American journal of psychiatric rehabilitation最新文献_第8页

Making Integrated Care a Reality: Lessons Learned From Heartland Health Outreach's Integration Implementation 使综合护理成为现实:从心脏地带健康推广的综合实施中学到的教训

American journal of psychiatric rehabilitation Pub Date : 2015-01-02 DOI: 10.1080/15487768.2015.1001698

S. Pickett, S. Luther, Ed Stellon, K. Batia

引用次数: 1

Together4Health: Integrating Care for Vulnerable Populations 共同健康:对弱势群体的综合护理

American journal of psychiatric rehabilitation Pub Date : 2015-01-02 DOI: 10.1080/15487768.2015.1001692

R. Frank, Lauren E. Riedel, Colleen L. Barry

{"title":"Together4Health: Integrating Care for Vulnerable Populations","authors":"R. Frank, Lauren E. Riedel, Colleen L. Barry","doi":"10.1080/15487768.2015.1001692","DOIUrl":"https://doi.org/10.1080/15487768.2015.1001692","url":null,"abstract":"Dramatic changes in the design of payment and delivery arrangements for care of some of the nation's more vulnerable populations are being initiated at federal and state levels. This study analyzes early implementation of Together4Health, an innovative partnership among a diverse array of health and social services organizations in Chicago. The impetus for Together4Health was a deliberate effort by policy makers to shift away from the fee-for-service system that rewards providers for delivering more services in an uncoordinated manner toward a system in which a range of services needed to care for a population is coordinated by organizations that are rewarded for efficiency and quality outcomes. Together4Health aims to deliver a full continuum of health and human services to the region's most costly Medicaid enrollees. Six key ingredients were identified as central to Together4Health's early viability: state-level contracting decisions, start-up fund availability, partner agreement about critical organizational design features, developing an IT infrastructure, establishing viable enrollment targets, and developing a sustainable financial model. Going forward, because the environment is changing and many of the innovations being implemented have a limited evidence base, it will be critical for Together4Health to learn quickly and rapidly adjust operating processes to ensure longer term success.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"35 1","pages":"105 - 127"},"PeriodicalIF":0.0,"publicationDate":"2015-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85333749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Perceptions of Overall Health and Recency of Screenings 对整体健康的认知及最近的筛检

American journal of psychiatric rehabilitation Pub Date : 2015-01-02 DOI: 10.1080/15487768.2015.1001703

M. Swarbrick, Lois Rockson, C. Pratt, Jay Yudof, Patricia Nemec

引用次数: 2

Serving People With Complex Health Needs: Emerging Models, With a Focus on People Experiencing Homelessness or Living in Permanent Supportive Housing 为有复杂健康需求的人服务:新兴模式，重点关注无家可归者或居住在永久性支持性住房中的人

American journal of psychiatric rehabilitation Pub Date : 2015-01-02 DOI: 10.1080/15487768.2015.1001696

M. Burt

{"title":"Serving People With Complex Health Needs: Emerging Models, With a Focus on People Experiencing Homelessness or Living in Permanent Supportive Housing","authors":"M. Burt","doi":"10.1080/15487768.2015.1001696","DOIUrl":"https://doi.org/10.1080/15487768.2015.1001696","url":null,"abstract":"The Affordable Care Act of 2009 (P.L. 111-148) codified into law a strong emphasis on care coordination as an important strategy for improving the performance of the U.S. health care system. This article examines new structures for coordinating care for people with complex, co-occurring health conditions. Within that large group, the article focuses on people who are now or recently were homeless and the importance of including housing as part of coordinating their care. “Care coordination” is used as shorthand for a continuum of strategies and structures being developed to reach the three goals of better health care experience, better health outcomes, and cost savings. Six models are described, ranging from simple in structure—a partnership of one permanent supportive housing program and one community health center—to complex, including a limited liability, for-profit care coordination entity serving Cook County and two county-run programs (in Hennepin County, Minnesota, and Los Angeles County, California). All are works in progress, but show promise of improving care for difficult-to-serve populations.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"133 1","pages":"42 - 64"},"PeriodicalIF":0.0,"publicationDate":"2015-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79314795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Connecting Permanent Supportive Housing to Health Care Delivery and Payment Systems: Opportunities and Challenges 将永久性支持性住房与医疗保健服务和支付系统联系起来:机遇与挑战

American journal of psychiatric rehabilitation Pub Date : 2015-01-02 DOI: 10.1080/15487768.2015.1001690

C. Wilkins

{"title":"Connecting Permanent Supportive Housing to Health Care Delivery and Payment Systems: Opportunities and Challenges","authors":"C. Wilkins","doi":"10.1080/15487768.2015.1001690","DOIUrl":"https://doi.org/10.1080/15487768.2015.1001690","url":null,"abstract":"Permanent supportive housing can be an integral part of new models of integrated care for people with complex health and social needs who experience homelessness or institutionalization, producing better outcomes and ending homelessness for vulnerable people, while also contributing to the more appropriate and less costly use of health care services. The expansion of Medicaid eligibility in most states and other changes in health care finance and delivery systems increase opportunities to pay for some of the costs of supportive housing services, but this will require overcoming challenges related to federal and state policies. Medicaid benefits may include behavioral health services that can help people with mental health disorders get and keep housing and achieve recovery goals. Primary care and behavioral health services can be integrated through partnerships that rely on two different Medicaid payment mechanisms. Medicaid managed care plans face incentives to invest in care coordination services that control hospital costs. Some states are exploring other ways to use Medicaid financing to pay for innovative supportive housing programs that can achieve offsetting savings.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"85 1","pages":"65 - 86"},"PeriodicalIF":0.0,"publicationDate":"2015-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77198252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 11

