Flexible and Integrative Psychiatric Care Based on a Global Treatment Budget: Comparing the Implementation in Germany and Poland

Background: The past decade has witnessed the establishment of flexible and integrative treatment (FIT) models in 55 German and Polish psychiatric catchment areas. FIT is based on a global treatment budget (GTB), which integrates funding of all acute psychiatric hospital services for a regional population. Prior research has identified 11 specific program components of FIT in Germany. In this paper we aim at assessing the applicability of these components to the Polish context and at comparatively analysing FIT implementation in Poland and Germany.Methods: Qualitative interviews about the applicability of the 11 FIT-specific components were conducted with the program managers of the Polish FIT models (n = 19). Semi-quantitative data on the FIT-specific components were then collected in 19 Polish and 10 German FIT models. We assessed the grading of each component, their overall degree of implementation and compared them between the two countries. In all study hospitals, structural and statistical parameters of service delivery were collected and compared.Results: The qualitative results showed that the German FIT-specific components are in principle applicable to the polish context. This allowed the comparative assessment of components grading and degree of implementation, which showed only subtle discrepancies between German and Polish FIT models. The little discrepancies point to specific aspects of care such as home treatment, peer support, and cooperation with non-clinical and social welfare institutions that should be further integrated in the components' definition.Conclusions: The specific program components of FIT as first defined from the German experience, serves as a powerful tool to measure, and evaluate implementation of integrated psychiatric care both within and between health systems.

A Four-Week Otolaryngology Virtual Educational Curriculum for Prospective Applicants

The COVID-19 pandemic led to a suspension of visiting student rotations across the United States. For senior medical students applying into surgical subspecialties, such as otolaryngology, these away rotations serve a vital role in the residency application process. Prior to the pandemic, there was not a virtual alternative to in-person visiting student rotations for applicants. We developed a replicable and expandable program focused on helping prospective otolaryngology applicants (fourth-year medical students) gain exposure to the experiences typically offered via in-person rotations. The goal was to improve otolaryngology-specific knowledge and to help applicants demonstrate specific program interest, without the financial and logistical challenges associated with in-person away rotations.

In-home Child Welfare Services

In-home services represent a wide range of approaches to supporting and strengthening families that child welfare agencies implement to achieve the important outcomes of child and family well-being, safety, and permanency. In-home services are an essential component of the child welfare service system, but often receive less explicit attention in child welfare practice and research than other system components such as foster care, adoption, and child protective investigation. In-home services have been known by different terms over time, from services to children in their own homes, home-based, family-based, or family-centered services, family preservation, or others. Child welfare service systems differ considerably across states and localities, and in-home services probably demonstrate the highest degree of variability in target population, design, and implementation. New federal legislation, the Family First Prevention Services Act (2018), has renewed interest in in-home services. Family First creates mechanisms for states to access federal Title IV-E funds, the primary funding stream for foster care, to use for preventive services, but it also requires that these services demonstrate a sufficiently high level of research evidence of their effectiveness. With increasing emphasis on evidence-based practice, the field is challenged to implement programs and practices that demonstrate efficacy as well as practicality within the budgetary and bureaucratic constraints of public child welfare systems. This bibliography reflects a changing landscape for in-home services. The focus is on specific program models, and the extant evidence base of these models. Most are used with families who are receiving in-home services because the child welfare agency opened a service case due to an allegation of child maltreatment with the goal of preventing repeat maltreatment or the child’s removal from home. Some jurisdictions also use in-home services, including some of the specific program models described in this bibliography, prior to a report of child maltreatment, during the assessment or investigative process, or as part of an aftercare program to facilitate family reunification following a placement. Some attention is also given to in-home child welfare services provided when a child’s behavior, rather than the parent’s, poses a risk for removal. Included in this review are differential response systems, which numerous states have implemented to provide in-home services earlier and without formally opening a child welfare case; however, home visiting and family support programs of a more primary prevention nature are excluded from this review.

Eating with penitence: An essay on the local church eating responsibly

In this essay, I pose the question, “How might local congregations participate in food reform and agricultural renewal?” Given the problems of industrial agriculture and the wider ecological concern, this question is pressing. Instead of advocating a specific program, I focus on how the Church might address this question while keeping its commitment to being a repentant Church. First, I discuss the significance of attention and particularly the habit of attending to the Word and Sacrament. This posture, I argue, maintains the Church’s integrity, preventing it from merely branding itself or relying on its own resources. Second, I briefly explore the association of eating with the mission of the Church in the New Testament, highlighting the repeated theme of judgment and call to humility in the context of eating. Third, I draw out the importance of continual remorse over sin. This attitude is essential to the Church’s vocation and rightly appears in many historic liturgies. I argue that this posture should extend to the question of eating responsibly. Penitence demonstrates the Church’s relationship to the wider world and testifies to the source of the Church’s own life, the Holy Spirit, who does the work of renewal.

Development of Types of Culture of Thinking in a Trimodal Organization in the Context of Business Transformation

Business transformation requires changes in management business models and types of thinking culture. Human resources play a special role in these processes. The article analyzes the transition of PAO Sberbank, Russia's leading financial institution, to a trimodal organization and the corresponding types of thinking culture - run, change and disrupt. The study of the compliance of the personnel development system with the specifics of a tri-modal organization, conducted using the author's structured interview, showed their imbalance. The authors offer recommendations for the development of the types of culture of thinking change and disrupt, which are most conducive to effective business transformation in accordance with the organization's strategy. The novelty of the study is the first attempt to explore the types of culture of thinking three-modal organization, the practical importance - to develop a specific program for their development.

Work Immersion Program for Senior High School in the Division of Pasay: Basis for an Intervention Plan

The researcher proposed intervention plan that will provide specific program that will address the problems in Work Immersion Delivery Model and to improve and provide step by step procedure to fill the needs found on the assessment of the work immersion program. It is in this context, the researcher assessed the work immersion program with corresponding variables and proposed intervention program that aims to cater teacher, industry partners and students in the Division of Pasay City to enhanced the better implementation of the work immersion program.

WORLD SPACE OF TURKIC-SPEAKING PEOPLES AT THE BEGINNING OF THE XXI CENTURY

The article reveals the role of Turkic peoples in world civilization. Theoretically, a review of the research of Kazakh and Turkic, as well as the works of foreign scientists which are the source of Turkic science is conducted. Localization and world distribution of Turkic-speaking peoples is characterized by a combination of historical epochs. It is necessary to form and systematize the database of Turkic languages of the same origin. The database includes the following directions: to determine the number of speakers of Turkic languages in the modern world, to show the distribution of Turkic languages in the WebGIS system, to analyze data on the classification of Turkic languages, to demonstratethe status of modern Turkic languages. It is planned to make proposals on the activation of Turkic languages under threat of extinction on the basis of the specific program. The scientific work, which brings a new impetus to the Kazakh Turkology, contributes to the development of the Turkic Union.