A COMPLETE, STEP-BY-STEP GUIDE TO PREPARING YOURSELF AND YOUR COMMUNITY TO AID FIRST RESPONDERS DURING A DISASTER SITUATION Nothing brings out the best in neighbors more than facing a catastrophe together. But don't wait till the disaster is upon you. This book shows how you can work together today to protect the lives and homes of all the families in your neighborhood tomorrow. With guidance on how you can take a leadership role, this helpful handbook details everything your community needs to be fully prepared for any natural disaster. * Creating event-specific disaster kits for yourself and your family * Learning about basic fire safety and fire fighting * Establishing triage centers in the event that first responders can't reach you * Stabilizing disaster victims through need-to-know first aid * Creating your own neighborhood emergency response team to keep your neighborhood safe and save lives should the worst occur

In the event of a disaster or public health emergency, individual agencies and hospitals cannot always effectively act alone. In order to provide a collaborative, comprehensive system of planning and response a Healthcare Emergency Response Coalition (HERC) is needed. This book introduces the concept of a HERC and demonstrates why and how a HERC is among the most effective tools for health emergency response and preparedness. Establishing a Healthcare Emergency Response Coalition addresses all matters related to instituting and developing a successful HERC. This Guide is based on Palm Beach County's experiences during the formation and implementation of their tried and tested HERC now a national model and can serve to direct your community in establishing its own HERC. It addresses the most fundamental questions of starting a HERC, such as - What is a HERC? - Why do we need a HERC? - How do we start a HERC - How should a HERC be structured? It also provides guidance for developing and sustaining a successful HERC by outlining the steps and activities needed to begin and providing a list of policies and procedures that can be implemented and resources that can be consulted. This information can be applied and customized to any community's specific needs and resources to implement a program that will address any size disaster or healthcare emergency that presents itself. This book provides myriad benefits to everyone invested in emergency preparedness for a community, from health officials and emergency response teams to government officials and fire and police departments, along with anyone else involved with preparing his or her community for disasters and public health emergencies.

Since 11 September 2001, several bills introduced in the U.S. Congress have included provisions to assist emergency communications. Legislation addressing communications among first responders focused first on interoperability - the capacity of different systems to connect - with provisions in the Homeland Security Act. The Intelligence Reform and Terrorism Prevention Act provided more comprehensive language that included requirements for developing a national approach to achieving interoperability. Future 911 systems will use Internet protocols (IP) to facilitate interoperability and system resilience, and to provide better connections between 911 call centres, emergency responders, and alert and warning systems, more robust capacity, and the flexibility to receive calls for help in any format. Congress may choose to revisit policy questions and support for 911 to assure that systems and networks are upgraded to become a fully functioning part of the United States' emergency communication safety net. This book explains the steps that are being taken by Congress to increase the safety network of emergency communication in the light of terrorist attacks.

Summarizes the results of an analysis of available data sources concerning the hazards facing firefighters, police, and emergency medical responders. Collects and synthesizes available data on casualties experienced by the emergency responder population. The authors examined data separately for firefighters, police officers, and emergency medical technicians. These data can provide a route for identifying combinations of kinds and causes of injury, body parts involved, and types of responder activity where injury reduction efforts might be most effectively applied.

Firefighters, law enforcement officers, and emergency medical service responders play a critical role in protecting people and property in the event of fires, medical emergencies, terrorist acts, and numerous other emergencies. The authors examine the hazards that responders face and the personal protective technology needed to contend with those hazards. The findings are based on in-depth discussions with 190 members of the emergency responder community and are intended to help define the protective technology needs of responders and develop a comprehensive personal protective technology research agenda.

What does it mean to be a good doctor in America today? How do such challenges as new biotechnologies, the threat of malpractice suits, and proposed health-care reform affect physicians' ability to provide quality care?
These and many other crucial questions are examined in this book, the first to fully explore the meaning and politics of competence in modern American medicine. Based on Mary-Jo DelVecchio Good's recent ethnographic studies of three distinct medical communities--physicians in rural California, academics and students involved in Harvard Medical School's innovative "New Pathway" curriculum, and oncologists working on breast cancer treatment--the book demonstrates the centrality of the issue of competence throughout the medical world. Competence, it shows, provides the framework for discussing the power struggles between rural general practitioners and specialists, organizational changes in medical education, and the clinical narratives of high-technology oncologists. In their own words, practitioners, students, and academics describe what competence means to them and reveal their frustration with medical-legal institutions, malpractice, and the limitations of peer review and medical training.
Timely and provocative, this study is essential reading for medical professionals, academics, anthropologists, and sociologists, as well as health-care policymakers.

