support engagement of health department personnel in recovery activities may endeavor to develop and communicate intra- and interjurisdictional policies that minimize barriers in these areas. Development and implementation of evidence-informed curricular interventions that explain recovery roles may also increase local health department worker motivation to participate in recovery activities.

  20. The NASA Space Radiation Health Program

    NASA Technical Reports Server (NTRS)

    Schimmerling, W.; Sulzman, F. M.

    1994-01-01

    The NASA Space Radiation Health Program is a part of the Life Sciences Division in the Office of Space Science and Applications (OSSA). The goal of the Space Radiation Health Program is development of scientific bases for assuring adequate radiation protection in space. A proposed research program will determine long-term health risks from exposure to cosmic rays and other radiation. Ground-based animal models will be used to predict risk of exposures at varying levels from various sources and the safe levels for manned space flight.

  1. High School Health Science Program.

    ERIC Educational Resources Information Center

    Kirkwood Community Coll., Cedar Rapids, IA.

    This curriculum guide contains units of study for high school health science courses in Iowa. The first section is a competency outline for three topics: introduction to health care; nurse aide/orderly; and rehabilitation aide. For each competency, the following information is provided: objectives; suggested learning activities; resources; and…

  2. Lifetime Stress Cumulatively Programs Brain Transcriptome and Impedes Stroke Recovery: Benefit of Sensory Stimulation

    PubMed Central

    Zucchi, Fabíola C. R.; Yao, Youli; Ilnytskyy, Yaroslav; Robbins, Jerrah C.; Soltanpour, Nasrin; Kovalchuk, Igor; Kovalchuk, Olga; Metz, Gerlinde A. S.

    2014-01-01

    Prenatal stress (PS) represents a critical variable affecting lifetime health trajectories, metabolic and vascular functions. Beneficial experiences may attenuate the effects of PS and its programming of health outcomes in later life. Here we investigated in a rat model (1) if PS modulates recovery following cortical ischemia in adulthood; (2) if a second hit by adult stress (AS) exaggerates stress responses and ischemic damage; and (3) if tactile stimulation (TS) attenuates the cumulative effects of PS and AS. Prenatally stressed and non-stressed adult male rats underwent focal ischemic motor cortex lesion and were tested in skilled reaching and skilled walking tasks. Two groups of rats experienced recurrent restraint stress in adulthood and one of these groups also underwent daily TS therapy. Animals that experienced both PS and AS displayed the most severe motor disabilities after lesion. By contrast, TS promoted recovery from ischemic lesion and reduced hypothalamic-pituitary-adrenal axis activity. The data also showed that cumulative effects of adverse and beneficial lifespan experiences interact with disease outcomes and brain plasticity through the modulation of gene expression. Microarray analysis of the lesion motor cortex revealed that cumulative PS and AS interact with genes related to growth factors and transcription factors, which were not affected by PS or lesion alone. TS in PS+AS animals reverted these changes, suggesting a critical role for these factors in activity-dependent motor cortical reorganization after ischemic lesion. These findings suggest that beneficial experience later in life can moderate adverse consequences of early programming to improve cerebrovascular health. PMID:24651125

  3. Mental health nursing and the politics of recovery: a global reflection.

    PubMed

    Barker, Phil J; Buchanan-Barker, Poppy

    2011-10-01

    The concept of recovery increasingly dominates mental health policy and practice agendas in most Western countries. However, the many, often conflicting, definitions of recovery have led to theoretical and practical confusion. More importantly, the concept clashes with some of the established assumptions of psychiatric/mental health nursing, especially the traditional notion that the person is "ill" and requires "treatment" or some other active "intervention." The implications of recovery for the further development of person-centered care, especially within a globalized form of mental health nursing, are discussed with specific reference to the Tidal Model, an international midrange theory of mental health nursing.

  4. An examination of stress, coping, and adaptation in nurses in a recovery and monitoring program.

    PubMed

    Bowen, Marie Katherine; Taylor, Kathleen P; Marcus-Aiyeku, Ulanda; Krause-Parello, Cheryl A

    2012-10-01

    Addiction rates in nurses are higher than in the general population. The relationship between stress, coping, and adaptation in nurses (N = 82) enrolled in a recovery and monitoring program in the state of New Jersey was examined. Social support, a variable tested as a mediator of this relationship, was also examined. Participants completed the Perceived Stress Scale, Multidimensional Scale of Perceived Social Support, and Psychological General Well-Being Index. Negative relationships were found between stress and social support and stress and well-being, and a positive relationship was found between social support and well-being (all ps < .05). The direct relationship between stress and well-being was decreased in the presence of social support. The findings of this research suggest that, to assist nurses, an increased awareness of stress and its injurious effects on overall well-being must be identified so proactive measures can be implemented to prevent potential untoward consequences. Ultimately, methods to strengthen social support and social networks will enhance the probability of sustained recovery, relapse prevention, and safe reentry into nursing practice. Implications for behavioral health providers and health care practitioners are discussed.

  5. Challenges in evaluating rural health programs.

    PubMed

    Beaulieu, Joyce; Webb, John

    2002-01-01

    Complex community-based prevention programs are being held to scientific evidence of their effectiveness and rural public health departments that implement such programs often are not equipped to evaluate them. Rural public health departments are fettered by small budgets, small staffs, and less access to evaluation experts and similar resources. Community-based health promotion programs can include complex designs that may work differently in rural areas and evaluation of rural programs can be hampered by lack of control groups and the instability of results from small populations. The University of Kentucky has entered into a contract with the state Department for Public Health to implement an internal, participatory model of evaluation. In this model, the university evaluation expert trains local public health department staff in technical skills for program evaluation and acts as mentor and technical consultant to local public health departments on an ongoing basis. Through training and site visits, this model is one approach to addressing the challenges of evaluating rural health promotion programs.

  6. Marketing impact of health education programs.

    PubMed

    Gombeski, W R; Briller, S; Fishleder, A; Bat-Cirjak, E; Rothner, A D; Secic, M

    1997-01-01

    A study evaluating whether a lay public education program caused initiation of health-related behaviors was conducted at the Cleveland Clinic Foundation. Attendees of three individual "Health Talks" were surveyed: endometriosis (n = 78), men's health (n = 62) and cancer (n = 57). Participants were surveyed at three points: (a) before the talk, (b) immediately following the talk and (c) six weeks after the talk concerning their knowledge and health behaviors. The results indicated that community health education produces a substantial improvement in health-related knowledge and after attending the seminars, 81.3% of respondents initiated a positive health behavior. Of interest to health care marketers are the 30.8% of attendees who initiated health behaviors which have marketing implications.

  7. Health Careers Opportunity Program (HCOP). Section 787 (Public Health Service Act). Program Guide.

    ERIC Educational Resources Information Center

    Department of Health and Human Services, Washington, DC.

    This document summarizes the requirements and guidelines for the Health Careers Opportunity Program (HCOP). This program is authorized by Section 787 of the Public Health Service Act to make grants to and contracts with postsecondary institutions to carry out programs which assist individuals from disadvantaged backgrounds to enter and graduate…

  8. Worksite health promotion programs in college settings

    PubMed Central

    Hill-Mey, Patricia E.; Kumpfer, Karol L.; Merrill, Ray M.; Reel, Justine; Hyatt-Neville, Beverly; Richardson, Glenn E.

    2015-01-01

    The purpose of this paper is to describe the multifaceted nature and benefits of worksite health promotion programs (WHPPs), with emphasis on the college setting. An assessment of the peer-reviewed literature was conducted of articles published since 2000. Several search engines were accessed and selected key words were used. Most studies examining WHPPs have focused on return on investment and productivity. Research that targets the softer side-benefits of health promotion programs in the workplace is less available. Although the college setting offers some advantages for implementing health promotion programs. They may also have unique challenges due to their large and diverse employee population. There is little research to show the effectiveness and unique challenges of college-based health promotion programs. PMID:25861657

  9. Mental Health Recovery Paradigm: Implications for Social Work.

    ERIC Educational Resources Information Center

    Carpenter, Jenneth

    2002-01-01

    Article argues that the values and beliefs of the consumer-survivor recovery movement are closely aligned with those of the social work profession, and the movement offers social workers a more promising perspective from which to practice. Primary concepts and values of the evolving recovery paradigm are delineated; implications for direct…

  10. 75 FR 81885 - Medicare and Medicaid Programs; Electronic Health Record Incentive Program; Correcting Amendment

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-29

    ... Programs; Electronic Health Record Incentive Program; Correcting Amendment AGENCY: Centers for Medicare...; Electronic Health Record Incentive Program'' that appeared in the July 28, 2010 Federal Register. DATES... 44314) the final rule entitled ``Medicare and Medicaid Programs; Electronic Health Record...

  11. Recovery

    NASA Video Gallery

    This video discusses the recovery events that occur in high-power rocketry and the various devices used in safely recovering the rocket. The video includes a discussion of black powder and ejection...

  12. THE SCHOOL HEALTH AND SAFETY PROGRAM.

    ERIC Educational Resources Information Center

    1963

    INVOLVING INDIVIDUALS AS WELL AS ORGANIZATIONS, THE PROGRAM AIMED AT THE OPTIMUM HEALTH OF ALL CHILDREN, AND IMPROVEMENT OF HEALTH AND SAFETY STANDARDS WITHIN THE COMMUNITY. EACH OF THE CHILDREN WAS URGED TO HAVE A SUCCESSFUL VACCINATION FOR SMALL POX, THE DPT SERIES AND BOOSTER, THE POLIO SERIES, AND CORRECTIONS OF ALL DENTAL DEFECTS AND…

  13. The Environmental Science and Health Effects Program

    SciTech Connect

    Michael Gurevich; Doug Lawson; Joe Mauderly

    2000-04-10

    The goal of the Environmental Science and Health Effect Program is to conduct policy-relevant research that will help us understand atmospheric impacts and potential health effects that may be caused by the use of petroleum-based fuels and alternative transportation fuels from mobile sources.

  14. A Health Promotion Program for Medical Students.

    ERIC Educational Resources Information Center

    Parkerson, George R., Jr.; And Others

    1988-01-01

    The Duke University School of Medicine conducts a health testing and promotion program to increase its students' awareness of their own health. The long-term goal is to prevent them from becoming impaired, as physicians, by emotional problems or addiction to alcohol or other drugs. (Author/MSE)

  15. Health Indicators: A Tool for Program Review

    ERIC Educational Resources Information Center

    Abou-Sayf, Frank K.

    2006-01-01

    A visual tool used to evaluate instructional program performance has been designed by the University of Hawaii Community College system. The tool combines features from traffic lights, blood-chemistry test reports, and industry production control charts, and is labeled the Program Health-Indicator Chart. The tool was designed to minimize the labor…

  16. Diversifying the Health Professions: A Model Program

    ERIC Educational Resources Information Center

    Ralston, Penny A.

    2003-01-01

    Objective: To describe a university-based mentoring program in the food and nutritional sciences that addresses the need for multicultural professionals in allied health fields. Methods: The conceptual model for the program includes inputs (goals, resources), transformational process (professional development, social support and recognition) and…

  17. An Operational Safety and Health Program.

    ERIC Educational Resources Information Center

    Uhorchak, Robert E.

    1983-01-01

    Describes safety/health program activities at Research Triangle Institute (North Carolina). These include: radioisotope/radiation and hazardous chemical/carcinogen use, training, monitoring, disposal; chemical waste management; air monitoring and analysis; medical program; fire safety/training, including emergency planning; Occupational Safety and…

  18. Educational Programs in the Health Field.

    ERIC Educational Resources Information Center

    Hospitals, 1971

    1971-01-01

    This document lists by location educational programs in the health field in the United States and Canada. Areas covered include Certified Laboratory Assistant Programs, Cytotechnology, Dental Hygiene, Dentistry, Dietetics, Hospital Administration, Inhalation Therapy, Library Science, Medical Illustration, Medical Records, Medical Technology,…

  19. Consumer-operated service program members' explanatory models of mental illness and recovery.

    PubMed

    Hoy, Janet M

    2014-10-01

    Incorporating individuals' understandings and explanations of mental illness into service delivery offers benefits relating to increased service relevance and meaning. Existing research delineates explanatory models of mental illness held by individuals in home, outpatient, and hospital-based contexts; research on models held by those in peer-support contexts is notably absent. In this article, I describe themes identified within and across explanatory models of mental illness and recovery held by mental health consumers (N = 24) at one peer center, referred to as a consumer-operated service center (COSP). Participants held explanatory models inclusive of both developmental stressors and biomedical causes, consistent with a stress-diathesis model (although no participant explicitly referenced such). Explicit incorporation of stress-diathesis constructs into programming at this COSP offers the potential of increasing service meaning and relevance. Identifying and incorporating shared meanings across individuals' understandings of mental illness likewise can increase relevance and meaning for particular subgroups of service users.

  20. Recovery from serious mental illness: trajectories, characteristics, and the role of mental health care.

    PubMed

    Green, Carla A; Perrin, Nancy A; Leo, Michael C; Janoff, Shannon L; Yarborough, Bobbi Jo H; Paulson, Robert I

    2013-12-01

    OBJECTIVE The objective was to identify trajectories of recovery from serious mental illnesses. METHODS A total of 177 members (92 women; 85 men) of a not-for-profit integrated health plan participated in a two-year mixed-methods study of recovery (STARS, the Study of Transitions and Recovery Strategies). Diagnoses included schizophrenia, schizoaffective disorder, bipolar disorder, and affective psychosis. Data sources included self-reported standardized measures, interviewer ratings, qualitative interviews, and health plan data. Recovery was conceptualized as a latent construct, and factor analyses and factor scores were used to calculate recovery trajectories. Individuals with similar trajectories were identified through cluster analyses. RESULTS Four trajectories were identified-two stable (high and low levels of recovery) and two fluctuating (higher and lower). Few demographic or diagnostic factors differentiated clusters at baseline. Discriminant analyses for trajectories found differences in psychiatric symptoms, physical health, satisfaction with mental health clinicians, resources and strains, satisfaction with medications, and mental health service use. Those with higher scores on recovery factors had fewer psychiatric symptoms, better physical health, greater satisfaction with mental health clinicians, fewer strains and greater resources, less service use, better quality of care, and greater satisfaction with medication. Consistent predictors of trajectories included psychiatric symptoms, physical health, resources and strains, and use of psychiatric medications. CONCLUSIONS Having access to good-quality mental health care-defined as including satisfying relationships with clinicians, responsiveness to needs, satisfaction with psychiatric medications, receipt of services at needed levels, support in managing deficits in resources and strains, and care for general medical conditions-may facilitate recovery. Providing such care may improve recovery

  1. Randomized Control Trial of a CBT Trauma Recovery Program in Palestinian Schools

    ERIC Educational Resources Information Center

    Barron, Ian G.; Abdallah, Ghassan; Smith, Patrick

    2013-01-01

    The current study aimed to assess the Teaching Recovery Techniques (TRT) trauma recovery program within the context of ongoing violence. Utilizing a randomized controlled trial, 11-14-year-old students in Nablus, Palestine, were allocated by class to intervention or wait-list control conditions. Standardized measures assessed trauma exposure,…

  2. A Historical Case Study of Dropout Recovery Programs in the State of Oklahoma

    ERIC Educational Resources Information Center

    Portis, Dennis L., III

    2013-01-01

    The purpose of this historical case study was to gain an understanding of dropout recovery programs from an interpretive historical perspective. Dropout Recovery is an Oklahoma Department of Career and Technology Education initiative that provides high school dropouts an opportunity to re-enroll in school, gain academic credit, and participate in…

  3. The Use of Art Therapy in Treatment Programs to Promote Spiritual Recovery from Addiction.

    ERIC Educational Resources Information Center

    Feen-Calligan, Holly

    1995-01-01

    Illustrates the relationship between art therapy, spirituality, and recovery supported by the philosophy of Alcoholic Anonymous, and offers a model in which art therapy can be used in treatment programs to facilitate spiritual recovery from addiction. Discusses personal experiences related to the use of art therapy for assisting in addiction…

  4. Unconventional gas recovery program. Semi-annual report for the period ending September 30, 1979

    SciTech Connect

    Manilla, R.D.

    1980-04-01

    This document is the third semi-annual report describing the technical progress of the US DOE projects directed at gas recovery from unconventional sources. Currently the program includes Methane Recovery from Coalbeds Project, Eastern Gas Shales Project, Western Gas Sands Project, and Geopressured Aquifers Project.

  5. Notification: EPA Oversight of Delegated State Resource Conservation and Recovery Act Programs

    EPA Pesticide Factsheets

    Project #OPE-FY16-0033, September 19, 2016. The EPA OIG plans to begin preliminary research on the EPA's oversight of authorized state hazardous waste programs that fall under the Resource Conservation and Recovery Act.

  6. EPA Recognizes Outstanding Food Recovery Challenge and WasteWise Program Participants

    EPA Pesticide Factsheets

    WASHINGTON - Today, the U.S. Environmental Protection Agency (EPA) recognizes the accomplishments of organizations and businesses participating in EPA's Food Recovery Challenge and WasteWise program for reducing their climate footprint, improving efficienc

  7. Knowledge and Attitude regarding Recovery among Mental Health Practitioners in Sweden

    ERIC Educational Resources Information Center

    Klockmo, Carolina; Marnetoft, Sven-Uno; Nordenmark, Mikael; Dalin, Rolf

    2012-01-01

    The aim was to investigate the knowledge and the attitude regarding recovery among practitioners working in the Swedish mental health system, Personligt Ombud (PO), Supported Housing Team (SHT) and Psychiatric Out Patient Service (POPS), to determine whether and how knowledge and attitude regarding recovery differ between the three services. A…

  8. Using Appreciative Inquiry to Facilitate Implementation of the Recovery Model in Mental Health Agencies

    ERIC Educational Resources Information Center

    Clossey, Laurene; Mehnert, Kevin; Silva, Sara

    2011-01-01

    This article describes an organizational development tool called appreciative inquiry (AI) and its use in mental health to aid agencies implementing recovery model services. AI is a discursive tool with the power to shift dominant organizational cultures. Its philosophical underpinnings emphasize values consistent with recovery: community,…

  9. Guided reflection: a participatory evaluation and planning process to promote recovery in mental health services agencies.

    PubMed

    Jacobson, Nora; Greenley, Dianne; Breedlove, Lynn; Roschke, Ruth; Koberstein, Jen

    2003-01-01

    This brief report describes a participatory evaluation and planning process--a "guided reflection"--that mental health services agencies can use to examine the state of recovery awareness and implementation in their organizations. The process revolves around structured small group discussions, identification of agency strengths and weaknesses, and the formation of an agency "recovery action team" to set priorities and plan for change.

  10. On-Campus Programs to Support College Students in Recovery

    ERIC Educational Resources Information Center

    Misch, Donald A.

    2009-01-01

    The author argues that referral of alcohol-abusing college students to off-campus treatment services, although necessary for some, is not optimal for many. He advocates the implementation of comprehensive on-campus services for students committed to recovery in order to optimize their treatment while allowing them to remain in school and work…

  11. Beyond Recovery: Colonization, Health and Healing for Indigenous People in Canada

    ERIC Educational Resources Information Center

    Lavallee, Lynn F.; Poole, Jennifer M.

    2010-01-01

    How do we limit our focus to mental health when Indigenous teaching demands a much wider lens? How do we respond to mental health recovery when Indigenous experience speaks to a very different approach to healing, and how can we take up the health of Indigenous people in Canada without a discussion of identity and colonization? We cannot, for the…

  12. Recovery From Heart Attack, Biomedicalization, and the Production of a Contingent Health Citizenship.

    PubMed

    Langdridge, Darren

    2016-09-14

    In this article, I explore the experience of recovery from a heart attack through an analytic autoethnography. I discuss the tensions inherent in biomedical subjectivities of health and ill-health during cardiac recovery through three key themes: (a) the transfer of responsibility and becoming a subject "at risk," (b) technologies of biomedicine and the disciplining of subjectivities, and (c) the transformation of a body toward a new pharmaceuticalized bodily normal. Through an analysis driven by the biomedicalization thesis of Clarke, alongside work on biopower and the governmentality of health by Foucault, Rose, and Rabinow, I seek to provide new insights into the process of cardiac recovery and the relationship between individual experience and broader socio-political processes. Key to this analysis is a focus on the contingent subjectivities brought into being through biomedicalization that constitute a new form of health citizenship that is otherwise not accounted for in narratives of recovery.

  13. Community Mental Health Care Providers' Understanding of Recovery Principles and Accounts of Directiveness with Consumers.

    PubMed

    Osborn, Lawrence A; Stein, Catherine H

    2017-02-01

    The present qualitative study examined community mental health providers' accounts of their therapeutic interactions with adults with serious mental illness in a recovery-oriented model of care. Ten long-time mental health care providers discussed their understanding of recovery principles, their use of directive practices, and factors that shape their work with consumers. Content analysis of mental health providers' accounts suggest that providers had no difficulty articulating basic principles of recovery-oriented care. Providers reported engaging in directive practices with consumers and described using traditional clinical factors such as level of functioning, degree of psychiatric symptoms, safety concerns, and legal status to assess consumers' ability for autonomous decision making. Providers generally did not express tension between their views of mental health recovery and their beliefs about utilizing directive approaches with consumers. Implications of present findings for research and practice are discussed.

  14. Mental Health Services as a Vital Component of Psychosocial Recovery for Victims of Child Trafficking for Commercial Sexual Exploitation.

    PubMed

    Rafferty, Yvonne

    2017-04-10

    There has been a plethora of outcomes associated with child trafficking for commercial sexual exploitation; however little attention has been paid to how outcomes are addressed for children who are placed into residential aftercare recovery programs following their identification as victims. Field-based qualitative research was undertaken in South and Southeast Asia, and involved interviews with 213 representatives from U.N. and governmental agencies, nongovernmental organizations, and residential aftercare recovery programs. Findings highlight the mental health needs of child victims of trafficking for commercial sexual exploitation, describe the availability and quality of mental health services and supports in aftercare programs to address prevailing needs and repair the psychological damage caused by trafficking, and report on lessons learned pertaining to elements of good practice and related challenges associated with the availability and quality of mental health services and supports. It concludes by highlighting the implications of the findings for mental health policy and practice and offers suggestions for further research. (PsycINFO Database Record

  15. 76 FR 58006 - Consumer Health IT Pledge Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-19

    ... HUMAN SERVICES Consumer Health IT Pledge Program AGENCY: Office of the National Coordinator for Health Information Technology, HHS. ACTION: Notice of availability for Consumer Health IT Pledge Program. SUMMARY... benefits of health information technology (health IT) in improving health and health care. As part of...

  16. 78 FR 42788 - School-Based Health Center Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-17

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration School-Based Health Center Program AGENCY: Health Resources and Services Administration (HRSA), Department of Health and Human Services...

  17. Lifecycle effects of a recession on health behaviors: Boom, bust, and recovery in Iceland.

    PubMed

    Ásgeirsdóttir, Tinna Laufey; Corman, Hope; Noonan, Kelly; Reichman, Nancy E

    2016-03-01

    This study uses individual-level longitudinal data from Iceland, a country that experienced a severe economic crisis in 2008 and substantial recovery by 2012, to investigate the extent to which the effects of a recession on health behaviors are lingering or short-lived and to explore trajectories in health behaviors from pre-crisis boom, to crisis, to recovery. Health-compromising behaviors (smoking, heavy drinking, sugared soft drinks, sweets, fast food, and tanning) declined during the crisis, and all but sweets continued to decline during the recovery. Health-promoting behaviors (consumption of fruit, fish oil, and vitamins/minerals and getting recommended sleep) followed more idiosyncratic paths. Overall, most behaviors reverted back to their pre-crisis levels or trends during the recovery, and these short-term deviations in trajectories were probably too short-lived in this recession to have major impacts on health or mortality. A notable exception is for binge drinking, which declined by 10% during the 2 crisis years, continued to fall (at a slower rate of 8%) during the 3 recovery years, and did not revert back to the upward pre-crisis trend during our observation period. These lingering effects, which directionally run counter to the pre-crisis upward trend in consumption and do not reflect price increases during the recovery period, suggest that alcohol is a potential pathway by which recessions improve health and/or reduce mortality.

  18. A comparative approach to assess drivers of success in mammalian conservation recovery programs.

    PubMed

    Crees, Jennifer J; Collins, Amy C; Stephenson, P J; Meredith, Helen M R; Young, Richard P; Howe, Caroline; Price, Mark R Stanley; Turvey, Samuel T

    2016-08-01

    The outcomes of species recovery programs have been mixed; high-profile population recoveries contrast with species-level extinctions. Each conservation intervention has its own challenges, but to inform more effective management it is imperative to assess whether correlates of wider recovery program success or failure can be identified. To contribute to evidence-based improvement of future conservation strategies, we conducted a global quantitative analysis of 48 mammalian recovery programs. We reviewed available scientific literature and conducted semistructured interviews with conservation professionals involved in different recovery programs to investigate ecological, management, and political factors associated with population recoveries or declines. Identifying and removing threats was significantly associated with increasing population trend and decreasing conservation dependence, emphasizing that populations are likely to continue to be compromised in the absence of effective threat mitigation and supporting the need for threat monitoring and adaptive management in response to new and potential threats. Lack of habitat and small population size were cited as limiting factors in 56% and 42% of recovery programs, respectively, and both were statistically associated with increased longer term dependence on conservation intervention, demonstrating the importance of increasing population numbers quickly and restoring and protecting habitat. Poor stakeholder coordination and management were also regularly cited by respondents as key weaknesses in recovery programs, indicating the importance of effective leadership and shared goals and management plans. Project outcomes were not influenced by biological or ecological variables such as body mass or habitat, which suggests that these insights into correlates of conservation success and failure are likely to be generalizable across mammals.

  19. What predicts recovery orientation in county departments of mental health? A pilot study.

    PubMed

    Brown, Timothy T; Mahoney, Christine B; Adams, Neal; Felton, Mistique; Pareja, Candy

    2010-09-01

    In this pilot study we examined the determinants of recovery orientation among employees and influential stakeholders in a sample of 12 county departments of mental health in California. A two-level hierarchical linear model with random intercepts was estimated. Analyses show that recovery orientation has a U-shaped relationship with the age of staff/influential stakeholders and is negatively related to the difference between the desired level of adhocracy and the current level of adhocracy. Recovery orientation is positively related to the education level of staff/influential stakeholders, satisfying transformational leadership outcomes, and larger mental health budgets per capita. Policy implications are discussed.

  20. School health and nutrition: policy and programs.

    PubMed

    Bundy, Donald

    2005-06-01

    This paper argues that there is now reliable evidence that ill health and malnutrition affect education access, participation, completion, and achievement, and that school-based health and nutrition programs can provide a cost-effective and low-cost solution. International coordination around this issue has been helped by a consensus framework to "Focus Resources on Effective School Health (FRESH)," developed jointly by UNESCO, WHO, UNICEF, Education International, and the World Bank, and launched at the World Education Forum in Dakar in April 2000 aspart of the global effort to achieve the goal of Education for All (EFA). The need for school health and nutrition programs as part of EFA actions is now recognized by both countries and development partners, and examples of successful practical sector programs that have gone to scale are presented for both low- and middle-income countries. This paper argues that, despite this progress, there are two key unresolved issues related to the targeting of nutrition interventions toward school-age children. The first concerns the role of food as an incentive for participation in education, and the second concerns the appropriate target age group for nutrition interventions. It is suggested that finding clear answers to these key policy questions in nutrition could profoundly influence the impact of future school health and nutrition programs.

  1. Can health promotion programs save Medicare money?

    PubMed Central

    Goetzel, Ron Z; Shechter, David; Ozminkowski, Ronald J; Stapleton, David C; Lapin, Pauline J; McGinnis, J Michael; Gordon, Catherine R; Breslow, Lester

    2007-01-01

    The impact of an aging population on escalating US healthcare costs is influenced largely by the prevalence of chronic disease in this population. Consequently, preventing or postponing disease onset among the elderly has become a crucial public health issue. Fortunately, much of the total burden of disease is attributable to conditions that are preventable. In this paper, we address whether well-designed health promotion programs can prevent illness, reduce disability, and improve the quality of life. Furthermore, we assess evidence that these programs have the potential to reduce healthcare utilization and related expenditures for the Medicare program. We hypothesize that seniors who reduce their modifiable health risks can forestall disability, reduce healthcare utilization, and save Medicare money. We end with a discussion of a new Senior Risk Reduction Demonstration, which will be initiated by the Centers for Medicare and Medicaid Services in 2007, to test whether risk reduction programs developed in the private sector can achieve health improvements among seniors and a positive return on investment for the Medicare program. PMID:18044084

  2. Attendance at Health Promotion Programs: Baseline Predictors and Program Outcomes.

    ERIC Educational Resources Information Center

    Atkins, Catherine J.; And Others

    1990-01-01

    As part of a family cardiovascular health promotion project, 111 Mexican-American and 95 Anglo-American families with fifth or sixth grade children were assigned to either a primary prevention program involving 18 sessions or to a control condition. Correlates of attendance were low baseline scores on physical activity and cardiovascular fitness…

  3. [Community Health Agent: status adapted with Family Health Program reality?].

    PubMed

    dos Santos, Karina Tonini; Saliba, Nemre Adas; Moimaz, Suzely Adas Saliba; Arcieri, Renato Moreira; Carvalho, Maria de Lourdes

    2011-01-01

    This study analyses the status and work reality of Community Health Agents, with the purpose of contributing to the improvement of the Brazilian Health System (SUS) in small cities. It was discussed aspects related to their participation in the team of the Family Health Program (PSF) and their interaction with the community. It was observed a lack of motivation and experience, which compromises the quality of Agents performance in the community. It is known that these findings are reflex and consequence of an established context. It is necessary the team rethink their practice, specially the managers, having always as a fundament the principles that guide the SUS and PSF.

  4. 76 FR 4350 - Health Information Technology Extension Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-25

    ... HUMAN SERVICES Health Information Technology Extension Program ACTION: Public Notice. SUMMARY: This notice announces changes to the Health Information Technology Extension Program, which assists providers seeking to adopt and become meaningful users of health information technology, as authorized under...

  5. A Longitudinal Evaluation of the Long-Term Effects of a Reading Recovery Program.

    ERIC Educational Resources Information Center

    Haenn, Joseph F.

    The Reading Recovery Program, designed to help low-achieving first graders learn to use effective reading strategies, was fully implemented in the Durham, North Carolina, public schools in the 1994-1995 school year. An evaluation was conducted to assess the effects of the program over time through the achievement of students in the 1994-1995…

  6. Alvimopan in an Enhanced Recovery Program Following Radical Cystectomy

    PubMed Central

    Hamilton, Zach; Parker, Will; Griffin, Josh; Isaacson, Tanner; Mirza, Moben; Wyre, Hadley; Holzbeierlein, Jeffrey; Lee, Eugene K.

