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Journal articles on the topic 'Adult Services Program'
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Marsack-Topolewski, Christina N., and Arlene N. Weisz. "Parents’ Perceptions of Access to Services for Their Adult Children Diagnosed With Autism Spectrum Disorder." Families in Society: The Journal of Contemporary Social Services 101, no. 2 (January 2, 2020): 190–204. http://dx.doi.org/10.1177/1044389419881273.
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The purpose of this phenomenological study was to investigate parents’ perceptions of service access for their adult children with autism spectrum disorder (ASD). Access includes accommodation, acceptability, availability, and affordability (4 As) of services. This study examined which of the 4 As presented the biggest challenges across multiple types of services needed. Fifty-one parents of adult children with ASD participated in semistructured interviews sharing perceptions of support services available for their adult children. Parents discussed eight types of services (case management, educational programs, employment and employment supports, physical/mental health care, housing, day program or respite care, social life and recreation, and transportation). Based on parent perceptions, services were inconsistently accessible, difficult to obtain, and inadequate. Trained social workers and health care professionals are needed to provide and coordinate services for adults with ASD.
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Gendron, Tracey L., Jennifer M. Pryor, and E. Ayn Welleford. "Lessons Learned From a Program Evaluation of a Statewide Continuing Education Program for Staff Members Working in Assisted Living and Adult Day Care Centers in Virginia." Journal of Applied Gerontology 36, no. 5 (February 22, 2016): 610–28. http://dx.doi.org/10.1177/0733464816633124.
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The number of older adults residing in assisted living facilities (ALF) and utilizing adult day care services is expanding with the increasing population of older adults. Currently, there are no standardized requirements for continuing education for assisted living and adult day care service staff at a national level. Given that 62% of states within the United States require continuing education for ALF staff and/or administrators, a more formalized system is needed that provides evidence-based gerontological training to enhance the quality of care and services provided to older adults. This article describes the challenges and lessons learned from conducting a program evaluation of a Statewide Training and Continuing Education Program for Assisted Living Facility and Adult Day Care Service staff in Virginia. Survey evaluation data from a 6-year period was examined and a formative program evaluation was conducted. The findings from the survey evaluation and formative evaluation are discussed as are the lessons learned.
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Butler, Sandra S., Jennifer Crittenden, Dyan Walsh, and Lenard Kaye. "ADULT DAY SERVICES IN A RURAL REGION: CHALLENGES AND OPPORTUNITIES." Innovation in Aging 3, Supplement_1 (November 2019): S154—S155. http://dx.doi.org/10.1093/geroni/igz038.555.
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Abstract Adult day services (ADS) programs provide stimulation and socialization for older adults with cognitive and physical disabilities, and much needed respite for family caregivers. Like many services for older adults, ADS programs are far less available in rural regions of the country than in more urban settings. This paper reports on a needs assessment for an ADS program in a small city, which serves as a health and human services hub for a large rural area; a particular focus of the study was to assess the feasibility and interest in intergenerational programming. Family caregivers were surveyed (n = 84) about their use and knowledge of and interest in ADS. Less than one in five respondents were using or had ever used ADS. Cost (20%) and ignorance of such programs (20%) were primary reasons for not using ADS; reduction of stress was the most frequently cited reason for using ADS (73%). Ten in-person interviews were conducted with ADS program directors and service providers who refer clients to ADS. Funding issues emerged as the key challenge given lack of private insurance coverage and poor reimbursement levels from public insurance programs. Challenges around transportation, stigma, and marketing of services also surfaced in the interviews. Nonetheless, all ten informants spoke of the positive impact of ADS for both consumers and their caregivers, and generally endorsed intergenerational activities, though with caveats. Implications will be discussed, including the need for greater financial support for this valuable aspect of our long-term supports and services system.
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Ojeda, Victoria D., Laura Romero, and Arisa Ortiz. "A model for sustainable laser tattoo removal services for adult probationers." International Journal of Prisoner Health 15, no. 4 (December 5, 2019): 308–15. http://dx.doi.org/10.1108/ijph-09-2018-0047.
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Purpose The purpose of this paper is to describe a sustainable free laser tattoo removal clinic for economically disadvantaged adult probationers. Design/methodology/approach This paper describes the partnerships, methods and challenges/lessons learned from the implementation of a free monthly laser tattoo removal program for adult probationers within a medical school setting in California. Findings Possible patients are identified via a collaboration with the county’s Probation Department. Founded in 2016, this monthly program has provided tattoo removal services to >37 adult patient probationers, many of whom receive follow-up treatments. Clients seek to remove about four blue/black ink tattoos. Since its inception, 23 dermatology residents have volunteered in the program. Challenges to patients’ ongoing participation primarily pertain to scheduling issues; strategies for overcoming barriers to participation are provided. No safety concerns have emerged. Social implications Programs such as this public-private partnership may benefit probationers by eliminating financial barriers associated with tattoo removal. This model supports the training of cohorts of dermatologists seeking community service opportunities related to laser medicine. Others seeking to implement a similar program may also consider expanding treatment days/times to facilitate access for working probationers, providing enrollment options for other health and social services (e.g. public insurance, food stamp programs) and hosting a mobile onsite clinic to address clients’ physical and mental health needs. Originality/value This paper describes a unique collaboration between law enforcement and a medical school and it may assist other jurisdictions in establishing free tattoo removal programs for the benefit of probationers. The methods described overcome challenges regarding the implementation of this specialized clinical service.
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Otto, J. M. "Program and Administrative Issues: Affecting Adult Protective Services." Public Policy & Aging Report 12, no. 2 (January 1, 2002): 3–7. http://dx.doi.org/10.1093/ppar/12.2.3.
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Kogon, Brian E., Kati Miller, Paula Miller, Bahaaldin Alsoufi, and Joshua M. Rosenblum. "Adult Congenital Cardiac Care." World Journal for Pediatric and Congenital Heart Surgery 8, no. 2 (March 2017): 242–47. http://dx.doi.org/10.1177/2150135117690126.
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Background: The Adult Congenital Heart Association (ACHA) is dedicated to supporting patients with congenital heart disease. To guide patients to qualified providers and programs, it maintains a publicly accessible directory of dedicated adult congenital cardiac programs. We analyzed the directory in 2006 and 2015, aiming to evaluate the growth of the directory as a whole and to evaluate the growth of individual programs within the directory. We also hope this raises awareness of the growing opportunities that exist in adult congenital cardiology and cardiac surgery. Methods: Data in the directory are self-reported. Only data from US programs were collected and analyzed. Results: By the end of 2015, compared to 2006, there were more programs reporting to the directory in more states (107 programs across 42 states vs 57 programs across 33 states), with higher overall clinical volume (591 vs 164 half-day clinics per week, 96,611 vs 34,446 patient visits). On average, each program was busier (5 vs 2 half-day clinics per week per program). Over the time period, the number of reported annual operations performed nearly doubled (4,346 operations by 210 surgeons vs 2,461 operations by 125 surgeons). Access to ancillary services including specific clinical diagnostic and therapeutic services also expanded. Conclusion: Between 2006 and 2015, the clinical directory and the individual programs have grown. Current directory data may provide benchmarks for staffing and services for newly emerging and existing programs. Verifying the accuracy of the information and inclusion of all programs will be important in the future.
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Weeks, Lori E., and Karen A. Roberto. "Comparison of Adult Day Services in Atlantic Canada, Maine, and Vermont." Canadian Journal on Aging / La Revue canadienne du vieillissement 21, no. 2 (2002): 273–82. http://dx.doi.org/10.1017/s0714980800001525.
