<?xml version="1.0" encoding="UTF-8"?>
<rss version="2.0"
	xmlns:content="http://purl.org/rss/1.0/modules/content/"
	xmlns:wfw="http://wellformedweb.org/CommentAPI/"
	xmlns:dc="http://purl.org/dc/elements/1.1/"
	xmlns:atom="http://www.w3.org/2005/Atom"
	xmlns:sy="http://purl.org/rss/1.0/modules/syndication/"
	xmlns:slash="http://purl.org/rss/1.0/modules/slash/"
	>

<channel>
	<title>ShapeLab &#187; health care</title>
	<atom:link href="http://shapelab.org/tag/health-care/feed/" rel="self" type="application/rss+xml" />
	<link>http://shapelab.org</link>
	<description>Just another WordPress weblog</description>
	<lastBuildDate>Mon, 05 Dec 2011 12:26:30 +0000</lastBuildDate>
	<language>en</language>
	<sy:updatePeriod>hourly</sy:updatePeriod>
	<sy:updateFrequency>1</sy:updateFrequency>
	<generator>http://wordpress.org/?v=3.2.1</generator>
		<item>
		<title>Cat Health Care</title>
		<link>http://shapelab.org/cat-health-care/</link>
		<comments>http://shapelab.org/cat-health-care/#comments</comments>
		<pubDate>Sun, 11 Apr 2010 10:30:19 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Other]]></category>
		<category><![CDATA[basic needs]]></category>
		<category><![CDATA[cat health]]></category>
		<category><![CDATA[cat health care]]></category>
		<category><![CDATA[health care]]></category>
		<category><![CDATA[health care question]]></category>

		<guid isPermaLink="false">http://shapelab.org/cat-health-care/</guid>
		<description><![CDATA[Owning a cat and treating it as a pet requires more than including your furry friend on your monthly budget. You have to be an instant parent once you become involved. You have to know their basic needs and all there is is to understand about cat health care. First, in order for your feline [...]]]></description>
			<content:encoded><![CDATA[<p>
Owning a cat and treating it as a pet requires more than including your furry friend on your monthly budget. You have to be an instant parent once you become involved. You have to know their basic needs and all there is is to understand about cat health care.</p>
<p>First, in order for your feline companion to be happy and contented, you need to provide them a home. Yes, it can be left to wander about your own house and treat it like their kingdom. But, you have to make sure that the surrounding is safe. Do not hang things that would cause injury and further mishaps to your cats.</p>
<p>Second, make sure that your cat gets the necessary nutrition that it needs. To do so, you have to give them only the best kind of cat food. The best will not necessarily mean expensive. You can ask your vet for recommendations given the amount that you can allot for this purpose.</p>
<p>Next, think about your cat health care. This is so vital because if you were caught unaware of a sudden incident, you may easily lose your beloved pet just because you didn&#8217;t know what to do.</p>
<p>So know your cat. Observe it well. Know their usual interests, the way they eat, they way they interact with the other pets and also the people in your house. If you feel that something seems to be out of place, then call your vet immediately for advice.</p>
<p>Find the best veterinarian He or she should be near your place. Get their contact information immediately. They are your lifeline whenever your cat&#8217;s life seems to be in danger and so don&#8217;t just pick anyone else.</p>
<p>Also, always remember that you will be the first judge if something seems to be wrong with your cats. Here are some indications.</p>
<p>First, these creatures are known to be vain. They are always grooming themselves. If they are grooming too much on one side, they might be bugged by something like, yes, bug or fleas. The process may hurt them. So interrupt and act upon it. Also beware if they are no longer cleaning up on their own. It may be a sign of depression. You also have to consult the vet about it if this happens.</p>
<p>Second, if you know your cat very well, you will easily see if there are any changes to their eating habits. Don&#8217;t let them go through the day without eating too much. This may be a symptom to something else. So this is also a good time to call on your vet.</p>
<p>Next, if your cat is friendly and it all of a sudden becomes aloof, you need to raise the alarm level. This also goes with the way your cat walks. If it seems to be doing this thing just a bit too odd, it may be something to be concerned about.</p>
<p>As the owner, you need to be very cautious with everything that your cat does. You have to take note of their bowel elimination. Just like humans, they may sometimes suffer from diarrhea or the likes.</p>
<p>Although calling the vet is always the best choice for you to do, you can also search the web for quick solutions to minor problems. The Internet offers a vast resource for your every cat health care question. So take time to read some info and apply it on your own pets.</p>
<p>The life of your cat already is in your hands now. So better know this stuff to enjoy his or her company longer.</p>
<p>Author: Angelo Reed<br />
Source: ezinearticles.com</p>
<p>For tips on how to take care of sick cats, visit <a target="_new" rel="nofollow,nofollow" href="http://www.sickcatsymptoms.org">http://www.sickcatsymptoms.org</a></p>
]]></content:encoded>
			<wfw:commentRss>http://shapelab.org/cat-health-care/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Health Insurance For All Americans &#8211; Who Pays?</title>
		<link>http://shapelab.org/health-insurance-for-all-americans-who-pays/</link>
		<comments>http://shapelab.org/health-insurance-for-all-americans-who-pays/#comments</comments>
		<pubDate>Thu, 25 Mar 2010 14:30:52 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Other]]></category>
		<category><![CDATA[health care]]></category>
		<category><![CDATA[health care coverage]]></category>
		<category><![CDATA[health insurance]]></category>
		<category><![CDATA[insurance companies]]></category>
		<category><![CDATA[national health insurance]]></category>

