An Essential Service Decision Model for Applied Behavior Analytic Providers During Crisis

Author(s):  
Richard Colombo ◽  
Michele Wallace ◽  
Rachel S. Taylor

In the United States, applied behavior analysis (ABA) is broadly recognized as a medically necessary treatment for individuals diagnosed with autism and related disorders (Association of Professional Behavior Analysts, 2020). We argue that this designation should not be called into question in the light of a particular disaster and that it is critical to consider that an interruption of services can have long-lasting effects on the treatment of the individual (practitioners are ethically obligated to uphold the continuity of services while doing no harm). This dilemma might be ameliorated by a decision model that considers the prioritization of immediate needs, vulnerability of clients, and competency of service providers. Just as the medical field prioritizes immediate needs during crisis situations and defers routine appointments (e.g., physicals, check-ups, etc.), the ABA field can make similar evidence-based decisions. The purpose of the current paper is to provide a decision model for ABA practitioners who find themselves questioning the need for essential service delivery during the current Coronavirus (COVID-19) pandemic. The impact of this model goes beyond the needs of this crisis and can be applied to any emergency situation where services are at risk of interruption.

Author(s):  
Jessica M. Brooks ◽  
Kanako Iwanaga ◽  
Fong Chan

Arthritis is ranked among the top causes of disability in the United States and worldwide. Despite recent improvements in medications and medical treatment, there is no known cure for arthritis. Providing evidence-based psychoeducation and counseling services to people with arthritis lessens the impact of pain-related symptoms and disability on the individual and society. The purpose of this chapter is to provide an overview of the most common arthritic conditions, co-occurring physical conditions, and psychosocial factors associated with arthritis. Barriers to self-management and existing self-management programs are also discussed along with the current state of scientific evidence. The chapter concludes with some questions for future research.


Author(s):  
Margarita María Sánchez

Wagner College is participating in a ground-breaking project that brings migrant families together after years of separation. This project has been not only inspirational for both faculty members and students, but is also a great opportunity to learn about forced migration and alternatives to keep families together. The “Transnational Project: San Jerónimo Xayacatlán-Port Richmond” was created to connect communities in both the United States and Mexico and to preserve their cultural identities that have been threatened by forced migration. In this chapter, I would like to present the project focusing on three aspects: the history of the project, the individual stories of members who migrated and of those who stayed in their homeland, and the impact of this educational opportunity in the classroom. I will use a series of interviews with the members of Ñani Migrante (the group formed by the members of both the San Jerónimo and the Port Richmond communities), the presentations of both panels that took place at Wagner College, and the reflections of students who attended them.


Author(s):  
Margarita María Sánchez

Wagner College is participating in a ground-breaking project that brings migrant families together after years of separation. This project has been not only inspirational for both faculty members and students, but is also a great opportunity to learn about forced migration and alternatives to keep families together. The “Transnational Project: San Jerónimo Xayacatlán-Port Richmond” was created to connect communities in both the United States and Mexico and to preserve their cultural identities that have been threatened by forced migration. In this chapter, I would like to present the project focusing on three aspects: the history of the project, the individual stories of members who migrated and of those who stayed in their homeland, and the impact of this educational opportunity in the classroom. I will use a series of interviews with the members of Ñani Migrante (the group formed by the members of both the San Jerónimo and the Port Richmond communities), the presentations of both panels that took place at Wagner College, and the reflections of students who attended them.


Author(s):  
Lizette Solis-Cortes ◽  
Falu Rami

This chapter focuses on the impact of the COVID-19 pandemic, it's disproportionate impact on immigrants' careers and employment opportunities, and the dire need to address inequitable career development opportunities. COVID-19 has also highlighted the anti-immigrant sentiment and structural barriers that impact immigrant career experiences and outcomes. A second interrelated obstacle to immigrant career development paths are recent executive orders signed by Donald Trump in the United States against immigrants and refugees as well as global anti-immigrant and refugee policies such as Brexit and the Citizenship Amendment Act. Immigrant workers require advocacy, protection, and avenues to receive continued support during and post-pandemic. Resources for immigrant employers and employees including international resources, avenues for advocacy, and recommendations to service providers are discussed.


2013 ◽  
Vol 67 (1-2) ◽  
pp. 193-200 ◽  
Author(s):  
Sonia Quinones-Gonzalez

The Hispanic and Latino populations have increased nationwide. Hispanics are now the largest minority group in the United States. This increase in population will have an impact on all service areas, including hospice and palliative care. The goal as service providers is to remove barriers to care in order to increase opportunities for all the people residing in the communities. This project addresses the impact of the Hispanic and Latino populations in Pasco County, Florida, and the need to develop Latino outreach programs that will inform, educate, and provide culturally sensitive services which will decrease the barriers of communication and accessibility for Hispanics and Latinos who are in need of hospice and palliative care. The new outreach program, named Nuestro, which means “ours” in Spanish, is designed with this purpose in mind. The project's goal was to increase service by 200%; the outcome after 2 years was an increase of services by 900%.


