The Fragmented State

2021 ◽  
pp. 111-140
Author(s):  
Charley E. Willison
Keyword(s):  
Housing Policy ◽  
Municipal Government ◽  
Continuum Of Care ◽  
Policy Coordination ◽  
Supportive Housing ◽  
Chronic Homelessness ◽  
Pilot Programs ◽  
Governmental Funding ◽  
The City ◽  
The Continuum

Atlanta represents municipalities with a supportive housing policy in municipalities that are majority Black and in states that have not expanded Medicaid. Atlanta’s Continuum of Care is integrated into municipal government. Atlanta’s move to integrate the Continuum of Care into local government occurred when the Continuum of Care restructured, moving from a trijurisdictional arrangement to separate city and county institutions. The restructuring was prefaced by an investment in homelessness and chronic homelessness prevention and services by the city of Atlanta. Subsequently, the city adopted a supportive housing policy and implemented pilot programs to reduce policing of persons experiencing chronic homelessness. Despite positive changes, Atlanta still suffers from barriers to policy implementation resulting from: histories of race and segregation, including separate policy efforts mobilizing police to move persons experiencing chronic homelessness to other jurisdictions; limited governmental funding and reliance on nongovernmental actors as providers and funders; and metropolitan fragmentation inhibiting policy coordination.

The Delegated State

2021 ◽  
pp. 141-166
Author(s):  
Charley E. Willison
Keyword(s):  
Decision Making ◽  
Housing Policy ◽  
Municipal Government ◽  
Continuum Of Care ◽  
Supportive Housing ◽  
Chronic Homelessness ◽  
Downtown Development ◽  
Policy Goals ◽  
Pass Through ◽  
The Continuum

Shreveport serves as the representative case for municipalities without a local government level supportive housing policy. Shreveport is a case where the Continuum of Care, municipal policy goals, decision-making, and implementation remain very separate. The separation is evident in policy decision-making and implementation, where the municipal government has little to no involvement in homeless policy aside from coordinating pass-through federal funding. Limited involvement by Shreveport’s municipal government presents direct barriers to supportive housing policy design and implementation by restricting authority and resources available to the Continuum of Care to coordinate policy activities. Policy activities constrained by the limited municipal authority for the Continuum of Care include challenges reducing policing of persons experiencing chronic homelessness and severe mental illness and limited ability to participate in municipal decision-making, which disadvantaged the Continuum of Care in debates over new shelter or low-income housing constructions compared to economic elites in the Downtown Development Authority.

Measuring Municipal Participation in Homeless Governance

2021 ◽  
pp. 52-66
Author(s):  
Charley E. Willison
Keyword(s):  
Housing Policy ◽  
Urban Areas ◽  
The United States ◽  
Supportive Housing ◽  
The Political ◽  
Evidence Based ◽  
Housing Policies ◽  
Chronic Homelessness ◽  
Data Set ◽  
Municipal Level

Chapter 4 examines national variation in municipal responses to chronic homelessness, identifying the prevalence of municipal-level supportive housing policies among municipalities affected by homelessness in the United States and identifying and examining factors associated with the presence of a municipal-level supportive housing policy. The presence of municipal-level supportive housing policies is an indication of evidence-based policy adoption to address chronic homelessness effectively in urban areas. To date, there has been almost no research on the political predictors of the adoption of these evidence-based policies. Results demonstrate that most municipalities facing homelessness challenges do not have supportive housing policies. Of the municipalities in the data set, only 40% had a municipal-level supportive housing policy. These municipalities tend to be: more liberal; sanctuary cities; have fewer but better funded nonprofit health organizations; lower rates of municipal governmental fragmentation; and located in states without Medicaid expansion.

Gaining patient experience insights

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Maitane GARCÍA-LÓPEZ ◽  
Ester VAL ◽  
Ion IRIARTE ◽  
Raquel OLARTE
Keyword(s):  
Type 1 Diabetes ◽  
Patient Experience ◽  
Patient Perspective ◽  
Continuum Of Care ◽  
Theoretical Framework ◽  
Cognitive Responses ◽  
The Continuum

Taking patient experience as a basis, this paper introduces a theoretical framework, to capture insights leading to new technological healthcare solutions. Targeting a recently diagnosed type 1 diabetes child and her mother (the principal caregiver), the framework showed its potential with effective identification of meaningful insights in a generative session. The framework is based on the patient experience across the continuum of care. It identifies insights from the patient perspective: capturing patients´ emotional and cognitive responses, understanding agents involved in patient experience, uncovering pain moments, identifying their root causes, and/or prioritizing actions for improvement. The framework deepens understanding of the patient experience by providing an integrated and multi-leveled structure to assist designers to (a) empathise with the patient and the caregiver throughout the continuum of care, (b) understand the interdependencies around the patient and different agents and (c) reveal insights at the interaction level.

