Maximizing Independence for Persons Who are Developmentally Disabled: Community-Based Programs at the Waisman Center University Affiliated Facility

1986 ◽  
Vol 11 (4) ◽  
pp. 286-293 ◽  
Author(s):  
Orv C. Karan ◽  
Sara Brandenburg ◽  
Margaret Sauer ◽  
David E. Yoder ◽  
Pamela Mathy-Laikko ◽  
...  

All University Affiliated Facilities conduct interdisciplinary programs of training, education/service, research, and outreach in the area of developmental disabilities. In this article four representative programs of the Waisman Center University Affiliated Facility in Madison, Wisconsin are described. They all share the following common features: each has been designed to augment and support the independence of persons who are developmentally disabled, each is either conducted in a community-based setting or designed to train persons who will work in such settings, and each is used as a resource for the conduct of interdisciplinary training for educators and clinicians. Included in this article are descriptions of (a) a paraprofessional training program that leads to an associate degree in community services, (b) an innovative supported employment program specifically designed for adults still living in public institutions, (c) a service/research program that provides persons who do not have speech capability with the technology and training for communicating, and (d) an evaluation/research program for promoting communication skills in persons who are mentally retarded, deaf, and blind.

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 845-845
Author(s):  
Mindi Spencer ◽  
Maggi Miller ◽  
Diana Jahries ◽  
James Davis

Abstract In 2019, the NIH presented the results of its two-year visioning process to advance the science of minority health and health disparities. The PRISMA Health REACH Expansion (PH-REACH E) is an innovative, community-academic partnership between a hospital memory clinic, meal delivery service, research university, and low-income health clinic. The purpose is to: 1) increase the dementia capability of community-based programs, 2) offer caregivers of persons with dementia the REACH intervention, and 3) identify and connect racial minority and/or rural residents with services to promote health and well-being in older adulthood. This presentation will detail the PH-REACH E framework and present program results, which include improved caregiver outcomes (e.g., reduced burden, increased self-efficacy, reduced depression) and enhanced dementia capability (e.g., increased dementia knowledge) of partner organizations. This program illustrates some key recommendations of the NIH – community engagement in intervention adaptation, multisectoral collaboration, and promoting systems-level change to reduce health disparities.


2021 ◽  
Vol 9 ◽  
pp. 205031212110291
Author(s):  
Alison Fixsen ◽  
Simon Barrett ◽  
Michal Shimonovich

Objectives: The non-clinical approach known as social prescribing aims to tackle multi-morbidity, reduce general practitioner (GP) workload and promote wellbeing by directing patients to community services. Usual in-person modes of delivery of social prescribing have been virtually impossible under social distancing rules. This study qualitatively examined and compared the responses of three social prescribing schemes in Scotland to the COVID-19 pandemic. Methods: We interviewed a theoretical sample of 23 stakeholders in urban and rural social prescribing schemes at the start of COVID-19 pandemic. Follow-up interviews with a representative sample were conducted around 10 months later. Interviewees included social prescribing coordinators (SPCs) GPs, managers, researchers and representatives of third sector organizations. Interview transcripts were analysed in stages and an inductive approach to coding was supported by NVivo. Results: Findings revealed a complex social prescribing landscape in Scotland with schemes funded, structured and delivering services in diverse ways. Across all schemes, working effectively during the pandemic and shifting to online delivery had been challenging and demanding; however, their priorities in response to the pandemic had differed. With GP time and services stretched to limits, GP practice-attached ‘Link Workers’ had taken on counselling and advocacy roles, sometimes for serious mental health cases. Community-based SPCs had mostly assumed a health education role, and those on the Western Isles of Scotland a digital support role. In both rural or urban areas, combatting loneliness and isolation – especially given social distancing – remained a pivotal aspect of the SPC role. Conclusion: This study highlights significant challenges and shifts in focus in social prescribing in response to the pandemic. The use of multiple digital technologies has assumed a central role in social prescribing, and this situation seems likely to remain. With statutory and non-statutory services stretched to their limits, there is a danger of SPCs assuming new tasks without adequate training or support.


Author(s):  
Peter Doehring

AbstractThe present study explored the shift from understanding to intervention to population impact in the empirical research published in this journal at five points of time over 40 years since the release of DSM-III. Two-thirds of the more than 600 original studies identified involved basic research, a pattern that is consistent with previous analyses of research funding allocations and that did not change over time. One of every eight studies involved intervention research, which occurred in community-based programs only about one-quarter of the time. These gaps in intervention research and community impact did not improve over time. The findings underscore the need to broaden the training and experience of researchers, and to re-consider priorities for research funding and publication.


2012 ◽  
Vol 59 (9) ◽  
pp. 1289-1306 ◽  
Author(s):  
Kenneth D. Allen ◽  
Phillip L. Hammack ◽  
Heather L. Himes

Author(s):  
Kellie Rhodes ◽  
Aisland Rhodes ◽  
Wayne Bear ◽  
Larry Brendtro

Approximately 1.7 million delinquency cases are disposed in juvenile courts annually (Puzzanchera, Adams, & Sickmund, 2011). Of these youth, tens of thousands experience confinement in the US (Sawyer, 2019), while hundreds of thousands experience probation or are sentenced to community based programs (Harp, Muhlhausen, & Hockenberry, 2019). These youth are placed in the care of programs overseen by directors and clinicians. A survey of facility directors and clinicians from member agencies of the National Partnership for Juvenile Services (NPJS) Behavioral Health Clinical Services (BHCS) committee identified three primary concerns practitioners face in caring for these youth; 1) low resources to recruit and retain quality staff, 2) training that is often not a match for, and does not equip staff to effectively manage the complex needs of acute youth, and 3) the perspective of direct care as an unskilled entry-level position with limited impact on youth’s rehabilitation. This article seeks to address these issues and seeks to highlight potential best practices to re-solve for those obstacles within juvenile services.


1975 ◽  
Vol 21 (1) ◽  
pp. 57-64 ◽  
Author(s):  
Frank J. Menolascino

Throughout the United States and Canada, community-based programs for the retarded are being expanded, as are alternative correctional programs for the young offender. But for the men tally retarded offender no such new approaches have been de vised ; he is still relegated to, and unwanted by, both the tradition al correctional system and the institutions for the retarded.


Sign in / Sign up

Export Citation Format

Share Document