Science.gov

Sample records for health recovery programs

  1. 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…

  2. 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

  3. The Association Between Client Characteristics and Recovery in California’s Comprehensive Community Mental Health Programs

    PubMed Central

    Bruckner, Tim A.; Brown, Timothy T.

    2013-01-01

    Objectives. In November 2004, California voters passed the Mental Health Services Act, which allocated more than $3 billion for comprehensive community mental health programs. We examined whether these county-level programs, known as “full service partnerships,” promoted independent living arrangements (i.e., recovery) among their clients. Methods. We used Markov chain models to identify probabilities of residential transitions among 8 living arrangements (n = 9208 adults followed up to 4 years). We modeled these transitions on the basis of patterns of program participation and clinical and sociodemographic characteristics. Results. Interrupted program participation and substance abuse were significantly associated with a reduced likelihood of independent living and a greater probability of homelessness and incarceration. Persons with schizophrenia were the least likely to live independently, followed by persons with bipolar disorder. Compared with Whites, non-Whites were more frequently found to be homeless or in jail. Conclusions. Clients with sustained enrollment in California’s comprehensive community mental health programs appear most likely to transition to independent living. The likelihood of this transition, however, shows a disparity in that ethnic minority clients appear least likely to transition to independent living. PMID:23865662

  4. 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. PMID:27078791

  5. 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.

  6. 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. PMID:24518968

  7. 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.

  8. 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

  9. 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.

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

    PubMed Central

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

    2014-01-01

    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. PMID:24497237

  11. 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

  12. Communicating health risks to the community from a state-of-the art waste-to-energy resource recovery facility through multimedia environmental monitoring program

    SciTech Connect

    Rao, R.K.

    1998-07-01

    Since 1986, when Montgomery County, Maryland decided to construct a municipal solid waste Resource Recovery Facility (RRF), the County has been seeking citizen input through citizen advisory committee meetings. Due to public concern that organics, primarily dioxins, that are released from municipal waste combustion create the risk of potential health-effects including cancer, the County conducted a multiple pathway health-risk study in 1989. In this study, organics and trace metals that are known to be released from municipal waste combustors and are generally considered to be of importance from a public health perspective were addressed. The County conducted several citizen meetings for communicating the results of the health risk studies. In these meetings, some citizens living in the neighborhood of the facility still expressed concern, and asked the County to conduct an ambient monitoring program prior to and during the operation of the facility. The County agreed to conduct a multimedia environmental monitoring program. The County Council endorsed this program. The major objective of the program was to determine the existing background levels of toxics prior to the operation of the facility and incremental increases, if any, resulting from the operation of the facility. In this program organics and trace metals discussed earlier, were periodically sampled. The media sampled were: air, soil, garden vegetables, surface water, fish and sediment from the farm ponds, dairy milk and hay. This paper discusses the original design of the program, citizen input to the design of the program, results of the program, and typical issues raised by the citizens in numerous public briefing conducted by the County, and the County's responses.

  13. The Kuiper Belt Recovery Program

    NASA Astrophysics Data System (ADS)

    Parker, Joel; Allen, Lynne; Gladman, Brett; Hergenrother, Carl; Kavelaars, J. J.

    2002-08-01

    The number of known Kuiper belt objects continues to increase each year, and the rate will soon accelerate significantly due to new and continuing wide-field projects dedicated to the discovery of these outer solar system bodies. A focused program dedicated to the recovery of these objects is necessary if the considerable effort and observing time spent on the discoveries are to have any long-term scientific significance. Our project explicitly addresses that need by providing reliable recovery observations (integrated with a CFHT survey we are conducting) at sufficient frequency to keep pace with the discoveries that need follow-up, as well as to provide photometric data for use in analysis of Kuiper belt physical properties such as size distribution, dynamics, formation, and structure. This NOAO proposal requests two KPNO observing runs at the end of semester 2002B to continue our successful recovery project. Our measurements will assure that the calculated orbits are determined well enough for future photometric and spectroscopic observations for physical studies. We have an efficient and proven pipeline to: find objects, provide sub- arcsecond absolute astrometry and calibrated photometry, determine orbits, and report results to the Minor Planet Center to refine the orbital elements.

  14. The Kuiper Belt Recovery Program

    NASA Astrophysics Data System (ADS)

    Parker, Joel; Allen, Lynne; Gladman, Brett; Grav, Tommy; Hergenrother, Carl; Holman, Matthew; Kavelaars, J. J.

    2002-02-01

    The number of known Kuiper belt related objects is increasing at an accelerated rate due to many wide-field projects dedicated to the discovery of these outer solar system bodies. A focused and dedicated recovery program is necessary and urgent if the considerable effort and observing time spent on the discoveries are to have any long-term scientific significance. This project (integrated with a CFHT survey we are conducting) will address that need by providing reliable recovery observations at sufficient frequency to keep pace with the discoveries that need follow-up, as well as to provide photometric data for use in analysis of Kuiper belt physical properties such as size distribution, dynamics, formation, and structure. Our measurements will assure that the calculated orbits are determined well enough for future photometric and spectroscopic observations for physical studies. We have an efficient and proven pipeline to: find objects, provide sub-arcsecond absolute astrometry and calibrated photometry, determine orbits, and report results to the Minor Planet Center to refine the orbital elements.

  15. [Mental health mainstreaming: promotion and recovery].

    PubMed

    Chang, Chueh; Hsieh, Chia-Jung

    2014-02-01

    Mental health is a human right and fundamental to good personal health. Developing, planning, and implementing mental health programs is a key part of health policies worldwide. This paper uses the perspective of "mental health mainstreaming" to define mental health and explore its relationship with mental illness and psychiatric disease. Further, we apply this perspective to Taiwan's three-tiered community mental illness prevention strategy as a reference for mental health promotion and rehabilitation programs in hopes that all healthcare providers help facilitate holistic community health. PMID:24519340

  16. 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…

  17. MENTAL HEALTH PROGRAM.

    ERIC Educational Resources Information Center

    CHAMBERLAIN, IDA

    WEST VIRGINIA IS A RURAL STATE HAVING A LARGE POVERTY STRICKEN POPULATION. SINCE THIS GROUP HAD NO ACCESS TO MENTAL HEALTH SERVICES, THE STATE DEPARTMENT OF MENTAL HEALTH SPONSORED A VISTA PROGRAM IN MENTAL HEALTH AND MENTAL RETARDATION, AND ENCOURAGED THE VOLUNTEERS TO USE THEIR OWN CREATIVITY AND INGENUITY IN PROVIDING SUCH SERVICES AS--(1)…

  18. 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…

  19. ORNL resource conservation and recovery training program

    SciTech Connect

    Barkenbus, B.D.; Eisenhower, B.M.

    1984-11-01

    The Department of Environmental Management (DEM) of the Oak Ridge National Laboratory (ORNL), in compliance with the Resource Conservation and Recovery Act (RCRA) of 1976, initiated an RCRA program and consequently established an RCRA training program for the management of hazardous wastes. This report delineates the objectives, methods, and content of the training program as well as documenting inDividual training received by each staff member under this program. Separate training programs have been devised to meet the needs of four groups: (1) the Hazardous Material Control group, (2) support personnel (Plant and Equipment Division members), (3) Laboratory Environmental Protection Officers, and (4) ORNL research divisions and members of the surrounding community (outreach program).

  20. Phase recovery based on quadratic programming

    NASA Astrophysics Data System (ADS)

    Zhang, Quan Bing; Ge, Xiao Juan; Cheng, Ya Dong; Ni, Na

    2014-11-01

    Most of the information of optical wavefront is encoded in the phase which includes more details of the object. Conventional optical measuring apparatus is relatively easy to record the intensity of light, but can not measure the phase of light directly. Thus it is important to recovery the phase from the intensity measurements of the object. In recent years, the methods based on quadratic programming such as PhaseLift and PhaseCut can recover the phase of general signal exactly for overdetermined system. To retrieve the phase of sparse signal, the Compressive Phase Retrieval (CPR) algorithm combines the l1-minimization in Compressive Sensing (CS) with low-rank matrix completion problem in PhaseLift, but the result is unsatisfied. This paper focus on the recovery of the phase of sparse signal and propose a new method called the Compressive Phase Cut Retrieval (CPCR) by combining the CPR algorithm with the PhaseCut algorithm. To ensure the sparsity of the recovered signal, we use CPR method to solve a semi-definite programming problem firstly. Then apply linear transformation to the recovered signal, and set the phase of the result as the initial value of the PhaseCut problem. We use TFOCS (a library of Matlab-files) to implement the proposed CPCR algorithm in order to improve the recovered results of the CPR algorithm. Experimental results show that the proposed method can improve the accuracy of the CPR algorithm, and overcome the shortcoming of the PhaseCut method that it can not recover the sparse signal effectively.

  1. 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…

  2. 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…

  3. 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…

  4. Recovery in Austria: mental health trialogue.

    PubMed

    Amering, Michaela; Mikus, Monika; Steffen, Sigrid

    2012-02-01

    The active involvement of service users and relatives and friends is essential for the development of recovery-orientated mental health practice and research. However, accepting each other as equally entitled experts is still a challenge. In trialogue groups users, carers and friends and mental health workers meet regularly in an open forum that is located on 'neutral terrain' - outside any therapeutic, familial or institutional context - with the aim of discussing the experiences and consequences of mental health problems and ways forward. Trialogues offer new possibilities for gaining knowledge and insights and developing new ways of communicating beyond role stereotypes. They also function as the basis and starting point for trialogic activities on different levels, e.g. serving on quality control boards or teaching in trialogic teams, and different topics, e.g. a task force on stigma busting or a work group on trauma and psychosis. In German-speaking countries well over a hundred trialogue groups are regularly attended by altogether about 5,000 people. International interest and experiences are growing fast. Trialogues facilitate a discrete and independent form of acquisition and production of knowledge and drive relevant changes in forms of communication as well as in structures.

  5. 75 FR 69037 - Medicaid Program; Recovery Audit Contractors

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-10

    ...; Recovery Audit Contractors AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Proposed... State start-up, operation and maintenance costs of Medicaid Recovery Audit Contractors (Medicaid RACs... establish programs in which they would contract with 1 or more Recovery Audit Contractors (Medicaid RACs)...

  6. 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,…

  7. 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).

  8. 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…

  9. 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.

  10. The Ramathibodi Community Health Program

    ERIC Educational Resources Information Center

    Buri, Prem; And Others

    1974-01-01

    The Ramathibodi Faculty of Medicine in Bangkok, Thailand, has developed a teaching and research program in community health aimed at brining the institution into close association with the health needs of the country. (Editor)

  11. Measuring Mental Health Recovery: An Application of Rasch Modeling to the Consumer Recovery Measure.

    PubMed

    Lusczakoski, Kathryn Kd; Olmos-Gallo, P Antonio; Milnor, William; McKinney, Christopher J

    2016-01-01

    As the need for recovery-oriented outcomes increases, it is critical to understand how numeric recovery scores are developed. In the current article, the modern Rasch modeling techniques were applied to establish numeric scores of consumers' perceptions of recovery. A sample of 1,973 adult consumers at a community-based mental health center (57.5% male; average age of 47 years old) completed the 15-item Consumer Recovery Measure. A confirmatory factor analysis revealed the unidimensional nature of the Consumer Recovery Measure and provided construct validity evidence. The Rasch analysis displayed that the items produced acceptable model fit, reliability, and identified the difficulty of the items. The conclusion emphasizes the value of Rasch modeling regarding the measurement of recovery and its relevance to consumer-derived assessments in the clinical decision-making process.

  12. 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…

  13. The recovery of Bay State Health Care.

    PubMed

    Maltz, D L

    1994-03-01

    Blue Cross and Blue Shield of Massachusetts acquired Bay State Health Care after the HMO's tumultuous downturn. The case study described herein provides a useful lesson in the moves that must be made, particularly in an era of health care consolidation and intensive competition, to maintain health plan stability and reinforce its position in the marketplace. PMID:10133054

  14. 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. PMID:20960987

  15. 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.

  16. Drugs and Gender: A Women's Recovery Program.

    ERIC Educational Resources Information Center

    Levers, Lisa Lopez; Hawes, Anderson R.

    1990-01-01

    Describes a drug treatment program designed and implemented for women which takes into account gender differences. Claims by paying attention to the actual life worlds and needs of women, the program effectively modified the service delivery system to accommodate these women and facilitate their treatment. (ABL)

  17. 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…

  18. An Evaluation of the "Recovery of Hope" Program.

    ERIC Educational Resources Information Center

    Moxley, Virginia; And Others

    1986-01-01

    The Recovery of Hope divorce prevention program addresses the problem of couples entering marriage enrichment events whose distress levels indicated a need for therapy rather than enrichment. An ex post facto evaluation of 34 wives and 27 husbands indicated program completion appeared to assist couples in either improving their relationship or in…

  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. PMID:22070737

  20. Recovery and mental health: a review of the British literature.

    PubMed

    Bonney, S; Stickley, T

    2008-03-01

    Recovery is not a new concept within mental health, although in recent times, it has come to the forefront of the policy agenda. However, there is no universal definition of recovery, and it is a contested concept. The aim of this study was to examine the British literature relating to recovery in mental health. Three contributing groups are identified: service users, health care providers and policy makers. A review of the literature was conducted by accessing all relevant published texts. A search was conducted using these terms: 'recovery', 'schizophrenia', 'psychosis', 'mental illness' and 'mental health'. Over 170 papers were reviewed. A thematic analysis was conducted. Six main themes emerged, which were examined from the perspective of the stakeholder groups. The dominant themes were identity, the service provision agenda, the social domain, power and control, hope and optimism, risk and responsibility. Consensus was found around the belief that good quality care should be made available to service users to promote recovery both as inpatient or in the community. However, the manner in which recovery was defined and delivered differed between the groups. PMID:18211561

  1. 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

    ... PERSONAL PROPERTY 45.10-Recovery of Precious Metals § 109-45.1004 Recovery and use of precious metals... 41 Public Contracts and Property Management 3 2011-01-01 2011-01-01 false Recovery and use of precious metals through the DOD Precious Metals Recovery Program. 109-45.1004 Section 109-45.1004...

  2. 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

    ... PERSONAL PROPERTY 45.10-Recovery of Precious Metals § 109-45.1004 Recovery and use of precious metals... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Recovery and use of precious metals through the DOD Precious Metals Recovery Program. 109-45.1004 Section 109-45.1004...

  3. 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

    ... PERSONAL PROPERTY 45.10-Recovery of Precious Metals § 109-45.1004 Recovery and use of precious metals... 41 Public Contracts and Property Management 3 2013-07-01 2013-07-01 false Recovery and use of precious metals through the DOD Precious Metals Recovery Program. 109-45.1004 Section 109-45.1004...

  4. 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

    ... PERSONAL PROPERTY 45.10-Recovery of Precious Metals § 109-45.1004 Recovery and use of precious metals... 41 Public Contracts and Property Management 3 2012-01-01 2012-01-01 false Recovery and use of precious metals through the DOD Precious Metals Recovery Program. 109-45.1004 Section 109-45.1004...

  5. 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

    ... PERSONAL PROPERTY 45.10-Recovery of Precious Metals § 109-45.1004 Recovery and use of precious metals... 41 Public Contracts and Property Management 3 2014-01-01 2014-01-01 false Recovery and use of precious metals through the DOD Precious Metals Recovery Program. 109-45.1004 Section 109-45.1004...

  6. 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.

  7. 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.

  8. 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…

  9. 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...

  10. 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...

  11. 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)...

  12. 75 FR 53701 - Health Center Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-01

    ... 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... Park Health Council, Inc. SUMMARY: The Health Resources and Services Administration (HRSA)...

  13. 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.

  14. Characteristics of students participating in collegiate recovery programs: a national survey.

    PubMed

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

    2015-04-01

    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

  15. 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

  16. Characteristics of students participating in collegiate recovery programs: a national survey.

    PubMed

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

    2015-04-01

    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.

  17. Recovery, health, and job performance: effects of weekend experiences.

    PubMed

    Fritz, Charlotte; Sonnentag, Sabine

    2005-07-01

    This study extended research on respites by examining the extent to which experiences during the weekend contribute to health and job performance after the weekend. Longitudinal data including 3 measurement occasions from 87 emergency service workers indicated that nonwork hassles, absence of positive work reflection, and low social activity during the weekend predicted burnout and poor general well-being after the weekend. Weekend experiences also predicted different aspects of job performance after the weekend. The results reveal practical implications for individual and organizational optimization of recovery processes. Suggestions for future research on specific recovery processes and their effects on individual health and performance are discussed.

  18. 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.

  19. 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…

  20. 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...

  1. School Health: Findings from Evaluated Programs.

    ERIC Educational Resources Information Center

    Public Health Service (DHHS), Rockville, MD. Office of Disease Prevention and Health Promotion.

    This publication presents findings from evaluations of many school health programs from across the United States. Each program includes at least one of the following eight components of a comprehensive school health program: health education, clinical services, counseling and mental health services, school environment, school food programs,…

  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. Partners in Recovery: Social Support and Accountability in a Consumer-Run Mental Health Center

    PubMed Central

    Lewis, Sara E.; Hopper, Kim; Healion, Ellen

    2015-01-01

    Objective Consumer-run mental health programs that include advocacy, peer counseling, and mentoring are somewhat commonplace in community mental health services, yet fully peer-operated mental health centers remain novel in the public mental health landscape. This ethnographic study of a consumer-run mental health center had two major aims: to learn what is distinctive about consumer-run services—for example, how they might strengthen personal capacity for social integration—and to explore how the development of these capacities might promote recovery. Methods Data collection for this modified ethnographic study consisted of ten months of participant observation, coupled with semistructured interviews (N=25), a focus group (N=22), and dramatic skits (N=17), to identify and define the distinctive features of the program, both structurally and from the point of view of participants. Inquiry was framed theoretically by the capabilities approach. Results Participants in this consumer-run mental health program experienced themselves as accountable for and to their peers in what amounts to a shared project of recovery. Conclusions As part of a capacity-building approach in consumer-run services, programs should aim to not only provide social support for participants but also foster a culture in which service users are accountable for their peers. Such reciprocity may help to strengthen socialization skills, which could better prepare consumers for participation in the community at large. PMID:22227761

  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. 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.

  6. Improving the implementation of cost recovery for health: lessons from Zimbabwe.

    PubMed

    Hecht, R; Overholt, C; Holmberg, H

    1993-10-01

    In the current debate over health financing policy in developing countries, governments are increasingly focusing on cost recovery--having patients pay part or all of their health care costs--as a way to mobilize more resources for health, improve equity by selectively charging the wealthy, and increase efficiency by encouraging reinvestment of fee revenues into cost-effective primary care. Zimbabwe offers an important example of a country with a tradition of levying fees in government health facilities, but where enforcement became lax in the 1980s. In 1991, policymakers resolved to resuscitate and strengthen cost recovery, as part of a broader economic reform program. This paper discusses the strengths and weaknesses of Zimbabwe's cost recovery system, its potential for improvement, and the obstacles to change in revising the fee structure and billing and collection procedures. It argues that cost recovery can help to achieve Zimbabwe's health objectives, but only in conjunction with other measures to redirect public spending to essential public health and clinic care and improve the efficiency of government services. The paper finds that during the 1980s, the fee schedule became badly misaligned with actual medical care costs and created distortions in patient referral patterns. Billing and collection were also weak, because of deficiencies in personnel and information systems and lack of incentives for revenue generation. The paper concludes that if key steps were taken to raise the collections-to-billings ratio, recover fees from privately-insured patients, and adjust fees in line with medical cost inflation, recoveries could increase fourfold, from 5% to 20% of government spending for clinical care. At the same time, access to government health services for the poor could be maintained by improving exemption procedures.

  7. 78 FR 25760 - Proposed Information Collection; Urban Park and Recreation Recovery Program Grants

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-02

    ... National Park Service Proposed Information Collection; Urban Park and Recreation Recovery Program Grants... Park and Recreation Recovery Program'' in the subject line of your comments. FOR FURTHER INFORMATION CONTACT: To request additional information about this IC, contact Elisabeth Fondriest, Recreation...

  8. 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...

  9. Directory of Health Education Programs for Elders.

    ERIC Educational Resources Information Center

    Missouri Univ., Kansas City. Center on Rural Elderly.

    Health education programs for older adults can be an efficient and cost-effective way to meet the challenge of a healthy old age. This directory describes 36 health education programs for the rural elderly in the areas of comprehensive programs, mental health, nutrition, physical health (including exercise), medication, safety, and health…

  10. Migrant Education Health Program 1990. Final Report.

    ERIC Educational Resources Information Center

    Colorado State Dept. of Health, Denver.

    The Colorado Migrant Education Program and the Colorado Migrant Health Program (CMHP) together plan and implement a comprehensive health program for migrant summer school students on a yearly basis. This report provides statistical data about the health status of the migrant students and the health services provided to them during the 1990…

  11. 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.

  12. The NASA Radiation Health Program

    NASA Technical Reports Server (NTRS)

    Nicogossian, A. E.; Schimmerling, W.

    1991-01-01

    The NASA program for determining the impact of cosmic radiation on health is described in terms of its long-term goal of reducing the uncertainty of radiation-model prediction to +/- 25 percent by 2010. The Space Radiation Health Program (SRHP) is intended to address fundamental issues for establishing a scientific basis for human radiation protection: (1) the prediction of the probability of biological effects from radiation; (2) the reduction of uncertainty in predicted highly charged energetic particles; and (3) the characterization of background flux from Galactic cosmic rays. Another key objective is to develop related technologies for ground- and space-based solar monitoring to predict events involving solar energetic particles. Although substantial uncertainties are involved in the prediction of such events, the SRHP is essential for determining crucial variables related to launching mass and humans into orbit.

  13. 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. PMID:27578861

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

    PubMed Central

    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 G.; Dubreuil, Mary Ella; Gordon, Alan A.

