RESUMEN
While current research on the factors affecting the HIV epidemic within the general population has considered the role of HIV case managers, much remains to be known about case management effectiveness and how it might be enhanced. This article presents the data from a statewide survey of case management professionals in Florida. The study focused on case managers' preparation for practice and barriers to successful practice. The study results reflect a very broad educational preparation in multiple disciplines with highly varied means of case manager training and orientation at entry to practice. Further, the results highlighted the existence of multiple barriers that challenge the ability of case managers to cope with the demands of case management practice in sites serving people living with HIV/AIDS who are socially and economically challenged. The article concludes with recommendations for changes in the system that would enhance the preparation of case management professionals for entry to practice.
Asunto(s)
Manejo de Caso/normas , Infecciones por VIH/terapia , Proveedores de Redes de Seguridad/normas , Servicio Social/normas , Adulto , Actitud del Personal de Salud , Manejo de Caso/economía , Manejo de Caso/legislación & jurisprudencia , Competencia Cultural , Femenino , Financiación Gubernamental/legislación & jurisprudencia , Florida , Infecciones por VIH/economía , Infecciones por VIH/psicología , Encuestas de Atención de la Salud , Personal de Salud/educación , Humanos , Masculino , Atención Dirigida al Paciente/economía , Atención Dirigida al Paciente/legislación & jurisprudencia , Atención Dirigida al Paciente/normas , Evaluación de Programas y Proyectos de Salud , Proveedores de Redes de Seguridad/economía , Proveedores de Redes de Seguridad/legislación & jurisprudencia , Servicio Social/economía , Servicio Social/legislación & jurisprudencia , Estados UnidosRESUMEN
Childhood obesity can be effectively addressed with behavioral interventions in programs such as CATCH and Planet Health using a multidisciplinary approach. Social workers and school nurses are in close contact with children and youths at risk of obesity and their families within the school setting and are prepared to lead a multidisciplinary team in program planning, implementation, and evaluation related to reducing childhood obesity.
Asunto(s)
Comunicación Interdisciplinaria , Obesidad Infantil/prevención & control , Servicio Social , Niño , Preescolar , Promoción de la Salud , Humanos , Metaanálisis como Asunto , Servicios de Salud EscolarRESUMEN
The present study investigated psychosocial predictors for major depressive disorder (MDD), general anxiety disorder (GAD), and suicidal ideation (SI) of Latino American men identified in the first national mental health epidemiological survey of Latinos. Three separate sets of logistic regression analyses were performed for 1,127 Latinos, following preplanned two steps (Model 1--Known Demographic and Acculturation Predictors as controls, Model 2--Psychosocial Risk and Protective Factors). Results show that Negative Interactions with family members significantly predicted the likelihood of both MDD and SI, while SI was also associated with Discrimination. Acculturation Stress was associated with that of GAD (alongside more Income, Education of 12 years, and Years in the United States for less than 11 years). Other potential protective factors (social support, racial/ethnic identity, religious involvement) were not influential. The differential predictors for mental health issues among Latino men imply that assessment and intervention for them may need certain gender-specific foci in order to improve mental health disparities in this population.