Restoring Health to Health Reform

Jacobson, Peter; Gostin, Lawrence O.

doi:10.1001/jama.2010.917

Cited by 13 publications

(5 citation statements)

References 9 publications

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“…Moreover, the expansion of Medicaid provides no benefit to prisoners because federal law prohibits Medicaid payments for individuals—juvenile or adult—who are inmates of public institutions (20 CFR §416.211). Health Care Reform also does not improve the deteriorating public health infrastructure (“safety-net programs”), where many impoverished persons would receive treatment 149, 150 after they are released. We must improve services in corrections and in the community, where virtually all detained juveniles and incarcerated adults will eventually return.…”

Section: Commentmentioning

confidence: 99%

Prevalence and Persistence of Psychiatric Disorders in Youth After Detention

Teplin¹,

Welty²,

Abram³

et al. 2012

Arch Gen Psychiatry

123

101

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Context Psychiatric disorders are prevalent among incarcerated juveniles. Most juveniles eventually return to their communities, where they become the responsibility of the community mental health system. Yet, no large-scale study has examined psychiatric disorders after youth leave detention. Objective To examine changes in prevalence and persistence of disorders during the 5 years after detention, focusing on sex and racial/ethnic differences. Design Prospective longitudinal study with up to 5 interviews (N = 1829). To ensure representation of key demographic subgroups, the randomly selected sample was stratified by sex, race/ethnicity (African American, non-Hispanic white, and Hispanic), age, and legal status (juvenile or adult court). Setting The Northwestern Juvenile Project, sampling youth from the Cook County Juvenile Temporary Detention Center, Chicago, Illinois. Participants Detained youth, 10 to 18 years at baseline interview. Main Outcome Measures At baseline, the Diagnostic Interview Schedule for Children Version 2.3. At follow-ups, the Diagnostic Interview Schedule for Children, Version IV (Child and Young Adult versions) and the Diagnostic Interview Schedule, Version IV (substance use disorders and antisocial personality disorder). Results Five years after baseline, more than 45% of males and nearly 30% of females had one or more psychiatric disorders with associated impairment. Substance use disorders were the most common disorders; males, however, had higher rates over time (5 years after baseline, adjusted odds ratio [AOR], 2.61; 95% CI, 1.96–3.47). Non-Hispanic whites and Hispanics also had higher rates of substance use disorders compared with African Americans (respectively, AOR, 1.96, 95% CI, 1.54–2.49; AOR, 1.59, 95% CI, 1.24–2.03). Females had higher rates of major depression over time (AOR, 1.59, 95% CI, 1.22–2.08). Conclusions Although prevalence rates of most psychiatric disorders declined over time, a substantial proportion of delinquent youth continue to have disorders. There were notable sex and racial/ethnic differences in the prevalence and persistence of disorders.

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Section: Commentmentioning

confidence: 99%

Prevalence and Persistence of Psychiatric Disorders in Youth After Detention

Teplin¹,

Welty²,

Abram³

et al. 2012

Arch Gen Psychiatry

123

101

View full text Add to dashboard Cite

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“…The performance measurement initiative taking place in the healthcare system has not been replicated with similar urgency in public health; program evaluation is rare, the evidence base for public health practices is growing but still sparse, and population outcomes are neglected 21. Advances in information technology and software development have made it cost-effective to provide powerful and flexible analytic capability to local public health units.…”

Section: Discussionmentioning

confidence: 99%

NC CATCH: Advancing Public Health Analytics

Studnicki

Fisher

Eichelberger³

et al. 2010

OJPHI

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The North Carolina Comprehensive Assessment for Tracking Community Health (NC CATCH) is a Web-based analytical system deployed to local public health units and their community partners. The system has the following characteristics: flexible, powerful online analytic processing (OLAP) interface; multiple sources of multidimensional, event-level data fully conformed to common definitions in a data warehouse structure; enabled utilization of available decision support software tools; analytic capabilities distributed and optimized locally with centralized technical infrastructure; two levels of access differentiated by the user (anonymous versus registered) and by the analytical flexibility (Community Profile versus Design Phase); and, an emphasis on user training and feedback.The ability of local public health units to engage in outcomes-based performance measurement will be influenced by continuing access to event-level data, developments in evidence-based practice for improving population health, and the application of information technology-based analytic tools and methods.

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“…Many graduates transition into careers in higher education or affiliate with clinical practices. The DNP graduates are educated to assume leadership positions with an increased appreciation of the ethical, policy and financial aspects of the healthcare system [14] .…”

Section: Allowing For Nurse Practitioner Certification In Post-mastermentioning

confidence: 99%

Finding the middle ground-adopting the Doctor of Nursing Practice for nurse practitioner education as a post-Master’s program while leaving Master’s level education intact

Aselton¹,

Joerg²,

Affenito³

2013

Clinical Nursing Studies

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With the full implementation of the Patient Protection and Affordable Care Act, educating a sufficient number of NPs for the workforce is more important than ever. Given the recommendations relating to the elevation of Nurse Practitioner (NP) education to the doctoral level, many nursing programs with Master's level NP programs initiated planning for BSN to DNP programs and eliminated their Master's programs, however many schools were unable to make the change. It has been the department's experience that most of the working nurses who apply to our NP program prefer to start their training at the Master's level with an eventual goal to resume their doctoral studies at a later date. While this incremental model may delay initial goals of transferring all NP education to the doctoral level, it appears to be a model that works for working nurses and may be how many nurses prefer to be educated.

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Restoring Health to Health Reform

Cited by 13 publications

References 9 publications

Prevalence and Persistence of Psychiatric Disorders in Youth After Detention

Prevalence and Persistence of Psychiatric Disorders in Youth After Detention

NC CATCH: Advancing Public Health Analytics

Finding the middle ground-adopting the Doctor of Nursing Practice for nurse practitioner education as a post-Master’s program while leaving Master’s level education intact

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