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Descriptors:
Disabilities; Public Schools; Private Sector; Social Work; Partnerships in Education; Privatization; Social Services; School Community Relationship; Special Education; School Districts; Income

Abstract:
Privatized service delivery within Medicaid has greatly increased over the past two decades. This public program-private sector collaboration is quite common today, with a majority of Medicaid recipients receiving services in this fashion; yet controversy remains. This article focuses on just one program within Medicaid, school-based services for children with special education disabilities--the Medicaid School Program. A survey of public school districts within a region of one Midwest state found some expected results: Most districts were enrolled in the Medicaid program and receiving reimbursements for services; annual revenues were moderate; and a majority of districts provided most of the available Medicaid services. However, it was also found that almost every school district contracted with an outside private company to perform most of the Medicaid administrative functions (eligibility, billing, compliance), and almost every district was extremely satisfied with this collaborative arrangement--benefiting both entities. Support for this type of partnership is discussed in the context of public schools' and the social work profession's current fiscal and political challenges. Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Foreign Countries; Telephone Surveys; Smoking; Disadvantaged; Administrator Attitudes; Employee Attitudes; Program Design; Health Promotion; Prevention; Public Health; Community Health Services; Statistical Analysis; Community Surveys; Community Services; Social Services; Nongovernmental Organizations; Policy

Abstract:
Research in the United States and Australia acknowledges the potential of non-government social and community service organizations (SCSOs) for reaching socially disadvantaged smokers. This study aimed to describe SCSO smoking policies and practices, and attitudes of senior staff towards smoking and cessation. It also investigated factors associated with positive tobacco control attitudes. In 2009, a cross-sectional telephone survey was undertaken of senior staff in Australian SCSOs, 149 respondents representing 93 organizations completed the survey (response rate = 65%; 93/142). Most service clients (60%) remained in programs for 6 months plus, and 77% attended at least weekly. Although 93% of respondents indicated they had an organizational smoking policy, it often did not include the provision of smoking cessation support. Most respondents indicated that client smoking status was not recorded on case notes (78%). Attitudes were mostly positive towards tobacco control in SCSOs, with a mean (standard deviation) score of 8.3 (2.9) of a possible 13. The practice of assessing clients' interest in quitting was the only statistically significant factor associated with high tobacco control attitude scores. The results suggest that SCSOs are appropriate settings for reaching socially disadvantaged smokers with cessation support. Although generally receptive to tobacco control, organizations require further support to integrate smoking cessation support into usual care. In particular, education, training and support for staff to enable them to help their clients quit smoking is important. (Contains 1 figure and 4 tables.) Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Descriptors:
Youth; Caregivers; Children; Adolescents; Young Adults; Experience; Decision Making; Aspiration; Barriers; Comparative Analysis; Education; Employment; Social Life; Health; Well Being; Social Services; Interviews; Questionnaires; Foreign Countries

Abstract:
This paper presents the findings from a project investigating the circumstances, experiences, perspectives and service needs of young people caring for a family member with a disability or long-term illness. Using qualitative methods, our research explored the experiences of two cohorts of young carers--younger carers aged 7 to 17 years and young adult carers aged 18 to 25 years. The concept of "bounded agency" offers an explanation for the way that younger carers' and young adult carers' decisions and aspirations can be shaped by the barriers and contexts in which they find themselves. The study compares the impacts of caring on the participants' education, employment, health and social life. Important differences are identified, particularly relating to young adult carers' future aspirations as they approach key normative transitions into young adulthood. The paper concludes with implications for services and policy for young carers. (Contains 1 table.) Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Descriptors:
Child Welfare; Intervention; Social Services; Literacy; Public Agencies; Foreign Countries; Males; Interviews; Homeless People; Psychology; Undergraduate Students; Program Evaluation; Games; Team Sports; Sociocultural Patterns; Peer Relationship; Program Descriptions; Safety; Government School Relationship; Children

Abstract:
Street children are the most excluded group of people in any society. The general attitude towards them is to criminalise and pathologise. The "To-gather with Children Project" (TCP) has been developed by the Maltepe University Research and Application Centre for Street Children (SOYAC) in Istanbul and implemented in conjunction with the General Directorate of Social Services and Child Protection Agency (SHCEK). SHCEK is the core state agency responsible for street children and their protection in Turkey. The TCP started in September 2010. Within the scope of this project, undergraduate psychology students visited SHCEK organisations for three hours on a weekly basis to engage with the children in joint activities that ranged from games and sports to training programmes, including helping the children with literacy skills. In June 2011, in-depth interviews were carried out with the children and their service providers for the purposes of evaluating the project. Findings are discussed from the Sociocultural Activity Theory, Child's Perspective, and Peer-based Intervention. This paper explores the outcomes of this research, which strongly put forward the importance of government-university partnership, of creating a socially safe environment through social partnership including peer-based intervention in working with street-involved children. (Contains 2 tables.) Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Descriptors:
Child Abuse; Health Personnel; Disclosure; Social Services; Child Neglect; Barriers; Child Caregivers; Guidelines; Training

Abstract:
Health professionals working with children and their families are often required by law to report to governmental authorities any reasonable suspicion of child abuse and/or neglect. Extant research has pointed toward various barriers to reporting, with scant attention to positive processes to support the reporting process. This paper focuses on the context for mandatory reporting and evidence-informed practice for supporting a more structured and purposeful process of mandatory reporting. These practical strategies discusses: (1) the factors that positively influence the relationship between a child's caregivers and the mandated health professional reporter; (2) a framework and specific skills for discussing concerns about maltreatment and reporting to child protective services with the caregiver(s); and (3) the need for further training and education of health professionals. Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Descriptors:
Disabilities; Public Health; Personality Traits; Resilience (Psychology); Individual Characteristics; Child Welfare; Social Services; Child Neglect; Child Abuse; Children; Special Education; Intervention; Mental Health; Health Services; Child Development

