The Vocational Rehabilitation Continuum: Maximizing Outcomes through Bridging the Gap from Hospital to Community-Based Services

1997 ◽  
Vol 12 (5) ◽  
pp. 1-13 ◽  
Author(s):  
Angela L.H. Buffington ◽  
James F. Malec
Keyword(s):  
Vocational Rehabilitation ◽  
Community Based ◽  
Community Based Services

A Role for OT Collaboration With Vocational Rehabilitation Specialists Providing Individualized Community-Based Services to Younger Rural Veterans?

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512510252p1-7512510252p1
Author(s):  
Consuelo Kreider ◽  
Zaccheus J. Ahonle ◽  
Jennifer L. Hale-Gallardo ◽  
Gail Castaneda ◽  
Kimberly Findley ◽  
...  
Keyword(s):  
Vocational Rehabilitation ◽  
Veterans Health ◽  
Promising Practices ◽  
Community Based ◽  
Vocational Services ◽  
Community Based Services ◽  
Primary Author

Abstract Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. An in-depth description is provided of the implementation of the Veterans Health Administration’s Rural Veterans Tele-Rehabilitation Initiative in supporting development and expansion of individualized community-based vocational services to rural veterans with disabling conditions. Promising practices and opportunities for OT collaborations with vocational rehabilitation specialists were identified. Primary Author and Speaker: Consuelo Kreider Contributing Authors: Zaccheus J. Ahonle, Jennifer L. Hale-Gallardo, Gail Castaneda, Kimberly Findley, and Sergio Romero

A Study on the Estimation of Community-Based Services Demands for the Management of Patients with Alcohol Use Disorder

2019 ◽  
Vol 23 (1) ◽  
pp. 33-39
Author(s):  
Bo Hye Lee ◽  
Hae Kook Lee ◽  
Keun-Ho Joe ◽  
Sulki Chung ◽  
Hong Seok Oh ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Community Based ◽  
Community Based Services

scholarly journals Are the needs of people with multiple long-term conditions being met? Evidence from the 2018 General Practice Patient Survey

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e041569
Author(s):  
Lucina Rolewicz ◽  
Eilís Keeble ◽  
Charlotte Paddison ◽  
Sarah Scobie
Keyword(s):  
General Practice ◽  
Unmet Need ◽  
Patient Survey ◽  
Secondary Outcome ◽  
Community Based ◽  
Long Term Conditions ◽  
Local Services ◽  
Community Based Services ◽  
Practice Patient

ObjectivesTo investigate individual, practice and area level variation in patient-reported unmet need among those with long-term conditions, in the context of general practice (GP) appointments and support from community-based services in England.DesignCross-sectional study using data from 199 150 survey responses.SettingPrimary care and community-based services.ParticipantsRespondents to the 2018 English General Practice Patient Survey with at least one long-term condition.Primary and secondary outcome measuresThe primary outcomes were the levels of unmet need in GP and local services among patients with multiple long-term conditions. Secondary outcomes were the proportion of variation explained by practice and area-level factors.ResultsThere was no relationship between needs being fully met in patients’ last practice appointment and number of long-term conditions once sociodemographic characteristics and health status were taken into account (5+conditions−OR=1.04, 95% CI 0.99 to 1.09), but there was a relationship for having enough support from local services to manage conditions (5+conditions−OR=0.84, 95% CI 0.80 to 0.88). Patients with multimorbidity that were younger, non-white or frail were less likely to have their needs fully met, both in GP and from local services. Differences between practices and local authorities explained minimal variation in unmet need.ConclusionsLevels of unmet need are high, particularly for support from community services to manage multiple conditions. Patients who could be targeted for support include people who feel socially isolated, and those who have difficulties with their day-to-day living. Younger patients and certain ethnic groups with multimorbidity are also more likely to have unmet needs. Increased personalisation and coordination of care among these groups may help in addressing their needs.

Screening and Priority-Setting to Determine Home- and Community-Based Aging Services for Older Floridians

2021 ◽  
pp. 073346482110125
Author(s):  
Lawrence Schonfeld ◽  
Jesse Bell ◽  
Mary Goldsworthy ◽  
Kevin Kip ◽  
Amber M. Gum ◽  
...  
Keyword(s):  
Service Delivery ◽  
National Standards ◽  
Third Party ◽  
Community Based ◽  
Older Americans ◽  
Caregiver Support ◽  
Aging Services ◽  
Optimal Health ◽  
Aging Network ◽  
Community Based Services

The National Aging Network serves millions of older Americans seeking home- and community-based services, but places others on waitlists due to limited resources. Little is known about how states determine service delivery and waitlists. We therefore conducted a process evaluation and analyzed data from one five-county Area Agency on Aging in Florida, where an algorithm calculates clients’ priority scores for service delivery. From 23,225 screenings over 5.5 years, clients with higher priority scores were older, married, living with caregivers, and had more health problems and needs for assistance. Approximately 51% received services (e.g., meals/nutrition, case management, caregiver support), 11% were eligible/being enrolled, and 38% remained on waitlists. Service status was complex due to multiple service enrollments and terminations, funding priorities, and transfers to third-party providers. More research is needed regarding how other states determine eligibility and deliver services, potentially informing national standards that promote optimal health in older Americans.

scholarly journals All Is Good, but Not Really: Daily Reports of Satisfaction With Home- and Community-Based Services

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 639-640
Author(s):  
Jyoti Savla ◽  
Karen Roberto ◽  
Aubrey Knight ◽  
Rosemary Blieszner ◽  
Brandy Renee McCann ◽  
...  
Keyword(s):  
Service Use ◽  
Service Providers ◽  
Theory And Practice ◽  
Community Based ◽  
Daily Diaries ◽  
Rural Caregivers ◽  
Service Expectations ◽  
Extensive Body ◽  
Barriers To Health ◽  
Community Based Services

Abstract An extensive body of literature documents correlates of and barriers to health service use, yet much less is known about satisfaction with home- and community-based services for persons with dementia (PwD). Daily diary data from 122 rural caregivers (CG) of PwD (814 daily diaries) were used to assess everyday service use experiences. At the last diary interview, CG identified areas where service use expectations were and were not being met. CGs reported problems with services used on fewer than 5% of study days (e.g., service provider was delayed because of car trouble). In contrast, 82% of CG identified areas where service expectations were not being met. Their most common concerns were lack of control over service availability and lack of adequate training among service providers. Recommendations for alternative ways for capturing service use satisfaction will be offered, and implications for theory and practice will be discussed.

scholarly journals Advancing States Through the OAA Reauthorization

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 725-726
Author(s):  
Damon Terzaghi
Keyword(s):  
Significant Role ◽  
Services Research ◽  
Community Based ◽  
Older Americans ◽  
Community Based Services

Abstract States are major policymakers and funders of community-based services for older Americans and ADvancing States played a significant role in supporting the OAA authorization this year. This presentation will provide the states' perspective regarding funding, services, research and demonstrations, and more.

Perceived barriers and supports to accessing community-based services for Uganda’s pediatric post-surgical population

2019 ◽  
pp. 1-12
Author(s):  
Sarah Jean Barton ◽  
Sahil Sandhu ◽  
Isabelle Doan ◽  
Lillian Blanchard ◽  
Alex Dai ◽  
...  
Keyword(s):  
Perceived Barriers ◽  
Community Based ◽  
Community Based Services
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