СТРУКТУРА, МОДЕЛИ И СТРАТЕГИИ УЧАСТИЯ ГОРОДСКИХ СООБЩЕСТВ В КОНФЛИКТАХ

2020 ◽  
Vol 15 (2) ◽  
pp. 54
Author(s):  
А. И. Кольба ◽  
Н. В. Кольба
Keyword(s):  
Political Parties ◽  
Urban Communities ◽  
Municipal Government ◽  
Structural Characteristics ◽  
City Government ◽  
Expert Interviews ◽  
Competitive Strategies ◽  
Scientific Publications ◽  
The City

The article describes the structural characteristics of the urban communities of the city of Krasnodar and the related features that impact their participation in urban conflicts. This issue is considered in a number of scientific publications, but there is a need to expand the empirical base of such studies. On the base of expert interviews conducted with both city activists, their counterparty (representatives of the municipal government) and external observers (journalists), the parameters of urban communities functioning in the process of their interaction with other conflict actors are revealed. The communities characteristics such as the predominantly territorial principle of formation, the overlap of online and offline communications in their activities, the presence of a “core” with a relatively low number of permanent participants and others are determined. Their activities are dominated by neighborly and civilian models of participation in conflicts. The possibilities of realizing one’s own interests through political interactions (participation in elections, the activities of representative bodies of power, political parties) are not yet sufficiently understood. Urban communities, as a rule, operate within the framework of conventional forms of participation in solving urgent problems, although in some cases it is possible to use confrontational methods, in particular, protest ones. In this regard, the most often used compromise, with the desire for cooperation, a strategy of behavior in interaction with opponents. The limited activating role of conflicts in the activities of communities has been established. The weak manifestation of the civil and especially political component in their activities determines the preservation of a low level of political subjectivity. This factor restrains the growth of urban communities resources and the possibility of applying competitive strategies in interaction with city government and business.

Role of integrative medicine in the continuum of care of breast cancer patients in the Indian context

2021 ◽  
Author(s):  
Partha Basu ◽  
Richa Tripathi ◽  
Ravi Mehrotra ◽  
Koninika Ray ◽  
Anurag Srivastava ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Patients ◽  
Integrative Medicine ◽  
Continuum Of Care ◽  
Breast Cancer Patients ◽  
Indian Context ◽  
The Continuum

Caregiver Burden and the Continuum of Care

1992 ◽  
Vol 14 (3) ◽  
pp. 376-398 ◽  
Author(s):  
Baila Miller ◽  
Stephanie McFall
Keyword(s):  
Caregiver Burden ◽  
Continuum Of Care ◽  
The Continuum

Provision of the Continuum of Care to Noncommunicable Diseases Post-Floods in Kerala, India 2018

2021 ◽  
pp. 1-4
Author(s):  
Parasuraman Ganeshkumar ◽  
Rontgen Saigal ◽  
Bipin Gopal ◽  
Hari Shankar ◽  
Prabhdeep Kaur
Keyword(s):  
Disaster Response ◽  
Care Delivery ◽  
Treatment Protocol ◽  
Continuum Of Care ◽  
The State ◽  
Noncommunicable Disease ◽  
World Health ◽  
Guidance Document ◽  
Care Providers ◽  
The Continuum

Abstract Integrating noncommunicable disease (NCD) in health care delivery during emergency response posed a major challenge post-floods in Kerala. Kerala experienced an abnormally high rainfall during mid-2018 where more than 400 people lost their lives. State health officials and the Disaster Response Team were sensitized about the importance of including NCDs in the response action. More than 80% of patients with hypertension and diabetes were not under control in Kerala. Under the state NCD cell, an NCD expert group was consulted for drafting the treatment and referral strategies. Steps to tackle NCDs during the disaster response were formulated. The state NCD cell decided to integrate NCDs in the response measures. The technical guidance document by the World Health Organization South-East Asia Region was consulted to formulate actions. The activities were implemented in 6 steps: prioritizing of major NCDS, patient estimation and drug stock preparation, standard treatment protocol, mapping of referral facilities, public engagement, and daily reporting of NCD consultations. Prioritizing the continuum of care of NCDs during floods among the program managers and care providers was crucial. The health education and communication campaign was done to sensitize the known NCD patients to seek early care. Daily reporting of consultations was established.

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