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At least 991 records · Page 55Linked to original sources
PubMed2002

Training community members for action: Washington's Action Training Network.

The Children's Alliance in Washington State has established an ambitious goal of building the "Children's Action Network" (Network), a statewide network of children's advocates who regularly take action to inform public policy related to children and families. There are currently about 3,000 members in the Network. Policy advocacy training is an integral component of the Network providing advocates with necessary tips and tools for communicating with policy-makers. In order to meet key objectives and overcome significant challenges and barriers, the training program evolved greatly over the last five years. This article describes some of the challenges faced, particularly in reaching specific target populations, key strategies undertaken, and how the curriculum developed over time.

Child↗
PubMed1998

Boston HAPPENS Program: a model of health care for HIV-positive, homeless, and at-risk youth. Human immunodeficiency virus (HIV) Adolescent Provider and Peer Education Network for Services.

The Boston HAPPENS [Human immunodeficiency virus (HIV) Adolescent Provider and Peer Education Network for Services] Program is a project supported by Special Projects of National Significance (SPNS) Program, HIV/AIDS Bureau, Health Resources and Services Administration, which provides a network of care for homeless, at-risk, and HIV-positive youth (ages 12-24 years), involving eight agencies. The program has provided services to 1301 youth, including 46 who are HIV-positive. Boston HAPPENS provides a citywide network of culturally and developmentally appropriate adolescent-specific care, including: (a) outreach and risk-reduction counseling through professional and adult-supervised peer staff, (b) access to appropriate HIV counseling and testing support services, (c) life management counseling (mental health intake and visits as part of health care and at times of crisis), (d) health status screening and services needs assessment, (e) client-focused, comprehensive, multidisciplinary care and support, (f) follow-up and outreach to ensure continuing care, and (g) integrated care and communication among providers in the metropolitan Boston area. This innovative network of youth-specific care offers a continuum from street outreach to referral and HIV specialty care that crosses institutional barriers.

Acquired Immunodeficiency Syndrome↗
PubMed2002

The networks and resource exchanges in community-based systems of care.

Despite several decades of government efforts, systems of service delivery to populations with multiple problems remain fragmented and poorly organized. Since the delivery of services to persons with multiple problems often requires the coordinated efforts of several providers in different delivery sectors, the authors argue that a network perspective helps policy-makers and public administrators understand the patterning of relationships between and among these providers. Using an analysis of service delivery systems for older persons in a major urban setting, the authors show how policy-makers and public administrators can use network methods to improve their understanding of the complexity of most human service delivery programs, Findings from this study suggest that, through a focus on the exchange patterns that evolve within and between organizations, an improved understanding of the roles that different organizations play in the service delivery effort can be achieved.

Aged↗
PubMed1996

Organizational network analysis as a tool for program evaluation.

Health program evaluation is generally focused on an examination of individual program characteristics and accomplishments, yet many programs are part of a broader service system. Evaluation of the role a program plays in that system is an important evaluation question to address. A network analysis of program referral patterns was used to evaluate Connecticut's Healthy Start program. Network analysis showed that Healthy Start played a "broker" role in 4 case study communities, sending and receiving referrals of pregnant women to a higher than average number of other programs. Further, in the urban area case study, competing market players providing services to pregnant women resulted in subsets of services with dense referral patterns within the subsets, but little referral between subsets. Healthy Start was found to be instrumental as an integrator of these otherwise disconnected service subsets.

Child Health Services↗
PubMedDate not supplied

Descriptive study of community based agencies serving the elderly in one urban area.

This pilot project explored the characteristics, services, clientele, concerns, and networks of community based agencies serving the elderly in Memphis and Shelby County, TN. Self-administered questionnaires were mailed to a total of 75 social and home health agencies during the summer of 1986. Data analysis was based upon returns from 31 agencies (43% return) from 23 social service and 9 home health agencies. Descriptive statistics were used in the analysis although the sample of home health agencies limited sequential analysis. Differences between these two major agency types were found in all major areas of study. Gaps were found in service provision; however the major contribution of this study was in illustrating the two rather different conceptual and operational frameworks under which these two agency types operate and the general lack of coordination between these two agency types, most especially by home health agencies, and the need for improvement in connecting linkages.