In the current atmosphere of closer scrutiny of healthcare practices and procedures, front-line managers and health care providers must investigate potential problems in their work environment, whether at the behest of upper management, in order to meet Joint Commission on Accreditation of Health Care Organizations (JCAHO) standards, or through their own sense that "weAEre doing something wrong." For the investigator with limited previous experience in evaluation or research, the prospect of undertaking this kind of investigation can appear daunting, to say the least. Quality Improvement Projects in Health Care was written just for this individual. Author Eleanor Gilpatrick, a seasoned investigator and professor of health services administration, provides a review of the basic terminology and guidelines for carrying out "nuts-and-bolts" quality improvement research. She then demonstrates how such a research project can be implemented through 14 case studies involving actual health care situations. Altogether, the cases speak to a broad array of issues and potential pitfalls for the unwary investigatoruand they show that progress can be made in even the most difficult circumstances. Quality Improvement Projects in Health Care will be of interest to students and professionals in health sciences administration, nursing, allied health, and public health.

This book presents a comparative analysis of mental health policy in Western Europe and North America. It also considers how and why different policies have developed.

Simon Goodwin examines the transition from institutional to community-based models of care for people with mental health problems, identifying variations in the inception, pace and style in which community-based service provision has emerged in different countries. Goodwin also assesses the problems and issues that have arisen as a result of the shift towards more community-based systems of care and treatment, and argues that it is a policy made up of conflicting aims and purposes, which is reflected in its implementation.

What are the political forces which drive the process of change in the health service? How do these forces impact on existing structures of power, policy and organisation? In addressing these questions, Brian Salter applies an original theory of political change to key areas of NHS activity. He shows how the escalating demand for health care combined with recent radical policy initiatives has posed different problems for politicians, doctors, bureaucrats and managers. Out of the accommodations reached, a new shape has emerged for the NHS.

Americans have benefited from substantial improvements in health since the end of World War II. They live longer and grow taller; they have the safest and cheapest food supply on the planet; they have seen virtually all childhood diseases brought under control. Yet concerns about health remain widespread today. Cancer seems to be everywhere; autoimmune, nervous, and environmental diseases have reached pandemic proportions; medical malpractice suits have proliferated.

How can we have received so many benefits while still being as worried as ever about our health and the health care system established to ensure and extend those benefits? The historical perspective provided by the essays in this volume helps answer this question by identifying two points of significant change in health care policy. Beginning in the 1950s there emerged a subtle yet critical reconceptualization as the individual rather than the group came to figure prominently as the central policy-making unit. Then in the late 1960s a palpable sense of limits rendered the individualism of the previous decade into a Malthusian formulation: the greater the access or benefits that any one person received, the less others could get. Besides tracing these patterns in health care development, the essays also show how traditional notions of expertise have been affected by the changes. Contributors are Amy Sue Bix, Hamilton Cravens, Gerald N. Grob, Alan I Marcus, Diane Paul, David Rosner and Gerald Markowitz, and James Harvey Young.

New ideas on the role of the state in developing countries have considerable implications for the social sectors, especially health. Certain international organizations have advocated a larger role for private sector health care providers and many developing country governments have adopted this approach. Yet, until now, very little evidence has existed about how shifting the balance between public and private roles might affect equity, and the quality and efficiency of health care. This book presents the results from a coordinated programme of research on the private health care sector including studies carried out by Asian, African and Latin American researchers. The conceptual chapters draw upon both industrialized and developing country literature to describe the intellectual terrain, analyse the key issues and summarize experience to date. This book will help increase understanding of the private sector, as well as illustrating the contentious issues involved in privatization. It will be useful to students and academics involved in international public health courses, and to health policy makers in developing countries.

Can the United States provide a health care program that offers a comprehensive package of the highest-quality health benefits to all Americans while containing health care costs? In this important book, Dr. William L. Kissick says that it cannot: no society in the world has sufficient resources to provide all the health services its population is capable of utilizing. Dr. Kissick was an active participant in the drafting of Medicare legislation in the 1960s and for the past twenty-five years has held joint positions in a medical school and a business school where he has specialized in health care management. Drawing on his long experience in the field, he discusses the dimensions of the current crisis, the financial and medical implications of alternative proposals--including the program put forth by the Clinton administration--and the requirements for long-term strategies. He argues that although there are no ideal solutions to health care reform, there are many significant programs at the regional, state, and local level that can serve as prototypes for the restructuring of the organization, financing, and delivery of health services. Dr. Kissick discusses some of these alternatives and suggests that after the federal government legislates a health care policy, it should be implemented through collaboration with state and local initiatives, for such programs have been built on an understanding of regional needs, expectations, and cultural diversity.

Experts agree--the U.S. has achieved the most technologically advanced medical care system in the world and it provides the highest quality, most comprehensive medical education available. Can we conclude that our health care system is one of America's success stories? It appears--we cannot. However, amid growing concern over our health care system, there is far less agreement on what to do about it. Jennie Kronenfeld addresses major health care controversies confronting American society, health care professionals, and policymakers. This intriguing book focuses on the overlapping area between policy sciences and health care studies, particularly the cost, access, and quality of health care. Kronenfeld discusses whether our system can solve its problems, or whether we have a health care "system" at all. Do we have a national health care "policy," or a web of state, county, and city policies? And, what of fundamental changes being adopted in the midst of the controversies surrounding reproductive health and abortion, mental health and behavioral health, disease patterns/physical health/AIDS, aging and long-term care, as well as the professions and facilities who provide care? A provocative examination of these important issues, Controversial Issues in Health Care Policy is essential reading for students of policy studies, health services, and sociology, as well as for policymakers, and health care professionals.

Using the authors many years of experience in emergency services and his skills as a hazardous materials consultant, prepares the first responder to handle everything from re-establishing control and on-scene triage to investigating the crime. Including information on pre-incident and avoidance tactics, the author also discusses monitoring and detection techniques, protective equipment and decontamination, and an extensive list of resource organizations and training opportunities. This up-to-date 3rd edition is written to provide concise information for emergency responders who might be called upon to confront explosive, chemical, nuclear, biological, or incendiary acts of terrorism.

Radioactive sources such as nuclear power installations can pose a great threat to both humans and our environment. How do we measure, model and regulate such threats? Environmental Radioactivity and Emergency Preparedness addresses these topical questions and aims to plug the gap in the lack of comprehensive literature in this field. The book explores how to deal with the threats posed by different radiological sources, including those that are lost or hidden, and the issues posed by the use of such sources. It presents measurement methods and approaches to model and quantify the extent of threat, and also presents strategies for emergency preparedness, such as strategies for first-responders and radiological triage in case an accident should happen. Containing the latest recommendations and procedures from bodies such as the IAEA, this book is an essential reference for both students and academicians studying radiation safety, as well as for radiation protection experts in public bodies or in the industry.

While professional courses and how-to manuals can prepare us for expected events that will occur in the course of our careers, there remains an untapped reservoir of life experience that cannot be prepared for in training or study. These events and experiences give texture and meaning to our work and shape our character. Filled with stories of courage and inspiration, What They Didn't Teach at the Academy: Topics, Stories, and Reality Beyond the Classroom looks at experiences encountered by public safety and military professionals that were not necessarily encompassed in their training or realistically portrayed in simulations. Topics raised in the stories include: A doctor confronting her own debilitating and potentially fatal disease Cultural awareness and safe travel Suicide among law enforcement officers Departmental harassment of a new police recruit Coping with an addicted spouse Posttraumatic stress disorder Life as a K-9 handler The effect of work obligations on marriage and family Conflicts between moral beliefs and professional principles Debunking myths about Islam The book also examines coping mechanisms for stress and discusses the importance of observation, perception, and communication in facing challenging encounters. Through this collection of vignettes and philosophies, the contributors demonstrate that the lessons of life are not taught in colleges, universities, and academies but through hard experience.

"Cop Doc's Guide to Public Safety Complex Trauma Syndrome" is written in response to the need for an advanced, specialized guide for clinicians to operationally define, understand, and responsibly treat complex post-traumatic stress and grief syndromes in the context of the unique varieties of police personality styles. The book continues where Rudofossi's first book, "Working with Traumatized Police Officer Patients", left off. Theory is wed to practice and practice to effective interventions with police officer-patients. The 'how' and 'why' of a clinician's approach is made highly effective by understanding the distinct personality styles of officer-patients. Rudofossi's theoretical approach segues into difficult examples that highlight each officer-patient's eco-ethological field experience of loss in trauma, with a focus on enhancing resilience and motivation to - otherwise left disenfranchised. Thus, this original work expands the ecological-ethological existential analysis of complex PTSD into the context of personality styles, with an emphasis on resilience - without ignoring the pathological aspects of loss that often envelop officer-patient trauma syndromes.

`The author presents a plethora of infomation on users as individuals, their communities, research, healthcare markets and health service myths - old and new. It's a cool academic appraisal of where the power lies and how more might be shared with the patient' - Health Service Journal `Anything that helps us to understand the complexities of healthcare provision and what issues are important to users is therefore helpful. I welcome Christine Hogg's excellent summary of the issues raised by users about healthcare services. It clearly informs readers of the debates that need to take place and of the issues that healthcare practitioners should address in order to better serve their users.... So read the book to gain a better understanding of some of the issues that users feel strongly about' - British Medical Journal Making an original contribution to debates on health policy, this accessible and engaging book critically examines the future of health care and public health policy from the perspective of users and citizens. Consumerism, partnerships with patients and user involvement are seen as key to future health care and healthy public policies. The book outlines how individuals as patients, healthy people and research subjects relate to health services and how the public, as citizens, influence health care and public policies at local, national and international levels.

"Chronic Condition" provides a compelling analysis of the causes of the current health care crisis and of the shortcomings of reform proposals. It also offers an ingenious new framework for reform that, while minimizing government interference, would provide a means for financing care for the less affluent.

Sherry Glied shows that rising health care spending is consistent with a rising standard of living. Since we can, as a nation, afford more health care, reform must address not the overall level of health care costs but the distribution of health care spending.

Prior reform proposals, Glied argues, have failed to account for the tension between the clearly manifested desire for improving the quality of health care and the equally widespread interest in assuring that the less fortunate share in these improvements. After careful analysis of the ill-fated Clinton plan, Glied proposes a new solution that would make the willingness to pay for innovation the means of financing health care improvements for the less affluent. While rejecting the idea that the distribution of health care should be perfectly equal, Glied's proposal would enable all Americans to benefit from the dynamics of the free market.

From 1971 to 1982, researchers at the RAND Corporation devised an experiment to address two key questions in health care financing: how much more medical care will people use if it is provided free of charge? and what are the consequences for their health? This book presents a comprehensive account of the experiment and its findings. It will be an invaluable teaching tool and reference for anyone concerned with health-care policy.

One of the major concerns about the changing U.S. health-care systems is whether they will improve or diminish the quality and cost-effectiveness of medical care. The shift from a fee-for-service to a prepaid method of reimbursement has greatly changed the incentives of patients to seek care as well as those of providers to supply it. This change poses a particular challenge for care of depressed patients, a vulnerable population that often does not advocate for its own care. This book documents the inefficiencies of our national systems--prepaid as well as fee-for-service--for treating depression and explores how they can be improved.

Although depression is a major illness affecting millions of people, it is seriously undertreated in the United States. The ongoing shift of mental-health care away from specialists and toward primary medical-care providers is causing fewer depressed patients to be appropriately diagnosed and treated. Depression is frequently more devastating than other major illnesses, such as arthritis and heart disease, because it often begins at a younger age, when people are at their productive peak and thus at risk of permanently damaging their careers. It also differs from many medical conditions in that its indirect costs are usually much higher than direct treatment costs.