Neurosurgery ◽  
2019 ◽  
Vol 85 (3) ◽  
pp. 299-301 ◽  
Author(s):  
Catherine A Mazzola ◽  
Nadege Assassi ◽  
Lissa C Baird ◽  
David F Bauer ◽  
Alexandra D Beier ◽  
...  

Abstract BACKGROUND The incidence of spina bifida (SB) in the developing world is higher than in the United States because of malnutrition and folic acid deficiency during pregnancy. Advances in technology have made prenatal repair of myelomeningocele (MM) possible. OBJECTIVE The objective of the guidelines are, (1) To create clinical recommendations for best practices, based on a systematic review and analysis of available literature, (2) to obtain multi-disciplinary endorsement of these guidelines from relevant organizations, and (3) to disseminate the educational content to physicians to improve the care of infants with MM. METHODS The Guidelines Task Force developed search terms and strategies used to search PubMed and Embase for literature published between 1966 and September 2016. Strict inclusion/exclusion criteria were used to screen abstracts and to develop a list of relevant articles for full-text review. RESULTS Guidelines authors aimed to systematically review the literature and make evidence based recommendations about the timing of closure after birth, hydrocephalus, the impact of prenatal closure, and the effect of prenatal closure on ambulation ability and tethered spinal cord. Evidence concerning persistent ventriculomegaly and cognitive impairment was also evaluated. Hundreds of abstracts were identified and reviewed for each of the 5 topics. A total of 14 studies met stringent inclusion criteria. CONCLUSION Based on a comprehensive systematic review, a total of 5 clinical practice recommendations were developed, with 1 Level I, 2 Level II and 2 Level III recommendations. The full guideline can be found at https://www.cns.org/guidelines/guidelines-spina-bifida-chapter-1.


2017 ◽  
Vol 3 (1) ◽  
pp. 58
Author(s):  
Anahi Viladrich

Based on two mixed-methods studies conducted with first and second generation Latinas in New York City (NYC), this article questions simplistic notions of acculturation by stressing the impact of structural conditions (at the individual, social and physical levels) in determining Latinas’ food practices in the United States (U.S.). The term “nostalgic inequality” is used here to argue that Latinas’ retention of, and adaptation to, their traditional staples (i.e., nostalgic foods) tends to favor affordable and fat-saturated items (e.g., fried and processed foods) that through time contribute to higher rates of obesity and cardiovascular disease, among other deleterious health conditions. In the end, this review is aimed at raising awareness about the barriers to healthy eating experienced by disadvantaged minority groups in the U.S. urban milieu.


2020 ◽  
Vol 33 (1) ◽  
pp. 175-187
Author(s):  
Christina Vagt

The article, speaking from the double perspective of media history and political aesthetics, discusses the impact of behaviourism and early computer technology on the design of learning environments in the United States after the Second World War. By revisiting B. F. Skinner’s approaches to behavioural techniques and cultural engineering, and by showing how these principles were applied first at US design departments, and later to prison education, it argues that cybernetic and behavioural techniques merged in the common field of design and education. Behavioural design of the 1960s and 1970s furthered the cybernetic dream of total control over the world by addressing the learning environment rather than the individual, and operated within a space of possibility that was governed equally by technology and aesthetics. Behavioural design can therefore be understood as a political technology.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mohammed T. Nuseir

PurposeThis paper investigates the impact of blockchain technology on the Bricks and Mortar (B&M) grocery sector from a technological and functional perspective.Design/methodology/approachThe research adopted an exploratory research design and the data comprises 17 semi-structured interviews with personnel at the top grocery retail chains in the United States, for example, Wal-Mart, Tesco, Stop and Shop and Meijer. Additionally, two major US-based blockchain service providers are included – SumatoSoft and Accubits.FindingsBlockchain technology affects the business processes of B&M grocery retail by offering payment via tokens, secure payments and contracts between stakeholders, an end-to-end solution in the supply chain and secure management of the stock. However, this process is hampered by a number of challenges such as integrity and security concerns, difficulty in adapting sound logistics, lack of adequate skills and resistance to change by store managers and employees. This can be addressed by imparting education/training and creating awareness about the benefits of blockchain and generating industry-wide collaboration in which regulations can work.Practical implicationsThe research has benefits for B&M grocery stores, governments and the wider society. For example, the findings of this study will help B&M grocery retailers to confront the competition by online retailers such as Amazon, AliExpress or eBay and promote the development of a systematic collaboration to achieve the changes they need.Originality/valueThe study is original and innovative in that no research to date has focused on how blockchain can help the B&M grocery sector and address its challenges.


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