    2015-01-01

    Abstract Background: Radical cystectomy (RC) carries a high complication rate, including post-operative ileus. Alvimopan is an FDA approved peripherally acting μ-opioid receptor antagonist that has shown favorable results for improved recovery of gastro-intestinal function resulting in decreased hospital length of stay. Many enhanced recovery pathways (ERP) have been published demonstrating improved outcomes with decreased hospital stay and morbidity. Objective: We evaluated the addition of alvimopan to an ERP in patients undergoing RC. Methods: Patients undergoing RC at our institution during the implementation phase of alvimopan to our established ERP were retrospectively reviewed. Effect of alvimopan as it related to the use of nasogastric tubes, time to initiation of regular diet, and length of hospital stay was assessed using Chi-squared and Student’s T-tests. Linear regression was performed for univariate analysis and binary logistic regression was performed as a multivariate assessment of the effect of alvimopan. Results: Between July 2011 and January 2013, 80 patients were identified who underwent RC under the ERP (34 alvimopan and 46 standard care). Age, sex, neoadjuvant chemotherapy, surgical technique (open vs. robotic), and type of urinary diversion were not different between groups. Alvimopan was associated with a reduction in mean time to regular diet (5.3 vs 4.1 days, p <  0.01) and a reduction in mean length of hospital stay (6.9 vs 5.7 days, p = 0.01). After controlling for other variables, alvimopan usage predicted for shorter time to regular diet and total hospital stay. Conclusions: Alvimopan may help to improve time to regular diet and decrease hospital stay in patients on an enhanced recovery pathway. PMID:27398398

  7. Health Career Education Program. Instructional Television.

    ERIC Educational Resources Information Center

    Laredo Independent School District, TX.

    This curriculum guide for teachers and its accompanying bilingual (English-Spanish) videotaped series for students are part of a program for improving health education for the Laredo (Texas) district elementary school children, grades K-5. Recommended for children for whom English is a second language, the guide and videotaped series infuse career…

  8. School Oral Health Program in Kuwait.

    PubMed

    Ariga, Jitendra; Al-Mutawa, Sabiha; Nazar, Huda

    2014-01-01

    The School Oral Health Program (SOHP), Kuwait, is a joint venture between the Ministry of Health, Kuwait, and Forsyth Institute, Cambridge, Mass., USA. This program provides oral health education, prevention and treatment to almost 280,000 public school children in Kuwait. Services are delivered through a system of center- and school-based clinics and preventive mobile teams. One of the recent developments is the effective use of portable dental units for the delivery of preventive care to children in schools without the need for children to go to dental clinics. Preventive procedures performed under this program are the biannual application of fluoride varnish and the placement of pit and fissure sealants on newly erupted permanent molars and premolars. During recent years, the SOHP has improved its coverage of children, with prevention up to 80%. This has resulted in a considerable reduction in treatment needs, which is evident from the reduced number of composite restorations performed under this program during the last 6 years. This indicates that the disease level is on a decline, which can be confirmed from the results of the ongoing National Oral Health Survey on Kuwaiti school children.

  9. Culturally Sensitive Refugee Mental Health Training Programs.

    ERIC Educational Resources Information Center

    Minnesota Univ., Minneapolis. Refugees Assistance Program - Mental Health Technical Assistance Center.

    This report, based on a survey conducted during the summer and fall of 1986, identifies culturally sensitive training programs for professionals, paraprofessionals, and others who provide mental health services to refugees. An introductory section discusses the language, cultural, racial, experiential, and socioeconomic factors of refugee mental…

  10. Prevention Programs for Refugee Mental Health.

    ERIC Educational Resources Information Center

    Williams, Carolyn L.

    Refugee movements impose tremendous psychological and physical trauma on survivors, making refugees a high risk group for psychopathology and psychosocial adjustment problems. This paper explores the traditional impediments to developing prevention programs for refugees and describes public mental health strategies that could be used for different…

  11. Child health developmental plasticity, and epigenetic programming

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Plasticity in developmental programming has evolved in order to provide the best chances of survival and reproductive success to the organism under changing environments. Environmental conditions that are experienced in early life can profoundly influence human biology and long-term health. Developm...

  12. 75 FR 69037 - Medicaid Program; Recovery Audit Contractors

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-10

    ... participate in the Medicaid program, all States, the District of Columbia, and the territories do participate... RAC to hire a physician Medical Director to oversee the medical record review process; assist...

  13. Missouri River Recovery Program Adaptive Management Process Framework, Version 2

    DTIC Science & Technology

    2011-04-01

    projects (e.g., Yellowstone Intake, Montana). The Sub-Programs and projects that comprise the MRRP, as well as the congressional authorities can... Yellowstone Intake). The role of the SPgM is to ensure successful implementation of the overall program through communication of the USACE strategic...effects of the Annual Operating Plan [AOP]) in coordination with the ISP. 1.2.10 PM for Other Congressionally and WRDA Directed Work (e.g. Yellowstone

  14. Mental health reform at a systems level: widening the lens on recovery-oriented care.

    PubMed

    Kidd, Sean A; Mckenzie, Kwame J; Virdee, Gursharan

    2014-05-01

    This paper is an initial attempt to collate the literature on psychiatric inpatient recovery-based care and, more broadly, to situate the inpatient care sector within a mental health reform dialogue that, to date, has focused almost exclusively on outpatient and community practices. We make the argument that until an evidence base is developed for recovery-oriented practices on hospital wards, the effort to advance recovery-oriented systems will stagnate. Our scoping review was conducted in line with the 2009 Preferred Reporting Items for Systematic Reviews and Meta-Analyses (commonly referred to as PRISMA) guidelines. Among the 27 papers selected for review, most were descriptive or uncontrolled outcome studies. Studies addressing strategies for improving care quality provide some modest evidence for reflective dialogue with former inpatient clients, role play and mentorship, and pairing general training in recovery oriented care with training in specific interventions, such as Illness Management and Recovery. Relative to some other fields of medicine, evidence surrounding the question of recovery-oriented care on psychiatric wards and how it may be implemented is underdeveloped. Attention to mental health reform in hospitals is critical to the emergence of recovery-oriented systems of care and the realization of the mandate set forward in the Mental Health Strategy for Canada.

  15. Enhanced Recovery After Surgery Program in Patients Undergoing Pancreaticoduodenectomy

    PubMed Central

    Xiong, Junjie; Szatmary, Peter; Huang, Wei; de la Iglesia-Garcia, Daniel; Nunes, Quentin M.; Xia, Qing; Hu, Weiming; Sutton, Robert; Liu, Xubao; Raraty, Michael G.

    2016-01-01

    Abstract Enhanced recovery after surgery (ERAS) pathways are multimodal, evidence-based approaches to optimize patient outcome after surgery. However, the use of ERAS protocols to improve morbidity and recovery time without compromising safety following pancreaticoduodenectomy (PD) remains to be elucidated. We conducted a systemic review and meta-analysis to assess the safety and efficacy of ERAS protocols compared with conventional perioperative care (CPC) in patients following PD. PubMed, Medline, Embase, and Science Citation Index Expanded and Cochrane Central Register of Controlled Trials (CENTRAL) in The Cochrane Library were searched between January 2000 and June 2015. The patients who underwent PD with ERAS protocols or CPC were eligible. The studies that compared postoperative length of hospital stay (PLOS), postoperative complications, or in-hospital costs in the 2 groups were included. A meta-analysis, meta-regression, sensitivity analysis, and subgroup analysis were performed to estimate the postoperative outcomes between the 2 groups and identified the potential confounders. We used the methodological index for nonrandomized studies checklist to assess methodological qualities. Weighted mean differences (WMD) or odds ratios (OR) were calculated with their corresponding 95% confidence intervals (CI). The publication bias tests were also performed through the funnel plots. In total, 14 nonrandomized comparative studies with 1409 ERAS cases and 1310 controls were analyzed. Implementation of an ERAS protocol significantly reduced PLOS (WMD: −4.17 days; 95%CI: −5.72 to −2.61), delayed gastric emptying (OR: 0.56; 95%CI: 0.44–0.71), overall morbidity (OR: 0.63; 95% CI: 0.54–0.74), and in-hospital costs compared to CPC (all P < 0.001). There were no statistically significant differences in other postoperative outcomes. Age, gender, and ERAS component implementation did not significantly contribute to heterogeneity for PLOS as shown by meta

  16. Human resources for health through conflict and recovery: lessons from African countries.

    PubMed

    Pavignani, Enrico

    2011-10-01

    A protracted conflict affects human resources for health (HRH) in multiple ways. In most cases, the inflicted damage constitutes the main obstacle to health sector recovery. Interventions aimed at healing derelict human resources are however fraught with difficulties of a political, technical, financial and administrative order. The experience accumulated in past recovery processes has made some important players aware of the cost incurred by neglecting human resource development. Several transitions from conflict to peace have been documented, even if largely in unpublished reports. This paper presents condensed descriptions of some African HRH-related recovery processes, which provide useful lessons. The technical work demanded to resuscitate a derelict health workforce is fairly well understood. In most situations, the highest hurdles lie outside of the health domain, and are of a political and administrative nature. Success stories are rare. But useful lessons are taught by failure as well as by success.

  17. Assessment of environmental health and safety issues associated with the commercialization of unconventional gas recovery: methane from coal seams

    SciTech Connect

    Ethridge, L.J.; Cowan, C.E.; Riedel, E.F.

    1980-07-01

    Potential public health and safety problems and the potential environmental impacts from the recovery of gas from coalbeds are identified and examined. The technology of methane recovery is described and economic and legal barriers to production are discussed. (ACR)

  18. Association of Schools and Programs of Public Health

    MedlinePlus

    ... Search Find an Academic Program Discover Discover Overview Public health protects and improves the health of individuals, families, ... Services and Natural Disasters Health Disparities Profiles in Public Health Study Study Overview Graduates of CEPH-accredited schools ...

  19. [Health education programs: elements of critiquing].

    PubMed

    Loiselle, C G; Delvigne-Jean, Y

    1998-03-01

    Health education programs don't always meet expectations. This article analyzes the factors that contribute to their failure, including complexity or underutilization of theoretical models, and poor articulation of research. Another factor is the disparity in approaches to understanding and intervening in the health experiences of the public. The author briefly describes three main approaches to health education--the individual, the ecological and the interactional--to suggest new avenues for work, deliberation and assessment. Also discussed is the need to clarify limits, foundations and objectives of health education. Finally, the role of the nurse in practical and research activities is examined. These activities are challenging and demanding and require informed, determined commitment.

  20. 50 CFR 679.45 - IFQ cost recovery program.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Region, NMFS, Attn: RAM Program, P.O. Box 21668, Juneau, AK 99802 1668, FAX: (907) 586-7354. or submit electronically to NMFS via forms available from RAM or on the RAM area of the Alaska Region Home Page at http://alaskafisheries.noaa.gov/ram. (iv) Payment method. Payment must be made in U.S. dollars by personal check drawn...

  1. 50 CFR 679.45 - IFQ cost recovery program.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Region, NMFS, Attn: RAM Program, P.O. Box 21668, Juneau, AK 99802 1668, FAX: (907) 586-7354. or submit electronically to NMFS via forms available from RAM or on the RAM area of the Alaska Region Home Page at http://alaskafisheries.noaa.gov/ram. (iv) Payment method. Payment must be made in U.S. dollars by personal check drawn...

  2. 76 FR 57807 - Medicaid Program; Recovery Audit Contractors

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-16

    ... Medicare RAC contracts have an established period of performance of up to 5 years, beginning in calendar... Medicaid RAC contracts covering the period of performance beginning on July 1, 2014. The established rate... proposed elements included general program descriptors (for example, contract periods of...

  3. Evaluation of undergraduate nursing students' clinical confidence following a mental health recovery camp.

    PubMed

    Cowley, Thomas; Sumskis, Sue; Moxham, Lorna; Taylor, Ellie; Brighton, Renee; Patterson, Chris; Halcomb, Elizabeth

    2016-02-01

    In the present study, we evaluate the impact of participation in a mental health recovery camp on the clinical confidence of undergraduate nursing students in dealing with individuals with mental illness. Twenty undergraduate nursing students who participated in the recovery camp completed the Mental Health Nursing Clinical Confidence Scale both before and directly after attending the camp. Data were analysed using descriptive and inferential statistics. Participation in the recovery camp was associated with a statistically-significant increase in students' level of overall confidence between the pretest and post-test data (P < 0.005). The results also demonstrated that students over the age of 25 years and who do not have a family history of mental illness are more likely to self-report a higher level of confidence in both the pre- and post-results. The clinical confidence of undergraduate nursing students improved through participation in an immersive clinical experience within the recovery camp.

  4. Mental Illness Sexual Stigma: Implications for Health and Recovery

    PubMed Central

    Wainberg, Milton L.; Cournos, Francine; Wall, Melanie M.; Pala, Andrea Norcini; Mann, Claudio Gruber; Pinto, Diana; Pinho, Veronica; McKinnon, Karen

    2015-01-01

    Objective Among people in psychiatric care worldwide, the majority is sexually active, and sharply elevated rates of HIV infection compared to the general population have been shown. Recovery-oriented treatment does not routinely address sexuality. We examined the relationship between gender, severe mental illness diagnosis, and stigma experiences related to sexuality among people in psychiatric outpatient care. Method 641 sexually active adults attending eight public outpatient psychiatric clinics in Rio de Janeiro were interviewed for psychiatric diagnosis and stigma experiences. Stigma mechanisms well established in the literature but not previously examined in relation to sexuality were measured with the Mental Illness Sex Stigma Questionnaire, a 27-item interview about stigma in sexual situations and activities. Results Experiences of stigma were reported by a majority of participants for 48% of questionnaire items. Most people reported supportive attitudes toward their sexuality from providers and family members. Those with severe mental illness diagnoses showed greater stigma on Individual Discrimination and Structural Stigma mechanisms than those with non-severe mental illness diagnoses, while there was no difference on the Social Psychological Processes (internalized stigma) mechanism. Regardless of diagnosis or gender, a majority of participants devalued themselves as sexual partners. Conclusions and Implications for Practice Adults in psychiatric outpatient care frequently reported stigma experiences related to aspects of their sexual lives. From the perspectives of both HIV prevention and recovery from mental illness, examining the consequences of stigma in the sexual lives of people in psychiatric care and improving their measurement would have wide applicability. PMID:27030909

  5. 75 FR 37456 - Green Retrofit Program of Title XII of the American Recovery and Reinvestment Act of 2009

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-29

    ... URBAN DEVELOPMENT Green Retrofit Program of Title XII of the American Recovery and Reinvestment Act of... to administer the Green Retrofit Program (GRP) authorized by the Recovery Act. The legislation... Lists the Following Information Title of Proposal: Green Retrofit Program of Title XII of the...

  6. Catching life: the contribution of arts initiatives to recovery approaches in mental health.

    PubMed

    Spandler, H; Secker, J; Kent, L; Hacking, S; Shenton, J

    2007-12-01

    This paper draws on a qualitative study that was undertaken as part of a national research study to assess the impact of participatory arts provision for people with mental health needs. It explores how arts and mental health projects may facilitate some of the key elements of what has been termed a 'recovery approach' in mental health. It is argued that it is precisely these elements--the fostering of hope, creating a sense of meaning and purpose, developing new coping mechanisms and rebuilding identities--which are hard to standardize and measure, yet may be the most profound and significant outcomes of participation in such projects. Therefore, in the context of a growing emphasis on recovery-orientated mental health services, while not necessarily being appropriate for all service users, arts and mental health initiatives could make an essential contribution to the future of mental health and social care provision.

  7. INFORMATION: Special Report on "Selected Department of Energy Program Efforts to Implement the American Recovery and Reinvestment Act"

    SciTech Connect

    2009-12-01

    The American Recovery and Reinvestment Act of 2009 (Recovery Act) was enacted on February 17, 2009, to jumpstart the economy by creating or saving millions of jobs, spurring technological advances in health and science, and investing in the Nation's energy future. The Department of Energy received over $32.7 billion in Recovery Act funding for various science, energy, and environmental programs and initiatives. As of November 2009, the Department had obligated $18.3 billion of the Recovery Act funding, but only $1.4 billion had been spent. The Department's Offices of Energy Efficiency and Renewable Energy, Fossil Energy, Environmental Management, Science, and Electricity Delivery and Energy Reliability received the majority of funding allocated to the Department, about $32.3 billion. Obligating these funds by the end of Fiscal Year 2010, as required by the Recovery Act, and overseeing their effective use in succeeding years, represents a massive workload increase for the Department's programs. The effort to date has strained existing resources. As has been widely acknowledged, any effort to disburse massive additional funding and to expeditiously initiate and complete projects increases the risk of fraud, waste and abuse. It is, therefore, important for the Department's program offices to assess and mitigate these risks to the maximum extent practicable. In this light, we initiated this review as an initial step in the Office of Inspector General's charge to determine whether the Department's major program offices had developed an effective approach for identifying and mitigating risks related to achieving the goals and objectives of the Recovery Act. The Department's program offices included in our review identified risks and planned mitigation strategies that, if successfully implemented and executed, should help achieve the goals and objectives of the Recovery Act. While each office identified risks unique to its respective areas of responsibility, there were a

  8. A crisis recovery model for adolescents with severe mental health problems.

    PubMed

    Kaplan, Tony; Racussen, Lisa

    2013-04-01

    A model of intervention at the interface and for the in-patient phase for adolescents with severe mental health crises was developed to reduce length of stay while maintaining quality of service consonant with the 'recovery model'. The model is described, and discussed in the context of the limited literature on both crisis intervention with adolescents and families, and 'recovery' in this age-group. The model may be suitable also for use by community teams dealing with adolescents in crisis.

  9. Health promotion programs sponsored by California employers.

    PubMed Central

    Fielding, J E; Breslow, L

    1983-01-01

    A survey of California employers with more than 100 employees at one or more sites was undertaken to determine: 1) the nature and extent of health promotion activities; 2) plans for continuation and/or expansion of these activities; 3) plans for initiation of new activities; and 4) the relationship between reported health promotion activities and other characteristics of employers. Of 511 employers with whom interviews were attempted, 49 possible respondents could not be reached and 38 respondents refused to be interviewed, leaving 424 or 83 per cent. Almost one-half of the sites where interviews were conducted had fewer than 200 employees. A total of 332 (78.3 per cent) of employers offered one or more health promotion activities. The most frequent activities provided were accident prevention (64.9 per cent) and CPR (52.8 per cent) with other frequent programs including alcohol/drug abuse (18.6 per cent), mental health counseling (18.4 per cent), stress management (13.0 per cent), fitness (11.6 per cent), hypertension screening (10.1 per cent), and smoking cessation (8.3 per cent). Employers with at least one activity averaged 2.8 activities. The likelihood of having health promotion activities increased with company size. Establishment of new programs appeared to accelerate rapidly in recent years. PMID:6837818

  10. Tidal waves: Implementing a new model of mental health recovery and reclamation.

    PubMed

    Brookes, Nancy; Murata, Lisa; Tansey, Margaret

    2008-10-01

    The Royal Ottawa Mental Health Centre was the first North American site to implement the Tidal Model of Mental Health Recovery and Reclamation. This empowering approach to practice focuses on learning persons' stories as the key to practising person-centred nursing. The authors, who constituted the Tidal implementation team at ROMHC, describe the journey to excellence in psychiatric and mental health nursing practice following the introduction of the model.

  11. Cost recovery of NGO primary health care facilities: a case study in Bangladesh

    PubMed Central

    2010-01-01

    Background Little is known about the cost recovery of primary health care facilities in Bangladesh. This study estimated the cost recovery of a primary health care facility run by Building Resources Across Community (BRAC), a large NGO in Bangladesh, for the period of July 2004 - June 2005. This health facility is one of the seven upgraded BRAC facilities providing emergency obstetric care and is typical of the government and private primary health care facilities in Bangladesh. Given the current maternal and child mortality in Bangladesh and the challenges to addressing health-related Millennium Development Goal (MDG) targets the financial sustainability of such facilities is crucial. Methods The study was designed as a case study covering a single facility. The methodology was based on the 'ingredient approach' using the allocation techniques by inpatient and outpatient services. Cost recovery of the facility was estimated from the provider's perspective. The value of capital items was annualized using 5% discount rate and its market price of 2004 (replacement value). Sensitivity analysis was done using 3% discount rate. Results The cost recovery ratio of the BRAC primary care facility was 59%, and if excluding all capital costs, it increased to 72%. Of the total costs, 32% was for personnel while drugs absorbed 18%. Capital items were17% of total costs while operational cost absorbed 12%. Three-quarters of the total cost was variable costs. Inpatient services contributed 74% of total revenue in exchange of 10% of total utilization. An average cost per patient was US$ 10 while it was US$ 67 for inpatient and US$ 4 for outpatient. Conclusion The cost recovery of this NGO primary care facility is important for increasing its financial sustainability and decreasing donor dependency, and achieving universal health coverage in a developing country setting. However, for improving the cost recovery of the health facility, it needs to increase utilization, efficient

  12. Recovery Act. Development of a Model Energy Conservation Training Program

    SciTech Connect

    none,

    2012-07-05

    The overall objective of this project was to develop an updated model Energy Conservation training program for stationary engineers. This revision to the IUOE National Training Fund’s existing Energy Conservation training curriculum is designed to enable stationary engineers to incorporate essential energy management into routine building operation and maintenance tasks. The curriculum uses a blended learning approach that includes classroom, hands-on, computer simulation and web-based training in addition to a portfolio requirement for a workplace-based learning application. The Energy Conservation training program goal is development of a workforce that can maintain new and existing commercial buildings at optimum energy performance levels. The grant start date was July 6, 2010 and the project continued through September 30, 2012, including a three month non-funded extension.

  13. World Trade Center Health Program requirements for the addition of new WTC-related health conditions. Final rule.

    PubMed

    2012-04-25

    Title I of the James Zadroga 9/11 Health and Compensation Act of 2010 amended the Public Health Service Act (PHS Act) to establish the World Trade Center (WTC) Health Program. Sections 3311, 3312, and 3321 of Title XXXIII of the PHS Act require that the WTC Program Administrator develop regulations to implement portions of the WTC Health Program established within the Department of Health and Human Services (HHS). The WTC Health Program, which is administered by the Director of the National Institute for Occupational Safety and Health (NIOSH), within the Centers for Disease Control and Prevention (CDC), provides medical monitoring and treatment to eligible firefighters and related personnel, law enforcement officers, and rescue, recovery and cleanup workers who responded to the September 11, 2001, terrorist attacks in New York City, Shanksville, PA, and at the Pentagon, and to eligible survivors of the New York City attacks. This final rule establishes the processes by which the WTC Program Administrator may add a new condition to the list of WTC-related health conditions through rulemaking, including a process for considering petitions by interested parties to add a new condition.

  14. 77 FR 37415 - Office of Urban Indian Health Programs; Title V HIV/AIDS Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-21

    ... HUMAN SERVICES Indian Health Service Office of Urban Indian Health Programs; Title V HIV/AIDS Program... applications for the Office of Urban Indian Health Programs Title V HIV/AIDS program. This program is... The Minority AIDS Initiative funding that the grants are awarded from was awarded to the...

  15. Healthe Kids: an assessment of program performance and participation.

    PubMed

    Dean, Bonnie B; Kindermann, Sylvia L; Carson, Tabetha; Gavin, Jan; Frerking, Melissa; Bergren, Martha Dewey

    2014-12-01

    Many states in the United States have mandated school health screenings for early identification and referral to professional services for a set of health conditions. Healthe Kids, a community-based program, began offering school-based health screenings to Missouri elementary schools in March 2007. The purpose of the article is to provide a description of the Healthe Kids program, including the team members, screening process, and the program's underlying technology. Further, we present data gathered during the first 5 years of the Healthe Kids program in Kansas City, Missouri, and describe improvements to the program from lessons learned and implications to school nurses and health care delivery.

  16. 42 CFR 441.106 - Comprehensive mental health program.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 4 2012-10-01 2012-10-01 false Comprehensive mental health program. 441.106 Section 441.106 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN... Comprehensive mental health program. (a) If the plan includes services in public institutions for...

  17. 42 CFR 441.106 - Comprehensive mental health program.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 4 2013-10-01 2013-10-01 false Comprehensive mental health program. 441.106 Section 441.106 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN... Comprehensive mental health program. (a) If the plan includes services in public institutions for...

  18. 42 CFR 441.106 - Comprehensive mental health program.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 4 2011-10-01 2011-10-01 false Comprehensive mental health program. 441.106 Section 441.106 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN... Comprehensive mental health program. (a) If the plan includes services in public institutions for...

  19. 42 CFR 441.106 - Comprehensive mental health program.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 4 2014-10-01 2014-10-01 false Comprehensive mental health program. 441.106 Section 441.106 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN... Comprehensive mental health program. (a) If the plan includes services in public institutions for...

  20. 42 CFR 441.106 - Comprehensive mental health program.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Comprehensive mental health program. 441.106 Section 441.106 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN... Comprehensive mental health program. (a) If the plan includes services in public institutions for...

  1. 75 FR 41503 - Medicare and Medicaid Programs; Approval of the Community Health Accreditation Program for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-16

    ... services, and the conditions for Medicare payment for hospice care. Provider agreement regulations are... Community Health Accreditation Program for Continued Deeming Authority for Hospices AGENCY: Centers for... the Community Health Accreditation Program (CHAP) hospice accreditation program meet or exceed...

  2. Physical fitness and health education program at NASA Headquarters

    NASA Technical Reports Server (NTRS)

    Angotti, Cathy

    1993-01-01

    The topics discussed include the following: policy procedures to enter the NASA Headquarters Physical Fitness and Health Program; eligibility; TDY eligibility; health promotions offered; and general facility management.

  3. Recovery Communities of Practice: An Innovative Strategy for Mental Health System Transformation.

    PubMed

    Piat, Myra; Briand, Catherine; Bates, Eloise; Labonté, Lise

    2016-01-01

    This column describes the development of a "community of practice" (CoP) in Quebec, which was implemented in 2012 to promote recovery-oriented practices in mental health care. A group of diverse stakeholders work together to share and transfer knowledge; support diverse practices, strategies, and solutions; develop a culture of collaboration; mobilize opportunities for quality improvement; and influence decision-making bodies. Recent efforts have been successful: the provision of recovery-oriented services is the primary focus of the 2015-2020 Quebec Mental Health Action Plan.

  4. City of Camden, New Jersey Program offering widespread energy recovery (power): Final report

    SciTech Connect

    Witkowski, Stanley

    2013-12-31

    The Camden Residential POWER Program, Program Offering Widespread Energy Recovery, is a program designed to benefit Camden homeowners, stabilize neighborhoods and put local contractors to work. Camden POWER granted up to $18,600 to fund energy efficient home improvements and necessary life/safety rehabilitation repairs. The program was designed as a self-sustaining, neighborhood approach to bringing long-term energy and financial savings to the community. Valuable home upgrades were completed, including high-efficiency furnaces, hot water heaters, insulation, insulated roofs and blower door guided air-sealing. The goal of all improvements were to reduce energy consumption, lower utility bills, improve property values and promote neighborhood stabilization.

  5. Recovery-oriented care in a secure mental health setting: "striving for a good life".

    PubMed

    McKenna, Brian; Furness, Trentham; Dhital, Deepa; Park, Malcolm; Connally, Fiona

    2014-01-01

    Recovery-oriented care acknowledges the unique journey of the consumer to regain control of his or her life in order to live a good life. Recovery has become a dominant policy-directed model of mental health service delivery. Even services that have traditionally been institutional and custodial have been challenged to embrace a recovery-oriented model. The aim of this qualitative study was to provide a description of service delivery in a secure in-patient mental health service, which has developed a self-professed recovery-oriented model of service delivery. An in-depth case study of the secure in-patient service using an exploratory research design was undertaken to meet the aim of this study. Qualitative data was gathered from interviews with consumers and staff (n = 15) and a focus group with carers (n = 5). Data were analyzed using a content analysis approach. Ethical approval for the study was obtained. The stakeholders readily described the secure service within recovery domains. They described a common vision; ways to promote hope and autonomy; examples of collaborative partnership which enhanced the goal of community integration; a focus on strength-based, holistic care; and the management of risk by taking calculated risks. Discrepancies in the perceptions of stakeholders were determined. This case study research provides a demonstrable example of recovery-in-action in one secure mental health service in Australia. It is intended to assist mental health services and clinicians seeking guidance in developing strategies for building and maintaining partnerships with consumers and carers in order for secure services to become truly recovery-oriented.

  6. Recovery Act: Training Program Development for Commercial Building Equipment Technicians

    SciTech Connect

    Leah Glameyer

    2012-07-12

    The overall goal of this project has been to develop curricula, certification requirements, and accreditation standards for training on energy efficient practices and technologies for commercial building technicians. These training products will advance industry expertise towards net-zero energy commercial building goals and will result in a substantial reduction in energy use. The ultimate objective is to develop a workforce that can bring existing commercial buildings up to their energy performance potential and ensure that new commercial buildings do not fall below their expected optimal level of performance. Commercial building equipment technicians participating in this training program will learn how to best operate commercial buildings to ensure they reach their expected energy performance level. The training is a combination of classroom, online and on-site lessons. The Texas Engineering Extension Service (TEEX) developed curricula using subject matter and adult learning experts to ensure the training meets certification requirements and accreditation standards for training these technicians. The training targets a specific climate zone to meets the needs, specialized expertise, and perspectives of the commercial building equipment technicians in that zone. The combination of efficient operations and advanced design will improve the internal built environment of a commercial building by increasing comfort and safety, while reducing energy use and environmental impact. Properly trained technicians will ensure equipment operates at design specifications. A second impact is a more highly trained workforce that is better equipped to obtain employment. Organizations that contributed to the development of the training program include TEEX and the Texas Engineering Experiment Station (TEES) (both members of The Texas A&M University System). TEES is also a member of the Building Commissioning Association. This report includes a description of the project

  7. Predictors of Employee Involvement in a Worksite Health Promotion Program.

    ERIC Educational Resources Information Center

    Rost, Kathryn; And Others

    1990-01-01

    A recruitment effort aimed at utility company employees enrolled 64 percent (679) in a health promotion program. Results demonstrate that sociodemographic predictors of recruitment are almost a mirror image of employee participation in worksite health promotion programs. (JOW)

  8. Aerobic Exercise for Alcohol Recovery: Rationale, Program Description, and Preliminary Findings

    ERIC Educational Resources Information Center

    Brown, Richard A.; Abrantes, Ana M.; Read, Jennifer P.; Marcus, Bess H.; Jakicic, John; Strong, David R.; Oakley, Julie R.; Ramsey, Susan E.; Kahler, Christopher W.; Stuart, Gregory; Dubreuil, Mary Ella; Gordon, Alan A.

    2009-01-01

    Alcohol use disorders are a major public health concern. Despite the demonstrated efficacy of a number of different treatments for alcohol dependence, relapse remains a major problem. Healthy lifestyle changes may contribute to long-term maintenance of recovery, and interventions targeting physical activity, in particular, may be especially…

  9. Community perspectives on post-Katrina mental health recovery in New Orleans.

    PubMed

    Meyers, Diana; Allien, Charles E; Dunn, Donisha; Wennerstrom, Ashley; Springgate, Benjamin F

    2011-01-01

    Disaster-affected communities may face prolonged challenges to community-wide mental health recovery due to limitations in local resources, infrastructure, and leadership. REACH NOLA, an umbrella non-profit organization comprising academic institutions and community-based agencies, sought to promote community recovery, increase mental health service delivery capacity, and develop local leadership in post-Katrina New Orleans through its Mental Health infrastructure and Training Project (MHIT). The project offered local health service providers training and follow-up support for implementing evidence-based and new approaches to mental health service delivery. This commentary shares the perspectives of three community leaders who co-directed MHIT. They describe the genesis of MHIT, the experience of each agency in adopting leadership roles in addressing post-disaster needs, challenges and growth opportunities, and then overarching lessons learned concerning leadership in a prolonged crisis. These lessons may be relevant to community agencies addressing hurricane recovery in other areas of the Gulf States as well as to inform long-term disaster recovery efforts elsewhere.