The authors urge the integration of both medical and economic considerations in designing policies for the treatment of depression. They show that by spending more money efficiently on care, the nation will gain greater health improvements per dollar invested and a more productive population.

Runaway medical costs, long-term care, market competition, for-profit medicine, nursing shortages-these are but a few of the issues that swirl around in the late twentieth century's volatile health care scene. How much of the system do we want to change, and how much do we want to keep? Health policy expert Eli Ginzberg examines such crucial questions in his characteristically broad-gauged perspective. Framing the issues in their historical, political, and professional contexts, the author analyzes how we have arrived at the current crisis. The book focuses on the three sides of the medical triangle that have separate and sometimes conflicting goals: the physicians want to provide the most health care for the most money; the government, which furnishes 40 percent of the system's funding, wants to limit the money it pays out for health care; and the public, with over a billion annual visits to doctors, wants the most health care for the least money. Ginzberg explains how the core components of our health care system-the community hospital and physicians who have long practiced in a fee-for-service mode-are under attack, and he indicates the factors that make it uncertain whether the destabilization will slow down or accelerate. Moreover, can key health care centers maintain their leadership in a time when new dollars for health are scarce? How will the floundering state of foundations affect medical care in local communities? In his final chapters the author zeroes in on the special concerns of the public: high-need patients (including those suffering from cancer, catastrophic illness, and the infirmities of old age, or those who are mentally ill or chronically poor), nursing shortages, unsuccessful cost containment, and lack of consensus within the medical triangle about the major issues on our nation's health agenda.

Published in Cooperation with the Midwest Council for Social Research on Aging Improved standards of living coupled with advancements in medical technology have enhanced much of the populations' opportunities for living long and productive lives. But what are the implications for living longer? Is living longer necessarily the best thing for the individual? And, what about the quality of that life? In this insightful volume, leading figures in social gerontology present state-of-the-art research on health and longevity. They discuss such consequential topics as health promotion and disease prevention, supply and demand for social and medical services, governmental and community response to needs, and effects of gender and ethnicity on health and life circumstances. In addition, they provide a sound basis for understanding the theoretical questions and empirical findings of a growing and multifaceted field. The Legacy of Longevity is an excellent resource for anyone wishing to understand the health and social implications of an aging population. Administrators and policymakers will find its practical information useful in planning and implementing programs to improve the health and social well-being of older persons. "Address[es] a variety of topics pertinent to the health care of older adults including conceptualizing and measuring health; social factors associated with becoming sick; use of health-care services; organization and financing of health-care services; and the interaction of the system with the individual. . . . Recommended for upper-level undergraduate and graduate students." --Choice "This book provides intelligent discussion of the important issues in health care and health policy for elderly people today. The authors' expertise in setting out their arguments clearly is obvious and the outcome is an inspired presentation of what could appear to be a dull topic. It should become a key text for the specialist readers." --Journal of Advanced Nursing "Purely as a work of reference, the book is very useful. But it is more than that. . . . There is no shortage of fresh insights or of controversial positions; the authors on the whole, do not get bogged down in the minutiae of their findings or the findings of others but set them in context and discuss them with concern and enthusiasm. . . . The editor is to be congratulated on the way in which he has assembled and balanced the various contributions, successfully weathering the perils of overlap and repetition." --Ageing in Society "The Legacy of Longevity is a multiauthor collaborative effort, full of information bound to be of interest to serious students, educators, and practitioners in the fields of aging. It provides a comprehensive overview of state-of-the-art research on health and longevity as these relate to social issues." --Pride Institute of Long Term Home Health Care

Robust Satellite Techniques for Natural and Man-made Hazards: Prediction, Monitoring and Damage Assessment provides an introduction to the Robust Satellite Techniques (RST) change detection method. This method is used to identify significant signal changes in a reliable way, even in the presence of varying disturbing conditions as they apply to natural, environmental and industrial hazards. Providing both general and specific examples for the use of RST, the book offers a variety of applications for these techniques, spanning from natural hazard detection and environmental monitoring to industrial accident and terrorist attack early identification. Applicable to researchers, students and policy makers alike in a variety of fields, including Earth sciences, environmental monitoring, and disaster risk reduction. This book is essential for understanding advanced applications and analyses of remote sensing data.