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ABSTRACTIn both Canada and the United States, adult day services (ADS) are an integral component in the array of long-term care services available. We compared characteristics of programs and participant characteristics in Atlantic Canada, Maine, and Vermont. Directors of 47 ADS programs responded to a mailed survey. Individual ADS programs in each province and state exhibited unique program and participant characteristics. ADS programs in the two countries differed with respect to: affiliation, location, levels of government support, participant fees, organizational sponsorship, hours of operation, months of attendance, and hours attended per day. Participant characteristics that varied between the two countries were educational level, physical needs, and cognitive status. The results of this study provide new comparative information that can be used in guiding future research and program development of ADS.
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Mull, Charlotte, Patricia L. Sitlington, and Sandra Alper. "Postsecondary Education for Students with Learning Disabilities: A Synthesis of the Literature." Exceptional Children 68, no. 1 (October 2001): 97–118. http://dx.doi.org/10.1177/001440290106800106.
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This article is a systematic analysis and synthesis of published research from 1985–2000 recommending or reporting on postsecondary education services for students with learning disabilities. Twenty-six articles met the criteria of recommending services or describing services presently available. The 11 program factors examined were: definition of learning disability, characteristics of adult learners, type of institution, special admission procedures, assessment services, program accommodations, support services, instructional adjustments, instructional staff training, direct service staff training, and program evaluation. Implications and recommendations for postsecondary program development are presented.
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Karmelita, Courtney. "Fundamental Elements of Transition Program Design." Adult Learning 28, no. 4 (August 4, 2017): 157–66. http://dx.doi.org/10.1177/1045159517718328.
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Adult learners require supports and services to help them successfully transition into taking on the demands and expectations of college students. Transition programs have grown in popularity as a means to aid adult learners as they transition to higher education. Unfortunately, previous research on adult learner participation in transition programs is limited in its scope and depth. There is a need to understand how to develop transition programs to best support adult learners. Drawing on interviews and observation, this narrative study investigates program details about the funding structure, reporting measures, and development of the researched transition program. I identify fundamental elements for effective transition program design that align with adult education and transition theory. This research also points to the importance of connecting adult learners to institutions to give them a sense of mattering to the university.
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Uffner, Britney, Mary Rauktis, and Rachel Fusco. "A Time of Transition." Journal of Child and Youth Care Work 25 (November 17, 2020): 214–28. http://dx.doi.org/10.5195/jcycw.2015.83.
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The transition to adulthood can be a difficult process for any youth. This paper explores an outcome-impact assessment of the Intensive Transitions Treatment (ITT) Program. This service system works with youth facing the challenges of mental illness, substance abuse, and involvement with CYS or Court Supervision Services, with little, if any, support for the transition to adulthood. The primary adult living domains of education, housing, and employment are examined both qualitatively and quantitatively at different points of program involvement. The findings indicate program achievements, opportunities for improvement, and the need for additional research regarding intensive services and relevant supports. Implications for comparable youth programs and resources, service staff, policymakers, and community members are discussed.
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Simpson, Ewurabena, Richard Ward, Melanie Kirby, and Isaac Odame. "Comparing Patterns for Transitioning the Care of Young Adults with Sickle Cell Disease Versus Hemophilia: The Toronto Experience." Blood 118, no. 21 (November 18, 2011): 2072. http://dx.doi.org/10.1182/blood.v118.21.2072.2072.
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Abstract Abstract 2072 Background: The Hospital for Sick Children (HSC) in Toronto, Canada cares for more than 700 children with sickle cell disease (SCD), which is the largest Canadian population of children with SCD. Since 2009, the SCD Program at HSC has partnered with adult hematologists within the Red Blood Cell Disorders program at Toronto General Hospital (TGH) to develop a coordinated strategy for transitioning the care of young adults with SCD. Hemophilia is a chronic hematological condition which, like SCD, has a spectrum of disease severity that requires multidisciplinary follow up. At HSC, we care for nearly 200 patients with hemophilia A and B and have a long-established partnership with adult hematologists, which has led to an effective transfer of patients with hemophilia into adult care. In Ontario, adult health providers are remunerated according to a fee-for-service billing schedule. In contrast, pediatric subspecialists are mainly salaried under an alternate funding plan. Until 2010, adult hematologists who provided medical care for individuals with hemophilia received a significantly higher pay scale than those who cared for individuals with SCD. This was changed in July 2010 so that adult hematologists receive commensurate remuneration for services rendered for both hemophilia- and SCD-related medical care. Objectives: 1. To compare the patterns for transitioning patients of varying disease severity within the pediatric and adult SCD and hemophilia programs in Toronto, Ontario. 2. To identify barriers and enablers that have influenced the transition of young adults with SCD within a universal health care system. Methods: Data for active, transitioned and inactive patients in the HSC and TGH clinical programs are maintained in a database at HSC. These patient numbers were gathered according to sickle cell genotype. Similar data were available for hemophilia patients who were transitioned from HSC to adult care. Chi-square analyses were used to compare the proportions of patients in the sickle cell and hemophilia programs that were transitioned between 2009 and 2011. Results: Conclusion: The HSC-TGH- partnership has significantly reduced the number of youth with SCD who continue to be followed at HSC or are lost to follow up. However, a significant number of young adults within the HSC SCD program still need to be transitioned to adult care. For the sustainable expansion of this transitional care strategy, health policymakers must collaborate with tertiary and community level health care providers to develop a coordinated and distributed strategy for the effective delivery of comprehensive health care services for young adults with SCD. Disclosures: No relevant conflicts of interest to declare.
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Pickard, Amy. "Accountability in Adult Basic Education: The Marginalization of Adults with Difficulty Reading." Journal of Literacy Research 53, no. 1 (January 23, 2021): 53–74. http://dx.doi.org/10.1177/1086296x20986910.
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Federal accountability policies requiring rapid, measurable outcomes have increasingly shaped the nature and type of public literacy services available to adults. However, little empirical research has explored the impact of accountability policies on program practice in adult basic education, and almost no research has focused on the effect on services for adults who have difficulty reading. This ethnographically grounded research article explores one publicly funded adult basic education program’s efforts to comply with federal accountability policy and the impact these efforts had on services for adults with difficulty reading. Findings suggest that efforts to comply with accountability policies resulted in instructional practices that limited students’ opportunities for substantive engagement with reading and in program policies that excluded students who did not produce outcomes from participation. The findings also suggest that in the context of accountability pressures, student marginalization became normalized as an ordinary part of practice.
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Rojewski, Jay W. "Key Components of Model Transition Services for Students with Learning Disabilities." Learning Disability Quarterly 15, no. 2 (May 1992): 135–50. http://dx.doi.org/10.2307/1511015.
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Secondary-based transition programs are developed to provide instruction and support for students in transition from school to adult life. Often such programs are general in scope and designed to serve a number of students who share common characteristics (e.g., all students with mild disabilities). However, this type of program design may not adequately address the specific problems or needs of students with learning disabilities. To identify the key components of transition programs for individuals with learning disabilities, nine model programs were reviewed. Seven exemplary program components emerged: individualized planning and coordination; vocational preparation; academic remediation and support; academic, vocational, and social-personal counseling; support systems and services; job seeking and placement; and follow-up/follow-along. Together, these seven components appear to provide students with learning disabilities a set of key services and experiences needed to successfully transition from secondary/postsecondary education to employment and adult life.