  10. Security and privacy preserving approaches in the eHealth clouds with disaster recovery plan.

    PubMed

    Sahi, Aqeel; Lai, David; Li, Yan

    2016-11-01

    Cloud computing was introduced as an alternative storage and computing model in the health sector as well as other sectors to handle large amounts of data. Many healthcare companies have moved their electronic data to the cloud in order to reduce in-house storage, IT development and maintenance costs. However, storing the healthcare records in a third-party server may cause serious storage, security and privacy issues. Therefore, many approaches have been proposed to preserve security as well as privacy in cloud computing projects. Cryptographic-based approaches were presented as one of the best ways to ensure the security and privacy of healthcare data in the cloud. Nevertheless, the cryptographic-based approaches which are used to transfer health records safely remain vulnerable regarding security, privacy, or the lack of any disaster recovery strategy. In this paper, we review the related work on security and privacy preserving as well as disaster recovery in the eHealth cloud domain. Then we propose two approaches, the Security-Preserving approach and the Privacy-Preserving approach, and a disaster recovery plan. The Security-Preserving approach is a robust means of ensuring the security and integrity of Electronic Health Records, and the Privacy-Preserving approach is an efficient authentication approach which protects the privacy of Personal Health Records. Finally, we discuss how the integrated approaches and the disaster recovery plan can ensure the reliability and security of cloud projects.

  11. Continuing Care in High Schools: A Descriptive Study of Recovery High School Programs

    ERIC Educational Resources Information Center

    Finch, Andrew J.; Moberg, D. Paul; Krupp, Amanda Lawton

    2014-01-01

    Data from 17 recovery high schools suggest programs are dynamic and vary in enrollment, fiscal stability, governance, staffing, and organizational structure. Schools struggle with enrollment, funding, lack of primary treatment accessibility, academic rigor, and institutional support. Still, for adolescents having received treatment for substance…

  12. Practitioners' Experiences Creating and Implementing an Emotional Recovery and Physical Activity Program Following a Natural Disaster

    ERIC Educational Resources Information Center

    Wahl-Alexander, Zachary

    2015-01-01

    On April 27, 2011 a series of tornadoes tore through the southeast United States. Sixty-four percent of the counties in the state of Alabama were directly affected by these storms. After a natural disaster, children who are directly or indirectly affected show numerous intense emotional reactions. Recovery programs can be set up to enable them to…

  13. Statewide Disaster Preparedness and Recovery Program for Florida Libraries. Occasional Papers Number 185.

    ERIC Educational Resources Information Center

    DePew, John N.

    The goals of this program were to alert Florida's academic and public librarians to the nature of fire- and water-related disasters, train them to prepare for and respond to emergency situations in ways that would minimize damage to collections, and establish a statewide library disaster recovery network. These goals were met by means of the…

  14. Wide Area Recovery and Resilency Program (WARRP). Video - Aggressive Air Sampling for B. anthracis Spores

    DTIC Science & Technology

    2012-09-14

    34Systematic Evaluation of Aggressive Air Sampling for Bacillus anthracis Spores", in which aggressive air sampling, used for asbestos fiber detection, was...Sep 2012 Final 01 Feb 2011 - 01 Sep 2012 Wide Area Recovery and Resiliency Program (WARRP) Video - Aggressive Air Sampling for B. anthracis Spores

  15. The Effect of Reading Proficiency on Student Success in Online Credit Recovery Programs

    ERIC Educational Resources Information Center

    Palisoc, Randolph P.

    2013-01-01

    This qualitative study applied the theory that reading skills are predictive of high school graduation to examine the impact that reading proficiency has on student success in online credit recovery programs for credit deficient students, many of whom struggle with reading. Since reading proficiency impacts academic achievement in general, this…

  16. How federalism shapes public health financing, policy, and program options.

    PubMed

    Ogden, Lydia L

    2012-01-01

    In the United States, fiscal and functional federalism strongly shape public health policy and programs. Federalism has implications for public health practice: it molds financing and disbursement options, including funding formulas, which affect allocations and program goals, and shapes how funding decisions are operationalized in a political context. This article explores how American federalism, both fiscal and functional, structures public health funding, policy, and program options, investigating the effects of intergovernmental transfers on public health finance and programs.

  17. Recovery Act - Sustainable Transportation: Advanced Electric Drive Vehicle Education Program

    SciTech Connect

    Caille, Gary

    2013-12-13

    The collective goals of this effort include: 1) reach all facets of this society with education regarding electric vehicles (EV) and plug–in hybrid electric vehicles (PHEV), 2) prepare a workforce to service these advanced vehicles, 3) create web–based learning at an unparalleled level, 4) educate secondary school students to prepare for their future and 5) train the next generation of professional engineers regarding electric vehicles. The Team provided an integrated approach combining secondary schools, community colleges, four–year colleges and community outreach to provide a consistent message (Figure 1). Colorado State University Ventures (CSUV), as the prime contractor, plays a key program management and co–ordination role. CSUV is an affiliate of Colorado State University (CSU) and is a separate 501(c)(3) company. The Team consists of CSUV acting as the prime contractor subcontracted to Arapahoe Community College (ACC), CSU, Motion Reality Inc. (MRI), Georgia Institute of Technology (Georgia Tech) and Ricardo. Collaborators are Douglas County Educational Foundation/School District and Gooru (www.goorulearning.org), a nonprofit web–based learning resource and Google spin–off.

  18. Health Effects of Unemployment Benefit Program Generosity

    PubMed Central

    Glymour, M. Maria; Avendano, Mauricio

    2015-01-01

    Objectives. We assessed the impact of unemployment benefit programs on the health of the unemployed. Methods. We linked US state law data on maximum allowable unemployment benefit levels between 1985 and 2008 to individual self-rated health for heads of households in the Panel Study of Income Dynamics and implemented state and year fixed-effect models. Results. Unemployment was associated with increased risk of reporting poor health among men in both linear probability (b = 0.0794; 95% confidence interval [CI] = 0.0623, 0.0965) and logistic models (odds ratio = 2.777; 95% CI = 2.294, 3.362), but this effect is lower when the generosity of state unemployment benefits is high (b for interaction between unemployment and benefits = −0.124; 95% CI = −0.197, −0.0523). A 63% increase in benefits completely offsets the impact of unemployment on self-reported health. Conclusions. Results suggest that unemployment benefits may significantly alleviate the adverse health effects of unemployment among men. PMID:25521897

  19. The concept of recovery as an organizing principle for integrating mental health and addiction services.

    PubMed

    Davidson, Larry; White, William

    2007-04-01

    Despite a range of long-standing historical, political, ideological, professional, structural, and practical barriers, there has been, and continues to be, a clear consensus that integration between mental health and addiction services is sorely needed and long overdue. This paper focuses on one dimension of the challenge of integration from among the several - the conceptual - and proposes the construct of recovery as an organizing principle for bridging the divide between the two domains. After reviewing briefly the parallel history of the two traditions and their shared need for transformation to a recovery orientation, the authors offer an integrated model of recovery for persons with co-occurring disorders. They then derive from this model the underlying values, guiding principles, key strategies, and essential ingredients of recovery-oriented systems of care that comprise a common approach across both addictions and mental illness, offering a strengths-based solution to achieving integration where pathology-focused approaches have failed.

  20. Resilience and Recovery. Focal Point: Research, Policy, and Practice in Children's Mental Health. Volume 19, Number 1, Summer 2005

    ERIC Educational Resources Information Center

    Walker, Janet S., Ed.

    2005-01-01

    This issue of "Focal Point" explores the concepts of resilience and recovery and what they mean in the context of mental health care for children and adolescents. From the articles, it emerges that the terminology associated with recovery and resilience (particularly the word, recovery, itself) can be confusing and even off-putting to…

  1. 76 FR 52575 - Health Care for Homeless Veterans Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-23

    ... AFFAIRS 38 CFR Part 63 RIN 2900-AN73 Health Care for Homeless Veterans Program AGENCY: Department of... community-based treatment facilities in the Health Care for Homeless Veterans (HCHV) program of the... enrolled in the VA health care system. Through the HCHV program, VA identifies homeless veterans...

  2. 75 FR 79323 - Health Care for Homeless Veterans Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-20

    ... AFFAIRS 38 CFR Part 63 RIN 2900-AN73 Health Care for Homeless Veterans Program AGENCY: Department of... contracting with community-based treatment facilities in the Health Care for Homeless Veterans (HCHV) program... ``RIN 2900-AN73, Health Care for Homeless Veterans Program.'' Copies of comments received will...

  3. School Health Programs in Australia - A Special Insert.

    ERIC Educational Resources Information Center

    Nader, Philip R.; Rissel, Chris; Rowling, Louise; Marshall, Bernard J.; Sheehan, Margaret M.; Northfield, Jeff R.; Maher, Shelley; Carlisle, Rachel; St. Leger, Lawrence H.; Stewart, Donald E.; Parker, Elizabeth; Gillespie, Amaya; Stokes, Helen; Mukherjee, Dev; Nutbeam, Don; Mitchell, Anne; Ollis, Debbie; Watson, Jan

    2000-01-01

    Eight papers on Australia's school health programs discuss: creating health promoting schools in the United States; intersectoral collaboration for developing a national framework for health promoting schools; school-based health promotion nationwide; auditing health promoting schools policy documentation; the nature of health service/school…

  4. Child Health, Developmental Plasticity, and Epigenetic Programming

    PubMed Central

    Feil, R.; Constancia, M.; Fraga, M.; Junien, C.; Carel, J.-C.; Boileau, P.; Le Bouc, Y.; Deal, C. L.; Lillycrop, K.; Scharfmann, R.; Sheppard, A.; Skinner, M.; Szyf, M.; Waterland, R. A.; Waxman, D. J.; Whitelaw, E.; Ong, K.; Albertsson-Wikland, K.

    2011-01-01

    Plasticity in developmental programming has evolved in order to provide the best chances of survival and reproductive success to the organism under changing environments. Environmental conditions that are experienced in early life can profoundly influence human biology and long-term health. Developmental origins of health and disease and life-history transitions are purported to use placental, nutritional, and endocrine cues for setting long-term biological, mental, and behavioral strategies in response to local ecological and/or social conditions. The window of developmental plasticity extends from preconception to early childhood and involves epigenetic responses to environmental changes, which exert their effects during life-history phase transitions. These epigenetic responses influence development, cell- and tissue-specific gene expression, and sexual dimorphism, and, in exceptional cases, could be transmitted transgenerationally. Translational epigenetic research in child health is a reiterative process that ranges from research in the basic sciences, preclinical research, and pediatric clinical research. Identifying the epigenetic consequences of fetal programming creates potential applications in clinical practice: the development of epigenetic biomarkers for early diagnosis of disease, the ability to identify susceptible individuals at risk for adult diseases, and the development of novel preventive and curative measures that are based on diet and/or novel epigenetic drugs. PMID:20971919

  5. [Health economic evaluation of disease management programs].

    PubMed

    Greiner, W

    2006-01-01

    Disease management has become an important element in the improvement of care for people with chronic illnesses and has become embedded in the discussion on health policy in recent years. The approach has been introduced very differently to the health systems worldwide. Since 1 January 2003 accredited disease management programs (DMPs) have been a part of the risk structure compensation scheme of the German statutory health insurance. This is seen as the first step to a morbidity orientation of the risk structure compensation. DMPs have to be evaluated according the German Social Law, especially whether the objectives of the programs and the criteria for inclusion of the patients have been met and the quality of care for the patients is insured. The criteria for evaluation are threefold: medical issues, economic issues and subjective quality of life of the patients. Due to the immense amounts of data which can be expected the evaluation of the German DMPs is a huge logistical challenge. Until now not very much is known about the data quality. The evaluation is focused on the perspective of the sickness funds as e.g. information about indirect cost is not collected. In the article the methods for evaluation are described and critically discussed.

  6. The Effect of Graduation Coaches and Credit Recovery Programs on the Dropout Rate of At-Risk Grade 9 Students

    ERIC Educational Resources Information Center

    Bowling, Jan

    2013-01-01

    The objective of this study was to identify the characteristics of effective graduation coaches (GCs) and credit recovery programs and explain the influence of a GC and a credit recovery program on Grade 9 students at risk of dropping out. The purpose of this study was to determine whether a high school GC and enrollment in a credit recovery…

  7. The social costs of the International Monetary Fund's adjustment programs for poverty: the case of health care development in Ghana.

    PubMed

    Anyinam, C A

    1989-01-01

    A primary health care (PHC) strategy was adopted in Ghana in 1978, but the civilian government at the time failed to implement the program designed to achieve health for all Ghanaians. In 1982, the revolutionary military government under Rawlings indicated its commitment to the full implementation of the PHC program. In this article, the author seeks to examine the extent to which the Economic Recovery Program initiated by the Rawlings' regime, its policy of decentralization and mobilization of the masses, and its promise to institute some fundamental organizational and structural changes in the health care delivery system, are contributing to the process of achieving "health for all" Ghanaians.

  8. Role of Child Nutrition Programs in Health Education.

    ERIC Educational Resources Information Center

    Martin, M. Josephine

    The role of health educators in integrating child nutrition programs into school health education is discussed and issues attending such programs are considered. The importance of breakfast and lunch programs in the school is stressed with particular emphasis on using these programs to instruct children in sound nutritional practices. It is…

  9. The brave new world of health care compliance programs.

    PubMed

    Bartrum, T E; Bryant, L E

    1997-01-01

    The need for corporate compliance programs in health care delivery systems is ever increasing. This article identifies the key items a good program should contain, and addresses issues raised by the existence of a program as well as its implementation.

  10. Employment and Training Programs: A Context for Reaching Out of School Youth with Mental Health and Other Health Programs

    PubMed Central

    Sonenstein, Freya Lund; Marshall, Beth Dail; Tandon, S. Darius

    2014-01-01

    Youth who have dropped out of school engage in health risk behaviors and have low access to health care. It is difficult for health experts to develop programs that successfully reach this population. Employment and training programs for youth who have dropped out are a potential venue for addressing the many health needs of these youth. This article reviews the history of these programs and the available evidence about their health services and health outcomes. It also describes the development of a mental health intervention in an employment and training program in Baltimore and the lessons learned from that experience. PMID:22423459

  11. Space Station Freedom Environmental Health Care Program

    NASA Technical Reports Server (NTRS)

    Richard, Elizabeth E.; Russo, Dane M.

    1992-01-01

    The paper discusses the environmental planning and monitoring aspects of the Space Station Freedom (SSF) Environmental Health Care Program, which encompasses all phases of the SSF assembly and operation from the first element entry at MB-6 through the Permanent Manned Capability and beyond. Environmental planning involves the definition of acceptability limits and monitoring requirements for the radiation dose barothermal parameters and potential contaminants in the SSF air and water and on internal surfaces. Inflight monitoring will be implemented through the Environmental Health System, which consists of five subsystems: Microbiology, Toxicology, Water Quality, Radiation, and Barothermal Physiology. In addition to the environmental data interpretation and analysis conducted after each mission, the new data will be compared to archived data for statistical and long-term trend analysis and determination of risk exposures. Results of these analyses will be used to modify the acceptability limits and monitoring requirements for the future.

  12. World Trade Center Health Program; addition of certain types of cancer to the list of WTC-related health conditions. Final rule.

    PubMed

    2012-09-12

    Title I of the James Zadroga 9/11 Health and Compensation Act of 2010 amended the Public Health Service Act (PHS Act) to establish the World Trade Center (WTC) Health Program. The WTC Health Program, which is administered by the Director of the National Institute for Occupational Safety and Health (NIOSH), within the Centers for Disease Control and Prevention (CDC), provides medical monitoring and treatment to eligible firefighters and related personnel, law enforcement officers, and rescue, recovery, and cleanup workers who responded to the September 11, 2001, terrorist attacks in New York City, at the Pentagon, and in Shanksville, Pennsylvania, and to eligible survivors of the New York City attacks. In accordance with WTC Health Program regulations, which establish procedures for adding a new condition to the list of covered health conditions, this final rule adds to the List of WTC-Related Health Conditions the types of cancer proposed for inclusion by the notice of proposed rulemaking.

  13. Learning as It Relates to Addiction Recovery: A Case Study of the Learning Experiences of Men in a Faith-Based Addiction Recovery Program

    ERIC Educational Resources Information Center

    Voigt, Thomas J. K.

    2013-01-01

    This case study is about learning as it relates to addiction recovery within the Men's Ministry (a pseudonym) program at an urban, faith-based mission, hereafter referred to as WCM (an acronym). The program is free and long-term residential. Its purpose is to be a "life transformation ministry for troubled men whose lives are out of control…

  14. Interactions between Energy Efficiency Programs funded under the Recovery Act and Utility Customer-Funded Energy Efficiency Programs

    SciTech Connect

    Goldman, Charles A.; Stuart, Elizabeth; Hoffman, Ian; Fuller, Merrian C.; Billingsley, Megan A.

    2011-02-25

    Since the spring of 2009, billions of federal dollars have been allocated to state and local governments as grants for energy efficiency and renewable energy projects and programs. The scale of this American Reinvestment and Recovery Act (ARRA) funding, focused on 'shovel-ready' projects to create and retain jobs, is unprecedented. Thousands of newly funded players - cities, counties, states, and tribes - and thousands of programs and projects are entering the existing landscape of energy efficiency programs for the first time or expanding their reach. The nation's experience base with energy efficiency is growing enormously, fed by federal dollars and driven by broader objectives than saving energy alone. State and local officials made countless choices in developing portfolios of ARRA-funded energy efficiency programs and deciding how their programs would relate to existing efficiency programs funded by utility customers. Those choices are worth examining as bellwethers of a future world where there may be multiple program administrators and funding sources in many states. What are the opportunities and challenges of this new environment? What short- and long-term impacts will this large, infusion of funds have on utility customer-funded programs; for example, on infrastructure for delivering energy efficiency services or on customer willingness to invest in energy efficiency? To what extent has the attribution of energy savings been a critical issue, especially where administrators of utility customer-funded energy efficiency programs have performance or shareholder incentives? Do the new ARRA-funded energy efficiency programs provide insights on roles or activities that are particularly well-suited to state and local program administrators vs. administrators or implementers of utility customer-funded programs? The answers could have important implications for the future of U.S. energy efficiency. This report focuses on a selected set of ARRA-funded energy

  15. Perceived assistance in pursuing personal goals and personal recovery among mental health consumers across housing services.

    PubMed

    Moran, Galia S; Westman, Kinneret; Weissberg, Esther; Melamed, Samuel

    2017-03-01

    Personal goals/plans play a central role in personal recovery and psychiatric rehabilitation of persons with mental illnesses. Yet, few studies have explored whether perceiving practitioners' assistance towards the pursuit of goals are associated with personal recovery and other favorable rehabilitation outcomes. A total of 2121 mental health consumers, of which 1222 use supported-housing services and 899 use group-home services, completed self-report questionnaires as part of a larger quality-assurance study conducted during the years 2013-2014. Eighty percent of participants living in supported-housing and 72% living in group-homes reported having personal goals/plans for the forthcoming year. Furthermore, their type of goals was different. Irrespective of the type of goal or housing service, participants who reported having goals/plans (compared with those who did not) showed higher levels of personal recovery and more favorable psychosocial outcomes. Regression analyses showed that perceiving professional staff members (but not para-professionals) as assisting in pursuing goals/plans was positively associated with personal recovery. This study empirically validates the value of having personal goals and professionals' assistance in pursuing goals/plans in regards to personal recovery. We propose that recovery-oriented services should seek to enhance goal setting and goal-pursuit, and to train practitioners in these areas.

  16. A Framework for the Planning of Health Education Programs: Health Interests and Practices.

    ERIC Educational Resources Information Center

    Downey, Patricia A.; Feldman, Robert H. L.

    1986-01-01

    The Health Interests and Practices (HIP) Framework was developed to delineate a health education program from the target population's perspective. This framework can be used in various health education settings and applied in a range of health needs assessment to determine the focus of health education programs. (CB)

  17. The Mental Health Recovery Measure Can Be Used to Assess Aspects of Both Customer-Based and Service-Based Recovery in the Context of Severe Mental Illness.

    PubMed

    Oliveira-Maia, Albino J; Mendonça, Carina; Pessoa, Maria J; Camacho, Marta; Gago, Joaquim

    2016-01-01

    Within clinical psychiatry, recovery from severe mental illness (SMI) has classically been defined according to symptoms and function (service-based recovery). However, service-users have argued that recovery should be defined as the process of overcoming mental illness, regaining self-control and establishing a meaningful life (customer-based recovery). Here, we aimed to compare customer-based and service-based recovery and clarify their differential relationship with other constructs, namely needs and quality of life. The study was conducted in 101 patients suffering from SMI, recruited from a rural community mental health setting in Portugal. Customer-based recovery and function-related service-based recovery were assessed, respectively, using a shortened version of the Mental Health Recovery Measure (MHRM-20) and the Global Assessment of Functioning score. The Camberwell Assessment of Need scale was used to objectively assess needs, while subjective quality of life was measured with the TL-30s scale. Using multiple linear regression models, we found that the Global Assessment of Functioning score was incrementally predictive of the MHRM-20 score, when added to a model including only clinical and demographic factors, and that this model was further incremented by the score for quality of life. However, in an alternate model using the Global Assessment of Functioning score as the dependent variable, while the MHRM-20 score contributed significantly to the model when added to clinical and demographic factors, the model was not incremented by the score for quality of life. These results suggest that, while a more global concept of recovery from SMI may be assessed using measures for service-based and customer-based recovery, the latter, namely the MHRM-20, also provides information about subjective well-being. Pending confirmation of these findings in other populations, this instrument could thus be useful for comprehensive assessment of recovery and subjective

  18. The Mental Health Recovery Measure Can Be Used to Assess Aspects of Both Customer-Based and Service-Based Recovery in the Context of Severe Mental Illness

    PubMed Central

    Oliveira-Maia, Albino J.; Mendonça, Carina; Pessoa, Maria J.; Camacho, Marta; Gago, Joaquim

    2016-01-01

    Within clinical psychiatry, recovery from severe mental illness (SMI) has classically been defined according to symptoms and function (service-based recovery). However, service-users have argued that recovery should be defined as the process of overcoming mental illness, regaining self-control and establishing a meaningful life (customer-based recovery). Here, we aimed to compare customer-based and service-based recovery and clarify their differential relationship with other constructs, namely needs and quality of life. The study was conducted in 101 patients suffering from SMI, recruited from a rural community mental health setting in Portugal. Customer-based recovery and function-related service-based recovery were assessed, respectively, using a shortened version of the Mental Health Recovery Measure (MHRM-20) and the Global Assessment of Functioning score. The Camberwell Assessment of Need scale was used to objectively assess needs, while subjective quality of life was measured with the TL-30s scale. Using multiple linear regression models, we found that the Global Assessment of Functioning score was incrementally predictive of the MHRM-20 score, when added to a model including only clinical and demographic factors, and that this model was further incremented by the score for quality of life. However, in an alternate model using the Global Assessment of Functioning score as the dependent variable, while the MHRM-20 score contributed significantly to the model when added to clinical and demographic factors, the model was not incremented by the score for quality of life. These results suggest that, while a more global concept of recovery from SMI may be assessed using measures for service-based and customer-based recovery, the latter, namely the MHRM-20, also provides information about subjective well-being. Pending confirmation of these findings in other populations, this instrument could thus be useful for comprehensive assessment of recovery and subjective

  19. Graduate programs in health administration: faculty academic reputation and faculty research reputation by program location and program reputation.

    PubMed

    Nowicki, M

    1995-01-01

    This study used program location and program reputation to describe two important faculty characteristics: academic reputation and research reputation. The study involved 44 graduate programs in health administration representing four program locations: schools of public health, business, medicine/allied health, and graduate/independent. Fourteen programs were identified as ranked programs and the remaining 30 programs were identified as unranked programs. While the study identifies many differences, few are significant, thus adding credence to the argument for diversity in program location and diminishing credence in the argument for program reputation.

  20. Epigenomic programing: a future way to health?

    PubMed Central

    Shenderov, Boris A.; Midtvedt, Tore

    2014-01-01

    It is now generally accepted that the ‘central genome dogma’ (i.e. a causal chain going from DNA to RNA to proteins and downstream to biological functions) should be replaced by the ‘fluid genome dogma’, that is, complex feed-forward and feed-back cycles that interconnect organism and environment by epigenomic programing – and reprograming – throughout life and at all levels, sometimes also down the generations. The epigenomic programing is the net sum of interactions derived from own metabolism and microbiota as well as external factors such as diet, pharmaceuticals, environmental compounds, and so on. It is a growing body of results indicating that many chronic metabolic and degenerative disorders and diseases – often called ‘civilization diseases’ – are initiated and/or influenced upon by non-optimal epigenomic programing, often taking place early in life. In this context, the first 1,000 days of life – from conception into early infancy – is often called the most important period of life. The following sections present some major mechanisms for epigenomic programing as well as some factors assumed to be of importance. The need for more information about own genome and metagenome, as well as a substantial lack of adequate information regarding dietary and environmental databases are also commented upon. However, the mere fact that we can influence epigenomic health programing opens up the way for prophylactic and therapeutic interventions. The authors underline the importance of creating a ‘Human Gut Microbiota and Epigenomic Platform’ in order to facilitate interdisciplinary collaborations among scientists and clinicians engaged in host microbial ecology, nutrition, metagenomics, epigenomics and metabolomics as well as in disease epidemiology, prevention and treatment. PMID:24829553

  1. Everyday solutions for everyday problems: how mental health systems can support recovery.

    PubMed

    Slade, Mike

    2012-07-01

    People who experience mental illness can be viewed as either fundamentally different than, or fundamentally like, everyone else in society. Recovery-oriented mental health systems focus on commonality. In practice, this involves an orientation toward supporting everyday solutions for everyday problems rather than providing specialist treatments for mental illness-related problems. This change is evident in relation to help offered with housing, employment, relationships, and spirituality. Interventions may contribute to the process of striving for a life worth living, but they are a means, not an end. Mental health systems that offer treatments in support of an individual's life goals are very different than those that treat patients in their best interests. The strongest contribution of mental health services to recovery is to support everyday solutions to everyday problems.

  2. Culture, stress and recovery from schizophrenia: lessons from the field for global mental health.

    PubMed

    Myers, Neely Laurenzo

    2010-09-01

    This cultural case study investigates one U.S. psychosocial rehabilitation organization's (Horizons) attempt to implement the recovery philosophy of the U.S. Recovery Movement and offers lessons from this local attempt that may inform global mental health care reform. Horizons' "recovery-oriented" initiatives unwittingly mobilized stressful North American discourses of valued citizenship. At times, efforts to "empower" people diagnosed with schizophrenia to become esteemed self-made citizens generated more stressful sociocultural conditions for people whose daily lives were typically remarkably stressful. A recovery-oriented mental health system must account for people diagnosed with schizophrenia's sensitivity to stress and offer consumers contextually relevant coping mechanisms. Any attempt to export U.S. mental health care practices to the rest of the world must acknowledge that (1) sociocultural conditions affect schizophrenia outcomes; (2) schizophrenia outcomes are already better in the developing world than in the United States; and (3) much of what leads to "better" outcomes in the developing world may rely on the availability of locally relevant techniques to address stress.

  3. Culture, Stress and Recovery from Schizophrenia: Lessons from the Field for Global Mental Health

    PubMed Central

    2011-01-01

    This cultural case study investigates one U.S. psychosocial rehabilitation organization’s (Horizons) attempt to implement the recovery philosophy of the U.S. Recovery Movement and offers lessons from this local attempt that may inform global mental health care reform. Horizons’ “recovery-oriented” initiatives unwittingly mobilized stressful North American discourses of valued citizenship. At times, efforts to “empower” people diagnosed with schizophrenia to become esteemed self-made citizens generated more stressful sociocultural conditions for people whose daily lives were typically remarkably stressful. A recovery-oriented mental health system must account for people diagnosed with schizophrenia’s sensitivity to stress and offer consumers contextually relevant coping mechanisms. Any attempt to export U.S. mental health care practices to the rest of the world must acknowledge that (1) sociocultural conditions affect schizophrenia outcomes; (2) schizophrenia outcomes are already better in the developing world than in the United States; and (3) much of what leads to “better” outcomes in the developing world may rely on the availability of locally relevant techniques to address stress. PMID:20571905

  4. Crew Recovery and Contingency Planning for a Manned Stratospheric Balloon Flight - the StratEx Program.

    PubMed

    Menon, Anil S; Jourdan, David; Nusbaum, Derek M; Garbino, Alejandro; Buckland, Daniel M; Norton, Sean; Clark, Johnathan B; Antonsen, Erik L

    2016-10-01

    The StratEx program used a self-contained space suit and balloon system to loft pilot Alan Eustace to a record-breaking altitude and skydive from 135,897 feet (41,422 m). After releasing from the balloon and a stabilized freefall, the pilot safely landed using a parachute system based on a modified tandem parachute rig. A custom spacesuit provided life support using a similar system to NASA's (National Aeronautics and Space Administration; Washington, DC USA) Extravehicular Mobility Unit. It also provided tracking, communications, and connection to the parachute system. A recovery support team, including at least two medical personnel and two spacesuit technicians, was charged with reaching the pilot within five minutes of touchdown to extract him from the suit and provide treatment for any injuries. The team had to track the flight at all times, be prepared to respond in case of premature release, and to operate in any terrain. Crew recovery operations were planned and tailored to anticipate outcomes during this novel event in a systematic fashion, through scenario and risk analysis, in order to minimize the probability and impact of injury. This analysis, detailed here, helped the team configure recovery assets, refine navigation and tracking systems, develop procedures, and conduct training. An extensive period of testing and practice culminated in three manned flights leading to a successful mission and setting the record for exit altitude, distance of fall with stabilizing device, and vertical speed with a stabilizing device. During this mission, recovery teams reached the landing spot within one minute, extracted the pilot, and confirmed that he was not injured. This strategy is presented as an approach to prehospital planning and care for improved safety during crew recovery in novel, extreme events. Menon AS , Jourdan D , Nusbaum DM , Garbino A , Buckland DM , Norton S , Clark JB , Antonsen EL . Crew recovery and contingency planning for a manned

  5. Opiate-addicted parents in methadone treatment: long-term recovery, health, and family relationships.

    PubMed

    Skinner, Martie L; Haggerty, Kevin P; Fleming, Charles B; Catalano, Richard F; Gainey, Randy R

    2011-01-01

    Few studies follow the lives of opiate-addicted parents. The authors examined a 12-year follow-up of 144 parents in methadone treatment and their 3- to 14-year-old children. Parent mortality was high. Among survivors, drug use and treatment, incarceration, residential and family disruptions, and health problems were common. Moderate and long-term recovery were associated with consistent methadone treatment, further education, employment, and fewer relationship disruptions. Earlier depression, deviant friends, and poor coping skills predicted continued drug problems. Thus, interventions should include treatment for depression and build skills for avoiding and refusing drugs, coping with stress, and maintaining recovery-supportive friendships.

  6. Opiate-addicted Parents in Methadone Treatment: Long-term Recovery, Health and Family Relationships

    PubMed Central

    Skinner, Martie L.; Haggerty, Kevin P.; Fleming, Charles B.; Catalano, Richard F.; Gainey, Randy R.

    2011-01-01

    Few studies follow the lives of opiate-addicted parents. We examine a 12-year follow-up of 144 parents in methadone treatment and their 3- to 14-year-old children. Parent mortality was high. Among survivors, drug use and treatment, incarceration, residential and family disruptions, and health problems were common. Moderate and long-term recovery were associated with consistent methadone treatment, further education, employment, and fewer relationship disruptions. Earlier depression, deviant friends, and poor coping skills predicted continued drug problems. Thus, interventions should include treatment for depression and build skills for avoiding and refusing drugs, coping with stress, and maintaining recovery-supportive friendships. PMID:21218307

  7. Promoting resilience and recovery in a Buddhist mental health support group.

    PubMed

    Phoenix, Bethany

    2014-04-01

    Communities of faith are important arenas for psychiatric mental health nurses to promote emotional well-being and support recovery for persons with mental health problems. This article describes an innovative faith-based mental health group, based on Buddhist philosophy and practice and established by an advanced practice psychiatric nurse, that uses psychoeducation, peer support, and faith encouragement to help participants find hope and meaning in the experience of mental health problems. A brief overview of Buddhism and selected concepts relevant to the philosophical framework of the Buddhist mental health support group is followed by a review of the common themes of the group discussions. These include: finding value in the illness experience; differentiating the proper role of treatment from that of Buddhist practice in optimizing mental health; and experiencing a deeper sense of joy, despite current suffering.

  8. Leading a Recovery-oriented Social Enterprise.

    PubMed

    Raeburn, Toby; Hungerford, Catherine; Sayers, Jan; Escott, Phil; Lopez, Violeta; Cleary, Michelle

    2015-05-01

    Recovery-oriented mental health services promote the principles of recovery, such as hope and optimism, and are characterized by a personalized approach to developing consumer self-determination. Nurse leaders are increasingly developing such services as social enterprises, but there is limited research on the leadership of these programs. Leading a recovery-oriented mental health nurse social enterprise requires visionary leadership, collaboration with consumers and local health providers, financial viability, and commitment to recovery-focused practice. This article describes the framework of an Australian mental health nursing social enterprise, including the service attributes and leadership lessons that have been learned from developing program sustainability.

  9. Exploring the compatibility of mental health nursing, recovery-focused practice and the welfare state.

    PubMed

    Conlon, M M M; Bush, C J; Ariyaratnam, M I; Brennan, G K; Owtram, R

    2015-06-01

    Mental health nurses are expected to adhere to a range of professional values. The values of social integration that mental health nurses practise are somewhat at odds with the values of the British welfare state. Alternative systems of welfare support are demonstrated in other countries. Mental health nurses must consider models of practice, such as that described by Clifton et al. (2013b), to manage the disconnection between what is expected and what can be achieved. This discussion paper considers the implications for mental health nursing practice when working alongside individuals in receipt of state benefits. There is arguably a profound impact on an individual's recovery from mental ill health when that individual is also dependent on financial support from the government. Access to welfare benefits can have a significant impact on the recovery journey of that individual. This discussion paper will consider the practice implications for mental health nurses whose professional values include maxims such as 'challenging inequality' and 'respecting diversity', and will seek to examine the implications for practice when such values are divergent from those demonstrated in government policy. The paper will make comparisons with international welfare systems to demonstrate the way in which alternative configurations of state welfare can promote a system of social justice that is in greater equilibrium with the professional values of mental health nurses. Finally, the discussion will focus on the options for mental health nurses to either subscribe to government policy or to find compromise solutions that enable attention to remain focused and active on a strong value base of social justice and recovery-focused practice.

  10. Environmental, economic, and energy impacts of material recovery facilities. A MITE Program evaluation

    SciTech Connect

    1995-10-01

    This report documents an evaluation of the environmental, economic, and energy impacts of material recovery facilities (MRFs) conducted under the Municipal Solid Waste Innovative Technology Evaluation (MITE) Program. The MITE Program is sponsored by the US Environmental Protection Agency to foster the demonstration and development of innovative technologies for the management of municipal solid waste (MSW). This project was also funded by the National Renewable Energy Laboratory (NREL). Material recovery facilities are increasingly being used as one option for managing a significant portion of municipal solid waste (MSW). The owners and operators of these facilities employ a combination of manual and mechanical techniques to separate and sort the recyclable fraction of MSW and to transport the separated materials to recycling facilities.

  11. Competency Identification, Evaluation & Improvement for Corporate Health Program Fitness Specialists: Health Education Variables.

    ERIC Educational Resources Information Center

    Golaszewski, Thomas; And Others

    1982-01-01

    The Xerox Corporation's Health Management Program (XHMP), designed to maintain and improve employee fitness, is described. Competencies specific to the health educator function of the fitness specialist, who assists XHMP clients in their fitness programs, are outlined. (CJ)

  12. Best practices in evaluating worksite health promotion programs.

    PubMed

    Grossmeier, Jessica; Terry, Paul E; Cipriotti, Aldo; Burtaine, Jeffrey E

    2010-01-01

    Program evaluation is generally recognized as a "best practice" activity for worksite health promotion programs. The importance of "best practice" worksite health promotion programming is increasing with the stakes anticipated by health care reform. Volvo's health promotion activities are used as an example of "best practice" programming with a particular focus on creating a dashboard of evaluation metrics that can meet the accountability needs of senior management. The role of a comprehensive evaluation framework using nine components is explored along with reasonable expectations for program outcomes. Finally, stakeholder utility from the evaluation approach is explored.

  13. Predictors of the Existence of Congregational HIV Programs: Similarities and Differences Compared with Other Health Programs

    PubMed Central

    Williams, Malcolm V.; Haas, Ann; Griffin, Beth Ann; Fulton, Brad; Kanouse, David E.; Bogart, Laura M.; Derose, Kathryn Pitkin

    2014-01-01

    Purpose Identify and compare predictors of the existence of congregational HIV and other health programs. Design Cross-sectional study. Setting United States. Participants A nationally-representative sample of 1,506 U.S. congregations surveyed in the National Congregations Study (2006-07). Measures Key informants at each congregation completed in-person and telephone interviews on congregational HIV and other health programs and various congregation characteristics (response rate = 78%). County-level HIV prevalence and population health data from the Robert Wood Johnson Foundation's 2007 County Health Rankings were linked to the congregational data. Analysis Multinomial logistic regression was used to assess factors that predict congregational health programs relative to no health programs; and of HIV programs relative to other health activities. Results Most congregations (57.5%) had at least one health-related program; many fewer (5.7%) had an HIV program. Predictors of health vs. HIV programs differed. The number of adults in the congregation was a key predictor of health programs, while having an official statement welcoming gay persons was a significant predictor of HIV programs (p<.05). Other significant characteristics varied by size of congregation and type of program (HIV vs. other health). Conclusion Organizations interested in partnering with congregations to promote health or prevent HIV should consider congregational size as well as other factors that predict involvement. Results of this study can inform policy interventions to increase the capacity of religious congregations to address HIV and health. PMID:25162322

  14. Internships in Nontraditional Health Care Settings: A Pilot Program.

    ERIC Educational Resources Information Center

    Kotarba, Joseph A.

    1990-01-01

    Addresses nontraditional health care issues by placing internship students in different health care agencies such as (1) workplace wellness programs; (2) centers for independent living for the physically handicapped; and (3) an Acquired Immune Deficiency Syndrome (AIDS) intervention program. Examines new problems in health care and the importance…

  15. Understanding Evaluation Training in Schools and Programs of Public Health

    ERIC Educational Resources Information Center

    Fierro, Leslie A.; Christie, Christina A.

    2011-01-01

    This study provides an understanding of how the coursework required for attaining a Masters of Public Health (MPH) degree in epidemiology or health education from accredited schools or programs of public health prepares students to evaluate programs or interventions. Study data were generated using a content analysis of required coursework…

  16. Programs for Infants and Young Children. Part III: Health.

    ERIC Educational Resources Information Center

    Appalachian Regional Commission, Washington, DC.

    Directed toward the improvement of health care for mothers and young children, this report describes a number of comprehensive programs focused on health and reports on projects which have singled out one or more specific maternal or child health services. Included are descriptions of existing community programs for pregnant schoolgirls, health…

  17. Allied Health Education Programs in Junior Colleges/1970.

    ERIC Educational Resources Information Center

    National Institutes of Health (DHEW), Bethesda, MD. Div. of Allied Health Manpower.

    This directory of allied health programs in junior colleges was compiled to provide a comprehensive source of allied health training programs in two-year colleges and to provide data on which to establish national, regional, State, and local priorities for health manpower education. It may also serve as a supplementary reference for guidance…

  18. 76 FR 57637 - TRICARE; Continued Health Care Benefit Program Expansion

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-16

    ... of the Secretary 32 CFR Part 199 RIN 0720-AB30 TRICARE; Continued Health Care Benefit Program..., some MHS beneficiaries would not be eligible to purchase Continued Health Care Benefit Program (CHCBP... continued health care coverage for eligible beneficiaries who lose their MHS eligibility. It was...

  19. Wellness Programs: Preventive Medicine to Reduce Health Care Costs.

    ERIC Educational Resources Information Center

    Martini, Gilbert R., Jr.

    1991-01-01

    A wellness program is a formalized approach to preventive health care that can positively affect employee lifestyle and reduce future health-care costs. Describes programs for health education, smoking cessation, early detection, employee assistance, and fitness, citing industry success figures. (eight references) (MLF)

  20. Generation: A Corporate-Sponsored Retiree Health Care Program.

    ERIC Educational Resources Information Center

    Scharlach, Andrew E.; And Others

    1992-01-01

    Describes Generation, geriatric clinic program for one company's retirees and dependents. Describes program's multidisciplinary team approach to health and psychosocial assessment, medication review, retiree advisors, health promotion programs, and case management services. Notes that, in addition to traditional medical care, participants receive…

  1. Health plans' disease management programs: extending across the medical and behavioral health spectrum?

    PubMed

    Merrick, Elizabeth Levy; Horgan, Constance M; Garnick, Deborah W; Hodgkin, Dominic; Morley, Melissa

    2008-01-01

    Although the disease management industry has expanded rapidly, there is little nationally representative data regarding medical and behavioral health disease management programs at the health plan level. National estimates from a survey of private health plans indicate that 90% of health plan products offered disease management for general medical conditions such as diabetes but only 37% had depression programs. The frequency of specific depression disease management activities varied widely. Program adoption was significantly related to product type and behavioral health contracting. In health plans, disease management has penetrated more slowly into behavioral health and depression program characteristics are highly variable.

  2. Audit Report on "The Department of Energy's American Recovery and Reinvestment Act -- Florida State Energy Program"

    SciTech Connect

    2010-06-01

    The Department of Energy's Office of Energy Efficiency and Renewable Energy (EERE) provides grants to states, territories, and the District of Columbia to support their energy priorities through the State Energy Program (SEP). The SEP provides Federal financial assistance to carry out energy efficiency and renewable energy projects that meet each state's unique energy needs while also addressing national goals such as energy security. Federal funding is based on a grant formula that takes into account population and energy consumption. The SEP emphasizes the state's role as the decision maker and administrator for the program. The American Recovery and Reinvestment Act of 2009 (Recovery Act) expanded the SEP, authorizing $3.1 billion in grants. Based on existing grant formulas and after reviewing state-level plans, EERE made awards to states. The State of Florida's Energy Office (Florida) was allocated $126 million - a 90-fold increase over Florida's average annual SEP grant of $1.4 million. Per the Recovery Act, this funding must be obligated by September 30, 2010, and spent by April 30, 2012. As of March 10, 2010, Florida had expended $13.2 million of the SEP Recovery Act funds. Florida planned to use its grant funds to undertake activities that would preserve and create jobs; save energy; increase renewable energy sources; and, reduce greenhouse gas emissions. To accomplish Recovery Act objectives, states could either fund new or expand existing projects. As a condition of the awards, EERE required states to develop and implement sound internal controls over the use of Recovery Act funds. Based on the significant increase in funding from the Recovery Act, we initiated this review to determine whether Florida had internal controls in place to provide assurance that the goals of the SEP and Recovery Act will be met and accomplished efficiently and effectively. We identified weaknesses in the implementation of SEP Recovery Act projects that have adversely impacted

  3. Offsite Source Recovery Program (OSRP) Workshop Module: Tianjin, China, July 16-July 17, 2012

    SciTech Connect

    Houlton, Robert J.

    2012-07-11

    Recovering and disposal of radioactive sources that are no longer in service in their intended capacity is an area of high concern Globally. A joint effort to recover and dispose of such sources was formed between the US Department of Energy and the Chinese Ministry of Environmental Protection (MEP), in preparation for the 2008 Beijing Olympics. LANL involvement in this agreement continues today under the DOE-Global Threat Reduction Initiative (GTRI) program. LANL will be presenting overview information on their Offsite Source Recovery (OSRP) and Source Disposal programs, in a workshop for the Ministry of Environmental Protection (MEP) at Tianjin, China, on July 16 and 17, 2012.

  4. 75 FR 63480 - Medicaid Program: Implementation of Section 614 of the Children's Health Insurance Program...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-15

    ... HUMAN SERVICES Medicaid Program: Implementation of Section 614 of the Children's Health Insurance... Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA), Public Law 111-3. Section 614... Security Act and for child health assistance expenditures under the Children's Health Insurance...

  5. Measuring and Tracking Education Program Implementation: The Minnesota Heart Health Program Experience.

    ERIC Educational Resources Information Center

    Finnegan, John R., Jr.; And Others

    1989-01-01

    Reports on efforts by the Minnesota Heart Health Program to develop a system that permitted tracking educational program contacts, its implementation, and its use to make management decisions about program activities. (JOW)

  6. Recovery in Hong Kong: service user participation in mental health services.

    PubMed

    Tse, Samson; Cheung, Eric; Kan, Alice; Ng, Roger; Yau, Sania

    2012-02-01

    This article provides an overview of mental health services (MHS) and the application of the recovery concept in Hong Kong, focusing on user participation. It presents stakeholders' views of the recovery movement in a round-table discussion format, demonstrating agreement that user participation merits more public and official attention. Some of the present difficulties with the movement are also reviewed. Social identity theory (SIT) is then analysed as a potentially useful framework for theorizing how service users' identities change as they become service providers. The paper then provides an overview of the current financial and political position of MHS, and identifies signs that the recovery approach is becoming accepted. It also addresses the cultural meanings of the concept, and sets out examples of its implementation in the health and social welfare sectors. Lastly, it summarizes the challenges facing service providers and users and concludes that as the recovery movement is still in its infancy in Hong Kong, more coordinated efforts are needed to establish the organizational support and policy framework, so that sustainable and evidence-based service provision can be achieved.

  7. Can exaggerated stress reactivity and prolonged recovery predict negative health outcomes? The case of cardiovascular disease.

    PubMed

    Lovallo, William R

    2015-04-01

    Researchers and laypersons have long argued that stress is bad for health, particularly when responses are large, prolonged, and frequent. By extension, individuals who have the largest and the most prolonged responses are assumed to have worse outcomes than do less reactive persons. Research in animals has been supportive of the connection between stress and poor health, but evidence in humans has been slow to accumulate. The current issue of Psychosomatic Medicine presents a meta-analysis of 33 studies of delayed recovery from stress and its association with poor cardiovascular disease outcomes and all-cause mortality. The analysis supports the contention that slower recovery to baseline after exercise or psychological stress may predict earlier death due to all causes. This finding raises questions for psychosomatic theories of disease and points the direction for further study of how or whether to incorporate reactivity measures into standard risk profiles.

  8. 76 FR 40733 - National Institute for Occupational Safety and Health, (NIOSH), World Trade Center Health Program...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-11

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Institute for Occupational Safety and Health, (NIOSH), World Trade Center Health Program Science/Technical Advisory Committee...

  9. La Hague Legacy Waste Recovery Program: Scope, Progress and Issues -12080

    SciTech Connect

    Chabeuf, Jean-Michel

    2012-07-01

    A significant inventory of process waste of varying natures and quantities has been generated during the thirty years of operation of UP2 400 facility on the site of La Hague, France. The retrieval, packaging and final storage of such an inventory has never been achieved before in France and thus requires the design and qualification of new processes, equipment, and waste packages. Following AREVA strategic decisions and French safety authority requirements, the legacy waste program has begun around the year 2000 and is scheduled to be completed around the year 2025. It is under the responsibility of AREVA Site Value Development Project teams. For each category of waste to be recovered, AREVA teams conducted detailed investigations, defined recovery modes, treatment processes, as well as final waste package forms, which they subsequently submitted to French safety and waste management authorities. A Task force initiative was subsequently launched to optimize the program cost and scenario, and lead to an optimization of about 15% of the entire program. The qualification of processes and waste packages required a significant amount of research and development which is now well under way for processes, and scheduled to be completed in 2015. Preparation work has begun on several installations to clear space for the construction of future retrieval facilities, scheduled to begin in the coming three years. La Hague Legacy waste retrieval program represents a significant challenge in the sense that it covers a significant variety and quantity of waste needing recovery and reconditioning, with tight financial objectives and a binding recovery schedule. During the past five years, AREVA SVD successfully conducted design, research, development, and qualification activities which lead to the definition of qualified processes and waste packages for each retrieval program. Preparation work and supplier consultations are now on-going, in order to meet our objectives of beginning

  10. The Molecular Neurobiology of Twelve Steps Program & Fellowship: Connecting the Dots for Recovery.

    PubMed

    Blum, Kenneth; Thompson, Benjamin; Demotrovics, Zsolt; Femino, John; Giordano, John; Oscar-Berman, Marlene; Teitelbaum, Scott; Smith, David E; Roy, A Kennison; Agan, Gozde; Fratantonio, James; Badgaiyan, Rajendra D; Gold, Mark S

    There are some who suggest that alcoholism and drug abuse are not diseases at all and that they are not consequences of a brain disorder as espoused recently by the American Society of Addiction Medicine (ASAM). Some would argue that addicts can quit on their own and moderate their alcohol and drug intake. When they present to a treatment program or enter the 12 Step Program & Fellowship, many addicts finally achieve complete abstinence. However, when controlled drinking fails, there may be successful alternatives that fit particular groups of individuals. In this expert opinion, we attempt to identify personal differences in recovery, by clarifying the molecular neurobiological basis of each step of the 12 Step Program. We explore the impact that the molecular neurobiological basis of the 12 steps can have on Reward Deficiency Syndrome (RDS) despite addiction risk gene polymorphisms. This exploration has already been accomplished in part by Blum and others in a 2013 Springer Neuroscience Brief. The purpose of this expert opinion is to briefly, outline the molecular neurobiological and genetic links, especially as they relate to the role of epigenetic changes that are possible in individuals who regularly attend AA meetings. It begs the question as to whether "12 steps programs and fellowship" does induce neuroplasticity and continued dopamine D2 receptor proliferation despite carrying hypodopaminergic type polymorphisms such as DRD2 A1 allele. "Like-minded" doctors of ASAM are cognizant that patients in treatment without the "psycho-social-spiritual trio," may not be obtaining the important benefits afforded by adopting 12-step doctrines. Are we better off with coupling medical assisted treatment (MAT) that favors combining dopamine agonist modalities (DAM) as possible histone-deacetylase activators with the 12 steps followed by a program that embraces either one or the other? While there are many unanswered questions, at least we have reached a time when "science

  11. Program CONTRAST--A general program for the analysis of several survival or recovery rate estimates

    USGS Publications Warehouse

    Hines, J.E.; Sauer, J.R.

    1989-01-01

    This manual describes the use of program CONTRAST, which implements a generalized procedure for the comparison of several rate estimates. This method can be used to test both simple and composite hypotheses about rate estimates, and we discuss its application to multiple comparisons of survival rate estimates. Several examples of the use of program CONTRAST are presented. Program CONTRAST will run on IBM-cimpatible computers, and requires estimates of the rates to be tested, along with associated variance and covariance estimates.

  12. Microbial Enhanced Oil Recovery and Wettability Research Program. Annual report, FY 1991

    SciTech Connect

    Bala, G.A.; Barrett, K.B.; Eastman, S.L.; Herd, M.D.; Jackson, J.D.; Robertson, E.P.; Thomas, C.P.

    1993-09-01

    This report covers research results for fiscal year 1991 for the Microbial Enhanced Oil Recovery (MEOR) and Wettability Research Program conducted by EG&G Idaho, Inc. at the Idaho National Engineering Laboratory ONEL) for the US Department of Energy Idaho Field Office (DOE-ID). The program is funded by the Assistant Secretary of Fossil Energy, and managed by DOE-ID and the Bartlesville Project Office (BPO). The objectives of this multi-year program are to develop MEOR systems for application to reservoirs containing medium to heavy crude oils and to design and implement an industry cost-shared field demonstration project of the developed technology. An understanding of the controlling mechanisms will first be developed through the use of laboratory scale testing to determine the ability of microbially mediated processes to recover oil under reservoir conditions and to develop the design criteria for scale-up to the field. Concurrently with this work, the isolation and characterization of microbial species collected from various locations including target oil field environments is underway to develop more effective oil recovery systems for specific applications. Research focus includes the study of biogenic product and formation souring processes including mitigation and prevention. Souring research performed in FY 1991 also included the development of microsensor probe technology for the detection of total sulfide in collaboration with the Montana State University Center for Interfacial Microbial Process Engineering (CIMPE). Wettability research is a multi-year collaborative effort with the New Mexico Petroleum Recovery Research Center (NMPRRC) at the New Mexico institute of Mining and Technology, Socorro, NM to evaluate reservoir wettability and its effects on oil recovery. Results from the wettability research will be applied to determine if alteration of wettability is a significant contributing mechanism for MEOR systems.

  13. Worksite wellness: increasing adoption of workplace health promotion programs.

    PubMed

    Michaels, Carol Noel; Greene, Amanda Marie

    2013-07-01

    Worksite wellness programs are important interventions to protect and promote employee health. They help reduce direct and indirect health care costs, absenteeism, and presenteeism; avoid illness or injury; and improve the quality of work life and morale. This Tool introduces key concepts and strategic tips for planning workplace-based wellness programs rather than individual health promotion events, while highlighting organizational change and development theories central to introducing and implementing effective proactive worksite wellness programs.

  14. Defense by-products production and utilization program: noble metal recovery screening experiments

    SciTech Connect

    Hazelton, R.F.; Jensen, G.A.; Raney, P.J.

    1986-03-01

    Isotopes of the platinum metals (rutheium, rhodium, and palladium) are produced during uranium fuel fission in nuclear reactors. The strategic values of these noble metals warrant considering their recovery from spent fuel should the spent fuel be processed after reactor discharge. A program to evaluate methods for ruthenium, rhodium, and palladium recovery from spent fuel reprocessing liquids was conducted at Pacific Northwest Laboratory (PNL). The purpose of the work reported in this docuent was to evaluate several recovery processes revealed in the patent and technical literature. Beaker-scale screening tests were initiated for three potential recovery processes: precipitation during sugar denitration of nitric acid reprocessing solutions after plutonium-uranium solvent extraction, adsorption using nobe metal selective chelates on active carbon, and reduction forming solid noble metal deposits on an amine-borane reductive resin. Simulated reprocessing plant solutions representing typical nitric acid liquids from defense (PUREX) or commercial fuel reprocessing facilities were formulated and used for evaluation of the three processes. 9 refs., 3 figs., 9 tabs.

  15. Enhanced oil recovery and applied geoscience research program. [Technical progress] report, January 1--March 31, 1993

    SciTech Connect

    Thomas, C.P.

    1993-07-01

    The objectives of this research program are to develop microbial enhanced oil recovery (MEOR) systems for application to reservoirs containing medium to heavy oils and to evaluate reservoir wettability and its effects on oil recovery. The MEOR research goals include: (a) the development of bacterial cultures that are effective for oil displacement under a broad range of reservoir conditions, (b) improved understanding of the mechanisms by which microbial systems displace oil under reservoir conditions, (c) determination of the feasibility of combining microbial systems with or following conventional enhanced oil recovery (EOR) processes, (d) development and implementation of industry cost-shared field demonstration projects of MEOR technology. The goals of the reservoir wettability project are to develop: (a) a better methods for assessment of reservoir core wettability, (b) more certainty in relating laboratory core analysis procedures to field conditions, (c) a better understanding of the effects of reservoir matrix properties and heterogeneity on wettability, and (d) improved ability to predict and influence waterflood and EOR response through control of wettability in reservoirs. Accomplishments for this quarter are presented for: MEOR research and field application; and evaluation of reservoir wettability and its effects on oil recovery.

  16. Forgiveness, flourishing, and resilience: the influences of expressions of spirituality on mental health recovery.

    PubMed

    Tuck, Inez; Anderson, Lorraine

    2014-04-01

    The relationships of spirituality, religion, and health have been the subject of research in a variety of disciplines over the past two decades. Findings have varied: Some findings appear to have strong evidence of relationships while other findings are deemed inconclusive. A few studies have distinguished between religion and spirituality, but most investigators have treated the two as one concept with no clear lines of distinction between them. This theoretical study, focusing on the topic of spirituality, explores several related concepts, including forgiveness, flourishing, and resilience, as a basis for developing approaches to facilitate recovery in mental health clients using spiritual interventions.

  17. Implementation of "Heart Smart:" A Cardiovascular School Health Promotion Program.

    ERIC Educational Resources Information Center

    Downey, Ann M.; And Others

    1987-01-01

    "Heart Smart," a research-based health promotion program for elementary schools, was tested in four elementary schools. The program's objectives, strategies, curriculum, and other components are described. (Author/MT)

  18. SHPPS 2006: School Health Policies and Programs Study--Asthma

    ERIC Educational Resources Information Center

    Centers for Disease Control and Prevention, 2007

    2007-01-01

    The School Health Policies and Programs Study (SHPPS) is a national survey periodically conducted to assess school health policies and practices at the state, district, school, and classroom levels. This brief contains information on asthma relative to health education, physical education and activity, and health services. Included is data on the…

  19. Migrant Health Program. [New Jersey] 1970 Annual Report.

    ERIC Educational Resources Information Center

    New Jersey State Dept. of Health, Trenton.

    During 1970, 3 federally supported migrant health projects continued to serve New Jersey's migrant workers with comprehensive health care. In the 7 counties of principal migrant activity, 4,464 patients received health services. This group represented more than 60% of the noncontract workers. Migrant health programs in Burlington, Gloucester,…

  20. Healthe Kids: An Assessment of Program Performance and Participation

    ERIC Educational Resources Information Center

    Dean, Bonnie B.; Kindermann, Sylvia L.; Carson, Tabetha; Gavin, Jan; Frerking, Melissa; Bergren, Martha Dewey

    2014-01-01

    Many states in the United States have mandated school health screenings for early identification and referral to professional services for a set of health conditions. Healthe Kids, a community-based program, began offering school-based health screenings to Missouri elementary schools in March 2007. The purpose of the article is to provide a…

  1. Transitions: A Mental Health Literacy Program for Postsecondary Students

    ERIC Educational Resources Information Center

    Potvin-Boucher, Jacqueline; Szumilas, Magdalena; Sheikh, Tabinda; Kutcher, Stan

    2010-01-01

    Enhancement of mental health literacy is a mental health promotion strategy that may be effective at destigmatizing mental illness and increasing self-seeking behavior. Transitions is a mental health literacy program intended to heighten students' awareness and discussion of mental health problems and promote help-seeking behaviors. Transitions…

  2. 76 FR 64110 - Safety and Health Management Programs for Mines

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-17

    ... Safety and Health Administration RIN 1219-AB71 Safety and Health Management Programs for Mines AGENCY: Mine Safety and Health Administration, Labor. ACTION: Notice of public meetings. SUMMARY: The Mine Safety and Health Administration (MSHA) is holding a public meeting, and plans to hold additional...

  3. 77 FR 62243 - Rural Health Network Development Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-12

    ...] [FR Doc No: 2012-25195] DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Rural Health Network Development Program AGENCY: Health Resources and Services Administration (HRSA), HHS. ACTION: Notice of Non-competitive Replacement Award to Siloam Springs Regional...

  4. Health Occupations Education. Vocational Education Program Courses Standards.

    ERIC Educational Resources Information Center

    Florida State Dept. of Education, Tallahassee. Div. of Vocational, Adult, and Community Education.

    This document contains vocational education program course standards for health occupations programs in Florida. Standards are provided for a total of 71 exploratory courses, practical arts courses, and job preparatory programs offered at the secondary or postsecondary level. Each program courses standard consists of a curriculum framework and…

  5. Procedural justice in mental health courts: judicial practices, participant perceptions, and outcomes related to mental health recovery.

    PubMed

    Kopelovich, Sarah; Yanos, Philip; Pratt, Christina; Koerner, Joshua

    2013-01-01

    Research on mental health courts (MHCs) to date has been disproportionately focused on the study of recidivism and reincarceration over the potential of these problem solving courts to facilitate the recovery process and affect the slope of recovery. This study attempts to shift the focal point of interest from well-established criminal justice outcomes to the experiences and perceptions of MHC participants. The authors hypothesize that the actions of MHC judges that are consistent with procedural justice theory will engender high perceptions of procedural justice among this sample of divertees with SMI. Defendant perceptions of procedural justice in 4 NYC-area MHCs were also compared to those of uninvolved observers. Results suggest that defendant perceptions are distinct from observer perceptions, which tended to be more sensitive to the differences in judges between the four courts. Overall, participants' perceptions of procedural justice were moderate and increased between baseline and 4-month follow-up. Procedural justice was negatively correlated with symptoms at baseline and was positively correlated with participant's attitudes toward their own recovery. Between baseline and 4-month follow-up, participants in our sample tended to increase in perceptions of procedural justice; interestingly, the increase in procedural justice was associated with a decrease in symptoms but not to an increase in attitudes toward the recovery. Implications and future directions are discussed.

  6. Service and infrastructure needs to support recovery programmes for Indigenous community mental health consumers.

    PubMed

    Sayers, Jan M; Cleary, Michelle; Hunt, Glenn E; Burmeister, Oliver K

    2017-04-01

    Mental health is a major concern in Indigenous communities, as Indigenous people experience poorer health outcomes generally, and poorer social and emotional well-being throughout their lives, compared to non-Indigenous populations. Interviews were conducted with 20 mental health workers from a housing assistance programme for Indigenous clients with mental illness. Service and infrastructure needs identified to support clients were classified under the following overarching theme 'supports along the road to recovery'. Subthemes were: (i) It is OK to seek help; (ii) linking in to the local community; (iii) trusting the workers; and (iv) help with goal setting and having activities that support their achievement. This paper highlights the importance of targeted housing and accommodation support programmes for Indigenous people to prevent homelessness, and the essential services and infrastructure required to support Indigenous clients' mental health needs. These insights may inform service review, workforce development, and further research.

