scholarly journals Manuscript: Defining Quality Standards for Intensive Home Based Treatment Programs for Youth with Serious Emotional Disorders

2021 ◽  
Author(s):  
Eric J. Bruns ◽  
Philip H. Benjamin ◽  
Richard N. Shepler ◽  
Marianne Kellogg ◽  
Hunter Pluckebaum ◽  
...  
Keyword(s):  
Emotional Disorders ◽  
Workforce Development ◽  
Quality Standards ◽  
Treatment Programs ◽  
State Regulations ◽  
Behavioral Healthcare ◽  
Continuous Quality ◽  
Home Based ◽  
Practice Standards ◽  
Measurement Strategies

AbstractIntensive Home Based Treatment (IHBT) is a critical component of the continuum of community-based behavioral healthcare for youth with serious emotional disorder (SED) and their families. Yet despite being used nationwide at costs of over $100 million annually in some states, a well-vetted, research-based set of quality standards for IHBT has yet to be developed. The current project aimed to define program and practice standards for IHBT, drawing upon literature review, expert interviews, and a systematic Delphi process engaging over 80 participants, including IHBT developers, experts in evidence-based youth mental health, youth and family advocates, IHBT providers, and state policymakers. After two rounds of quantitative and qualitative input, adequate consensus was achieved on 32 IHBT Program Standards and 43 IHBT Practice Standards. These standards hold potential for informing efforts such as development of state regulations, provider contracts, memoranda of agreement, and training and workforce development initiatives. Translation of the quality standards into measurement strategies holds potential for providing a method of continuous quality improvement across multiple levels as well as use in research on IBHT.

scholarly journals Considerations for Home-Based Treatment of Fabry Disease in Poland during the COVID-19 Pandemic and Beyond

2021 ◽  
Vol 18 (16) ◽  
pp. 8242
Author(s):  
Michał Nowicki ◽  
Stanisława Bazan-Socha ◽  
Mariusz Kłopotowski ◽  
Beata Błażejewska-Hyżorek ◽  
Mariusz Kusztal ◽  
...  
Keyword(s):  
Fabry Disease ◽  
Genetic Diseases ◽  
Healthcare Providers ◽  
Treatment Programs ◽  
Current Therapy ◽  
Term Care ◽  
Pharmacological Chaperone ◽  
Enzyme Replacement ◽  
Home Based ◽  
Rare Genetic Diseases

Current therapy for Anderson–Fabry disease in Poland includes hospital or clinic-based intravenous enzyme replacement therapy with recombinant agalsidase alpha or beta, or oral pharmacological chaperone therapy with migalastat. Some countries around the world offer such treatment to patients in the comfort of their own homes. The 2020–2021 COVID-19 pandemic has pushed global healthcare providers to evolve their services so as to minimize the risk of COVID-19 exposure to both patients and providers; this has led to advances in telemedicine services and the increasing availability of at-home treatment for various procedures including parenteral drug administration. A total of 80% of surveyed Anderson–Fabry disease patients in Poland would prefer home-based treatment, which would be a safe and convenient alternative to clinic-based treatment if patient selection is based on our proposed algorithm. Our recommendations for home-based treatments appear feasible for the long term care of Anderson–Fabry disease patients during the COVID-19 pandemic and beyond. This may also serve as a basis for home-based treatment programs in other rare and ultra-rare genetic diseases.