		<guid isPermaLink="false">http://shapelab.org/health-insurance-for-all-americans-who-pays/</guid>
		<description><![CDATA[I am a proponent of Personal Health Insurance for All Americans, but I am also a realist, a taxpayer and concerned middle aged American who just happens to live in Texas. We boast staggering numbers of uninsured residents, largely because of illegal immigration, which makes this very difficult to sort out. Texas has some 28% [...]]]></description>
			<content:encoded><![CDATA[<p>
I am a proponent of Personal Health Insurance for All Americans, but I am also a realist, a taxpayer and concerned middle aged American who just happens to live in Texas. We boast staggering numbers of uninsured residents, largely because of illegal immigration, which makes this very difficult to sort out. Texas has some 28% of its residents between 0-64 that are uninsured and 21% under the age of 17 uninsured. This issue is huge in scope and if we look at our European counterparts, it appears their social health plans have not been so good for their economies. What is the answer and who will pay for it? Congress says America can pay for it; and its that simple; but, let visit that notion for a few moments!</p>
<p>On June 16 2009 the Committee on Oversight &#038; Investigations received testimony from experts on ways to safeguard America from insurance companies that use unscrupulous practices and and in turn jeopardize our American Financial Markets. Congress is working hard creating legislation to realize president Obama&#8217;s promise of a National Health Insurance Plan to provide Health Care Coverage for All Americans.</p>
<p>My question is, Who is working on a plan to secure our borders and get to the heart of the issue. National Health Care will not be a viable issue if all of our pockets have holes in them. This proposed plan theoretically will be able to compete with private insurance and group coverage while at the same time guarantee coverage for all. Does anyone her know why Group Health Insurance is so costly now? The true cost in a society are people who do not support the tenants of its system in every way.</p>
<p>I am not talking about our seniors, who have worked all their lives to secure whatever benefits they receive and rightfully deserve. I am however referring to those who are benefiting and those who long to benefit from a system that you and myself will pay for, and in a greater way I submit to you unless the real issues are not addressed. With opportunity there should also be responsibility and accountability. I believe that no Uninsured Americans and especially Uninsured Texans should go un-noticed, But Who Pays?</p>
<p>So far the government&#8217;s approach to National Health Insurance looks strangely similar to what we are watch dogging the insurance companies for doing. i.e. creating a geyser of money out of our retirement funds in the way of taxes and fees to cover the cost of people who benefit but do dot fully support our society.</p>
<p>Leaving it to partisan politicians may not be the answer either, because as I do, we all have emotional issues that shape our view and vote. However you feel about this issue, let someone know. Talk to your state representative if you believe congress has this puzzle sorted out, and talk to them if you think they are running off a cliff like blind hogs. No children should be without health care nor should any elderly Americans Citizens be without daily essentials and the love of those around them.</p>
<p>Live for Success, Stand for Something and Believe.</p>
<p>JR Edmonson</p>
<p>Author: George Edmonson Jr<br />
Source: ezinearticles.com</p>
]]></content:encoded>
			<wfw:commentRss>http://shapelab.org/health-insurance-for-all-americans-who-pays/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Are You Looking For Affordable Group Health Insurance?</title>
		<link>http://shapelab.org/are-you-looking-for-affordable-group-health-insurance/</link>
		<comments>http://shapelab.org/are-you-looking-for-affordable-group-health-insurance/#comments</comments>
		<pubDate>Mon, 22 Mar 2010 03:31:43 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Other]]></category>
		<category><![CDATA[group health insurance]]></category>
		<category><![CDATA[health care]]></category>
		<category><![CDATA[health care plan]]></category>
		<category><![CDATA[health insurance]]></category>
		<category><![CDATA[health insurance plan]]></category>