    2010-01-01

    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 valuable as an adjunct to alcohol treatment. In this paper, we discuss the rationale and review potential mechanisms of action whereby exercise might benefit alcohol dependent patients in recovery. We then describe the development of a 12-week moderate-intensity aerobic exercise program as an adjunctive intervention for alcohol dependent patients in recovery. Preliminary data from a pilot study (n=19) are presented and the overall significance of this research effort is discussed. PMID:19091721

  15. Certification programs for refrigerant recovery: Recycling and reclaiming refrigerants

    SciTech Connect

    Manz, K.W.

    1994-01-01

    In any industry where recycling is introduced, there is concern over the quality of used products entering the market. In addition, there is often confusion over the capabilities of equipment introduced to perform the recovery and recycling functions. In the stationary air-conditioner and refrigeration industry, both used refrigerant quality and recovery/recycling equipment capabilities are covered by standards, certification programs, and federal regulations. The Air-Conditioning and Refrigeration Institute (ARI) has written Standard 700-93 Specifications for Fluorocarbon and Other Refrigerants and Standard 740-93 for Performance of Refrigerant Recovery/Recycle Equipment. These standards are described. An ARI committee is addressing: recycled refrigerant quality and limitations for introducing refrigerant into other equipment with the same owner; limitations for introducing recovered refrigerant back into the same system; field measurements and practices to identify contaminants with emphasis on mixed refrigerations; and voluntary compliance methods and certification program concerning use of recycled and reclaimed refrigerant as the EPA ban on sales of recycled refrigerants sunsets in May 1995.

  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. 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.

  19. 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

  20. 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…

  1. 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)…

  2. The NASA Radiation Health Program

    NASA Technical Reports Server (NTRS)

    Schimmerling, Walter

    1991-01-01

    The Space Radiation Health Program (SRHP) is defined in terms of motivation and methodology with specific reference given to the impacts of HZE particles and solar energetic particles. The biological hazards are mentioned that can be associated with the two particle types and ionizing radiation in general. The lack of data on the impact of such radiation and effective shielding countermeasures is identified as the primary motivation for worst-case assumptions. However, the resulting shielding designs can potentially overestimate the thickness by a factor of 10 and add unnecessarily to vehicle take-off mass. A space-based validation system is proposed to complement ground-based investigations of the effects of ionizing radiation in interplanetary space. The Lifesat satellite is proposed as a part of the SRHP effort to determine the requirements for protection and future shielding specifications.

  3. 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...

  4. [The audience of TV health programs].

    PubMed

    Cianciara, Dorota; Przewłocka, Teresa; Miller, Maria

    2004-01-01

    The viewing figures of 36 unpaid TV health programs was assessed: the number of viewers, their socio-demographic status and interest in specific program. Between June 1998 and June 1999, non commercial TV health programs reached 0.7% to 7.6% TV audience, no more than 2,700.000 viewers per program. Programs broadcasted in evenings and winter time had more viewers. The audience consisted usually of: women, retired persons, rural inhabitants, persons with basic educational background. Pensioners were interested in every program, women in majority. Students, blue-collar workers and men were censorious and appreciated some programs only.

  5. 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.

  6. Health Careers Recruitment Program Handbook.

    ERIC Educational Resources Information Center

    Pike, Bill, Ed.

    Designed to encourage Native American students in Colorado and New Mexico to pursue health careers, this handbook presents the following information: (1) statistics documenting the need for American Indian health professionals; (2) current career opportunities in the health professions (descriptions of the many health fields and descriptions of…

  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. 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…

  9. 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…

  10. 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…

  11. Planning and Implementing Health Screening Programs.

    ERIC Educational Resources Information Center

    Webster, Katherine P.

    1980-01-01

    School health screening programs, which include screening, education of children and parents, and follow-up in the form of appropriate treatment, are described. A scoliosis screening program is described as an example of the model presented. Suggestions for planners, participants, and evaluators of any school health screening are summarized. (JMF)

  12. 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…

  13. 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...

  14. 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.

  15. 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…

  16. 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. PMID:10557397

  17. 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.

  18. 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... Development, Rehabilitation and Innovation § 72.43 Fundable elements: Recovery Action Program...

  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... Development, Rehabilitation and Innovation § 72.43 Fundable elements: Recovery Action Program...

  20. 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... Development, Rehabilitation and Innovation § 72.43 Fundable elements: Recovery Action Program...

  1. Medicaid: Recoveries from Nursing Home Residents' Estates Could Offset Program Costs.

    ERIC Educational Resources Information Center

    General Accounting Office, Washington, DC. Div. of Human Resources.

    Through asset recovery programs, states can recover from the estates of nursing home residents or their survivors a portion of the expenses the state incurs in providing nursing home care. Estate recovery programs require Medicaid recipients whose primary assets are their homes to contribute toward the cost of their nursing home care in the same…

  2. 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... Development, Rehabilitation and Innovation § 72.43 Fundable elements: Recovery Action Program...

  3. 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... Development, Rehabilitation and Innovation § 72.43 Fundable elements: Recovery Action Program...

  4. 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

    ... FR 57808), we published a final rule entitled: ``Medicaid Program; Recovery Audit Contractors.'' This... Medicaid RAC programs. In the September 16, 2011 Federal Register (76 FR 57808), we published a final rule... Recovery Audit Contractors (RACs) Contingency Fee Update AGENCY: Centers for Medicare & Medicaid...

  5. The Implementation of a Reading Recovery Program for At-Risk First-Grade Students

    ERIC Educational Resources Information Center

    Daniels, Angie L.

    2010-01-01

    This 8-week case study involved evaluating the impact of the Reading Recovery intervention program on students with reading difficulties. The participants of this case study were 2 at-risk first-grade students selected for participation in the Reading Recovery program, which provided 30 minutes daily of one-on-one instruction. This study employed…

  6. Design and implementation of an enhanced recovery program in thoracic surgery

    PubMed Central

    Giménez-Milà, Marc; Klein, Andrew A.

    2016-01-01

    Despite significant improvements in perioperative care, major surgery is still associated with major complications. Enhanced recovery after surgery was introduced by the National Health Service in the UK with the aim of improving patient outcomes and reducing length of stay in hospital. The degree of applicability differs between surgical specialties, and in thoracic surgery it has not been developed until recently. We have therefore reviewed recent literature specific to thoracic surgery, and will discuss key elements of the design, implementation and monitoring of an enhanced recovery (ER) program based on our recent experience. The program is divided into several high impact intervention measures that involve the preoperative, intraoperative and postoperative periods. Physical activity promotion and educational programs that provide information about the surgery and the surgical pathway are an essential part of the preoperative strategies. During surgery, an optimal pain control strategy, antibiotic prophylaxis and protective ventilation are important. Minimally invasive surgery and well-planned postoperative care including early drain removal and planned discharge are also important. Overall, we have shown that ER in thoracic surgery can facilitate early discharge from hospital and possibly reduce postoperative complications. Further studies are required to understand the extent of ER benefits when applied to thoracic surgery, and to test individual components in a prospective manner. PMID:26941969

  7. Do employee health management programs work?

    PubMed

    Serxner, Seth; Gold, Daniel; Meraz, Angela; Gray, Ann

    2009-01-01

    Current peer review literature clearly documents the economic return and Return-on-Investment (ROI) for employee health management (EHM) programs. These EHM programs are defined as: health promotion, self-care, disease management, and case management programs. The evaluation literature for the sub-set of health promotion and disease management programs is examined in this article for specific evidence of the level of economic return in medical benefit cost reduction or avoidance. The article identifies the methodological challenges associated with determination of economic return for EHM programs and summarizes the findings from 23 articles that included 120 peer review study results. The article identifies the average ROI and percent health plan cost impact to be expected for both types of EHM programs, the expected time period for its occurrence, and caveats related to its measurement.

  8. 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.

  9. 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.

  10. Kennedy Space Center environmental health program.

    PubMed

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

    1992-08-01

    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.

  11. 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.

  12. Country prototypes and translation of health programs.

    PubMed

    Sussman, Steve; Unger, Jennifer B; Palinkas, Lawrence A

    2008-06-01

    This article introduces the topic of international translation of health programs. Different perspectives toward the study of national-level variables that are relevant to translation of evidence-based programming developed outside of or in a country are discussed. Concepts including national prototypes, national stereotypes, country clusters, knowledge incompatibility, and absorptive capacity are introduced. The ideas expressed in this article serve to provide direction when considering developing a health behavior program for a country, using previous programmatic knowledge from elsewhere.

  13. 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)…

  14. Migrant Education Health Program, 1989. Final Report.

    ERIC Educational Resources Information Center

    Colorado State Dept. of Health, Denver.

    This report details specific 1989 activities of the Migrant Education Health Program in Colorado. The state health department wrote the report to demonstrate that the health services it provided to migrants that year were within the scope of a contractual agreement with the Colorado Department of Education. The report was also designed to share…

  15. Experience Placements. Mental Health Career Development Programs.

    ERIC Educational Resources Information Center

    National Inst. of Mental Health (DHEW), Bethesda, MD.

    The purpose of the Mental Health Career Development Program (MHCD) is to recruit and develop talented professionals for major roles in the multidisciplinary Federal mental health effort at the National Institute of Mental Health and other agencies. This booklet is intended to assist MHCD members and their advisors in planning for the transition…

  16. 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)

  17. 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…

  18. What Does It Take? California County Funding Requests for Recovery-Oriented Full Service Partnerships Under the Mental Health Services Act

    PubMed Central

    Cashin, Cheryl E.; Brown, Timothy T.

    2010-01-01

    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. PMID:20440560

  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. PMID:26173013

  20. 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.

  1. 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…

  2. 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.

  3. How the Illness Management and Recovery Program Enhanced Recovery of Persons With Schizophrenia and Other Psychotic Disorders: A Qualitative Study.

    PubMed

    van Langen, Wilma J M; Beentjes, Titus A A; van Gaal, Betsie G I; Nijhuis-van der Sanden, Maria W G; Goossens, Peter J J

    2016-10-01

    This study aims to describe how the Illness Management and Recovery program enhanced recovery of persons with schizophrenia and other psychotic disorders from their own perspective. Participants valued learning how to divide huge goals into attainable steps, how to recognize and prevent a relapse by managing symptoms, practicing skills, and talking openly about illness related experience. They learned from the exchange with peers and from the information in the IMR textbook. Nurses should have continuous attention and reinforcement for progress on goals, skills practice and exchange of peer information. A peer-support specialist can contribute to keep this focus.

  4. How the Illness Management and Recovery Program Enhanced Recovery of Persons With Schizophrenia and Other Psychotic Disorders: A Qualitative Study.

    PubMed

    van Langen, Wilma J M; Beentjes, Titus A A; van Gaal, Betsie G I; Nijhuis-van der Sanden, Maria W G; Goossens, Peter J J

    2016-10-01

    This study aims to describe how the Illness Management and Recovery program enhanced recovery of persons with schizophrenia and other psychotic disorders from their own perspective. Participants valued learning how to divide huge goals into attainable steps, how to recognize and prevent a relapse by managing symptoms, practicing skills, and talking openly about illness related experience. They learned from the exchange with peers and from the information in the IMR textbook. Nurses should have continuous attention and reinforcement for progress on goals, skills practice and exchange of peer information. A peer-support specialist can contribute to keep this focus. PMID:27654236

  5. 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

  6. 36 CFR 72.52 - Recovery Action Program grant applications.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... methodology in relation to UPARR planning requirements and the community's identified planning needs. (v) Dollars and work years to be devoted to development of each element in the proposed Recovery...

  7. 75 FR 7448 - Species Recovery Grants to Tribes Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-19

    ..., scientific research, and public education and outreach. Proposals should address priority actions identified.... SUMMARY: The National Marine Fisheries Service publishes this notice to solicit proposals for the Species... species. Recovery efforts may involve management, research, monitoring, and outreach activities or...

  8. 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…

  9. 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...

  10. 75 FR 73110 - Health Center Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-29

    ... Health Center Program (section 330 of the Public Health Service Act) Increased Demand for Services (IDS..., 2009, to March 26, 2011 (IDS) and June 29, 2009, to June 28, 2011 (CIP). Replacement Awardee: Upper Room AIDS Ministry, Inc. Amount of Replacement Award: $103,317 (IDS) and $262,740 (CIP). Period...

  11. 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.

  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. Migrant Health Program, 1969 Annual Report.

    ERIC Educational Resources Information Center

    New Jersey State Dept. of Health, Trenton.

    The New Jersey State Department of Health has placed increasing emphasis on high-quality health care since the first hospital-based Migrant Family Clinic replaced field clinics in 1965. Statistics show that medical services provided by the program reached 38% of all migrant workers in New Jersey at the peak of the 1969 crop season; however,…

  14. [Recovery].

    PubMed

    Estingoy, Pierrette; Gilliot, Élodie; Parisot, Clément

    2015-01-01

    The historical fatalism of the impossibility of recovering from psychosis eased from the 1970s with the shaping of the idea of a possible recovery. Recovery is today the objective for the patient and caregivers. The key to achieving this lies in the encounter with Others. A collective approach, on the level of the institution, must be established. The aim is to create opportunities for the patient to express their doubts and feelings. PMID:26363659

  15. 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,…

  16. 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…

  17. 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…

  18. Coordinated School Health Programs. Position Statement. Revised

    ERIC Educational Resources Information Center

    National Association of School Nurses (NJ1), 2008

    2008-01-01

    It is the position of the National Association of School Nurses (NASN) that all children should have the right to coordinated school health programs. NASN supports continued research to document the outcomes of these programs. School nurses should use their professional education and skills to assist their schools and communities in the…

  19. Reflections on Recovery in Mental Health: Perspectives From a Muslim Culture.

    PubMed

    Eltaiba, Nada; Harries, Maria

    2015-01-01

    This article describes the outcomes of research into how individuals with mental health problems at the National Centre of Mental Health in Jordan perceived the causes of their mental health problems, the coping strategies they employed, how they sought help, and how they experienced what is termed the process of recovery. Semi-structured interviews were conducted with 10 male and 10 female patients diagnosed with a range of mental health problems. The research suggests that each person perceived recovery uniquely and that, for some, religion was viewed as being central to recovery. The research also suggests that social workers and other mental health professionals working with Muslim patients can better contribute to their recovery if they understand and respect the central role of these patients' religious beliefs and "faith journeys."

  20. 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…

  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. Problems associated with community mental health programs.

    PubMed

    Bindman, A J

    1966-12-01

    Community mental health programs vary in relation to their types of administrative and fiscal policy and structure. Discontinuity of services may increase due to proliferation of community-based programs, and community mental health personnel must be trained to deal with many needs and new programs. There will also be conflicts over individual professional interests versus community needs. Problems of staff recruitment will increase and concerted efforts are necessary to increase inservice education in order to re-shape professional roles. Psychologists in particular are interested in new developments in "community psychology" as a means of contributing to these efforts. PMID:24190853

  3. Characteristics of graduate adult health nursing programs.

    PubMed

    Stokes, E; Whitis, G; Moore-Thrasher, L

    1997-02-01

    This descriptive study explored the current characteristics and emphases of graduate programs which offer adult health nursing curricula. All NLN-accredited master's programs offering the adult health focus were requested to send selected demographic information and materials/bulletins normally sent to prospective students. The Conrad and Pratt model for curriculum decision-making was used to organize results related to environmental input and curriculum design variables. Descriptive statistics were employed to analyze admission requirements, types of study permitted, length of program, type of courses (core, electives/cognates, specialty) and completion requirements. Results indicated that adult health graduate programs have multi-tracks. Students were generally attending part-time. Full-time study completion time was four to six semesters. Evening and one day per week offerings were frequently found, as were numerous innovative strategies. Prevalent admission requirements were: graduation from an NLN-accredited BSN program, current licensure, specified GPA, GRE scores, health assessment and statistics courses, professional references and possible personal interview. Most programs required core courses in theory/conceptual frameworks, issues, roles, statistics and research. Electives/cognate courses and thesis/non-thesis options were present in most programs. PMID:9029416

  4. 75 FR 68811 - Recovery Publication, P-395, Fire Management Assistance Grant Program (FMAGP) Guide

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-09

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency Recovery Publication, P-395, Fire Management Assistance Grant... Fire Management Assistance Grant Program (FMAGP) Guide. The Guide describes the FMAGP...

  5. Substance Abuse among the Deaf Population: An Overview of Current Strategies, Programs and Barriers to Recovery.

    ERIC Educational Resources Information Center

    Lane, Katherine E.

    1989-01-01

    The paper analyzes the problem of alcohol and drug abuse among the deaf population focusing on: precipitating factors leading to substance abuse; barriers to recovery; and descriptions of several treatment centers, programs, and services. (JDD)

  6. 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,…

  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. Does gender matter? Exploring mental health recovery court legal and health outcomes

    PubMed Central

    Kothari, Catherine L; Butkiewicz, Robert; Williams, Emily R; Jacobson, Caron; Morse, Diane S; Cerulli, Catherine

    2014-01-01

    Background Based upon therapeutic justice principles, mental health courts use legal leverage to improve access and compliance to treatment for defendants who are mentally ill. Justice-involved women have a higher prevalence of mental illness than men, and it plays a greater role in their criminal behavior. Despite this, studies examining whether women respond differently than men to mental health courts are lacking. Study goals were to examine gender-related differences in mental health court participation, and in criminal justice, psychiatric and health-related outcomes. Methods This study utilized a quasi-experimental pre-posttest design without a control group. The data were abstracted from administrative records of Kalamazoo Community Mental Health and Substance Abuse agency, the county jail and both county hospitals, 2008 through 2011. Generalized estimating equation regression was used to assess gender-differences in pre-post program outcomes (jail days, psychiatric and medical hospitalization days, emergency department visits) for the 30 women and 63 men with a final mental health court disposition. Results Program-eligible females were more likely than males to become enrolled in mental health court. Otherwise they were similar on all measured program-participation characteristics: treatment compliance, WRAP participation and graduation rate. All participants showed significant reductions in emergency department visits, but women-completers had significantly steeper drops than males: from 6.7 emergency department visits to 1.3 for women, and from 4.1 to 2.4 for men. A similar gender pattern emerged with medical-hospitalization-days: from 2.2 medical hospital days down to 0.1 for women, and from 0.9 days up to 1.8 for men. While women had fewer psychiatric hospitalization days than men regardless of program involvement (2.5 and 4.6, respectively), both genders experienced fewer days after MHRC compared to before. Women and men showed equal gains from

  9. 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…

  10. Consumer's perceptions of Recovery-oriented mental health services: an Australian case-study analysis.

    PubMed

    Hungerford, Catherine; Fox, Catherine

    2014-06-01

    Recovery approaches to health care now feature in the mental health policies of many Western countries. There are, however, continuing challenges to the operationalization of these approaches. This study aimed to identify the nature of these challenges for a public mental health service organization located in a major urban center in southeastern Australia, where Recovery-oriented services have been implemented; and to develop recommendations to address these challenges. These aims were achieved by asking mental health consumers about their experiences of the implementation of Recovery-oriented services. Research participants described an uncertainty in health professionals and consumers alike about how to practice within a Recovery model, with many health professionals taking a "hands off" approach in the name of Recovery, rather than working in partnership with consumers and other stakeholders, including the community managed organizations. Solutions to these challenges included more targeted, practice-focused education for consumers and health professionals, with this education provided by consumer representatives. Insights derived from this research add to the growing body of evidence related to the implementation of Recovery-oriented services in Western countries.

  11. 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…

  12. A model for improving endangered species recovery programs

    NASA Astrophysics Data System (ADS)

    Miller, Brian; Reading, Richard; Conway, Courtney; Jackson, Jerome A.; Hutchins, Michael; Snyder, Noel; Forrest, Steve; Frazier, Jack; Derrickson, Scott

    1994-09-01

    This paper discusses common organizational problems that cause inadequate planning and implementation processes of endangered species recovery across biologically dissimilar species. If these problems occur, even proven biological conservation techniques are jeopardized. We propose a solution that requires accountability in all phases of the restoration process and is based on cooperative input among government agencies, nongovernmental conservation organizations, and the academic community. The first step is formation of a task-oriented recovery team that integrates the best expertise into the planning process. This interdisciplinary team should be composed of people whose skills directly address issues critical for recovery. Once goals and procedures are established, the responsible agency (for example, in the United States, the US Fish and Wildlife Service) could divest some or all of its obligation for implementing the plan, yet still maintain oversight by holding implementing entities contractually accountable. Regular, periodic outside review and public documentation of the recovery team, lead agency, and the accomplishments of implementing bodies would permit evaluation necessary to improve performance. Increased cooperation among agency and nongovernmental organizations provided by this model promises a more efficient use of limited resources toward the conservation of biodiversity.

  13. Reproductive health programs for men.

    PubMed

    Best, K

    1998-01-01

    The Groupe de Lutte Anti-SIDA (GLAS) (Group in Struggle Against AIDS) is an HIV prevention program in Port-au-Prince, Haiti, which taught HIV prevention to almost 20,000 mainly male workers aged 15-49 years. Before ending in 1996, GLAS offered one, hour-long session introducing HIV and other sexually transmitted diseases (STDs), and how to prevent them; instruction on how to use condoms; an open-ended discussion hour in which workers who had attended the first 2 sessions could ask questions about beliefs and rumors related to HIV/AIDS and STDs; and intensive psychological support groups using the transactional analysis (TA) educational approach to personal growth and change. The TA approach focuses upon teaching adults how to abandon self-defeating strategies, typically learned during childhood, and how to develop attitudes for managing life's problems. It promotes clear, direct communication. Participation in GLAS's program helped men understand the benefits of adopting HIV/STD risk reduction behavior. PMID:12293535

  14. Program management of telemental health care services.

    PubMed

    Darkins, A

    2001-01-01

    Telemedicine is a new adjunct to the delivery of health care services that has been applied to a range of health care specialties, including mental health. When prospective telemedicine programs are planned, telemedicine is often envisaged as simply a question of introducing new technology. The development of a robust, sustainable telemental health program involves clinical, technical, and managerial considerations. The major barriers to making this happen are usually how practitioners and patients adapt successfully to the technology and not in the physical installation of telecommunications bandwidth and the associated hardware necessary for teleconsultation. This article outlines the requirements for establishing a viable telemental health service, one that is based on clinical need, practitioner acceptance, technical reliability, and revenue generation. It concludes that the major challenge associated with the implementation of telemental health does not lie in having the idea or in taking the idea to the project stage needed for proof of concept. The major challenge to the widespread adoption of telemental health is paying sufficient attention to the myriad of details needed to integrate models of remote health care delivery into the wider health care system.