Workforce Development in Behavioral Healthcare and the Increased Use of Technology

2016 ◽  
pp. 367-386
Author(s):  
Susanne Ingle ◽  
Carol L. Kuprevich
Keyword(s):  
Community Development ◽  
Workforce Development ◽  
Technology Implementation ◽  
Professional Community ◽  
Management Tools ◽  
Diverse Workforce ◽  
Behavioral Healthcare ◽  
Use Of Technology ◽  
Digital Discourse ◽  
Training Professional

The authors present anecdotal and peer reviewed information relative to the increase in use of technology within behavioral healthcare. Emphasis is on education, training, professional community development, and networking aspects of the field. The use of email discussion lists, blogs, conferences, and online training management tools are discussed. The authors define the use of technology in workforce development, build out examples of use, explore different methods of digital discourse, and discuss the challenges of technology implementation in a clinical setting. The authors attempt to provide both sides of the debate as to whether the increased use of technology in workforce development within behavioral healthcare is working while addressing the overall expectation to reduce costs, provide positive outcomes, and increase the skills and knowledge of a diverse workforce. This chapter provides an overall picture of types of technology are offered and a general overview of the benefits and opportunities for improvement specific to the development of the healthcare workforce.

scholarly journals Home Dialysis Among Elderly Patients: Outcomes and Future Directions

2019 ◽  
Vol 6 ◽  
pp. 205435811987103 ◽  
Author(s):  
Bourne L. Auguste ◽  
Christopher T. Chan
Keyword(s):  
Quality Of Life ◽  
Elderly Patients ◽  
The Elderly ◽  
Home Dialysis ◽  
Technique Survival ◽  
Innovative Strategies ◽  
Continuous Quality ◽  
Home Based ◽  
End Stage

Elderly patients who receive home dialysis (peritoneal dialysis or home hemodialysis) may have reduced survival compared to younger patients. Therefore, it is important to ascertain the goals of home dialysis in the elderly rather than simply fixate on standard metrics such as technique survival. As Canada’s population continues to age, the prevalence of end-stage kidney disease among the elderly population is increasing. Patients with multiple comorbidities are now surviving long enough to be started on dialysis. Although home dialysis has been associated with better survival and improved quality of life, its impact on the frail and elderly populations require further elucidation. Home dialysis patients can either independently perform tasks or have support in the home to safely conduct dialysis. Moreover, patients burdened with frailty and multiple comorbidities who lack support in the home may not be able to perform home dialysis safely. Innovative strategies to improve accessibility to home-based therapies need further exploration. In addition, the concept of goal-directed dialysis promotes more individualized treatment. Future continuous quality improvement initiatives must examine if goal-directed dialysis leads to better quality of life outcomes in the elderly.

scholarly journals GMP/GACP - new standards for quality assurance of cannabis

2020 ◽  
Vol 66 (1) ◽  
pp. 91-101
Author(s):  
Mirela Ilikj ◽  
Irena Brchina ◽  
Liljana Ugrinova ◽  
Vasil Karcev ◽  
Aleksandra Grozdanova
Keyword(s):  
Quality Control ◽  
Quality Assurance ◽  
Quality Standards ◽  
Quality System ◽  
Quality Systems ◽  
High Quality ◽  
Iso Standard ◽  
Continuous Quality ◽  
Medicinal Use

In 2015, in Republic of North Macedonia, a new law for narcotics has been adopted, where the changes include legal cultivation of cannabis for medicinal use as well as legal production of cannabis extracts for medicinal use. In order to gain high quality of cannabis and cannabis products for medicinal use and to meet some quality standards that will guarantee consistency, traceability and continuous quality of the product, it is necessary to implement Quality Systems. Good quality system is ISO standard system but for cannabis for medicinal use, GACP, GMP and GLC standards are used more often. Production of cannabis for medicinal use consists of: process of cultivation where GACP standards are applicable, primary processing where GMP standards are the most important and quality control of final product regulated with GLP standard. In this review, explanation of these standards as well as overview of modes of their implementation has been made. Keywords: GxP, GMP, GACP, GLP

The Frequency and Severity of Psychiatric Disorders in Special Education and Psychiatric Programs

1989 ◽  
Vol 14 (2) ◽  
pp. 117-126 ◽  
Author(s):  
Gordon Mcclure ◽  
H. Bruce Ferguson ◽  
Lal Boodoosingh ◽  
Atilla Turgay ◽  
Chrissoula Stavrakaki
Keyword(s):  
Special Education ◽  
Emotional Disorders ◽  
Social Adjustment ◽  
Psychiatric Treatment ◽  
Day Treatment ◽  
Health Study ◽  
Treatment Programs ◽  
Classroom Environments ◽  
And Behavior ◽  
Classroom Perceptions

