Delivering Independent Living Services in Rural Communities: Options and Alternatives

1992 ◽  
Vol 11 (1) ◽  
pp. 16-23
Author(s):  
Carol G. Potter ◽  
Quentin W. Smith ◽  
Huong Quart ◽  
Margaret A. Nosek
Keyword(s):  
Rural Communities ◽  
Rural Areas ◽  
Independent Living ◽  
Research Utilization ◽  
Service Network ◽  
Employment Opportunities ◽  
Network Information ◽  
Follow Up Study ◽  
Independent Living Services

The authors describe independent living initiatives in two rural communities, chosen because of their contrast in approach to reducing barriers to independence. Various factors in rural areas present obstacles to independent living, including lack of transportation, reduced employment opportunities, and architectural inaccessibility in older buildings. Results of a follow-up study of two rural independent living demonstration projects established by the Independent Living Research Utilization program in Houston, Texas are presented. In brief, people in Town One successfully established and continue to operate an independent living center; the other site (Town Two) integrated independent living philosophy and practices into the existing service network. Information is provided concerning demographic characteristics as well as existing services related to independent living. The authors suggest that several approaches for reducing barriers to independence are successful for delivering independent living services in rural communities.

Medicaid Managed Care In Rural Areas: A Ten-State Follow-Up Study

1999 ◽  
Vol 18 (2) ◽  
pp. 238-245 ◽  
Author(s):  
Suzanne Felt-Lisk ◽  
Pam Silberman ◽  
Sheila Hoag ◽  
Rebecca Slifkin
Keyword(s):  
Managed Care ◽  
Rural Areas ◽  
Medicaid Managed Care ◽  
Follow Up Study

scholarly journals Multiple organ failure caused by poisonous contact with a Lonomia sp caterpillar. Case report

Case reports ◽  
2019 ◽  
Vol 5 (2) ◽  
pp. 105-114
Author(s):  
Wilson Hernando Pineda-Amaya ◽  
Nohemí Pastrana-Ricaurte
Keyword(s):  
Rural Communities ◽  
Multiple Organ Failure ◽  
Organ Failure ◽  
Rural Areas ◽  
Public Health Problem ◽  
Medical Intervention ◽  
Health Condition ◽  
Multiple Organ ◽  
Need For Treatment

Introduction: Lonomic accidents have become of great interest as they represent a public health problem in rural communities. These accidents are challenging for health personnel given their multiple associated complications, difficult di­agnosis and therapeutic variants.Case presentation: This is the case of a 41-year-old male patient who had contact with a cater­pillar of the genus Lonomia sp. He presented with symptoms of bleeding and subsequent multiple organ failure that resolved with the use of antilonomic serum.Discussion: The patient presented with symp­toms that progressed to multiple organ failure and associated hemorrhagic syndrome due to the difficulties for diagnosis. He required ther­apeutic intervention in a primary care institution with subsequent need for treatment in a more complex center considering the deterioration and non-availability of the antilonomic serum.Conclusions: Based on in-hospital medical intervention strategies, the administration of the lonomic serum and the patient’s follow-up through the system, it was possible to con­firm the improvement of his health condition and discharge him. It is important to stress the knowledge of the health professionals who treat these cases in rural areas and the availability of the serum.

Long Term Follow-up Study of a Ward-based Behaviour Modification Programme for Adolescents with Acting-out and Conduct Problems

1985 ◽  
Vol 147 (3) ◽  
pp. 300-305 ◽  
Author(s):  
Therèsa Moyes ◽  
T. Gavin Tennent ◽  
Anthony P. Bedford
Keyword(s):  
Conduct Problems ◽  
Independent Living ◽  
Comparison Group ◽  
Institutional Setting ◽  
Acting Out ◽  
Behaviour Modification ◽  
Follow Up Study ◽  
Long Term Follow Up

SummaryAlthough it is widely believed that behaviour modification is successful in an institutional setting, the lasting efficacy of such programmes for adolescents with acting-out and conduct problems has long been questioned. A follow-up enquiry was carried out at one and two years on adolescent patients who had been through an institutional behaviour modification programme. The results were compared with those obtained for a similar group of patients who were accepted for the programme but not admitted; significantly more of the treatment group than the comparison group had improved in terms of behavioural outcome measures, and their level of independent living was greater.

Independent Living Services to Older, Blind Persons in Rural Areas: Do They Make a Difference?

2003 ◽  
Vol 34 (4) ◽  
pp. 4-8 ◽  
Author(s):  
Marlene B. Huff ◽  
Lou Ann Qualls
Keyword(s):  
Rural Areas ◽  
Independent Living ◽  
Consumer Satisfaction ◽  
Visually Impaired ◽  
Community Needs ◽  
Blind And Visually Impaired ◽  
Independent Living Programs ◽  
Blind Persons ◽  
Visually Impaired Persons ◽  
Independent Living Services

Independent living services are thought to be an effective and efficient way to maintain older blind and visually impaired persons in their home environment for a longer period of time. Few studies, though, have analyzed the level of consumer satisfaction among these elders. This study asserts that an enriched understanding of customer satisfaction and the resulting service delivery recommendations will assist states in developing more effective independent living programs. The Kentucky Department for the Blind has been offering these services to blind and visually impaired elders since 1980. This study analyzes the results of a consumer satisfaction survey participated in by 94 elders who extensively used the service. Results indicate that independent living services are effective but limited in their ability to serve all elders that need them and services must be flexible enough to serve diverse community needs.

scholarly journals Chagas disease in a community in Southeast Brazil: I. A serlogic follow-up study on a vectorcontrolled area