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

    PubMed Central

    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 abuse, recovery schools appear to successfully function as continuing care providers reinforcing and sustaining therapeutic benefits gained from treatment. Small size and therapeutic programming allow for a potentially broader continuum of services than currently exists in most of the schools. Recovery schools thus provide a useful design for continuing care warranting further study and policy support. PMID:24591808

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

    PubMed

    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 abuse, recovery schools appear to successfully function as continuing care providers reinforcing and sustaining therapeutic benefits gained from treatment. Small size and therapeutic programming allow for a potentially broader continuum of services than currently exists in most of the schools. Recovery schools thus provide a useful design for continuing care warranting further study and policy support. PMID:24591808

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

    PubMed

    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 abuse, recovery schools appear to successfully function as continuing care providers reinforcing and sustaining therapeutic benefits gained from treatment. Small size and therapeutic programming allow for a potentially broader continuum of services than currently exists in most of the schools. Recovery schools thus provide a useful design for continuing care warranting further study and policy support.

  18. 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.

  19. 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. PMID:26687768

  20. Valued Social Roles and Measuring Mental Health Recovery: Examining the Structure of the Tapestry

    PubMed Central

    Hunt, Marcia G.; Stein, Catherine H.

    2014-01-01

    The complexity of the concept of mental health recovery often makes it difficult to systematically examine recovery processes and outcomes. The concept of social role is inherent within many acknowledged dimensions of recovery such as community integration, family relationships, and peer support and can deepen our understanding of these dimensions when social roles are operationalized in ways that directly relate to recovery research and practice. Objective This paper reviews seminal social role theories and operationalizes aspects of social roles: role investment, role perception, role loss, and role gain. The paper provides a critical analysis of the ability of social role concepts to inform mental health recovery research and practice. Method PubMed and PsychInfo databases were used for the literature review. Results A more thorough examination of social role aspects allows for a richer picture of recovery domains that are structured by the concept social roles. Increasing understanding of consumers’ investment and changes in particular roles, perceptions of consumers’ role performance relative to peers, and consumers’ hopes for the future with regards to the different roles that they occupy could generate tangible, pragmatic approaches in addressing complex recovery domains. Conclusions and Implications for Practice This deeper understanding allows a more nuanced approach to recovery-related movements in mental health system transformation. PMID:23276237

  1. 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...

  2. The Health Consultation Program: a model school nurse education program.

    PubMed

    Larter, N; Chernick, L; Maire, J A; DuBois, E

    1999-08-01

    The Health Consultation Program (HCP) provides educational resources to school nurses throughout the state of Washington. It has several components, including consultation with clinical nurse specialists, a video lending library, health education materials, continuing education seminars, and preceptorships. School nurses access desired services to assist them in a variety of activities, such as developing individualized health care plans or teaching other school personnel about a child's special needs. Quotations from school nurses gathered during HCP evaluations indicate greater self-care abilities by students, improved skills of teachers and other professionals, increased planning for safe and appropriate care, and improved quality of care. PMID:10745798

  3. Prevention and recovery in early psychosis (PREP(®)): building a public-academic partnership program in Massachusetts, United States.

    PubMed

    Caplan, Brina; Zimmet, Suzanna V; Meyer, Eric C; Friedman-Yakoobian, Michelle; Monteleone, Thomas; Jude Leung, Y; Guyer, Margaret E; Rood, Laura Logue; Keshavan, Matcheri S; Seidman, Larry J

    2013-04-01

    Recently, there has been increasing emphasis on early intervention (EI) for psychotic disorders. EI programs in public mental health settings have been established in countries such as Australia, the United Kingdom, and Canada. However, there are relatively few EI programs in the United States (U.S.). Here we describe the conceptual origins and practical development of the PREP program, i.e., Prevention and Recovery in Early Psychosis, as it evolved in a public academic psychiatry setting in Boston, Massachusetts, U.S. PREP developed over a decade through a partnership between the Massachusetts Department of Mental Health and academic institutions within the Harvard Department of Psychiatry. We discuss the evolution, programmatic features, funding mechanisms, staffing, and the role of clinical training in PREP. The key principles in developing the PREP Program include the focus on early, evidence based, person-centered and phase-specific, integrated and continuous, comprehensive care. This program has served as a foundation for the emergence of related services at our institution, including a research clinic treating those at clinical high risk or within the putative "prodromal" period preceding frank psychosis. This account offers one possible blueprint for the development of EI programs despite the lack in the U.S. of a national mandate for EI or prevention-based mental health programs. PMID:23466116

  4. What Predicts Recovery Orientation in County Departments of Mental Health? A Pilot Study

    PubMed Central

    Mahoney, Christine B.; Adams, Neal; Felton, Mistique; Pareja, Candy

    2009-01-01

    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. PMID:19888648

  5. 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. PMID:26548375

  6. 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.

  7. 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…

  8. 76 FR 57807 - Medicaid Program; Recovery Audit Contractors

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-16

    ... September 16, 2011 Part II Department of Health and Human Services Centers for Medicare & Medicaid Services... AND HUMAN SERVICES Centers for Medicare & Medicaid Services 42 CFR Part 455 RIN 0938-AQ19 Medicaid... for medical assistance that is approved by the Secretary of the U.S. Department of Health and...

  9. 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

  10. Computer Programming Languages for Health Care

    PubMed Central

    O'Neill, Joseph T.

    1979-01-01

    This paper advocates the use of standard high level programming languages for medical computing. It recommends that U.S. Government agencies having health care missions implement coordinated policies that encourage the use of existing standard languages and the development of new ones, thereby enabling them and the medical computing community at large to share state-of-the-art application programs. Examples are based on a model that characterizes language and language translator influence upon the specification, development, test, evaluation, and transfer of application programs.

  11. Selective Recovery From Failures In A Task Parallel Programming Model

    SciTech Connect

    Dinan, James S.; Singri, Arjun; Sadayappan, Ponnuswamy; Krishnamoorthy, Sriram

    2010-05-17

    We present a fault tolerant task pool execution environment that is capable of performing fine-grain selective restart using a lightweight, distributed task completion tracking mechanism. Compared with conventional checkpoint/restart techniques, this system offers a recovery penalty that is proportional to the degree of failure rather than the system size. We evaluate this system using the Self Consistent Field (SCF) kernel which forms an important component in ab initio methods for computational chemistry. Experimental results indicate that fault tolerant task pools are robust in the presence of an arbitrary number of failures and that they offer low overhead in the absence of faults.

  12. 75 FR 48815 - Medicaid Program and Children's Health Insurance Program (CHIP); Revisions to the Medicaid...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-11

    ... Medicaid Program and Children's Health Insurance Program (CHIP); Revisions to the Medicaid Eligibility... Program and Children's Health Insurance Program (CHIP); Revisions to the Medicaid Eligibility Quality...), HHS. ACTION: Final rule. SUMMARY: This final rule implements provisions from the Children's...

  13. 76 FR 4350 - Health Information Technology Extension Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-25

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Information Technology Extension Program ACTION: Public Notice. SUMMARY: This notice announces changes to the Health Information Technology Extension Program, which assists...

  14. 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.

  15. 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...

  16. 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…

  17. Health Occupations Education Program Management Guide.

    ERIC Educational Resources Information Center

    Iowa Univ., Iowa City. Coll. of Education.

    This final report describes a project to develop a secondary education program management guide for health occupations education in Iowa. Introductory material includes the following: a summary sheet on project objectives, a description of how the objectives were met, the audience served, an educational equity statement, a statement that the…

  18. 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…

  19. Mental Health Reform at a Systems Level: Widening the Lens on Recovery-Oriented Care

    PubMed Central

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

    2014-01-01

    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. PMID:25007277

  20. Methods: School Health Policies and Programs Study 2006

    ERIC Educational Resources Information Center

    Kyle, Tonja M.; Brener, Nancy D.; Kann, Laura; Ross, James G.; Roberts, Alice M.; Iachan, Ronaldo; Robb, William H.; McManus, Tim

    2007-01-01

    Background: The School Health Policies and Programs Study (SHPPS) 2006 examined 8 components of school health programs: health education, physical education and activity, health services, mental health and social services, nutrition services, healthy and safe school environment, faculty and staff health promotion, and family and community…

  1. Multiple intervention research programs in community health.

    PubMed

    Edwards, Nancy; Mill, Judy; Kothari, Anita R

    2004-03-01

    The authors describe an organizing framework for multiple interventions in community health. The framework provides a foundation for programmatic research on multiple interventions and poses critical questions that need to be addressed in the next generation of research in this field. Multiple intervention programs are characterized by the use of multiple strategies targeted at multiple levels of the socio-ecological system and delivered to multiple target audiences. Consequently, they complement the growing literature on the broad determinants of health and health promotion. The authors describe a 4-stage framework and identify gaps and challenges in this field of research. There are 5 key research areas requiring concerted action; researchers must: examine nested determinants, develop integrated conceptual frameworks, examine ways to optimize synergies among interventions, describe spin-offs from multiple intervention programs, and monitor the sustainability of their impact.

  2. 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

  3. 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.

  4. 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)

  5. 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.

  6. 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

  7. Health education assistance loan program: Public Health Service. Final regulations.

    PubMed

    1981-01-27

    This rule amends regulations for the Health Education Assistance Loan (HEAL) Program, authorized by the PHS Act, by: (1) removing the prohibition against receipt of a HEAL loan during the same school year in which a student receives loans from other federally provided or assisted loan programs under part B of Title IV of the Higher Education Act of 1965, (2) establishing a more flexible definition of academic year, (3) raising the maximum amount which may be borrowed, (4) changing the maximum interest rate, and (5) redesignating the location of the regulations in the code of Federal Regulations (CFR).

  8. The integration of mental and behavioral health into disaster preparedness, response, and recovery.

    PubMed

    Pfefferbaum, Betty; Flynn, Brian W; Schonfeld, David; Brown, Lisa M; Jacobs, Gerard A; Dodgen, Daniel; Donato, Darrin; Kaul, Rachel E; Stone, Brook; Norwood, Ann E; Reissman, Dori B; Herrmann, Jack; Hobfoll, Stevan E; Jones, Russell T; Ruzek, Josef I; Ursano, Robert J; Taylor, Robert J; Lindley, David

    2012-03-01

    The close interplay between mental health and physical health makes it critical to integrate mental and behavioral health considerations into all aspects of public health and medical disaster management. Therefore, the National Biodefense Science Board (NBSB) convened the Disaster Mental Health Subcommittee to assess the progress of the US Department of Health and Human Services (HHS) in integrating mental and behavioral health into disaster and emergency preparedness and response activities. One vital opportunity to improve integration is the development of clear and directive national policy to firmly establish the role of mental and behavioral health as part of a unified public health and medical response to disasters. Integration of mental and behavioral health into disaster preparedness, response, and recovery requires it to be incorporated in assessments and services, addressed in education and training, and founded on and advanced through research. Integration must be supported in underlying policies and administration with clear lines of responsibility for formulating and implementing policy and practice.

  9. 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...

  10. 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...

  11. 50 CFR 679.45 - IFQ cost recovery program.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 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...

  12. 50 CFR 679.45 - IFQ cost recovery program.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 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://www.fakr.noaa.gov/ram. (iv) Payment method. Payment must be made in U.S. dollars by personal...

  13. 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

  14. 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.

  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, 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...

  17. 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...

  18. 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...

  19. 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...

  20. 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...

  1. SHPPS 2006: School Health Policies and Programs Study--Nutrition

    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 reports study results in the following areas, as they relate to nutrition: (1) Health Education; (2) Health Services and Mental Health and…

  2. Procuring incentives for community health promotion programs.

    PubMed

    Engelberg, M; Elder, J P; Hammond, N; Boskin, W; Molgaard, C A

    1987-01-01

    Many community health promotion programs have used incentives to encourage participation and to reward health behavior change. To minimize expenses and to enhance a sense of shared responsibility, a number of projects have turned to community merchants as a source of incentives. This study investigated the relative effectiveness of solicitation methods used to procure incentives from local merchants for community health promotion programs. The effect of setting, i.e. level of urban development, and type of business were also analyzed in terms of procurement rates. Two hundred and eighteen merchants were solicited to gain incentives for two programs. Twenty-four incentives were procured at a total value of $480. Telemarketing and face-to-face contact had similar procurement rates, restaurants were by far the type of business most likely to donate, and rural merchants provided incentives significantly more often than urban merchants, while developing urban area merchants' donation rates were midway in between. Telemarketing was the solicitation method clearly most cost effective.

  3. Treatment outcome and factors affecting time to recovery in children with severe acute malnutrition treated at outpatient therapeutic care program

    PubMed Central

    Mengesha, Melkamu Merid; Deyessa, Negussie; Tegegne, Balewgizie Sileshi; Dessie, Yadeta

    2016-01-01

    Background The outpatient therapeutic care program (OTP) of children with severe acute malnutrition (SAM) has been decentralized to health post level in Ethiopia since 2008–2009. However, there is a lack of evidence regarding treatment outcomes and factors related to the duration of stay on treatment after its decentralization to health post level. Objective This study was aimed to assess treatment outcome and factors affecting time to recovery in children with SAM treated at OTP. Design Health facility–based retrospective cohort study was conducted using data from 348 patient cards. The outcome variable was time to recovery. Descriptive analysis was done using percentages for categorical data and mean/median for continuous variables. A robust method of analyzing time to event data, the Cox proportional-hazard regression, was used. All statistical tests in this study are declared significant at p<0.05. Result 89.1% of children with kwashiorkor and 69.4% of children with marasmus were recovered. Of the total children studied, 22% were readmitted cases. The median time of recovery was 35 days for children with kwashiorkor and 49 days for children with marasmus. Children older than 3 years were 33% less likely to achieve nutritional recovery [adjusted hazard ratio, AHR=0.67, 95% confidence interval, CI (0.46, 0.97)]. Similarly, marasmic children stayed longer on treatment [AHR=0.42, 95% CI (0.32, 0.56)]. However, children who gained Mid-Upper Arm Circumference (MUAC) ≥ 0.24 mm/day were 59% more likely to recover faster [AHR=1.59, 95% CI (1.23, 2.06)]. Conclusions Close monitoring of weight and MUAC gain to assess nutritional improvement with due emphasis given to children with lower admission weight, children of age 3 years and above and marasmic children will have a positive effect on treatment duration and outcome. PMID:27396484

  4. 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.

  5. 75 FR 1843 - Medicare and Medicaid Programs; Electronic Health Record Incentive Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-13

    ... Consumer Assessment of Healthcare Providers and Systems CCN CMS Certification Numbers CHIP Children's Health Insurance Program CHIPRA Children's Health Insurance Program Reauthorization Act of 2009 CMS.... Children's Hospitals c. Medicaid Professionals Program Eligibility d. Calculating Patient...

  6. Collegiate Recovery Communities Programs: What do we know and what do we need to know?

    PubMed Central

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

    2014-01-01

    As the broad construct of recovery increasingly guides addiction services and policy, federal agencies have called for the expansion of peer-driven recovery support services. The high prevalence of substance use and abuse in colleges and universities in the U.S. constitute a significant obstacle to pursuing an education for the unknown number of youths who have attained remission from substance use dependence. Collegiate Recovery Programs (CRPs) are an innovative and growing model of peer-driven recovery support delivered on college campuses. Although no systematic research has examined CRPs, available site-level records suggest encouraging outcomes: low relapse rates and above average academic achievement. The number of CRPs nationwide is growing, but there is a noticeable lack of data on the model, its students and their outcomes. We review the literature supporting the need for the expansion of CRPs, present information on the diversity of CRP services and outline key areas where research is needed. PMID:24634609

  7. 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.

  8. 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

  9. 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…

  10. Recovery of Renal Function among ESRD Patients in the US Medicare Program

    PubMed Central

    Mohan, Sumit; Huff, Edwin; Wish, Jay; Lilly, Michael; Chen, Shu-Cheng; McClellan, William M.

    2013-01-01

    Background Patients started on long term hemodialysis have typically had low rates of reported renal recovery with recent estimates ranging from 0.9–2.4% while higher rates of recovery have been reported in cohorts with higher percentages of patients with acute renal failure requiring dialysis. Study Design Our analysis followed approximately 194,000 patients who were initiated on hemodialysis during a 2-year period (2008 & 2009) with CMS-2728 forms submitted to CMS by dialysis facilities, cross-referenced with patient record updates through the end of 2010, and tracked through December 2010 in the CMS SIMS registry. Results We report a sustained renal recovery (i.e no return to ESRD during the available follow up period) rate among Medicare ESRD patients of > 5% - much higher than previously reported. Recovery occurred primarily in the first 2 months post incident dialysis, and was more likely in cases with renal failure secondary to etiologies associated with acute kidney injury. Patients experiencing sustained recovery were markedly less likely than true long-term ESRD patients to have permanent vascular accesses in place at incident hemodialysis, while non-White patients, and patients with any prior nephrology care appeared to have significantly lower rates of renal recovery. We also found widespread geographic variation in the rates of renal recovery across the United States. Conclusions Renal recovery rates in the US Medicare ESRD program are higher than previously reported and appear to have significant geographic variation. Patients with diagnoses associated with acute kidney injury who are initiated on long-term hemodialysis have significantly higher rates of renal recovery than the general ESRD population and lower rates of permanent access placement. PMID:24358285

  11. 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

  12. 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 stakeholders…

  13. The School-Police Partnership: Identifying At-Risk Youth through a Truant Recovery Program.

    ERIC Educational Resources Information Center

    White, Michael D.; Fyfe, James J.; Campbell, Suzanne P.; Goldkamp, John S.

    2001-01-01

    Studied the experiences of 178 juveniles targeted by the Truant Recovery Program, a collaborative and nonpunitive school-law enforcement effort in California. Findings suggest that intensive cooperation between school and police may be effective in identifying troubled youth. Findings also raise questions about appropriate school and justice…

  14. 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 Property Management Regulations System (Continued) DEPARTMENT OF ENERGY PROPERTY MANAGEMENT...

  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 Property Management Regulations System (Continued) DEPARTMENT OF ENERGY PROPERTY MANAGEMENT...

  16. 50 CFR 660.115 - Trawl fishery-cost recovery program.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 50 Wildlife and Fisheries 13 2014-10-01 2014-10-01 false Trawl fishery-cost recovery program. 660.115 Section 660.115 Wildlife and Fisheries FISHERY CONSERVATION AND MANAGEMENT, NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION, DEPARTMENT OF COMMERCE (CONTINUED) FISHERIES OFF WEST COAST STATES West Coast Groundfish-Limited Entry Trawl Fisheries...

  17. 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 Property Management Regulations System (Continued) DEPARTMENT OF ENERGY PROPERTY MANAGEMENT...

  18. 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 Property Management Regulations System (Continued) DEPARTMENT OF ENERGY PROPERTY MANAGEMENT...

  19. 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 Property Management Regulations System (Continued) DEPARTMENT OF ENERGY PROPERTY MANAGEMENT...

  20. 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…

  1. 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…

  2. 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…

  3. 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.

  4. Mental health courts: serving justice and promoting recovery.

    PubMed

    Wren, Ginger Lerner

    2010-01-01

    This article begins and ends with a call for more empirical research to understand the connection between societal views of mental illness and the legal system. The author asserts that changing social perceptions of mental illness certainly affect legal outcomes and commitment levels, but the degree remains unknown. This article explores the above two topics through the framework of the Circuit Court 'split' regarding the Constitutional rights of persons committed to state mental health institutions. A main facet of the 'split' is centered on the Circuits' disagreement about whether or not all mentally ill patients committed to institutions deserve the same Constitutional protections.

  5. 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. PMID:22635185

  6. 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

  7. Community Health Workers as Agents of Health Promotion: Analyzing Thailand's Village Health Volunteer Program.

    PubMed

    Kowitt, S D; Emmerling, D; Fisher, E B; Tanasugarn, C

    2015-08-01

    The village health volunteers (VHVs) have been a regular part of Thailand's health system since the 1960s. Despite widespread recognition, little research has been conducted to describe VHV activities, the settings in which VHVs provide help, how the program is administered, and how changing politics and health problems in Thailand have influenced the program. In order to understand the roles and practices of the VHVs, we conducted in-depth semi-structured interviews and focus groups with VHVs, community leaders and members, and public health officials in three semi-urban communities in central Thailand. Using the Social Ecological Framework, we mapped factors that influenced how the VHVs provided support, including governmental oversight, collaboration with public health officials, and community trust. These influences are discussed as "points of consideration," which help to identify the strengths and tensions within the VHV program and best practices in supporting and assessing community health worker efforts.

  8. Recovery in the outpatient setting: 36-month results from the Schizophrenia Outpatients Health Outcomes (SOHO) study.

    PubMed

    Novick, Diego; Haro, Josep Maria; Suarez, David; Vieta, Eduard; Naber, Dieter

    2009-03-01

    Recovery is an important outcome of schizophrenia that has not been well defined or researched. Using a stringent definition of recovery that included long-lasting symptomatic and functional remission as well as an adequate quality of life for a minimum of 24 months and until the 36-month visit, we determined the frequency and predictors of recovery in patients with schizophrenia during 3 years of antipsychotic treatment in the prospective, observational Schizophrenia Outpatients Health Outcomes (SOHO) study. Of the 6642 patients analysed, 33% achieved long-lasting symptomatic remission, 13% long-lasting functional remission, 27% long-lasting adequate quality of life, and 4% achieved recovery during the 3 year follow-up period. Logistic regression analysis revealed that social functioning at study entry (having good occupational/vocational status, living independently and being socially active) and adherence with medication were factors significantly associated with achieving recovery. Higher negative symptom severity, higher BMI and lack of effectiveness as the reason for change of medication at baseline were baseline factors associated with a lower likelihood of achieving recovery. Treatment with olanzapine was also associated with a higher frequency of recovery compared with risperidone, quetiapine, typical antipsychotics (oral, depot) and patients taking two or more antipsychotic medications. There were no differences among the patients taking olanzapine, clozapine and amisulpride. Predictors of long-lasting symptomatic remission, functional remission and adequate quality of life were also independently analysed. Although the results should be interpreted conservatively due to the observational, non-randomised study design, they indicate that only a small proportion of patients with schizophrenia achieve recovery and suggest that social functioning, medication adherence and type of antipsychotic are important predictors of recovery.

  9. 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.

  10. An Indian-controlled mental health program.

    PubMed

    Ostendorf, D; Hammerschlag, C A

    1977-09-01

    The control of health care programs for American Indians is shifting slowly from the federal government to the tribes. In 1971 the Apaches began operating a community mental health center on a reservation in northeastern Arizona. The tribal council appointed a 14-member board to administer the center; a majority of the members were Apaches. The board then hired an executive director who was not an Indian. There were 15 professional and paraprofessional staff members; 12 were Apaches or other Indians. In January 1976 the tribal council fired the director and disbanded the board of directors, although the clinic continued operation. The authors discuss sociocultural factors that influenced the center's development and give several reasons for the center's problems, including the general expectation that agencies run by Indians will not be successful.

  11. 76 FR 58006 - Consumer Health IT Pledge Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-19

    ... From the Federal Register Online via the Government Publishing Office ] DEPARTMENT OF HEALTH AND 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....

  12. Worksite health and wellness programs in India.

    PubMed

    Babu, Abraham Samuel; Madan, Kushal; Veluswamy, Sundar Kumar; Mehra, Rahul; Maiya, Arun G

    2014-01-01

    Worksite health and wellness (WH&W) are gaining popularity in targeting cardiovascular (CV) risk factors among various industries. India is a large country with a larger workforce in the unorganized sector than the organized sector. This imbalance creates numerous challenges and barriers to implementation of WH&W programs in India. Large scale surveys have identified various CV risk factors across various industries. However, there is scarcity of published studies focusing on the effects of WH&W programs in India. This paper will highlight: 1) the current trend of CV risk factors across the industrial community, 2) the existing models of delivery for WH&W in India and their barriers, and 3) a concise evidence based review of various WH&W interventions in India.

  13. 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. PMID:2753581

  14. 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.

  15. 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…

  16. Investigating the Effectiveness of a Reading Recovery Program for At-Risk Students in an Alternative School Setting

    ERIC Educational Resources Information Center

    Alderman, Clyde E.

    2008-01-01

    This applied dissertation was designed to evaluate a Reading Recovery program at an alternative school in Florida. The Reading Recovery program was used as an intervention for improving students' reading skills and performances on the Florida Comprehensive Assessment Test (FCAT) that is given each year to students in Grades 7 and 8. The…

  17. 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…

  18. 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.

  19. 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

  20. Procedures for the Analysis of Band-recovery Data and User Instructions for Program MULT

    USGS Publications Warehouse

    Conroy, M.J.; Hines, J.E.; Williams, B.K.

    1989-01-01

    We briefly review methods for inference from band-recovery data and introduce a new, flexible procedure (MULT) for analysis of data from bird-banding studies. We compare our computing method to program SURIV and discuss the relative advanatages of each. We present several basic model structures that can be analyzed using program MULT and for each model structure describe estimation and hypothesis testing and give a data example. We provide a complete description of porgram MULT, which is IBM-PC compatible and may be run as either an interactive or a batch-mode program.

  1. 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…

  2. Epigenomic programing: a future way to health?

    PubMed

    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.

  3. 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. PMID:22752033

  4. 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. PMID:20571905

  5. 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

  6. 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.

  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. PMID:24702210

  8. 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

  9. 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

  10. 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

  11. Gender differences in recovery consequences among heroin dependent patients after compulsory treatment programs

    PubMed Central

    Haifeng, Jiang; Di, Liang; Jiang, Du; Haiming, Sun; Zhikang, Chen; Liming, Fu; Min, Zhao

    2015-01-01

    Studies on recovery patterns and how baseline factors influence recovery consequences among heroin dependent patients have shown mixed results. This study is aimed at describing the gender differences in long-term recovery patterns and exploring the predictors of negative recovery consequences by gender among heroin dependent patients in Shanghai, China. At baseline, this study recruited 503 heroin dependent patients discharged from Shanghai compulsory rehabilitation facilities in 2007 and 2008. In this cohort study, the baseline data was then linked with participants’ 5-year follow-up data from official records. Generalized Estimating Equations (GEE) were used to compare males with females in terms of the presence of negative consequences (incarceration, or readmission to compulsory treatment, or both), in the subsequent 5-years after their discharge from compulsory treatment. Ordinary least squares (OLS) regression was used to explore factors associated to the time length of negative consequences in 5 years after the discharge for males and females separately. Our findings indicate that female heroin dependent patients tend to have less negative recovery outcomes than male patients. Male patients with a life-time history of poly drug use and female patients with borderline personality disorder are especially at risk of incarceration and readmission into compulsory treatment programs. PMID:26644283

  12. Toward Achieving Health Equity: Emerging Evidence and Program Practice.

    PubMed

    Dicent Taillepierre, Julio C; Liburd, Leandris; OʼConnor, Ann; Valentine, Jo; Bouye, Karen; McCree, Donna Hubbard; Chapel, Thomas; Hahn, Robert

    2016-01-01

    Health equity, in the context of public health in the United States, can be characterized as action to ensure all population groups living within a targeted jurisdiction have access to the resources that promote and protect health. There appear to be several elements in program design that enhance health equity. These design elements include consideration of sociodemographic characteristics, understanding the evidence base for reducing health disparities, leveraging multisectoral collaboration, using clustered interventions, engaging communities, and conducting rigorous planning and evaluation. This article describes selected examples of public health programs the Centers for Disease Control and Prevention (CDC) has supported related to these design elements. In addition, it describes an initiative to ensure that CDC extramural grant programs incorporate program strategies to advance health equity, and examples of national reports published by the CDC related to health disparities, health equity, and social determinants of health. PMID:26599028

  13. Communication and the School Health Program

    ERIC Educational Resources Information Center

    Schaller, Warren E.

    1977-01-01

    This article discusses the development of health education and the internal communication between health educators within the discipline and between educators, health professionals, and human services professionals. (JD)

  14. 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. PMID:26090553

  15. Health status recovery at one year in children injured in a road accident: a cohort study.

    PubMed

    Batailler, Pierre; Hours, Martine; Maza, Maud; Charnay, Pierrette; Tardy, Hélène; Tournier, Charlène; Javouhey, Etienne

    2014-10-01

    Despite the frequency of traumatic injuries due to road accidents and potential importance of identifying children at risk of impaired recovery one year after a road accident, there is a lack of data on long-term recovery of health status, except in children with severe traumatic brain injury. The aim of the present study was to evaluate predictive factors of recovery in children one year after road traffic injuries. The prospective cohort study was composed of children aged <16 years, admitted to public or private sector hospitals in the Rhône administrative area of France following a road accident. Recovery of health status one year after the accident and information concerning quality of life and the consequences of the accident for the child or family 1 year after the accident were collected by questionnaire, usually completed by the parents. Victims were in majority male (64.6%) and had mild or moderate injuries (81.9% with Maximum Abbreviated Injury Scale (M-AIS) <3). One year after the accident, 75.0% of the mild-to-moderate and 34.8% of the severe cases estimated health status as fully recovered. After adjustment, severity score (M-AIS≥3) and lower limb injury (AIS>1) were associated with incomplete recovery of health status: weighted odds ratio (ORw), 4.3 [95% confidence interval (95% CI), 1.3-14.6] and ORw, 6.5 [95% CI, 1.9-21.7], respectively. Recovery status correlated significantly with quality of life physical scores (r=0.46), especially body pain (r=0.48) and role/social-physical (r=0.50) and, to a lesser extent, quality of life psychosocial scores (r=0.21). In a cohort of children injured in a road accident, those with high injury severity score and those with lower limb injuries are less likely to recover full health status by 1 year. Impaired health status was associated with a lower physical quality of life score at 1 year.

  16. Recovery of Viable Bacteria from Probiotic Products that Target Oral Health

    PubMed Central

    Banas, Jeffrey A.; Popp, Eric T.

    2013-01-01

    Probiotic therapy has predominantly been directed toward promoting and maintaining intestinal health. In recent years, however, probiotic regimens that target oral health have appeared on the market. These regimens are often delivered in the form of lozenges. Despite the oral health claims made by the manufacturers of these products, there is little independent evidence in the literature to support such claims. In theory, probiotic organisms can be beneficial by several different means including direct inhibition of pathogens and boosting of the host immune response, with the underlying assumption that these mechanisms require a critical number of viable organisms. In this study, five brands of probiotics marketed for oral health were tested for the recovery of viable bacteria. For only one brand could viable bacteria be recovered within one log of the manufacturer’s stated starting amount of bacteria. Nearly a billion viable bacteria could be recovered from a lozenge of this brand. The other brands claimed similar starting amounts of bacteria at the time of manufacture but at least a three-log drop off was observed in the amount of viable bacteria recovered from those products. Refrigeration of the probiotics significantly improved the recovery for one brand, but recoveries for all but one brand remained below the recommended daily dosage for probiotic regimens. It is concluded that probiotic brands differ significantly in the quantities of bacteria that remain viable with most failing to meet recommended dosage targets. PMID:24015157

  17. Recovery of Viable Bacteria from Probiotic Products that Target Oral Health.

    PubMed

    Banas, Jeffrey A; Popp, Eric T

    2013-09-01

    Probiotic therapy has predominantly been directed toward promoting and maintaining intestinal health. In recent years, however, probiotic regimens that target oral health have appeared on the market. These regimens are often delivered in the form of lozenges. Despite the oral health claims made by the manufacturers of these products, there is little independent evidence in the literature to support such claims. In theory, probiotic organisms can be beneficial by several different means including direct inhibition of pathogens and boosting of the host immune response, with the underlying assumption that these mechanisms require a critical number of viable organisms. In this study, five brands of probiotics marketed for oral health were tested for the recovery of viable bacteria. For only one brand could viable bacteria be recovered within one log of the manufacturer's stated starting amount of bacteria. Nearly a billion viable bacteria could be recovered from a lozenge of this brand. The other brands claimed similar starting amounts of bacteria at the time of manufacture but at least a three-log drop off was observed in the amount of viable bacteria recovered from those products. Refrigeration of the probiotics significantly improved the recovery for one brand, but recoveries for all but one brand remained below the recommended daily dosage for probiotic regimens. It is concluded that probiotic brands differ significantly in the quantities of bacteria that remain viable with most failing to meet recommended dosage targets. PMID:24015157

  18. 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.

  19. Developing a health promotion program for faith-based communities.

    PubMed

    Kotecki, Catherine Nuss

    2002-04-01

    The article describes the partnership formed between community outreach programs, a school of nursing, and hospitals to implement Healthy People 2010 goals in urban, faith-based communities. To date this program has provided health promotion programs to 125 people from more than 18 congregations in the context of their faith setting. The program has allowed congregants to develop ministry strategies to meet health care needs within the congregation and community. The article provides overall program goals, specific lesson plans, and evaluation strategies. Outcome measures include an increase in health promotion knowledge, participant satisfaction, and improved health in congregations. PMID:11913228

  20. 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

  1. 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...

  2. 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…

  3. 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)

  4. Program in Health and Medical Sciences, University of California, Berkeley.

    ERIC Educational Resources Information Center

    Rovnanek, Agnes

    In 1972, the development of a health sciences education program, oriented to health rather than medicine alone, was initiated at UCB. Summarized in this report are the major activities of the first three years in the areas of: an M.S. degree in health and medical sciences; a "medical option" program designed to prepare students for advanced…

  5. 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…

  6. National School Health Service Program. Special Report. Number 1, 1985.

    ERIC Educational Resources Information Center

    Robert Wood Johnson Foundation, New Brunswick, NJ.

    A five-year School Health Service demonstration program, sponsored by The Robert Wood Johnson Foundation, tested whether School Nurse Practitioners (SNP's) supported by community physicians could improve children's access to health care by expanding the health services in schools. The program was conducted in 18 school districts in medically…

  7. 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.

  8. 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…

  9. 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

  10. 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...

  11. 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.

  12. [PAIN MANAGEMENT IN PATIENTS OF RAPID RECOVERY (RR) PROGRAM IN TOTAL KNEE ARTHROPLASTY (TKA)].

    PubMed

    Marina Fernández, Rosa; Ginés Mateos, Gracia; Arco Pérez, Ma Carmen; Nuevo Gayoso, Montse; Faura Vendrell, Teresa

    2015-06-01

    Total knee arthroplasty (TKA) is a surgery consisting on the artificial joint replacement, due to a traumatic injury or a degenerative process or arthrosis. This surgery causes an important pain to patients, and sometimes affects negatively on their recovery. The choice of the prostheses will depend on the anatomical features of the patient and the surgeon criterion. The concept of a "rapid recovery surgery" was introduced in 1997 by Khelet and meant the beginning of the Fast Track model or the Rapid Recovery (RR) linked to an accelerated rehabilitation, an early discharge and the optimization of all the aspects of pre, intra and post-operative patient experience. Fast recovery is a surgical process which aims to achieve maximum autonomy of the patient through education, pain control and early mobilization. The key of the rapid recovery is to get the involvement of the patient thanks to the empowerment, which means a preoperative patient education that will help to reduce anxiety and it will make easier to engage in their own recovery. Furthermore the patient will take part of an effective post-operative physical therapy, using all the necessary tools to increase their ability to manage their own health problems. The empowerment of these patients is part of the Nursing Model in the Hospital Clinic de Barcelona (HCB), adopted by the Nursing Management in December of 2012. In Catalonia, until the start of the RR surgery, 14,132 interventions in 2008 where done by TKA conventional surgery, needing subsequent conventional hospitalization. This article describes the care and outcomes of nurse interventions, defined in the RR of TKA clinical way, which is focused on the pain's minimization and the impact on patients' mobilization. It was performed in a monographic unit from a tertiary-level hospital in Barcelona in 2013.

  13. 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.

  14. 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...

  15. 76 FR 1441 - Health Center Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-10

    ... transfer the remaining American Recovery and Reinvestment Act (ARRA) Increased Demand for Services (IDS.... Original Period of Grant Support: ARRA IDS Funds--March 27, 2009 to March 26, 2011; ARRA CIP Funds--June...

  16. The Recovery Movement: Implications For Mental Health Care And Enabling People To Participate Fully In Life.

    PubMed

    Davidson, Larry

    2016-06-01

    The recovery movement, which broadly recognizes the ability of people with mental illnesses to participate in the mainstream of society, stems from a confluence of factors, including longitudinal data showing that many people eventually recover from serious mental illness. Perhaps as important to the emergence and growth of the recovery movement has been the increasing role that people "in recovery" have played in advocating for person-centered care, greater self-determination for those with mental illnesses, and an enhanced focus on restoring functioning for individuals above and beyond symptom reduction. The Americans with Disabilities Act of 1990 redefined serious forms of mental illness as disabilities, which led to the development of a range of accommodations to enable people with psychiatric disabilities to live in their own homes, work, go to school, and perform other normative adult roles such as parent and parishioner even while suffering symptoms. The Affordable Care Act provides additional levers for expanding the use of peer health navigators and shifting care to a collaborative model in which people can play active roles in their own care. While stigma and discrimination continue to pose formidable obstacles, the foundations have been laid for mental health practice to come closer to resembling health care for other medical conditions. PMID:27269027

  17. 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.

  18. 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. PMID:24702212

  19. Status of natural disaster victims' health and recovery 1 and 3 years later.

    PubMed

    Murphy, S A

    1986-12-01

    Bereaved, property loss, and control groups (N = 155) studied 11 months following the 1980 volcanic eruption of Mt. St. Helens were recontacted 35 months postdisaster to test the hypotheses that the greater the loss experienced, the higher the stress, and the poorer the health. In general, the hypotheses were supported. Even though mental distress decreased between the two data collection periods, the mental health of the bereaved group remained poorer than both the property loss and control groups. At 3 years postdisaster, only 4% of the study participants reported complete recovery from disaster loss. Findings are compared with those of other recent disasters and clinical and theoretical implications are discussed.

  20. 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.

  1. Recovery-oriented care in older-adult acute inpatient mental health settings in Australia: an exploratory study.

    PubMed

    McKenna, Brian; Furness, Trentham; Dhital, Deepa; Ireland, Susan

    2014-10-01

    Recovery-oriented care acknowledges the unique journey that consumers lead with the aim of regaining control of their lives in order to live a good life. Recovery has become a dominant policy-directed model of many mental health care organizations, but in older-adult acute mental health inpatient settings, nurses do not have a clear description of how to be recovery-oriented. The aims of this study were to determine the extent to which elements of existing nursing practice resemble the domains of recovery-oriented care and provide a baseline understanding of practice in preparation for transformation to recovery-oriented mental health care provision. An exploratory, qualitative research design was used to meet the research aims. A purposive sample of mental health nurses (N = 12) participated in focus groups in three older-adult inpatient settings in Australia. A general inductive approach was used to analyze the qualitative data. The mental health nurses in this study readily discussed aspects of their current practice within the recovery domains. They described pragmatic ways to promote a culture of hope, collaborative partnerships, meaningful engagement, autonomy and self-determination, and community participation and citizenship. Nurses also discussed challenges and barriers to recovery-oriented care in older-adult acute mental health settings. This study identified a reasonable baseline understanding of practice in preparation for transformation to recovery-oriented older-adult mental healthcare provision. A concerted drive focused on recovery education is required to effectively embed a recovery-orientated paradigm into older-adult mental health settings.

  2. 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.

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

    PubMed Central

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

    2015-01-01

    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. PMID:23415372

  4. Perspectives of people who are deaf and hard of hearing on mental health, recovery, and peer support.

    PubMed

    Cabral, Linda; Muhr, Kathy; Savageau, Judith

    2013-12-01

    This qualitative study sought to better understand the experiences of deaf and hard of hearing individuals with accessing recovery-oriented mental health services and peer support via a focus group and interviews. Cultural brokers were used to facilitate culturally-sensitive communication with study participants. Findings indicate that access to adequate mental health services, not just recovery-oriented and peer support services, is not widely available for this population, largely due to communication barriers. Feelings of isolation and stigma are high among this population. Public mental health systems need to adapt and expand services for various cultural groups to insure recovery. PMID:23149648

  5. 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.

  6. 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…

  7. 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…

  8. 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.

  9. 76 FR 16438 - Reallocation of American Recovery and Reinvestment Act Capital Funds-Capital Fund Grant Program...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-23

    ... Grant Program Under the American Recovery and Reinvestment Act of 2009 AGENCY: Office of the Assistant... Reinvestment Act of 2009 (the Recovery Act) included a $4 billion appropriation of Capital Funds for public... competitive process. HUD obligated approximately $2.985 million in formula funds to PHAs on March 18, 2009....

  10. 20 CFR 416.553 - Waiver of adjustment or recovery-defeat the purpose of the supplemental security income program.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 2 2012-04-01 2012-04-01 false Waiver of adjustment or recovery-defeat the..., Overpayments, and Underpayments § 416.553 Waiver of adjustment or recovery—defeat the purpose of the supplemental security income program. We will waive adjustment or recovery of an overpayment when an...

  11. 20 CFR 416.553 - Waiver of adjustment or recovery-defeat the purpose of the supplemental security income program.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Waiver of adjustment or recovery-defeat the..., Overpayments, and Underpayments § 416.553 Waiver of adjustment or recovery—defeat the purpose of the supplemental security income program. We will waive adjustment or recovery of an overpayment when an...

  12. 20 CFR 416.553 - Waiver of adjustment or recovery-defeat the purpose of the supplemental security income program.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false Waiver of adjustment or recovery-defeat the..., Overpayments, and Underpayments § 416.553 Waiver of adjustment or recovery—defeat the purpose of the supplemental security income program. We will waive adjustment or recovery of an overpayment when an...

  13. 20 CFR 416.553 - Waiver of adjustment or recovery-defeat the purpose of the supplemental security income program.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 2 2014-04-01 2014-04-01 false Waiver of adjustment or recovery-defeat the..., Overpayments, and Underpayments § 416.553 Waiver of adjustment or recovery—defeat the purpose of the supplemental security income program. We will waive adjustment or recovery of an overpayment when an...

  14. 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

  15. 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

  16. 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…

  17. 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.

  18. Pharmacy assistance programs in a community health center setting.

    PubMed Central

    Torres, Maxsimo C.; Herman, Debra; Montano, Seferino; Love, Leah

    2002-01-01

    Prescription drug costs represent the fastest growing item in health care and are a driving force in rapidly increasing health care costs. Community health centers serve an indigent population with limited access to pharmaceuticals. Pharmaceutical companies sponsor patient assistance programs. These pharmacy assistance programs can be developed to facilitate the provision of needed pharmaceuticals to this vulnerable population. La Casa de Buena Salud is a rural community health center in eastern New Mexico, which has provided access to a substantial amount of pharmaceuticals to indigent patients through patient assistance programs. Cost savings potential are considerable for a community health center and for patients when a pharmacy assistance program is organized efficiently and employed systematically. Secondary benefits are derived from the entire medical community. While some community health centers currently make effective use of pharmaceutical company-sponsored pharmacy assistance programs, a comprehensive, long-term approach at a national level may be required. PMID:12510707

  19. 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

  20. Reentry, recovery, and restoration following a chemical weapons stockpile disposal program accident: Offpost planning and preparedness aspects

    SciTech Connect

    Lewis, L.; Herzenberg, C.; Tanzman, E.; Lerner, K.; Haffenden, R.; Meleski, S. ); Adams, J. )

    1991-01-01

    There is a need for pre-disaster recovery planning. The Department of Defense has recognized that need by strongly emphasizing recovery planning and coordination in its CSEP program. CSEPP is the Chemical Stockpile Emergency Preparedness Program. It was developed to improve emergency preparedness associated with the disposal of US stockpiles of unitary chemical weapons. This disposal was mandated by Congress in 1985 and is scheduled for completion in April 1997.

  1. PLAN Bicol, Philippines: health manpower development program in action.

    PubMed

    Lind, K

    1994-06-01

    PLAN Bicol in the Philippines is a community based Health Manpower Development Program (HMDP) geared toward training and mobilization of indigenous health practitioners, providing infrastructural and logistical support to individual families, and educating the community about health, nutrition, and the environment. The field officer recommends at the initiation of a project that program staff have roles that are well defined. New programs should be introduced to the community first and should involve the community in the planning stages. The HMDP program is directed to 38 villages located around national parks that have suffered from deforestation. Community health issues are malnutrition, low immunization, and lack of access to health services. HMDP established a training program for auxiliary health workers (AHWs), who make a commitment to return to their villages after training. Midwives are being trained at local schools. Village houses are being built and repaired; water systems and sanitary toilet facilities are being installed. Village health stations have been constructed and equipped with basic medicines, supplies, and equipment, and are open 5 days a week. Health education classes inform the community about nutrition and health. The problems at inception were the unwillingness of field staff to participate in the program and a high drop out rate among AHWs. Problems were worked out as the program progressed. Facilitative factors are the close coordination with the provincial health office, community acceptance, and the availability of qualified people.

  2. Family support programs and adolescent mental health: review of evidence

    PubMed Central

    Kuhn, Emily S; Laird, Robert D

    2014-01-01

    Family support programs aim to improve parent wellbeing and parenting as well as adolescent mental and behavioral health by addressing the needs of parents of adolescents experiencing or at risk for mental health problems. Family support programs can be part of the treatment for adolescents diagnosed with mental or behavioral health problems, or family support programs can be delivered as prevention programs designed to prevent the onset or escalation of mental or behavioral health problems. This review discusses the rationale for family support programs and describes the range of services provided by family support programs. The primary focus of the review is on evaluating the effectiveness of family support programs as treatments or prevention efforts delivered by clinicians or peers. Two main themes emerged from the review. First, family support programs that included more forms of support evidenced higher levels of effectiveness than family support programs that provided fewer forms of support. Discussion of this theme focuses on individual differences in client needs and program adaptions that may facilitate meeting diverse needs. Second, family support prevention programs appear to be most effective when serving individuals more in need of mental and behavioral health services. Discussion of this theme focuses on the intensity versus breadth of the services provided in prevention programs. More rigorous evaluations of family support programs are needed, especially for peer-delivered family support treatments. PMID:25177156

  3. 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…

  4. 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…

  5. Epilogue: lessons learned about evaluating health communication programs.

    PubMed

    Kreps, Gary L

    2014-12-01

    Systematic evaluation research is needed to develop, implement, refine, and sustain effective health communication programs. Yet, evaluation research is not always well integrated into health communication intervention activities or even budgeted as part of health promotion efforts. If included in health promotion programs, evaluation research is often conducted superficially, after the fact, and does not provide the strategic information needed to make sure that health communication programs achieve their important goals. To rectify this problem, it is important to reassert and institutionalize the value of evaluation research in health promotion efforts. It is important to mandate that all major health communication programs are guided by robust evaluation research data. It is also important to help health promotion experts to conduct rigorous and revealing evaluation research as well as help them use evaluation research data to guide the development, refinement, and implementation of health communication programs. This Epilogue to this special section on Evaluating Health Communication Programs presents specific propositions that charts the course for using evaluation research to promote public health and recommends next steps for achieving this goal.

  6. Client Views of Engagement in the RAISE Connection Early Psychosis Recovery Program

    PubMed Central

    Lucksted, Alicia; Essock, Susan M.; Stevenson, Jennifer; Mendon, Sapna J.; Nossel, Ilana R.; Goldman, Howard H.; Goldstein, Amy B.; Dixon, Lisa B.

    2015-01-01

    Objective This study describes clients’ reports of factors that facilitated or impeded engagement in services offered by the Recovery After an Initial Schizophrenia Episode (RAISE) Connection Program for youth and young adults experiencing early psychosis and was part of the larger RAISE Implementation and Engagement Study (RAISE-IES). Method Semi-structured interviews with 32 clients and thematic qualitative analyses were used to examine participants’ experiences of program services, staff practices, their own engagement behaviors, and related factors such as expectations, family, illness, and setting. Results Clients’ statements indicated that central engagement factors include: services and staff interactions that are highly individualized, respectful, warm, and flexible; clients’ life goals being the center of services; family member engagement; personal attributes and program location and setting factors. Conclusions These interviews help explain the Connection Program’s effectiveness regarding client engagement and deepen our understanding of treatment engagement for youth and young adults experiencing early psychosis. The individualized, flexible, recovery-focused and assertive model of services and client-staff interaction, incorporating shared decision making and focus on client life goals should be implemented and sustained in services for this population. PMID:25873029

  7. 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…

  8. 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

  9. 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)

  10. Developing Community Mental Health Programs: A Resource Manual.

    ERIC Educational Resources Information Center

    United Community Planning Corp., Boston, MA.

    Comprehensive mental health programs should be designed on the basis of identified mental health needs and locally established priorities so that the resulting combination of services is geared to the specific and unique requirements of the catchment area. In addition to being comprehensive, local programs should be physically accessible, ensure…

  11. 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…

  12. Health Promotion Goes to Work: Programs with an Impact.

    ERIC Educational Resources Information Center

    Public Health Service (DHHS), Rockville, MD. Office of Disease Prevention and Health Promotion.

    This compendium of worksite health program examples with documented results illustrates the role of the worksite in preventing disease and injury, and promoting health among employees and their families. The document provides a core representation among public and private organizations of outstanding examples of successful programs. The main body…

  13. Accreditation of Health Educational Programs. Part 1: Staff Working Papers.

    ERIC Educational Resources Information Center

    Study of Accreditation of Selected Health Educational Programs, Washington, DC.

    This publication contains the first set of working papers concerned with structure, financing, research, and expansion as they relate to the accreditation of health education programs conducted by professional agencies. Texts of these papers are included: (1) "Historical Introduction to Accreditation of Health Educational Programs" by W.K. Selden,…

  14. 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)…

  15. The Health Educator Aide Program for Ghetto Areas.

    ERIC Educational Resources Information Center

    Public Health Service (DHEW), Cincinnati, OH.

    The Health Educator Program provides for indigenous personnel as communication links with residents of urban slums; they visit the homes and teach basic principles of cleanliness and health. Frequently their work involves relationships between landlord and tenant or cooperation with other city departments. A pioneer program in Chicago was so…

  16. 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…

  17. 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…

  18. School-Based Adolescent Health Programs: The Oregon Approach. Innovations.

    ERIC Educational Resources Information Center

    Albert, Kate M.

    Oregon has implemented a successful school-based clinic demonstration program. It was the first state to fund directly school-based clinics that provide comprehensive health services, including birth control counseling, to high school students. The program is administered through the Health Division of the Oregon Department of Human Resources,…

  19. 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…

  20. 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.

  1. Stakeholder Knowledge Levels of Coordinated School Health Programs

    ERIC Educational Resources Information Center

    Minor, Lisa Crouch

    2012-01-01

    Acute and chronic health conditions may be important factors impacting absenteeism and student achievement in schools. Coordinated school health programs can support students who have these conditions. Although such programs have had documented success, implementation can be costly and time consuming. The local problem addressed in this project…

  2. Bibliographies on health promotion programs for business and industry.

    PubMed

    Martin, F; Dandoy, S; Kirkman-Liff, B; Chaconas, S

    1982-01-01

    Health promotion programs have been developing at a rapid pace throughout the United States. Business and industry have been major targets for and supporters of these new ventures. This intense interest in health promotion programs has produced a need for a systematic review of past experience. The Center for Health Services Administration at Arizona State University prepared two comprehensive bibliographies of references on occupational health promotion programs. The annotated bibliography includes ninety references that were deemed most relevant to the subject at the time the searches were made in Spring of 1982. The second bibliography, which is not annotated, is supplemental and provides eighty-eight additional related references.

  3. The School Health Portfolio System: A New Tool for Planning and Evaluating Coordinated School Health Programs.

    ERIC Educational Resources Information Center

    Weiler, Robert M.; Pigg, R. Morgan, Jr.

    2004-01-01

    The School Health Portfolio System (SHPS), developed originally to evaluate the Florida Coordinated School Health Program Pilot Schools Project, offers a new and innovative system for planning and evaluating a coordinated school health program at the individual school level. The SHPS provides practitioners a detailed but easy-to-use system that…

  4. The Relationship between School Health Councils and School Health Policies and Programs in US Schools

    ERIC Educational Resources Information Center

    Brener, Nancy D.; Kann, Laura; McManus, Tim; Stevenson, Beth; Wooley, Susan F.

    2004-01-01

    This study analyzed data from the School Health Policies and Programs Study (SHPPS) 2000 to examine the relationship between school health councils and selected school health policies and programs. SHPPS 2000 collected data from faculty and staff in a nationally representative sample of schools. About two-thirds (65.7%) of US schools have school…

  5. Safety Belt Use and Related Health Variables in a Worksite Health Promotion Program.

    ERIC Educational Resources Information Center

    Merrill, Barbara E.; Sleet, David A.

    1984-01-01

    Data from an employee health survey on 3,947 employees at Control Data Corporation were examined in 1982-83 to determine the relationship between safety belt use and other health habits. Comparisons between participants in the Stay Well Program (a health promotion program) and nonparticipant and control groups were analyzed. (Author/CT)

  6. "What's Wrong with the Seed?" A Comparative Examination of an Empowering Community-Centered Approach to Recovery in Community Mental Health.

    PubMed

    Jorge-Monteiro, Maria F; Ornelas, José H

    2016-10-01

    This cross-sectional group comparison aimed to examine whether personal empowerment, recovery and community integration were associated with the individual's participation in an empowering community-centered model of intervention. Ninety-three participants from an empowering community-centered community mental health organization were compared with a matched group of individuals from standard interventions of four equivalent organizations. Results showed that participants taking advantage of the empowering community-centered approach were more involved in high recovery-oriented programs; and attained higher levels of personal goals and hope, empowerment, and of community integration. An involvement in high recovery-oriented programs (supported employment or independent housing) revealed improved outcomes for the individual. In conclusion, the findings suggested a transformative impact of the empowering community-centered model both at the individual and the program level by altering the resource accessibility and social conditions for people who experience mental illness. The implications of findings for transforming community mental health practice are discussed in detail. PMID:27072950

  7. "What's Wrong with the Seed?" A Comparative Examination of an Empowering Community-Centered Approach to Recovery in Community Mental Health.

    PubMed

    Jorge-Monteiro, Maria F; Ornelas, José H

    2016-10-01

    This cross-sectional group comparison aimed to examine whether personal empowerment, recovery and community integration were associated with the individual's participation in an empowering community-centered model of intervention. Ninety-three participants from an empowering community-centered community mental health organization were compared with a matched group of individuals from standard interventions of four equivalent organizations. Results showed that participants taking advantage of the empowering community-centered approach were more involved in high recovery-oriented programs; and attained higher levels of personal goals and hope, empowerment, and of community integration. An involvement in high recovery-oriented programs (supported employment or independent housing) revealed improved outcomes for the individual. In conclusion, the findings suggested a transformative impact of the empowering community-centered model both at the individual and the program level by altering the resource accessibility and social conditions for people who experience mental illness. The implications of findings for transforming community mental health practice are discussed in detail.

  8. The German Statutory Health Insurance Program.

    ERIC Educational Resources Information Center

    Stassen, Manfred

    1993-01-01

    Describes the German health insurance system which is mandatory for nearly all German citizens. Explains that, along with pension, accident, and unemployment insurance, health insurance is one of four pillars of the German national social security system. Asserts that controlling costs while maintaining high health care standards is a national…

  9. 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…

  10. 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…

  11. [Development of an Optimizing Program of Scanning Parameters for Double Inversion Recovery MRI].

    PubMed

    Hayashi, Norio; Yarita, Kazuma; Sakata, Kozue; Motegi, Shunichi; Nagase, Hiroyuki; Ujita, Kouichi; Ogura, Akio; Ogura, Toshihiro; Shimada, Takehiro; Tsushima, Yoshito

    2015-06-01

    The purpose of this study was to develop an optimizing program of scanning parameters for double inversion recovery (DIR) MRI. The optimization algorithm consists of the following steps: (1) obtaining the initial parameters (TR, TE, and T1 values of the two attenuated tissues); (2) iterative calculation for minimization of errors; and (3) determination of the optimized TI(1st) and TI(2nd). To evaluate the developed algorithm, we performed the phantom and simulation studies using the phantoms which were imitated T1 values of white and gray matters and cerebrospinal fluid. In addition, white matter attenuated inversion recovery (WAIR) and gray matter attenuated inversion recovery (GAIR) images were obtained by optimized scan parameters in one volunteer. The developed algorithm could calculate the optimized TI(1st) and TI(2nd) values at once. Results of summation of signal intensity (SI) of two attenuated tissues shows that the SI of the two tissues were well-attenuated using the theoretical values which were calculated using the developed algorithm. The correlation coefficient of the SI of the phantom of the gray matter between actual and simulation measurements was r=0.997. The SI obtained by actual measurements well correlated with the SI obtained by the simulation measurements. The WAIR and GAIR images in the volunteer were well enhanced gray or white matters. We thus conclude that it is possible to calculate the optimized parameters for the DIR-MRI using the developed algorithm.

  12. Cultural Competence Development in Health Education Professional Preparation Programs

    ERIC Educational Resources Information Center

    Luquis, Raffy; Perez, Miguel; Young, Kathleen

    2006-01-01

    To date few studies have been conducted to assess the preparation of health educators in the area of cultural sensitivity and competence. The purpose of this study was to assess efforts and opportunities offered by health education professional preparation programs to prepare health educators in the area of cultural competence. One hundred…

  13. 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…

  14. 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…

  15. Making Health Communication Programs Work. A Planner's Guide.

    ERIC Educational Resources Information Center

    Arkin, Elaine Bratic

    This manual, designed to assist professionals in health and health-related agencies, offers guidance for planning a health communication program about cancer based on social marketing and other principles as well as the experiences of National Cancer Institute staff and other practitioners. The six chapters are arranged by sequentially ordered…

  16. 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…

  17. 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…

  18. Co-responding Police-Mental Health Programs: A Review.

    PubMed

    Shapiro, G K; Cusi, A; Kirst, M; O'Campo, P; Nakhost, A; Stergiopoulos, V

    2015-09-01

    Co-responding police-mental health programs are increasingly used to respond to 'Emotionally Disturbed Persons' in the community; however, there is limited understanding of program effectiveness and the mechanisms that promote program success. The academic and gray literature on co-responding police-mental health programs was reviewed. This review synthesized evidence of outcomes along seven dimensions, and the available evidence was further reviewed to identify potential mechanisms of program success. Co-responding police-mental health programs were found to have strong linkages with community services and reduce pressure on the justice system, but there is limited evidence on other impacts. The relevance of these findings for practitioners and the major challenges of this program model are discussed, and future research directions are identified. PMID:25239523

  19. 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.

  20. Interpersonal Empathy: A Training Program for Health Care Professionals.

    ERIC Educational Resources Information Center

    Schwartz, Sandra R.; And Others

    A study was designed to develop an empathy training program for health professionals that would (1) improve selected predictive, behavioral, and achieved empathetic communication skills for a sample group of registered nurses; (2) evaluate the effectiveness of the training program in attaining its stated goals; and (3) develop a program that could…

  1. 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)

  2. Readings in Health and Medical Technology Education Programs. Vision 2.

    ERIC Educational Resources Information Center

    Frederick, Molly, Ed.

    This collection of articles is a foundation-supported publication and will be of special interest to those planning health education curriculums and programs. They fall into three sections: a background article, a set of articles about actual programs, and a comprehensive collection of articles about planning the associate degree program in the…

  3. 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)

  4. 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

  5. The VA Maryland Health Care System's telemental health program.

    PubMed

    Koch, Edward F

    2012-05-01

    The VA Maryland Health Care System introduced videoconferencing technology to provide psychiatry, evidenced-based psychotherapy, case management, and patient education at rural clinics where it was difficult to recruit providers. Telemental health services enable rural clinics to offer additional services, such as case management and patient education. Services have been expanded to urban outpatient clinics where a limited number of mental health clinic hours are available. This technology expands the availability of mental health providers and services, allowing patients to receive services from providers located at distant medical centers.

  6. The economic impact of adolescent health promotion policies and programs.

    PubMed

    Aratani, Yumiko; Schwarz, Susan Wile; Skinner, Curtis

    2011-12-01

    Adolescence is a critical period in the human lifecycle, a time of rapid physical and socioemotional growth and a time when individuals establish lifestyle habits and health behaviors that often endure into and have lasting effects in adulthood. Adolescent health promotion programs play a critical role in helping youth establish healthy lifestyles. In this article, we present a socio-ecological model as a framework for identifying effective policy and program areas that have a positive impact on adolescent health behaviors. Our discussion focuses on 4 key areas: reproductive health; obesity prevention; mental health and substance use, including smoking; and injury and violence prevention. We proceed with an overview of the current status of state-led adolescent health promotion policies and programs from a newly created policy database and then examine the evidence on the cost of preventable adolescent health problems and the cost-effectiveness of health promotion programs and policies. We conclude by discussing the threat posed to adolescent health promotion services and state-led policy initiatives by proposed and implemented federal and state-level budget cuts and examine the possible health and economic repercussions of reducing or eliminating these programs.

  7. From Structural Chaos to a Model of Consumer Support: Understanding the Roles of Structure and Agency in Mental Health Recovery for the Formerly Homeless

    PubMed Central

    Watson, Dennis P.

    2012-01-01

    Current understandings of the effect that mental health services on consumers’ daily lives are still heavily informed by research conducted during the era of institutional treatment. This is problematic considering that changes to mental health care have shifted the locus of treatment to community settings for the majority of those living with serious and persistent mental illness (SPMI). With this shift there has been a greater focus on consumer-centered recovery in mental health care. In this paper I seek to develop a deeper understanding of the effect that the organization of mental health services offered in community settings has on the recovery process. I do this by presenting findings from the analysis of focus group and interview data collected from research informants (consumers and staff) at four Housing First programs located in a large Midwestern city. Housing First is based in a human rights approach to services that has been demonstrated to be more successful at housing chronically homeless consumers with dual diagnoses than traditional approaches to housing. My findings highlight the importance of understanding the connection that exists between social structure and personal agency and the recovery process. PMID:23275760

  8. Program Health Indicators: An Alternative Approach to Program Review.

    ERIC Educational Resources Information Center

    Morton, John F.

    For the past 20 years, the University of Hawaii Community Colleges have had a formal process for the review of educational programs, requiring that each program undergo a systematic review at least once every 5 years. The result tended to be a lengthy document that chronicled the history of the previous 5 years and was far more descriptive than…

  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. PMID:15127066

  10. 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 and…

  11. Health-Related Quality of Life among Children and Adolescents during Hematopoietic Stem Cell Transplant Recovery.

    PubMed

    Rodgers, Cheryl; Wills-Bagnato, Patricia; Sloane, Richard; Hockenberry, Marilyn

    2015-01-01

    Health-related quality of life (HRQoL) has been noted to fluctuate among children during hematopoietic stem cell transplant (HSCT) recovery; however, the specific timing and associations of these changes are poorly understood. This repeated-measures study aimed to describe HRQoL changes among children and adolescents during the first 6 months of HSCT recovery and estimate the associations of demographic factors, diagnosis, transplant information, and symptoms with HRQoL. Twenty-three children and adolescents who received an allogeneic HSCT were recruited from a pediatric teaching institution in the southern United States. Demographic, diagnosis, and transplant information was obtained from the medical record. The Memorial Symptom Assessment questionnaire and the Peds Quality of Life Cancer Module (PedsQL CM) were completed at 1 month post-HSCT and then once monthly for 5 additional months. Mean HRQoL scores fluctuated during the study with the lowest mean HRQoL noted at 1 month post-HSCT and the highest mean HRQoL noted at 4 months post-HSCT. No significant differences in HRQoL scores were noted among demographic, diagnosis, or transplant factors. Feeling tired, sad, or worried or having insomnia at 1 month post-HSCT was negatively correlated to HRQoL. Nurses have opportunities to explore important issues with patients and need to be aware of fluctuations with HRQoL and factors associated with lower HRQoL during HSCT recovery. PMID:25592668

  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

    ... the Community Health Accreditation Program for Continued Approval of Its Hospice Accreditation Program... conditions. A national accrediting organization applying for approval of its accreditation program under part... for continued approval of its accreditation program every 6 years or as we determine. Community...

  13. 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…

  14. 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. PMID:25276568

  15. 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…

  16. Health Services: Results from the School Health Policies and Programs Study 2000.

    ERIC Educational Resources Information Center

    Brener, Nancy D.; Burstein, Gale R.; DuShaw, Martha L.; Vernon, Mary E.; Wheeler, Lani; Robinson, Judy

    2001-01-01

    Describes School Health Policies and Programs Study 2000 findings about state- and district-level school health services policies and practices regarding: organization, staffing, and facilities; required services; school based health clinics and other sites; immunizations; screening; medication administration; HIV; student health records; special…

  17. Mental Health of the Rural Elderly Outreach Program: A Unique Health Care Delivery System.

    ERIC Educational Resources Information Center

    Buckwalter, Kathleen C.; And Others

    This article describes a unique health care delivery system, the Mental Health of the Rural Elderly Outreach Program. The project in designed to identify and provide mental health services to an underserved population, the rural elderly, who are suffering from severe and disabling mental illness. Delivery of mental health services to the rural…

  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. 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. PMID:27192742

  20. Consideration of an Applied Model of Public Health Program Infrastructure

    PubMed Central

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

    2015-01-01

    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. PMID:23411417

  1. 20 CFR 404.540 - Will you receive notice of our intention to apply cross-program recovery?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... apply cross-program recovery? 404.540 Section 404.540 Employees' Benefits SOCIAL SECURITY ADMINISTRATION...) We have determined that you owe a specific overpayment balance that can be collected by cross-program...); (c) You may ask us to review this determination that you still owe this overpayment balance; (d)...

  2. Reading Recovery Program 1990-91. Final Evaluation Report. Elementary and Secondary Education Act-Chapter 1.

    ERIC Educational Resources Information Center

    Pollock, John S.

    The purpose of the 1990-91 Reading Recovery Program in the Columbus, Ohio public schools was to provide early intervention to underachieving first-grade pupils who appeared unlikely to read successfully without intensive instruction. The program featured individualized one-on-one lessons provided by specially trained teachers. The lessons were…

  3. 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

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT Green Retrofit Program of Title XII of the American Recovery and Reinvestment Act of... Lists the Following Information Title of Proposal: Green Retrofit Program of Title XII of the...

  4. Deferred Cost Recovery for Higher Education: Student Loan Programs in Developing Countries. World Bank Discussion Papers, No. 137.

    ERIC Educational Resources Information Center

    Albrecht, Douglas; Ziderman, Adrian

    This study analyzes the experience of existing higher education student loan programs in developing countries in order to understand their role in fostering cost recovery. Detailed financial analyses of 24 loan programs shows that present value of the repayments collected constitutes a small percentage of the loan value disbursed. In general,…

  5. 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…

  6. 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

  7. 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

  8. "Health system approach" for improving immunization program performance.

    PubMed

    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

  9. Implementing an oral health program in a group prenatal practice.

    PubMed

    Stevens, Joanne; Iida, Hiroko; Ingersoll, Gail

    2007-01-01

    The Rochester Adolescent Maternity Program (RAMP) has incorporated evidence-based oral health guidelines into its prenatal care. These guidelines focus on tracking oral health services, screening and triaging prenatal patients, and providing patient and staff with the education needed to decrease oral health risks to mother, fetus, and baby. The RAMP process serves as a model for promoting quality oral health practices in pregnant teenagers and their babies.

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

    PubMed Central

    2012-01-01

    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. PMID:22920502

  11. Building Culturally Competent College Health Programs

    ERIC Educational Resources Information Center

    Hoban, Mary T.; Ward, Robert L.

    2003-01-01

    For the past six years, the American College Health Association (ACHA) has had two cooperative agreements from the US Centers for Disease Control and Prevention's (CDC) Division of Adolescent and School Health. Both cooperative agreements focus on the prevention of HIV (human immunodeficiency virus) among college students, particularly for…

  12. 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…

  13. 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…

  14. Demographic and health characteristics of participants and nonparticipants in a work site health-promotion program.

    PubMed

    Stange, K C; Strogatz, D; Schoenbach, V J; Shy, C; Dalton, B; Cross, A W

    1991-04-01

    Work site health-promotion programs represent an increasingly common attempt by industry to improve the health of employees. The potential impact of programs is limited by nonparticipation, especially among demographic subgroups and those who could most benefit from health behavior change. The present study prospectively examined the relationship of personnel data and self-reported health habits and health status to participation in the health-promotion program at a research and development work site. Thirty-four percent of the 505 employees enrolled in the health-promotion program. White employees were 2.47 times as likely to participate as nonwhites (95% confidence interval, 1.59, 3.83). Those with health maintenance organization health insurance were 1.43 times as likely to participate as were employees with fee-for-service insurance (1.11, 1.84). There was no difference between participants and nonparticipants in self-reported health status, and only slightly more positive health habits were noted among participants. Seatbelt use was 1.65 times more common among participants (1.10, 2.49). The study results are reassuring that such programs do not enroll only the very healthy or those with healthy habits. However, the diminished enrollment of nonwhite employees supports concern that health-related programs may not equally reach all segments of the work force. PMID:2037902

  15. Demographic and health characteristics of participants and nonparticipants in a work site health-promotion program.

    PubMed

    Stange, K C; Strogatz, D; Schoenbach, V J; Shy, C; Dalton, B; Cross, A W

    1991-04-01

    Work site health-promotion programs represent an increasingly common attempt by industry to improve the health of employees. The potential impact of programs is limited by nonparticipation, especially among demographic subgroups and those who could most benefit from health behavior change. The present study prospectively examined the relationship of personnel data and self-reported health habits and health status to participation in the health-promotion program at a research and development work site. Thirty-four percent of the 505 employees enrolled in the health-promotion program. White employees were 2.47 times as likely to participate as nonwhites (95% confidence interval, 1.59, 3.83). Those with health maintenance organization health insurance were 1.43 times as likely to participate as were employees with fee-for-service insurance (1.11, 1.84). There was no difference between participants and nonparticipants in self-reported health status, and only slightly more positive health habits were noted among participants. Seatbelt use was 1.65 times more common among participants (1.10, 2.49). The study results are reassuring that such programs do not enroll only the very healthy or those with healthy habits. However, the diminished enrollment of nonwhite employees supports concern that health-related programs may not equally reach all segments of the work force.

  16. Integrated Worker Health Protection and Promotion Programs: Overview and Perspectives on Health and Economic Outcomes

    PubMed Central

    Pronk, Nicolaas P.

    2014-01-01

    Objective To describe integrated worker health protection and promotion (IWHPP) program characteristics, to discuss the rationale for integration of OSH and WHP programs, and to summarize what is known about the impact of these programs on health and economic outcomes. Methods A descriptive assessment of the current state of the IWHPP field and a review of studies on the effectiveness of IWHPP programs on health and economic outcomes. Results Sufficient evidence of effectiveness was found for IWHPP programs when health outcomes are considered. Impact on productivity-related outcomes is considered promising, but inconclusive, whereas insufficient evidence was found for health care expenditures. Conclusions Existing evidence supports an integrated approach in terms of health outcomes but will benefit significantly from research designed to support the business case for employers of various company sizes and industry types. PMID:24284747

  17. State Health Insurance Assistance Program (SHIP). Final rule.

    PubMed

    2016-06-01

    The Department of Health and Human Services is issuing a final regulation that adopts, without change, the interim final rule (IFR) entitled ``State Health Insurance Assistance Program (SHIP).'' This final rule implements a provision enacted by the Consolidated Appropriations Act of 2014 and reflects the transfer of the State Health Insurance Assistance Program (SHIP) from the Centers for Medicare & Medicaid Services (CMS), in the Department of Health and Human Services (HHS) to the Administration for Community Living (ACL) in HHS. Prior to the interim final rule, prior regulations were issued by CMS under the authority granted by the Omnibus Budget Reconciliation Act of 1990 (OBRA), Section 4360.

  18. State Health Insurance Assistance Program (SHIP). Final rule.

    PubMed

    2016-06-01

    The Department of Health and Human Services is issuing a final regulation that adopts, without change, the interim final rule (IFR) entitled ``State Health Insurance Assistance Program (SHIP).'' This final rule implements a provision enacted by the Consolidated Appropriations Act of 2014 and reflects the transfer of the State Health Insurance Assistance Program (SHIP) from the Centers for Medicare & Medicaid Services (CMS), in the Department of Health and Human Services (HHS) to the Administration for Community Living (ACL) in HHS. Prior to the interim final rule, prior regulations were issued by CMS under the authority granted by the Omnibus Budget Reconciliation Act of 1990 (OBRA), Section 4360. PMID:27295733

  19. 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.

  20. A Qualitative Study Exploring Facilitators for Improved Health Behaviors and Health Behavior Programs: Mental Health Service Users' Perspectives

    PubMed Central

    Graham, Candida; de Leeuw, Sarah; Griffiths, Brenda

    2014-01-01

    Objective. Mental health service users experience high rates of cardiometabolic disorders and have a 20–25% shorter life expectancy than the general population from such disorders. Clinician-led health behavior programs have shown moderate improvements, for mental health service users, in managing aspects of cardiometabolic disorders. This study sought to potentially enhance health initiatives by exploring (1) facilitators that help mental health service users engage in better health behaviors and (2) the types of health programs mental health service users want to develop. Methods. A qualitative study utilizing focus groups was conducted with 37 mental health service users attending a psychosocial rehabilitation center, in Northern British Columbia, Canada. Results. Four major facilitator themes were identified: (1) factors of empowerment, self-value, and personal growth; (2) the need for social support; (3) pragmatic aspects of motivation and planning; and (4) access. Participants believed that engaging with programs of physical activity, nutrition, creativity, and illness support would motivate them to live more healthily. Conclusions and Implications for Practice. Being able to contribute to health behavior programs, feeling valued and able to experience personal growth are vital factors to engage mental health service users in health programs. Clinicians and health care policy makers need to account for these considerations to improve success of health improvement initiatives for this population. PMID:24895667

  1. 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

  2. Enhancing health knowledge, health beliefs, and health behavior in Poland through a health promoting television program series.

    PubMed

    Chew, Fiona; Palmer, Sushma; Slonska, Zofia; Subbiah, Kalyani

    2002-01-01

    This study examined the impact of a health promoting television program series on health knowledge and the key factors of the health belief model (HBM) that have led people to engage in healthy behavior (exercising, losing weight, changing eating habits, and not smoking/quitting smoking). Using data from a posttest comparison field study with 15) viewers and 146 nonviewers in Poland, we found that hierarchical regression analysis showed stronger support for the HBM factors of efficacy, susceptibility, seriousness, and salience in their contribution toward health behavior among television viewers compared with nonviewers. Cues to action variables (including television viewing) and health knowledge boosted efficacy among viewers. Without the advantage of receiving health information from the television series, nonviewers relied on their basic disease fears on one hand, and interest in good health on the other to take steps toward becoming healthier. A health promoting television series can increase health knowledge and enhance health beliefs, which in turn contribute to healthy behaviors. PMID:12166872

  3. Senior Swim, A Healthful Leisure Program.

    ERIC Educational Resources Information Center

    Seleen, Diane R.

    1981-01-01

    A beginning swimming program for the elderly is designed to help them improve flexibility, cardiovascular efficiency, and psychological well-being and to minimize the effects of biological aging. (JN)

  4. 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…

  5. 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.

  6. Utilization of Psychoeducational Interventions in Rural Mental Health Programs.

    ERIC Educational Resources Information Center

    Kinney, Harrison

    1985-01-01

    Explores and advocates use of psychoeducational approaches to help rural mental health practitioners address counterproductive issues that inhibit effective therapeutic networking for schizophrenic clients. Details adapting psychoeducational programs for clients, families, and allied service providers in a rural setting. (NEC)

  7. Association of Schools and Programs of Public Health

    MedlinePlus

    ... Our resources help maintain the highest standards for teaching and training. Educate Our member schools and programs contribute to vital research, practice, and professional developments that keep public health on ...

  8. Evaluation of A Preventively Oriented, School Based Mental Health Program

    ERIC Educational Resources Information Center

    Cowen, Emory; And Others

    1975-01-01

    This research evaluates the effectiveness of the Primary Mental Health Project (PMHP)--a program for early detection and prevention of school maladaptation that uses nonprofessional child-aides as direct help-agents with maladapting primary graders. (HMV)

  9. 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,…

  10. 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.

  11. 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. PMID:23435344

  12. The APRU Global Health Program: Past and Future.

    PubMed

    Samet, Jonathan; Withers, Mellissa

    2016-01-01

    The Association of Pacific Rim Universities (APRU) is an international consortium of 45 universities in the Pacific Rim, representing 16 economies, 130 000 faculty members and more than two million students. The APRU Global Health Program aims to expand existing collaborative research efforts among universities to address regional and global health issues. Since its launch in 2007-08, the program has covered a significant range of topics including emerging public health threats, ageing and chronic diseases, infectious diseases and health security issues, among others. The Program's activities in research, training, and service around the globe illustrate the diverse dimensions of global health. In this paper, the major activities to date are outlined and future planned activities are discussed. PMID:27052883

  13. 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…

  14. Teaching Children about Mental Health and Illness: A School Nurse Health Education Program

    ERIC Educational Resources Information Center

    DeSocio, Janiece; Stember, Lisa; Schrinsky, Joanne

    2006-01-01

    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…

  15. 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…

  16. 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…

  17. A cardiovascular health education program for rural schools.

    PubMed

    Barthold, J; Pearson, J; Ellsworth, A; Mason, C; Hohensee, T; McLaud, B; Lewis, C

    1993-09-01

    Public understanding of cardiovascular disease (CVD) risk factors and primary prevention has increased, due in part to community prevention efforts. However, many segments of society are difficult to reach. Such groups still need public education to acquire the knowledge that can lead to behavior change. Community intervention programs in rural areas face the challenge of disseminating health information to widely scattered populations isolated by difficult terrain and weather, and restricted by the sparsity of channels for mass communication. School health promotion programs, because of the special role schools play in rural communities, can help reach rural populations. During a five-year period, the Otsego-Schoharie Healthy Heart Program, a state-funded community intervention program, provided presentations to 18% of the combined total population of two rural counties through its school-based component. It also helped promote other program initiatives by establishing linkages in the community. Schools provide an effective channel for health promotion efforts to reach rural populations.

  18. 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

  19. 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.

  20. A systemic health care quality service program.

    PubMed

    Kalafat, J; Siman, M L; Walsh, L

    1991-01-01

    This article describes a systemic quality service program implemented in a community hospital as an initial component of a total quality approach. The program interventions are based on consumer research and principles that have been effective in producing organizational change and enhancing worker performance. The description of the program is organized around six change and performance-enhancement principles: (1) establishing the importance of the performance, (2) specifying the expected performance, (3) ensuring the ability to carry out the performance, (4) accurately measuring the performance, (5) providing consequences, and (6) addressing systemic blocks to effective performance. Evaluative data are presented, indicating enhanced performance in the critical areas of documented resolutions to problems and reduced response time to problems.

  1. The Development of a Health Promotion Workbook for AIDS Education Programs. Curriculum and Program Planning.

    ERIC Educational Resources Information Center

    Hobbs, Stephen; Baskett, Morris

    The purpose of this study was to develop a valid and reliable health promotion workbook to assist staff and volunteers of the AIDS Calgary Awareness Association in the systematic design, development, administration, and evaluation of preventive health promotion programs. Information was gleaned from a review of health promotion, social marketing,…

  2. 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

    ... baccalaureate nursing education program in the Pacific. Its focus is on health careers training and development, as well as improving the health careers pipeline in the region. SUPPLEMENTARY INFORMATION: Intended... AHEC grantee is the University of Guam School of Nursing, whose focus is health career training...

  3. 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. PMID:26721502

  4. 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,…

  5. Reducing Motor Vehicle Trauma through Health Promotion Programming.

    ERIC Educational Resources Information Center

    Sleet, David A.

    1984-01-01

    This article suggests programs and educational approaches in which safety belt and child restraint use are promoted as preventive health practices. Health educators are encouraged to view these protective behaviors as part of a healthy life-style and promote occupant protection as a life-style behavior. (Author/CT)

  6. Professional Equipment for a University Environmental Health Program

    ERIC Educational Resources Information Center

    Iglar, Albert F.; Morgan, Monroe T.

    1972-01-01

    A rather thorough description of the professional equipment utilized in the Environmental Health Program at East Tennessee State University. Describes equipment and apparatus employed in the General Environmental, Occupational Health and Safety, and the Air and Water Pollution Control Areas. Table of recommended basic professional equipment…

  7. 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…

  8. The Rural Alabama Pregnancy and Infant Health (RAPIH) Program.

    ERIC Educational Resources Information Center

    Leeper, J. D.; And Others

    The impact of the Rural Alabama Pregnancy and Infant Health (RAPIH) Program was evaluated in relation to prenatal care, birth outcome measures, and several child health and home environment outcomes. Begun in 1983, RAPIH targets poor rural blacks in three of west-central Alabama's poorest counties, where economic conditions and infant mortality…

  9. 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)

  10. 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.

  11. 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…

  12. 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"…

  13. Advanced Health Assessment in Nurse Practitioner Programs.

    ERIC Educational Resources Information Center

    Kelley, Frances J.; Kopac, Catharine

    2001-01-01

    Responses from 140 nursing schools indicated that most taught health assessment to nurse practitioners as a separate course; public institutions were more involved in computer-assisted instruction. Faculty cited scarce resources and limited time to develop new teaching strategies. Most agreed that graduate courses should focus on differential…

  14. 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...

  15. 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...

  16. 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,…

  17. Health Education: Student Terminal Goals, Program Goals, and Behavioral Objectives.

    ERIC Educational Resources Information Center

    Mesa Public Schools, AZ.

    GRADES OR AGES: Primary, intermediate, junior high, high school. SUBJECT MATTER: Health education (including nutrition, safety education, and consumer education). ORGANIZATION AND PHYSICAL APPEARANCE: Nine terminal goals are listed on page one. The guide consists of a breakdown of each terminal goal into program goals and, for each program goal,…

  18. 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…

  19. 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 education offered at the secondary or postsecondary level as a part of Florida's comprehensive vocational education…

  20. 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…

  1. Evaluation of Mental Health Programs for the Aged.

    ERIC Educational Resources Information Center

    Kahn, Robert L.; Zarit, Steven H.

    This paper highlights what the authors believe are the important issues and directions of change in the evaluation of mental health programs. The rationale for such evaluation is twofold. First, it provides a scientifically rigorous method of determining the therapeutic efficacy of the treatment or program, and secondly, these results can exercise…

  2. 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 reception area. A…

  3. Operation Sports, Health and Recreation Program. Reprint 1972.

    ERIC Educational Resources Information Center

    Texas State Dept. of Mental Health and Mental Retardation, Austin.

    This publication provides a variety of activities that have been useful in developing and conducting physical education and recreation programs at residential centers for mentally retarded persons throughout Texas. Easy-to-learn activities of this sports, health and recreation program (Operation SHARP) are presented in ways that minimize necessity…

  4. Understanding the Social Context of School Health Promotion Program Implementation

    ERIC Educational Resources Information Center

    Cargo, Margaret; Salsberg, Jon; Delormier, Treena; Desrosiers, Serge; Macaulay, Ann C.

    2006-01-01

    Purpose: Although implementation fidelity is an important component in the evaluation of school health promotion programs, it assumes that teaching is the most relevant teacher role. To understand the social context of program implementation, a qualitative study was undertaken with the aim of identifying the schoolteacher's role in implementing…

  5. 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…

  6. 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…

  7. 75 FR 32797 - Health Center Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-09

    ...), Increased Demand for Services (IDS), and Capital Improvement Program (CIP) funds originally awarded to...: December 1, 2008, to November 30, 2010 (CHC); March 27, 2009, to March 26, 2011 (IDS); and June 29, 2009...); $126,411 (IDS); and $316,325 (CIP). The amounts transferred will be the remaining funds from those...

  8. 75 FR 21001 - Health Center Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-22

    ... Demand for Service (IDS), and Capital Improvement Program (CIP) funds originally awarded to Community... 28, 2011 (NAP); March 27, 2009 to March 26, 2011 (IDS); and June 29, 2009 to June 28, 2011 (CIP). Replacement Awardee: Cornerstone Care, Inc. Amount of Replacement Awards: $391,306 (NAP), $101,000 (IDS)...

  9. 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…

  10. Children's Health Insurance Program (CHIP): accomplishments, challenges, and policy recommendations.

    PubMed

    Racine, Andrew D; Long, Thomas F; Helm, Mark E; Hudak, Mark; Racine, Andrew D; Shenkin, Budd N; Snider, Iris Grace; White, Patience Haydock; Droge, Molly; Harbaugh, Norman

    2014-03-01

    Sixteen years ago, the 105th Congress, responding to the needs of 10 million children in the United States who lacked health insurance, created the State Children's Health Insurance Program (SCHIP) as part of the Balanced Budget Act of 1997. Enacted as Title XXI of the Social Security Act, the Children's Health Insurance Program (CHIP; or SCHIP as it has been known at some points) provided states with federal assistance to create programs specifically designed for children from families with incomes that exceeded Medicaid thresholds but that were insufficient to enable them to afford private health insurance. Congress provided $40 billion in block grants over 10 years for states to expand their existing Medicaid programs to cover the intended populations, to erect new stand-alone SCHIP programs for these children, or to effect some combination of both options. Congress reauthorized CHIP once in 2009 under the Children's Health Insurance Program Reauthorization Act and extended its life further within provisions of the Patient Protection and Affordable Care Act of 2010. The purpose of this statement is to review the features of CHIP as it has evolved over the 16 years of its existence; to summarize what is known about the effects that the program has had on coverage, access, health status, and disparities among participants; to identify challenges that remain with respect to insuring this group of vulnerable children, including the impact that provisions of the new Affordable Care Act will have on the issue of health insurance coverage for near-poor children after 2015; and to offer recommendations on how to expand and strengthen the national commitment to provide health insurance to all children regardless of means.

  11. 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…

  12. Integrating Expanded School Mental Health Programs and School-Based Health Center.

    ERIC Educational Resources Information Center

    Weist, Mark D.; Goldstein, Amy; Morris, Leslie; Bryant, Tanya

    2003-01-01

    Provides background on national movements toward expanded school mental health programs and school-based health centers, and presents advantages and challenges of joining these two systems of child and adolescent health care. These challenges, ideas for overcoming them, and future directions for promising service delivery are discussed. (Contains…

  13. 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…

  14. 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…

  15. 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...

  16. The Impact of a Caregiver Health Education Program on Health Care Costs

    ERIC Educational Resources Information Center

    Toseland, Ronald W.; Smith, Tamara L.

