A Community Health Worker Model to Address Childhood Asthma PDF Download
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Author: Lillian Jin
Publisher:
ISBN:
Category : East Harlem (New York, N.Y.)
Languages : en
Pages : 20
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Book Description
In 1997, Little Sisters of the Assumption Family Health Service (Little Sisters) established the Environmental Health Services program in response to high rates of asthma among East Harlem children. The program provides a continuum of services meant to mitigate the negative effects of poor living conditions on asthma-related health outcomes. Led by a team of community health workers (CHWs), program activities include assessments of the home environment, hands-on training and education on safe and effective ways to address unhealthy living conditions, and advocacy services for tenants to get necessary repairs form housing management. In 2011, with funding from the U.S. Department of Housing and Urban Development (HUD), Little Sisters began implementation of Controlling Asthma through Home Remediation (CAHR), a demonstration of their program model, specifically targeting families living in public housing. The demonstration included an evaluation of the program by The New York Academy of Medicine (the Academy) -- findings included statistically significant reductions in nighttime awakenings, emergency department visits, and use of rescue medications. As part of the evaluation, a sample of 17 caregivers participated in interviews, with questions that focused on their perception of program quality, impact, and lessons learned. As described in this report, caregivers noted that CHWs helped them to develop knowledge and skills to reduce household asthma triggers; in addition, CHWs and Little Sisters proved to be influential advocates, facilitating the settlement of complaints with housing management. As New York State and local health care systems adopt and promote more community-based health problems, CAHR represents a promising example of an intervention that can produce improvements in asthma-related health outcomes, while supporting grassroots efforts to create changes in policies and practice.
Author: Lillian Jin
Publisher:
ISBN:
Category : East Harlem (New York, N.Y.)
Languages : en
Pages : 20
Get Book Here
Book Description
In 1997, Little Sisters of the Assumption Family Health Service (Little Sisters) established the Environmental Health Services program in response to high rates of asthma among East Harlem children. The program provides a continuum of services meant to mitigate the negative effects of poor living conditions on asthma-related health outcomes. Led by a team of community health workers (CHWs), program activities include assessments of the home environment, hands-on training and education on safe and effective ways to address unhealthy living conditions, and advocacy services for tenants to get necessary repairs form housing management. In 2011, with funding from the U.S. Department of Housing and Urban Development (HUD), Little Sisters began implementation of Controlling Asthma through Home Remediation (CAHR), a demonstration of their program model, specifically targeting families living in public housing. The demonstration included an evaluation of the program by The New York Academy of Medicine (the Academy) -- findings included statistically significant reductions in nighttime awakenings, emergency department visits, and use of rescue medications. As part of the evaluation, a sample of 17 caregivers participated in interviews, with questions that focused on their perception of program quality, impact, and lessons learned. As described in this report, caregivers noted that CHWs helped them to develop knowledge and skills to reduce household asthma triggers; in addition, CHWs and Little Sisters proved to be influential advocates, facilitating the settlement of complaints with housing management. As New York State and local health care systems adopt and promote more community-based health problems, CAHR represents a promising example of an intervention that can produce improvements in asthma-related health outcomes, while supporting grassroots efforts to create changes in policies and practice.
Author: Ray López
Publisher:
ISBN:
Category :
Languages : en
Pages : 22
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Book Description
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309374499
Category : Medical
Languages : en
Pages : 105
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Book Description
On February 5, 2015, the Institute of Medicine Roundtable on Population Health Improvement hosted a workshop to explore the relationship between public health and health care, including opportunities, challenges, and practical lessons. The workshop was convened in partnership with the Association of State and Territorial Health Officials (ASTHO)-Supported Primary Care and Public Health Collaborative. Organized in response to the 2012 IOM report Primary Care and Public Health: Exploring Integration to Improve Population Health, this workshop focused on current issues at the interface of public health and health care, including opportunities presented by and lessons learned from the Centers for Medicaid and Medicare Services State Innovation Models program. The workshop featured presentations on several dimensions of the public health-health care relationship. Collaboration Between Health Care and Public Health summarizes the presentations and discussion of the event.
Author: Sally E. Findley
Publisher: Oxford University Press, USA
ISBN: 019936432X
Category : Medical
Languages : en
Pages : 257
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Book Description
Bridging the Gap offers insights into how community health workers (CHWs) help immigrants overcome the obstacles to health care.