Aged↗
PubMed1995

Back to the future: partnerships and coordination for community health.

In the current tumultuous health care scene, competitive health plans and capitated delivery systems are becoming the driving forces in the health care marketplace. Although these plans may be successful in containing costs, their competitive nature prevents them from providing leadership in comprehensive, coordinated initiatives to benefit the entire community. In contrast, executives and trustees at the frontiers of health services management are reaching beyond the current scene toward a vision of community care networks. They are taking incremental steps to coordinate care of patients, enrolled populations, and communities--both within and among independent organizations in the public, for-profit, and not-for-profit sectors. As they bring increasing competence in coordination to bear on complex problems of long standing, a health care system that actually delivers more for less to all is a real possibility. My historical perspective, dating back to the studies of the Committee on the Costs of Medical Care (1928-1932), convinces me that community coordination is the missing element in moving from our current fragmented health system to an ever more effective system. This article suggests that the CCMC was on the right track in recommending that every community have an agency to exercise coordination functions, relying on the power of knowledge and persuasion rather than control. Presented here are details of how to organize and manage such an entity as well as a discussion of the nature of the leadership and the incentives required to overcome obstacles to this essential approach.

Acquired Immunodeficiency Syndrome↗
PubMed2000

Primary health care networks in the Islamic Republic of Iran.

The progress towards achieving health for all in the Islamic Republic of Iran is reported in this paper with particular reference to primary health care networks. The establishment of the networks is outlined and the vital elements within the system described, such as the community health workers (behvarz) and the health information system. Areas of achievement are reviewed.

Community Health Workers↗
PubMed2005

Emergent themes in the sustainability of primary health care innovation.

A synthesis of the findings of the five studies of sustainability of primary health care innovation across six domains (political, institutional, financial, economic, client and workforce) yielded three main themes. These were: the importance of social relationships, networks and champions; the effect of political, financial and societal forces; and the motivation and capacity of agents within the system. The need for routine assessment of the sustainability of primary health care innovations is discussed. Given the dearth of literature on the sustainability of primary health care innovation, there is potential to develop a program of research directed towards a future synthesis of evidence.

Clinical Competence↗
PubMed2000

Michigan Diabetes Outreach Networks: a public health approach to strengthening diabetes care.

This study describes a statewide public health approach to strengthen diabetes care; evaluates diabetes-related processes of care for individuals enrolled in the Michigan Diabetes Outreach Network (MDON) program; and, examines MDON in the context of priorities for diabetes care and public health policy. Organizational information was obtained through semi-structured interviews. Program outcomes are examined using data from client intake and follow-up assessment forms. We report percentages and mean values overall and across networks. Logistic regression is used to identify factors associated with clients receiving recommended diabetes care. Within two years, five of the networks recruited 125 providers and collected information on over 8,000 individuals with diabetes. The percentage of enrollees with a glycosylated hemoglobin measure, eye exam, and dietician visit is greater at follow-up than at intake and an intake "referral" is strongly associated with clients being trieated for high blood pressure at follow-up. The MDON model is a promising public health approach for improving diabetes care but it is necessary to identify program elements that are most effective.

Community Networks↗
PubMed1992

Networking consumers' participation in a community mental health service: mutual support groups, 'citizenship' and coping strategies.

Consumers' and family members' involvement was indispensable to create social support networks promoted by the comprehensive mental health services resulting from the closure and subsequent complete reconversion of the mental hospital in Trieste. Despite long term consumers' disabilities and the families' heavy burden the individuals' positive skills and resources can be, and indeed are, 'valorized'. Mutual help groups, social clubs and solidarity initiatives in the community were the outcome of the individual consumer's active daily involvement in the service therapeutic programmes and of stimulation of social and communication skills. The service considers these forms of supported self-organisation of consumers and family members as new instruments for further deinstitutionalisation and demedicalisation of therapeutic and rehabilitative practices, for the overcoming of social isolation and learning of coping strategies from the mutual experience.

Adaptation, Psychological↗