Ethical Vocational Rehabilitation Practice and Dual Relationships in Rural Settings

2017 ◽  
pp. 95-115
Author(s):  
Melissa Manninen Luse
Keyword(s):  
Vocational Rehabilitation ◽  
Dual Relationships ◽  
Rural Settings

Erratum to: Disability and Vocational Rehabilitation in Rural Settings

2017 ◽  
pp. E1-E1
Author(s):  
Debra A. Harley ◽  
Noel A. Ysasi ◽  
Malachy L. Bishop ◽  
Allison R. Fleming
Keyword(s):  
Vocational Rehabilitation ◽  
Rural Settings

Dual Relationships in Mental Health Practice: Issues for Clinicians in Rural Settings

2004 ◽  
Vol 38 (11-12) ◽  
pp. 953-959 ◽  
Author(s):  
Joseph Scopelliti ◽  
Fiona Judd ◽  
Joseph Scopelliti ◽  
Fiona Judd ◽  
Margaret Grigg ◽  
...  
Keyword(s):  
Mental Health ◽  
Dual Relationships ◽  
Health Practice ◽  
Mental Health Practice ◽  
Rural Settings

Impact and Management of Dual Relationships in Metropolitan, Regional and Rural Mental Health Practice

2006 ◽  
Vol 40 (11-12) ◽  
pp. 987-994 ◽  
Author(s):  
Ruth Endacott ◽  
Anita Wood ◽  
Fiona Judd ◽  
Carol Hulbert ◽  
Ben Thomas ◽  
...  
Keyword(s):  
Mental Health ◽  
Focus Groups ◽  
Rural Mental Health ◽  
Boundary Crossing ◽  
Dual Relationships ◽  
Mental Health Clinicians ◽  
Health Practice ◽  
Mental Health Practice ◽  
Boundary Crossings ◽  
Rural Settings

Objective: To explore the extent and impact of professional boundary crossings in metropolitan, regional and rural mental health practice in Victoria and identify strategies mental health clinicians use to manage dual relationships. Method: Nine geographically located focus groups consisting of mental health clinicians: four focus groups in rural settings; three in a regional city and two in a metropolitan mental health service. A total of 52 participants were interviewed. Results: Data revealed that professional boundaries were frequently breached in regional and rural settings and on occasions these breaches had a significantly negative impact. Factors influencing the impact were: longevity of the clinician's relationship with the community, expectations of the community, exposure to community ‘gossip’ and size of the community. Participants reported greater stress when the boundary crossing affected their partner and/or children. Clinicians used a range of proactive and reactive strategies, such as private telephone number, avoidance of social community activities, when faced with a potential boundary crossing. The feasibility of reactive strategies depended on the service configuration: availability of an alternative case manager, requirement for either patient or clinician to travel. The greater challenges faced by rural and regional clinicians were validated by metropolitan participants with rural experience and rural participants with metropolitan experience. Conclusions: No single strategy is used or appropriate for managing dual relationships in rural settings. Employers and professional bodies should provide clearer guidance for clinicians both in the management of dual relationships and the distinction between boundary crossings and boundary violation. Clinicians are clearly seeking to represent and protect the patients' interests; consideration should be given by consumer groups to steps that can be taken by patients to reciprocate.

Vocational Rehabilitation: A Possible Route to Hearing-Device Funding

ASHA Leader ◽  
2017 ◽  
Vol 22 (2) ◽  
pp. 18-19
Author(s):  
Laura Smith-Olinde ◽  
Steven E. Boone
Keyword(s):  
Vocational Rehabilitation ◽  
Hearing Device

Tuberculosis: Diagnostic Challenges in Rural Africa

Praxis ◽  
2019 ◽  
Vol 108 (15) ◽  
pp. 991-996
Author(s):  
Ngisi Masawa ◽  
Farida Bani ◽  
Robert Ndege
Keyword(s):  
Extrapulmonary Tuberculosis ◽  
X Ray ◽  
Molecular Tests ◽  
Rural Settings ◽  
Chest X Ray ◽  
Screening Questions ◽  
Rural Africa ◽  
Tb Diagnostics ◽  
Strip Test ◽  
Urine Strip

Abstract. Tuberculosis (TB) remains among the top 10 infectious diseases with highest mortality globally since the 1990s despite effective chemotherapy. Among 10 million patients that fell ill with tuberculosis in the year 2017, 36 % were undiagnosed or detected and not reported; the number goes as high as 55 % in Tanzania, showing that the diagnosis of TB is a big challenge in the developing countries. There have been great advancements in TB diagnostics with introduction of the molecular tests such as Xpert MTB/RIF, loop-mediated isothermal amplification, lipoarabinomannan urine strip test, and molecular line-probe assays. However, most of the hospitals in Tanzania still rely on the TB score chart in children, the WHO screening questions in adults, acid-fast bacilli and chest x-ray for the diagnosis of TB. Xpert MTB/RIF has been rolled-out but remains a challenge in settings where the samples for testing must be transported over many kilometers. Imaging by sonography – nowadays widely available even in rural settings of Tanzania – has been shown to be a useful tool in the diagnosis of extrapulmonary tuberculosis. Despite all the efforts and new diagnostics, 30–50 % of patients in high-burden TB countries are still empirically treated for tuberculosis. More efforts need to be placed if we are to reduce the death toll by 90 % until 2030.

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