Abstract:
This practice note will show that resilience among children who have been maltreated is the result of multiple protective factors, including the quality of the services provided to children exposed to chronic adversity. This social ecological perspective of resilience suggests that resilience is a process resulting from interactions between individuals and their environments, and depends upon individual characteristics (temperament and personality), the social determinants of health that affect children and children's families, formal interventions by multiple service providers (child welfare, special education, mental health, addictions, public health, and juvenile corrections), and the social policies that influence service provision to vulnerable populations. Clinicians and researchers concerned with the resilience of chronically abused and neglected children have tended to overlook the protective processes unique to children who have been abused that are different from the protective processes that promote positive development among children who have experienced no maltreatment. Most importantly, studies of resilience among maltreated children have rarely investigated the impact child welfare interventions have on the resilience of children who have been maltreated, mistakenly attributing children's abilities to cope to be the result of individual factors rather than the responsiveness of service providers and governments to tailor interventions to children's needs. To enhance the likelihood of resilience among maltreated children, those who design and implement interventions need to address three aspects of resilience-related programming: make social supports and formal services more available and accessibility; design programs flexibly so that they can respond to the differential impact specific types of interventions have on children who are exposed to different forms of maltreatment; and design interventions to be more focused on subpopulations of children who have experienced maltreatment rather than diffuse population-wide initiatives. Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Descriptors:
Health Needs; Health Services; Social Services; Foreign Countries; Older Adults; Patients; Case Studies; Hospitals; Questionnaires; Socioeconomic Status

Abstract:
Purpose: Based on the medical offset effect, the goal of the study was to examine the extent to which users and nonusers of adult day care centers (ADCC) differ in frequency of use of out-patient health services (visits to specialists) and in-patient health services (number of hospital admissions, length of hospitalizations, and visits to emergency departments). Design and methods: A case-control study was used with a sample of 800 respondents, of whom 400 were users of 13 day care centers in the southern region of Israel and 400 were nonusers, matched by age, gender, and active family physician. Data collection included face-to-face interviews using a structured questionnaire. Data on health care service utilization were drawn from the central computerized data of one of the health care organizations in Israel. Results: Although users of ADCC significantly differed from nonusers in socioeconomic characteristics, they did not significantly differ from nonusers in the magnitude of health care services' utilization. Utilization of health care services was rather connected with morbidity rather than with use of ADCC. Therefore, no offset effect was found. Implications: The current form of ADCC in Israel focuses mainly on meeting social needs of the participants and therefore do not meet the their actual health needs. Therefore, inclusion of health services within ADCC may have an offset effect, but this necessitates further examination. Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Descriptors:
Schools; Innovation; Vocational Education; Work Environment; Public Sector; Cooperation; Partnerships in Education; Older Adults; Ethnography; Interviews; Social Services; Adult Students; Continuing Education

Abstract:
This article investigates the innovation concept in two key welfare areas where the demands for innovation are substantial, namely vocational education and elder care. On the basis of ethnographic fieldwork and interviews on the collaboration between an educational institution and elder care services, the article develops a tripartite empirical model of innovation. The model suggests that innovation requires levers (understood as methods and management contexts) as well as craft (understood as professional skills and rootedness), if it is to be integrated into the core services of a specific context. The article also discusses how innovation's value-creating aspects should be understood in a public sector context. The proposed innovation model yields recommendations on issues that should be considered in establishing successful innovation in a public, cross-organizational context. (Contains 1 figure.) Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Child Abuse; Parenting Styles; Confidentiality; Records (Forms); Social Services; Risk; Privacy; Socioeconomic Status; Research Methodology; Data Collection; Databases

Abstract:
Linking administrative data records for the same individuals across services and over time offers a powerful, population-wide resource for child maltreatment research that can be used to identify risk and protective factors and to examine outcomes. Multistage de-identification processes have been developed to protect privacy and maintain confidentiality of the datasets. Lack of information on those not coming to the attention of child protection agencies, and limited information on certain variables, such as individual-level SES and parenting practices, is outweighed by strengths that include large and unbiased samples, objective measures, comprehensive long-term follow-up, continuous data collection, and relatively low expense. Ever emerging methodologies and expanded holdings ensure that research using linked population-wide databases will make important contributions to the study of child maltreatment. Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Descriptors:
Preschool Children; Family Characteristics; Poverty; Disadvantaged; Disabilities; Poverty Programs; Disability Identification; Longitudinal Studies; Social Indicators; Cluster Grouping; Incidence; Social Services; Accessibility (for Disabled); Special Education; Participant Characteristics; Interviews; Caregiver Attitudes; Parent Attitudes; Child Welfare; Welfare Recipients; Statistical Surveys

Abstract:
This study examined the prevalence of indicators of disability or potential disability among preschool-aged children enrolled in the Early Head Start Research and Evaluation Longitudinal Follow-Up. Three categories of indicators were established: received Part B services, developmental risk, and biological risk. The majority of participating children (62%) were classified into at least one category. Children living in poverty from birth through preschool and of minority status were among those most likely to be classified; these children were likely to have received a variety of services. The majority of children who received Part C services (79.8%) received Part B services as preschoolers, but 33% of the children with a developmental risk identified before age 3 continued to have a developmental risk during preschool yet did not receive specialized services. Results highlight the importance of understanding the relations among child and family characteristics and service receipt to inform policy and practice. (Contains 4 tables.) Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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