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Collins, Mary Elizabeth, Terry S. Lane, and Joyce West Stevens. "Teen Living Programs for Young Mothers Receiving Welfare: An Analysis of Implementation and Issues in Service Delivery." Families in Society: The Journal of Contemporary Social Services 84, no. 1 (January 2003): 31–38. http://dx.doi.org/10.1606/1044-3894.75.
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Changes in welfare programs are likely to have several important effects on populations served by social workers. While most attention has addressed the work requirement and time limits imposed by welfare reform, other aspects of the legislation also require attention. Living requirement legislation for teen parents receiving welfare has led the state of Massachusetts to develop Teen Living Programs (TLPs). TLPs are residential programs that allow teen parents to fulfill the living requirement when they are unable to live in the home of a parent or adult guardian. Data collected during program site visits to report on the implementation of the programs are used in this paper. This report identifies and analyzes issues related to service delivery that may be useful to social workers, policymakers, and program developers interested in supporting adolescent mothers affected by living requirement legislation. Analysis includes discussion of programming and staff, standardization of services, flexibility and individualized services, the residential model, and limitations of the program response.
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Beasley, Jeannette, Judith Wylie-Rosett, Mary Ann Sevick, Laura DeLuca, and Joshua Chodosh. "PARTNERING WITH NUTRITION SERVICES PROGRAM PROVIDERS TO DISSEMINATE EVIDENCE-BASED PROGRAMS USING TELE-HEALTH." Innovation in Aging 3, Supplement_1 (November 2019): S227. http://dx.doi.org/10.1093/geroni/igz038.836.
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Abstract Among adults ≥ age 65, 48% have prediabetes and are eligible to participate in the Medicare-covered Diabetes Prevention Program (DPP). We conducted a six-week pilot study to evaluate the feasibility and acceptability of a telehealth-adapted DPP for Nutrition Services Program (NSP) older adult meal program recipients. We enrolled NSP recipients (n=16) from a New York City senior center. These DPP participants attended weekly interactive DPP webinars and completed questionnaires covering lifestyle, physical activity, quality of life, and food records, and wore physical activity trackers. Retention was 75%; attendance averaged 80%; and weight loss was 2.9% (p=0.001). Our six-week pilot data suggest that a tele-adapted DPP intervention can achieve the Medicare reimbursement goals for attendance and 5% weight loss. We are surveying NSP recipients, who receive home-delivered meals, to evaluate the acceptability and feasibility of conducting a larger scale tele-adapted DPP intervention trial among NSP participants.
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LeBlanc, Linda A. "Integrating Behavioral Psychology Services Into Adult Day Programming for Individuals With Dementia." Behavior Modification 34, no. 5 (September 2010): 443–58. http://dx.doi.org/10.1177/0145445510383528.
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Many individuals with dementia and problem behavior are served in nursing home settings long before health issues necessitate constant medical care. Alternative community-based adult day health care programs allow individuals with dementia to remain in their home with their families at a substantially reduced cost; however, many adult day programs face the same difficulties in managing problem behavior as family members do, leading to premature termination of services. This article describes a multiyear project that integrated behavior analytic services into an adult day program for individuals with dementia and problematic behavior. A comprehensive practicum system was developed to provide assessment and treatment services that allowed consumers with problem behavior to remain successfully served in adult day programming while postponing out-of-home nursing home care.
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Hitzig, Sander, Christine Sheppard, Ariana Holt, Andrea Austen, and Miller Glenn. "An International Environmental Scan of Social Housing for Older Adults." Innovation in Aging 4, Supplement_1 (December 1, 2020): 910. http://dx.doi.org/10.1093/geroni/igaa057.3347.
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Abstract The City of Toronto is creating a standalone housing corporation to focus on the specific needs of low-income older adults living in social housing. A key focus of this new corporation will be to provide housing, health and community support services needed to optimize older adult tenants’ ability to maintain their tenancy and age in place with dignity and in comfort. To support this work, we conducted an environmental scan of service delivery models that connect low-income older adults living in social housing with health and support services. Desktop research was undertaken to identify relevant programs. For each model, key details were extracted including housing type, services offered, provider information, rent structure and funding sources. The scan identified 34 examples of social housing programs for older adults run by public, private and non-profit agencies across Canada, the United States and Europe that integrated health and supportive services. Successful models were those that understood the needs of tenants and developed collaborative partnerships with health and social service providers to create flexible place-based programs. A common challenge across jurisdictions was privacy legislation that made it difficult to share health and tenancy data with program partners. The presence of on-site staff that focused on building trust and community among tenants was considered key for identifying tenants requiring additional supports in order to age in place. These insights offer important considerations on how integrated supportive housing service models promote housing stability and support better health and wellbeing among older adults residing in social housing.
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Syme, J., and K. Wilton. "Perceptions of a Community Program for Multiply Handicapped Blind Young Adults." Journal of Visual Impairment & Blindness 81, no. 2 (February 1987): 59–60. http://dx.doi.org/10.1177/0145482x8708100205.
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This article reports the results of a survey of the perceptions of parents of nine multiply handicapped young adults enrolled in a community living program in New Zealand and of the nine staff members who were working with the young adults. All the parents believed that the program had benefited their multiply handicapped children. Both parents and staff members strongly supported the involvement of parents in the program and the content and focus of the program. Although both the parents and the staff members believed that available support services were adequate, the social worker and adult rehabilitation services were viewed much less favorably by the parents than by the staff.
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McGrath, Robert J., Georgia Cumming, Joy A. Livingston, and Stephen E. Hoke. "Outcome of a Treatment Program for Adult Sex Offenders." Journal of Interpersonal Violence 18, no. 1 (January 2003): 3–17. http://dx.doi.org/10.1177/0886260502238537.
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This study examined the recidivism rates of 195 adult male sex offenders who were referred to a prison-based cognitive-behavioral treatment program. Of this sample, 56 participants completed treatment, 49 entered but did not complete treatment, and 90 refused treatment services. Although participants were not randomly assigned to treatment conditions, there were no between-group differences on participants’ pre-treatment risk for sexual recidivism as appraised on two actuarial risk measures, the RRASOR and Static-99. Over a mean follow-up period of almost 6 years, the sexual reoffense rate for the completed-treatment group was 5.4% versus 30.6% for the some-treatment and 30.0% for the no-treatment groups. Lower sexual recidivism rates were also found among those participants who received aftercare treatment and correctional supervision services in the community.
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Manoli, Day, and Ankur Patel. "Long-Term Treatment Effects of Job Search Assistance and Training: A Summary of Recent Evidence." AEA Papers and Proceedings 109 (May 1, 2019): 340–43. http://dx.doi.org/10.1257/pandp.20191048.
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This paper presents a summary of recent evidence on long-term treatment effects from job search assistance and training services on labor market outcomes. The evidence is based on merging program data from three randomized controlled trials (RCTs) to administrative tax data. The RCTs are for the following programs: the Nevada Reemployment Eligibility Assessment program, Workforce Investment Act Adult and Dislocated Worker programs, and the Job Corps program.
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Mielenz, Thelma J., Laura Durbin, Fern Hertzberg, Diana Noble-Hernandez, and Julie A. Sorensen. "Fall Risk Reduction Program Paired with a Transportation Program in an Underserved, Urban Minority Community: A Qualitative Evaluation." Journal of Aging Research 2019 (July 1, 2019): 1–8. http://dx.doi.org/10.1155/2019/2719290.