This study used checklists to compare conduct, hyperactivity, and emotional disorders and classroom environments in 13 social adjustment classes, 3 day treatment programs, and a psychiatric out-patient program. As expected, all disorders were more frequent in all settings than in the general population. Emotional disorders were more frequent and more severe in day treatment than in other settings. Interrater correlations were good for Ontario Child Health Study teacher checklist disorder scores and there was good agreement between them and DSM III psychiatric diagnoses. This study has demonstrated that reliable and valid instruments are available to characterize the children and classroom environments across these programs. These instruments could be used to study reasons for referrals to special education and psychiatric treatment, agreement among professions in classroom perceptions, and interactions between classroom characteristics and behavior. Also, they may be useful in future studies of the effectiveness of day treatment and special education programs.

scholarly journals Implementasi sistem penjaminan mutu internal di Sekolah Menengah Kejuruan (SMK)

2020 ◽  
Vol 8 (2) ◽  
pp. 196-204
Author(s):  
Asnaul Lailina Nikmatuz Zahrok
Keyword(s):  
Quality Assurance ◽  
Implementation Strategies ◽  
Quality Standards ◽  
Education Quality ◽  
Education Standards ◽  
National Education ◽  
Self Evaluation ◽  
Continuous Quality ◽  
Indicators Of Success ◽  
Education Quality Assurance

Penulisan artikel ini bertujuan untuk mengetahui implementasi penjaminan mutu di SMK Negeri 35 Tulungagung. Jenis pendekatan yang digunakan ialah pendekatan kualitatif dengan metode deskripstif kualitatif. Hasil penelitian menunjukkan penjaminan mutu di SMKN 35 Tulungagung diawali dari Evaluasi Diri Sekolah (EDS) untuk memperoleh pemetaan capaian mutu dari setiap aspek Standard Nasional Pendidikan (SNP). Capaian mutu yang dirasa kurang selanjutnya diperbaiki melalui pemenuhan mutu secara berkelanjutan. Upaya pemenuhan mutu direncanakan oleh Tim Penjaminan Mutu Pendidikan Sekolah (TPMPS) yang dituangkan dalam bentuk dokumen perencanaan pemenuhan mutu. Di dalamnya diuraikan kegiatan, tujuan, strategi pelaksanaan, indikator keberhasilan, serta rincian biaya yang dibutuhkan. Selanjutnya rencana pemenuhan mutu direalisasikan kepada setiap aspek pembelajar-an dengan melibatkan komponen pendidikan secara komprehensif. Pelaksanaan pemenuhan mutu dimonitoring oleh TPMPS secara berkelanjutan Seluruh pelak-sanaannya kemudian dievaluasi untuk melihat efektifitas pelaksanaan dengan rencana pemenuhan mutu terhadap pencapaian SNP. Hasilnya akan dianalisis untuk penetapan standar standar mutu baru yang lebih efektif. Seluruh rangkaian tersebut didokumen-tasikan dalam bentuk rapor SPMI. AbstractThe purpose of this article is to determine the implementation of quality assurance in SMK 35 Tulungagung. This type of approach is a qualitative approach. The method used is descriptive qualitative. The results showed that quality assurance at SMK 35 Tulungagung started from  School Self Evaluation (EDS) to obtain a mapping of quality achievements from every aspect of  National Education Standards (SNP). Quality achievements that are felt to be lacking are subsequently corrected through continuous quality fulfillment. Efforts to fulfill quality are planned by the School Education Quality Assurance Team (TPMPS) as outlined in the form of quality fulfillment planning documents. It outlines the activities, objectives, implementation strategies, indicators of success, and details of the costs required. Furthermore, the quality fulfillment plan is realized for every aspect of learning by comprehensively involving the education component. TPMPS monitors the implementation of quality fulfillment on an ongoing basis. All implementation is then evaluated to see the effectiveness of implementing the quality fulfillment plan for the achievement of SNP. The results will be analyzed for setting new quality standards more effectively.

