As the oldest statewide program serving autistic people in the United States, North Carolina's Division TEACCH (Treatment and Education of Autistic and related Communication handicapped CHildren) has had a major impact on ser vices for these people and their families. As we move into our second decade, we are frequently questioned about all aspects of our procedures, techniques, and program. Of all the questions that are asked, however, the one that comes up most frequently and seems to set our program apart from others concerns the ways in which we work with families. To help answer this question we identified what we have found to be the major components in our parent-professional relationships, and we elaborate on these with the most current research informa tion, clinical insights, and community knowledge available through the expertise of our distinguished contributors. Our purpose was to collect the most recent information and to organize the resulting volume along the outlines of the par ent-professional relationship found most important in the TEACCH program. Thus, the four main sections of the book include these four major ways profes sionals work with parents: as their advocates, their trainers, their trainees, and their reciprocal emotional support source. To the extent this effort was success ful, we acknowledge that it is easier to organize book chapters along these dimensions than it is to provide their implementation in the field."

NHS reform continues to be a topical yet contentious issue in the UK. Reforming healthcare: What's the evidence? is the first major critical overview of the research published on healthcare reform in England from 1990 onwards by a team of leading UK health policy academics. It explores work considering the Conservative internal market of the 1990s and New Labour's healthcare reorganizations, including its attempts at performance management and the reintroduction of market-based reform from 2004 to 2010. It then considers the implications of this research for current debates about healthcare reorganization in England, and internationally. As the most up-to-date summary of what research says works in English healthcare reform, this essential review is aimed at anyone interested in the wide-ranging debates about health reorganization, but especially students and academics interested in social policy, public management and health policy.

In this sweeping narrative history from the Great Depression of the 1930s to the Great Recession of today, Caring for America rethinks both the history of the American welfare state from the perspective of care work and chronicles how home care workers eventually became one of the most vibrant forces in the American labor movement. Eileen Boris and Jennifer Klein demonstrate the ways in which law and social policy made home care a low-waged job that was stigmatized as welfare and relegated to the bottom of the medical hierarchy.
For decades, these front-line caregivers labored in the shadows of a welfare state that shaped the conditions of the occupation. Disparate, often chaotic programs for home care, which allowed needy, elderly, and disabled people to avoid institutionalization, historically paid poverty wages to the African American and immigrant women who constituted the majority of the labor force. Yet policymakers and welfare administrators linked discourses of dependence and independence-claiming that such jobs would end clients' and workers' "dependence" on the state and provide a ticket to economic independence. The history of home care illuminates the fractured evolution of the modern American welfare state since the New Deal and its race, gender, and class fissures. It reveals why there is no adequate long-term care in America.
Caring for America is much more than a history of social policy, however; it is also about a powerful contemporary social movement. At the front and center of the narrative are the workers-poor women of color-who have challenged the racial, social, and economic stigmas embedded in the system. Caringfor America traces the intertwined, sometimes conflicting search of care providers and receivers for dignity, self-determination, and security. It highlights the senior citizen and independent living movements; the civil rights organizing of women on welfare and domestic workers; the battles of public sector unions; and the unionization of health and service workers. It rethinks the strategies of the U.S. labor movement in terms of a growing care work economy. Finally, it makes a powerful argument that care is a basic right for all and that care work merits a living wage.

This new textbook opens up the policy-making process for students, uncovering how government decisions around health are really made. Starting from more traditional insights into how ministers and civil servants develop policy with limited knowledge and money, the book goes on to challenge the conception of policy as a rational process, revealing it to be something quite different. Knee-jerk reactions to disasters, keeping voters satisfied, the powerful leverage of interest groups, and the skewing of debate through ideology and the media are each considered in turn. These processes render policy far from rational or at least require a much broader approach for considering policy 'logic', one that is open to different rationalities of values, norms and pragmatism. The book draws on historical and contemporary examples to highlight that though challenges to policy-makers may seem in some ways novel, in many senses key processes endure and indeed are rooted in historical contexts. Although the examples are drawn from UK health and social care, the book's theory-driven approach is applicable across national contexts o especially for countries where uncertainty, risk and resource pressures create significant dilemmas for policy-makers. The book's multi-perspective, thematic approach will be especially relevant to students, as will the broad range of case study examples used. "Making Health Policy" will be essential reading for students of health policy, social policy, social work, and the sociology of medicine, health and illness.

This book offers an antidote to the "medicalization" of health care and observes the special needs of socioeconomically disadvantaged persons with respect to health. It is useful for practitioners in the fields of mental health, family and child welfare, gerontology, and industrial practice.

