information for practice January 2008 archives

January 31, 2008

Born to Learn: The Importance of Early Childhood Care

Child care in the United States is changing - because society in general is changing. This podcast reviews the findings of four flagship reports from the National Research Council on early childhood development and the important of role child care providers.

Medicaid Home and Community-Based Service Programs: Data Update

The national percentage of Medicaid spending on home and community-based services (HCBS) has more than doubled from 1992 to 2004. This report presents a summary of the main trends to emerge for the three Medicaid HCBS programs and the results of a survey of policies such as eligibility criteria and waiting lists.

Views about the Quality of Long-Term Care Services in the United States -- Chartpack

This chartpack presents the key findings from the survey Update on the Public’s Views of Nursing Homes and Long-Term Care Services. The survey evaluates the public’s opinion of the current state of long-term care in the United States. Specifically, it assesses personal experiences, perceptions of quality and staffing, and opinions of government regulation related to nursing homes and long-term care services. The survey was designed and analyzed by researchers at the Kaiser Family Foundation. Telephone interviews were conducted from October 1-10, 2007, among a nationally representative sample of 1,032 adults ages 18 and older.

Nursing Home Reform: Then and Now, December 2007, DVD

To mark the 20th anniversary of the passage of landmark federal legislation to improve the quality of nursing home care, the Omnibus Budget Reconciliation Act of 1987 (known as OBRA 87), this video examines the history surrounding the law. The video includes a look at the state of nursing home care before the law, an overview of the legislative process that brought about the law, and recent developments in nursing home quality. The video features historical clips and new interviews of key individuals from government, the nursing home industry, and consumer advocates who were instrumental in the historical developments related to nursing home reform.

Summary of recommendations for clinical preventive services

This is the current release of the guideline. This guideline updates a previous version: American Academy of Family Physicians (AAFP). Summary of recommendations for clinical preventive services. Revision 6.3. Leawood (KS): American Academy of Family Physicians (AAFP); 2007

Partnerships for Dissemination of EBI’’s: Public Health Models

Conclusions
- Dissemination is critical for public health impact
- Partnerships are critical for moving EBI’s into practice
- Need to consider ways to optimize and adapt for dissemination that fit the context and values of both groups
- Institutional support for dissemination research helps a lot in the academy

January 30, 2008

Connecting Policy, Practice, and Research to Support Implementation of Service Improvements

Overview
- Strategies to connect policy, practice and research
- Challenge of change
- CTN and Blending Products
- Advancing Recovery
- Goal is persistent improvement

Women’s Health Insurance Coverage

Health insurance is a key element in health care accessibility for women, as women with coverage are more likely to obtain preventive, primary, and specialty care services. However, many women face barriers to obtaining coverage because they have limited access to private insurance or do not qualify for public programs. This fact sheet provides new statistics on health coverage and describes the major sources of health insurance for non-elderly adult women ages 18-64, including employer-sponsored coverage, Medicaid, individually purchased insurance, and Medicare. It also summarizes the major policy challenges facing women in obtaining health coverage, and provides data on the more than 17 million women who are uninsured.

Children’s Health Insurance Program Reauthorization Act of 2007 (CHIPRA): The revised CHIPRA Bill (H.R. 3963) Compared to the Original Bill (H.R. 976)

The U.S. House and Senate passed a revised version of Children’s Health Insurance Program Reauthorization Act of 2007 (CHIPRA) that was intended to address key concerns of opponents of the original bill vetoed by the President. The State Children’s Health Insurance Program is temporarily funded through December 14 at current levels, but requires reauthorization. This brief provides an overview of the most recent CHIPRA bill and summarizes changes from the original version of the bill.

Juvenile Court Statistics, 2003–2004

Juvenile Court Statistics, 2003–2004 describes delinquency cases handled between 1985 and 2004 and petitioned status offense cases handled between 1995 and 2004 by U.S. courts with juvenile jurisdiction. Courts with juvenile jurisdiction may handle a variety of matters, including child abuse and neglect, traffic violations, child support, and adoptions. This OJJDP report, the 76th report in the Juvenile Court Statistics series, focuses on cases involving juveniles charged with law violations (delinquency or status offenses). The data used in the analyses were contributed to the National Juvenile Court Data Archive by nearly 1,900 courts with jurisdiction over 77 percent of the juvenile population in 2004.

Measures of Organizational Readiness

There is Reason for Optimism About There is Reason for Optimism About Development of Development of “Readiness Readiness” Measures Measures
- Evolving readiness models and instruments have the Evolving readiness models and instruments have the potential to move the field forward. potential to move the field forward.
- There is no single best model or measure for all There is no single best model or measure for all circumstances. circumstances.
- There should be increased attention to sound theoretical There should be increased attention to sound theoretical models, multiple levels, and social context to promote models, multiple levels, and social context to promote rich, sophisticated measures and research designs. rich, sophisticated measures and research designs.
- Our proposed contribution: A useful tool to measure Our proposed contribution: A useful tool to measure implementation readiness in community mental health implementation readiness in community mental health and social service settings. and social service settings.

Science to Service? A Reality Check

Researchers, policymakers, health care providers, and most critically, individuals with mental illnesses and their families today recognize that translating the remarkable breakthroughs into procedures and policies of everyday clinical practice is an urgent, essential, and achievable task. Exciting new research-based advances are emerging that will enhance the delivery of treatments and services in areas crucial to consumers and families…. Yet a gap persists in the broad introduction and application of these advances in services delivery to local communities, and many people with mental illness are being denied the most up-to-date and advanced forms of treatment.

January 29, 2008

Home Care Services, Scotland 2007

The purpose of this Statistics Release is to present the latest national figures for home care services provided or purchased by local authorities in Scotland. All local authorities in Scotland provide Home Care services which give people the support, practical help and personal care that they need to live as independently as possible in the community. All figures relate to the week ending 31 March 2007 and are provisional and, as such, may be subject to change. The final figures will be published in future publications.

Practice parameters for the assessment and treatment of children and adolescents with depressive disorders

This is the current release of the guideline. This guideline updates a previous version: American Academy of Child and Adolescent Psychiatry. Practice parameters for the assessment and treatment of children and adolescents with depressive disorders. J Am Acad Child Adolesc Psychiatry 1998 Oct;37(10 Suppl):63S-83S.

Juvenile Court Statistics Databook

The Juvenile Court Statistics Databook (JCSDB) provides convenient access to national estimates of the more than 30 million delinquency cases processed by the nation's juvenile courts between 1985 and 2004. With this application, users can view pre-formatted tables describing the demographic characteristics of youth involved in the juvenile justice system and how juvenile courts process these cases.

Applying the Socio-Technical and Culture Models of Organization to a Science of Implementation Effectiveness

The adoption evidence-based practices, fidelity to practice protocols, service relationships, and service availability, responsiveness, and continuity
– Are as much social processes as technical processes
– Are embedded in an organizational social context
– Are affected by the organizational social context

Ending the Tobacco Problem

The nation has made tremendous progress in reducing tobacco use during the past 40 years. Despite extensive knowledge about successful interventions, however, approximately one-quarter of American adults still smoke. Tobacco-related illnesses and death place a huge burden on our society.

Going Beyond RCTs

Introduction & Overview
• Treatments demonstrated effective in laboratory settings are not routinely adopted in practice
• Models are critical to guide dissemination science
• Stage model has guided dissemination in drug abuse, but has shown limitations for behavioral treatments
• A model drawn from outside biomedical science offers a promising alternative
• Methodological innovations are needed that balance scientific rigor and policy relevance