New Pathways and Alternative Settings

2017 ◽  
pp. 200-217 ◽  
Author(s):  
Meg A. Bond ◽  
Maureen O’Connor ◽  
Amanda Clinton
Keyword(s):  
Alternative Settings

Sexual Assault Nurse Examiner Programs as Alternative Settings

2005 ◽  
Author(s):  
R. Campbell ◽  
D. Patterson ◽  
L. Lichty ◽  
M. Sturza
Keyword(s):  
Sexual Assault ◽  
Sexual Assault Nurse Examiner ◽  
Alternative Settings

scholarly journals Childhood and Adolescent Vaccination in Alternative Settings

2021 ◽  
Vol 21 (4) ◽  
pp. S50-S56
Author(s):  
Annika M. Hofstetter ◽  
Stanley Schaffer
Keyword(s):  
Adolescent Vaccination ◽  
Alternative Settings

scholarly journals New ways of working: COVID-19 as a catalyst for change in acute mental health services

BMJ Leader ◽  
2021 ◽  
pp. leader-2020-000366
Author(s):  
Kezanne Tong ◽  
Genevieve Crudden ◽  
Wen Xi Tang ◽  
David McGuinness ◽  
Margaret O'Grady ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Response Times ◽  
New Ways Of Working ◽  
Number Of Patients ◽  
Service Staff ◽  
Alternative Settings ◽  
Quality Response ◽  
Spread Of Infection

BackgroundA need arose to divert patients with psychiatric complaints from the emergency department to alternative settings for psychiatric consultations to reduce footfall during COVID-19. We assessed the effectiveness of alternative referral pathway in reducing COVID-19 infection in our service and its effect on service quality: response time and number of patients leaving before the review. We evaluated the satisfaction of patients, general practitioners (GPs) and mental health service staff with the pathway.MethodsAll patients referred to the mental health service over a 2-month period following the introduction of the pathway were included. Findings were compared against the cohort referred for emergency assessment during the same period in 2019. Feedback surveys were distributed to patients, staff and GPs. χ2 and independent sample t-test were used to compare the variables.ResultsOver 2 months, 255 patients received an emergency assessment via the pathway, representing a 22.3% decrease in the volume of presentations from the same period in 2019. There were no COVID-19 cases among our patients or staff on the roster for assessing patients. In comparison to 2019, response times were improved (p<0.001), and the numbers of patients who left the hospital before the review were reduced by 3.2% during the study period (p<0.001). Patients and GPs were highly satisfied with the referral pathway and believed that the pathway should be retained post-COVID-19. Mental health service staff were divided in their opinions about its sustainability.ConclusionThe pathway was successful in reducing the spread of infection, improving response times and reducing the numbers of patients who left without an assessment. Given the improved outcomes and acceptability, this is a preferable pathway for emergency referrals into the future.

Do Country-level Creditor Protections Affect Firm-level Debt Structure Concentration?

2021 ◽  
Author(s):  
Kose John ◽  
Mahsa S Kaviani ◽  
Lawrence Kryzanowski ◽  
Hosein Maleki
Keyword(s):  
Debt Structure ◽  
Difference In Differences ◽  
Firm Level ◽  
Creditor Rights ◽  
Country Level ◽  
Bankruptcy Costs ◽  
Cash Flow Volatility ◽  
Cross Country ◽  
Using Data ◽  
Alternative Settings

Abstract We study the effects of country-level creditor protections on the firm-level choice of debt structure concentration. Using data from 46 countries, we show that firms form more concentrated debt structures in countries with stronger creditor protection. We propose a trade-off framework of optimal debt structure and show that in strong creditor rights regimes, the benefit of forming concentrated structures outweighs its cost. Because strong creditor protections increase liquidation bias, firms choose concentrated debt structures to improve the probability of successful distressed debt renegotiations. Firms with ex-ante higher bankruptcy costs, including those with higher intangibility, cash flow volatility, R&D expenses, and leverage exhibit stronger effects. Firms with restricted access to capital are also affected more. A difference-in-differences analysis of firms’ debt structure responses to creditor rights reforms confirms the cross-country results. Our findings are robust to alternative settings and a battery of robustness checks.

Creating Communities of Support Within Alternative Settings: Perspectives of Practicing Alternative School Administrators

2019 ◽  
Vol 30 (1) ◽  
pp. 23-41
Author(s):  
Richard T. (RT) Duke ◽  
Penny L. Tenuto
Keyword(s):  
Public Schools ◽  
Professional Practice ◽  
Teaching And Learning ◽  
Alternative School ◽  
School Administrators ◽  
School Personnel ◽  
Policy And Practice ◽  
Traditional Public Schools ◽  
High Standards ◽  
Alternative Settings

