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1.
Community Ment Health J ; 50(8): 922-5, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-24477511

RESUMO

Kentucky Department for Behavioral Health Developmental and Intellectual Disabilities conducted a survey to evaluate consumers' satisfaction with services delivered at the Community Mental Health Centers (CMHCs) in Kentucky. The survey was administered at outpatient clinics operated by fourteen CMHCs in 2010. The purpose of this study was to identify factors that predict whether clients will respond that they were "generally satisfied" with services received from CMHCs. A logistic regression model was developed using respondents' characteristics and their responses to survey questions. Survey questions were grouped into seven core domains: general satisfaction, access, quality, participation in treatment planning, outcomes, functioning, and social connectedness. In result, responses to domains of access, quality and participation in treatment planning significantly affected clients' perception of general satisfaction. Respondents who positively assessed those domains of services were more likely to answer that they were generally satisfied with services. Based on the analysis in this report, improvement in certain domains of services, especially access, quality and participation in treatment planning could increase the level of positive responses in general satisfaction.


Assuntos
Atitude Frente a Saúde , Serviços Comunitários de Saúde Mental , Satisfação do Paciente , Adolescente , Adulto , Instituições de Assistência Ambulatorial , Centros Comunitários de Saúde Mental , Comportamento do Consumidor , Feminino , Pesquisas sobre Atenção à Saúde , Acessibilidade aos Serviços de Saúde , Humanos , Kentucky , Modelos Logísticos , Masculino , Transtornos Mentais/terapia , Pessoa de Meia-Idade , Participação do Paciente , Qualidade da Assistência à Saúde , Adulto Jovem
2.
J Gerontol Soc Work ; 57(2-4): 218-34, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24798546

RESUMO

We evaluate the association between emotional and instrumental support and perceived health and depression symptoms in a sample of 182 gay/bisexual men age ≥ 55. Perceived health was positively correlated with number of sources of emotional support and depression was negatively associated with instrumental support and health care providers' knowledge of patients' sexual orientation. Depression mediates the connection between providers' knowledge of patients' sexual orientation and perceived health. Number of sources of emotional support varied negatively with age and ethnic minority status, and positively with living with a partner. Instrumental support seemed to be dependent on living with a partner.


Assuntos
Homossexualidade Masculina/psicologia , Apoio Social , Idoso , Idoso de 80 Anos ou mais , Depressão/psicologia , Emoções , Nível de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Fatores Socioeconômicos , Cônjuges/psicologia
3.
Pediatrics ; 143(6)2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-31142579

RESUMO

For 25 years, the American Academy of Pediatrics (AAP) Community Access to Child Health (CATCH) program has supported pediatricians in collaborating within their communities to advance the health of all children. CATCH grants support pediatric residents and pediatricians in planning or implementing community-based child health initiatives. The CATCH program has provided almost 10 million dollars through 842 planning, 585 resident, and 305 implementation grants to >1700 pediatricians. Urban, rural, suburban, and tribal communities in every state as well as the District of Columbia and Puerto Rico have benefited from CATCH-funded projects. Collaborations with community partners such as schools, homeless shelters, and mental health centers have led to programs serving children and families, especially those living in poverty and in minority groups. The most recent program data reveal that 87.5% of the projects are operating 2 years after funding. Many CATCH projects have not only sustained themselves but have grown into larger programs with funding from other sources. CATCH has influenced pediatricians' careers by providing important skills, networking opportunities, career legitimacy, mentoring opportunities, and increased engagement with the AAP. More than 350 pediatricians have served the AAP as CATCH facilitators, the network of physicians that provides technical assistance to applicants and reviews grant applications. Responding to changing trends, CATCH leaders have looked at other funding models and recently launched the CATCH-On initiative. CATCH-On creates and provides templates from successful CATCH projects to busy pediatricians who can then implement the project in their communities with minimal funding.


Assuntos
Academias e Institutos/economia , Serviços de Saúde da Criança/economia , Serviços de Saúde Comunitária/economia , Acessibilidade aos Serviços de Saúde/economia , Pediatria/economia , Academias e Institutos/tendências , Serviços de Saúde da Criança/tendências , Pré-Escolar , Serviços de Saúde Comunitária/tendências , Acessibilidade aos Serviços de Saúde/tendências , Humanos , Pediatria/tendências , Fatores de Tempo , Estados Unidos/epidemiologia
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