Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 4 de 4
Filtrar
1.
Matern Child Health J ; 28(1): 19-23, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-38010588

RESUMEN

BACKGROUND: A joint statement from two federal agencies in the United States calls for coordination and collaboration between programs serving families of infants and toddlers who are at risk or developmentally delayed or disabled U.S. Department of Education and U.S. Department of Health and Human Services. Policy guidance: Joint statement on collaboration and coordination of the MIECHV and IDEA Part C programs. (2017). Individuals with Disabilities Education Act. ED/HHS Joint Guidance Document: Collaboration and Coordination of the Maternal, Infant, and Early Childhood Home Visiting Program and the Individuals with Disabilities Education Act Part C Programs. Young Native American children living on tribal lands in this country are currently eligible for two federal programs associated with these agencies which overlap in mission and implementation. PURPOSE: This paper outlines potential strategies for creating a more seamless system of services for tribal families involving more centralized intake processes and procedures, cross training of staff to work across programs, and adopting more unifying approaches to program implementation. CONCLUSION: A streamlined system of services will result in interventions that better support family and child outcomes while reducing duplication of services, consolidating the limited number of qualified professionals available to provide services, and increasing convenience and cultural attunement of services to Native American families currently participating in both programs.


Asunto(s)
Indio Americano o Nativo de Alaska , Servicios de Salud del Niño , Atención a la Salud , Servicios de Salud del Indígena , Visita Domiciliaria , Servicios de Salud Materna , Niño , Preescolar , Femenino , Humanos , Lactante , Embarazo , Nativos Alasqueños , Niños con Discapacidad , Indígenas Norteamericanos , Estados Unidos , United States Government Agencies , Atención a la Salud/etnología
2.
Child Care Health Dev ; 45(5): 709-718, 2019 09.
Artículo en Inglés | MEDLINE | ID: mdl-31276599

RESUMEN

BACKGROUND: The Ages and Stages Questionnaires-Third Edition (ASQ-3) is a parent-completed screening to identify young children at-risk for developmental delays in the United States and internationally. Federal programs operating on Navajo Nation use the ASQ-3 to determine the need for early intervention services, even though the ASQ-3 national sample used to establish cutoff scores for referral included only 1% Native American children. OBJECTIVES: The current study aimed to compare the ASQ-3 results from a sample of Navajo infants to those from a representative national U.S. sample and to examine the specificity and sensitivity of the ASQ-3 in Navajo population. METHODS: The sample included 530 Navajo infants (47.3% males) aged between 1 and 13 months who lived in remote and rural areas across the Navajo Nation. Children's development was assessed during home visits at 2-, 6-, 9-, and 12-month assessment windows. RESULTS: Results showed that after 6 months, Navajo children had lower mean scores and higher percentages of children at-risk for developmental delays than those from the national sample. The sensitivities and specificities, estimated using a Bayesian diagnostic approach under both conservative and nonconservative prior range choices, suggested a comparable validity performance to that from other ASQ-3 studies. DISCUSSION: The results of this study along with our ongoing comprehensive assessments at 4 years of age inform current programs working with Navajo children to improve early identification of developmental delays.


Asunto(s)
Discapacidades del Desarrollo/diagnóstico , Teorema de Bayes , Desarrollo Infantil , Comunicación , Asistencia Sanitaria Culturalmente Competente/métodos , Discapacidades del Desarrollo/psicología , Femenino , Humanos , Lactante , Masculino , Tamizaje Masivo/métodos , Padres , Solución de Problemas , Psicometría , Desempeño Psicomotor , Reproducibilidad de los Resultados , Sensibilidad y Especificidad , Factores Socioeconómicos , Encuestas y Cuestionarios
3.
J Soc Work Disabil Rehabil ; 14(3-4): 245-69, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26151586

RESUMEN

Two disparate statistics often cited for the Western United States raise concern about risks for developmental disabilities in Native American children. First, 13 of the states with the highest percentage of Native American population are located in the Western United States (U.S. Census Bureau, 2012 ). Second, more than 161,000 abandoned hard-rock mines are located in 12 Western states (General Accounting Office, 2014 ). Moreover, numerous studies have linked low-level metals exposure with birth defects and developmental delays. Concern has emerged among tribal populations that metals exposure from abandoned mines might threaten development of future generations.


Asunto(s)
Discapacidades del Desarrollo/inducido químicamente , Exposición a Riesgos Ambientales/efectos adversos , Indígenas Norteamericanos , Metales/efectos adversos , Minería , Efectos Tardíos de la Exposición Prenatal/inducido químicamente , Arizona , Estudios de Cohortes , Discapacidades del Desarrollo/etnología , Exposición a Riesgos Ambientales/análisis , Femenino , Humanos , Metales/análisis , Embarazo , Efectos Tardíos de la Exposición Prenatal/etnología , Vigilancia en Salud Pública/métodos , Estados Unidos
4.
Qual Health Res ; 22(7): 880-96, 2012 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-22427455

RESUMEN

In 2005, the State of New Mexico undertook a sweeping transformation of all publicly funded behavioral health services. The reform was intended to enhance the cultural responsiveness and appropriateness of these services. To examine achievement of this objective, we conducted a qualitative study of the involvement of Native Americans in reform efforts and the subsequent impacts of reform on services for Native Americans. We found that the reform was relatively unsuccessful at creating mechanisms for genuine community input or improving behavioral health care for this population. These shortcomings were related to limited understandings of administrators concerning how tribal governments and health care systems operate, and the structural limitations of a managed care system that does not allow flexibility for culturally appropriate utilization review, screening, or treatment. However, interaction between the State and tribes increased, and we conclude that aspects of the reform could be strengthened to achieve more meaningful involvement and service improvements.


Asunto(s)
Medicina de la Conducta , Relaciones Familiares , Conductas Relacionadas con la Salud/etnología , Reforma de la Atención de Salud/estadística & datos numéricos , Indígenas Norteamericanos/psicología , Características de la Residencia , Competencia Cultural/psicología , Conocimientos, Actitudes y Práctica en Salud , Disparidades en el Estado de Salud , Humanos , Indígenas Norteamericanos/estadística & datos numéricos , New Mexico , Proyectos de Investigación , Servicio Social/estadística & datos numéricos
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA