Impact of Managed Care in the Schools

1998 ◽  
Vol 29 (4) ◽  
pp. 263-269 ◽  
Author(s):  
Mary Ann O’Brien ◽  
Nancy P. Huffman

This article examines the effect of managed care on the types of children and services offered in the schools. The role of cost containment in service delivery in the schools relative to managed care is described. Skills that the speech-language pathologist must develop and maintain in the school systems in this era of managed care are outlined. Case management skills, definition of critical outcomes of service, and building and maintaining team approaches to communication problems are also emphasized.

Author(s):  
Tetiana Stambulska

The article analyzed the peculiarities of the interpretation of the «communication culture» in the context of scientific researches of the past and contemporary domestic researchers. An analysis was carried out to define the concept of «communication culture of a person», the approaches to the definition of this concept are singled out. The positions of scientists concerning the role of eloquence in the formation of the linguistic personality are analyzed, the language is analyzed as a «social and psychological phenomenon», historical conditions of the formation of the concept of «communication culture» are characterized, in particular, attention is focused on the formation of the linguistic personality. It was found out that studies of the ancient traditions of the formation of the language of culture make it possible to better understand modern trends in the development of the person's communication culture. Modern studies have shown that in linguistics for a long time there was no unity in the interpretation of the concepts of «language» and «communication». Problems of the formation of the culture of broadcasting have become the object of research by eminent thinkers, beginning with the period of Antiquity. The question of the formation of a culture of speech has long traditions. Note that in European linguistics, the first decades of the twentieth century. Theoretical study and approval of the concept of «culture of language» in the scientific circulation is underway. It should be noted that in connection with the introduction of information and communication technologies in all spheres of society life has increased interest in the theory and practice of eloquence. This is explained by the fact that the active use of information and communication technologies involves the search for ways of speaking influence, both on the interpersonal and on the public level. According to authoritative experts in rhetoric, L. Matsko, O. Matsko, N. Mykhailychenko, V. Poltupets, etc., there are also communicative reasons that ensure the actual and further development of the theory and practice of oratory in the XX-beginning of the XXI century.


1999 ◽  
Vol 123 (8) ◽  
pp. 663-667
Author(s):  
James P. AuBuchon

Abstract Physicians with interest or expertise in transfusion medicine must apply their clinical consultation and laboratory management skills to be accorded support for their activities. To establish credibility, efforts must initially be directed where patient benefit and financial gain can be documented. Focusing efforts on practice improvements and sharing the results of those efforts with physician colleagues and administrators can help ensure continued support. Transfusion medicine continues to play an important role in health care, particularly in an era of managed care and reduced resources. Investment in the activities of this discipline will pay off for patients, clinicians, and hospitals.


1975 ◽  
Vol 6 (4) ◽  
pp. 217-227 ◽  
Author(s):  
Raymond O. Henke ◽  
Sean G. Connolly ◽  
Jennings G. Cox

Discussion of the role of the rehabilitation counselor shows the significance of coordinating skills for effective client service delivery. An attempt is made to provide initial work on resolving the counselor-coordinator controversy. Coordinating skills include caseload management, case management, and self management. Counselors need to view the caseload as a whole, work within its parts, and use themselves and other resources to accomplish the task. Development of all skills allows optimal functioning and service to the client. Examples of how coordination skills can be broken down into a technology that is effective and humane are given. Pilot projects attempting to provide the technology are mentioned as is the need for experimentation and implementation in the area af coordination skills. No single skill has priority as each is necessary and facilitates clients’ efforts in reaching their goals.


Author(s):  
Leora R. Cherney ◽  
Rosalind C. Kaye ◽  
Rachel S. Hitch

Telepractice is an appropriate model of service delivery for a person with aphasia (PWA). We define telepractice and its two modes of delivery (i.e., synchronous and asynchronous). We detail a technology, web-Oral Reading for Language in Aphasia (web-ORLA™), developed to provide aphasia treatment intensively from a distance and subsequently evaluated during a clinical trial. In this article, we describe our experiences using web-ORLA™, highlighting the role of the speech-language pathologist (SLP) and discussing the advantages and disadvantages of this unique combination of synchronous and asynchronous telepractice. Web-ORLA™ was delivered to PWAs in their homes by a digital agent, or “virtual therapist,” who served as a model and provided instructions similarly to a real therapist. An SLP at a distant geographical location monitored the sessions remotely, either synchronously or asynchronously, provided feedback, made appropriate adjustments to the difficulty level of the stimuli, and conducted weekly probe assessments of the participants' performance. Advantages of web-ORLA™ include increased practice, SLP oversight, guidance by the agent, program simplicity, and a level of autonomy and flexibility afforded to the PWA. Given the rapid advances in technology, current technological problems that were encountered are likely to be mitigated.


2019 ◽  
Vol 11 (1) ◽  
Author(s):  
James Rodgers ◽  
Stephanie Hoon ◽  
Branford McAllister

For over 30 years, organizations have engaged in programs to address the growing presence of diverse populations in their ranks, and researchers have attempted to identify and quantify a link between diversity and enterprise performance. There is a general lack of understanding of how organizations benefit from increased diversity and the role of frontline managers in that process. The purpose of this study was to obtain a better understanding of the perceptions and lived experiences of frontline managers in their role of executing diversity management programs. The study’s framework focused on (a) diversity management, (b) managing people, and (c) team performance. The data collection process involved interviewing 12 frontline managers from a variety of industry sectors using a semistructured, conversational interviewing protocol. The open, hand-coded analysis revealed patterns of thought and behaviors relating to managing individuals, managing the complexity of diversity, and managing diverse teams for high performance. The original concept of diversity management was in response to the growing diversity in the workplace and was intended to develop the capacity among managers to manage the resulting diversity mix. The study findings indicated that a common definition of diversity management is possible, that managing diversity requires a competence with all dimensions of diversity, and that there is a set of management skills that can yield better performance with teams of diverse composition. The results of this study can have a positive impact on theory, practice, and general social acceptance of diversity.


1981 ◽  
Vol 12 (4) ◽  
pp. 233-239
Author(s):  
Linda Goodman ◽  
Robin Kroc

This article describes a strategy used to teach sign communication to severely handicapped students in the classroom. It recommends that the speech-language pathologist adopt a consultant role in service delivery.


1975 ◽  
Vol 40 (1) ◽  
pp. 92-105 ◽  
Author(s):  
Lawrence D. Shriberg

A response evocation program, some principles underlying its development and administration, and a review of some clinical experiences with the program are presented. Sixty-five children with developmental articulation errors of the /ɝ/ phoneme were administered the program by one of 19 clinicians. Approximately 70% of program administrations resulted in a child emitting a good /ɝ/ within six minutes. Approximately 10% of children who were given additional training on program step failures emitted good /ɝ/'s in subsequent sessions. These preliminary observations are discussed in relation to the role of task analysis and motor skills learning principles in response evocation, clinician influences in program outcomes, and professional issues in service delivery to children with developmental articulation errors.


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