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This study sought to evaluate A Matter of Balance/Volunteer Lay Leaders (AMOB/VLL) fall prevention curriculum in combination with a “door-through-door” program: Coordinated Older-Adult Senior Transportation Services (COASTS) for older adults living in an urban, underserved community. AMOB/VLL participants were offered eight 2-hour classes as part of the training program. Focus groups were conducted with older adult participants, COASTS mobility facilitators, and AMOB/VLL master trainers. A thematic analysis was conducted, and primary themes relating to curriculum content, cultural relevancy, and outcomes were examined. Older adults and facilitators felt the course was rewarding and led to improvements in mobility and confidence. Master trainers were more critical and recommended simplifying content, with tailored guidance for specific populations. They also recommended increased emphasis on balance and physical activity. Although participants and MoFas felt combining AMOB/VLL and COASTS was rewarding and improved participant mobility, master trainers and participants suggested minor modifications to increase program benefits for urban, underserved communities.
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Danilovich, Margaret, and Margaret Danilovich. "Transitional Care Management: Evidence for Novel Implementation Models and Rehabilitation Implications." Innovation in Aging 4, Supplement_1 (December 1, 2020): 803. http://dx.doi.org/10.1093/geroni/igaa057.2916.
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Abstract The transition between healthcare settings is a complex process presenting challenges for effective and consistent communication between older adults, their caregivers, and healthcare providers. These challenges often result in adverse health events and re-hospitalizations. Further, once transitioned to home, older adults often need ongoing care management and support and evidence for models remains unclear as to the precise parameters of supports needed for comprehensive care. This symposium will provide an overview of the evidence for both interdisciplinary care management models and transitional care programs, present the implementation of a care management program for low income older adults at one social service agency, and provide evidence-based tools for older adult functional assessment and decision-making for transitional care. The speakers will present new tools from the American Physical Therapy Association home health toolbox that promote patient-centered health care decision-making to facilitate successful transitions that reduce resource use and hospital readmission. The speakers will also discuss the implementation of a care management program for older adults in a care gap (having too much income for Medicaid home and community-based services, but still <200% of the federal poverty line). An implementation framework for the needs assessment will be highlighted and 1-year program outcomes will be presented. Attendees will learn strategies for interprofessional collaboration, enhanced communication, and advocacy within the interprofessional team to facilitate improved care management and transitional services for older adults.
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Gilbert, Monica M., James A. Chamberlain, Carolynne R. White, Paul W. Mayers, Brendan Pawsey, Danny Liew, Matthew Musgrave, Kerry Crawford, and David J. Castle. "Controlled clinical trial of a self-management program for people with mental illness in an adult mental health service - the Optimal Health Program (OHP)." Australian Health Review 36, no. 1 (2012): 1. http://dx.doi.org/10.1071/ah11008.
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Objective. The objective of this study was to evaluate the effect and cost-effectiveness of a self-management intervention, delivered as part of routine care in an adult mental health service. Method. In a community mental health setting, routine care was compared with routine care plus a nine-session intervention (the Optimal Health Program) using a non-randomised controlled design. Adult (18–65 years) consumers of mental health services in the Australian Capital Territory were eligible for participation. Results. The Optimal Health Program was associated with significant improvements in health and social functioning as measured by the Health of the Nation Outcome Scale (average change relative to control: –3.17; 95% CI –4.49 to –1.84; P < 0.001). In addition, there was a reduction in hospital admissions in the treatment group (percentage of time in hospital reduced from 3.20 to 0.82; P = 0.07). This translated into a net cost saving of over AU$6000 per participant per year (uncertainty range AU$744 to AU$12 656). Conclusions. This study shows promising results for incorporating a self-management program into routine care to improve the health and social functioning of mental health consumers in a cost-effective manner. What is known about the topic? Current literature supports the efficacy of structured self-management programs for chronic conditions such as diabetes (type 1 and 2) and asthma, but there remains limited evidence that self-management programs improve outcomes for people with mental illness. What does this paper add? This study adds to the body of evidence supporting self-management as a cost-effective adjunct to routine care in mental health services. What are the implications for practitioners? Our study supports the feasibility of clinicians delivering cost-effective self-management programs as part of routine mental health service delivery.
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Liu, Pi-Ju (., Zachary Hass, Kendon Conrad, Karen Conrad, Jarmin C. Yeh, Madelyn Iris, Sara Stratton, and Andrew Butler. "TELLING THE STORY OF ADULT PROTECTIVE SERVICES: CALIFORNIA’S IDENTIFICATION, SERVICES, AND OUTCOMES MATRIX." Innovation in Aging 3, Supplement_1 (November 2019): S843—S844. http://dx.doi.org/10.1093/geroni/igz038.3106.
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Abstract Adult Protective Services (APS) is responsible for investigating reports of abuse, exploitation, and neglect among vulnerable adults. California’s APS program investigates approximately 15% of all abuse, neglect, and exploitation reports in the country. Once abuse or neglect is substantiated, caseworkers design and implement a service plan for clients to reduce future risk; however, APS intervention effectiveness have not been extensively investigated. In partnership with San Francisco and Napa APS, risk and harm of abuse were measured by type using standardized items from the Identification, Services, and Outcomes Matrix, which is derived from the validated Elder Abuse Decision Support Short Form during case investigation (before APS interventions) and at case closure (after APS interventions). Data from 1,472 older adults’ (on average 78 years old; 57% females) served by APS during the six-month pilot demonstration showed the reduction of risk/harm in self-neglect (p<.001), neglect (p<.001), emotional abuse (p<.001), physical abuse (p=.002), and financial abuse (p<.001) after APS interventions. Effective interventions differ by type of abuse such that caregiver support (b=-.98, p<.10), emergency assistance (b=-1.14, p<.05), and client engagement (b=-1.85, p<.05) decreased self-neglect risk/harm; client engagement (b=-2.24, p<.05) decreased neglect by others risk/harm; case management services (b=-1.17, p<.05) decreased physical abuse risk/harm; and financial planning services (b=-3.99, p<.05) decreased financial abuse risk/harm. No services were identified as effective for emotional abuse. Since effective services differed by type of abuse, it is important to consider the etiology of abuse before implementing the services needed by older adults to effectively decrease harm/risk.
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Beasley, April. "1997 Awards for Innovation and Excellence in Primary Health Care - Direct Care: Intensive Adult Psychiatric Rehabilitation Program of the Central Highlands (APROTCH)." Australian Journal of Primary Health 3, no. 4 (1997): 113. http://dx.doi.org/10.1071/py97046.
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The Intensive Adult Psychiatric Rehabilitation Program of the Central Highlands (APROTCH) is a psycho-social rehabilitation program which aims to address the needs of young adults who have recently experienced the onset of serious mental illness. The program was developed in 1996 in consultation with the Early Psychosis Prevention and Intervention Centre (EPPIC) Victorian statewide services, in response to a significant change in the characteristics of referrals received.
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Morrison, Penelope K., Kelley Jones, Elizabeth Miller, Patricia A. Cluss, Donna George, Rhonda Fleming, Lynn Hawker, Terry Bicehouse, and Judy C. Chang. "Human Services Utilization Among Male IPV Perpetrators: Relationship to Timing and Completion of Batterer Intervention Programs." Violence and Victims 34, no. 4 (August 1, 2019): 635–60. http://dx.doi.org/10.1891/0886-6708.vv-d-18-00001.