  7. Kennedy Space Center Environmental Health Program

    NASA Technical Reports Server (NTRS)

    Creech, Joanne W.

    1997-01-01

    Topic considered include: environmental health services; health physics; ionizing radiation; pollution control; contamination investigations; natural resources; surface water; health hazard evaluations; combustion gas; launch support; asbestos; hazardous noise; and ventilation.

  8. Social network activation: the role of health discussion partners in recovery from mental illness.

    PubMed

    Perry, Brea L; Pescosolido, Bernice A

    2015-01-01

    In response to health problems, individuals may strategically activate their social network ties to help manage crisis and uncertainty. While it is well-established that social relationships provide a crucial safety net, little is known about who is chosen to help during an episode of illness. Guided by the Network Episode Model, two aspects of consulting others in the face of mental illness are considered. First, we ask who activates ties, and what kinds of ties and networks they attempt to leverage for discussing health matters. Second, we ask about the utility of activating health-focused network ties. Specifically, we examine the consequences of network activation at time of entry into treatment for individuals' quality of life, social satisfaction, ability to perform social roles, and mental health functioning nearly one year later. Using interview data from the longitudinal Indianapolis Network Mental Health Study (INMHS, N = 171), we focus on a sample of new patients with serious mental illness and a group with less severe disorders who are experiencing their first contact with the mental health treatment system. Three findings stand out. First, our results reveal the nature of agency in illness response. Whether under a rational choice or habitus logic, individuals appear to evaluate support needs, identifying the best possible matches among a larger group of potential health discussants. These include members of the core network and those with prior mental health experiences. Second, selective activation processes have implications for recovery. Those who secure adequate network resources report better outcomes than those who injudiciously activate network ties. Individuals who activate weaker relationships and those who are unsupportive of medical care experience poorer functioning, limited success in fulfilling social roles, and lower social satisfaction and quality of life later on. Third, the evidence suggests that social networks matter above and

  9. Developing a Capstone Course within a Health Informatics Program

    PubMed Central

    Hackbarth, Gary; Cata, Teuta; Cole, Laura

    2012-01-01

    This article discusses the ongoing development of a health informatics capstone program in a Midwest university from the hiring of a program coordinator to the development of a capstone course, through initial student results. University health informatics programs require a strong academic program to be successful but also require a spirited program coordinator to manage resources and organize an effective capstone course. This is particularly true of health informatics master's programs that support health industry career fields, whereby employers can locate and work with a pool of qualified applicants. The analysis of students’ logs confirms that students’ areas of focus and concern are consistent with course objectives and company work requirements during the work-study portion of the student capstone project. The article further discusses lessons learned and future improvements to be made in the health informatics capstone course. PMID:22783150

  10. Applying a Behavioral Model Framework for Disaster Recovery Research in Local Public Health Agencies: A Conceptual Approach.

    PubMed

    Walsh, Lauren; Garrity, Stephanie; Rutkow, Lainie; Thompson, Carol B; Strauss-Riggs, Kandra; Altman, Brian A; Schor, Kenneth; Barnett, Daniel J

    2015-08-01

    The local public health agency (LPHA) workforce is at the center of the public health emergency preparedness system and is integral to locally driven disaster recovery efforts. Throughout the disaster recovery period, LPHAs have a primary responsibility for community health and are responsible for a large number of health services. In the face of decreasing preparedness funding and increasing frequency and severity of disasters, LPHAs continue to provide essential disaster life cycle services to their communities. However, little is known about the confidence that LPHA workers have in performing disaster recovery-related duties. To date, there is no widely used instrument to measure LPHA workers' sense of efficacy, nor is there an educational intervention designed specifically to bolster disaster recovery-phase efficacy perceptions. Here, we describe the important role of the LPHA workforce in disaster recovery and the operational- and efficacy-related research gaps inherent in today's disaster recovery practices. We then propose a behavioral framework that can be used to examine LPHA workers' disaster recovery perceptions and suggest a research agenda to enhance LPHA workforce disaster recovery efficacy through an evidence-informed educational intervention.

  11. Building a Collaboration One Day at a Time: Integrating Infant Mental Health into a Residential Drug Treatment Program

    ERIC Educational Resources Information Center

    Heffron, Mary Claire; Purcell, Arlene; Schalit, Jackie

    2007-01-01

    Families In Recovery Staying Together (FIRST) is a team from Children's Hospital and Research Center at Oakland that has joined in collaboration with two local perinatal residential drug treatment programs to create early childhood mental health services at those sites. The authors highlight the collaboration strategies and challenges the partners…

  12. An economic evaluation of the Enhanced Recovery After Surgery (ERAS) multisite implementation program for colorectal surgery in Alberta

    PubMed Central

    Thanh, Nguyen X.; Chuck, Anderson W.; Wasylak, Tracy; Lawrence, Jeannette; Faris, Peter; Ljungqvist, Olle; Nelson, Gregg; Gramlich, Leah M.

    2016-01-01

    Background In February 2013, Alberta Health Services established an Enhanced Recovery After Surgery (ERAS) implementation program for adopting the ERAS Society colorectal guidelines into 6 sites (initial phase) that perform more than 75% of all colorectal surgeries in the province. We conducted an economic evaluation of this initiative to not only determine its cost-effectiveness, but also to inform strategy for the spread and scale of ERAS to other surgical protocols and sites. Methods We assessed the impact of ERAS on patients’ health services utilization (HSU; length of stay [LOS], readmissions, emergency department visits, general practitioner and specialist visits) within 30 days of discharge by comparing pre- and post-ERAS groups using multilevel negative binomial regressions. We estimated the net health care costs/savings and the return on investment (ROI) associated with those impacts for post-ERAS patients using a decision analytic modelling technique. Results We included 331 pre- and 1295 post-ERAS patients in our analyses. ERAS was associated with a reduction in all HSU outcomes except visits to specialists. However, only the reduction in primary LOS was significant. The net health system savings were estimated at $2 290 000 (range $1 191 000–$3 391 000), or $1768 (range $920–$2619) per patient. The probability for the program to be cost-saving was 73%–83%. In terms of ROI, every $1 invested in ERAS would bring $3.8 (range $2.4–$5.1) in return. Conclusion The initial phase of ERAS implementation for colorectal surgery in Alberta is cost-saving. The total savings has the potential to be more substantial when ERAS is spread for other surgical protocols and across additional sites.

  13. Food Assistance Programs and Child Health

    ERIC Educational Resources Information Center

    Gundersen, Craig

    2015-01-01

    Food assistance programs--including the Supplemental Nutrition Assistance Program (SNAP, or food stamps), the National School Lunch Program, and the School Breakfast Program--have been remarkably successful at their core mission: reducing food insecurity among low-income children. Moreover, writes Craig Gundersen, SNAP in particular has also been…

  14. The Boston Health Care for the Homeless Program: A Public Health Framework

    PubMed Central

    Oppenheimer, Sarah C.; Judge, Christine M.; Taube, Robert L.; Blanchfield, Bonnie B.; Swain, Stacy E.; Koh, Howard K.

    2010-01-01

    During the past 25 years, the Boston Health Care for the Homeless Program has evolved into a service model embodying the core functions and essential services of public health. Each year the program provides integrated medical, behavioral, and oral health care, as well as preventive services, to more than 11 000 homeless people. Services are delivered in clinics located in 2 teaching hospitals, 80 shelters and soup kitchens, and an innovative 104-bed medical respite unit. We explain the program's principles of care, describe the public health framework that undergirds the program, and offer lessons for the elimination of health disparities suffered by this vulnerable population. PMID:20558804

  15. School Nurse Handbook for the School Health Program.

    ERIC Educational Resources Information Center

    Texas Education Agency, Austin.

    The purpose of this handbook, a revision of Texas Education Agency Bulletin 752 (1975), is to assist administrators and school nurses in planning and implementing the school health program. The guide contains eight sections. Following the history of the school health program in the first section, the second and third provide guidelines for the…

  16. Incentives: Getting and Keeping Workers Involved in Health Promotion Programs.

    ERIC Educational Resources Information Center

    McKenzie, James F.; And Others

    1992-01-01

    The article explores motivation as it relates to worksite health promotion participation, addressing incentive use as a motivational means of getting and keeping employees involved in health promotion programs. It suggests various incentives to help program planners, categorizing them as social or material reinforcers. (SM)

  17. Occupational Safety and Health Programs in Career Education.

    ERIC Educational Resources Information Center

    DiCarlo, Robert D.; And Others

    This resource guide was developed in response to the Occupational Safety and Health Act of 1970 and is intended to assist teachers in implementing courses in occupational safety and health as part of a career education program. The material is a synthesis of films, programed instruction, slides and narration, case studies, safety pamphlets,…

  18. Occupational Health Promotion Programs to Reduce Cardiovascular Risk.

    ERIC Educational Resources Information Center

    Glasgow, Russell E.; Terborg, James R.

    1988-01-01

    Surveys literature on worksite health promotion programs targeting cardiovascular risk factors. Reviews findings on health-risk appraisal, hypertension control, smoking cessation, weight reduction, exercise, and programs addressing multiple risk factors. Discusses current knowledge, highlights exemplary studies, and identifies problems and…

  19. Directory of Academic Programs in Occupational Safety and Health.

    ERIC Educational Resources Information Center

    Weis, William J., III; And Others

    This booklet describes academic program offerings in American colleges and universities in the area of occupational safety and health. Programs are divided into five major categories, corresponding to each of the core disciplines: (1) occupational safety and health/industrial hygiene, (2) occupational safety, (3) industrial hygiene, (4)…

  20. Quality Improvement and School-Based Mental Health Programs.

    ERIC Educational Resources Information Center

    Nabors, Laura; Weist, Mark; Acosta, Olga; Tashman, Nancy

    This report discusses the outcomes of a study that reviewed activities to ensure quality of care for adolescents receiving mental health services in the School Mental Health Program (SMHP), based in the Department of Psychiatry at the University of Maryland School of Medicine. For this program a team of clinicians, as well as trainees in each…

  1. Overview and Summary: School Health Policies and Programs Study 2006

    ERIC Educational Resources Information Center

    Kann, Laura; Brener, Nancy D.; Wechsler, Howell

    2007-01-01

    Background: The School Health Policies and Programs Study (SHPPS) 2006 is the largest, most comprehensive assessment of school health programs in the United States ever conducted. Methods: The Centers for Disease Control and Prevention conducts SHPPS every 6 years. In 2006, computer-assisted telephone interviews or self-administered mail…

  2. Developing Healthy Adolescents--A Progressive Health Care Partnership Program.

    ERIC Educational Resources Information Center

    Griesemer, Bernard A.; Hough, David L.

    1993-01-01

    A 1991 partnership coupling Southwest Missouri State University with Saint John's Regional Health Center spawned the Midwest Sports Medicine Center, originally designed to treat orthopedic injuries. Soon the center developed major educational initiatives, including SportsPACE, a program integrating health care programs into the secondary core…

  3. University of Utah Summer Health Science Program 1977.

    ERIC Educational Resources Information Center

    Martinez, Luciano S.

    The Summer Health Science Program aimed to give minority students a chance to explore career options in various allied health fields. After initial funding and student admission problems, the program was begun on June 13, 1977. CETA (Comprehensive Employment and Training Act) paid the student's salary up to 32 hours a week for 10 weeks (20 hours…

  4. Health Education for Corporations: Efforts Toward a Professional Preparation Program.

    ERIC Educational Resources Information Center

    Golaszewski, Thomas

    1981-01-01

    Increasingly, businesses and industries are offering some form of fitness programs for their employees. A new course on health education in business and industry has been developed for improving the health life-styles of employees. The program would be implemented in three phases. (JN)

  5. Financial impact of population health management programs: reevaluating the literature.

    PubMed

    Grossmeier, Jessica; Terry, Paul E; Anderson, David R; Wright, Steven

    2012-06-01

    Although many employers offer some components of worksite-based population health management (PHM), most do not yet invest in comprehensive programs. This hesitation to invest in comprehensive programs may be attributed to numerous factors, such as other more pressing business priorities, reluctance to intervene in the personal health choices of employees, or insufficient funds for employee health. Many decision makers also remain skeptical about whether investment in comprehensive programs will produce a financial return on investment (ROI). Most peer-reviewed studies assessing the financial impact of PHM were published before 2000 and include a broad array of program and study designs. Many of these studies have also included indirect productivity savings in their assessment of financial outcomes. In contrast, this review includes only peer-reviewed studies of the direct health care cost impact of comprehensive PHM programs that meet rigorous methodological criteria. A systematic search of health sciences databases identified only 5 studies with program designs and study methods meeting these selection criteria published after 2007. This focused review found that comprehensive PHM programs can yield a positive ROI based on their impact on direct health care costs, but the level of ROI achieved was lower than that reported by literature reviews with less focused and restrictive qualifying criteria. To yield substantial short-term health care cost savings, the longer term financial return that can credibly be associated with a comprehensive, prevention-oriented population health program must be augmented by other financial impact strategies.

  6. The Cardiovascular Health Impact of an Incentive Worksite Health Promotion Program.

    ERIC Educational Resources Information Center

    Pescatello, Linda S.; Murphy, Donna; Vollono, Jeannine; Lynch, Elizabeth; Bernene, James; Costanzo, Dino

    2001-01-01

    Examined the cardiovascular health profiles of hospital employees participating in an incentive screening program for 4 years. The program involved cardiovascular screenings, results counseling, and encouragement to participate in education and behavioral support programs. Cardiovascular health improvements related to long-term program…

  7. 76 FR 67743 - Medicare, Medicaid, and Children's Health Insurance Programs; Provider Enrollment Application Fee...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-02

    ... Medicare or Medicaid programs or Children's Health Insurance Program (CHIP); revalidating their Medicare... Health Insurance Programs; Additional Screening Requirements, Application Fees, Temporary Enrollment..., Medicaid, and Children's Health Insurance Program (CHIP) provider enrollment processes. Specifically,...

  8. Exploring the biomedical and health informatics educational programs in europe.

    PubMed

    Manifava, Eirini; Kolokathi, Aikaterini; Mantas, John

    2014-01-01

    The Health Information Technology can improve public health, quality of health care etc. Thus, it is important for professionals to be well educated by training programs. The aim of this paper is to record all the educational programs with specializations in Health Informatics, Medical Informatics, Bioinformatics, Biomedical Informatics and Biomedical Engineering in European Universities and Institutions. An on-line research was conducted on Scopus, PubMed, Scholar Google, and Google. More than 150 universities and colleges in Europe conduct educational programs for these domains. The majority them, expertise in Biomedical Engineering (31%), 22% of the educational programs correspond to Bioinformatics, while Health Informatics studies have 18%. On the last few years, a growth of Health informatics professionals has been observed in Europe.

  9. AAHD's Health Promotion and Wellness, Part 2: Health Promotion Programs

    ERIC Educational Resources Information Center

    Exceptional Parent, 2011

    2011-01-01

    This article is part 2 of a 4-part series on "Health Promotion and Wellness" from the American Association on Health and Disability (AAHD). According to the U.S. Census Bureau, more than 54 million people--one in five Americans--have a disability, and these Americans are more likely to report: (1) Being in poorer overall health; (2) Having less…

  10. Consideration of an applied model of public health program infrastructure.

    PubMed

    Lavinghouze, René; Snyder, Kimberly; Rieker, Patricia; Ottoson, Judith

    2013-01-01

    Systemic infrastructure is key to public health achievements. Individual public health program infrastructure feeds into this larger system. Although program infrastructure is rarely defined, it needs to be operationalized for effective implementation and evaluation. The Ecological Model of Infrastructure (EMI) is one approach to defining program infrastructure. The EMI consists of 5 core (Leadership, Partnerships, State Plans, Engaged Data, and Managed Resources) and 2 supporting (Strategic Understanding and Tactical Action) elements that are enveloped in a program's context. We conducted a literature search across public health programs to determine support for the EMI. Four of the core elements were consistently addressed, and the other EMI elements were intermittently addressed. The EMI provides an initial and partial model for understanding program infrastructure, but additional work is needed to identify evidence-based indicators of infrastructure elements that can be used to measure success and link infrastructure to public health outcomes, capacity, and sustainability.

  11. National environmental public health tracking program: bridging the information gap.

    PubMed

    McGeehin, Michael A; Qualters, Judith R; Niskar, Amanda Sue

    2004-10-01

    In January 2001 the Pew Environmental Health Commission called for the creation of a coordinated public health system to prevent disease in the United States by tracking and combating environmental health threats. In response, the Centers for Disease Control and Prevention initiated the Environmental Public Health Tracking (EPHT) Program to integrate three distinct components of hazard monitoring and exposure and health effects surveillance into a cohesive tracking network. Uniform and acceptable data standards, easily understood case definitions, and improved communication between health and environmental agencies are just a few of the challenges that must be addressed for this network to be effective. The nascent EPHT program is attempting to respond to these challenges by drawing on a wide range of expertise from federal agencies, state health and environmental agencies, nongovernmental organizations, and the program's academic Centers of Excellence. In this mini-monograph, we present innovative strategies and methods that are being applied to the broad scope of important and complex environmental public health problems by developing EPHT programs. The data resulting from this program can be used to identify areas and populations most likely to be affected by environmental contamination and to provide important information on the health and environmental status of communities. EPHT will develop valuable data on possible associations between the environment and the risk of noninfectious health effects. These data can be used to reduce the burden of adverse health effects on the American public.

  12. Medical Team Training Programs in Health Care

    DTIC Science & Technology

    2005-01-01

    breathing, pulse , heart and lung sounds, exhaled CO2, thumb twitches (to assess muscle recovery after administration of paralyzing drugs), and other...in organizations: needs assessment, development, and evaluation. Pacific Grove, CA: Books/Cole; 1993. 33. Kohn LT, Corrigan JM, Donaldson MS

  13. Two-Generation Programs and Health

    ERIC Educational Resources Information Center

    Glied, Sherry; Oellerich, Don

    2014-01-01

    Parents' health and children's health are closely intertwined--healthier parents have healthier children, and vice versa. Genetics accounts for some of this relationship, but much of it can be traced to environment and behavior, and the environmental and behavioral risk factors for poor health disproportionately affect families living in…

  14. The evolution of health programming on cable television.

    PubMed

    Banks, M J; Banks, M E

    1988-01-01

    Health-oriented television programming occurred only on a sporadic basis until 1982, when a health information project was embodied in the formation of the Cable Health Network (CHN), a 24-hour, advertiser-supported, satellite-delivered cable network. As the network began, however, it ran into difficulties. A series of events led to a metamorphosis, including a merger of CHN with ABC/Hearst's network Daytime into the Lifetime network. A gradual but substantial replacement of health programming with more general entertainment fare took place. The network has enjoyed greater financial success in recent times, but success has come considerably at the expense of the health component, even though health promotion remains an important part of the programming. The study supports the suggestion by some researchers that the impact of mass media health promotion should be studied in the context of lifestyle and audience usage, rather than strictly as a linear message-audience-effect model.

  15. Federal Program Encourages Health Service Innovations on Developmental Disabilities

    ERIC Educational Resources Information Center

    Nix, Mary P.

    2009-01-01

    There is always room for improvement in the delivery of health services. This article discusses the U.S. Agency for Healthcare Research and Quality's (AHRQ) Health Care Innovations Exchange (www.innovations.ahrq.gov), a comprehensive program that aims to increase awareness of innovative strategies to meet health service delivery challenges and…

  16. It's Your Choice: A Program for Cardiovascular Health. Teaching Handbook.

    ERIC Educational Resources Information Center

    Hazlett, Shirley Holder

    This publication is designed to help high school students develop a lifestyle that promotes cardiovascular and overall health; activities are intended to promote total health and wellness. The handbook is composed of a curriculum guide and classroom materials, and is designed to fit into a comprehensive health education program. Multidisciplinary…

  17. Developing Interdisciplinary Education in Allied Health Programs. Issues and Decisions.

    ERIC Educational Resources Information Center

    Connelly, Tom, Jr.; Clark, Dan

    By definition allied health education operates in a dynamic environment influenced by the diciplines it represents, the educational system in which it resides, and the complexities of the health care delivery system which it serves. Well-designed and implemented interdisciplinary programs would assist allied health administrators in answering the…

  18. 75 FR 54804 - Safety and Health Management Programs for Mines

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-09

    ..., Occupational Health and Safety Management Systems; The International Standards Organization's (ISO's) ISO 9001:2008 (E), Quality management systems--Requirements; and The British Standards Institution's (BSI's) BS... Safety and Health Administration 30 CFR Chapter I RIN 1219-AB71 Safety and Health Management Programs...

  19. Leading by Example: Health Promotion Programs for School Staff

    ERIC Educational Resources Information Center

    Herbert, Patrick C.; Lohrmann, David K.

    2011-01-01

    Health promotion programs for school staff are an overlooked and underused resource that can reduce overweight and obesity among teachers and other staff members. They can also reduce staff absenteeism, increase productivity, reduce costs associated with health care and disability, and foster a climate that promotes good health schoolwide. An…

  20. Program Models for Mental Health Treatment of Refugees.

    ERIC Educational Resources Information Center

    Jaranson, James M.; Bamford, Pauline

    This paper presents the approach used by the Technical Assistance Center (TAC) of the University of Minnesota's Refugee Assistance Program in Mental Health for identifying successful and culturally sensitive mental health service delivery models. It divides these into four categories: the psychiatric model; the community mental health model; the…

  1. Immunization Services for Adolescents within Comprehensive School Health Programs.

    ERIC Educational Resources Information Center

    Vernon, Mary E.; Bryan, Gloria; Hunt, Pete; Allensworth, Diane; Bradley, Beverly

    1997-01-01

    Discusses school health services, adolescent immunization, current school immunization practices, and support for school-based immunization programs. Children and adolescents can receive preventive health services, including immunizations and monitoring of immunization levels. Expanding school health services could improve the immunization levels…

  2. Personal Benefits of a Health Evaluation and Enhancement Program

    NASA Technical Reports Server (NTRS)

    Heinzelmann, F.; Durbeck, D. C.

    1970-01-01

    A study was made of the benefits reported by participants in a health evaluation and enhancement program dealing with physical activity. Program benefits were identified and defined in regard to three major areas: program effects on work; program effects on health; and program effects on habits and behavior. A strong positive and consistent relationship was found between reported benefits in each of these areas and measures of improvement in cardiovascular functioning based on treadmill performance. Significant differences in these measures of improvement were also found between participants who reported program benefits and those persons who did not. These findings provide a meaningful profile of the pattern of benefits generated by this kind of health program.

  3. Health and Physical Education Programs in the National Diffusion Network.

    ERIC Educational Resources Information Center

    Caliguro, Joseph F.

    This catalog contains descriptions of the Health and Physical Education programs in the National Diffusion Network. These programs are available to school systems or other educational institutions for implementation in their classrooms. While all of the programs have been validated as effective by the U.S. Department of Education's Program…

  4. Fluoride Programs in the School Setting: Preventive Dental Health.

    ERIC Educational Resources Information Center

    Rebich, Theodore, Jr.; And Others

    1982-01-01

    Two types of school-based programs that increase students' use of fluoride for preventive dental health are described. In fluoride mouthrinse programs, teachers give their students a fluoride solution once a week in a paper cup. In areas where the level of fluoride in the water supply is insufficient, the flouride tablet program is used. (JN)

  5. Medical Exploring: A Program for Early Exposure to Health Careers

    ERIC Educational Resources Information Center

    Wachtel, Thomas; And Others

    1976-01-01

    "Medical Exploring," a program for young men and women interested in health careers, is the largest and one of the fastest growing of the career special interest programs of the Boy Scouts of America's Exploring Division. History, organization, and program of the group are described and discussed. (JT)

  6. Project 4-Health Develops Program to Curb Youth Tobacco Use.

    ERIC Educational Resources Information Center

    Braverman, Marc T.; And Others

    1994-01-01

    Describes the development of Project 4-Health, a California program that recruits and trains teenagers to deliver a tobacco education program to children ages 9-12. The program was based on studies involving the social context of tobacco use, a survey of 4-H members, and randomized field trials of the prevention curriculum. (LP)

  7. The Molecular Neurobiology of Twelve Steps Program & Fellowship: Connecting the Dots for Recovery

    PubMed Central

    Blum, Kenneth; Thompson, Benjamin; Demotrovics, Zsolt; Femino, John; Giordano, John; Oscar-Berman, Marlene; Teitelbaum, Scott; Smith, David E.; Roy, A. Kennison; Agan, Gozde; Fratantonio, James; Badgaiyan, Rajendra D.; Gold, Mark S.

    2015-01-01

    There are some who suggest that alcoholism and drug abuse are not diseases at all and that they are not consequences of a brain disorder as espoused recently by the American Society of Addiction Medicine (ASAM). Some would argue that addicts can quit on their own and moderate their alcohol and drug intake. When they present to a treatment program or enter the 12 Step Program & Fellowship, many addicts finally achieve complete abstinence. However, when controlled drinking fails, there may be successful alternatives that fit particular groups of individuals. In this expert opinion, we attempt to identify personal differences in recovery, by clarifying the molecular neurobiological basis of each step of the 12 Step Program. We explore the impact that the molecular neurobiological basis of the 12 steps can have on Reward Deficiency Syndrome (RDS) despite addiction risk gene polymorphisms. This exploration has already been accomplished in part by Blum and others in a 2013 Springer Neuroscience Brief. The purpose of this expert opinion is to briefly, outline the molecular neurobiological and genetic links, especially as they relate to the role of epigenetic changes that are possible in individuals who regularly attend AA meetings. It begs the question as to whether “12 steps programs and fellowship” does induce neuroplasticity and continued dopamine D2 receptor proliferation despite carrying hypodopaminergic type polymorphisms such as DRD2 A1 allele. “Like-minded” doctors of ASAM are cognizant that patients in treatment without the “psycho-social-spiritual trio,” may not be obtaining the important benefits afforded by adopting 12-step doctrines. Are we better off with coupling medical assisted treatment (MAT) that favors combining dopamine agonist modalities (DAM) as possible histone-deacetylase activators with the 12 steps followed by a program that embraces either one or the other? While there are many unanswered questions, at least we have reached a time

  8. Wide Area Recovery and Resiliency Program (WARRP) Interim Clearance Strategy for Environments Contaminated with Bacillus anthracis

    DTIC Science & Technology

    2012-07-01

    Interim Clearance Strategy for Environments Contaminated with Bacillus anthracis July 2012...WARRP) Interim Clearance Strategy for Environments Contaminated with Bacillus anthracis 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT...contains color images. 14. ABSTRACT If a Bacillus anthracis incident occurs in the United States or within its territories, the public health and

  9. Coordinated school health program and dietetics professionals: partners in promoting healthful eating.

    PubMed

    Gross, Sandra M; Cinelli, Bethann

    2004-05-01

    Although research indicates that school meal programs contribute to improved academic performance and healthier eating behaviors for students who participate, fewer than 60% of students choose the National School Lunch Program or School Breakfast Program. School meal programs have a difficult time competing with foods that are marketed to young people through sophisticated advertising campaigns. Youth's preferences for fast foods, soft drinks, and salty snacks; mixed messages sent by school personnel; school food preparation and serving space limitations; inadequate meal periods; and lack of education standards for school foodservice directors challenge school meal programs as well. A coordinated school health program offers a framework for meeting these challenges and provides children and adolescents with the knowledge and skills necessary for healthful eating. This article identifies challenges facing school foodservice directors in delivering healthful meals and acquaints dietetics professionals with the coordinated school health program to be used as a tool for addressing unhealthful weight gain and promoting healthful eating.

  10. Health Services Research and Development: the Veterans Administration Program.

    PubMed Central

    Goldschmidt, P G

    1986-01-01

    Health expenditures are rising inexorably; health status shows relatively little gain; technological possibilities are outstripping our ability or willingness to provide a commensurate level of resources. Clinical and administrative managers face increasingly difficult choices among alternative interventions in attempting to resolve these problems. If health services research is to succeed as a tool for assisting these decisions, clinicians, administrators, and researchers must view it as an integral part of management. This paper describes this concept of health services research and its implementation by the VA HSR&D Service, results from 1981 to date, and future directions. Four programs implement the Service's system to make relevant, valid information accessible to VA staff who can use it to improve veterans' health care: Investigator-Initiated Research (IIR) Program; HSR&D Field Program, which implements the Service's mission in various local areas VA-wide; Special Projects Program, responsive to system-wide issues, including technology assessment and transfer; and Resources Program, the Service's own management system. The Service's impact on improving veterans health care is already apparent. However, the true value of the HSR&D system will become apparent only in the 1990s, after the capacity for conducting health services research has been built and integrated fully with clinical and administrative practice. The VA, the nation's largest health care system, has a unique opportunity to demonstrate how health services research can improve health care. PMID:3081467

  11. Sexual Health Education in Massage Therapy Programs: A Survey of Program Directors

    ERIC Educational Resources Information Center

    Zamboni, Brian D.; Healey, Dale K.

    2016-01-01

    Massage therapy program directors completed an online survey to explore sexual education in massage therapy programs. The overall data suggest that program directors are supportive of sexual health education in the training of massage therapists and that such education is integrated into several aspects of their training programs. To enhance…

  12. 77 FR 31362 - Medicare and Medicaid Programs; Application From the Community Health Accreditation Program for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-25

    ... program, the scope of covered services, and the conditions for Medicare payment for hospice care... the Community Health Accreditation Program for Continued Approval of Its Hospice Accreditation Program... Accreditation Program (CHAP) for continued recognition as a national accrediting organization for hospices...

