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102 result(s) for "Medical care United States Juvenile literature."
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Health care for everyone
Describes the problems with health costs that have affected so many Americans, the solutions that have been proposed, and the hopes and fears about the policy overhaul.
Bacterial Sexually Transmitted Disease Screening Outside the Clinic—Implications for the Modern Sexually Transmitted Disease Program
BACKGROUNDThe development of noninvasive nucleic acid amplification tests for chlamydia and gonorrhea has facilitated innovation in moving sexually transmitted disease (STD) screening to nonclinical settings. However, limited data are available to inform local STD programs on evidence-based approaches to STD screening in nonclinical settings in the United States. METHODSWe conducted a systematic review of the literature published since 2000 related to chlamydia, gonorrhea, and syphilis screening in US correctional settings, bathhouses and sex venues, self-collected at-home testing, and other nonclinical sites. RESULTSSixty-four articles met eligibility criteria and were reviewed. Although data on testing volume and positivity were available, there were scarce data on the proportion of new positives treated and the programmatic costs for the various screening programs. Screening in correctional settings identified a sizable amount of asymptomatic infections. The value and sustainability of screening in the other nonclinical settings examined was not clear from the published literature. CONCLUSIONSLocal and state health departments should explore the development of sustainable jail and juvenile detention screening programs for STDs. Furthermore, local programs should pilot outreach and home-based STD screening programs to determine if they are identifying asymptomatic persons who would not have otherwise been found. Local programs are encouraged to present and publish their findings related to non–clinic-based screening to enhance the limited body of literature; data on the proportion of new infections treated and the local program costs are needed.
A Model for Interdisciplinary Collaboration
Social workers have worked with colleagues from other disciplines since the early days of the profession; yet, they were without clear models to guide this interdisciplinary work. The author uses multidisciplinary theoretical literature and conceptual and research pieces from social work literature to support the development of such a model. First, current trends relevant to interdisciplinary practice are noted to emphasize its importance. The article describes a two-part model. Part one of the model consists of five components that constitute interdisciplinary collaboration between social workers and other professionals: interdependence, newly created professional activities, flexibility, collective ownership of goals, and reflection on process. Part two of the model consists of four influences on collaboration: professional role, structural characteristics, personal characteristics and a history of collaboration. Implications for social work practice are discussed.
Lessons from the Research on Paraprofessionals for Attendant Care in Children’s Mental Health
This article summarizes literature about paraprofessionals who assist children or families in the areas of mental health, education, or early childhood education, and focuses on three main questions: How effective are paraprofessionals?; what are the common and appropriate roles and responsibilities of paraprofessionals?; and what qualifications, training, and supervision are needed for paraprofessionals? Implications are inferred for a burgeoning new form of paraprofessional services: attendant care in community based mental health services for children. Lessons from existing literature can help mental health administrators and clinical supervisors at state and local levels to select, train, supervise, and evaluate attendant care workers.
The Child -Centered Social Worker and the Sexually Abused Child: Pathway to Healing
The prosecution of child sexual abuse cases continues to be an area in which there is a strain between the judicial system and the social work profession; the former is predominately interested in the conviction of the accused and the later is primarily interested in the protection of the child's emotional well-being. In an effort to assist the sexually abused child throughout the court process, the authors propose the concept of a child-centered social worker committed to minimizing the potential for system-induced trauma by assisting the sexually abused child through the judicial process and providing clinical treatment as well.
Offenders: Characteristics and Treatment
People who sexually abuse children are diverse in terms of age, occupation, income level, marital status, and ethnic group. At one time it was believed that sex offenders could be easily categorized along three dimensions: offending against either adults or children; offending against either members of their families or against acquaintances and strangers; offending in noncontact ways (for example, exhibitionism) or through bodily contact. There is growing evidence that a number of offenders offend across these categories. Many child sexual abusers are themselves adolescents, and many adult offenders first offended when they were adolescents. A review of the literature reveals a paucity of controlled therapy outcome studies on the effectiveness of treatment, and existing uncontrolled studies are marked by methodological problems. This has led some to conclude that there is insufficient evidence to prove the effectiveness of treatment for child molesters. However, there have been major changes in treatment programs over the years, and some more recent studies provide reason for optimism about the effectiveness of current treatment methods for some offenders.