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Limited information exists on the extent to which male perpetrators of Intimate Partner Violence (IPV) are engaged in the use of human services for co-occuringpsychosocial and health issues. The current analysis uses administrative data from one batterer intervention program (BIP) and data from the local Department of Human Services to explore perpetrators' engagement with human services, and the relationship of that use to timing and completion of the BIP. Data for 330 adult male clients referred to the participating BIP from 2010 to 2015 were collected. A majority (63%) had engaged in at least one human service program. The most common kind of service was mental health (46%). The most specific service engagement was child welfare as a parent (41%). Engagement largely concluded prior to beginning the BIP. BIP completers had less service use overall. Future work should explore how these services could be utilized to improve the success of BIPs and reduce perpetration.
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Schaber, Patricia. "Teaching Program Development and Evaluation Through a Service Learning Project in Community-Based Adult Day Services." Occupational Therapy In Health Care 24, no. 1 (December 21, 2009): 107–17. http://dx.doi.org/10.3109/07380570903329644.
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Marzano, Gilberto, Velta Lubkina, and Gatis Stafeckis. "Some Reflections on Designing Effective Social Telerehabilitation Services for Older Adults." International Journal of Telerehabilitation 8, no. 2 (December 15, 2016): 3–8. http://dx.doi.org/10.5195/ijt.2016.6195.
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The share of the population aged 65 years and over is increasing in every EU Member State, candidate country, and EFTA Member State. WHO/Europe has established a Subnetwork on Healthy Ageing within the European Healthy Cities Network and provides guidance to Member States in developing profiles of healthy ageing, since, given the increasing number of older adults, maintaining their health status is a crucial issue. This article, which is part of the Latvian national scientific program VPP INOSOCTEREHI, focuses on the issues related to the design, implementation, and assessment of user interfaces that can maximize usability in social telerehabilitation systems for older adult users. This is a very real challenge, since older adults don’t form a homogeneous class. Investigating older adults’ skills and their attitudes towards the perceived usefulness of computer applications could be helpful in identifying some sub-sets of older adult users and their typical behaviours.
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Thomas, Cathleen Carney, Lisa Wallace, Jeff Alexander, and Aparna Vijayan. "The Relationship Between the Use of Adult Dementia Day Care and Caregiver Quality of Life." Perspectives on Gerontology 20, no. 3 (September 2015): 104–15. http://dx.doi.org/10.1044/gero20.3.104.
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Purpose To qualify the use of adult dementia day care services as an appropriate respite opportunity to improve the quality of life of the caregiver. Design and Methods Thirty familial caregivers from the Alzheimer's Association were recruited and divided into three groups based on number of days of use of day care services (non-use, 1–2 day use, and 3–5 day use). Survey data was self-report and measured using scores from the Evaluations Scale of Caregiver's Quality of Life. Quantitative results from the 20-item questionnaire were analyzed with Kruskal-Wallis and Mann Whitney U tests. Results The analysis showed statistically significant difference in the perception of burden for the group using day care 1–2 days per week than those that did not use the service at all. These findings were not seen in the group using the services 3–5 days per week. Implications Results lead toward the use of an adult day care program attended 3–5 days a week, incorporation of a support group with day care services, and the implementation of a structured home program for all participants to reduce caregiver level of burden.
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Lubin, Andrea, Karen Alexander, and Elizabeth Harvey. "Achieving Mobility Access for Older Adults Through Group Travel Instruction." Transportation Research Record: Journal of the Transportation Research Board 2650, no. 1 (January 2017): 18–24. http://dx.doi.org/10.3141/2650-03.
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It is anticipated that the number of older adults in the United States will reach 70 million before midcentury. Although the majority currently meet their transport needs by driving, one in five older adults does not drive. That statistic is expected to rise as senior drivers experience disability, health-related issues, or both, that negatively affect their driving ability. For many older adults accessible public transportation can be a viable transport option provided they are aware of and familiar with available transit services, trip planning, and how to safely and independently utilize transit systems. Findings are presented from a group travel instruction program piloted with older adults in New Jersey that encompassed classroom training and a field trip. A robust survey evaluation protocol was implemented that yielded findings that included the important role of transportation to older adult quality of life; high participant program satisfaction; evidence of participant knowledge and skills gained after program completion; and participant interest, willingness, and actual usage of public transit after the program. Survey respondents also confirmed several quality-of-life indicators experienced from program participation. In total, these findings offer evidence of the benefits of group travel instruction for older adults with and without a disability as they seek to meet some or all of their travel needs via accessible public transportation. The findings also support the value of offering both classroom and field trip components in older adult travel instruction programs.
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Mulvaney, Elizabeth A., Helen E. Petracchi, and Rafael J. Engel. "Lessons Learned: Developing an Undergraduate Hartford Partnership Program in Aging Education." Journal of Baccalaureate Social Work 26, no. 1 (January 1, 2021): 1–13. http://dx.doi.org/10.18084/1084-7219.26.1.1.
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Meeting the needs of the growing older adult population requires generalist trained social workers to deliver services, especially for home and community- based care coordination. This article describes how one BSW program adapted its existing MSW Hartford Partnership Program for Aging Education (HPPAE) to prepare baccalaureate-level social workers to serve older adults. Looking at the core components of the HPPAE and the CSWE 2015 Educational Policy and Accreditation Standards, this article explains the challenges that arose in developing a BSW HPPAE and how they were addressed. A BSW HPPAE model of education, patterned after the MSW HPPAE, is a viable option for needed workforce preparation and offers an opportunity for BSW programs to prepare students with important gerontological knowledge and skills while they master generalist practice.
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King, William R., Stephen T. Holmes, Martha L. Henderson, and Edward J. Latessa. "The Community Corrections Partnership: Examining the Long-Term Effects of Youth Participation in an Afrocentric Diversion Program." Crime & Delinquency 47, no. 4 (October 2001): 558–72. http://dx.doi.org/10.1177/0011128701047004004.
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Using Afrocentric techniques has recently emerged as a promising way of delivering services to African Americans. Briefly, a number of authors have argued that African Americans are better served, especially by substance abuse services, when service delivery utilizes Afrocentric techniques. This study reports an evaluation of an Afrocentric treatment program for male, juvenile, felony offenders in one city. The evaluation uses a two-group, quasi-experimental design to compare the 281 African American youths in the Afrocentric treatment program (called the Community Corrections Partnership) with a comparison group of 140 probation youths. Overall, the youths assigned to the Afrocentric treatment program performed slightly better than the probationers on 4 out of 15 measures of juvenile and adult criminality.
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Essex, Elizabeth Lehr, and David E. Biegel. "Older Case Management Clients With Younger Family Members in Need of Care: Interdependencies and Well-Being." Care Management Journals 8, no. 4 (December 2007): 162–70. http://dx.doi.org/10.1891/152109807782590655.
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This exploratory study investigated caregiving and interdependencies in families of frail older case management clients who coreside with younger individuals in need of care. Analyses were based on interviews with 78 older adults recruited from a large urban case management program. To be eligible for the study, the older adult had to coreside with an individual under age 60 who had disabilities or chronic health problems and/or with minors. Results indicated that the majority of older adults were primary caregivers for at least one younger individual. In a substantial number of families, the older adult depended on a younger adult with disabilities for primary care. Older adults who lived with both younger adults with disabilities and minors experienced more negative affect than those who lived with only one of these two kinds of younger individuals. Positive affect among elders living with younger adults with disabilities was positively related to the number of formal services received by the younger adults. The implications of these findings for service delivery to families with complex needs for care are discussed.