  13. Measuring Success in Health Care Value-Based Purchasing Programs

    PubMed Central

    Damberg, Cheryl L.; Sorbero, Melony E.; Lovejoy, Susan L.; Martsolf, Grant R.; Raaen, Laura; Mandel, Daniel

    2014-01-01

    Abstract Value-based purchasing (VBP) refers to a broad set of performance-based payment strategies that link financial incentives to health care providers' performance on a set of defined measures in an effort to achieve better value. The U.S. Department of Health and Human Services is advancing the implementation of VBP across an array of health care settings in the Medicare program in response to requirements in the 2010 Patient Protection and Affordable Care Act, and policymakers are grappling with many decisions about how best to design and implement VBP programs so that they are successful in achieving stated goals. This article summarizes the current state of knowledge about VBP based on a review of the published literature, a review of publicly available documentation from VBP programs, and discussions with an expert panel composed of VBP program sponsors, health care providers and health systems, and academic researchers with VBP evaluation expertise. Three types of VBP models were the focus of the review: (1) pay-for-performance programs, (2) accountable care organizations, and (3) bundled payment programs. The authors report on VBP program goals and what constitutes success; the evidence on the impact of these programs; factors that characterize high– and low–performing providers in VBP programs; the measures, incentive structures, and benchmarks used by VBP programs; evidence on spillover effects and unintended consequences; and gaps in the knowledge base. PMID:28083347

  14. Effectiveness of a multidisciplinary care program on recovery and return to work of patients after gynaecological surgery; design of a randomized controlled trial

    PubMed Central

    2012-01-01

    Background Return to work after gynaecological surgery takes much longer than expected, irrespective of the level of invasiveness. In order to empower patients in recovery and return to work, a multidisciplinary care program consisting of an e-health intervention and integrated care management including participatory workplace intervention was developed. Methods/Design We designed a randomized controlled trial to assess the effect of the multidisciplinary care program on full sustainable return to work in patients after gynaecological surgery, compared to usual clinical care. Two hundred twelve women (18-65 years old) undergoing hysterectomy and/or laparoscopic adnexal surgery on benign indication in one of the 7 participating (university) hospitals in the Netherlands are expected to take part in this study at baseline. The primary outcome measure is sick leave duration until full sustainable return to work and is measured by a monthly calendar of sickness absence during 26 weeks after surgery. Secondary outcome measures are the effect of the care program on general recovery, quality of life, pain intensity and complications, and are assessed using questionnaires at baseline, 2, 6, 12 and 26 weeks after surgery. Discussion The discrepancy between expected physical recovery and actual return to work after gynaecological surgery contributes to the relevance of this study. There is strong evidence that long periods of sick leave can result in work disability, poorer general health and increased risk of mental health problems. We expect that this multidisciplinary care program will improve peri-operative care, contribute to a faster return to work of patients after gynaecological surgery and, as a consequence, will reduce societal costs considerably. Trial registration Netherlands Trial Register (NTR): NTR2087 PMID:22296950

  15. A Qualitative Analysis of African American Female High School Graduates' Perceptions of Participating in an Asynchronous Credit Recovery Program

    ERIC Educational Resources Information Center

    Waters, Eric L.

    2010-01-01

    Asynchronous online credit recovery programs have been implemented in public schools across the United States for a variety of reasons. In this case, African American female students who are deficient in course credits towards high school graduation have taken advantage of this relatively new e-programming mechanism as a means to capture course…

  16. 20 CFR 404.545 - When will we begin cross-program recovery from current monthly benefits?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... overpayment balance from your title VIII or title XVI current monthly benefits or payments by cross-program... that 30-day period you pay us the full overpayment balance stated in the notice, we will not begin... still owe us this overpayment balance, we will not begin cross-program recovery from your...

  17. Effects of a therapeutic camping program on addiction recovery. The Algonquin Haymarket Relapse Prevention Program.

    PubMed

    Bennett, L W; Cardone, S; Jarczyk, J

    1998-01-01

    A group of 13 men and women in substance abuse treatment participated in a 3-day residential program experience based on integrated principles from adventure therapy, therapeutic camping, and relapse prevention. The experimental group is compared to a group of 18 men and women who received the usual and customary relapse prevention program. Both groups completed pre- and postintervention questionnaires. There were no differences in drinking-related locus of control, stress, or problem-solving between groups at postinterview, but there were significant improvements in autonomic arousal, frequency of negative thoughts, and alcohol craving. Participants in both groups were interviewed 10 months after the 3-day intervention. Considering individuals who were unreachable as relapsed, the 10-month follow-up relapse rate was 31% for the experimental group and 58% for the comparison group. These results add to the limited body of research supporting outdoor adventure and therapeutic camping experiences integrated with traditional relapse prevention activities as an adjunct to substance abuse treatment.

  18. Nondiscrimination in Health Programs and Activities. Final rule.

    PubMed

    2016-05-18

    This final rule implements Section 1557 of the Affordable Care Act (ACA) (Section 1557). Section 1557 prohibits discrimination on the basis of race, color, national origin, sex, age, or disability in certain health programs and activities. The final rule clarifies and codifies existing nondiscrimination requirements and sets forth new standards to implement Section 1557, particularly with respect to the prohibition of discrimination on the basis of sex in health programs other than those provided by educational institutions and the prohibition of various forms of discrimination in health programs administered by the Department of Health and Human Services (HHS or the Department) and entities established under Title I of the ACA. In addition, the Secretary is authorized to prescribe the Department's governance, conduct, and performance of its business, including, here, how HHS will apply the standards of Section 1557 to HHS-administered health programs and activities.

  19. Global Health Education in Doctor of Pharmacy Programs.

    PubMed

    Bailey, Lydia C; DiPietro Mager, Natalie A

    2016-05-25

    The objective of this Review is to characterize content related to global health in didactic and experiential curricula of doctor of pharmacy (PharmD) programs in the United States. The review was completed through a systematic website search of 133 US PharmD programs accredited or currently in the process of obtaining accreditation to identify global health dual degrees, minors/concentrations, required and elective courses, and experiential opportunities. Programs' course catalogs were referenced as needed to find more specific course listings/descriptions. More than 50 programs offered an elective course related to global health; eight had a required course; eight offered a minor or certification for global health; three offered dual degrees in pharmacy and global health. Fourteen institutions had a center for global health studies on campus. More than 50 programs offered experiential education opportunities in global health including international advanced pharmacy practice experiences or medical mission trips. Inclusion of and focus on global health-related topics in US PharmD programs was widely varied.

  20. Health system approach” for improving immunization program performance

    PubMed Central

    Lahariya, Chandrakant

    2015-01-01

    Immunization programs are one of the most well-recognized and successful public health programs across the world. The immunization programs have achieved significant successes in a number of countries; however, the coverage with available vaccines remains sub-optimal in many low- and middle-income countries (LMICs). This article, based upon extensive review of literature and using universal immunization program (UIP) in India as a case study, summarizes the latest developments and initiatives in the area of vaccination and immunization in the last few years. The article analyzes initiatives under UIP in India from the “health system approach” and argues that it is possible to increase coverage with available vaccines and overall program performance by focused attention on various functions of health systems. It also discusses the emerging evidence that health systems could be strengthened prior to the introduction of new interventions (vaccines included) and the introduction of new interventions (including vaccines) could be planned in a way to strengthen the health systems. It concludes that immunization programs could be one of the entry points for strengthening health systems in the countries and lessons from vaccine introduction could pave pathway for scaling up other health interventions and therefore, could contribute to advancing Universal Health Coverage (UHC). PMID:26985404

  1. A Case Study in Interagency Collaboration: Colorado Migrant Health Program--Colorado Migrant Education Program. Final Report Migrant Education Health Program, 1987.

    ERIC Educational Resources Information Center

    Colorado State Dept. of Health, Denver.

    This report of Colorado's 1987 Migrant Education Health Program details activities under the program, a cooperative undertaking by the state Health and Education departments. The report was written to provide: (1) assurance that the program's services have been within the scope and financial estimates of the interagency agreement; (2) a body of…

  2. Building health systems capacity in global health graduate programs: reflections from Australian educators.

    PubMed

    Negin, Joel; Martiniuk, Alexandra; Morgan, Chris; Davies, Philip; Zwi, Anthony

    2012-08-24

    There has been increasing focus on the role of health systems in low and middle-income countries. Despite this, very little evidence exists on how best to build health systems program and research capacity in educational programs. The current experiences in building capacity in health systems in five of the most prominent global health programs at Australian universities are outlined. The strengths and weaknesses of various approaches and techniques are provided along with examples of global practice in order to provide a foundation for future discussion and thus improvements in global health systems education.

  3. Sustaining health promotion programs within sport and recreation organisations.

    PubMed

    Casey, Meghan M; Payne, Warren R; Eime, Rochelle M; Brown, Sue J

    2009-01-01

    The involvement of the sport and recreation sector as a setting for health promotion is a new strategy implemented by health policy makers and strategic planners. Strategies to promote and sustain health promotion activities are important considering the risk that programs may cease after initial funding ends. This study explored the factors affecting the sustainability of a sport- and recreation-based health promotion program. A stratified sampling method was used to select four of the nine Regional Sports Assemblies (RSAs) that delivered a state-wide health promotion program funded by the Victorian Health Promotion Foundation in Australia. Data were collected from in-depth interviews with four Executive Officers (EOs) and focus group discussions with their Boards of Management. A sustainability checklist with pre-specified dimensions (e.g. organisational setting, broader community environment, and program design and implementation) guided data collection and analysis. The results showed that the organisational setting and the broader community environment supported program institutionalisation; whilst the design and implementation of the program worked against institutionalisation. The capacity of the organisations to generate new funds for the program was limited; the relationship between the central funding organisation and the Boards of Management was weak; and the program did not support the retention of staff. The engagement of sport and recreation organisations has potential to facilitate health promotion and public health. To enhance organisational capacity and achieve program sustainability, it is important that organisational processes, structures, and resources that support long-term health promotion practice are effectively and efficiently planned and managed.

  4. Orientation to Multicultural Health Care in Migrant Health Programs.

    ERIC Educational Resources Information Center

    Trotter, Robert T., II

    This guide furnishes health care providers serving migrant and seasonal farmworkers with information to cope with the complexities of health care delivery in a multiethnic, multicultural environment. Section I provides an introduction to basic cultural concepts that influence the outcome of interactions between providers and their migrant…

  5. mHealth resources to strengthen health programs.

    PubMed

    L'Engle, Kelly; Raney, Laura; D'Adamo, Margaret

    2014-02-01

    A suite of resources provides implementation guidance for mHealth initiatives, particularly in less developed countries. The suite includes an eLearning course, online guide, evidence database, and a High-Impact Practices brief, along with the mHealth Working Group and website.

  6. Academic outreach: health careers enhancement program for minorities.

    PubMed Central

    Phillips, J. L.; Wile, M. Z.

    1990-01-01

    This article describes the 6-week Health Careers Enhancement Program for Minorities inaugurated in the summer of 1988 at Case Western Reserve University School of Medicine. The program was developed for minority and economically disadvantaged college undergraduates and postbaccalaureate premedical students. Its major objectives were to stimulate and maintain the interest of minority students in health careers and prepare these students for entry into health professions and for successful completion of these programs. A unique aspect of the program was academic outreach. Case Western Reserve University minority alumni and community minority physicians participated as clinical role models, mentors, and teachers; community and state minority leaders served as inspirational speakers and role models. The program was designed not only to incorporate cognitive and skill development activities, but to also include features distinctive to the Case Western Reserve University curriculum, specifically, organ system teaching, preceptor groups, medical apprenticeship program, and student tutors. PMID:2280430

  7. Reality of working in a community-based, recovery-oriented mental health rehabilitation unit: A pragmatic grounded theory analysis.

    PubMed

    Parker, Stephen; Dark, Frances; Newman, Ellie; Korman, Nicole; Rasmussen, Zoe; Meurk, Carla

    2016-09-03

    In the present study, we explored the experiences of staff working at a recovery-oriented, community-based residential mental health rehabilitation unit in Brisbane, Australia, called a 'community care unit' (CCU). A pragmatic approach to grounded theory was taken in the analysis of the transcripts of semistructured interviews with eight staff. Convenience sampling was used, and there was representation of junior and senior staff across nursing, allied health, and non-clinical support roles. Four key themes emerged from the analysis: (i) rehabilitation is different to treatment; (ii) the CCU is a positive transitional space; (iii) they (consumers) have to be ready to engage; and (iv) recovery is central to rehabilitation practice. Staff understandings of recovery in rehabilitation work were complex and included consideration of both personal and clinical recovery concepts. Rehabilitation readiness was considered important to the ability to deliver recovery-oriented care; however, the shared role of staff in maintaining engagement was acknowledged. Threats to recovery-oriented rehabilitation practice included staff burnout and external pressure to accept consumers who are not ready. The reality of working at a community-based recovery-oriented rehabilitation unit is complex. Active vigilance is needed to maintain a focus on recovery and rehabilitation. Leadership needs to focus on reducing burnout and in adapting these services to emergent needs.

  8. Recovery in Serious Mental Illnesses: Trajectories, Characteristics and the Role of Mental Health Care in the STARS Study

    PubMed Central

    Green, Carla A.; Perrin, Nancy A.; Leo, Michael C.; Janoff, Shannon L.; Yarborough, Bobbi Jo H.; Paulson, Robert I.

    2015-01-01

    Objective The objective was to identify trajectories of recovery from serious mental illnesses. Methods 177 members (92 women, 85 men) of a not-for-profit integrated health plan participated in a 2-year mixed methods study of recovery. Diagnoses included: schizophrenia, schizoaffective disorder, bipolar disorder, or affective psychosis. Data sources included: self-reported standardized measures, interviewer-ratings, qualitative interviews, and health plan data. Recovery was conceptualized as a latent construct, factor analyses computed and factor scores saved to calculate trajectories. Cluster analyses were used to identify individuals with similar trajectories. Results Four trajectories were identified—two stable (high and low) and two fluctuating (higher and lower). Few demographic or diagnostic factors differentiated clusters at baseline. Discriminant analyses for trajectories found differences in mental health symptoms, physical health, satisfaction with mental heath clinicians, resources and strains, satisfaction with medications, and service use. Those with higher scores on recovery factors had fewer mental heath symptoms, better physical health, greater satisfaction with mental health clinicians, fewer strains/greater resources, less service use, better quality care, and greater medication satisfaction. Consistent predictors of trajectories included: mental health symptoms, physical health, resources and strains, and use of psychiatric medications. Conclusions Having access to good quality mental health care—defined as including satisfying relationships with clinicians, responsiveness to needs, satisfaction with psychiatric medications, services at levels that are needed, support that can help manage deficits in resources and strains, and care for medical conditions—may facilitate recovery. Providing such care may alter recovery trajectories. PMID:23999823

  9. NASA Human Research Program: Behavioral Health and Performance Program Element

    NASA Technical Reports Server (NTRS)

    Leveton, Lauren B.

    2009-01-01

    This viewgraph presentation reviews the performance errors associated with sleep loss, fatigue and psychomotor factors during manned space flight. Short and long term behavioral health factors are also addressed

  10. Safety Guide for Health Occupations Programs.

    ERIC Educational Resources Information Center

    Illinois State Board of Vocational Education and Rehabilitation, Springfield. Div. of Vocational and Technical Education.

    The handbook is intended to be utilized by health occupations teachers as supplementary instructional materials for a unit on safety. The document contains general safety rules applicable to hospitals and other health care institutions. Outlined are general rules for fire safety and office and clerical safety and more specific rules for the…

  11. Migrant Health Program [Texas]. Annual Report 1970.

    ERIC Educational Resources Information Center

    Texas State Dept. of Health Resources, Austin.

    The major portion of this annual report is divided into 4 chapters: (1) Migrant Health: Background and Objectives; (2) The Migrancy Situation; (3) State Report and Regional Reports; and (4) A Look to the Future. Projects and activities of the central office and of the 3 regions discussed relate to such topics as health, education, employment,…

  12. Adaptive management of large aquatic ecosystem recovery programs in the United States.

    PubMed

    Thom, Ronald; St Clair, Tom; Burns, Rebecca; Anderson, Michael

    2016-12-01

    Adaptive management (AM) is being employed in a number of programs in the United States to guide actions to restore aquatic ecosystems because these programs are both expensive and are faced with significant uncertainties. Many of these uncertainties are associated with prioritizing when, where, and what kind of actions are needed to meet the objectives of enhancing ecosystem services and recovering threatened and endangered species. We interviewed nine large-scale aquatic ecosystem restoration programs across the United States to document the lessons learned from implementing AM. In addition, we recorded information on ecological drivers (e.g., endangered fish species) for the program, and inferred how these drivers reflected more generic ecosystem services. Ecosystem services (e.g., genetic diversity, cultural heritage), albeit not explicit drivers, were either important to the recovery or enhancement of the drivers, or were additional benefits associated with actions to recover or enhance the program drivers. Implementing programs using AM lessons learned has apparently helped achieve better results regarding enhancing ecosystem services and restoring target species populations. The interviews yielded several recommendations. The science and AM program must be integrated into how the overall restoration program operates in order to gain understanding and support, and effectively inform management decision-making. Governance and decision-making varied based on its particular circumstances. Open communication within and among agency and stakeholder groups and extensive vetting lead up to decisions. It was important to have an internal agency staff member to implement the AM plan, and a clear designation of roles and responsibilities, and long-term commitment of other involved parties. The most important management questions and information needs must be identified up front. It was imperative to clearly identify, link and continually reinforce the essential

  13. Peer coaching: building collegial support for using innovative health programs.

    PubMed

    Gingiss, P L

    1993-02-01

    To ensure students achieve intended benefits from effective health programs, it is necessary to maximize program implementation and maintenance. Peer coaching provides a post-inservice staff development approach for health educators to strengthen teacher use of new health programs during implementation trials. While peer coaching positively influences teacher behavior and student outcomes, previous coaching programs have been limited in scope, have not been theoretically derived or adequately evaluated, and have not been systematically applied to health programs. This paper addresses teacher needs during trials, reviews peer coaching program features, and proposes a model to guide future planning, evaluation, and research. In this model, critical components of the coaching program include classroom assessments, coaching team cluster meetings, and administrative support. Strategies based on Social Learning Theory and Diffusion Theory are incorporated into the peer coaching program to influence teacher perceptions of their work roles, capability to implement a program, and commitment to the new instructional program. Interrelations among components are discussed and directions for future research and practice are suggested.

  14. Comparing need between health occupation and health education schools: which students benefit most from the school health education program.

    PubMed

    Lam, Lisa; Lee, Rachel; Nip, Ivy

    2004-09-01

    Comparing need between Health Occupation and Health Education Schools: Which students benefit most from the School Health Education Program? First-year medical students taught general health topics at public high schools. Pre-test and post-tests were given for each presentation. Health Education students had lower pre-test scores but showed greater improvement. With greater need and fewer resources, Health Education students benefit most.

  15. The analytical control program for the NASA Space Station Freedom Environmental Control and Life Support System (ECLSS) Water Recovery Test

    NASA Technical Reports Server (NTRS)

    Tatara, James D.; Minton, Silvia

    1992-01-01

    NASA-Marshall has striven to maximize quality assurance and quality control measures in the course of Water Recovery Test (WRT) development for the Space Station Freedom ECLSS. The WRT was subjected to an independent analytical control program that is governed by the Analytical Control Test Plan and the Microbiological Methods for Water Recovery Testing Plan. Attention is given to analysis results for volatiles, sodium, and conductivity.

  16. Culture shock and a peace corps field mental health program.

    PubMed

    Arnold, C B

    1967-03-01

    The Peace Corps has developed a unique mental health guidance program to facilitate the selection and training of volunteers. It is pointed out, however, that there are some limitations in this overall program. The Peace Corps staff physician acts as the activator of preventive and curative psychiatric resources in the field. Culture shock provides the focal point for nearly all overseas adjustment problems. The author devised a field mental health program upon group therapy precepts in order to minimize the effects of adjustment dilemmas. A preliminary evaluation of this type of program with the Bolivian Peace Corps contingent indicates it is effective.

  17. Global Health Education in Doctor of Pharmacy Programs

    PubMed Central

    Bailey, Lydia C.

    2016-01-01

    The objective of this Review is to characterize content related to global health in didactic and experiential curricula of doctor of pharmacy (PharmD) programs in the United States. The review was completed through a systematic website search of 133 US PharmD programs accredited or currently in the process of obtaining accreditation to identify global health dual degrees, minors/concentrations, required and elective courses, and experiential opportunities. Programs’ course catalogs were referenced as needed to find more specific course listings/descriptions. More than 50 programs offered an elective course related to global health; eight had a required course; eight offered a minor or certification for global health; three offered dual degrees in pharmacy and global health. Fourteen institutions had a center for global health studies on campus. More than 50 programs offered experiential education opportunities in global health including international advanced pharmacy practice experiences or medical mission trips. Inclusion of and focus on global health-related topics in US PharmD programs was widely varied. PMID:27293238

  18. 77 FR 59931 - Single Source Program Expansion Supplement Award to Area Health Education Centers (AHEC) Program...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-01

    ... Guam School of Nursing. SUMMARY: The Health Resources and Services Administration (HRSA)'s Bureau of... University of Guam School of Nursing, an Area Health Education Center (AHEC) Program grantee, to coordinate the U.S. Affiliated Pacific Islands (USAPI) Nursing Program Capacity Strengthening and...

  19. A Study of Educational Opportunity Program (EOP) Students Within Health Science Career Preparation Programs.

    ERIC Educational Resources Information Center

    James, William H.; And Others

    Participation of minority students within health science career preparation programs is investigated in this study from the University of Washington. The history of minority admissions to medical and nursing schools throughout the country is reviewed. Health sciences programs for minorities at the university are discussed and the impact of the…

  20. Enhanced oil recovery and applied geoscience research program. [Quarterly] report, July 1--September 30, 1992

    SciTech Connect

    Thomas, C.P.

    1992-12-31

    The objectives of this research program are to develop microbial enhanced oil recovery (MEOR) systems for application to reservoirs containing medium to heavy oils and to evaluate reservoir wettability and its effects on oil recovery. The MEOR research goals include: (a) the development of bacterial cultures that are effective for oil displacement under a broad range of reservoir conditions; (b) improved understanding of the mechanisms by which microbial systems displace oil under reservoir conditions; (c) determination of the feasibility of combining microbial systems with or following conventional enhanced oil recovery (EOR) processes, such as miscible and immiscible gas flooding, polymer and chemical flooding, and thermal methods; (d) development of an MEOR field process design; and (e) implementation of an industry cost-shared field demonstration project. The goals of the reservoir wettability project are to develop: (a) a better methods for assessment of reservoir core wettability, (b) more certainty in relating laboratory core analysis procedures to fields conditions; (c) a better understanding of the effects of reservoir matrix properties and heterogeneity on wettability, and (d) improved ability to predict and influence EOR response through control of wettability in reservoirs. The focus of this report is a comparative analysis of potentially useful surfactants produced by Bacillus licheniformis and Bacillus subtilis growing on various sources of carbohydrates. Historically, molasses has been the feedstock of choice for the in situ production of biosurfactants. We propose utilizing alternative carbon substrates (i.e., processing wastes from the agricultural industry) as replacements for molasses. These wastes are currently disposed of at a cost and may be employed as viable feedstocks for the production of biosurfactants.

  1. Proposal for a state health technology assessment program.

    PubMed

    Colmenares, Phil

    2012-08-01

    Evidence suggests that a significant number of medical technologies are of little or no benefit to patients. Under current budgetary pressures, state health care programs cannot afford continued spending on unnecessary medical care without further cuts in enrollment. Limiting coverage of high-tech care only to indications supported by good clinical evidence would help save state health care dollars. However, there is currently no public process to formally evaluate new medical interventions in Wisconsin. In fact, new therapies often are introduced into clinical practice, and covered by state health insurance programs, even when there is weak or questionable evidence of clinical effectiveness. This article proposes the creation of a state Health Technology Assessment program in Wisconsin to systematically evaluate new tests or treatments, and to promote evidence-based coverage decisions. Such a program would help limit wasteful spending on unnecessary technologies, reinforce good clinical practice, and protect patients from the risks of interventions that have not been proven effective.

  2. SPS microwave health and ecological effects: Program area overview

    NASA Technical Reports Server (NTRS)

    Cahill, D. F.

    1980-01-01

    The potential microwave health and ecological effects due to the operations of the Satellite Power System are discussed. An outline of the research needed to insure public acceptance of the program is presented.

  3. Applied epidemiology: another tool in dairy herd health programs?

    PubMed

    Frankena, K; Noordhuizen, J P; Stassen, E N

    1994-01-01

    Data bases of herd health programs concern data from individual animals mainly. Several parameters that determine herd performance can be calculated from these programs, and by comparing actual values with standard values, areas for further improvement of health (and production) can be advised. However, such advice is usually not backed up by the proper statistical analyses. Moreover, data concerning the environment of the animals are not present and hence advice concerning multifactorial diseases are based on common knowledge and experience. Veterinary epidemiology offers methods that might improve the value of herd health programs by identification and quantification of factors and conditions contributing to multifactorial disease occurrence. Implementation of these methods within herd health programs will lead to more scientifically sound advice.

  4. A universal, high recovery assay for protein quantitation through temperature programmed liquid chromatography (TPLC).

    PubMed

    Orton, Dennis J; Doucette, Alan A

    2013-03-15

    As an alternative to direct UV absorbance measurements, estimation of total protein concentration is typically conducted through colorimetric reagent assays. However, for protein-limited applications, the proportion of the sample sacrificed to the assay becomes increasingly significant. This work demonstrates a method for quantitation of protein samples with high recovery. Temperature programmed liquid chromatography (TPLC) with absorbance detection at 214nm permits accurate estimation of total protein concentration from samples containing as little as 0.75μg. The method incorporates a temperature gradient from 25 to 80°C to facilitate elution of total protein into a single fraction. Analyte recovery, as measured from 1 and 10μg protein extracts of Escherichia coli, is shown to exceed 93%. Extinction coefficients at 214nm were calculated across the human proteome, providing a relative standard deviation of 21% (versus 42% at 280nm), suggesting absorbance values at 214nm provide a more consistent measure of protein concentration. These results translate to a universal protein detection strategy exhibiting a coefficient of variation below 10%. Together with the sensitivity and tolerance to contaminants, TPLC with UV detection is a favorable alternative to colorimetric assay for total protein quantitation, particularly in sample-limited applications.

  5. An Overview of a Peer Health Education Program at a Student Health Service.

    ERIC Educational Resources Information Center

    White, Sabina A.

    1994-01-01

    The article describes the Peer Health Education (PHE) programs of the University of California at Santa Barbara Student Health Service. The PHE programs involve training and placement components and focus on relationships, nutrition, eating disorders, stress and laughter, alcohol/drug responsibility, cold care, sexuality, leadership, blood…

  6. Rural Health: The Story of Outreach. A Program of Cooperation in Health Care.

    ERIC Educational Resources Information Center

    Health Resources and Services Administration (DHHS), Rockville, MD. Office of Rural Health Policy.

    Rural Health Outreach is a federal program of demonstration grants designed to encourage organizations to cooperate in delivering health care services to rural Americans. Thirteen programs utilizing innovative collaborations between state agencies, schools, nonprofit organizations, hospitals, volunteers, and the private sector are described a year…

  7. Counseling Health Psychology: Assessing Health Psychology Training within Counseling Psychology Doctoral Programs

    ERIC Educational Resources Information Center

    Raque-Bogdan, Trisha L.; Torrey, Carrie L.; Lewis, Brian L.; Borges, Nicole J.

    2013-01-01

    Training directors of American Psychological Association-approved counseling psychology doctoral programs completed a questionnaire assessing (a) student and faculty involvement in health-related research, practice, and teaching; (b) health-related research conducted by students and faculty; and (c) programs' expectations and ability to…

  8. Health Education Programs Developed in Suffolk Schools. A Survey of Locally Developed Health Education Materials.

    ERIC Educational Resources Information Center

    Keough, John J.; And Others

    This report is a summary of the results of a questionnaire survey of locally developed health education materials. This guide has been prepared to assist school districts in the planning and initiation or expansion of local health programs. It reports on the current status of locally developed programs in the county. Hopefully, this information…

  9. Sustainable Cost Models for mHealth at Scale: Modeling Program Data from m4RH Tanzania

    PubMed Central

    Mangone, Emily R.; Agarwal, Smisha; L’Engle, Kelly; Lasway, Christine; Zan, Trinity; van Beijma, Hajo; Orkis, Jennifer; Karam, Robert

    2016-01-01

    Background There is increasing evidence that mobile phone health interventions (“mHealth”) can improve health behaviors and outcomes and are critically important in low-resource, low-access settings. However, the majority of mHealth programs in developing countries fail to reach scale. One reason may be the challenge of developing financially sustainable programs. The goal of this paper is to explore strategies for mHealth program sustainability and develop cost-recovery models for program implementers using 2014 operational program data from Mobile for Reproductive Health (m4RH), a national text-message (SMS) based health communication service in Tanzania. Methods We delineated 2014 m4RH program costs and considered three strategies for cost-recovery for the m4RH program: user pay-for-service, SMS cost reduction, and strategic partnerships. These inputs were used to develop four different cost-recovery scenarios. The four scenarios leveraged strategic partnerships to reduce per-SMS program costs and create per-SMS program revenue and varied the structure for user financial contribution. Finally, we conducted break-even and uncertainty analyses to evaluate the costs and revenues of these models at the 2014 user volume (125,320) and at any possible break-even volume. Results In three of four scenarios, costs exceeded revenue by $94,596, $34,443, and $84,571 at the 2014 user volume. However, these costs represented large reductions (54%, 83%, and 58%, respectively) from the 2014 program cost of $203,475. Scenario four, in which the lowest per-SMS rate ($0.01 per SMS) was negotiated and users paid for all m4RH SMS sent or received, achieved a $5,660 profit at the 2014 user volume. A Monte Carlo uncertainty analysis demonstrated that break-even points were driven by user volume rather than variations in program costs. Conclusions These results reveal that breaking even was only probable when all SMS costs were transferred to users and the lowest per-SMS cost was

  10. Time course of recovery of health status following an infective exacerbation of chronic bronchitis

    PubMed Central

    Spencer, S; Jones, P

    2003-01-01

    Background: The magnitude and time course of effect of an acute exacerbation of chronic bronchitis (AECB) on health status are not known. Data from the GLOBE study, a randomised double blind trial of antibiotic therapy, were used to investigate these effects. Methods: 438 patients with AECB received either gemifloxacin 320 mg once daily for 5 days (214 patients) or clarithromycin 500 mg twice daily for 7 days (224 patients) and were followed up for 26 weeks. St George's Respiratory Questionnaire (SGRQ) scores were obtained at baseline and after 4, 12, and 26 weeks. Results: At presentation during an exacerbation SGRQ scores were worse (Total score difference 5.4 units, 95% CI 1.9 to 8.8, p=0.002) in patients who had a subsequent exacerbation during follow up. The greatest improvement in SGRQ score occurred within the first 4 weeks (mean 8.9 units, 95% CI 6.5 to 11.5, p<0.0001). Subsequently, scores improved more rapidly in patients with no further exacerbations. At 26 weeks the difference between the two groups was 9.6 units (95% CI 5.7 to 13.4, p<0.0001). In patients with no further exacerbations the SGRQ score improved between 4 and 12 weeks by a further 4.1 units (95% CI 2.2 to 5.9, p<0.0001). Conclusions: A single infective AECB has a sustained effect on health status. The recovery period is long even in patients who have no further exacerbations. A second episode within 6 months limits recovery markedly. Treatments that reduce exacerbation frequency could have a significant impact on health status. PMID:12832673

  11. Assessing an interdisciplinary health care model: the Governor's Wellmobile Program.

    PubMed

    Jani, Jayshree S; Tice, Carolyn; Wiseman, Rebecca

    2012-01-01

    This article assesses the applicability of Bronstein's (2003) generic model of interdisciplinary collaboration in the context of a newly created collaboration providing community-based health care services, the Governor's Wellmobile Program. An analysis of the program's quarterly reports and interviews with faculty and students involved in the collaboration offers an assessment of the model and implications for interdisciplinary social work practice in community health care delivery.

