Consumer Directed Services (CDS) Program in North Carolina : Reporting New Benefits of the Alternative Care Program

2019 ◽  
Vol 31 ◽  
pp. 205-228
Author(s):  
In Tae Yoon ◽  
Jung Bae Cho ◽  
Tae Gyeong Yoon
2021 ◽  
Vol 27 (6) ◽  
pp. 1498-1505
Author(s):  
Eun-Hee Yang ◽  
Yun-Kyoung Oh

This study aimed to comparatively analyze changes in facial size and skin condition after sugar stick fascia therapy and manual technique. Selecting 11 people for sugar stick fascia therapy and 11 people for manual technique, their facial size and skin condition were measured three times before care, after four-times of care, and after eight-times of care. The results were evaluated through survey after experiment. First, regarding the differences in each period and group, the sizes of section A and B were more significantly reduced after sugar stick fascia therapy rather than manual technique, which showed the face downsizing effect (p<.05). Second, regarding the differences in each period, the sugar stick fascia therapy significantly increased moisture and elasticity. Regarding the differences in each group, the moisture was more significantly increased after eight times of sugar stick fascia therapy than manual technique (p<.05). In the evaluation of results, the face downsizing effect and overall satisfaction were highly shown (p<.01). The sugar stick fascia therapy showed great effects on downsizing the cheeks with lots of muscles, and also showed the remarkable increase in moisture. Thus, the sugar stick fascia therapy could be suggested as an alternative care that could meet the desire for beauty, by utilizing it as a face downsizing program without side effects and a skin care program for dry skin.


Author(s):  
Sumantra Mukherjee ◽  
Subhadeep Adhikary ◽  
Neepa Basu

The required operational framework of a community-based care mechanism as envisaged under the Revised Integrated Child Protection Scheme and the National Plan of Action for Children 2016, fails to both prevent and effectively respond to the vulnerabilities of children in need of care and protection. Resonance of such unplanned community programming shifts the focus towards institutionalisation of children, thus grossly violating ‘institutionalization as a measure of last resort’, one of the fundamental principles governing the Juvenile Justice (Care and Protection of Children) Act 2015. The act critically justifies the need to empower vulnerable families to care for children and re-emphasises the preventive role in ensuring family-based care or keep children in alternative care setting. The alternative care (sponsorship and foster care) guidelines in Jharkhand was launched in 2018. Since then, it has been found that the state is struggling to implement it. Though there has been some progress in the sponsorship scheme implementation, the kinship and foster care remains completely neglected. Child in Need Institute (CINI) is partnering with Hope & Homes for Children (HHC) since 2017 for pushing the agenda for deinstitutionalisation of children through a two-pronged approach of model creation and district-level technical support to the ICPS system. Working closely in the communities in preventing family separation, led to the understanding that there is a huge need to address the structural gaps for implementing the alternative care guidelines in true spirit. The purpose of the article is to do a systematic analysis of the implementation of the alternative care guidelines in the state and map out the implementation bottlenecks/barriers (systemic, structural and operational), hindering its smooth implementation. Besides that, the article will also try to establish a causal linkage between implementation of alternative care guidelines and dependency on institutional care, thus reflecting the potential of such mechanisms in promoting deinstitutionalisation. The research methodology will be a mix of qualitative and quantitative tools. Tools like content analysis of the key informants’ interviews and case studies will be used to understand the implementation barriers. A quantitative analysis of the secondary data on sponsorship scheme implementation will be done to analyse the gaps. Besides that, the experiences of children and their parents who have been linked with alternative care will also be analysed. District stakeholder consultations in 2 districts will be done to enlist the recommendations for the state. Thus, the key research question that would guide this article are: (a) What are the barriers to implementation of the alternative care program in its current form? and (b) What are the changes that should be made in the guidelines and its implementation process? The article will thus be an advocacy tool for influencing the state government for enhanced priority and investments in alternative care program and reduced focus on institutional care.