Lesbian, Gay, Bisexual, and Transgender (LGBT) also known as sexual and gender minority (SGM) populations have been the focus of global attention. Most importantly, LGBT populations have been addressed in the context of human rights in multiple reports and other activities by the United Nations and other international organizations. There is great variation among countries in the recognition of LGBT individuals' human rights. A global focus on LGBT populations' health is still limited, with the notable exception of HIV research. This book on LGBT populations and cancer in the global context is, therefore, an important step in that it will broaden the focus on LGBT populations' health. Globally, cancer is the second leading cause of death. Cancer morbidity and mortality are increasing disproportionately among populations in lower-income countries. A review conducted by the World Health Organization (WHO) found that of the 82% of member states (158) countries, only 35% of the national cancer control plans addresses vulnerable population, including LGBT populations. These findings reflect an increasing awareness about equity when addressing cancer prevention and control, including LGBT populations. This book addresses LGBT populations' cancer burden across countries that range from high- to low-income countries to support efforts in diverse countries that are working towards reducing LGBT populations' cancer burden. It documents place-specific challenges that impede progress towards reducing the LGBT cancer burden as well as critically assesses the variation in cancer control efforts that target LGBT populations and cancer to support progress at a global scale. This book includes six sections that cover the six WHO regions, with each chapter written by an author from the specific region s/he is covering. Each chapter makes use of a template that contextualizes the region, local data collection/availability, risk factors, cancer prevention, detection, diagnosis, treatment, and survivorship.

This first-of-its kind encyclopedia based on original research offers in-depth profiles showing how a broad spectrum of 121 important nongovernmental organizations in the health field work to affect the development of federal legislation and policy. A brief introduction provides a historical context for current action and an analysis of the various types of groups concerned with health. Arranged A to Z, the entries give the latest information about organizations that provide, consume, finance, and research services and products-employers, insurance companies, those in the health industry itself, labor unions, consumer advocates, public policy and medical research organizations, among others. Each profile gives data about the origin and development of the group, its organization and funding, policy concerns and tactics, electoral activity, and sources for further research. This one-volume reference details group positions on all types of federal health policies, national health care reform proposals, and exemplifies the roles that the organizations have played in historical and contemporary reform efforts. A chronology points to major federal health and health-related legislation, and appendices include the questionnaire that was sent to the groups and a directory of the organizations profiled and of additional organizations that are active in health care. An index also makes the volume user-friendly for students, teachers, policymakers, activists, and all concerned with health care issues today.

Learn useful strategies for marketing health and wellness programs. This important new book presents a cross-section of current research and commentary on wellness and prevention issues. The 17 authors--representing 11 different institutions--are some of the most active health care consultants in the academic community. They discuss studies for hospital based programs, workplace programs, and governmental and educational institutions. Important marketing concepts are used to segment the work into several sections. Included are chapters which help to define the actual product lines which should be grouped into wellness and prevention programs, studies that define several important market segments, and chapters on channels of distribution. This timely volume concludes with an analysis of current research efforts and directions for future research.Marketing for Health and Wellness Programs is essential reading for hospital administrators, faculty physicians at teaching hospitals, public health professors, government health service administration employees, corporate managers and personnel administrators, insurance industry managers, independent health and wellness consultants, and staff members of health trade publications.

This book broadens the visioning on new care environments that are designed to be inclusive, progressive, and convergent with the needs of an aging population. The contents cover a range of long-term care (LTC) settings in a single collection to address the needs of a wide audience. Due to the recent COVID-19 pandemic, rethinking the spatial design of care facilities in order to prepare for future respiratory and contagious pathogens is one of the prime concerns across the globe, along with social connectedness and autonomy in care settings. This book contributes to the next generation of knowledge and understanding of the growing field of the design of technology, programs, and environments for LTC that are more effective in infection prevention and control as well as social connectedness. To address these issues, the chapters are organized in four sections: Part I: Home- and community-based care; Part II: Facility-based care; Part III: Memory care and end-of-life care; and Part IV: Evidence-based applied projects and next steps. (Re)designing the Continuum of Care for Older Adults: The Future of Long-Term Care Settings is an essential resource for researchers, practitioners, educators, policymakers, and students associated with LTC home and healthcare settings. With diverse topics in theory, substantive issues, and methods, the contributions from notable researchers and scholars cover a range of innovative programming, environments, and technologies which can impact the changing needs and support for older adults and their families across the continuum of care.

Aimed at all types of public health practitioners and theorists, this book is a compilation of methodological and application developments in spatial epidemiological approaches for environmental and public health studies in the Asia Pacific region. It aims to plug a gap in the literature that has seen a shortage of materials documenting the development of health GIS in this crucial part of the world.