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Cho, Jinmyoung, and Alan B. Stevens. "SUCCESSES IN THE TRANSLATION OF CAREGIVER INTERVENTIONS IN COMMUNITY-BASED ORGANIZATIONS AND HEALTH CARE SYSTEMS." Innovation in Aging 3, Supplement_1 (November 2019): S439—S440. http://dx.doi.org/10.1093/geroni/igz038.1649.
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Abstract Family caregiving of an older adult has become an essential element of the U.S. health care system, with 83 percent of long-term care provided to older adults coming from family members or other unpaid helpers. With the amount and type of care provided by families expected to increase, caregiving demands should be coupled with community and health care systems-based supports. While scientific research has demonstrated the value of providing education, skills training and support to family caregivers, health care and social service providers do not systematically include these interventions in their services. Thus, for the vast majority of family caregivers, caregiving support services remain extremely fragmented, if not elusive. This symposium provides four examples of how health care systems that frequently see patients with dementia and community-based organizations who provide ongoing supportive services to family caregivers, have adapted evidence-based caregiver interventions into branded service programs. Dr. Jinmyoung Cho will present racial/ethnic comparisons on the impact of community-based implementation of a caregiver education program, REACH-TX. Dr. Leah Hanson will introduce the implementation of Mindfulness-Based Dementia-Care (MBDC) within a health care system. Dr. Christine Jensen will address how caregivers can benefit from evidence-driven programs in health care settings. Lastly, Dr. David Coon will present two different approaches to translation of evidence-based programs through community-based organizations, with CarePRO embedded after completion of a clinical trial and EPIC embedded from the program’s initial pilot phase. The discussant, Dr. Alan Stevens, will highlight the needs of caregivers and support services recognized by all key stakeholders.
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Hill, Janet W., John Seyfarth, P. David Banks, Paul Wehman, and Fred Orelove. "Parent Attitudes about Working Conditions of Their Adult Mentally Retarded Sons and Daughters." Exceptional Children 54, no. 1 (September 1987): 9–23. http://dx.doi.org/10.1177/001440298705400102.
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As major changes in vocational habilitation strategies are being proposed by the experts in the field of employment services for disabled persons, the attitudes of parents toward the working conditions of their sons and daughters who are mentally retarded warrant careful attention. A mail survey was conducted from a representative sample of 660 parents/guardians whose adult sons/daughters were receiving mental retardation services in the State of Virginia. From demographic and attitudinal information surveyed, a series of one-way ANOVAS showed that parent attitudes toward vocational services for their child were not influenced by age or sex of the adult child or the educational or occupational status of the parent. An analysis of covariance was conducted employing the IQ level of the child and satisfaction with current program placement as the covariate. IQ level showed highly significant effects on parental attitudes even when satisfaction with current program was controlled in this way. Parents and guardians in this sample expressed low interest in specific improvements in working conditions, especially increased wages for their sons/daughters who are mentally retarded. They indicated satisfaction with the current program placements for their adult children. Although most parents/guardians indicated a positive attitude toward work in general for the adult children, only 12% indicated a preference for competitive employment for their adult sons/daughters who are currently consumers of retardation services.
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Fritz, Dana R., and Lorna D. Sikorski. "Efficacy in Accent Modification Services: Quantitative and Qualitative Outcomes for Korean Speakers of American English." Perspectives on Communication Disorders and Sciences in Culturally and Linguistically Diverse (CLD) Populations 20, no. 3 (December 2013): 118–26. http://dx.doi.org/10.1044/cds20.3.118.
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Instructors of accent modification programs find few long range efficacy studies that they can use to critically examine the effectiveness of their training programs. Fewer still limit the language background variables of the study participants that might yield interesting information about specific instructional strategies and targets. This long term study examines outcomes data from 167 Korean men and women who participated in the MU (University of Missouri) Accent Modification and Pronunciation Program (AMP) from 2006-present. Quantitative data will include pre- and post- measures using the Sentence Intelligibility Test (Yorkston, Beukelman, & Tice, 1996), the POEC Screen Online (Sikorski, 2009), and qualitative data will include information obtained through surveys of individuals who have completed the MU AMP program. The authors discuss multisensory methods used in this program to effect positive change in adult English as a Second Language (ESL) oral skills.
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Gitlin, L. N., K. Reever, M. P. Dennis, E. Mathieu, and W. W. Hauck. "Enhancing Quality of Life of Families Who Use Adult Day Services: Short- and Long-Term Effects of the Adult Day Services Plus Program." Gerontologist 46, no. 5 (October 1, 2006): 630–39. http://dx.doi.org/10.1093/geront/46.5.630.
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Dubus, Nicole. "A Qualitative Study of Older Adults and Staff at an Adult Day Center in a Cambodian Community in the United States." Journal of Applied Gerontology 36, no. 6 (May 11, 2015): 733–50. http://dx.doi.org/10.1177/0733464815586060.
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Purpose: Adult day care programs in the United States are seeing an increase in culturally diverse patients. The purpose of this study was to better understand the subjective experiences of staff and Cambodian refugees attending an adult day center in the United States that provides services focused on the cultural needs of the older adults, such as Cambodian food, activities, and Cambodian staff. Design: This is a qualitative study using grounded theory to analyze 10 individual interviews from staff members and 80 individual interviews from participants who attend an adult day care program for Cambodians in a city in the northeast United States. Findings: Three primary themes emerged: The participants felt respected, there was a generational tension between the young staff and the participants, and the center acted as a cultural liaison between the medical providers and the participants.
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Spitzer, Ariella K.-L., Marisa P. R. Shenk, and James G. Mabli. "Food Insecurity is Directly Associated with the Use of Health Services for Adverse Health Events among Older Adults." Journal of Nutrition 150, no. 12 (October 22, 2020): 3152–60. http://dx.doi.org/10.1093/jn/nxaa286.
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ABSTRACT Background In 2018, 14.3 million US households experienced food insecurity, which has been linked to negative health outcomes such as depression and anxiety, diabetes, and hypertension. This connection is particularly important for older adults, who are at greater risk than younger adults for developing certain health conditions. Objective We estimated the association between food insecurity and the use of health services for adverse health events over a 12-mo observation period following survey interview for a nationally representative group of older adults participating in the congregate meal (CM) and home-delivered meal (HDM) programs. Methods We analyzed data from the Nutrition Services Program (NSP) Outcomes Survey matched to Medicare claims and enrollment data in 2015–2016 for a nationally representative sample of 626 CM or HDM recipients ages 67 y and older. We used logistic regression analysis controlling for demographic characteristics, prior health events, and geography to estimate the association between food insecurity and use of health services, including emergency department visits, inpatient stays, skilled nursing facility stays, and home healthcare episodes. We used ordinary least squares regression analysis to estimate the association between food insecurity and Medicare spending. Results Food insecurity was associated with an average increased likelihood of using health services for adverse health events of 16% (95% CI: 1%, 32%) for HDM participants. Food insecurity was associated with an average increased likelihood of emergency department visits of 24% (95% CI: 6%, 41%) for CM participants and 20% (95% CI: 5%, 36%) for HDM participants. There was no observed increase in likelihood of using the other health services. Food-insecure participants were less likely to have a skilled nursing facility stay. Conclusions Food insecurity is associated with an increased likelihood of use of health services for adverse health events in older adult participants in meal service programs.
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Ramey, Heather L., Heather L. Lawford, and Wolfgang Vachon. "Youth-Adult Partnerships in Work with Youth: An Overview." Journal of Youth Development 12, no. 4 (December 13, 2017): 38–60. http://dx.doi.org/10.5195/jyd.2017.520.