Much can be learned from practicing school leaders, including how they describe their roles navigating between policy and practice with a focus on meeting students’ needs. This article considers how alternative school administrators work with school personnel to create communities for supporting students once considered at risk in traditional public schools. Findings include (1) creating a culture of high standards, (2) adopting a personalized or caring approach to leadership, (3) exploring and implementing innovative practices for teaching and learning, and (4) managing students as a collaborative and individualized process. For further understanding, authors apply emergent themes to a model for advancing democratic professional practice in education.

scholarly journals Effect of SWPBIS on Disciplinary Exclusions for Students With and Without Disabilities

2019 ◽  
Vol 86 (1) ◽  
pp. 25-39 ◽  
Author(s):  
Nicolette M. Grasley-Boy ◽  
Nicholas A. Gage ◽  
Michael Lombardo
Keyword(s):  
Students With Disabilities ◽  
Experimental Studies ◽  
State Level ◽  
Behavior Interventions ◽  
Inappropriate Behaviors ◽  
Positive Behavior Interventions ◽  
School Suspensions ◽  
Quasi Experimental ◽  
Alternative Settings ◽  
Out Of School

School leaders react to inappropriate behaviors by excluding students, despite research suggesting an association with poor student outcomes. Students with disabilities are frequently subjected to these practices. One framework that has been proposed to reduce the reliance on reactive discipline procedures is schoolwide positive behavior interventions and supports (SWPBIS). In this study, we replicated several state-level quasi-experimental studies with discipline data from California. Using propensity score matching, we compared 544 schools implementing SWPBIS with fidelity and 544 schools that had never been trained. We found statistically significantly fewer out-of-school suspensions and days missed due to out-of-school suspensions across all students. Students with disabilities were statistically significantly less likely to be sent to alternative settings due to behavior in schools implementing SWPBIS with fidelity, with an effect size of −0.65. These results replicate and extend prior findings.

scholarly journals Reconfiguring in-patient services for adults with mental health problems: changing the balance of care

BJPsych Open ◽  
2018 ◽  
Vol 4 (6) ◽  
pp. 420-426 ◽  
Author(s):  
Sue Tucker ◽  
Jane Hughes ◽  
David Jolley ◽  
Deborah Buck ◽  
Claire Hargreaves ◽  
...  
Keyword(s):  
Mental Health ◽  
Community Care ◽  
Mental Health Problems ◽  
Cost Savings ◽  
Community Services ◽  
Nominal Group ◽  
Strategic Issues ◽  
Patient Groups ◽  
Balance Of Care ◽  
Alternative Settings

BackgroundResearch suggests that a significant minority of hospital in-patients could be more appropriately supported in the community if enhanced services were available. However, little is known about these individuals or the services they require.AimsTo identify which individuals require what services, at what cost.MethodA ‘balance of care’ (BoC) study was undertaken in northern England. Drawing on routine electronic data about 315 admissions categorised into patient groups, frontline practitioners identified patients whose needs could be met in alternative settings and specified the services they required, using a modified nominal group approach. Costing employed a public-sector approach.ResultsCommunity care was deemed appropriate for approximately a quarter of admissions including people with mild-moderate depression, an eating disorder or personality disorder, and some people with schizophrenia. Proposed community alternatives drew heavily on carer support services, community mental health teams and consultants, and there was widespread consensus on the need to increase out-of-hours community services. The costs of the proposed community care were relatively modest compared with hospital admission. On average social care costs increased by approximately £60 per week, but total costs fell by £1626 per week.ConclusionsThe findings raise strategic issues for both national policymakers and local service planners. Patients who could be managed at home can be characterised by diagnosis. Although potential financial savings were identified, the reported cost differences do not directly equate to cost savings. It is not clear whether in-patient beds could be reduced. However, existing beds could be more efficiently used.Declaration of interestNone.

scholarly journals On optimal stopping of risk processes with regime switching

2012 ◽  
Vol 45 (2) ◽  
Author(s):  
Elżbieta Ferenstein ◽  
Adam Pasternak-Winiarski
Keyword(s):  
Optimal Stopping ◽  
Regime Switching ◽  
Random Variable ◽  
Risk Process ◽  
Stopping Rules ◽  
Process Change ◽  
Programming Methodology ◽  
Finite Set ◽  
Alternative Settings ◽  
Risk Processes

AbstractIn the paper we solve a problem of optimal stopping of a risk process in two alternative settings. We assume that the main characteristics of the risk process change according to unobservable random variable. In the first model we assume that the post-disorder distributions are not known a’priori and are randomly chosen from a finite set of admissible distributions. The second model concentrates on a situation when more than one disorder is possible. For both models optimal stopping rules with respect to given utility function are constructed using dynamic programming methodology.

Alternative settings for liberal-conservative exchange: Examining an undergraduate dialogue course

2010 ◽  
pp. n/a-n/a ◽  
Author(s):  
Jacob Z. Hess ◽  
Danielle Rynczak ◽  
Joseph D. Minarik ◽  
Joycelyn Landrum-Brown
Keyword(s):  
Alternative Settings
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