2017 ◽  
Vol 2 (11) ◽  
pp. 73-78
Author(s):  
David W. Rule ◽  
Lisa N. Kelchner

Telepractice technology allows greater access to speech-language pathology services around the world. These technologies extend beyond evaluation and treatment and are shown to be used effectively in clinical supervision including graduate students and clinical fellows. In fact, a clinical fellow from the United States completed the entire supervised clinical fellowship (CF) year internationally at a rural East African hospital, meeting all requirements for state and national certification by employing telesupervision technology. Thus, telesupervision has the potential to be successfully implemented to address a range of needs including supervisory shortages, health disparities worldwide, and access to services in rural areas where speech-language pathology services are not readily available. The telesupervision experience, potential advantages, implications, and possible limitations are discussed. A brief guide for clinical fellows pursuing telesupervision is also provided.


2021 ◽  
Vol 693 (1) ◽  
pp. 209-229
Author(s):  
Debra J. Rog ◽  
Kathryn A. Henderson ◽  
Clara A. Wagner ◽  
Emily L. Abbruzzi

Permanent supportive housing for families experiencing homelessness—typically, subsidized housing that is not time limited and provides access to a range of support services—has substantially increased over the past 10 years, despite an absence of rigorous evidence of its effectiveness. We examine the benefits of subsidized housing with supportive services compared to subsidized housing alone. Our findings suggest that supportive housing offers more opportunities for access to services and benefits than subsidized housing alone, but it may not be beneficial to families’ housing stability or to family members’ employment or involvement with the criminal justice system. We argue that housing that is coupled with intensive case management, that is service rich, and that provides and adheres to harm reduction principles may help to strengthen supportive housing’s effectiveness.


2021 ◽  
pp. 1-18
Author(s):  
Pauliina Patana

What explains variation in populist radical right (PRR) support within Western democracies? Specifically, why is contemporary PRR support often and increasingly stronger in areas seemingly detached from the effects of globalization, transnationalism, or immigration, the key issues these parties emphasize? This study articulates a theory of residential constraints to deepen understanding of these spatial patterns. I hypothesize that when citizens are residentially constrained—that is, when their means of reacting to local conditions and “voting with their feet” are limited—they are more likely to support PRR parties. To test this claim, I use a multimethod research design and exploit both quantitative and qualitative evidence from France, an important case of long-standing and geographically divided PRR support. I demonstrate that the PRR performs well in areas where locals’ access to services and opportunities is compromised and where opportunities and incentives to relocate are blocked by residential constraints. Residential constraints thus generate a set of relative economic grievances and render them highly salient in localities that may otherwise appear unaffected by more objective hardships and structural decay.


2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Asa Ebba Cristina Laurell

Objectives: This article analyzes the content and outcome of ongoing health reforms in Latin America: Universal Health Coverage with Health Insurance, and the Universal and Public Health Systems. It aims to compare and contrast the conceptual framework and practice of each and verify their concrete results regarding the guarantee of the right to health and access to required services. It identifies a direct relationship between the development model and the type of reform. The neoclassical-neoliberal model has succeeded in converting health into a field of privatized profits, but has failed to guarantee the right to health and access to services, which has discredited the governments. The reform of the progressive governments has succeeded in expanding access to services and ensuring the right to health, but faces difficulties and tensions related to the permanence of a powerful, private, industrial-insurance medical complex and persistence of the ideologies about medicalized 'good medicine'. Based on these findings, some strategies to strengthen unique and supportive public health systems are proposed.


2009 ◽  
pp. 133-157
Author(s):  
Paolo Bellavista ◽  
Antonio Corradi ◽  
Alessandra Toninelli

Malaysia is one of the developing countries which has the fastest growth rate. It is in its last miles to achieve its goal to become a high-income advanced nation by 2020. The country has enormously reduced its poverty rate and curtailed its inequality gap shaped by various policies and initiatives. With the rate of the poor is now less than one percent, the focus has reoriented to elevate the bottom 40 percent (B40) households to middle-income households. Various initiatives have been strategised to address the B40 which also include innovation initiatives that are aimed at addressing the marginalised in Malaysia. The initiatives seek to provide the marginalised with better access to services and products and job opportunities by empowering them to contribute to society. Hence, this paper seeks to take stock the government policy measures as well as the initiatives by reviewing the relevant documents. The findings show that the existing government innovation efforts are aligned with the national and global agenda on sustainable development, where inclusivity and sustainability remain as its main agenda. The authors proposed an integrated framework of implementation to serve as a tool to guide policymakers for better implementation in the future


2020 ◽  

The lack of a single classification system is clearly problematic, not least because it renders intervention studies difficult to interpret and has implications for patient access to services.


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