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Youth-adult partnerships in child and youth services engage the participants in collaborative, shared decision making, in areas such as governance, program planning and implementation, and advocacy. However, these partnerships often occur in isolation, and fail to engage in potentially useful, larger conversations about theory and research. Therefore, in an effort to provide common grounds for understanding and engaging in such partnerships, we offer an overview of current literature. We discuss definitions and discourses, describe models of youth-adult partnerships, and briefly consider current research on potential benefits for youth, adults, organizations, and communities. We also present challenges and promising practices for adult allies engaged in youth-adult partnerships.
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Katz, Benjamin. "A COMMUNITY-BASED INTERVENTION TO IMPROVE COGNITIVE FUNCTION IN RURAL APPALACHIAN OLDER ADULTS." Innovation in Aging 3, Supplement_1 (November 2019): S553. http://dx.doi.org/10.1093/geroni/igz038.2039.
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Abstract Research suggests that social isolation in Appalachian older adults may be associated with reduced cognitive function. Despite this, few interventions for these individuals incorporate both social and cognitive components in a community-based setting. The “Memory Masterclass” program was developed to address this care challenge, and implemented through an Adult Day Services Center. With 29 community-dwelling older adult participants from western Virginia, the six-week pilot program focused on strategies and practices associated with improving long-term memory or executive function. In addition to the lifestyle-focused curricula, the course included group activities focused on connecting participants to community networks of resources that might enable them to successfully implement lifestyle changes. Findings support the feasibility of implementation with a wider group of rural Appalachian older adults and suggest that individual differences in self-reported memory may be closely tied to improvements following the program.
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Daunov, Katherine, Michael Daunov, Kara Noskoff, Hilary Gan, Simon Davies, Olivia Larbi, Megan Farrell, et al. "Are National Cancer Institute Cancer Centers (NCI-CC) providing adolescents and young adults (AYA) with cancer focused clinical services? A national survey." Journal of Clinical Oncology 39, no. 15_suppl (May 20, 2021): 1534. http://dx.doi.org/10.1200/jco.2021.39.15_suppl.1534.
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1534 Background: AYA patients with cancer have inferior outcomes compared to their pediatric and adult counterparts. The NCI recommends they be treated by AYA focused healthcare professionals within an AYA oncology program. This survey captures the current landscape of AYA oncology care in the United States. Methods: An online survey was sent to 272 cancer centers in September 2020, in coordination with Teen Cancer America and included all clinically designated NCI-CC. The survey asked about the presence of an AYA program, types of patients, dedicated resources, clinical space, type of providers, associated support services, educational efforts, importance of AYA oncology care, and how well these services are provided. Results: In total, we received 93 responses, a 34% response rate, including 50 NCI centers, a 72% response rate. Only half (49%) of NCI-CC reported having an AYA program, and 70% were started in the past 5 years. One-third (32%) of centers reported plans to start an AYA program. Most programs included patient ages from ≥15 (56%) to ≤39 (63%) with a variety of cancers – most commonly hematologic (49%) and sarcoma (49%) and least commonly lung (36%), breast (38%), and head and neck cancer (38%). AYA programs are generally embedded in both adult and pediatric oncology services (63%). On average, cancer centers reported seeing 25-50 new AYA patients/month and 100-200 follow-up visits/month. Few programs reported a dedicated inpatient space (4%) or outpatient space (9%). Most NCI-CC have supportive services available for all oncology patients, but fewer of these services were dedicated specifically to AYA patients: navigators (92% vs. 71%), social work (98% vs. 57%), psycho-oncology (96% vs. 54%), dietician (98% vs. 24%), physical therapy (98% vs. 18%), chaplaincy (98% vs. 18%), and child life (83% vs. 26%). Other services available to the AYA population included sexual health (62%), academic support (62%), and career resources (36%). A minority of centers (30%) provided AYA training to their staff. A majority of NCI-CC felt AYA programs were important-very important (60%). They reported providing good-excellent overall AYA care (59%), but this dropped to 22% for sexual health and education of staff, which was relatively consistent across centers (Table). Conclusions: This survey is the first ever national survey to assess AYA oncology programs. Despite greater emphasis on the AYA cancer population, only half of NCI-CC report having a dedicated program, and areas of improvement include education of staff and sexual health services for patients. Self-report of providing good to excellent AYA care in specific areas.[Table: see text]
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Leedahl, Skye, and Amy Eisenstein. "Evaluation Research for Intergenerational Programs: Rigorous Methods, Best Practices, and Challenges." Innovation in Aging 4, Supplement_1 (December 1, 2020): 542. http://dx.doi.org/10.1093/geroni/igaa057.1764.
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Abstract Conducting evaluative research on intergenerational programs is key to understanding if they are functioning as intended. Research on program impact is also critical for prioritization and decision-making in an increasingly competitive market with many programming choices. Implementation studies can help researchers identify needed modifications for replication or introduction to new populations, which is particularly important as universities and communities work to become Age-Friendly. There is growing demand by educational entities (e.g., universities, high schools) and organizations that serve older adults (e.g., senior centers, adult day services, lifelong learning institutes, and residential programs) to identify rigorous methods that can be used to analyze outcomes for students and older adults who take part. This symposium focuses on evaluation methods for intergenerational programs and highlights diverse examples of how researchers have evaluated their programs. The presenters will discuss best practices and challenges to conducting research on these programs as well as the findings of the studies. The first paper will discuss the creation of an intergenerational contact measure. The second paper will describe how an intergenerational classroom was examined using data from instructors and students. The third paper will detail how a quasi-experimental design was used to examine outcomes for an intergenerational program on older adult participants. The fourth paper will discuss how data was gathered from various stakeholders to examine the impacts of an intergenerational classroom. Amy Eisenstein, Senior Program Officer at RRF Foundation for Aging will serve as the discussant. Intergenerational Learning, Research, and Community Engagement Interest Group Sponsored Symposium.
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Gray, Calonie M. K. "Using Profiles of Human and Social Capital to Understand Adult Immigrants’ Education Needs: A Latent Class Approach." Adult Education Quarterly 69, no. 1 (October 5, 2018): 3–23. http://dx.doi.org/10.1177/0741713618802271.
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With the U.S. adult education system providing education services to millions of immigrants annually, understanding the unique skills and assets among adult immigrant learners is important. Using data from the U.S. Program for the International Assessment of Adult Competencies, this study used data on immigrants ( n = 1,873) to identify latent classes along dimensions of human and social capital. Latent class analysis indicated five discrete profiles: High Opportunity, Upskill Ready, Satisfactorily Skilled, Motivated and Engaged, and Highly Skilled. The results provide support for using customized education approaches to capitalize on the collection of assets adult learners have while concurrently increasing education service providers’ capacity to serve.
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Kerr, Amy N., Barbara A. Schillo, Paula A. Keller, Randi B. Lachter, Rebecca K. Lien, and Heather G. Zook. "Impact and Effectiveness of a Stand-Alone NRT Starter Kit in a Statewide Tobacco Cessation Program." American Journal of Health Promotion 33, no. 2 (May 10, 2018): 183–90. http://dx.doi.org/10.1177/0890117118772493.
