Exploring Factors That Inhibit and Activate Community-Based Child Care Community Activities - Focusing on Jeonbuk Area Cases -

2021 ◽  
Vol 25 (3) ◽  
pp. 69-85
Author(s):  
Juyeon Lee ◽  
◽  
Mi-jin Hwang
2010 ◽  
Vol 19 (1) ◽  
pp. 21-28
Author(s):  
Kathryn Wishart

Abstract Speech-language pathologists, working in a multicultural, community-based environment for young children with special needs in Vancouver, Canada, collected information on 84 clients using AAC from a chart review. The speech-language pathologists collected additional usage information and attended a group interview to discuss barriers and facilitators of AAC. Thirty-one percent of the children were using AAC. Children aged between 16 and 72 months typically relied on multiple modes of communication, including sign, communication boards and binders, and low- and high-tech communication devices. All of the children used at least one type of unaided mode. Fifty-five percent used pictures or communication boards/displays, and 29% used technology with speech output. Similarities in usage of AAC were noted in home and child-care settings with increased use of unaided in homes and a slightly increased use of aided communication in child care settings. Speech-language pathologists reported that the time needed for AAC intervention as well as limited funding for high-tech devices continue to be major barriers. Additional research is needed to describe current AAC practices with young children particularly from minority linguistic and cultural backgrounds. Stakeholder input is needed to explore perceptions of children's usage of AAC in daily life with familiar and unfamiliar communication partners.


2021 ◽  
pp. 104973232199864
Author(s):  
Nabil Natafgi ◽  
Olayinka Ladeji ◽  
Yoon Duk Hong ◽  
Jacqueline Caldwell ◽  
C. Daniel Mullins

This article aims to determine receptivity for advancing the Learning Healthcare System (LHS) model to a novel evidence-based health care delivery framework—Learning Health Care Community (LHCC)—in Baltimore, as a model for a national initiative. Using community-based participatory, qualitative approach, we conducted 16 in-depth interviews and 15 focus groups with 94 participants. Two independent coders thematically analyzed the transcripts. Participants included community members (38%), health care professionals (29%), patients (26%), and other stakeholders (7%). The majority considered LHCC to be a viable model for improving the health care experience, outlining certain parameters for success such as the inclusion of home visits, presentation of research evidence, and incorporation of social determinants and patients’ input. Lessons learned and challenges discussed by participants can help health systems and communities explore the LHCC aspiration to align health care delivery with an engaged, empowered, and informed community.


2005 ◽  
Vol 22 (4) ◽  
pp. 358-360 ◽  
Author(s):  
Janine E Janosky ◽  
Susan B Laird ◽  
Jamar D Robinson ◽  
Jeannette E South-Paul

Author(s):  
Francisco Cartujano-Barrera ◽  
Michelle Lee D’Abundo ◽  
Evelyn Arana-Chicas ◽  
Surina Chock ◽  
Pamela Valera ◽  
...  

The purpose of this study was to identify the perspectives from key leaders of community-based organizations (CBOs) and clinics serving people living with HIV on barriers and facilitators of smoking cessation among Latino smokers living with HIV. Semi-structured interviews were conducted in English and Spanish with 10 key leaders. Using a social ecological model, qualitative theoretical analysis was used to analyze the results. Participants identified barriers at the individual (e.g., low education level, HIV, and financial stress), interpersonal (e.g., language barriers, low social support), organizational (e.g., lack of smoking cessation resources and targeted interventions), community (e.g., HIV and mental health stigma), and policy (e.g., paperwork for insurance) level. Participants identified facilitators at the individual (e.g., high participation in trials, good medication adherence), interpersonal (e.g., no smoking in social circles), organizational (e.g., bilingual staff, culturally competent care), community (e.g., providing transportation, the coronavirus disease 2019 as an opportunity for smoking cessation), and policy level (e.g., existence of funding, comprehensive insurance programs). These results provide operational strategies to address smoking disparities among Latino smokers living with HIV. Further research is needed on how to integrate these perspectives into effective smoking cessation interventions.


PEDIATRICS ◽  
1993 ◽  
Vol 91 (1) ◽  
pp. 179-181
Author(s):  
Joan Lombardi

This introductory paper has a threefold purpose: (1) to provide an overview of the various types of child care, any or all of which may be found in an individual American community; (2) to present some terminology that may be used repeatedly in the papers of this supplement; and (3) to begin to discuss the role of the medical community in child care. OVERVIEW OF CHILD CARE This topic may best be explored by discussing the process new parents go through to select child care and by describing some of the obstacles they may face. For those readers who are from the child care community, and therefore familiar with this information, these are problems that can be shared with the medical community in your area. Expectant parents may not begin to think about care until after their baby is born. It is often hard to anticipate the issues related to balancing work and family life until you are actually in the situation. Child care may not be included as a topic in childbirth classes, even though that is probably the first place that the options should be discussed. Once the child is born, a decision may have to be made within the first few weeks after birth, because parental leave is, unfortunately, not guaranteed in the United States. Parents may turn to the pediatrician for advice, but most often they talk with neighbors and friends about child care options. A growing number of parents are beginning to use local Child Care Resource and Referral organizations, which provide consumer education and referral to parents, as well as support and resources to child care providers, policy makers, and the private sector.


2019 ◽  
Vol 25 (8) ◽  
pp. S150
Author(s):  
Vijay U. Rao ◽  
Varun Dobariya ◽  
Keem Patel ◽  
Kathy Kioussopoulos ◽  
Susan Nicoson ◽  
...  

Author(s):  
Ellen Fink-Samnick

The past two decades have witnessed a surge in the growth of initiatives and funding to weave physical and behavioral health care, particularly with identification of the high costs incurred by their comorbidity. In response, a robust body of evidence now demonstrates the effectiveness of what is referred to as collaborative care. A wide range of models transverse the developmental lifespan, diagnostic categories, plus practice settings (e.g., primary care, specialty medical care, community-based health centers, clinics, and schools). This article will discuss the foundational elements of collaborative care, including the broad sweep of associated definitions and related concepts. Contemporary models will be reviewed along with identified contextual topics for practice. Special focus will be placed on the diverse implications collaborative care poses for the health and behavioral health workforce, especially social workers.


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