Variations in Rural AIDS Epidemiology and Service Delivery Models in the United States

2002 ◽  
Vol 18 (3) ◽  
pp. 455-466 ◽  
Author(s):  
Martha M. McKinney
2020 ◽  
Vol 29 (6) ◽  
pp. 1126-1141 ◽  
Author(s):  
Samantha E. Greenberg ◽  
Emily Boothe ◽  
Christine L. Delaney ◽  
Ryan Noss ◽  
Stephanie A. Cohen

2020 ◽  
Vol 38 (2) ◽  
pp. 151-156
Author(s):  
David Knott ◽  
Seneca Block

Abstract As the global Coronavirus disease (COVID-19) pandemic transforms our society, music therapists must adapt service delivery models that ensure client safety. Given the prevalence of COVID-19 in our communities and lack of personal protective equipment in many settings, music therapists are faced with the need to shift delivery models in order to provide safe and relevant services. Telehealth is one solution to these current service delivery challenges. Music therapists possess a depth of practice-based knowledge and understanding of client populations, which enables them to develop virtual services, matching both the clinicians’ and clients’ technical capabilities. Developed during the initial wave of COVID-19 infections in the United States, this article describes the coauthors’ three-tiered scaffold model intended to support the program development and deployment of virtual music therapy (VMT) services. The model describes an approach to developing VMT services that directs the clinician’s goals of care in formats that are accessible, appropriate, and best meet the patient/client’s needs and abilities. The severity and lasting nature of this worldwide health crisis and its disruption of traditional service delivery models require clinicians and researchers to develop the most effective uses of VMT while considering its limits with regard to clinical populations and need areas.


10.2196/23523 ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. e23523
Author(s):  
Melissa Raspa ◽  
Rebecca Moultrie ◽  
Danielle Toth ◽  
Saira Naim Haque

Background Advances in diagnostics testing and treatment of genetic conditions have led to increased demand for genetic services in the United States. At the same time, there is a shortage of genetic services professionals. Thus, understanding the models of service delivery currently in use can help increase access and improve outcomes for individuals identified with genetic conditions. Objective This review aims to provide an overview of barriers and facilitators to genetic service delivery models to inform future service delivery. Methods We conducted a scoping literature review of the evidence to more fully understand barriers and facilitators around the provision of genetic services. Results There were a number of challenges identified, including the limited number of genetics specialists, wait time for appointments, delivery of services by nongenetics providers, reimbursement, and licensure. The ways to address these challenges include the use of health information technology such as telehealth, group genetic counseling, provider-to-provider education, partnership models, and training; expanding genetic provider types; and embedding genetic counselors in clinical settings. Conclusions The literature review highlighted the need to expand access to genetic services. Ways to expand services include telehealth, technical assistance, and changing staffing models. In addition, using technology to improve knowledge among related professionals can help expand access.


Simply attending and graduating from high school is no longer a guarantee of employment. Students with disabilities need to attend college like their nondisabled peers in order to secure a good-paying job, but in order to do this, they must have special support systems in place. Fifteen colleges in the United States offer such assistance to these students. Most programs go beyond simply tutoring and include a learning specialist to assist the students with their learning, which can be anything from working on executive functioning skills to note-taking, to test-taking strategies, to being able to regulate one's emotions. An explanation of each program is included in this chapter.


2020 ◽  
Author(s):  
Saira Naim Haque

BACKGROUND Increased newborn screening in the United States has resulted in more results that need followup. At the same time, there is a shortage of genetic services professionals. Thus, understanding models of service delivery currently in use can help with future planning. OBJECTIVE We sought to identify evidence about genetics service delivery models in order to inform future service delivery. METHODS We conducted a scoping literature review of the evidence and conducted interviews with professionals in the field. RESULTS There were a number of challenges identified including the limited number of genetics specialists, wait time for appointments, delivery of services by non-genetics providers, reimbursement and licensure. Ways to address those solutions include use of health information technology such as telehealth, group genetic counseling, provider to provider education, partnership models, training, expanding genetic provider types and embedding genetic counselors in clinical settings. CONCLUSIONS The literature review and interviews identified the need to expand access to genetic services. Ways to expand services include telehealth, technical assistance, and changing staffing models. In addition, the need to improve knowledge among related professionals can help expand access. CLINICALTRIAL NA


2014 ◽  
Vol 23 (4) ◽  
pp. 136-151
Author(s):  
Donna Scarborough ◽  
Jenaye Garver ◽  
Wendy Levin

This article will provide an important historical context of the development of early intervention (EI) in regards to oropharyngeal dysphagia and the rationale of why service delivery models are so different across the United States. Since the onset of IDEA, Part C (2004) we have seen a significant need for EI specialists who have training in developmental feeding/swallowing issues and who are comfortable utilizing these skills within non-medical environments. Based on the number of infants/toddlers who are currently receiving services, evidence is available that indicates more qualified professionals will be needed as we look to the future.


2013 ◽  
Vol 3 (2) ◽  
pp. 35-40
Author(s):  
Carol Dudding

Whether in our professional or private lives, we are all aware of the system wide efforts to provide quality healthcare services while containing the costs. Telemedicine as a method of service delivery has expanded as a result of changes in reimbursement and service delivery models. The growth and sustainability of telehealth within speech-language pathology and audiology, like any other service, depends on the ability to be reimbursed for services provided. Currently, reimbursement for services delivered via telehealth is variable and depends on numerous factors. An understanding of these factors and a willingness to advocate for increased reimbursement can bolster the success of practitioners interested in the telehealth as a service delivery method.


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