Author: Stephen Rollnick
Publisher: Guilford Press
ISBN: 1462507085
Category : Medical
Languages : en
Pages : 224
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Book Description
Much of health care today involves helping patients manage conditions whose outcomes can be greatly influenced by lifestyle or behavior change. Written specifically for health care professionals, this concise book presents powerful tools to enhance communication with patients and guide them in making choices to improve their health, from weight loss, exercise, and smoking cessation, to medication adherence and safer sex practices. Engaging dialogues and vignettes bring to life the core skills of motivational interviewing (MI) and show how to incorporate this brief evidence-based approach into any health care setting. Appendices include MI training resources and publications on specific medical conditions. This book is in the Applications of Motivational Interviewing series, edited by Stephen Rollnick, William R. Miller, and Theresa B. Moyers.
Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 7
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Book Description
There are significant disparities in asthma prevalence and management in New York City (NYC). Children living in the low income, largely minority neighborhood of East Harlem are almost 13 times more likely to have an asthma related emergency department visit compared to children on the Upper East Side, an adjacent high income neighborhood. The disparities in asthma prevalence and control are in part attributable to environmental conditions, including housing, which in low-income communities is often poorly maintained, resulting in mold, pests, and other asthma triggers. Controlling Asthma through Home Remediation (CAHR), a program of LSA Family Health Service (LSAFHS), offers remediation and repair, training, and comprehensive case management to East Harlem families that have children with severe and/or persistent asthma and live in NYC Housing Authority (NYCHA) public housing. Preliminary findings, based on pre-post assessments of 60 CAHR children, include statistically significant reductions in nighttime awakenings, emergency department visits, and rescue medication use. There were reductions in daytime asthma symptoms and improvements in household conditions; however, they were not statistically significant. Recognizing the limited reach of individual level services, LSAFHS also advocates for system-wide changes across NYCHA. Citing the Americans with Disabilities Act and its relevance to individuals with asthma, LSAFHS, in partnership with other community-based organizations and public interest attorneys, reached a settlement with NYCHA in 2013 that resulted in policy changes mandating expedited repairs of leaks, mold, and related issues. Monitoring the impact of these changes is ongoing. A hope is for replication of advocacy efforts in other cities.
Author: Ted Lankester
Publisher: Oxford University Press
ISBN: 0198806655
Category : Medical
Languages : en
Pages : 545
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Book Description
Over half the world's rural population, and many in urban slums, have minimal access to health services. This book describes how to set up new, and develop existing, community-based health care for, by and with, the community.
Author: Julie Ann St. John
Publisher: Frontiers Media SA
ISBN: 2889747522
Category : Medical
Languages : en
Pages : 150
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Book Description
Author: Sally Findley
Publisher: Oxford University Press
ISBN: 0199364338
Category : Medical
Languages : en
Pages : 257
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Book Description
Immigrants living in US cities face myriad obstacles to accessing quality health care. This inequitable access to care is compounded by the risk of chronic disease accompanying the stress, strain, and lifestyle changes that can come with life in a new country. Bridging the Gap details the role, lessons, and effectiveness of community health workers (CHWs) in bringing health care to underserved immigrant communities. Combining education, advocacy, and local cultural acumen, CHWs have proven successful in the United States and abroad, improving community health and establishing an evidence base for how CHW programs can work for immigrants. Based on a decade of in-depth evaluations from several immigrant health programs in New York City with complementary interviews with dozens of immigrants and CHWs, Bridging the Gap offers insights into how CHWs help immigrants overcome the obstacles to health care. The authors carefully distill first-hand lessons into recommendations for best practices in developing and utilizing effective CHW programs--insights that will be immediately useful to any community group, municipal agency, or health care organization. Bridging the Gap provides a workable antidote to the seemingly intractable problems faced by cities everywhere in the pursuit of maintaining and maximizing immigrant health. It is a hugely valuable entry in burgeoning field that will be central to the next century of urban public health.
Author: Darouny Somsanith
Publisher: John Wiley & Sons
ISBN: 1394199783
Category : Medical
Languages : en
Pages : 772
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Book Description
A practical guide to becoming a community health worker Foundations for Community Health Workers provides a practical and comprehensive introduction to essential skills for professionals in community health roles. In the wake of the COVID-19 pandemic, there is a greater need than ever for compassionate community health workers trained in the core competencies and guiding principles that can empower individuals to lead healthy lives. With an emphasis on social justice, cultural humility, and client-centered practice, this book offers a solid background in professional skills and their application. Real-life case studies and quotes from community health workers illustrate the challenges and successes that learners will face on the job. Readers will also gain skills in conflict resolution, group facilitation, community organizing, trauma support, and more, equipping them to enter the public health field with confidence and safety. Learn about the public health field and the skills needed to become a community health worker Gain skills in interacting with people from diverse backgrounds and circumstances Develop a background in client interviewing, community advocacy, and facilitating community health trainings Read case studies from real community health workers This book, in its updated Third Edition, is a valuable introduction and reference for anyone working toward a career as a community health worker.