    2006-01-01

    Objectives: This study examined health care cost outcomes resulting from a health education program (HEP), a social work intervention for spouse caregivers of frail older adults. Method: One-hundred five spouses were recruited and randomly assigned to HEP or usual care (UC). Health care utilization and cost data were collected from the HMO's…

  17. 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

  18. Including oral health training in a health system strengthening program in Rwanda

    PubMed Central

    Seymour, Brittany; Muhumuza, Ibra; Mumena, Chris; Isyagi, Moses; Barrow, Jane; Meeks, Valli

    2013-01-01

    Objective Rwanda's Ministry of Health, with the Clinton Health Access Initiative, implemented the Human Resources for Health (HRH) Program. The purpose of the program is to train and retain high-quality health care professionals to improve and sustain health in Rwanda. Design In May 2011, an oral health team from Rwanda and the United States proposed that oral health be included in the HRH Program, due to its important links to health, in a recommendation to the Rwandan Ministry of Health. The proposal outlined a diagonal approach to curriculum design that supports the principles of global health through interconnected training for both treatment and collaborative prevention, rather than discipline-based fragmented training focused on isolated risk factors. It combined ‘vertical’ direct patient care training with ‘horizontal’ interdisciplinary training to address common underlying risk factors and associations for disease through primary care, program retention, and sustainability. Results The proposal was accepted by the Ministry of Health and was approved for funding by the US Government and The Global Fund. Rwanda's first Bachelor of Dental Surgery program, which is in the planning phase, is being developed. Conclusions Competencies, the training curriculum, insurance and payment schemes, licensure, and other challenges are currently being addressed. With the Ministry of Health supporting the dental HRH efforts and fully appreciating the importance of oral health, all are hopeful that these developments will ultimately lead to more robust oral health data collection, a well-trained and well-retained dental profession, and vastly improved oral health and overall health for the people of Rwanda in the decades to come. PMID:23473054

  19. Improving post-stroke recovery: the role of the multidisciplinary health care team

    PubMed Central

    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. PMID:26445548

  20. 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. PMID:27579254

  1. 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

  2. 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.

  3. Thinking Inside the Box: The Health Cube Paradigm for Health and Wellness Program Evaluation and Design

    PubMed Central

    Harris, Sharon

    2013-01-01

    Abstract Appropriately constructed health promotions can improve population health. The authors developed a practical model for designing, evaluating, and improving initiatives to provide optimal value. Three independent model dimensions (impact, engagement, and sustainability) and the resultant three-dimensional paradigm were described using hypothetical case studies, including a walking challenge, a health risk assessment survey, and an individual condition management program. The 3-dimensional model is illustrated and the dimensions are defined. Calculation of a 3-dimensional score for program comparisons, refinements, and measurement is explained. Program 1, the walking challenge, had high engagement and impact, but limited sustainability. Program 2, the health risk assessment survey, had high engagement and sustainability but limited impact. Program 3, the on-site condition management program, had measurable impact and sustainability but limited engagement, because of a lack of program capacity. Each initiative, though successful in 2 dimensions, lacked sufficient evolution along the third axis for optimal value. Calculation of a 3-dimensional score is useful for health promotion program development comparison and refinements, and overall measurement of program success. (Population Health Management 2013;16:291–295) PMID:23869538

  4. Current issues in state mental health forensic programs.

    PubMed

    Nelson, S H; Berger, V F

    1988-01-01

    The major current issues facing state and local forensic mental health programs are presented in this paper. Debates over forensic patients' rights and the insanity defense are discussed, together with many administrative problems such as the pros and cons of correctional versus mental health system program control and payment incentives for treatment. The authors cite the differing goals of correctional and mental health systems, i.e., security and treatment, as reasons for difficulties in developing needed collaboration. Guidelines are suggested to address such important issues as mixing civil with criminal patients, developing units for special populations, defining patients who can respond to treatment, and follow-up after discharge.

  5. A sustainable behavioral health program integrated with public health primary care.

    PubMed

    Mims, Susan

    2006-01-01

    The need for behavioral healthcare for the poor and indigent is well documented in rural North Carolina, and integrated behavioral healthcare--that is, mental health screening and treatment offered as part of primary care services--has proven a very effective and efficient method to improve patients' health. In 2000, the Buncombe County Health Center (BCHC) began a grant-funded program treating depressed patients in its public health clinics and school health programs. The Health Center used the opportunity to send a team to the Management Academy for Public Health to learn business principles that could be applied to the challenge of sustaining this program as part of its ongoing public health service delivery for the county. Using their business plan from the Management Academy, the BCHC sought funding from various stakeholders, and, through their support, was able to institute a fully integrated behavioral health program in 2004. The BCHC has now joined forces with other partners in the state to address statewide policy changes in support of such programs. These efforts are an example of how a community health center can apply entrepreneurial thinking and strategic business planning to improve healthcare and effect wide-ranging change.

  6. 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.

  7. 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. PMID:24825699

  8. 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.

  9. Effectiveness of a program to facilitate recovery for people with long-term mental illness in Japan.

    PubMed

    Chiba, Rie; Miyamoto, Yuki; Kawakami, Norito; Harada, Naoko

    2014-09-01

    Recovery is defined as the process of developing new meaning and purpose in life as one grows beyond the catastrophic effects of mental illness. This study aimed to develop a program to facilitate recovery and examine its effectiveness in a randomized controlled trial. The program was developed with three components that enhance benefit finding, personal meaning, and a sense of happiness. Sixty-three participants with long-term mental illness were randomly allocated to the intervention group (n = 32) or the control group (n = 31). The intervention group attended eight 2-h group sessions, with one held every week. Recovery was assessed at baseline, post-intervention, and at a three-month follow-up. In the per-protocol analysis, after excluding those who dropped out, the intervention group showed significant improvement in recovery compared with the control group (P < 0.05). In the intention-to-treat analysis, a repeated measures analysis of variance did not show any significant intervention effect (time × group) (P > 0.05). The program had the potential to facilitate recovery. PMID:24102899

  10. 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.

  11. Savannah River Site, Liquid Waste Program, Savannah River Remediation American Recovery and Reinvestment Act Benefits and Lessons Learned - 12559

    SciTech Connect

    Schmitz, Mark A.; Crouse, Thomas N.

    2012-07-01

    Utilizing funding provided by the American Recovery and Reinvestment Act (ARRA), the Liquid Waste Program at Savannah River site successfully executed forty-one design, procurement, construction, and operating activities in the period from September 2009 through December 2011. Project Management of the program included noteworthy practices involving safety, integrated project teams, communication, and cost, schedule and risk management. Significant upgrades to plant capacity, progress toward waste tank closure and procurement of needed infrastructure were accomplished. Over 1.5 million hours were worked without a single lost work day case. Lessons Learned were continually identified and applied to enhance the program. Investment of Recovery Act monies into the Liquid Waste Program has ensured continued success in the disposition of radioactive wastes and the closure of high level waste tanks at SRS. The funding of a portion of the Liquid Waste Program at SRS by ARRA was a major success. Significant upgrades to plant capacity, progress toward waste tank closure and procurement of needed infrastructure was accomplished. Integrated Project Teams ensured quality products and services were provided to the Operations customers. Over 1.5 million hours were worked without a single lost work day case. Lessons Learned were continually reviewed and reapplied to enhance the program. Investment of Recovery Act monies into the Liquid Waste Program has ensured continued success in the disposition of radioactive wastes and the closure of high level waste tanks at SRS. (authors)

  12. The challenges facing mental health programs for post-conflict and refugee communities.

    PubMed

    Silove, Derrick

    2004-01-01

    The majority of refugees and communities exposed to warfare and oppression live in low-income countries with few resources or special skills. Yet, epidemiological studies have identified high levels of traumatic stress reactions in such populations. These stress reactions can be intensified by harsh policies aimed at deterring survivors from seeking refuge in technologically advanced societies. The scale of the problem of mass violence and displacement creates formidable challenges for mental health professionals in their efforts to develop practical frameworks for responding to the extensive needs of displaced persons. In this article, a model is proposed for low-income, post-conflict countries, based on a two-tiered formulation. At the eco-social level, mental health professionals can play a supportive, but not a lead, role in facilitating recovery of core adaptive systems that hasten natural recovery from stress for the majority of the population. Where small-scale, community mental health services are established, the emphasis should be on assisting persons and their families who are at greatest survival and adaptive risk. Training and promotion of local workers to assume leadership in such programs are essential. In technologically advanced societies in which refugees are in a minority, torture and trauma services can focus more specifically on traumatic stress reactions, acculturation, and resettlement. In a historical epoch in which displaced persons are facing particularly harsh treatment, there is a pressing need for consensus amongst mental health professionals in advocating for their needs. PMID:15453165

  13. 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…

  14. 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

  15. Improving delivery of a health-promoting-environments program: experiences from Queensland Health.

    PubMed

    Dwyer, S

    1997-01-01

    The purpose of this paper is to outline the key components of a statewide multisite health-promoting-environments program. Contemporary health-promotion programs in settings such as schools, workplaces and hospitals use organisational development theory to address the health issues of the setting, including the physical environment, the organisational environment, and the specific health needs of the employees and consumers of the service. Program principles include management of each project by the participant organisation or site (for example, a school or workplace), using resources available within the organisation and the local community, voluntary participation, social justice and participant-based priority setting, and evaluation and monitoring. Adoption of these principles implies a shift in the role of the health worker from implementer to facilitator. Based on the experience of Queensland Health, it is proposed that the essential building blocks of the health-promoting-environments program are an intersectoral policy base, a model for action, training and resources, local facilitators, support from local organisations, a supportive network of sites, marketing of the program, and a state-based evaluation and monitoring system. The program in Queensland was able to develop a significant number of these components over the 1990-1996 period. In regard to evaluation, process measures can be built around the program components; however, further research is required for development of impact indicators and benchmarks on quality.

  16. Thoughts About Health Policy Content in Baccalaureate Nursing Programs.

    PubMed

    Waddell, Ashley; Adams, Jeffrey M; Fawcett, Jacqueline

    2016-10-01

    We describe a framework used to analyze health policy content in baccalaureate nursing program courses that combines the conceptual model for nursing and health policy and the Adams influence model to account for knowledge and skills needed for health policy work. Our analysis of health policy content in courses in one baccalaureate nursing program focused on what policies were emphasized and how educational content supported the development of personal influence. The analysis revealed course content focused on public sources of health policies and lack of overt course content about policies from organizational and professional sources. Additionally, we identified little course content about the development of personal influence skills except for communication and message articulation components. As the nursing profession continues to build influence in the policy arena, educators must continue to prepare future nurses for such work. PMID:27641285

  17. The APRU Global Health Program: Past and Future

    PubMed Central

    Samet, Jonathan; Withers, Mellissa

    2016-01-01

    The Association of Pacific Rim Universities (APRU) is an international consortium of 45 universities in the Pacific Rim, representing 16 economies, 130 000 faculty members and more than two million students. The APRU Global Health Program aims to expand existing collaborative research efforts among universities to address regional and global health issues. Since its launch in 2007–08, the program has covered a significant range of topics including emerging public health threats, ageing and chronic diseases, infectious diseases and health security issues, among others. The Program’s activities in research, training, and service around the globe illustrate the diverse dimensions of global health. In this paper, the major activities to date are outlined and future planned activities are discussed. PMID:27052883

  18. Confronting trade-offs in health care: Harvard Pilgrim Health Care's organizational ethics program.

    PubMed

    Sabin, James E; Cochran, David

    2007-01-01

    Patients, providers, and policy leaders need a new moral compass to guide them in the turbulent U.S. health care system. Task forces have proposed excellent ethical codes, but these have been seen as too abstract to provide guidance at the front lines. Harvard Pilgrim Health Care's ten-year experience with an organizational ethics program suggests ways in which health care organizations can strengthen transparency, consumer focus, and overall ethical performance and contribute to the national health policy dialogue.

  19. 42 CFR 1001.601 - Exclusion or suspension under a Federal or State health care program.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... health care program. 1001.601 Section 1001.601 Public Health OFFICE OF INSPECTOR GENERAL-HEALTH CARE, DEPARTMENT OF HEALTH AND HUMAN SERVICES OIG AUTHORITIES PROGRAM INTEGRITY-MEDICARE AND STATE HEALTH CARE PROGRAMS Permissive Exclusions § 1001.601 Exclusion or suspension under a Federal or State health...

  20. 42 CFR 1001.601 - Exclusion or suspension under a Federal or State health care program.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... health care program. 1001.601 Section 1001.601 Public Health OFFICE OF INSPECTOR GENERAL-HEALTH CARE, DEPARTMENT OF HEALTH AND HUMAN SERVICES OIG AUTHORITIES PROGRAM INTEGRITY-MEDICARE AND STATE HEALTH CARE PROGRAMS Permissive Exclusions § 1001.601 Exclusion or suspension under a Federal or State health...

  1. 42 CFR 1001.601 - Exclusion or suspension under a Federal or State health care program.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... health care program. 1001.601 Section 1001.601 Public Health OFFICE OF INSPECTOR GENERAL-HEALTH CARE, DEPARTMENT OF HEALTH AND HUMAN SERVICES OIG AUTHORITIES PROGRAM INTEGRITY-MEDICARE AND STATE HEALTH CARE PROGRAMS Permissive Exclusions § 1001.601 Exclusion or suspension under a Federal or State health...

  2. 42 CFR 1001.601 - Exclusion or suspension under a Federal or State health care program.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... health care program. 1001.601 Section 1001.601 Public Health OFFICE OF INSPECTOR GENERAL-HEALTH CARE, DEPARTMENT OF HEALTH AND HUMAN SERVICES OIG AUTHORITIES PROGRAM INTEGRITY-MEDICARE AND STATE HEALTH CARE PROGRAMS Permissive Exclusions § 1001.601 Exclusion or suspension under a Federal or State health...

  3. 42 CFR 1001.601 - Exclusion or suspension under a Federal or State health care program.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... health care program. 1001.601 Section 1001.601 Public Health OFFICE OF INSPECTOR GENERAL-HEALTH CARE, DEPARTMENT OF HEALTH AND HUMAN SERVICES OIG AUTHORITIES PROGRAM INTEGRITY-MEDICARE AND STATE HEALTH CARE PROGRAMS Permissive Exclusions § 1001.601 Exclusion or suspension under a Federal or State health...

  4. Lay perceptions of current and future health, the causes of illness, and the nature of recovery: explaining health and illness in Malaysia.

    PubMed

    Swami, Viren; Arteche, Adriane; Chamorro-Premuzic, Tomas; Maakip, Ismail; Stanistreet, Debbi; Furnham, Adrian

    2009-09-01

    This study examined beliefs about the causes and determinants of health, illness, and recovery in an opportunistic sample from Malaysia. In all, 371 women and 350 men completed the Health and Illness Scale, a 124-item scale that examined beliefs about current and future health, and beliefs about the causes of illness and recovery. Each of the four subscales of the Health Illness Scale were factor analysed to reveal the underlying structure. Results showed the emergence of a number of distinct factors in the case of each subscale, of which environmental, life-style, psychological, religious, and fate-related factors were fairly stable across subscales. Results also showed a number of differences in beliefs between religious groups, and that religiosity and sex were the strongest predictors of beliefs across the four subscales. The results are discussed in terms of the available cross-cultural literature on lay beliefs about health. PMID:18922210

  5. Lay perceptions of current and future health, the causes of illness, and the nature of recovery: explaining health and illness in Malaysia.

    PubMed

    Swami, Viren; Arteche, Adriane; Chamorro-Premuzic, Tomas; Maakip, Ismail; Stanistreet, Debbi; Furnham, Adrian

    2009-09-01

    This study examined beliefs about the causes and determinants of health, illness, and recovery in an opportunistic sample from Malaysia. In all, 371 women and 350 men completed the Health and Illness Scale, a 124-item scale that examined beliefs about current and future health, and beliefs about the causes of illness and recovery. Each of the four subscales of the Health Illness Scale were factor analysed to reveal the underlying structure. Results showed the emergence of a number of distinct factors in the case of each subscale, of which environmental, life-style, psychological, religious, and fate-related factors were fairly stable across subscales. Results also showed a number of differences in beliefs between religious groups, and that religiosity and sex were the strongest predictors of beliefs across the four subscales. The results are discussed in terms of the available cross-cultural literature on lay beliefs about health.

  6. 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.

  7. Health support program for family members with hospitalized child.

    PubMed

    Tsuruta, Kurumi; Kusaba, Hifumi; Yamada, Miyuki; Murakata, Tazuko; Nakatomi, Rika

    2005-01-01

    In 2001, we began conducting Health Support Programs on the pediatric ward of Miyazaki Medical College Hospital. The program is designed to help family members who accompany and care for their children who are ill and hospitalized to practice some physical movements for their own benefit. An interview survey was undertaken to clarify the effects and the purpose of the program by evaluating subjective data from program participants, as well as by evaluating changes in participants' blood pressure rates. Findings indicate that the program's effects include "reduction of stress and/or lack of exercise," "refreshing effect," "comfort and/or exhilaration," "relaxation," and "alleviation of physical symptoms." We also have noted that mothers become more aware of their own health issues and that the program offers an opportunity to reexamine their health conditions. Furtherrnore, we have learned that for parents and children who participate together, the program offers a fun environment, and that, on occasion, mothers are the ones who are cared for in the program.

  8. Factors influencing perceived sustainability of Dutch community health programs.

    PubMed

    Vermeer, A J M; Van Assema, P; Hesdahl, B; Harting, J; De Vries, N K

    2015-09-01

    We assessed the perceived sustainability of community health programs organized by local intersectoral coalitions, as well as the factors that collaborating partners think might influence sustainability. Semi-structured interviews were conducted among 31 collaborating partners of 5 community health programs in deprived neighborhoods in the southern part of the Netherlands. The interview guide was based on a conceptual framework that includes factors related to the context, the leading organization, leadership, the coalition, collaborating partners, interventions and outcomes. Interviews were recorded, transcribed and content analyzed using NVivo 8.0. Participants in each of the programs varied in their perceptions of the sustainability of the program, but those people collaborating in pre-existing neighborhood structures expressed relatively high faith in their continuation. The participating citizens in particular believed that these structures would continue to address the health of the community in the future. We found factors from all categories of the conceptual framework that were perceived to influence sustainability. The program leaders appeared to be crucial to the programs, as they were frequently mentioned in close interaction with other factors. Program leaders should use a motivating and supportive leadership style and should act as 'program champions'.

  9. [Collective participation and the elicitation of preferences for health care programs: a health system perspective].

    PubMed

    Costa-Font, Joan

    2005-01-01

    The need to increase collective participation in health care decision-making is one of the main health reform issues in publicly financed health systems. The present article examines the arguments for collective participation, the means for improving it and the methods available to elicit collective preferences concerning health programs to be financed by the health system. We review the various collective participation tools, as well as the preference elicitation methods assist priority setting in collectively funded health care systems. Finally, the paper suggests some policy implications for policy making design in Spain.

  10. 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.

  11. A Mixed-Methods Study of the Recovery Concept, "A Meaningful Day," in Community Mental Health Services for Individuals with Serious Mental Illnesses.

    PubMed

    Myers, Neely A L; Smith, Kelly; Pope, Alicia; Alolayan, Yazeed; Broussard, Beth; Haynes, Nora; Compton, Michael T

    2016-10-01

    The recovery concept encompasses overcoming or managing one's illness, being physically and emotionally healthy, and finding meaningful purpose through work, school, or volunteering, which connects one to others in mutually fulfilling ways. Using a mixed-methods approach, we studied the emphasis on "a meaningful day" in the new Opening Doors to Recovery (ODR) program in southeast Georgia. Among 100 participants, we measured the meaningful day construct using three quantitative items at baseline (hospital discharge) and at 4-, 8-, and 12-month follow-up, finding statistically significant linear trends over time for all three measures. Complementary qualitative interviews with 30 individuals (ODR participants, family members, and ODR's Community Navigation Specialists and program leaders) revealed themes pertaining to companionship, productivity, achieving stability, and autonomy, as well as the concern about insufficient resources. The concept of "a meaningful day" can be a focus of clinical attention and measured as a person-centered outcome for clients served by recovery-oriented community mental health services.

  12. 20 CFR 408.932 - Will you receive notice of our intention to apply cross-program recovery?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... apply cross-program recovery? 408.932 Section 408.932 Employees' Benefits SOCIAL SECURITY ADMINISTRATION... you the following information: (a) We have determined that you owe a specific overpayment balance that... still owe this overpayment balance; (d) You may request that we withhold a different amount from...

  13. 20 CFR 416.574 - Will you receive notice of our intention to apply cross-program recovery?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... apply cross-program recovery? 416.574 Section 416.574 Employees' Benefits SOCIAL SECURITY ADMINISTRATION... you the following information: (a) We have determined that you owe a specific overpayment balance that... still owe this overpayment balance; (d) You may request that we withhold a different amount from...

  14. 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…

  15. 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…

  16. 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…

  17. 20 CFR 416.553 - Waiver of adjustment or recovery-defeat the purpose of the supplemental security income program.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 2 2013-04-01 2013-04-01 false Waiver of adjustment or recovery-defeat the purpose of the supplemental security income program. 416.553 Section 416.553 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SUPPLEMENTAL SECURITY INCOME FOR THE AGED, BLIND, AND DISABLED Payment of Benefits, Overpayments, and Underpayments...

