Vocational Rehabilitation Day-Care Services for a Drug-Dependent Population

The American Academy of Pediatrics supports the continued expansion of high quality day care programs for the nation's children. It is preparing a booklet, Recommendations for Day Care Centers for Infants and Children, to serve as a guideline for establishing quality day care. The Academy also has embarked on a program to help pediatricians understand their role in fostering high quality day care. All children should have the opportunity to optimally develop their physical, intellectual, and social potential. The care and guidance they are given in their early years are of critical importance for such development. For most children, this child care and guidance are best given in their own homes, by their own families, but may need to be supplemented by child care services provided by private or governmental agencies. Because they are working, an increasing proportion of mothers are not at home to fulfill the maternal role in care and guidance. In 1971, 43% of mothers in the United States were employed: one-third of the mothers of preschool children and one-half of the single mothers of young children. For some children the home may not be the best place because of social or financial poverty or family discord which inhibit child development. Alternative methods of caring for children to help them achieve their fullest potential are needed more now than at any time in our history. Day care services should be a supplement to, not a substitute for, the family as the primary agent for the child's care and development.

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Day Care for Sick Children

PEDIATRICS ◽

10.1542/peds.80.4.598a ◽

1987 ◽

Vol 80 (4) ◽

pp. 598-598

Author(s):

NEAL R. WEINBERG

Keyword(s):

Home Care ◽

Day Care ◽

Parental Leave ◽

Home Care Services ◽

Working Parents ◽

Full Agreement ◽

Day Care Centers ◽

Care Services ◽

Sick Children ◽

The Cost

To the Editor.— Dr Sterne's commentary (Pediatrics 1987;79:445-446) on day care for sick children presented a succinct summary of the dilemmas faced by working parents and the current options available to them when their children are ill. I am in full agreement that ideally there should be liberalized parental leave policies as well as improved understanding and acceptance of certain minor illnesses by existing day-care centers. However, because of the cost, it is doubtful that corporations can or will pay for home care services, which are twice as costly as an infirmary model, or will they be willing to grant additional paid days off to parents.

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Comparative Study of Outcomes for Older People with Long Term Conditions Attending Day Care Services Delivered by Paid Staff or by Volunteers

10.21203/rs.3.rs-92547/v1 ◽

2020 ◽

Author(s):

Catherine Lunt ◽

Chris Shiels ◽

Christopher Dowrick ◽

Mari Lloyd-Williams

Keyword(s):

Older People ◽

Comparative Study ◽

Day Care ◽

Symptom Burden ◽

Well Being ◽

Long Term Conditions ◽

North West ◽

Age In Place ◽

Care Services

Abstract Background Day care services can support older people living with multiple long term conditions (LTCs), to age in place, but little research on outcomes of Day Care attendance. Aims The aims of this comparative study were to determine outcomes for older people with LTCs attending day care services run entirely by paid staff or predominantly volunteers Methods Newly referred older people with LTCs to nine day care services in North West of England and North Wales were invited to participate in this longitudinal study with data being collected at baseline attendance and at 6 and 12 weeks. Demographic information was collected and the EQ-5D-3L and De Jong Loneliness 6 item questionnaire were completed at each time point.RESULTS 94 older people (64% female),age range 65 - 99 years (mean 82 years) were recruited. The mean number of LTCs was 4.3 (range 2-9) and 52% people lived alone. More than a third (36%) lived in one of the 20% most deprived local authorities in England and Wales. The outcomes in this exploratory study over 12 weeks appeared to be similar for paid, blended (paid staff and volunteers) and for volunteer led service, with those attending volunteer led services were significantly more likely to report fewer health problems in follow-up (OR=3.45, 95% CI 1.01-12.8, P=0.04). CONCLUSIONS This study suggests that Day Care Services for older people with long term conditions provide benefits in terms of self-rated physical and emotional well-being. Older people attending paid staff services were more likely to have greater number of LTCs associated with a higher symptom burden. However, at baseline there was no difference in self-reported health by service type. This study suggests that Day Care Services provided by volunteers can provide comparable outcomes. Following the Covid-19 pandemic, it is increasingly urgent to support older people with long term conditions who have lost physical and cognitive function during lockdown and to maintain and improve their function. Our study suggests that volunteers may be able to complement the care provided by paid staff freeing up resources and enabling increasing numbers of people to be supported.

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Staff Shortages in Children's Services: Challenging taken-for-granted discourses

Australasian Journal of Early Childhood ◽

10.1177/183693910503000208 ◽

2005 ◽

Vol 30 (2) ◽

pp. 40-48 ◽

Cited By ~ 14

Author(s):

Jennifer Sumsion

Keyword(s):

Day Care ◽

Children's Services ◽

Care Services ◽

Long Day ◽

Children’S Services ◽

Practical Tool

This article is concerned with the continuing staff shortages in Australian long day care services. To expand possibilities for addressing this ongoing problem, the article advocates the use of discourse as a theoretical and practical tool for reframing discussions about staff shortages. Drawing on discourses of crisis and professionalism as examples, it suggests refocusing conversations and action around discourses of opportunity and critical professionalism, rather than the gendered professionalism traditionally associated with children's services.

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Productivity Analysis of Public Services

Advances in Data Mining and Database Management - Data Mining in Public and Private Sectors ◽

10.4018/978-1-60566-906-9.ch005 ◽

2010 ◽

pp. 83-105

Author(s):

Aki Jääskeläinen ◽

Paula Kujansivu ◽

Jaani Väisänen

Keyword(s):

Data Mining ◽

Public Service ◽

Day Care ◽

Productivity Analysis ◽

Day Care Centers ◽

High Productivity ◽

Public Service Organizations ◽

Care Services ◽

Child Day Care ◽

Service Productivity

Productivity is a key success factor in any organization. In order to improve productivity, it is necessary to understand how various factors affect it. The previous research has mainly focused on productivity analysis at macro level (e.g. nations) or in private companies. Instead, there is a lack of knowledge about productivity drivers in public service organizations. This study aims to scrutinize the role of various operational (micro level) factors in improving public service productivity. In particular, this study focuses on child day care services. First, the drivers of productivity are identified in light of the existing literature and of the results of workshop discussions. Second, the drivers most conducive to high productivity and the specific driver combinations associated with high productivity are defined by applying methods of data mining. The empirical data includes information on 239 day care centers of the City of Helsinki, Finland. According to the data mining results, the factors most conducive to high productivity are the following: proper use of employee resources, efficient utilization of premises, high employee competence, large size of day care centers, and customers with little need for additional support.

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