This volume examines this rapidly growing and changing field by applying a unified framework that integrates both interpersonal and mass communication investigations into theoretical and applied issues. br br Using a systems perspective as the organizational framework, relevant issues in the communication of health care, ranging from micro to macro levels, are discussed. The contributors recognize communication as a major factor affecting health today and therefore go beyond examinations of health communication as simply a dissemination of information regarding diseases, diagnoses, and treatments to show it as a much larger and more complex field with applications to all levels and forms of communication. br br Communication and Health has as its three main objecties: br br * providing a comprehensive, detailed, and up to-date picture of health communication br br * applying an integrated, logical structure to the field br br * making a clear, strong statement regarding the state of healthcommunication and examining its future prospects br br The contributors address such issues as provider-patient communication, health care teams, health care organizations, public health campaigns, and health education, and then discuss the factors that affect the processing of health information. Also included are examinations of changes in communication use within interpersonal, small group, and organizational health care contexts as well as the use of mass media and other sources for public health campaigns and for raising public awareness of health issues on a day-to-day basis. br br i Communication and Health /i fills a void in current literature on this field by serving as both a reference forprofessionals and researchers and as a textbook for advanced undergraduate and graduate level students in a multitude of courses. br

Ensuring long-term care (LTC) is one of the most urgent problems in health care today. Demographic trends are expected to lead to a higher proportion of old and very old people in the global population. As a result, an increased proportion of global income will be devoted to LTC services. With this in mind, Long-term Care: Economic Issues and Policy Solutions aims to address the following important objectives: to provide a detailed analysis of the arrangements and institutions designed to protect the disabled and dependent elderly people in various countries, and to try to evaluate their respective merits. to discuss the projections of future costs of protection for dependent elderly, and to assess the impact of improvements in disability-free life expectancy on the future cost of care and choices between informal and formal care. to present empirical research on these decisions, with special consideration of primary caregivers, and on the substitution between in kind and cash benefits as well as between institutional (or formal) care and home (or informal) care. to analyze different theoretical approaches in modeling decisions referring to LTC services to be provided both within and between generations. With its mix of empirical, theoretical and policy-related contributions, Long-term Care: Economic Issues and Policy Solutions will be of interest not only to health economists, but also to social scientists, health insurers, and public policy advocates.

First published in 1989. Routledge is an imprint of Taylor & Francis, an informa company.

This volume focuses on differences in health and health care as linked to important social factors. The first section reviews basic material on the topic. The second section on racial and ethnic factors in differences in health and health care is the largest section of the book, and includes six articles looking at racial disparities on a variety of topics such as: knowledge of hepatitis C Virus; health services received and patients' experiences in seeking health care; use of CAM (complementary and alternative medicine) services; and, the role of social capital in class and race health disparities in health information seeking behaviour. Further sections include articles focused on geographic and community factors, gender and age, gender and language, and lifecourse issues such as maternal depression and hospice care. "Research in the Sociology of Health Care, Volume 28" is essential reading for medical sociologists and people working in other social science disciplines studying health-related issues. It provides vital information for health services researchers, policy analysts and public health researchers.

This work is the most comprehensive volume to focus on new directions in professional practice with families of people with mental illness. It offers a multidisciplinary systems-oriented examination of theory, research, and practice in the area. Unique features include a consideration of life-span and family system and subsystem perspectives, as well as the inclusion of powerful personal accounts of family members. It is written from the perspective of a competence paradigm for clinical practice, which offers a constructive alternative to the more prevalent pathology models of the past.

This work is the most comprehensive volume to focus on new directions in professional practice with families of people with mental illness. It offers a multidisciplinary systems-oriented examination of theory, research, and practice in the area. Unique features include a consideration of life-span and family system and subsystem perspectives, as well as the inclusion of powerful personal accounts of family members. It is written from the perspective of a competence paradigm for clinical practice, which offers a constructive alternative to the more prevalent pathology models of the past. In the era following deinstitutionalization, families often have served as an extension of the mental health system. There is much evidence that the needs of families are often poorly met. In response to the shortcomings of the system and to their own anguish, families have become increasingly assertive in articulating their needs for respect, support, information, skills, resources, and services. This volume is designed to provide professionals with increased understanding of the experiences and needs of families, as well as with concrete suggestions for enhancing their effectiveness in meeting those needs.

The first three chapters are designed to explore general issues related to the family experience and family-professional relationships, the conceptual and empirical context, and new directions in professional practice. The next six chapters provide the experiential core of the volume, covering such topics as life-span perspectives, the subjective and objective burden, the family system, family subsystems, coping and adaptation, and the needs of families. The final three chapters are concerned with intervention, including nonclinical strategies that are designed primarily to educate and support families, and clinical strategies that are designed primarily to provide treatment. The nonclinical and clinical intervention strategies that are discussed have the potential to comprise a full continuum of family-oriented services that can be tailored to the needs, desires, and resources of particular families. The final chapter is concerned with intervention on the level of the mental health system.

