Implementation of Universal Screening for Domestic Violence in an Urgent Care Community Health Center

2008 ◽  
Vol 10 (4) ◽  
pp. 517-526 ◽  
Author(s):  
Wilfreda E. Thurston ◽  
Leslie M. Tutty ◽  
Amanda C. Eisener ◽  
Lise Lalonde ◽  
Cathie Belenky ◽  
...  
2007 ◽  
Vol 30 (6) ◽  
pp. 611-619 ◽  
Author(s):  
Wilfreda E. Thurston ◽  
Leslie M. Tutty ◽  
Amanda E. Eisener ◽  
Lise Lalonde ◽  
Cathie Belenky ◽  
...  

2021 ◽  
Vol 4 (3) ◽  
pp. 89-97
Author(s):  
Siti Ekfiyatil Wafah ◽  
Besar Tirto Husodo ◽  
Novia Handayani

Introduction: Semarang City has the highest number of HIV / AIDS cases in Central Java. Several attempts to control HIV / AIDS cases, such as the organization for AIDS that is named after AIDS Care Community (ACC) in every village scope. The purpose of this study is to describe the implementation of the ACC program in Poncol Community Health Center.Methods: This is a descriptive research, uses qualitative methods using in-depth interview for data collection techniques. There are 9 informants who are selected by using purposive sampling method. Data is analyzed using descriptive method. The process of data analysis begins with collecting data, and then reducing the data that has been generated. After that, the data are presented and concluded.Results: The results show that the implementation of ACC program in the work area of Poncol Community Health Center is assisted by Poncol Puskesmas. There is 1 ACC out of 9 ACC that is actively implementing the ACC program while the others are not running well. It is found that low capacity of ACC members, lack of funds, low of support from the local government (village), low community support, inadequate facilities and infrastructure that affect the implementation of ACC programs. Therefore, the output is not achieved optimally.Conclusions: The implementation of the of the ACC program in Poncol Community Health Center work area has not been running optimally. Support from all parties is needed, including from the members of the ACC, local government, AIDS commission, and the community in order to achieve the ACC goals.  


2021 ◽  
Author(s):  
Tory Hogan ◽  
Amanda Quisenberry ◽  
Nicholas Breitborde ◽  
Aubrey Moe ◽  
Amy Ferketich

Abstract Background: Individuals with serious mental illnesses experience deaths related to smoking at a higher prevalence than individuals without a serious mental illness. Traditional smoking cessation programs are often not effective among individuals with chronic mental disorders. Little is known about how to implement a tobacco cessation treatment programs for this at-risk population within a community health centers. The current study used qualitative methods to examine the factors that may enhance or impede the delivery of a novel tobacco cessation treatment for smokers with a psychotic-spectrum disorder diagnosis in an integrated care community health center. Methods: Using purposeful sampling, we conducted 22 semi-structured interviews with primary care providers, mental health providers, addiction counselors, case managers, intake specialists, schedulers, pharmacists, and administrative staff at employed at the organization. Interviews were transcribed and themes were identified through a rich coding process. Results: We identified environmental factors, organizational factors, provider factors and patient factors which describe the potential factors which may enhance or impede the implementation of a smoking cessation program at the integrated care community health center. Most notably we identified that community mental health centers looking to implement a smoking cessation program for individuals with chronic mental health disorders should ensure that the incentives for providers to participate align with the program’s objectives. Lastly, organizations should invest in educating providers to address stigma related to smoking cessation and nicotine use. Conclusions: The findings of our study provide valuable insight for administrators to consider when implementing a smoking cessation program in an integrated care community health center. Our findings provide public health practitioners with potential considerations that should be discussed when designing and implementing a smoking cessation program for individuals with chronic mental disorders.


2015 ◽  
Vol 1 (1) ◽  
pp. 133-142
Author(s):  
Nur Rokhman ◽  
Savitri Citra Budi ◽  
Nuryati Nuryati

Dlingo I Community Health Center used Integrated Health Information System (IHIS) as software to support patient services. Besides IHIS, Dlingo I Community Health Center also used P-Care to records data service of BPJS patients. There are some technical problems related to the use of IHIS and P-Care. Community service has been held in Dlingo I Community Health Center to give a training and assistance for the officers. In early stage we analyzed the problems and the needs of Dlingo I Community Health Center officers with observation and interview. Some problems has been found like the lack of responsiveness of P-Care and the server that temporary down. There are also some feature in IHIS that didn’t meet the officer expectation.  From the problems mentioned above, Vocational College of Universitas Gadjah Mada held a training and assistance related to the use of P-Care and IHIS. As an output from this activity we also make a recommendation for the development of community health center information system in the future. The officers claimed that they are satisfied with the training and the assistance.


2018 ◽  
Vol 5 (suppl_1) ◽  
pp. S387-S387
Author(s):  
Anthony James ◽  
Danelle Marable ◽  
Caroline Cubbison ◽  
Andrew Tarbox ◽  
Sarah Oo ◽  
...  

Abstract Background In the United States, 15% of people with HIV (PWH) do not know their serostatus, leading to both individual morbidity and HIV transmission to others. While CDC guidelines recommend HIV screening for all individuals aged 13–64 years, racial and ethnic minorities in the United States continue to present to care with advanced HIV infection. Methods Our objective was to assess providers’ perspectives on barriers to and facilitators of HIV testing at an urban community health center serving a predominantly racial/ethnic minority population of low socio-economic status. Study staff conducted five focus groups from January 2017 to November 2017 with 74 health center staff: 20 adult medicine/primary care providers, 28 community health workers (CHWs), six urgent care physicians, six community health administrators, and 14 behavioral health providers. Each focus group ranged from six to 20 participants. In addition to exploring participants’ views on HIV testing in this setting, we also explored potential interventions to improve HIV testing. Interviews were digitally recorded. Data were analyzed using a grounded theory approach. We used open coding to develop themes and compared themes among provider groups. Results The main facilitators of routine HIV testing were clinical training in HIV/hepatitis care and CHWs engaging patients in topics that intersect with HIV risk factors. Providers’ perceptions of key barriers were patients’ cultural perceptions of HIV (e.g. HIV-related stigma), patients’ concerns about test confidentiality, competing medical and social issues, and provider lack of HIV knowledge. All groups agreed that HIV testing should occur through the primary care provider though acknowledged that patients may be seeking healthcare more frequently through mental health, urgent care, or social services than primary care. Primary care physicians wanted easier mechanisms to identify patients in need of HIV testing and assistance with offering the test to non-English language speaking patients. Conclusion Specific, focused efforts can lead to improved HIV testing in racial ethnic minorities in community health centers. Training to improve provider comfort, increasing CHW engagement, and a focus on patients’ cultural beliefs may all have an impact. Disclosures All authors: No reported disclosures.


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