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Transforming children's mental health policy into practice : lessons from Virginia and other states' experiences creating and sustaining comprehensive systems of care
This book examines the long term impact of service reform in children’s mental health, focusing on comprehensive state and local initiatives to improve care for children with serious behavioral health and their families to illustrate how programmatic and contextual forces influence policy and practice in this area, and inform readers about strategies employed by policy makers, administrators and advocates to develop and sustain effective systems of care. This book looks at Virginia’s effort to reform care for at-risk youth, as well as the transformational initiatives of six states and several localities. Using a comprehensive ecological framework, the authors focus on a statewide transformation of services for children/youth with serious emotional and behavioral challenges to enhance understanding of the course and consequences of system change efforts over an extended period of time. Attention is given to the impact of this reform on individual children and families, and local communities as well as the Commonwealth. Using data from states’ and localities’ efforts to develop comprehensive systems of care for children and families, this book enhances understanding of the dynamics of large-scale human service reform efforts. It describes how political, economic, social, cultural, and technological forces have shaped policy and practice, offer lessons learned from these ambitious reform initiatives, and provide guidance for those interested in improving care for vulnerable children and their families. This book examines the long-term impact of reform legislation, employing a multi-modal approach to enrich understanding of this ambitious reform effort. Examples are provided to illustrate how CSA and other systems of care have impacted individual children and families as well as the interplay of local community dynamics and macro level policy and political processes. This book also offers the first-hand perspectives of individual consumers and families, child advocates, community based program providers, and local and state wide administrators and policymakers. By combining these multiple perspectives the authors provide a comprehensive perspective on the issues of child mental health services and related reform efforts.
eBook
Virtual health care in the era of COVID-19
Following China's example, on March 30, at the direction of US President Donald Trump, the Centers for Medicare & Medicaid Services (CMS), which oversees the nation's major public health programmes, issued what it termed “an unprecedented array of temporary regulatory waivers and new rules to equip the American healthcare system with maximum flexibility to respond to the 2019 Novel Coronavirus (COVID-19) pandemic”. The risk–benefit ratio for virtual health care has massively shifted and all the red tape has suddenly been cut.” In Italy, although all 20 regions had implemented national telemedicine guidelines as of 2018, hospital managers have been largely caught off guard by the explosion in digital demand, says Elena Sini, information officer for GVM Care & Research, a network of nine private hospitals in northern Italy. With mobile phone use now globally ubiquitous, technological barriers to the adoption of virtual health care are easily surmountable, even in the most resource-scarce settings, notes Alex Jadad, founder of the Centre for Global eHealth Innovation at the University of Toronto, ON, Canada, where he is the director of the Institute for Global Health Equity and Innovation.
Journal Article
Covid-19 and Health Care’s Digital Revolution
In the face of the Covid-19 pandemic, Americans are waking up to the limitations of their analogue health care system. It seems clear that we need an immediate digital revolution, pursued on several fronts, to address this crisis.
Journal Article
National cancer control plans: a global analysis
There is increasing global recognition that national cancer plans are crucial to effectively address the cancer burden and to prioritise and coordinate programmes. We did a global analysis of available national cancer-related health plans using a standardised assessment questionnaire to assess their inclusion of elements that characterise an effective cancer plan and, thereby, improve understanding of the strengths and limitations of existing plans. The results show progress in the development of cancer plans, as well as in the inclusion of stakeholders in plan development, but little evidence of their implementation. Areas of continued unmet need include setting of realistic priorities, specification of programmes for cancer management, allocation of appropriate budgets, monitoring and evaluation of plan implementation, promotion of research, and strengthening of information systems. We found that countries with a non-communicable disease (NCD) plan but no national cancer control plan (NCCP) were less likely than countries with an NCCP and NCP plan or an NCCP only to have comprehensive, coherent, or consistent plans. As countries move towards universal health coverage, greater emphasis is needed on developing NCCPs that are evidence based, financed, and implemented to ensure translation into action.
Journal Article
Future sea : how to rescue and protect the world's oceans
\"Rather than continue to focus on discrete, geographically bounded bodies of water, ocean advocate and marine-policy researcher Deborah Wright urges a Plan Sea, which reimagines the oceans as the continuous ecosystem it is, not disconnected buckets of salt and plankton. This book proposes that the global marine environment be protected under the precautionary principle. It argues that the policy framework for such protection already exists -- it just needs to be enforced. In a series of case studies, with first-person vignettes woven throughout, Wright encourages us to begin every conversation about ocean policy with the assumption that any extractive or polluting activities in the world's oceans should require special permission. Her argument invokes the Public Trust Doctrine already embedded in many constitutions, and hinges on the Law of the Sea, which was established by the U.N. in 1982 to protect the \"high seas,\" or the remote parts of the ocean considered international waters. To some, Wright's plan may seem idealistic, but its audacity might also be seen as a welcome nudge to our collective imagination. Many scientists are convinced that ocean ecosystems are on the brink of collapse -- there's something to be said, then, for a book that's radical enough to unlock new thinking about what might be possible, and maybe necessary, in terms of their protection\"-- Provided by publisher.
The effects of tobacco control policies on global smoking prevalence
Substantial global effort has been devoted to curtailing the tobacco epidemic over the past two decades, especially after the adoption of the Framework Convention on Tobacco Control
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by the World Health Organization in 2003. In 2015, in recognition of the burden resulting from tobacco use, strengthened tobacco control was included as a global development target in the 2030 Agenda for Sustainable Development
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. Here we show that comprehensive tobacco control policies—including smoking bans, health warnings, advertising bans and tobacco taxes—are effective in reducing smoking prevalence; amplified positive effects are seen when these policies are implemented simultaneously within a given country. We find that if all 155 countries included in our counterfactual analysis had adopted smoking bans, health warnings and advertising bans at the strictest level and raised cigarette prices to at least 7.73 international dollars in 2009, there would have been about 100 million fewer smokers in the world in 2017. These findings highlight the urgent need for countries to move toward an accelerated implementation of a set of strong tobacco control practices, thus curbing the burden of smoking-attributable diseases and deaths.
Analysis of global smoking prevalence trends from 2009 to 2017 demonstrates that, when implemented, national-level tobacco control policies are highly effective; however, considerable gaps remain in the universal adoption of anti-tobacco interventions.
Journal Article