  12. Interdisciplinary Programs Focused Populations: The Case of Health Management Program

    ERIC Educational Resources Information Center

    Davidovitch, Nitza; Yavich, Roman

    2015-01-01

    The Ariel University has a unique interdisciplinary program in healthcare management that targets experienced healthcare professionals who wish to earn an academic degree. Only one academic study has been held so far on the integration of graduates of an academic university-level school in healthcare management in the field. In the current study,…

  13. Establishing a regulatory framework for a RCRA (Resource, Conservation, and Recovery Act) corrective action program

    SciTech Connect

    Krueger, J.W.

    1989-01-01

    Recently, the environmental community has become keenly aware of problems associated with integration of the demanding regulations that apply to environmental restoration activities. One can not attend an EPA-sponsored conference on Superfund without distracting questions concerning the Resource, Conservation, and Recovery Act (RCRA) and the applicability of the National Contingency Plan (NCP) to sites that do not qualify for the National Priorities List (NPL). In particular, the US Department of Energy (DOE) has been greatly criticized for its inability to define a comprehensive approach for cleaning up its hazardous waste sites. This article presents two decision flowcharts designed to resolve some of this confusion for DOE. The RCRA/CERCLA Integration Diagram can help the environmental manager determine which law applies and under what conditions, and the RCRA Corrective Action Decision Flowchart can guide the manager in determining which specific sections of RCRA apply to a RCRA-lead environmental restoration program. 13 refs.

  14. Monitoring programs to assess reintroduction efforts: A critical component in recovery

    USGS Publications Warehouse

    Muths, E.; Dreitz, V.

    2008-01-01

    Reintroduction is a powerful tool in our conservation toolbox. However, the necessary follow-up, i.e. long-term monitoring, is not commonplace and if instituted may lack rigor. We contend that valid monitoring is possible, even with sparse data. We present a means to monitor based on demographic data and a projection model using the Wyoming toad (Bufo baxten) as an example. Using an iterative process, existing data is built upon gradually such that demographic estimates and subsequent inferences increase in reliability. Reintroduction and defensible monitoring may become increasingly relevant as the outlook for amphibians, especially in tropical regions, continues to deteriorate and emergency collection, captive breeding, and reintroduction become necessary. Rigorous use of appropriate modeling and an adaptive approach can validate the use of reintroduction and substantially increase its value to recovery programs. ?? 2008 Museu de Cie??ncies Naturals.

  15. Assessment of environmental health and safety issues associated with the commercialization of unconventional gas recovery: Tight Western Sands

    SciTech Connect

    Riedel, E.F.; Cowan, C.E.; McLaughlin, T.J.

    1980-02-01

    Results of a study to identify and evaluate potential public health and safety problems and the potential environmental impacts from recovery of natural gas from Tight Western Sands are reported. A brief discussion of economic and technical constraints to development of this resource is also presented to place the environmental and safety issues in perspective. A description of the resource base, recovery techniques, and possible environmental effects associated with tight gas sands is presented.

  16. 76 FR 78741 - Medicare, Medicaid, Children's Health Insurance Programs; Transparency Reports and Reporting of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-19

    ... 42 CFR Parts 402 and 403 Medicare, Medicaid, Children's Health Insurance Programs; Transparency..., Children's Health Insurance Programs; Transparency Reports and Reporting of Physician Ownership or... medical supplies covered by Medicare, Medicaid or the Children's Health Insurance Program (CHIP) to...

  17. 77 FR 71423 - Medicare, Medicaid, and Children's Health Insurance Programs; Provider Enrollment Application Fee...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-30

    ... or Medicaid program or the Children's Health Insurance Program (CHIP); revalidating their Medicare... Health Insurance Programs; Additional Screening Requirements, Application Fees, Temporary Enrollment... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH...

  18. 76 FR 16422 - Medicare, Medicaid, and Children's Health Insurance Programs; Provider Enrollment Application Fee...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-23

    ... Health Insurance Programs; Provider Enrollment Application Fee Amount for 2011 AGENCY: Centers for... with comment period entitled: ``Medicare, Medicaid, and Children's Health Insurance Programs... Health Insurance Program (CHIP) provider enrollment processes. Specifically, and as stated in 42 CFR...

  19. 78 FR 72089 - Medicare, Medicaid, and Children's Health Insurance Programs; Provider Enrollment Application Fee...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-02

    ... or Medicaid program or the Children's Health Insurance Program (CHIP); revalidating their Medicare... Health Insurance Programs; Additional Screening Requirements, Application Fees, Temporary Enrollment... From the Federal Register Online via the Government Publishing Office ] DEPARTMENT OF HEALTH...

  20. Health Center Professional Programs and Primary Care Workforce

    PubMed Central

    Aysola, Jaya; Groves, DaShawn; Hicks, LeRoi S

    2016-01-01

    Background Current policy promotes health center professional training and pipeline programs as solutions to bolster primary care workforce in shortage areas, despite the paucity of evidence. Methods We analyzed data from US health centers we surveyed from March to June 2010, merged with federal health center data, to estimate associations between health center training and pipeline programs and provider recruitment and retention. Results Of the 976 surveyed, 391 health centers responded. Health centers with career ladder programs compared to those without had higher adjusted rates of no/minimal difficulty in recruitment of primary care providers. (17.6% vs. 10.6%; p=.01) and close to double the adjusted rates of reporting no/minimal difficulty in retention of primary care providers (39.4% vs. 21.2%; p=.0001). Discussion There remains a need for further evaluation of health professional programs in order to expand models, such as career ladder programs, that demonstrate effectiveness in improving the primary care workforce in shortage areas. PMID:27891532

  1. Smart Choice Health Insurance©: A New, Interdisciplinary Program to Enhance Health Insurance Literacy.

    PubMed

    Brown, Virginia; Russell, Mia; Ginter, Amanda; Braun, Bonnie; Little, Lynn; Pippidis, Maria; McCoy, Teresa

    2016-03-01

    Smart Choice Health Insurance© is a consumer education program based on the definition and emerging measurement of health insurance literacy and a review of literature and appropriate theoretical frameworks. An interdisciplinary team of financial and health educators was formed to develop and pilot the program, with the goal of reducing confusion and increasing confidence in the consumer's ability to make a smart health insurance decision. Educators in seven states, certified to teach the program, conducted workshops for 994 consumers. Results show statistically significant evidence of increased health insurance literacy, confidence, and capacity to make a smart choice health insurance choice. Discussion centers on the impact the program had on specific groups, next steps to reach a larger audience, and implications for educators, consumers, and policymakers nationwide.

  2. Microcomputer Programs for Health Occupations Education. A Bibliography.

    ERIC Educational Resources Information Center

    Florida State Univ., Tallahassee. Center for Instructional Development and Services.

    This annotated bibliography describes materials available for computer-assisted instruction in secondary and postsecondary health and allied health programs. The materials are suitable for use by regular, disadvantaged, and handicapped students and by students whose facility in English is limited. The bibliography includes software programs…

  3. Risky business: effectiveness of state market-based health programs.

    PubMed

    Stream, Christopher; Myers, Nathan

    2010-02-01

    Since the 1990s, state governments have been leaders of health care reform. Today, approximately 47 million people are without health insurance. As health care costs and uninsurance levels continue to rise, states are pursuing a variety of government- and market-based strategies to address this growing social problem. Health care research has indicated that state-based programs have proven to be successful in extending access to coverage. However, the question remains as to whether the market-based programs have had a positive impact on state health care. Advocates for market-based state health programs argue that the reforms benefit the greater good because they serve an economic development function by improving the economic productivity and overall health of state citizens. Whether market-based policies are accomplishing these goals is a matter of debate. This study examines the effects of the various market-based state policies. The evidence generated by this research sheds light on the societal effectiveness of market-based health care strategies used by state governments. The results of our analysis indicate that programs enacted by states to promote increased access to medical care have developmental effects beyond the client population directly served.

  4. The Adults' Health & Developmental Program: Descriptive and Evaluative Data.

    ERIC Educational Resources Information Center

    Leviton, Dan; Santa Maria, Laine

    1979-01-01

    Describes the intergenerational Adults' Health and Developmental Program. A survey conducted at the end of the AHDP found that over 80 percent of the sample perceived improvement in personal health, well-being, body image, physical efficiency, intellectual stimulation, and staff-member intimacy. Results are discussed in terms of ongoing sequential…

  5. Continuing Professional Education Programs of Voluntary Health Agencies.

    ERIC Educational Resources Information Center

    American Medical Association, Chicago, IL.

    Organizational objectives and professional continuing education programs of ten voluntary health agencies--Allergy Foundation of America, American Cancer Society, American Heart Association, Arthritis Foundation, National Association for Mental Health, National Foundation for Infantile Paralysis, National Society for the Prevention of Blindness,…

  6. This Program Gives Students a Firsthand Look at Health Careers.

    ERIC Educational Resources Information Center

    Burton, Rebecca Brown

    1986-01-01

    The Salt Lake City schools' Health Careers Program gives junior and senior high school students who are considering medical profession careers an opportunity to have a two-semester internship experience in the medical field. Students earn credits while investigating various health careers. (MD)

  7. The Undergraduate Program in the Administration of Health Services.

    ERIC Educational Resources Information Center

    Schneeweiss, Stephen M.

    On July 1, 1968, Ithaca College launched an experimental undergraduate program aimed at alleviating the chronic shortage of well trained administrators at the middle management level in hospitals, nursing homes and other public and private patient care health facilities. A brief description is provided in this announcement of the program's…

  8. Home Economics/Health Grades 6-12. Program Evaluation.

    ERIC Educational Resources Information Center

    Des Moines Public Schools, IA. Teaching and Learning Div.

    Home economics programs are offered to students in grades 6-12 in the Des Moines INdependent Community School District (Iowa). Programs at the middle school level are exploratory, leading to occupational training in family and consumer science, child care, food service, and textile and fashion arts at the high school level. Health education…

  9. Outcomes Assessment in Accredited Health Information Management Programs

    ERIC Educational Resources Information Center

    Bennett, Dorine

    2010-01-01

    The purpose of this study was to determine the use and perceived usefulness of outcomes assessment methods in health information management programs. Additional characteristics of the outcomes assessment practices were recognized. The findings were evaluated for significant differences in results based on age of the program, type of institution,…

  10. Health Occupations Education. Vocational Education Program Courses Standards.

    ERIC Educational Resources Information Center

    Florida State Dept. of Education, Tallahassee. Div. of Vocational, Adult, and Community Education.

    This document contains vocational education program courses standards (curriculum frameworks and student performance standards) for exploratory courses, practical arts courses, and job preparatory programs in health occupations (HO) education offered at the secondary or postsecondary level as a part of Florida's comprehensive vocational education…

  11. Strategies for Improving Compliance with Health Promotion Programs in Industry.

    ERIC Educational Resources Information Center

    Feldman, Robert H. L.

    1983-01-01

    Behavioral, educational, and organizational methods for improving the degree to which workers comply with the objectives of industrial health promotion programs are discussed. Compliance can be enhanced through: (1) better program location and scheduling; (2) increased worker satisfaction; (3) use of psychological and educational techniques; and…

  12. Health Science Education. Vocational Education Program Courses Standards.

    ERIC Educational Resources Information Center

    Florida State Dept. of Education, Tallahassee. Div. of Applied Tech., Adult, and Community Education.

    This document contains vocational education program course standards (curriculum frameworks and student performance standards) for exploratory courses, practical arts courses, and job preparatory programs offered at the secondary and postsecondary level as part of the health science education component of Florida's comprehensive vocational…

  13. The Evolution of a Prison Adaptive-Health Program.

    ERIC Educational Resources Information Center

    Thomas, Robert G.; Thomas, R. Murray

    1988-01-01

    Describes an adaptive-health program created by officials at the California Men's Colony in San Luis Obispo for inmates who suffer physical or psychological disabilities. Discusses program goals, admission requirements, learning activities, techniques for motivating participants, evaluation methods, and staffing. (JOW)

  14. Health Occupations Education Program Development Guide No. 5: Dental Assisting.

    ERIC Educational Resources Information Center

    New York State Education Dept., Albany. Div. of Occupational Education Instruction.

    The bulletin, which is part of the New York State "Health Occupations Education Program Development Guide Series," focuses on the dental assisting program. The curriculum is designed to provide training for dental assistants in their assistant role at chairside, in the dental operatory and laboratory, and in the dental office and…

  15. EDUCATIONAL PROGRAMS IN VIRGINIA FOR FIELDS RELATED TO HEALTH.

    ERIC Educational Resources Information Center

    MCGLOTHLIN, WILLIAM J.

    FOR EACH OF 18 HEALTH RELATED OCCUPATIONS, THE REPORT IDENTIFIES MAJOR NEEDS, OUTLINES THE RELEVANT EDUCATIONAL PROGRAM, AND RECOMMENDS ACTION. COMMENTS GO BEYOND EDUCATIONAL PROGRAMS ALONE, FOR IN SOME FIELDS THE PROBLEM FOR VIRGINIA IS NOT HOW TO EDUCATE MORE STUDENTS BUT HOW TO RETAIN MORE GRADUATES IN THE STATE. THE STUDY COMMITTEE RECOMMENDS…

  16. Health Occupations Education: Dental Laboratory Technology. Program Development Guide.

    ERIC Educational Resources Information Center

    New York State Education Dept., Albany. Bureau of Occupational Education Curriculum Development.

    This program guide was designed to assist occupational education administrators and health occupations education personnel in planning, developing, and implementing programs to prepare youth and adults for work as dental laboratory technicians. The content is presented in five sections. The first, an introduction, discusses what dental laboratory…

  17. Dental Technology Program Administrators' Attitudes toward Credentialing Health Manpower.

    ERIC Educational Resources Information Center

    Thomson, William A.; And Others

    1982-01-01

    Dental technology program administrators surveyed supported the credentialing of health manpower, felt program accreditation was valuable in meeting demands for educational quality assurance, and saw certification of technicians as beneficial but of little value in terms of recognition and economic gain for the credential holder. (MSE)

  18. Occupational Health—Its Role in Environmental Health Programs

    PubMed Central

    Tabershaw, Irving R.

    1964-01-01

    An important part of the practice of occupational medicine is directed toward the control of the industrial, physical, chemical and biological environments which may adversely affect health. This concern with the effect of environment on health has moved out of industry and has become a major area of public health practice, as evidenced by interest in pesticides, air pollution and radioactive fallout. The discipline of occupational health is a natural resource and springboard for the development of the skills necessary to control these environmental hazards. Occupational health is supplying trained and experienced personnel in the applied technical and administrative phases. It also can provide a basis for graduate teaching and research programs in environmental health. At the University of California's School of Public Health in Berkeley, curricula are being developed for educating teachers and research personnel in the environmental health sciences. PMID:14180489

  19. The Mental Health Recovery Movement and Family Therapy, Part I: Consumer-Led Reform of Services to Persons Diagnosed with Severe Mental Illness

    ERIC Educational Resources Information Center

    Gehart, Diane R.

    2012-01-01

    In 2004, the U.S. Department of Health and Human Services issued a consensus statement on mental health recovery based on the New Freedom Commission's recommendation that public mental health organizations adopt a "recovery" approach to severe and persistent mental illness, including services to those dually diagnosed with mental health…

  20. Prevalence of health promotion programs in primary health care units in Brazil

    PubMed Central

    Ramos, Luiz Roberto; Malta, Deborah Carvalho; Gomes, Grace Angélica de Oliveira; Bracco, Mário M; Florindo, Alex Antonio; Mielke, Gregore Iven; Parra, Diana C; Lobelo, Felipe; Simoes, Eduardo J; Hallal, Pedro Curi

    2014-01-01

    OBJECTIVE Assessment of prevalence of health promotion programs in primary health care units within Brazil’s health system. METHODS We conducted a cross-sectional descriptive study based on telephone interviews with managers of primary care units. Of a total 42,486 primary health care units listed in the Brazilian Unified Health System directory, 1,600 were randomly selected. Care units from all five Brazilian macroregions were selected proportionally to the number of units in each region. We examined whether any of the following five different types of health promotion programs was available: physical activity; smoking cessation; cessation of alcohol and illicit drug use; healthy eating; and healthy environment. Information was collected on the kinds of activities offered and the status of implementation of the Family Health Strategy at the units. RESULTS Most units (62.0%) reported having in place three health promotion programs or more and only 3.0% reported having none. Healthy environment (77.0%) and healthy eating (72.0%) programs were the most widely available; smoking and alcohol use cessation were reported in 54.0% and 42.0% of the units. Physical activity programs were offered in less than 40.0% of the units and their availability varied greatly nationwide, from 51.0% in the Southeast to as low as 21.0% in the North. The Family Health Strategy was implemented in most units (61.0%); however, they did not offer more health promotion programs than others did. CONCLUSIONS Our study showed that most primary care units have in place health promotion programs. Public policies are needed to strengthen primary care services and improve training of health providers to meet the goals of the agenda for health promotion in Brazil. PMID:25372175

  1. The Impact of an Incentive-Based Worksite Health Promotion Program on Modifiable Health Risk Factors.

    ERIC Educational Resources Information Center

    Poole, Kathleen; Kumpfer, Karol; Pett, Marjorie

    2001-01-01

    Examined the impact of participating in an incentive-based employee health promotion program on modifiable health risk factors over 4 years. Data from physiological and self-report measures indicated that modifiable health risks improved over time (smoking, physical activity, systolic and diastolic blood pressure, and seat belt use). Cholesterol…

  2. 78 FR 6275 - Medicaid, Children's Health Insurance Programs, and Exchanges: Essential Health Benefits in...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-30

    ... 457 Office of the Secretary 45 CFR Part 155 RIN 0938-AR04 Medicaid, Children's Health Insurance... Federal Register entitled ``Medicaid, Children's Health Insurance Programs, and Exchanges: Essential... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH...

  3. Implementation of Advanced Health Care Technology into Existing Competency-Based Health Care Program. Final Report.

    ERIC Educational Resources Information Center

    Klemovage, Shirley

    A project was undertaken to develop new curriculum materials that could be incorporated into an existing health assistant program to cover recent advances in health care technology. Area physicians' offices were toured and meetings were held with administrators of local hospitals in order to discover what kinds of advances in health care…

  4. Health Matters for People with Developmental Disabilities: Creating a Sustainable Health Promotion Program

    ERIC Educational Resources Information Center

    Marks, Beth; Sisirak, Jasmina; Heller, Tamar

    2010-01-01

    Adults with developmental disabilities are at significant risk for health problems. Effective health promotion can improve outcomes--and that's why adult day and residential agencies, schools, and other organizations need this invaluable program development guide. An urgent call to action and a start-to-finish framework for health promotion, this…

  5. The Impact of the Seaside Health Education Conference on Middle School Health Programs in Oregon.

    ERIC Educational Resources Information Center

    Girvan, James T.

    This paper presents an evaluation of the Seaside Health Education Conference (SHEC) that, for ten years, has been held yearly for the purpose of promoting health education in Oregon schools by providing in-service programs for teachers. Each school district attending the SHEC comes as a team composed of health educators, other teachers,…

  6. 'We have got the tools': Qualitative evaluation of a mental health Wellness Recovery Action Planning (WRAP) education programme in Ireland.

    PubMed

    Keogh, B; Higgins, A; Devries, J; Morrissey, J; Callaghan, P; Ryan, D; Gijbels, H; Nash, M

    2014-04-01

    In recent years, there has been a consistent drive to incorporate Recovery principles into the Irish mental health services. A group of Irish mental health service providers came together and delivered a 5-day Wellness Recovery Action Planning (WRAP) facilitator's programme. The programme was developed and delivered by key stakeholders including people with self-experience of mental health problem. This paper presents the qualitative findings from an evaluation of these facilitator's programmes. Three focus groups were held with 22 people, the majority of who described themselves as mental health professionals and/or people with self-experience of mental health problems. Data were analysed using a thematic approach and yielded four themes. Although the participants were positive about the programme and felt that their knowledge of Recovery and WRAP had improved, they felt that they still lacked confidence in terms of the presentation skills required for facilitating Recovery and WRAP programmes. The findings suggest that mental health service providers who wish to develop service users and clinicians as WRAP facilitators need to put more emphasis on the provision of facilitation and presentation skills in the programmes they develop.

  7. Health Education Program. Kanawha County Schools.

    ERIC Educational Resources Information Center

    Kanawha County Schools, Charleston, WV.

    A task force, after a 2-year study, recommended a curriculum on health education which would meet the specific needs of both teachers and students. This teacher developed curriculum guide is comprised of five units on: human growth and development, diseases, nutrition, personal hygiene, drug education, safety and first aid. Each unit contains a…

  8. Implementation of Health Fitness Exercise Programs.

    ERIC Educational Resources Information Center

    Cundiff, David E., Ed.

    This monograph includes the following articles to aid in implementation of fitness concepts: (1) "Trends in Physical Fitness: A Personal Perspective" (H. Harrison Clarke); (2) "A Total Health-Fitness Life-Style" (Steven N. Blair); (3) "Objectives for the Nation--Physical Fitness and Exercise" (Jack H. Wilmore); (4) "A New Physical Fitness Test"…

  9. 75 FR 73110 - Health Center Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-29

    ... Room AIDS Ministry, Inc. SUMMARY: The Health Resources and Services Administration (HRSA) will transfer... (ARRA), originally awarded to Harlem United Community AIDS Center, Inc. (HUCAC) to Upper Room AIDS... Grantee of Record: Harlem United Community AIDS Center, Inc. Original Period of Grant Support: March...

  10. Health Sciences. Program CIP: 51.0000

    ERIC Educational Resources Information Center

    Murdock, Ashleigh, Ed.

    2007-01-01

    Secondary vocational-technical education programs in Mississippi are faced with many challenges resulting from sweeping educational reforms at the national and state levels. Schools and teachers are increasingly being held accountable for providing true learning activities to every student in the classroom. This accountability is measured through…

  11. The professional psychiatric/mental health nurse: skills, competencies and supports required to adopt recovery-orientated policy in practice.

    PubMed

    Cusack, E; Killoury, F; Nugent, L E

    2017-03-01

    WHAT IS KNOWN ON THE SUBJECT?: Nationally and internationally there has been a movement away from the traditional medical model towards a more holistic recovery-oriented approach to mental health care delivery. At every level of service provision the emphasis is firmly on recovery and on facilitating active partnership working and involvement of service users, their carers and family members. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: This is the first study to identify on a national level specific areas of care that are addressed most or least by psychiatric and mental health nurses in care planning for mental health service users in Ireland. In addition, this is the first study to identify nationally how the recovery approach is being implemented by psychiatric and mental health nurses in relation to current recovery-orientated policy. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Mental healthcare staff require more education on the recovery concept and this needs to be multidisciplinary team wide. Further research is required to establish how best to develop a shared approach to working with service users and their families within the mental healthcare environment. Further investigation is required to help determine how funding could be allocated appropriately for education and training and service development nationally.

  12. Recovery entails bridging the multiple realms of best practice: towards a more integrated approach to evidence-based clinical treatment and psychosocial disability support for mental health recovery.

    PubMed

    Rosen, A; O'Halloran, P

    2014-09-01

    While mental health recovery is a very personal process, the approach also offers possibilities as a meta-framework for improving quality of services to support people with severe and enduring mental illness. This paper explores how a recovery paradigm offers opportunities to better understand how efforts within the personal, clinical, and psychosocial disability domains of well-being relate and need bridging and integration with an evidence-based framework of practice to optimise outcomes. Recovery from a severe and persisting mental illness such as schizophrenia is optimised by a holistic approach integrating the domains of clinical treatment and psychosocial rehabilitation with the personal efforts of individuals. For service providers, a monolithic or single paradigm approach with an exclusive or predominant biological, psychological, social, or cultural focus is unable to offer effective guidance on the treatment and rehabilitation support needed to enable community participation and ameliorate the impact which problems associated with mental illness have on individuals, their families, and their wider communities. Moreover, recovery-oriented services need to be effective, embracing evidence-based policy, practice and service delivery by providing treatment and support which actually work to improve outcomes for consumers and families.

  13. GAO's role in the evaluation of federal health programs.

    PubMed

    Nadel, M V

    1996-09-01

    The General Accounting Office (GAO) is a legislative branch agency whose mission is to support the oversight role of Congress. Health policy issues have constituted a substantial part of GAO's recent workload. Whereas GAO's work on health has ranged broadly, it has often focused on fraud and abuse in federal programs, particularly Medicare and Medicaid; the lack of meaningful indicators and other information, particularly on outcomes in health programs; access to care, increasingly connected to managed care; quality of care; and issues related to cost control.

  14. Successful business planning for new programs in health care organizations.

    PubMed

    Langland-Orban, B; Krasick, E R

    1991-03-01

    Health care organizations implement business strategies through programs and services, and success depends on careful program design and execution. A conscientious design requires thorough efforts in organizing the planning process, conducting the decision analysis, and obtaining approval for a program. Weak methods and processes in the management of these efforts can result in faulty assumptions and costly errors in the development of new health care ventures, thus preventing the achievement of financial and operating goals. This article reviews the stages of business planning, and the points at which success may be impaired.

  15. Overview of EPA Superfund human health research program.

    PubMed

    Kowalski, Lorelei; Denne, Jane; Dyer, Robert; Garrahan, Kevin; Wentsel, Randall S

    2002-03-01

    This paper presents major research needs for the Superfund program, and provides an overview of the EPA Office of Research and Development's (ORDs) current human health research program designed to fill some of those data gaps. Research is presented in terms of the risk paradigm and covers exposure, effects, and assessment activities directly funded by Superfund, as well as research not funded by Superfund but directly applicable to Superfund research needs. Research on risk management is not covered. Current research activities conducted by the Superfund program office are also included to provide a full picture of Superfund human health research activities being conducted by EPA.

  16. Operating plan for the Office of International Health Programs

    SciTech Connect

    1996-01-01

    In this report unified ideas are presented about what the Office of International Health Programs does, what the individual contributions are, and how the organization connects to the Department of Energy. The planning efforts have focused on the office`s three areas of responsibility: Europe, Japan, and the Marshall Islands. Common to each technical program area are issues related to the following: health of populations exposed to radiation incidents and the associated medical aspects of exposure; dose reconstruction; training; and public involvement. Each of the program areas, its customers, and primary customer interests are described.

  17. Establishing a mobile health and wellness program for rural veterans.

    PubMed

    Therien, J

    2000-06-01

    The US Department of Veterans Affairs Medical Center in Salem, Virginia provides mobile access to health care for over 4000 veterans in southwestern Virginia. This innovative program has joined community outreach with increased use of advanced practice nurses to provide health screenings, risk identification and stratification, education, and enrollment to veterans living in the facility's predominantly rural primary service area. Concurrently, veterans are placed within a comprehensive continuum of care through nurse practitioner intake and assessment clinics, primary care, or routine care every 4 months, with follow-up using the mobile program. Salem's mobile program is extremely effective in its clinical management and fiscal outcomes.

  18. Assessing environmental assets for health promotion program planning: a practical framework for health promotion practitioners

    PubMed Central

    Springer, Andrew E.; Evans, Alexandra E.

    2016-01-01

    Conducting a health needs assessment is an important if not essential first step for health promotion planning. This paper explores how health needs assessments may be further strengthened for health promotion planning via an assessment of environmental assets rooted in the multiple environments (policy, information, social and physical environments) that shape health and behavior. Guided by a behavioral-ecological perspective- one that seeks to identify environmental assets that can influence health behavior, and an implementation science perspective- one that seeks to interweave health promotion strategies into existing environmental assets, we present a basic framework for assessing environmental assets and review examples from the literature to illustrate the incorporation of environmental assets into health program design. Health promotion practitioners and researchers implicitly identify and apply environmental assets in the design and implementation of health promotion interventions;this paper provides foundation for greater intentionality in assessing environmental assets for health promotion planning. PMID:27579254

  19. Assessing environmental assets for health promotion program planning: a practical framework for health promotion practitioners.

    PubMed

    Springer, Andrew E; Evans, Alexandra E

    2016-01-01

    Conducting a health needs assessment is an important if not essential first step for health promotion planning. This paper explores how health needs assessments may be further strengthened for health promotion planning via an assessment of environmental assets rooted in the multiple environments (policy, information, social and physical environments) that shape health and behavior. Guided by a behavioral-ecological perspective- one that seeks to identify environmental assets that can influence health behavior, and an implementation science perspective- one that seeks to interweave health promotion strategies into existing environmental assets, we present a basic framework for assessing environmental assets and review examples from the literature to illustrate the incorporation of environmental assets into health program design. Health promotion practitioners and researchers implicitly identify and apply environmental assets in the design and implementation of health promotion interventions;this paper provides foundation for greater intentionality in assessing environmental assets for health promotion planning.

  20. Improving post-stroke recovery: the role of the multidisciplinary health care team.

    PubMed

    Clarke, David J; Forster, Anne

    2015-01-01

    Stroke is a leading cause of serious, long-term disability, the effects of which may be prolonged with physical, emotional, social, and financial consequences not only for those affected but also for their family and friends. Evidence for the effectiveness of stroke unit care and the benefits of thrombolysis have transformed treatment for people after stroke. Previously viewed nihilistically, stroke is now seen as a medical emergency with clear evidence-based care pathways from hospital admission to discharge. However, stroke remains a complex clinical condition that requires health professionals to work together to bring to bear their collective knowledge and specialist skills for the benefit of stroke survivors. Multidisciplinary team working is regarded as fundamental to delivering effective care across the stroke pathway. This paper discusses the contribution of team working in improving recovery at key points in the post-stroke pathway.

  1. Kenya Comprehensive School Health Policy: Lessons from a Pilot Program

    PubMed Central

    Ojeny, Betty; Oluoch, Gordon; Okech, Ben

    2014-01-01

    The study assessed the implementation of Kenya comprehensive school health pilot intervention program. This pilot program has informed the Kenya Comprehensive School Health Policy which is a critical document in the achievement of Millennium Development Goals relating to child health, gender equality, universal education and environmental sustainability. The study was based on focus group discussions, field observations and in-depth interviews with government officers who implemented the pilot program. The findings were categorized into implementation process, what is working well, what is not working well and lessons learned. During the course of the study, it was noted that involvement of all stakeholders enhances program ownership and sustainability but if they are not well coordinated or where supportive supervision and monitoring is not carried out, then some components of the comprehensive school health program may not be sustainable. We learnt that comprehensive school health program increases students’ enrolment, attendance and retention, factors that are very important in a country’s human resources development. The study has shown that although the formulation of a policy may be participatory and bottom-top, the implementation requires allocation of enough resources and coordination to bridge the gap between policy formulation and implementation. PMID:28299114

  2. Certification programs for eHealth--status quo.

    PubMed

    Urbauer, Philipp; Herzog, Juliane; Pohn, Birgit; Forjan, Mathias; Sauermann, Stefan

    2014-01-01

    The skills of the workforce are a core factor for the quality of healthcare systems. On top of the basic education, postgraduate training is an important factor for continuously maintaining as well as improving the workforce qualification level. Advanced training often provides certification of the acquired skills. This paper analyses the status quo of international certification programs in the sector of eHealth (EU, US, Global). It uses available literature and observations from international educational expert's workgroups. It identifies gaps regarding certifications in eHealth and suggests steps for solutions. Despite little attention to legal and financial eHealth related content in certification programs in the EU as well as a low degree of harmonization of international certifications in general, there are strong activities especially in the international scope towards personal certification programs in eHealth. Major changes are to be expected within the coming years.