2003 ◽  
Vol 45 (5) ◽  
pp. 269-274 ◽  
Author(s):  
Roberto Montoya ◽  
João Carlos Pinto Dias ◽  
José Rodrigues Coura
Keyword(s):  
Rural Areas ◽  
Prevalence Rates ◽  
Serological Survey ◽  
Infection Rates ◽  
Immunofluorescence Test ◽  
Control Programs ◽  
Indirect Immunofluorescence Test ◽  
Follow Up Study ◽  
Cruzi Infection

The prevalence of Trypanosoma cruzi infection was evaluated in Berilo, Minas Gerais (MG), Brazil, from January to July 1997. A serological survey using the indirect immunofluorescence test (IFT) in dried blood collected on filter-paper was performed in a sample of 2,261 individuals. The overall prevalence rate of T. cruzi infection was 18%, and reached 50% in individuals older than 30 years from rural areas. The percentage of seropositivity was 0.17% among individuals younger than 10 years old, suggesting that vectorial transmission is controlled in the area. A decrease in prevalence rates among people born after 1960 and 1970 was observed and this appears to be correlated with the beginning of control programs. A reduction in T. cruzi infection rates was observed when comparing our results with the rates estimated in a serologic study carried out in Berilo in 1983(11).

Community outreach for untreated schizophrenia in rural India: a follow-up study of symptoms, disability, family burden and costs

2004 ◽  
Vol 35 (3) ◽  
pp. 341-351 ◽  
Author(s):  
R. SRINIVASA MURTHY ◽  
K. V. KISHORE KUMAR ◽  
D. CHISHOLM ◽  
T. THOMAS ◽  
K. SEKAR ◽  
...  
Keyword(s):  
Rural Communities ◽  
Rural Areas ◽  
Repeated Measures ◽  
Psychosocial Support ◽  
Community Outreach ◽  
Family Burden ◽  
Psychotic Symptoms ◽  
Community Based ◽  
Care Giving

Background. In resource-poor countries, there remains an alarming treatment gap for people with schizophrenia, particularly those living in rural areas. Decentralization of mental health services, including community-based outreach programmes, represents one obvious strategy for bringing appropriate care to these communities. This study set out to assess the costs and effects of such a programme in rural Karnataka in India.Method. Eight rural communities were visited by an outreach team, who identified cases of drug-naive or currently untreated schizophrenia. Recruited cases were provided with appropriate psychotropic medication and psychosocial support, and after obtaining informed consent were assessed every 3 months over one and a half years on symptomatology, disability, family burden, resource use and costs. A repeated-measures analysis was carried out to test for significant change in these outcome measures over this period.Results. A total of 100 cases of untreated schizophrenia were recruited, of whom 28% had never received antipsychotic medication and the remaining 72% had not been on medication for the past 6 months. Summary scores for psychotic symptoms, disability and family burden were all reduced significantly, with particular improvement observed at the first follow-up assessment. Increases in treatment and community outreach costs over the follow-up period were accompanied by reductions in the costs of informal-care sector visits and family care-giving time.Conclusions. Efforts to organize community-based care such as outreach services for people with schizophrenia living in more remote areas of resource-constrained countries can bring substantial benefits to patients and families alike.

Exploring Access to Independent Living Services for People With Disabilities Through a Transportation Network Analysis

2021 ◽  
pp. 104420732110275
Author(s):  
Kourtney B. Johnson ◽  
Lillie Greiman ◽  
Christiane VonReichert ◽  
Billy Altom
Keyword(s):  
Network Analysis ◽  
Rural Areas ◽  
Service Provision ◽  
Urban Areas ◽  
Independent Living ◽  
Transportation Network ◽  
People With Disabilities ◽  
Geographic Analysis ◽  
Local Road ◽  
Independent Living Services

Centers for Independent Living (CILs) are nonresidential, nonprofit agencies that provide independent living services to people with disabilities across the nation. The services CILs provide are invaluable to people with disabilities living independently in the community. Accessing CIL services can be challenging for people with disabilities, particularly for individuals in rural areas. A geographic analysis called a transportation network analysis is one method for assessing access to CIL services. We draw on the distribution of CILs across the country and in two rural states (Montana and Arkansas) to assess levels of geographic access using travel distance along national and local road networks. Incorporating data from the American Community Survey allowed us to estimate the number of people with disabilities living within certain distance thresholds from CILs. We saw increased access in urban areas where there is a higher concentration of CILs, suggesting that people with disabilities in rural areas have limited access to CIL services. We explore how partnering with Area Agencies on Aging has the potential to expand access to services for people with disabilities in rural areas, highlighting the utility of geographic analysis in social service provision.

Electron Microscopy of Human Gallstones

1971 ◽  
Vol 29 ◽  
pp. 296-297
Author(s):  
C. Wolpers ◽  
R. Blaschke
Keyword(s):  
Electron Microscopy ◽  
Room Temperature ◽  
Bile Pigment ◽  
X Ray Diffraction ◽  
Triclinic Crystal System ◽  
X Ray ◽  
Follow Up Study ◽  
Infra Red ◽  
Main Components

Scanning microscopy was used to study the surface of human gallstones and the surface of fractures. The specimens were obtained by operation, washed with water, dried at room temperature and shadowcasted with carbon and aluminum. Most of the specimens belong to patients from a series of X-ray follow-up study, examined during the last twenty years. So it was possible to evaluate approximately the age of these gallstones and to get information on the intensity of growing and solving.Cholesterol, a group of bile pigment substances and different salts of calcium, are the main components of human gallstones. By X-ray diffraction technique, infra-red spectroscopy and by chemical analysis it was demonstrated that all three components can be found in any gallstone. In the presence of water cholesterol crystallizes in pane-like plates of the triclinic crystal system.

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