Integrated Health Care for People with Psychiatric Disabilities 精神残疾者的综合保健

American journal of psychiatric rehabilitation Pub Date : 2015-01-02 DOI: 10.1080/15487768.2015.1001689

S. Pickett, K. Batia

引用次数: 2

Risk is not a four letter word: social integration and developmental growth. 风险不是一个简单的词:社会融合和发展增长。

American journal of psychiatric rehabilitation Pub Date : 2015-01-01 Epub Date: 2015-12-11 DOI: 10.1080/15487768.2015.1089801

Barbara Dickey, Norma C Ware

{"title":"Risk is not a four letter word: social integration and developmental growth.","authors":"Barbara Dickey, Norma C Ware","doi":"10.1080/15487768.2015.1089801","DOIUrl":"https://doi.org/10.1080/15487768.2015.1089801","url":null,"abstract":"<p><p>Individuals facing recovery from serious mental illness confront social challenges stemming from discrimination and the structure of our economic safety net. Although research has contributed to significant advances for individuals with the most serious mental illness, questions about the social nature of their world remain largely unasked. How can persons with mental illness move from community isolation to community integration? Building on earlier research, this paper uses qualitative data to address developmental challenges as impediments to community integration for young people with serious mental illness. Sixty transcripts from unstructured, in-depth interviews with psychiatrically disabled persons moving toward social integration were content analyzed to demonstrate possibilities for developmental growth in the context of living-learning communities. Data are organized and presented in three conceptual categories drawn from developmental theory: (1) risk-taking; (2) reciprocal relationships; and (3) self-determination. Based on the results, we suggest that attention to the challenges of developmental growth should complement current evidence-based and best program practices for young adults with mental illness.</p>","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"18 4","pages":"363-376"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15487768.2015.1089801","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34411776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Change in AJPR Editors AJPR编辑器的变化

American journal of psychiatric rehabilitation Pub Date : 2014-10-02 DOI: 10.1080/15487768.2014.987081

引用次数: 0

Pushing, Patience, and Persistence: Peer Providers' Perspectives on Supportive Relationships 推动、耐心和坚持:同伴提供者对支持关系的看法

American journal of psychiatric rehabilitation Pub Date : 2014-10-02 DOI: 10.1080/15487768.2014.967601

Sarah N. Mourra, W. Sledge, Dave Sells, M. Lawless, L. Davidson

{"title":"Pushing, Patience, and Persistence: Peer Providers' Perspectives on Supportive Relationships","authors":"Sarah N. Mourra, W. Sledge, Dave Sells, M. Lawless, L. Davidson","doi":"10.1080/15487768.2014.967601","DOIUrl":"https://doi.org/10.1080/15487768.2014.967601","url":null,"abstract":"Little is known about the experiences of peer support providers. This report describes a qualitative study of such experiences drawn from a project offering peer support to persons with mental illnesses who had multiple inpatient admissions within an 18-month period. Interviews focused on peer staff's relationships with participants; identifying and exploring participant interests, strengths, and aspirations; use of self-disclosure; and connecting participants to other services. Interviews were transcribed and analyzed using established phenomenological data analytic strategies. Peer staff described a tension between pushing and patience and the need for gentle persistence, the art and value of adopting an accepting and nonjudgmental attitude, and the process of identifying and building on strengths in pursuit of personal goals. The mutual identification between peer supporters and clients represented both an advantage and a potential liability, in that peer staff tied their own feelings of self-worth to the outcomes of their clients' struggles. Rather than viewing the deeply personal nature of peer support as posing risks due to a perceived vulnerability on the part of peer support providers, these findings suggest the need for ways to train peer staff in managing safely the vicarious trauma, frustrations, and inevitable setbacks involved in this work.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"13 1","pages":"307 - 328"},"PeriodicalIF":0.0,"publicationDate":"2014-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78383652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 21

Peer Career Implications of an Academic Credential: Report from the Field 学术证书对同行职业的影响:来自实地的报告

American journal of psychiatric rehabilitation Pub Date : 2014-10-02 DOI: 10.1080/15487768.2014.903876

J. Wolf

{"title":"Peer Career Implications of an Academic Credential: Report from the Field","authors":"J. Wolf","doi":"10.1080/15487768.2014.903876","DOIUrl":"https://doi.org/10.1080/15487768.2014.903876","url":null,"abstract":"Thousands of peer workers are trained, certified, and employed throughout the United States. Although the importance of education in behavioral health career development is well documented, almost no current literature is available on academic peer career development. This article reports on peer and nonpeer educational and employment outcomes following completion of a credit-bearing community college mental health certificate program. Implications and recommendations for peer workforce development are identified. Peer and nonpeer certificate program graduates' employment and educational outcomes were obtained in 1997, 2001, and 2004–06 through surveys and interviews. Peer and nonpeer graduates obtained part-time and full-time employment in a variety of behavioral health and human services positions at a range of salaries. A considerable proportion of all graduates subsequently obtained higher degrees. Peer graduates also reported positive impact on self-esteem. Credit-bearing educational opportunities can assist in peer employment and career development. As increasing numbers of certified peer workers are employed in health and behavioral health settings, higher education opportunities can be an important career development strategy. Coordinated national efforts are recommended to link certification and academic programs. Collaboration among peer training programs, behavioral health providers, and educational institutions is suggested to infuse curricula with recovery-oriented content.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"49 1","pages":"329 - 347"},"PeriodicalIF":0.0,"publicationDate":"2014-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73561753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4