  3. A dynamic programming model for optimal planning of aquifer storage and recovery facility operations

    NASA Astrophysics Data System (ADS)

    Uddameri, V.

    2007-01-01

    Aquifer storage recovery (ASR) is an innovative technology with the potential to augment dwindling water resources in regions experiencing rapid growth and development. Planning and design of ASR systems requires quantifying how much water should be stored and appropriate times for storage and withdrawals within a planning period. A monthly scale planning model has been developed in this study to derive optimal (least cost) long-term policies for operating ASR systems and is solved using a recursive deterministic dynamic programming approach. The outputs of the model include annual costs of operation, the amount of water to be imported each month as well as the schedule for storage and extraction. A case study modeled after a proposed ASR system for Mustang Island and Padre Island service areas of the city of Corpus Christi is used to illustrate the utility of the developed model. The results indicate that for the assumed baseline demands, the ASR system is to be kept operational for a period of 4 months starting from May through August. Model sensitivity analysis indicated that increased seasonal shortages can be met using ASR with little additional costs. For the assumed cost structure, a 16% shortage increased the costs by 1.6%. However, the operation time of ASR increased from 4 to 8 months. The developed dynamic programming model is a useful tool to assess the feasibility of evaluating the use of ASR systems during regional-scale water resources planning endeavors.

  4. Preliminary Mark-18A (Mk-18A) Target Material Recovery Program Product Acceptance Criteria

    SciTech Connect

    Robinson, Sharon M.; Patton, Bradley D.

    2016-09-01

    The Mk-18A Target Material Recovery Program (MTMRP) was established in 2015 to preserve the unique materials, e.g. 244Pu, in 65 previously irradiated Mk-18A targets for future use. This program utilizes existing capabilities at SRS and Savannah River National Laboratory (SRNL) to process targets, recover materials from them, and to package the recovered materials for shipping to ORNL. It also utilizes existing capabilities at ORNL to receive and store the recovered materials, and to provide any additional processing of the recovered materials or residuals required to prepare them for future beneficial use. The MTMRP is presently preparing for the processing of these valuable targets which is expected to begin in ~2019. As part of the preparations for operations, this report documents the preliminary acceptance criteria for the plutonium and heavy curium materials to be recovered from the Mk-18A targets at SRNL for transport and storage at ORNL. These acceptance criteria were developed based on preliminary concepts developed for processing, transporting, and storing the recovered Mk-18A materials. They will need to be refined as these concepts are developed in more detail.

  5. Military-Civilian Health Services Partnership Program

    DTIC Science & Technology

    1987-10-22

    personnel, not covered by 10 U.S.C. 1089 , and other resources supporting that provider to the same extent as is usual and customary in civilian practice...Agreement Model 4. External Partnership Agreement Model 6 Oct 22, 87 6010.12 (Encl 1) REFERENCES, continued (e) Title 10, United States Code, Sections 1089 ...agreement. 6. Support Personnel. Non-DoD personnel, not covered by 10 U.S.C. 1089 , directly supporting a health care provider under a partnership agreement

  6. Recovery Act Education Programs: Funding Retained Teachers, but Education Could More Consistently Communicate Stabilization Monitoring Issues. Report to Congress. GAO-11-804

    ERIC Educational Resources Information Center

    Scott, George A.

    2011-01-01

    The American Recovery and Reinvestment Act of 2009 (Recovery Act) provided $70.3 billion for three education programs--the State Fiscal Stabilization Fund (SFSF); Title I, Part A of the Elementary and Secondary Education Act (Title I); and Individuals with Disabilities Education Act (IDEA), Part B. One goal of the Recovery Act was to save and…

  7. E-health blood pressure control program.

    PubMed

    Ahern, David K; Stinson, Lynda J; Uebelacker, Lisa A; Wroblewski, Joseph P; McMurray, Jerome H; Eaton, Charles B

    2012-01-01

    Both technological and human factors design requirements for integration of home blood pressure monitoring (HBPM) into a patient centered medical home (PCMH) model primary care practice are described. Patients with uncontrolled hypertension were given home blood pressure (BP) monitors, and after a three-month run-in period introduced to either a high-tech only (HBPM connectivity to personal health record and tailored Web portal access) or a high-tech/"high-touch" (high-tech solution plus patient navigator [PN]) solution. Features of the Web portal included: BP graphing function, traffic-light feedback system of BP goal attainment, economic incentives for self-monitoring, and dual patient-facing and care-team-facing dashboard functions. The e-health BP control system with PN support was well received by patients, providers, and the healthcare team. Current e-health technology and limited technological literacy of many patients suggest that a PN or some other personnel resource may be required for the adoption of patient-facing technology in primary care.

  8. Implementing a Farmers’ Market Incentive Program: Perspectives on the New York City Health Bucks Program

    PubMed Central

    Wethington, Holly; Olsho, Lauren; Jernigan, Jan; Farris, Rosanne; Walker, Deborah Klein

    2013-01-01

    Introduction One strategy for lowering the prevalence of obesity is to increase access to and affordability of fruits and vegetables through farmers’ markets. However, little has been documented in the literature on the implementation of such efforts. To address this gap, the Division of Nutrition, Physical Activity, and Obesity (DNPAO) sponsored an evaluation of the New York City Health Bucks program, a farmers’ market coupon incentive program intended to increase access to fresh fruits and vegetables in underserved neighborhoods while supporting local farmers. Methods We conducted a process evaluation of Health Bucks program implementation. We interviewed 6 farmer/vendors, 3 market managers, and 4 program administrators, and collected data on site at 86 farmers’ markets, including surveys of 81 managers and 141 farmer/vendors on their perspectives on promotion and redemption of the incentive coupons; knowledge and attitudes regarding the program; experiences with markets and products; and facilitators and barriers to program participation. Results Results indicate that respondents view Health Bucks as a positive program model. Farmers’ market incentive coupon programs like Health Bucks are one strategy to address the problem of obesity and were associated with higher fruit and vegetable access and purchases in low-income communities. Conclusions This evaluation identified some areas for improving implementation of the Health Bucks program. Farmers’ market incentive programs like Health Bucks may be one avenue to increase access to and affordability of fruits and vegetables among low-income persons. Further research is needed to assess the potential effects of these programs on access and health outcomes. PMID:23987251

  9. 42 CFR 88.13 - WTC Program Administrator's certification of health conditions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 1 2014-10-01 2014-10-01 false WTC Program Administrator's certification of health... OCCUPATIONAL SAFETY AND HEALTH RESEARCH AND RELATED ACTIVITIES WORLD TRADE CENTER HEALTH PROGRAM § 88.13 WTC Program Administrator's certification of health conditions. (a) WTC-related health condition. (1) The...

  10. 42 CFR 88.13 - WTC Program Administrator's certification of health conditions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 1 2011-10-01 2011-10-01 false WTC Program Administrator's certification of health... OCCUPATIONAL SAFETY AND HEALTH RESEARCH AND RELATED ACTIVITIES WORLD TRADE CENTER HEALTH PROGRAM § 88.13 WTC Program Administrator's certification of health conditions. (a) WTC-related health condition. (1) The...

  11. 42 CFR 88.13 - WTC Program Administrator's certification of health conditions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 1 2012-10-01 2012-10-01 false WTC Program Administrator's certification of health... OCCUPATIONAL SAFETY AND HEALTH RESEARCH AND RELATED ACTIVITIES WORLD TRADE CENTER HEALTH PROGRAM § 88.13 WTC Program Administrator's certification of health conditions. (a) WTC-related health condition. (1) The...

  12. 42 CFR 88.13 - WTC Program Administrator's certification of health conditions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 1 2013-10-01 2013-10-01 false WTC Program Administrator's certification of health... OCCUPATIONAL SAFETY AND HEALTH RESEARCH AND RELATED ACTIVITIES WORLD TRADE CENTER HEALTH PROGRAM § 88.13 WTC Program Administrator's certification of health conditions. (a) WTC-related health condition. (1) The...

  13. Global agenda, local health: including concepts of health security in preparedness programs at the jurisdictional level.

    PubMed

    Eby, Chas

    2014-01-01

    The Global Health Security Agenda's objectives contain components that could help health departments address emerging public health challenges that threaten the population. As part of the agenda, partner countries with advanced public health systems will support the development of infrastructure in stakeholder health departments. To facilitate this process and augment local programs, state and local health departments may want to include concepts of health security in their public health preparedness offices in order to simultaneously build capacity. Health security programs developed by public health departments should complete projects that are closely aligned with the objectives outlined in the global agenda and that facilitate the completion of current preparedness grant requirements. This article identifies objectives and proposes tactical local projects that run parallel to the 9 primary objectives of the Global Health Security Agenda. Executing concurrent projects at the international and local levels in preparedness offices will accelerate the completion of these objectives and help prevent disease epidemics, detect health threats, and respond to public health emergencies. Additionally, future funding tied or related to health security may become more accessible to state and local health departments that have achieved these objectives.

  14. The NASA-USPHS Health Evaluation and Enhancement Program

    NASA Technical Reports Server (NTRS)

    Durbeck, D. C.; Heinzelmann, F.; Moxley, R. T., III; Schacther, J.; Payne, G. H.; Limoncelli, D. D.; Fox, S. M., III; Arnoldi, L. B.

    1972-01-01

    An exercise program was initiated to assess the feasibility of an on the job health evaluation and enhancement program, as well as to identify the factors which influenced volunteering, adherence, and effectiveness of the program. The program was utilized by 237 of the 998 eligible Federal employees, with a mean attendance of 1.3 days per week. Those who volunteered perceived a need for increased physical activity, felt they had sufficient time to participate, and derived subjective as well as objective benefits. Significant improvements were found in heart rate response to the standard exercise test, body weight, skinfold measurements, and triglycerides. A consistent relationship was found between subjectively reported effects of the program on work, health habits, and behavior, and improvement in cardiovascular function, based on treadmill performance. Numerous personal and programmatic factors influencing volunteering and participation were identified.

  15. Comprehensive Adolescent Health Programs That Include Sexual and Reproductive Health Services: A Systematic Review

    PubMed Central

    Parekh, Jenita; Tunçalp, Özge; Turke, Shani; Blum, Robert William

    2014-01-01

    We systematically reviewed peer-reviewed and gray literature on comprehensive adolescent health (CAH) programs (1998–2013), including sexual and reproductive health services. We screened 36 119 records and extracted articles using predefined criteria. We synthesized data into descriptive characteristics and assessed quality by evidence level. We extracted data on 46 programs, of which 19 were defined as comprehensive. Ten met all inclusion criteria. Most were US based; others were implemented in Egypt, Ethiopia, and Mexico. Three programs displayed rigorous evidence; 5 had strong and 2 had modest evidence. Those with rigorous or strong evidence directly or indirectly influenced adolescent sexual and reproductive health. The long-term impact of many CAH programs cannot be proven because of insufficient evaluations. Evaluation approaches that take into account the complex operating conditions of many programs are needed to better understand mechanisms behind program effects. PMID:25320876

  16. Effectiveness of a Staff Promoted Wellness Program to Improve Health in Residents of a Mental Health Long-Term Care Facility.

    PubMed

    Hutchison, Shari L; Terhorst, Lauren; Murtaugh, Stephanie; Gross, Sarah; Kogan, Jane N; Shaffer, Sherry L

    2016-01-01

    The current study describes physical and mental health outcomes during a health promotion program for individuals with serious mental illness (SMI). A sample of 43 adults in a long-term residential facility volunteered for an individualized, healthy lifestyle program designed to promote physical activity and combat premature mortality among individuals with SMI. Nurses and residential counselors were trained in the program and encouraged to work collaboratively with the program's personal trainers. Weekly nutrition and activity logs were obtained over the year-long evaluation. Assessments of physical and psychological health indicators were collected quarterly. Qualitative data through focus groups described staff experience. Self-report of moderate and vigorous physical activity improved over time as did fitness level as measured through a walking challenge (p = .001). Significant decreases in weight (p < .001), BMI (p = .001), and total cholesterol (p < .001) were observed from baseline through 12 months. Mean recovery scores (RMQ) were significantly higher between baseline and all time points (p < .001). Participants reported decreasing levels of depression (PHQ-9) by the 12-month time point (p < .001). Staff encouraged participation in physical activity and observed improved motivation and socialization among participants. A health promotion program with participation encouraged by health care staff is effective for increasing physical activity and improving physical and mental health outcomes in individuals with SMI in long-term residential care.

  17. Relationship between Credit Recovery Programs and Graduation Rates for At-Risk Students on the Navajo Indian Reservation

    ERIC Educational Resources Information Center

    Fahey, John M.

    2010-01-01

    Low graduation rates of high school students are a problem for the Native American community. One possible solution for low graduation rates is a credit recovery program that may assist Native American students to recover credit not earned in their early high school years. The purpose of this study was to examine the effectiveness of a credit…

  18. 20 CFR 408.933 - When will we begin cross-program recovery from your current monthly benefits?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...? (a) We will begin collecting the overpayment balance by cross-program recovery from your title II and... described in § 408.932. If within that 30-day period you pay us the full overpayment balance stated in the... 30-day period you ask us to review our determination that you still owe us this overpayment...

  19. 20 CFR 416.575 - When will we begin cross-program recovery from your current monthly benefits?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... benefits? (a) We will begin collecting the overpayment balance by cross-program recovery from your current... described in § 416.574. If within that 30-day period you pay us the full overpayment balance stated in the... our determination that you still owe us this overpayment balance, we will not begin...

  20. Item Parameter Recovery, Standard Error Estimates, and Fit Statistics of the Winsteps Program for the Family of Rasch Models

    ERIC Educational Resources Information Center

    Wang, Wen-Chung; Chen, Cheng-Te

    2005-01-01

    This study investigates item parameter recovery, standard error estimates, and fit statistics yielded by the WINSTEPS program under the Rasch model and the rating scale model through Monte Carlo simulations. The independent variables were item response model, test length, and sample size. WINSTEPS yielded practically unbiased estimates for the…

  1. Facilitating Long-Term Recovery from Natural Disasters: Psychosocial Programming for Tsunami-Affected Schools of Sri Lanka

    ERIC Educational Resources Information Center

    Nastasi, Bonnie K.; Jayasena, Asoka; Summerville, Meredith; Borja, Amanda P.

    2011-01-01

    This article reports the findings of a school-based intervention project conducted in the Southern Province of Sri Lanka 15 to 18 months after the December 2004 Tsunami. The work responds to the need for culturally relevant programming to address long-term psychosocial recovery of children and adolescents affected by large scale disasters. Program…

  2. 20 CFR 408.933 - When will we begin cross-program recovery from your current monthly benefits?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... from your current monthly benefits? 408.933 Section 408.933 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS Underpayments and Overpayments Adjustment of Title II Benefits § 408.933 When will we begin cross-program recovery from your current monthly...

  3. 20 CFR 408.933 - When will we begin cross-program recovery from your current monthly benefits?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... from your current monthly benefits? 408.933 Section 408.933 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS Underpayments and Overpayments Adjustment of Title II Benefits § 408.933 When will we begin cross-program recovery from your current monthly...

  4. 20 CFR 408.933 - When will we begin cross-program recovery from your current monthly benefits?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... from your current monthly benefits? 408.933 Section 408.933 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS Underpayments and Overpayments Adjustment of Title II Benefits § 408.933 When will we begin cross-program recovery from your current monthly...

  5. 20 CFR 408.933 - When will we begin cross-program recovery from your current monthly benefits?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... from your current monthly benefits? 408.933 Section 408.933 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS Underpayments and Overpayments Adjustment of Title II Benefits § 408.933 When will we begin cross-program recovery from your current monthly...

  6. 77 FR 24628 - World Trade Center Health Program Requirements for the Addition of New WTC-Related Health Conditions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-25

    ... HUMAN SERVICES 42 CFR Part 88 RIN 0920-AA45 World Trade Center Health Program Requirements for the... amended the Public Health Service Act (PHS Act) to establish the World Trade Center (WTC) Health Program... Advisor, World Trade Center Health Program, Office of the Director, National Institute for...

  7. Health-Based Capitation Risk Adjustment in Minnesota Public Health Care Programs

    PubMed Central

    Gifford, Gregory A.; Edwards, Kevan R.; Knutson, David J.

    2004-01-01

    This article documents the history and implementation of health-based capitation risk adjustment in Minnesota public health care programs, and identifies key implementation issues. Capitation payments in these programs are risk adjusted using an historical, health plan risk score, based on concurrent risk assessment. Phased implementation of capitation risk adjustment for these programs began January 1, 2000. Minnesota's experience with capitation risk adjustment suggests that: (1) implementation can accelerate encounter data submission, (2) administrative decisions made during implementation can create issues that impact payment model performance, and (3) changes in diagnosis data management during implementation may require changes to the payment model. PMID:25372356

  8. Using geographic information systems to match local health needs with public health services and programs.

    PubMed

    Dubowitz, Tamara; Williams, Malcolm; Steiner, Elizabeth D; Weden, Margaret M; Miyashiro, Lisa; Jacobson, Dawn; Lurie, Nicole

    2011-09-01

    Local health departments (LHDs) play an important role in ensuring essential public health services. Geographic information system (GIS) technology offers a promising means for LHDs to identify geographic gaps between areas of need and the reach of public health services. We examined how large LHDs could better inform planning and investments by using GIS-based methodologies to align community needs and health outcomes with public health programs. We present a framework to drive LHDs in identifying and addressing gaps or mismatches in services or health outcomes.

  9. The Great Lakes Center's health hazard evaluation program: promoting community environmental health through partnerships between academic and public health departments.

    PubMed

    Cali, Salvatore; Scheff, Peter; Mucha, Amy; Nickels, Leslie; Oliynyk, Irene; Hryhorczuk, Daniel

    2007-01-01

    The Great Lakes Center of Excellence in Environmental Health (GLCEEH), an innovative capacity-building component of the University of Illinois, performs health hazard evaluations in collaboration with the Illinois Department of Public Health and local health departments. GLCEEH has provided state and local health departments with faculty, industrial-hygiene expertise, and research expertise to help them investigate a variety of environmental health issues. This article describes health hazard evaluations performed with support from the National Center for Environmental Health, lessons learned, and recommendations for successful collaboration between academic and public health departments. From the academic perspective, health hazard evaluations are beneficial because they provide faculty and students with the opportunity to engage in public health practice and encounter new issues that advance the science of environmental health through research. From the perspective of a public health department, health hazard evaluations are beneficial because they address priority environmental health concerns and build the capacity of department personnel to conduct health hazard evaluations with internal resources. A collaborative health hazard evaluation program increases public health capacity by developing new approaches to environmental health problems and by sharing limited resources.

  10. Audit Report on "Management Controls over the Department of Energy's American Recovery and Reinvestment Act - Louisiana State Energy Program"

    SciTech Connect

    2010-05-01

    The Department of Energy's (Department) Office of Energy Efficiency and Renewable Energy (EERE) provides grants to states, territories and the District of Columbia (states) to support their energy priorities through the State Energy Program (SEP). Federal funding is based on a grant formula that considers the population and energy consumption in each state, and amounted to $25 million for Fiscal Year (FY) 2009. The American Recovery and Reinvestment Act of 2009 (Recovery Act) expanded the SEP by authorizing an additional $3.1 billion to states using the existing grant formula. EERE made grant awards to states after reviewing plans that summarize the activities states will undertake to achieve SEP Recovery Act objectives, including preserving and creating jobs; saving energy; increasing renewable energy sources; and, reducing greenhouse gas emissions. EERE program guidance emphasizes that states are responsible for administering SEP within each state, and requires each state to implement internal controls over the use of Recovery Act funds. The State of Louisiana received $71.6 million in SEP Recovery Act funds; a 164-fold increase over its FY 2009 SEP grant of $437,000. As part of the Office of Inspector General's strategy for reviewing the Department's implementation of the Recovery Act, we initiated this review to determine whether the Louisiana State Energy Office had internal controls in place to efficiently and effectively administer Recovery Act funds provided for its SEP program. Louisiana developed a strategy for SEP Recovery Act funding that focused on improving energy efficiency in state buildings, housing and small businesses; increasing Energy Star appliance rebates; and, expanding the use of alternative fuels and renewable energy. Due to a statewide hiring freeze, Louisiana outsourced management of the majority of its projects ($63.3 million) to one general contractor. Louisiana plans to internally manage one project, Education and Outreach ($2

  11. Poverty, safety net programs, and African Americans' mental health.

    PubMed

    Snowden, Lonnie R

    2014-11-01

    African Americans' poverty and deep-poverty rates are higher than those of Whites, and African Americans' poverty spells last longer. Furthermore, nonpoor African Americans are especially likely to slip into poverty, and over the course of a lifetime, very many African Americans will experience poverty. Accordingly, African Americans are disproportionately likely to be assisted by safety net programs providing income support and health and social assistance. When mental health-related outcomes are assessed, U.S.-focused and international studies of safety net programs sometimes find that adults and children show a decline in symptoms of mental illness after participating. All things being equal, these improvements can disproportionately benefit African Americans' mental health. Safety net programs' mental health-related impact should be routinely assessed when evaluating the programs' economic and social outcomes and the impact they have on African Americans' mental health. Policy research of this kind can help us to understand whether these very large interventions show society-wide mental health-related improvement in the disproportionately large number of African Americans who participate in them.

  12. A nutrition/health training program for Peace Corps volunteers.

    PubMed

    Bahl, S M; Orban, D A; Montoya, I D

    1989-01-01

    Nutrition and health education is a crucial component of the overall mission of the Peace Corps program. Individuals selected to work as Peace Corps volunteers need to be well prepared to perform this complex and challenging job in recipient countries. This article presents a model for a training program for Peace Corps trainees that was conducted over a 5-week period. The program was planned in accordance with some specific training guidelines that were provided by the Peace Corps. The trainees included nine women ranging in age from 22 to 61 years with diverse backgrounds; however, all had a BA/BS in a health-related discipline. Training curriculum included fundamental nutrition and health-related areas: basic nutrition, foods, clinical nutrition, maternal and child health, communicable diseases and sanitation, health strategies, and community development. Fifty percent of the curriculum was devoted to "hands-on" practical and clinical activities. Maternal and child health was emphasized in the training curriculum as this is an area of concern in all developing countries. The trainees were evaluated by weekly quizzes as well as completion of a special project involving applications of all their newly acquired skills. Implications of the training program are discussed.

  13. Mapping of health system functions to strengthen priority programs. The case of maternal health in Mexico

    PubMed Central

    2011-01-01

    Background Health system strengthening is critical to ensure the integration and scaling-up of priority health promotion, disease prevention and control programs. Normative guidelines are available to address health system function imbalances while strategic and analytical frameworks address critical functions in complex systems. Tacit knowledge-based health system constructs can help identify actors' perspectives, contributing to improve strengthening strategies. Using maternal health as an example, this paper maps and analyses the health system functions that critical actors charged with formulating and delivering priority health programs consider important for their success. Methods Using concept mapping qualitative and statistical methods, health system functions were mapped for different categories of actors in high maternal mortality states of Mexico and at the federal level. Functions within and across maps were analyzed for degree of classification, importance, feasibility and coding. Results Hospital infrastructure and human resource training are the most prominent functions in the maternal health system, associated to federal efforts to support emergency obstetric care. Health policy is a highly diffuse function while program development, intercultural and community participation and social networks are clearly stated although less focused and with lower perceived importance. The importance of functions is less correlated between federal and state decision makers, between federal decision makers and reproductive health/local health area program officers and between state decision makers and system-wide support officers. Two sets of oppositions can be observed in coding across functions: health sector vs. social context; and given structures vs. manageable processes. Conclusions Concept mapping enabled the identification of critical functions constituting adaptive maternal health systems, including aspects of actor perspectives that are seldom included in

  14. Teaching corner: child family health international : the ethics of asset-based global health education programs.

    PubMed

    Evert, Jessica

    2015-03-01

    Child Family Health International (CFHI) is a U.S.-based nonprofit, nongovernmental organization (NGO) that has more than 25 global health education programs in seven countries annually serving more than 600 interprofessional undergraduate, graduate, and postgraduate participants in programs geared toward individual students and university partners. Recognized by Special Consultative Status with the United Nations Economic and Social Council (ECOSOC), CFHI utilizes an asset-based community engagement model to ensure that CFHI's programs challenge, rather than reinforce, historical power imbalances between the "Global North" and "Global South." CFHI's programs are predicated on ethical principles including reciprocity, sustainability, humility, transparency, nonmaleficence, respect for persons, and social justice.

  15. 'Recovery work' and 'magic' among long-term mental health service-users.

    PubMed

    Laws, Jennifer

    2013-05-01

    Based on an extended period of qualitative research with mental health service-users in north-east England, this article considers the various forms of 'magical work' and 'recovery work' that emerge in the lives of people living with severe mental health problems. Given the now sizeable body of literature which seeks to problematize traditional conceptual boundaries of work, the article asks to what extent these hidden and unusual work-forms might also be considered legitimate members of the category. Rather than argue for the expansion of the construct to accommodate these activities, the paper attempts simply to problematize the extent to which so-called 'mad' forms of work are irresolvably different to more conventional forms of occupation. In challenging notions of the psychiatric patient as inevitably inactive, new vocabularies for service-user work are explored. Concluding remarks are also directed to recent policy debates concerning 'back-to-work' welfare reform for long-term out of work service-users.

  16. Cost-effectiveness analysis for health communication programs.

    PubMed

    Guilkey, David K; Hutchinson, Paul; Lance, Peter

    2006-01-01

    This article describes methods for analyzing the cost-effectiveness of health communication programs, focusing in particular on estimating program effectiveness with econometric methods that address experimental and quasi-experimental designs (and their absence), national or subnational program coverage, and endogenously targeting of programs. Experimental designs provide a gold standard for assessing effectiveness but are seldom feasible for large-scale health communication programs. Even in the absence of such designs, however, fairly simple methods can be used to examine intermediate objectives, such as program reach, which in turn can be linked to program costs to estimate cost effectiveness. When moving beyond program reach to behavioral or other outcome measures, such as contraceptive use or fertility, or when faced with full-coverage national programs, more elaborate data and methods are required. We discuss data requirements and assumptions necessary in each case, focusing on single-equation multiple regression models, structural equations models, and fixed effects estimators for use with longitudinal data, and then describing how cost information can be incorporated into econometric models so as to get measures of the cost-effectiveness of communication interventions.

  17. Program Collaboration and Service Integration Activities Among HIV Programs in 59 U.S. Health Departments

    PubMed Central

    Toledo, Lauren; Dunbar, Erica; Aquino, Gustavo A.; Nesheim, Steven R.

    2014-01-01

    Objectives We identified the level and type of program collaboration and service integration (PCSI) among HIV prevention programs in 59 CDC-funded health department jurisdictions. Methods Annual progress reports (APRs) completed by all 59 health departments funded by CDC for HIV prevention activities were reviewed for collaborative and integrated activities reported by HIV programs for calendar year 2009. We identified associations between PCSI activities and funding, AIDS diagnosis rate, and organizational integration. Results HIV programs collaborated with other health department programs through data-related activities, provider training, and providing funding for sexually transmitted disease (STD) activities in 24 (41%), 31 (53%), and 16 (27%) jurisdictions, respectively. Of the 59 jurisdictions, 57 (97%) reported integrated HIV and STD testing at the same venue, 39 (66%) reported integrated HIV and tuberculosis testing, and 26 (44%) reported integrated HIV and viral hepatitis testing. Forty-five (76%) jurisdictions reported providing integrated education/outreach activities for HIV and at least one other disease. Twenty-six (44%) jurisdictions reported integrated partner services among HIV and STD programs. Overall, the level of PCSI activities was not associated with HIV funding, AIDS diagnoses, or organizational integration. Conclusions HIV programs in health departments collaborate primarily with STD programs. Key PCSI activities include integrated testing, integrated education/outreach, and training. Future assessments are needed to evaluate PCSI activities and to identify the level of collaboration and integration among prevention programs. PMID:24385647

  18. Teaching children about mental health and illness: a school nurse health education program.

    PubMed

    Desocio, Janiece; Stember, Lisa; Schrinsky, Joanne

    2006-04-01

    A mental health education program designed by school nurses for children ages 10- 12 was developed in 2000-2001 and expanded with broader distribution in 2004-2005. Six classroom sessions, each 45 minutes in length, provided information and activities to increase children's awareness of mental health and illness. Education program content included facts about the brain's connection to mental health, information about healthy ways to manage stress, resources and activities to promote mental health, common mental health problems experienced by children, and how to seek help for mental health problems. Classes included a combination of didactic presentation and open discussion, encouraging students to ask questions and allowing the school nurse to correct misinformation. Analysis of pre- and posttests from 370 elementary and middle school students revealed statistically significant improvements in their knowledge of mental health and mental illness.

  19. Development of the patient-centered recovery resource system for veterans on long-term mental health medications.

    PubMed

    Finnell, Deborah S; Osborne, Frederick H; Gerard, Vivian K

    2011-08-01

    The aim of this qualitative descriptive study was to develop, with and for Veterans on long-term mental health medication regimens, a resource to promote self-management behavior. Focus groups were conducted with 19 outpatient Veterans who were self-administering their medications. Five themes emerged that informed the structure and content of the Recovery Resource System. Additional focus groups with 15 outpatient Veterans were conducted to evaluate the Recovery Resource System. Veterans assessed it to be flexible, dynamic, adaptable, and user-friendly. The goal of this patient-driven, patient-centered Recovery Resource System is to improve health outcomes and quality of life among those with chronic mental disorders.

  20. Conceptual evaluation of population health surveillance programs: method and example.

    PubMed

    El Allaki, Farouk; Bigras-Poulin, Michel; Ravel, André

    2013-03-01

    Veterinary and public health surveillance programs can be evaluated to assess and improve the planning, implementation and effectiveness of these programs. Guidelines, protocols and methods have been developed for such evaluation. In general, they focus on a limited set of attributes (e.g., sensitivity and simplicity), that are assessed quantitatively whenever possible, otherwise qualitatively. Despite efforts at standardization, replication by different evaluators is difficult, making evaluation outcomes open to interpretation. This ultimately limits the usefulness of surveillance evaluations. At the same time, the growing demand to prove freedom from disease or pathogen, and the Sanitary and Phytosanitary Agreement and the International Health Regulations require stronger surveillance programs. We developed a method for evaluating veterinary and public health surveillance programs that is detailed, structured, transparent and based on surveillance concepts that are part of all types of surveillance programs. The proposed conceptual evaluation method comprises four steps: (1) text analysis, (2) extraction of the surveillance conceptual model, (3) comparison of the extracted surveillance conceptual model to a theoretical standard, and (4) validation interview with a surveillance program designer. This conceptual evaluation method was applied in 2005 to C-EnterNet, a new Canadian zoonotic disease surveillance program that encompasses laboratory based surveillance of enteric diseases in humans and active surveillance of the pathogens in food, water, and livestock. The theoretical standard used for evaluating C-EnterNet was a relevant existing structure called the "Population Health Surveillance Theory". Five out of 152 surveillance concepts were absent in the design of C-EnterNet. However, all of the surveillance concept relationships found in C-EnterNet were valid. The proposed method can be used to improve the design and documentation of surveillance programs. It