An abundance of literature describes occupational therapy's relationship with family-centered care (FCC); however, little information discusses concurrent parallel attitudes and behaviors of parents, children, and occupational therapists involved in pediatric occupational therapy practices, particularly from a family-centered perspective. Using phenomenological methods, the objective of the study was to identify the patterns and behaviors illustrating the triads' interactions, in an effort to understand how the triads' bond or form partnerships during occupational therapy service delivery. The study also sought to answer whether these bonds were family-centered, and if so, whether they contributed to satisfaction with occupational therapy services. Four triads of child, mother and occupational therapist were each interviewed and observed several times, and also participated in a narrative writing task. Using the elements of FCC outlined in the American Academy of Pediatrics' definition (2003) as the framework, the results were transcribed, analyzed and theme coded. The emergent themes were markedly similar across all triads, reflecting their values, beliefs, and behaviors. The themes identified areas of importance for the participants, and included: ongoing communication; active listening; validation; respect; mutual problem-solving; acknowledgement of child; and family empowerment and support. The results clearly indicated that these occupational therapists and mothers, and to a lesser extent, their children receiving services, demonstrated very positive attitudes towards family centered care, and beyond that, were actively and mutually engaged in behaviors that furthered their attainment of family-centered care in practice. Ongoing analysis and reflection suggested that family-centered care can be thought of as evolving relationships and dynamic process, and those behaviors comprising a family-centered approach may be viewed on a continuum. Most significantly, trust was identified as the key component for the successful development of FCC. Trust is discussed based on its essential components of communication, time and reflection, and validation. Satisfaction regarding the quality of the partnerships with occupational therapy was intertwined, as each participant realized that an FCC approach held something positive for them.

Decades of research have demonstrated that the parent-child dyad and the environment of the familyâ€"which includes all primary caregiversâ€"are at the foundation of children's well- being and healthy development. From birth, children are learning and rely on parents and the other caregivers in their lives to protect and care for them. The impact of parents may never be greater than during the earliest years of life, when a child's brain is rapidly developing and when nearly all of her or his experiences are created and shaped by parents and the family environment. Parents help children build and refine their knowledge and skills, charting a trajectory for their health and well-being during childhood and beyond. The experience of parenting also impacts parents themselves. For instance, parenting can enrich and give focus to parents' lives; generate stress or calm; and create any number of emotions, including feelings of happiness, sadness, fulfillment, and anger. Parenting of young children today takes place in the context of significant ongoing developments. These include: a rapidly growing body of science on early childhood, increases in funding for programs and services for families, changing demographics of the U.S. population, and greater diversity of family structure. Additionally, parenting is increasingly being shaped by technology and increased access to information about parenting. Parenting Matters identifies parenting knowledge, attitudes, and practices associated with positive developmental outcomes in children ages 0-8; universal/preventive and targeted strategies used in a variety of settings that have been effective with parents of young children and that support the identified knowledge, attitudes, and practices; and barriers to and facilitators for parents' use of practices that lead to healthy child outcomes as well as their participation in effective programs and services. This report makes recommendations directed at an array of stakeholders, for promoting the wide-scale adoption of effective programs and services for parents and on areas that warrant further research to inform policy and practice. It is meant to serve as a roadmap for the future of parenting policy, research, and practice in the United States.

Ensuring that members of society are healthy and reaching their full potential requires the prevention of disease and injury; the promotion of health and well-being; the assurance of conditions in which people can be healthy; and the provision of timely, effective, and coordinated health care. Achieving substantial and lasting improvements in population health will require a concerted effort from all these entities, aligned with a common goal. The Health Resources and Services Administration (HRSA) and the Centers for Disease Control and Prevention (CDC) requested that the Institute of Medicine (IOM) examine the integration of primary care and public health. Primary Care and Public Health identifies the best examples of effective public health and primary care integration and the factors that promote and sustain these efforts, examines ways by which HRSA and CDC can use provisions of the Patient Protection and Affordable Care Act to promote the integration of primary care and public health, and discusses how HRSA-supported primary care systems and state and local public health departments can effectively integrate and coordinate to improve efforts directed at disease prevention. This report is essential for all health care centers and providers, state and local policy makers, educators, government agencies, and the public for learning how to integrate and improve population health.

The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.

The Bulletin of the Atomic Scientists is the premier public resource on scientific and technological developments that impact global security. Founded by Manhattan Project Scientists, the Bulletin's iconic "Doomsday Clock" stimulates solutions for a safer world.

Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

The Bulletin of the Atomic Scientists is the premier public resource on scientific and technological developments that impact global security. Founded by Manhattan Project Scientists, the Bulletin's iconic "Doomsday Clock" stimulates solutions for a safer world.

"The contributors to this book are experts in their field, adding a credibility that helps the reader relax. The varied experiences of people working not only within the UK but also Finland - where much of the work in this area has been caried out - are showcased." Nursing Standard How does patient participation work in practice? What does it look like when it happens? How can it be researched and how can it be taught? This comprehensive new book provides answers to these questions by exploring interconnections between theory, research and practice. It draws on different disciplinary perspectives in the health and social sciences and invites comparisons between different health care settings. With patient participation as the central theme, this book: Draws on patient, professional and academic perspectives Makes substantive contributions to policy, practice and professional development Contributes to the development of the field by offering new material and insights The research content of each chapter is accompanied by ideas for its educational and practical application. Real examples invite comparison with academic research and health professionals’ experience. Patient Participation in Health Care Consultations takes a multidisciplinary approach and is key reading for students and academics in health and social sciences and for practising health care professionals. It will also be of interest to patients, carers and policy makers. Contributors: Sarah Collins, Nicky Britten, Carol Bugge, John Chatwin, Rowena Field, Joseph Gafaranga, Aled Jones, Pirjo Lindfors, Anssi Perakyla, Johanna Ruusuvuori, Fiona Stevenson, Andrew Thompson, Ian Watt.

This handbook summarizes the research on communicative processes as they relate to health and health care, and provides directions for future research. For scholars & professionals in health communication, public health, psychology, & related areas.

Requirements for treatment planning in the mental health and addictions fields are long standing and embedded in the treatment system. However, most clinicians find it a challenge to develop an effective, person-centered treatment plan. Such a plan is required for reimbursement, regulatory, accreditation and managed care purposes. Without a thoughtful assessment and well-written plan, programs and private clinicians are subject to financial penalties, poor licensing/accreditation reviews, less than stellar audits, etc. In addition, research is beginning to demonstrate that a well-developed person-centered care plan can lead to better outcomes for persons served.* Enhance the reader's understanding of the value and role of treatment planning in responding to the needs of adults, children and families with mental health and substance abuse treatment needs* Build the skills necessary to provide quality, person-centered, culturally competent and recovery / resiliency-orientated care in a changing service delivery system* Provide readers with sample documents, examples of how to write a plan, etc.* Provide a text and educational tool for course work and training as well as a reference for established practioners* Assist mental health and addictive disorders providers / programs in meeting external requirements, improve the quality of services and outcomes, and maintain optimum reimbursement