Stroke ◽  
1986 ◽  
Vol 17 (3) ◽  
pp. 382-386 ◽  
Author(s):  
M B Dignan ◽  
G Howard ◽  
J F Toole ◽  
C Becker ◽  
K R McLeroy

PEDIATRICS ◽  
1949 ◽  
Vol 4 (3) ◽  
pp. 384-385
Author(s):  
OTTO A. FAUST

A MONTH ago we stated in this column that, in accordance with recently expressed policy of the Executive Board of the Academy, attention would be given henceforth to significant activities which are being directed toward the improvement of child health and which may, at least in part, have resulted from the Academy's Study of Child Health Services. We then reviewed the "Premature Infant Care Program" which has been instituted in North Carolina to meet deficiencies which had been revealed in the Study's "Pilot State." While progress is being made along the front line of state programs, it is also gratifying to note progress in pediatric education. Subsequent to publication of "Child Health Services and Pediatric Education," specific and detailed information for his own department was sent confidentially to each of the heads of pediatric departments of the medical schools. Thus, each department head could evaluate his own school in comparison with others. In reply we have received some rather dramatic evidence of the effective use which has been made of a knowledge of the facts. The following letter is only one of many of those received recently from deans and professors of pediatrics:


Itinerario ◽  
2000 ◽  
Vol 24 (2) ◽  
pp. 146-169 ◽  
Author(s):  
Michael Leroy Oberg

In August of 1587 Manteo, an Indian from Croatoan Island, joined a group of English settlers in an attack on the native village of Dasemunkepeuc, located on the coast of present-day North Carolina. These colonists, amongst whom Manteo lived, had landed on Roanoke Island less than a month before, dumped there by a pilot more interested in hunting Spanish prize ships than in carrying colonists to their intended place of settlement along the Chesapeake Bay. The colonists had hoped to re-establish peaceful relations with area natives, and for that reason they relied upon Manteo to act as an interpreter, broker, and intercultural diplomat. The legacy of Anglo-Indian bitterness remaining from Ralph Lane's military settlement, however, which had hastily abandoned the island one year before, was too great for Manteo to overcome. The settlers found themselves that summer in the midst of hostile Indians.


2011 ◽  
Vol 21 (1) ◽  
pp. 30-34 ◽  
Author(s):  
Sena Crutchley

This article describes how a telepractice pilot project was used as a vehicle to train first-year graduate clinicians in speech-language pathology. To date, six graduate clinicians have been trained in the delivery of telepractice at The University of North Carolina at Greensboro. Components of telepractice training are described and the benefits and limitations of telepractice as part of clinical practicum are discussed. In addition, aspects of training support personnel involved in telepractice are outlined.


2009 ◽  
Vol 14 (2) ◽  
pp. 13-16
Author(s):  
Christopher R. Brigham ◽  
Jenny Walker

Abstract The AMAGuides to the Evaluation of Permanent Impairment (AMA Guides) is the most widely used basis for determining impairment and is used in state workers’ compensation systems, federal systems, automobile casualty, and personal injury, as well as by the majority of state workers’ compensation jurisdictions. Two tables summarize the edition of the AMA Guides used and provide information by state. The fifth edition (2000) is the most commonly used edition: California, Delaware, Georgia, Hawaii, Kentucky, New Hampshire, Idaho, Indiana, Iowa, Kentucky, Massachusetts, Nevada, North Dakota, Ohio, Vermont, and Washington. Eleven states use the sixth edition (2007): Alaska, Arizona, Louisiana, Mississippi, Montana, New Mexico, Oklahoma, Pennsylvania, Rhode Island, Tennessee, and Wyoming. Eight states still commonly make use of the fourth edition (1993): Alabama, Arkansas, Kansas, Maine, Maryland, South Dakota, Texas, and West Virginia. Two states use the Third Edition, Revised (1990): Colorado and Oregon. Connecticut does not stipulate which edition of the AMA Guides to use. Six states use their own state specific guidelines (Florida, Illinois, Minnesota, New York, North Carolina, and Wisconsin), and six states do not specify a specific guideline (Michigan, Missouri, Nebraska, New Jersey, South Carolina, and Virginia). Statutes may or may not specify which edition of the AMA Guides to use. Some states use their own guidelines for specific problems and use the Guides for other issues.


Sign in / Sign up

Export Citation Format

Share Document