Adolescent and Adult Clients in Prenatal Case Management: Differences in Problems and Interventions Used

Abstract

Age related differences have both programmatic and provider implications. The intervention typology can be used to evaluate PCM programs serving high risk population.

Scoping Review of Nursing Case Management in the United States

“…Students and elderly alike were managed and tested using CM, and CM showed effectiveness in improving both groups’ health conditions (Breysse et al, 2011; Kneipp et al, 2011; Schraeder et al, 2008). Moreover, CM had been used with high-risk patients such as pregnant adolescents and students with health care issues (Brennan-Ing et al, 2016; Issel, Gilmet, Chihara, & Slaughter-Acey, 2015). Clearly, CM has been shown to be effective across illness/condition types.…”

Birth-Related Outcomes for Second Children Following Home Visiting Program Enrollment for New Parents of First Children

“…Even though the primary goal of NFN is to promote positive parenting and reduce child maltreatment (Joslyn et al, 2016 ), our findings regarding impact on second children suggests that NFN may have beneficial impact on health outcomes (e.g., lower C-section risk for Hispanic women, and trend toward lower preterm births). Healthcare system changes during the study period may have influenced our findings, such as the introduction of the Affordable Care Act ("Patient Protection and Affordable Care Act of 2010", 2010 ) improving healthcare access or increasing use of long-acting reversible contraception reducing second births (Finer et al, 2012 ), but these would impact both NFN and comparison groups similarly; it is notable that the C-section rate was stable over this period in Connecticut (Issel et al, 2015 ). Using administrative data did not allow analyses to include important factors, such as mental health, stress, and trauma; future research should consider these as potential mechanisms through which home visiting may improve birth outcomes.…”