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Purpose: To examine 2-week nicotine replacement therapy (NRT) starter kit quit outcomes and predictors and the impact of adding this new service on treatment reach. Design: Observational study of a 1-year cohort of QUITPLAN Services enrollees using registration and utilization data and follow-up outcome survey data of a subset of enrollees who received NRT starter kits. Setting: ClearWay Minnesota’s QUITPLAN Services provides a quit line that is available to uninsured and underinsured Minnesotans and NRT starter kits (a free 2-week supply of patches, gum, or lozenges) that are available to all Minnesota tobacco users. Participants: A total of 15 536 adult QUITPLAN Services enrollees and 818 seven-month follow-up survey NRT starter kit respondents. Measures: Treatment reach for all services and tobacco quit outcomes and predictors for starter kit recipients. Analysis: Descriptive analyses, χ2 analyses, and logistic regression. Results: Treatment reach increased 3-fold after adding the 2-week NRT starter kit service option to QUITPLAN Services compared to the prior year (1.86% vs 0.59%). Among all participants enrolling in QUITPLAN services during a 1-year period, 83.8% (13 026/15 536) registered for a starter kit. Among starter kit respondents, 25.6% reported being quit for 30 days at the 7-month follow-up. After controlling for other factors, using all NRT and selecting more cessation services predicted quitting. Conclusion: An NRT starter kit brought more tobacco users to QUITPLAN services, demonstrating interest in cessation services separate from phone counseling. The starter kit produced high quit rates, comparable to the quit line in the same time period. Cessation service providers may want to consider introducing starter kits to reach more tobacco users and ultimately improve population health.
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Georgiades, Savvas Daniel. "Emancipated Young Adults' Perspectives on Independent Living Programs." Families in Society: The Journal of Contemporary Social Services 86, no. 4 (October 2005): 503–10. http://dx.doi.org/10.1606/1044-3894.3455.
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This study examined young adult perspectives regarding quality of Independent Living (IL) Services received while in foster care, recommendations for improving IL services, life satisfaction levels, and reasons for nonparticipation in IL programs. Results suggest that most youths fail to attend IL programs because they are uninformed about them, are mostly dissatisfied with financial pressures in adulthood, and think IL programs do best at preparing youths for educational success and least well at teaching youths parenting skills. They suggest that IL counselors develop closer relationships with youths, the curriculum strengthen its emphasis on parenting and organizational skills, the Subsidized IL (SIL) program eligibility requirements be softened, and the monthly SIL stipend be raised.
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Leedahl, Skye, Melanie Brasher, and Erica Estus. "Using a Quasi-Experimental Study to Examine Outcomes for Older Adult Intergenerational Program Participants." Innovation in Aging 4, Supplement_1 (December 1, 2020): 543. http://dx.doi.org/10.1093/geroni/igaa057.1767.
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Abstract To more rigorously examine the University of Rhode Island Cyber-Seniors Program, we conducted a quasi-experimental study to examine if older adult senior center participants (n=25) improved scores on social and technological measures compared to a sample of senior center participants (n=25) who did not take part in the program. Findings showed that participants improved on technology measures compared to the non-participants, including searching and finding information about goods & services, obtaining information from public authorities or services, seeking health information, sending or receiving emails, and participating in online social networks (p<.05). However, participants did not change on social measures. There is either a need to identify better social measures to understand the social benefits of taking part, or to bolster the program to aid in helping older adults alleviate isolation and loneliness. Information on best practices and challenges for gathering outcomes from older participants will be discussed. Part of a symposium sponsored by Intergenerational Learning, Research, and Community Engagement Interest Group.
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King, Diane K., Sherilyn A. Faulkner, and Bridget L. Hanson. "The Feasibility of Adopting an Evidence-Informed Tailored Exercise Program within Adult Day Services: The Enhance Mobility Program." Activities, Adaptation & Aging 42, no. 2 (November 29, 2017): 104–23. http://dx.doi.org/10.1080/01924788.2017.1391030.
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Broussard, Stephanie Broadnax, Emily Pearcy, Vanessa Dunham, Kendra Burke, Jackeline Castillo, Rebecca Clinton, Penelope DeCou, et al. "Virtual psychosocial services for the adult population in a large community oncology practice." Journal of Clinical Oncology 39, no. 28_suppl (October 1, 2021): 283. http://dx.doi.org/10.1200/jco.2020.39.28_suppl.283.
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283 Background: Psychological and social supports are essential to address the emotional impact of cancer. The Covid-19 pandemic exacerbated emotional distress for patients with cancer and impeded many of the traditional service delivery models for supportive services. An increase in patient reported distress from routine distress screenings highlighted the need to transition to virtual Social Work (SW) services. Methods: Patients were referred to virtual SW services three ways: self-referral, distress screenings, and clinic staff. A virtual support group registration site was created to increase awareness which was promoted by our marketing team. Three different SW facilitated virtual support groups were offered: Stronger Together, Empower Your Recovery: A Program for Healing and Growth for Living Beyond Cancer©*, and Paving the Way for Your Journey: A Cancer Support Program (PTW). Of note, the PTW six-week psychoeducation support group curriculum was developed by six employed SW facilitators. Groups included closed and open formats with scheduled frequencies. In addition to virtual support groups, standard social support including, psychosocial assessments, Advance Care Planning, virtual counseling visits were offered virtually with patients via the VSee telemedicine platform. Results: Social Work referrals increased by 154% from 949 in 2019 to 2413 in 2020 due to positive distress screening. From March 2020-21, 14,948 patients received SW services which was an increase from 10,208 seen from March 2019-20. Of these, 372 received virtual psychosocial telemedicine services from March 2020-21. There were 4092 unique webpage views to the support group information and registration website. Total number of all virtual registrants in the 3 groups from May 2020 to February 2021 was 326. Conclusions: The COVID19 pandemic required us to use, technology and virtual tools to ensure continued patient access to psychosocial services and expand access to support groups, in addition to the in-person SW services that remained. Limitations of virtual support groups and telemedicine included lack of internet access felt to be from socioeconomic barriers. Further research is needed to evaluate the benefits of providing structured psychoeducational virtual support groups to patients with cancer. Virtual counseling and support groups may continue to benefit patients with cancer.
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Yeh, Jarmin, Pi-Ju Liu, Jacques Perkins, Andrew Butler, Sara Stratton, Kendon Conrad, Karen Conrad, and Madelyn Iris. "Piloting the Adult Protective Services’ Identification, Services, and Outcomes Matrix: Focus Group Findings." Innovation in Aging 4, Supplement_1 (December 1, 2020): 47. http://dx.doi.org/10.1093/geroni/igaa057.153.
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Abstract The historical lack of outcomes-related data in Adult Protective Services (APS) has affected funding coming to the program. Without data quantifying the effectiveness of APS services, policymakers have been unable to justify budget increases to improve wages for workers or professionalize the field. For the first time in APS history, the U.S. Administration for Community Living sponsored a pilot project to implement a novel evidence-based assessment tool into APS electronic systems, called the Identification, Services, and Outcomes (ISO) Matrix. The goal was to improve APS’ ability to reduce harm of abuse and neglect and maintain client’s independence to live in the community. APS workers in San Francisco and Napa Counties were trained and phased into using the ISO Matrix over a six-month implementation period. This poster presents findings from six focus groups conducted between February 13 and March 28, 2019, with 34 San Francisco and Napa County APS workers and supervisors. Utilizing semi-structured, in-depth interviewing techniques, APS workers and supervisors expressed their views and experiences. Facilitators and barriers of implementing the ISO Matrix were assessed and opportunities for improvements were identified. Findings revealed a tension between their hopefulness that the ISO Matrix could modernize APS data-tracking and yield evidence of improved client outcome to bolster the field, and their frustrations about new burdens the ISO Matrix placed on their labor and workflow. Understanding frontline perspectives of APS workers and supervisors has practical and policy implications for adopting the ISO Matrix in other counties and states across the U.S.