Putting secondary prevention to the test: A study of an early intervention strategy with disabled workers

1982 ◽  
Vol 2 (3) ◽  
pp. 165-187 ◽  
Author(s):  
Sheila H. Akabas ◽  
Michelle Fine ◽  
Roslyn Yasser
2016 ◽  
Vol 22 (3) ◽  
pp. 176-185 ◽  
Author(s):  
Josephine Loftus ◽  
Bruno Etain ◽  
Jan Scott

SummaryWe offer a contemporary review of studies of the offspring of parents with bipolar disorder and explore the clinical characteristics of these populations. We discuss how different methodological approaches may influence study findings and may explain some of the heterogeneity in the results reported. We also highlight some of the environmental risk factors that may increase the likelihood of transition from an ‘at-risk’ or high-risk state to bipolar disorder. Last, we briefly discuss the implications of study findings for early intervention strategies and comment on such issues as genetic counselling and primary and early secondary prevention programmes.


2010 ◽  
Vol 21 (1) ◽  
pp. 1-14 ◽  
Author(s):  
Vivek Choudhury ◽  
Alexandre B. Lopes ◽  
Doug Arthur

2003 ◽  
Vol 28 (1) ◽  
pp. 11-16 ◽  
Author(s):  
Gail Winkworth

This paper discusses the need for a national early childhood intervention policy in Australia, including a universal approach to children's services as a platform for the prevention of child abuse and neglect, supporting families and enriching the lives of all children.It considers the literature on early intervention, including the theoretical and research base of successful programs and the link between early intervention and the prevention of child abuse and neglect. It examines the way the child welfare and children's services sectors have grown and the imperative at the beginning of the 21st century for a closer alignment of services.The United Kingdom's ‘Sure Start’ early intervention strategy is considered in so far as it attempts to develop a more comprehensive approach to child welfare by developing programs which are based on the research. Finally the paper asserts that recent strategies introduced by Federal and State Governments to promote childhood health and wellbeing are positive first steps, but need to go further to seriously address increasing numbers of children reported as suffering harm through abuse and/or neglect.


2010 ◽  
Vol 26 (3) ◽  
pp. 263-271 ◽  
Author(s):  
Paddy Gillespie ◽  
Eamon O'Shea ◽  
Andrew W. Murphy ◽  
Mary C. Byrne ◽  
Molly Byrne ◽  
...  

Objectives: The Secondary Prevention of Heart disEase in geneRal practicE (SPHERE) trial has recently reported. This study examines the cost-effectiveness of the SPHERE intervention in both healthcare systems on the island of Ireland.Methods: Incremental cost-effectiveness analysis. A probabilistic model was developed to combine within-trial and beyond-trial impacts of treatment to estimate the lifetime costs and benefits of two secondary prevention strategies: Intervention - tailored practice and patient care plans; and Control - standardized usual care.Results: The intervention strategy resulted in mean cost savings per patient of €512.77 (95 percent confidence interval [CI], −1086.46–91.98) and an increase in mean quality-adjusted life-years (QALYs) per patient of 0.0051 (95 percent CI, −0.0101–0.0200), when compared with the control strategy. The probability of the intervention being cost-effective was 94 percent if decision makers are willing to pay €45,000 per additional QALY.Conclusions: Decision makers in both settings must determine whether the level of evidence presented is sufficient to justify the adoption of the SPHERE intervention in clinical practice.


2020 ◽  
Vol 14 (2) ◽  
pp. 85-96
Author(s):  
Camila A. S. Santana ◽  
Ana Luiza R. Greco ◽  
Carolina F. da Silva ◽  
Eloisa Tudella

BACKGROUND:Low socioeconomic status (low-SES) is an important environmental risk factor for developmental delay in infants. Access to affordable early intervention strategies may be limited for this population.As it is a low cost and easily reproducible intervention, reaching training using sticky mittens as a facilitator can be easily conducted by parents at home or in clinics, improving manual ability and exploration, and thus helping to avoid possible motor delays in infants from low-SES families. AIM:To investigate the effects of reaching training using sticky mittens on manual reach and gross motor development of a 3 month-old full-term infant with low-SES. METHOD:The training using sticky mittens occurred on 5 consecutive days, for 20 minutes per day.A total of 6 assessments were performed to measure: the number of reaches, proximal and distal adjustments (Kinovea), gross motor development (AIMS), and quality/quantity of affordances at home (AHEMD-IS). RESULTS:After the training protocol, improved reaching ability was observed, with an increase in the number of reaches and bimanual adjustments, with hands open and verticalized. No improvements in other gross motor skills were observed. CONCLUSION:Reaching training using sticky mittens seems to be a potential and affordable early intervention strategy for infants from low-SES families at risk for motor delay.


2010 ◽  
Vol 27 (4) ◽  
pp. 210-214 ◽  
Author(s):  
Sami Omer ◽  
Caragh Behan ◽  
John L Waddington ◽  
Eadbhard O'Callaghan

AbstractThis paper examines the concept of early intervention in psychosis at primary and secondary prevention levels. Examples of early intervention service models from different countries are presented and we discuss current evidence for efficacy. We highlight the Irish experience of early intervention to date, and discuss future implementation of early intervention services in Ireland.


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