A Multilayered Approach for Addressing Poverty and Education in African American Communities

2020 ◽  
pp. 155-172
Author(s):  
Rohan James Jowallah
Keyword(s):  
African American ◽  
Achievement Gap ◽  
Cost Saving ◽  
Black Students ◽  
Higher Learning ◽  
Education Outcomes ◽  
The Usa ◽  
African American Communities ◽  
The Cost

For policymakers to address poverty and education outcomes for African American communities, a multilayered approach is needed at all levels of education, and this support should begin at birth and extend to the first four years of higher learning or two years of apprenticeship within a designated field. Many policymakers will argue regarding the cost; however, it should be noted that the benefits of a multilayered approach to support Black students could lead to various cost-saving measures, which could ultimately close the poverty gap and achievement gap between Blacks in the USA and other groups. This chapter will outline a pathway for addressing poverty and education outcomes for African American communities.

scholarly journals P2-S3.03 Exploring perceptions of the social determinants of STIs in African American communities of the USA

2011 ◽  
Vol 87 (Suppl 1) ◽  
pp. A237-A237
Author(s):  
A. Friedman ◽  
A. Forsythe ◽  
J. Poehlman ◽  
S. Harris ◽  
J. Smith ◽  
...  
Keyword(s):  
African American ◽  
Social Determinants ◽  
The Social ◽  
The Usa ◽  
African American Communities

Reducing Police Brutality in African American Communities: Potential Roles for Social Workers in Congregations

2020 ◽  
Vol 47 (3) ◽  
pp. 66-84
Author(s):  
Betty Wilson ◽  
Terry A. Wolfer
Keyword(s):  
African American ◽  
African Americans ◽  
Social Workers ◽  
General Public ◽  
Public Awareness ◽  
Police Brutality ◽  
Religious Congregations ◽  
Predominantly Black ◽  
African American Communities ◽  
White Congregations

In the last decade, there have been a shocking number of police killings of unarmed African Americans, and advancements in technology have made these incidents more visible to the general public. The increasing public awareness of police brutality in African American communities creates a critical and urgent need to understand and improve police-community relationships. Congregational social workers (and other social workers who are part of religious congregations) have a potentially significant role in addressing the problem of police brutality. This manuscript explores and describes possible contributions by social workers, with differential consideration for those in predominantly Black or White congregations.

Denitrification of Sewage Effluents in Deep Bed Sand Filters

1993 ◽  
Vol 27 (5-6) ◽  
pp. 381-390 ◽  
Author(s):  
John Upton
Keyword(s):  
Waste Water ◽  
Pilot Study ◽  
Water Industry ◽  
Trickling Filter ◽  
Sand Filters ◽  
The United Kingdom ◽  
The Usa ◽  
Water Plants ◽  
The Cost ◽  
Pilot Plant Study

The European waste water industry will need to develop denitrification processes to remove nitrogen as pressures increase to reduce nutrient levels discharged in effluents. In the USA deep bed filter technology has been used extensively to provide denitrification to levels less than 5 mg/l TN. This paper describes this technology and the full scale performance at some waste water plants in Florida, USA. This paper also describes a pilot study in the United Kingdom at Severn Trent Water. The results of the pilot plant study indicate that denitrification in deep bed sand filters is a sound robust technology using methanol addition. Nitrogen removals greater than the 70% required in the EC Directive 1991 are possible at winter sewage temperatures. The process is most suitable for achieving nitrogen removal at trickling filter plants. The cost of methanol addition is calculated to be ₤10/1000m3.

scholarly journals An Outreach Rehabilitation Program for Nursing Home Residents After Hip Fracture May Be Cost-Saving

2020 ◽  
Vol 75 (10) ◽  
pp. e159-e165
Author(s):  
Lauren A Beaupre ◽  
Doug Lier ◽  
Jay S Magaziner ◽  
C Allyson Jones ◽  
D William C Johnston ◽  
...  
Keyword(s):  
Nursing Home ◽  
Hip Fracture ◽  
Cost Saving ◽  
Incremental Cost ◽  
Usual Care ◽  
Nursing Home Residents ◽  
Rehabilitation Program ◽  
Study Entry ◽  
Rehabilitation Intervention ◽  
The Cost