Too often, cultural competence training has led to the inadvertent marginalization of some individuals and groups and the reinforcement of existing stereotypes. This text explores the concept of cultural humility, which offers an exciting way forward for those engaged in the helping professions. In contrast to cultural competence, cultural humility challenges individuals to embark on a lifelong course of self-examination and transformational learning that will enable them to engage more authentically with clients, patients, colleagues, and others. The book traces our understanding of and responses to diversity and inclusion over time with a focus on the United States. Topics explored include: Us and Them: The Construction of Categories Cultural Competence as an Approach to Understanding Difference Transformational Learning Through Cultural Humility Fostering Cultural Humility in the Institutional/Organizational Context Cultural Humility and the Helping Professional The book presents examples that illustrate how the concept of cultural humility can be implemented on an institutional level and in the context of individual-level interactions, such as those between a healthcare provider or therapist and a client. Diversity, Cultural Humility, and the Helping Professions: Building Bridges Across Difference is essential reading for the health professions (nursing, medicine), social work, psychology, art therapy, and other helping professions.

This book provides an understanding of the evolution of digitization in our day to day life and how it has become a part of our social system. The obvious challenges faced during this process and how these challenges were overcome have been discussed. The discussions revolve around the solutions to these challenges by leveraging the use of various advanced technologies. The book mainly covers the use of these technologies in variety of areas such as smart cities, healthcare informatics, transportation automation, digital transformation of education. The book intends to be treated as a source to provide the systematic discussion to the bouquet of areas that are essential part of digitized societies. In light of this, the book accommodates theoretical, methodological, well-established, and validated empirical work dealing with various related topics.

The cooperative banks' business model is unique in the financial market. It is featured by democratic foundations (one-head-one-vote principle), proximity to the members and the community they serve, limited profit-seeking nature, and prudent management. However, these principles are applied in a variety of organisational structures and economic and regulatory contexts, making cooperative banks significantly different from one country to another. This book expands existing knowledge on the European cooperative banking sector by analysing recent trends affecting cooperative banks. Namely, the book discusses the role of cooperative banks in the policy and societal movement towards sustainability, including in adopting sustainable finance practices. It explores the digital transformation journey of cooperative banks and the impact of the consolidation of Fintech players in the financial services markets. It further showcases the need to evolve the cooperative banks' governance structures and processes in order to foster (and in some cases restore) democracy and transparency in the decision-making. Lastly, the book debates the specific role of cooperative banks in the economic crisis that has followed the unfolding of the Covid-19 pandemic vis-a-vis their members and the communities they serve. Of interest to scholars, professors, students, and practitioners of banking and finance, this book will build on the existing research and explore the latest trends in the space.

Transformational Collaborative Outcomes Management (TCOM) is a comprehensive, multi-level conceptual framework for system management and improvement. This book provides a comprehensive understanding of TCOM by using person-centered, collaborative processes for decision making. The issue with current human services systems is that there is a lack of access to care and that the system is focused on providing services as cheaply as possible. TCOM focuses on helping the greatest number of people while maximizing effectiveness. By fully understanding the nature of the business of helping, the author seeks to offer ways to create and sustain effective and positively evolving helping systems. He lays out a series of goal-directed social change processes which allow people at every level of a system to begin a shift towards transformational practice and the emergence of transformational systems. Building on three decades of work in a large community of scholars and practitioners, this book will represent the first full description of the conceptual framework and will appeal to an interdisciplinary group of scholars across nonprofit management, healthcare management, and social work.

This book provides a multidisciplinary analysis of the potential conflict between a government's duty to protect children and a parent(s)' right to raise children in a manner they see fit. Using philosophical, bioethical, and legal analysis, the author engages with key scholars in pediatric decision-making and individual and religious rights theory. Going beyond the parent-child dyad, the author is deeply concerned both with the inteests of the broader society and with the appropriate limits of government interference in the private sphere. The text offers a balance of individual and population interests, maximizing liberty but safeguarding against harm. Bioethics and law professors will therefore be able to use this text for both a foundational overview as well as specific, subject-level analysis. Clinicians such as pediatricians and gynecologists, as well as policy-makers can use this text to achieve balance between these often competing claims. The book is written by a physician with practical and theoretical knowledge of the subject, and deep sympathy for the parental and family perspectives. As such, the book proposes a new way of evaluating parental and state interventions in children's' healthcare: a refreshing approach and a useful addition to the literature.

This volume analyses the very first community-based enterprise active in the herbal sector in India, the Gram Mooligai Company Limited (GMCL). The analysis presented in this volume demonstrates that the GMCL example provides a unique model of how a community-based enterprise could represent an alternative and promising model for development of local communities. It is an unconventional form of entrepreneurship, in that it is based on regarding collective and individual interests as fundamentally complementary, and viewing communal values and the notion of the common good as essential elements in venture creation.