scholarly journals Explaining the successes and failures of tuberculosis treatment programs; a tale of two regions in rural Eastern Uganda

2019 ◽  
Author(s):  
Jonathan Izudi ◽  
Imelda K Tamwesigire ◽  
Francis Bajunirwe
Keyword(s):  
Treatment Success ◽  
Sub Saharan Africa ◽  
Treatment Programs ◽  
Directly Observed Therapy ◽  
Community Based ◽  
Control Programs ◽  
Continuous Quality ◽  
Sub Saharan ◽  
Using Data ◽  
Eastern Uganda

Abstract Background Well performing tuberculosis (TB) programs are characterized by treatment success rate (TSR) of at least 90%. In rural eastern Uganda, and elsewhere in sub Saharan Africa, TSR varies considerably across district TB programs and the reasons for the differences are unclear. This study explored factors that explain the low and high TSR across four districts in rural eastern Uganda.Methods We interviewed District TB and Leprosy Supervisors (DTLS), Laboratory focal persons (LFPs) and TB focal persons (TBFPs) from four districts in Eastern Uganda as key informants. Interviews were audio recorded, transcribed verbatim, and imported into ATLAs.ti where thematic content analysis was performed and results were summarized into themes.Results The emerging themes were categorized as either facilitators of or barriers to treatment success. The emerging facilitators prevailing in the districts with high rates of treatment success were using data to make decisions and design interventions, continuous quality improvement, capacity building, and considered TB as a priority disease. The barriers that were common in districts with low rates of treatment success included lack of motivated and dedicated TB focal persons, scarce or no funding for implementing TB activities, and a poor implementation of community-based directly observed therapy short course.Conclusion This study shows several factors account for the differing rates of treatment success in rural eastern Uganda. These factors should be the focus for TB control programs in Uganda and similar settings in order to improve rates of treatment success.

scholarly journals Explaining the successes and failures of tuberculosis treatment programs; a tale of two regions in rural Eastern Uganda

2019 ◽  
Author(s):  
Jonathan Izudi ◽  
Imelda K Tamwesigire ◽  
Francis Bajunirwe
Keyword(s):  
Treatment Success ◽  
Sub Saharan Africa ◽  
Treatment Programs ◽  
Directly Observed Therapy ◽  
Control Programs ◽  
Continuous Quality ◽  
Short Course ◽  
Sub Saharan ◽  
Using Data ◽  
Eastern Uganda

Abstract Background. Optimally performing tuberculosis (TB) programs are characterized by treatment success rate (TSR) of at least 90%. In rural eastern Uganda, and elsewhere in sub Saharan Africa, TSR varies considerably across district TB programs and the reasons for the differences are unclear. This study explored factors associated with the low and high TSR across four districts in rural eastern Uganda. Methods. We interviewed District TB and Leprosy Supervisors, Laboratory focal persons, and health facility TB focal persons from four districts in Eastern Uganda as key informants. Interviews were audio recorded, transcribed verbatim, and imported into ATLAs.ti where thematic content analysis was performed and results were summarized into themes. Results . The emerging themes were categorized as either facilitators of or barriers to treatment success. The emerging facilitators prevailing in the districts with high rates of treatment success were using data to make decisions and design interventions, continuous quality improvement, capacity building, and prioritization of better management of people with TB. The barriers common in districts with low rates of treatment success included lack of motivated and dedicated TB focal persons, scarce or no funding for implementing TB activities , and a poor implementation of community-based directly observed therapy short course. Conclusion. This study shows that several factors are associated with the differing rates of treatment success in rural eastern Uganda. These factors should be the focus for TB control programs in Uganda and similar settings in order to improve rates of treatment success.

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