Abstract Background We compared the cost-effectiveness of 10 weeks of outreach rehabilitation (intervention) versus usual care (control) for ambulatory nursing home residents after hip fracture. Methods Enrollment occurred February 2011 through June 2015 in a Canadian metropolitan region. Seventy-seven participants were allocated in a 2:1 ratio to receive a 10-week rehabilitation program (intervention) or usual care (control) (46 intervention; 31 control). Using a payer perspective, we performed main and sensitivity analyses. Health outcome was measured by quality-adjusted life years (QALYs), using the EQ5D, completed at study entry, 3-, 6-, and 12-months. We obtained patient-specific data for outpatient visits, physician claims, and inpatient readmissions; the trial provided rehabilitation utilization/cost data. We estimated incremental cost and incremental effectiveness. Results Groups were similar at study entry; the mean age was 87.9 ± 6.6 years, 54 (71%) were female and 58 (75%) had severe cognitive impairment. EQ5D QALYs scores were nonsignificantly higher for intervention participants. Inpatient readmissions were two times higher among controls, with a cost difference of −$3,350/patient for intervention participants, offsetting the cost/intervention participant of $2,300 for the outreach rehabilitation. The adjusted incremental QALYs/patient difference was 0.024 favoring the intervention, with an incremental cost/patient of −$621 for intervention participants; these values were not statistically significant. A sensitivity analysis reinforced these findings, suggesting that the intervention was likely dominant. Conclusion A 10-week outreach rehabilitation intervention for nursing home residents who sustain a hip fracture may be cost-saving, through reduced postfracture hospital readmissions. These results support further work to evaluate postfracture rehabilitation for nursing home residents.

The cost implication of primary prevention in the HOPE 3 trial

2019 ◽  
Vol 5 (3) ◽  
pp. 266-271
Author(s):  
Andre Lamy ◽  
Eva Lonn ◽  
Wesley Tong ◽  
Balakumar Swaminathan ◽  
Hyejung Jung ◽  
...  
Keyword(s):  
Developing Countries ◽  
Primary Prevention ◽  
Cost Saving ◽  
Developed Countries ◽  
Sensitivity Analyses ◽  
Clinical Trial Registration ◽  
Pressure Lowering ◽  
The Cost ◽  
Care Costs ◽  
Country Specific

Abstract Aims The Heart Outcomes Prevention Evaluation-3 (HOPE-3) found that rosuvastatin alone or with candesartan and hydrochlorothiazide (HCT) (in a subgroup with hypertension) significantly lowered cardiovascular events compared with placebo in 12 705 individuals from 21 countries at intermediate risk and without cardiovascular disease. We assessed the costs implications of implementation in primary prevention in countries at different economic levels. Methods and results Hospitalizations, procedures, study and non-study medications were documented. We applied country-specific costs to the healthcare resources consumed for each patient. We calculated the average cost per patient in US dollars for the duration of the study (5.6 years). Sensitivity analyses were also performed with cheapest equivalent substitutes. The combination of rosuvastatin with candesartan/HCT reduced total costs and was a cost-saving strategy in United States, Canada, Europe, and Australia. In contrast, the treatments were more expensive in developing countries even when cheapest equivalent substitutes were used. After adjustment for gross domestic product (GDP), the costs of cheapest equivalent substitutes in proportion to the health care costs were higher in developing countries in comparison to developed countries. Conclusion Rosuvastatin and candesartan/HCT in primary prevention is a cost-saving approach in developed countries, but not in developing countries as both drugs and their cheapest equivalent substitutes are relatively more expensive despite adjustment by GDP. Reductions in costs of these drugs in developing countries are essential to make statins and blood pressure lowering drugs affordable and ensure their use. Clinical trial registration HOPE-3 ClinicalTrials.gov number, NCT00468923.

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