scholarly journals Rolling Out Behavioral Recovery Outreach (BRO) Teams: Perspectives From an Inaugural Partner Site

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 46-47
Author(s):  
Trisha Gaudig

Abstract The Sioux Falls VA Community Living Center (CLC) is a partner site for the Behavioral Recovery Outreach (BRO) Team dissemination. This CLC is home to over 55 Veterans requiring a variety of specialty needs such as dementia care, short-term rehabilitation, respite, hospice, and/or psychosocial needs. Many of the Veterans followed by the BRO Team on the CLC experienced frequent rehospitalizations and difficult placement in the community due to behavioral concerns. Local leadership encouraged participation in the BRO Team dissemination due to the growing need in this VA system to open access to dementia and mental health care, successfully discharge Veterans to appropriate community settings, and reduce unnecessary rehospitalizations. This presentation will discuss BRO Team development, including several factors facilitating successful BRO Team implementation (e.g., leadership support, community outreach approaches, staff partner buy-in), and identify barriers impacting successful implementation with a case example to illustrate strategies to overcome such barriers.

2020 ◽  
Vol 1 (1) ◽  
pp. 47-58
Author(s):  
Khodijatul Qodriyah

The lack of students’ knowledge of their teachers’ works and the less of their consciousness to the environment are crucial problems in some islamic boardingschool, especially in Nurul Jadid. These issues will be settled by implementation of religious preaching (dakwah) with poem (syi’ir) in Syu’abul Iman of Kiai Zaini Mun’im and prefentive action to the illness through herbal medicines of family crops medicine (tanaman obat keluarga). The program is undertaken with some phases, including planting family crops medicine, making herbal medicines, musicalisation of poem in book of Syu’abul Iman, socialization of the herbal medicine and musical poem of Syu’abul Iman. These phases have been structured with long-term, middle-term, and short-term programs which were finished during approximately 4 months (Augustus – November 2019). The involvement of many parties, such as activists of environment in Nurul Jadid, has strongly influenced on the successful implementation of these programs.Keywords: Family Crops Medicine, Nurul Jadid Islamic Boardingschool, Book of Syu’abul Iman


2016 ◽  
Vol 12 (5) ◽  
pp. e513-e526 ◽  
Author(s):  
Madeline Li ◽  
Alyssa Macedo ◽  
Sean Crawford ◽  
Sabira Bagha ◽  
Yvonne W. Leung ◽  
...  

Purpose: Systematic screening for distress in oncology clinics has gained increasing acceptance as a means to improve cancer care, but its implementation poses enormous challenges. We describe the development and implementation of the Distress Assessment and Response Tool (DART) program in a large urban comprehensive cancer center. Method: DART is an electronic screening tool used to detect physical and emotional distress and practical concerns and is linked to triaged interprofessional collaborative care pathways. The implementation of DART depended on clinician education, technological innovation, transparent communication, and an evaluation framework based on principles of change management and quality improvement. Results: There have been 364,378 DART surveys completed since 2010, with a sustained screening rate of > 70% for the past 3 years. High staff satisfaction, increased perception of teamwork, greater clinical attention to the psychosocial needs of patients, patient-clinician communication, and patient satisfaction with care were demonstrated without a resultant increase in referrals to specialized psychosocial services. DART is now a standard of care for all patients attending the cancer center and a quality performance indicator for the organization. Conclusion: Key factors in the success of DART implementation were the adoption of a programmatic approach, strong institutional commitment, and a primary focus on clinic-based response. We have demonstrated that large-scale routine screening for distress in a cancer center is achievable and has the potential to enhance the cancer care experience for both patients and staff.


AAESPH Review ◽  
1978 ◽  
Vol 3 (4) ◽  
pp. 216-221 ◽  
Author(s):  
Mark B. Mendelsohn

An innovative system to deliver behavioral services was developed to extend a residential facility's community outreach and provide an alternative to institutionalization. The successful implementation of this program suggests a way to combine clinical service and staff training at the bachelor-technician career ladder step in psychology and related disciplines. Specifically, a team of behavior technicians delivered the skills of a mental retardation center to families of disabled children and adults formerly beyond the center's range. Parents were taught specific modification procedures to lessen the likelihood of disruptive behavior and to hasten the acquisition of new developmental skills by their children.


2017 ◽  
Vol 41 (3) ◽  
pp. 175-190 ◽  
Author(s):  
Nadine Cameron ◽  
Lynne McPherson ◽  
Prue Atkins ◽  
Matthew Nicholson ◽  
Maureen Long

This article examines the risks associated with conceptualizing the child athlete’s body primarily in aesthetic terms and as an instrument of sporting victory, and develops a concept of “athletic objectification.” It draws on a recent research project involving Australian males and females aged between 18 and 25 who participated in organized sport as children. It identifies socially prevalent beliefs and values to which the athletic objectification of children may be partially attributed. These include the orthodoxy that sport is inherently good for children’s development, and the particular valorization of sporting success and gendered expectations that characterize Western society. It concludes with the argument that serving children’s best interests in sport requires that their broader psychosocial needs are given priority above the short-term development of their athletic capacity.


2016 ◽  
Vol 45 (6) ◽  
pp. 863-873 ◽  
Author(s):  
Anna E. Bone ◽  
Myfanwy Morgan ◽  
Matthew Maddocks ◽  
Katherine E. Sleeman ◽  
Juliet Wright ◽  
...  

Author(s):  
S. Y. Kuznetsov

Theory and practice of strategic management requires strengthening the role of functional execution of strategy to effectively address issues of balancing long-term and short-term objectives, the successful implementation of strategy under the strategic plan, strategic alignment of functional management of a firm. Reasons for the increase in importance of functional strategies’ level reflect the formation of different kinds of rivalry capabilities of a firm. Functional efficiency of management is being measured. Strategic role of top management in the organization is about to change.


2018 ◽  
Vol 08 (02) ◽  
pp. e79-e84 ◽  
Author(s):  
Alexander Friedman ◽  
Mary Campbell ◽  
Carolyn Kline ◽  
Suzanne Wiesner ◽  
Mary D'Alton ◽  
...  

AbstractSevere maternal morbidity and mortality are often preventable and obstetric early warning systems that alert care providers of potential impending critical illness may improve maternal safety. While literature on outcomes and test characteristics of maternal early warning systems is evolving, there is limited guidance on implementation. Given current interest in early warning systems and their potential role in care, the 2017 Society for Maternal-Fetal Medicine (SMFM) Annual Meeting dedicated a session to exploring early warning implementation across a wide range of hospital settings. This manuscript reports on key points from this session. While implementation experiences varied based on factors specific to individual sites, common themes relevant to all hospitals presenting were identified. Successful implementation of early warnings systems requires administrative and leadership support, dedication of resources, improved coordination between nurses, providers, and ancillary staff, optimization of information technology, effective education, evaluation of and change in hospital culture and practices, and support in provider decision-making. Evolving data on outcomes on early warning systems suggest that maternal risk may be reduced. To effectively reduce maternal, risk early warning systems that capture deterioration from a broad range of conditions may be required in addition to bundles tailored to specific conditions such as hemorrhage, thromboembolism, and hypertension.


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