  18. 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

  19. COMPREHENSIVE ADOLESCENT HEALTH PROGRAMS THAT INCLUDE SEXUAL AND REPRODUCTIVE HEALTH SERVICES: A SYSTEMATIC REVIEW

    PubMed Central

    Kågesten, Anna; Parekh, Jenita; Tunçalp, Özge; Turke, Shani; Blum, Robert Wm

    2015-01-01

    Objectives To describe the characteristics and evidence of comprehensive adolescent health (CAH) programs encompassing sexual and reproductive and other health services, educational and social support. Methods Systematic review of peer-reviewed and grey literature on CAH programs (1998-2013). Only programs with experimental, quasi-experimental or pre-post evaluations were included. Two independent reviewers screened 36,119 records and extracted articles using predefined criteria. Data was synthesised into descriptive characteristics; quality was assessed by evidence level (rigorous, strong, modest). Results Data was extracted on 46 programs (181 studies) of which 19 programs were defined as comprehensive; 9 were excluded due to insufficient evaluations. Ten CAH programs met all inclusion criteria. Most were US based; others were implemented in Egypt, Ethiopia and Mexico. Few programs (N=3) displayed rigorous evidence, 5 had strong and 2 had modest evidence. All programs with rigorous/strong evidence directly or indirectly influenced adolescent sexual and reproductive health. Common elements of these programs included: long-term commitment to adolescents, interpersonal connections, community mobilization, and skill-building elements. Conclusion The long term impact of many CAH programs cannot be proven due to 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

  20. Guidelines for school health programs to promote lifelong healthy eating.

    PubMed

    1997-01-01

    Healthy eating patterns in childhood and adolescence promote optimal childhood health, growth, and intellectual development; prevent immediate health problems, such as iron deficiency anemia, obesity, eating disorders, and dental caries; and may prevent long-term health problems, such as coronary heart disease, cancer, and stroke. School health programs can help children and adolescents attain full educational potential and good health by providing them with the skills, social support, and environmental reinforcement they need to adopt long-term, healthy eating behaviors. This report summarizes strategies most likely to be effective in promoting healthy eating among school-age youths and provides nutrition education guidelines for a comprehensive school health program. These guidelines are based on a review of research, theory, and current practice, and they were developed by CDC in collaboration with experts from universities and from national, federal, and voluntary agencies. The guidelines include recommendations on seven aspects of a school-based program to promote healthy eating: school policy on nutrition, a sequential, coordinated curriculum, appropriate instruction for students, integration of school food service and nutrition education, staff training, family and community involvement, and program evaluation.

  1. The role of coral colony health state in the recovery of lesions

    PubMed Central

    Toledo-Hernandez, Carlos; Mercado-Molina, Alex E.; Pérez, María-Eglée; Sabat, Alberto M.

    2016-01-01

    Coral disease literature has focused, for the most part, on the etiology of the more than 35 coral afflictions currently described. Much less understood are the factors that underpin the capacity of corals to regenerate lesions, including the role of colony health. This lack of knowledge with respect to the factors that influence tissue regeneration significantly limits our understanding of the impact of diseases at the colony, population, and community level. In this study, we experimentally compared tissue regeneration capacity of diseased versus healthy fragments of Gorgonia ventalina colonies at 5 m and 12 m of depth. We found that the initial health state of colonies (i.e., diseased or healthy) had a significant effect on tissue regeneration (healing). All healthy fragments exhibited full recovery regardless of depth treatment, while diseased fragments did not. Our results suggest that being diseased or healthy has a significant effect on the capacity of a sea fan colony to repair tissue, but that environmental factors associated with changes in depth, such as temperature and light, do not. We conclude that disease doesn’t just compromise vital functions such as growth and reproduction in corals but also compromises their capacity to regenerate tissue and heal lesions. PMID:26788423

  2. 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

  3. A health promotion program evaluation in a minority industry.

    PubMed

    Fowler, B A; Risner, P B

    1994-01-01

    Wellness or health promotion programs (HPP) in the worksite are beneficial to both employer and employee. Companies report reduced absenteeism and improved job performance and productivity (O'Donnell & Ainsworth, 1984; Glantz & Orr, 1986). These programs are vital for Black Americans who experience distressing disparity in the leading causes of mortality and morbidity when compared to White Americans. Black Americans also experience poorer health as a result of racism, prejudice, discrimination, economic issues, and social ills such as poverty and lack of access to health care. The major purpose of this study was to examine the effects of a nurse-delivered six-month pilot HPP on the health awareness and reported health behaviors of Black Americans in the workplace. Approximately 50 employees participated in the HPP. The overall health screening and evaluation survey results indicated that the HPP was effective in increasing health awareness and in changing health behaviors. Nurses can play an important leadership role in improving the health of Black Americans in the workplace.

  4. 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.

  5. 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.

  6. Risk Amid Recovery: Occupational Health and Safety of Latino Day Laborers in the Aftermath of the Gulf Coast Hurricanes

    PubMed Central

    Delp, Linda; Podolsky, Laura; Aguilar, Tomás

    2011-01-01

    After Katrina, the Bush administration suspended Department of Labor workplace regulations throughout the Gulf, a move consistent with their general emphasis on voluntary workplace protection programs rather than government oversight. This approach left many workers in hurricane reconstruction jobs unprotected, especially Latino immigrant day laborers who, facing language barriers and legal constraints, were least able to negotiate workplace safety or other labor conditions. Fifty-three immigrant workers and 28 key informants from community, union, church, and relief organizations in Louisiana and Mississippi were interviewed at job hiring sites and relief organizations using an inductive, exploratory approach. In this multihazard and changing work environment with a new and fluctuating workforce, enforceable policies mandating worker protection and education were sorely lacking. Free market conditions, driven by incentives to work as fast as possible, and the preponderance of unregulated small contractors and individual home owners as employers contributed to the unsafe environment. Although workers and home owners attempted to take precautions, they usually lacked adequate education about hazards, access to protective equipment, and training in its proper use. However, the labor conditions during the hurricane recovery in the Gulf Coast are likely to be duplicated throughout the country in workplaces employing Latino day laborers unless workers' health is given greater priority by regulatory agencies. PMID:21394225

  7. Risk Amid Recovery: Occupational Health and Safety of Latino Day Laborers in the Aftermath of the Gulf Coast Hurricanes.

    PubMed

    Delp, Linda; Podolsky, Laura; Aguilar, Tomás

    2009-10-01

    After Katrina, the Bush administration suspended Department of Labor workplace regulations throughout the Gulf, a move consistent with their general emphasis on voluntary workplace protection programs rather than government oversight. This approach left many workers in hurricane reconstruction jobs unprotected, especially Latino immigrant day laborers who, facing language barriers and legal constraints, were least able to negotiate workplace safety or other labor conditions. Fifty-three immigrant workers and 28 key informants from community, union, church, and relief organizations in Louisiana and Mississippi were interviewed at job hiring sites and relief organizations using an inductive, exploratory approach. In this multihazard and changing work environment with a new and fluctuating workforce, enforceable policies mandating worker protection and education were sorely lacking. Free market conditions, driven by incentives to work as fast as possible, and the preponderance of unregulated small contractors and individual home owners as employers contributed to the unsafe environment. Although workers and home owners attempted to take precautions, they usually lacked adequate education about hazards, access to protective equipment, and training in its proper use. However, the labor conditions during the hurricane recovery in the Gulf Coast are likely to be duplicated throughout the country in workplaces employing Latino day laborers unless workers' health is given greater priority by regulatory agencies. PMID:21394225

  8. Risk Amid Recovery: Occupational Health and Safety of Latino Day Laborers in the Aftermath of the Gulf Coast Hurricanes.

    PubMed

    Delp, Linda; Podolsky, Laura; Aguilar, Tomás

    2009-10-01

    After Katrina, the Bush administration suspended Department of Labor workplace regulations throughout the Gulf, a move consistent with their general emphasis on voluntary workplace protection programs rather than government oversight. This approach left many workers in hurricane reconstruction jobs unprotected, especially Latino immigrant day laborers who, facing language barriers and legal constraints, were least able to negotiate workplace safety or other labor conditions. Fifty-three immigrant workers and 28 key informants from community, union, church, and relief organizations in Louisiana and Mississippi were interviewed at job hiring sites and relief organizations using an inductive, exploratory approach. In this multihazard and changing work environment with a new and fluctuating workforce, enforceable policies mandating worker protection and education were sorely lacking. Free market conditions, driven by incentives to work as fast as possible, and the preponderance of unregulated small contractors and individual home owners as employers contributed to the unsafe environment. Although workers and home owners attempted to take precautions, they usually lacked adequate education about hazards, access to protective equipment, and training in its proper use. However, the labor conditions during the hurricane recovery in the Gulf Coast are likely to be duplicated throughout the country in workplaces employing Latino day laborers unless workers' health is given greater priority by regulatory agencies.

  9. The Ethiopian Health Extension Program and Variation in Health Systems Performance: What Matters?

    PubMed Central

    Fetene, Netsanet; Linnander, Erika; Fekadu, Binyam; Alemu, Hibret; Omer, Halima; Canavan, Maureen; Smith, Janna; Berman, Peter; Bradley, Elizabeth

    2016-01-01

    Background Primary health care services are fundamental to improving health and health equity, particularly in the context of low and middle-income settings where resources are scarce. During the past decade, Ethiopia undertook an ambitious investment in primary health care known as the Ethiopian Health Extension Program that recorded impressive gains in several health outcomes. Despite this progress, substantial disparities in health outcomes persist across the country. The objective of this study was to understand how variation in the implementation of the primary health care efforts may explain differences in key health outcomes. Methods and Findings We conducted a qualitative study of higher-performing and lower-performing woredas using site visits and in-depth interviews undertaken in 7 woredas. We classified woredas as higher-performing or lower-performing based on data on 5 indicators. We conducted a total of 94 open-ended interviews; 12–15 from each woreda. The data were analyzed using the constant comparative method of qualitative data analysis. Substantial contrasts were apparent between higher-performing and lower-performing woredas in use of data for problem solving and performance improvement; collaboration and respectful relationships among health extension workers, community members, and health center staff; and coordination between the woreda health office and higher-level regulatory and financing bodies at the zonal and regional levels. We found similarities in what was reported to motivate or demotivate health extension workers and other staff. Additionally, higher-performing and lower-performing woredas shared concerns about hospitals being isolated from health centers and health posts. Participants from both woredas also highlighted a mismatch between the urban health extension program design and the urban-dwelling communities’ expectations for primary health care. Conclusions Data-informed problem solving, respectful and supportive

  10. Introducing an enhanced recovery after surgery program in colorectal surgery: A single center experience

    PubMed Central

    Bona, Stefano; Molteni, Mattia; Rosati, Riccardo; Elmore, Ugo; Bagnoli, Pietro; Monzani, Roberta; Caravaca, Monica; Montorsi, Marco

    2014-01-01

    AIM: To study the implementation of an enhanced recovery after surgery (ERAS) program at a large University Hospital from “pilot study” to “standard of care”. METHODS: The study was designed as a prospective single centre cohort study. A prospective evaluation of compliance to a protocol based on full application of all ERAS principles, through the progressive steps of its implementation, was performed. Results achieved in the initial pilot study conducted by a dedicated team (n = 47) were compared to those achieved in the shared protocol phase (n = 143) three years later. Outcomes were length of postoperative hospital stay, readmission rate, compliance to the protocol and morbidity. Primary endpoint was the description of the results and the identification of critical issues of large scale implementation of an ERAS program in colorectal surgery emerged in the experience of a single center. Secondary endpoint was the identification of interventions that have been proven to be effective for facilitating the transition from traditional care pathways to a multimodal management protocol according to ERAS principles in colorectal surgery at a single center. RESULTS: During the initial pilot study (March 2009 to December 2010; 47 patients) conducted by a dedicated multidisciplinary team, compliance to the items of ERAS protocol was 93%, with a median length of hospital stay (LOS) of 3 d. Early anastomotic fistulas were observed in 2 cases (4.2%), which required reoperation (Clavien-Dindo grade IIIb). None of the patients had been discharged before the onset of the complication, which could therefore receive prompt treatment. There were also four (8.5%) minor complications (Clavien-Dindo grade II). Thirty days readmission rate was 4%. Perioperative mortality was nil. After implementation of the protocol throughout the Hospital in unselected patients (May 2012 to December 2012; 147 patients) compliance was 74%, with a median LOS of 6 d. Early anastomotic fistulas

  11. 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.

  12. An analysis of comprehensive health promotion programs' consistency with the systems model of health.

    PubMed

    Meek, J

    1993-01-01

    Purpose. The purpose of this article is to report a review and analysis of the concordance between current comprehensive corporate health promotion programs as described in the published literature and the systems model of health and to explore emerging trends in the field of health promotion. Search Methods. MEDLINE, BIOSIS, and PsycINFO searches were conducted from 1985 to 1991, and the bibliographies of articles thus obtained were back searched for additional descriptions of corporate health promotion programs. Inclusive criteria included "comprehensive" corporate programs, published in peer-reviewed journals or books, and descriptions adequate enough to permit coding in the majority of analysis matrix categories. Out of 63 identified programs, 16 met the inclusion criteria; 47 were excluded. A common reason for rejection was the limitation imposed by inadequate program descriptions in the published literature. Major Findings. On average, the comprehensive corporate programs reviewed were initiated between 1984 and 1987 and set in the context of a manufacturing firm with over 10,000 employees. A minority of programs (12.5%) consistently satisfied systems model criteria. The most common category of programs were those which were inconsistent (44%), meeting some of the criteria of a systems model of health promotion, but not all. The mechanistic medical and public health models predominated strongly (63%) with the preeminent goal being individual risk factor modification. Conclusions. The limitations of the published literature do not permit strong conclusions about the number or degree to which current corporate comprehensive programs are concordant with the systems model of health. Although mechanistic models of health predominated, there is evidence that a number of comprehensive programs were inconsistent with the mechanistic model, meeting some of the criteria, but also meeting some systems model criteria. To continue the advancement of health promotion with

  13. The Perceived Socioeconomic Status Is an Important Factor of Health Recovery for Victims of Occupational Accidents in Korea

    PubMed Central

    Roh, Jaehoon

    2016-01-01

    We aimed to examine whether there is a correlation between the health recovery of industrial accident victims and their perceived socioeconomic status. Data were obtained from the first Panel Study of Worker's Compensation Insurance, which included 2,000 participants. We performed multivariate regression analysis and determined the odds ratios for participants with a subjectively lower socioeconomic status and for those with a subjectively lower middle socioeconomic status using 95% confidence intervals. An additional multivariate regression analysis yielded the odds ratios for participants with a subjectively lower socioeconomic status and those with a subjectively upper middle socioeconomic class using 95% confidence intervals. Of all participants, 299 reported a full recovery, whereas 1,701 did not. We examined the odds ratio (95% confidence intervals) for participants' health recovery according to their subjective socioeconomic status while controlling for sex, age, education, tobacco use, alcohol use, subjective state of health prior to the accident, chronic disease, employment duration, recovery period, accident type, disability status, disability rating, and economic participation. The odds of recovery in participants with a subjectively lower middle socioeconomic status were 1.707 times greater (1.264-2.305) than that of those with a subjectively lower socioeconomic status. Similarly, the odds of recovery in participants with a subjectively upper middle socioeconomic status were 3.124 times greater (1.795-5.438) than that of those with a subjectively lower socioeconomic status. Our findings indicate that participants' perceived socioeconomic disparities extend to disparities in their health status. The reinforcement of welfare measures is greatly needed to temper these disparities. PMID:26839467

  14. The Perceived Socioeconomic Status Is an Important Factor of Health Recovery for Victims of Occupational Accidents in Korea.

    PubMed

    Seok, Hongdeok; Yoon, Jin-Ha; Lee, Wanhyung; Lee, June-Hee; Jung, Pil Kyun; Roh, Jaehoon; Won, Jong-Uk

    2016-02-01

    We aimed to examine whether there is a correlation between the health recovery of industrial accident victims and their perceived socioeconomic status. Data were obtained from the first Panel Study of Worker's Compensation Insurance, which included 2,000 participants. We performed multivariate regression analysis and determined the odds ratios for participants with a subjectively lower socioeconomic status and for those with a subjectively lower middle socioeconomic status using 95% confidence intervals. An additional multivariate regression analysis yielded the odds ratios for participants with a subjectively lower socioeconomic status and those with a subjectively upper middle socioeconomic class using 95% confidence intervals. Of all participants, 299 reported a full recovery, whereas 1,701 did not. We examined the odds ratio (95% confidence intervals) for participants' health recovery according to their subjective socioeconomic status while controlling for sex, age, education, tobacco use, alcohol use, subjective state of health prior to the accident, chronic disease, employment duration, recovery period, accident type, disability status, disability rating, and economic participation. The odds of recovery in participants with a subjectively lower middle socioeconomic status were 1.707 times greater (1.264-2.305) than that of those with a subjectively lower socioeconomic status. Similarly, the odds of recovery in participants with a subjectively upper middle socioeconomic status were 3.124 times greater (1.795-5.438) than that of those with a subjectively lower socioeconomic status. Our findings indicate that participants' perceived socioeconomic disparities extend to disparities in their health status. The reinforcement of welfare measures is greatly needed to temper these disparities. PMID:26839467

  15. 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

  16. Evaluations of organizational effectiveness in mental health programs.

    PubMed

    Scheid, T L; Greenley, J R

    1997-12-01

    We present a conceptual framework derived from organizational theory for understanding the evaluation of the effectiveness of mental health services. We postulate that organizations are deemed "successful" by their constituents when they conform to institutional demands and expectations that are both internally and externally generated. We empirically assess institutional conformity by examining evaluations of effectiveness by 269 mental health providers in 29 different mental health programs. Specialist programs responded to institutional demands by targeting services to those considered most in need: clients with severe mental illnesses. The formal structure and program philosophy of these programs clearly reflected this emphasis; consequently, levels of goal incongruence were low and evaluations of effectiveness were high. Generalist programs continued to provide care to diverse client groups, had more professionals, offered traditional services (such as psychotherapy), and exhibited higher levels of goal incongruence; these factors resulted in lower evaluations of effectiveness. This research is important because it demonstrates that organizational processes of institutional conformity (program objectives meet the demands of external constituents) and goal congruence (program objectives meet with expectations of internal constituents) are critical to positive evaluations of effectiveness. With the current institutional demand for effective, efficient services, it is critical that researchers have a conceptual framework for analyzing those factors which influence evaluations of effectiveness.

  17. Evaluations of organizational effectiveness in mental health programs.

    PubMed

    Scheid, T L; Greenley, J R

    1997-12-01

    We present a conceptual framework derived from organizational theory for understanding the evaluation of the effectiveness of mental health services. We postulate that organizations are deemed "successful" by their constituents when they conform to institutional demands and expectations that are both internally and externally generated. We empirically assess institutional conformity by examining evaluations of effectiveness by 269 mental health providers in 29 different mental health programs. Specialist programs responded to institutional demands by targeting services to those considered most in need: clients with severe mental illnesses. The formal structure and program philosophy of these programs clearly reflected this emphasis; consequently, levels of goal incongruence were low and evaluations of effectiveness were high. Generalist programs continued to provide care to diverse client groups, had more professionals, offered traditional services (such as psychotherapy), and exhibited higher levels of goal incongruence; these factors resulted in lower evaluations of effectiveness. This research is important because it demonstrates that organizational processes of institutional conformity (program objectives meet the demands of external constituents) and goal congruence (program objectives meet with expectations of internal constituents) are critical to positive evaluations of effectiveness. With the current institutional demand for effective, efficient services, it is critical that researchers have a conceptual framework for analyzing those factors which influence evaluations of effectiveness. PMID:9425783

  18. Pilot evaluation of a health promotion program for African immigrant and refugee women: the UJAMBO Program.

    PubMed

    Piwowarczyk, Linda; Bishop, Hillary; Saia, Kelley; Crosby, Sondra; Mudymba, Francine Tshiwala; Hashi, Nimo Ibrahim; Raj, Anita

    2013-02-01

    The UJAMBO Program was a series of one session group workshops with Congolese and Somali women in the United States built around a DVD using African immigrant women's stories which provided basic information about mammography, pap smears and mental health services for trauma. The current study is an evaluation of the UJAMBO program addressing the impact on participants'knowledge of these health services and their intentions to use these services.

  19. Developmental programming of health and disease.

    PubMed

    Langley-Evans, Simon C

    2006-02-01

    The environment encountered in fetal and neonatal life exerts a profound influence on physiological function and risk of disease in adult life. Epidemiological evidence suggests that impaired fetal growth followed by rapid catch-up in infancy is a strong predictor of obesity, hypertension, non-insulin-dependent diabetes and CHD. Whilst these associations have been widely accepted to be the product of nutritional factors operating in pregnancy, evidence from human populations to support this assertion is scarce. Animal studies clearly demonstrate that there is a direct association between nutrient imbalance in fetal life and later disease states, including hypertension, diabetes, obesity and renal disease. These associations are independent of changes in fetal growth rates. Experimental studies examining the impact of micro- or macronutrient restriction and excess in rodent pregnancy provide clues to the mechanisms that link fetal nutrition to permanent physiological changes that promote disease. Exposure to glucocorticoids in early life appears to be an important consequence of nutrient imbalance and may lead to alterations in gene expression that have major effects on tissue development and function. Epigenetic mechanisms, including DNA methylation, may also be important processes in early-life programming.

  20. Environment, Safety, and Health Risk Assessment Program (ESHRAP)

    SciTech Connect

    Eide, Steven Arvid; Thomas Wierman

    2003-12-01

    The Environment, Safety and Health Risk Assessment Program (ESHRAP) models human safety and health risk resulting from waste management and environmental restoration activities. Human safety and health risks include those associated with storing, handling, processing, transporting, and disposing of radionuclides and chemicals. Exposures to these materials, resulting from both accidents and normal, incident-free operation, are modeled. In addition, standard industrial risks (falls, explosions, transportation accidents, etc.) are evaluated. Finally, human safety and health impacts from cleanup of accidental releases of radionuclides and chemicals to the environment are estimated. Unlike environmental impact statements and safety analysis reports, ESHRAP risk predictions are meant to be best estimate, rather than bounding or conservatively high. Typically, ESHRAP studies involve risk predictions covering the entire waste management or environmental restoration program, including such activities as initial storage, handling, processing, interim storage, transportation, and final disposal. ESHRAP can be used to support complex environmental decision-making processes and to track risk reduction as activities progress.