		<guid isPermaLink="false">http://shapelab.org/are-you-looking-for-affordable-group-health-insurance/</guid>
		<description><![CDATA[Are you seriously searching around for a cost effective group health insurance for your very own small enterprise? Being a meticulous and careful business owner, it is quite obvious for you to be planning out wise investments for your hard earned money. On the other hand being a considerate and sensible employer, you should also [...]]]></description>
			<content:encoded><![CDATA[<p>
Are you seriously searching around for a cost effective group health insurance for your very own small enterprise? Being a meticulous and careful business owner, it is quite obvious for you to be planning out wise investments for your hard earned money. On the other hand being a considerate and sensible employer, you should also intend to provide your employees with an affordable group health insurance plan for any kind of health care expenses or health care emergencies that they might need to take care of.</p>
<p>The significance of having inexpensive collective health insurance in the face of any kind of physical injury and unexpected medical emergency is more than a widely known fact. And these policies tend to get all the more admired by small business owners who have an extra affection for their business and take it to be a part of themselves and their well being. Furthermore, they also look upon their employees as a part of their family. In such circumstances nothing could be more appropriate to cover their interests than a group health insurance Plan.</p>
<p>Advantages of Group Health Coverage</p>
<p>There are a number of ways in which a group health care plan comes in handy, not just for the owner but also for each of the employees involved in the enterprise. These provide large scale medical care to all of them.</p>
<p>But the reason that not many small business owners actually manage to find such credible plans is because they, in the first place, believe that such affordable and efficient plans do not really exist. But given that the costs of running a business is not a matter of joke, it almost becomes indispensable for the business owners to look a little ahead and find a suitable plan that helps them provide Workers Compensation Insurance, at the same time taking care of the high taxes in the face of the contemporary economic slowdown.</p>
<p>With the global economic scenario struggling real hard there is no point going overboard with too many expenses when actually a little research and careful selection can help you deal with all that compensation and insurance complications in an effective way. As Group Health Care Insurance is a necessity why not choose one that suits your priorities suitably? So business owners should at all point of time keep an eye on the bottom line to ensure that everything goes well. Moreover, if you can finally manage to choose on a quality and affordable plan even the employees may feel interested in paying a portion of their income as the premium sharing the burden with you.</p>
<p>After all the employees are educated individuals themselves and they have the apt amount of knowledge necessary to understand that having an inexpensive group health care plan will actually prove priceless for both their employment and their compensation package. In fact this may prove to be exceptionally beneficial for a lot of employees who are right now not in a very sound health and are finding it hard to get an individual health insurance for them.</p>
<p>Author: Helly Kain<br />
Source: ezinearticles.com</p>
]]></content:encoded>
			<wfw:commentRss>http://shapelab.org/are-you-looking-for-affordable-group-health-insurance/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>State of US&#8217;s Health Care</title>
		<link>http://shapelab.org/state-of-uss-health-care/</link>
		<comments>http://shapelab.org/state-of-uss-health-care/#comments</comments>
		<pubDate>Thu, 17 Dec 2009 10:38:34 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Other]]></category>
		<category><![CDATA[family]]></category>
		<category><![CDATA[health care]]></category>
		<category><![CDATA[health care bill]]></category>
		<category><![CDATA[tort reform]]></category>
		<category><![CDATA[wellness]]></category>

		<guid isPermaLink="false">http://shapelab.org/state-of-uss-health-care/</guid>
		<description><![CDATA[I received a survey from the Republican Presidential Task Force who is chartered with finding out what Republican&#8217;s want regarding health care. The survey is very black and white and really not practical. The survey is more styled as &#8220;us against them&#8221;. Our problem is not Health Care but rather cost and responsibility. Health Care [...]]]></description>
			<content:encoded><![CDATA[<p>
I received a survey from the Republican Presidential Task Force who is chartered with finding out what Republican&#8217;s want regarding health care. The survey is very black and white and really not practical. The survey is more styled as &#8220;us against them&#8221;. Our problem is not Health Care but rather cost and responsibility.</p>
<p>Health Care in the United States is wonderful; it is the best in the world, bar none. The issue is tort law, &#8220;cover your ass&#8221; medicine because of tort law, controlled and noncompetitive insurance industry, abuse by the consumer of the entire medical system which falls on the insurance, and finally unhealthy choices and lifestyle of the consumer.</p>
<p>1.	We must reform the tort law, and limit this piece of the cost equation. Most doctors and hospitals do the right thing most of the time. Medicine and doctoring is not a zero sum game, it is not an exact science, things happen. I think it is ridiculous that the consumer has no responsibility in this part of the equation. Doctors are not gods, hospitals are not Utopia. The consumer has got to bear some of the responsibility on this side of the equation, meaning they cannot act like a limp piece of meat waiting for the gods to make them better without doing their part. If something is so negligent that someone should get millions of dollars, maybe the negligence is criminal versus civil. The point is there is negligence and then there is life.  We have to create a spirit where doctors do the best that they can with what they have. This part of the cost equation needs to be carefully studied and thought out. I assure you this is the biggest issue with health care in the United States.</p>
<p>2.	The insurance industry needs to force &#8220;Wellness&#8221; onto the consumer by offering choices. The consumer who actively participates and performs proper wellness should be rewarded for this by lower premiums and lower cost. This is critical not to be cruel, but simply pain and pleasure philosophy. The consumer moves towards the least painful most pleasurable solution, &#8220;Wellness&#8221;. This is becoming and industry and if our system rewarded &#8220;Wellness&#8221; it would spur growth in this part of our economy.  By &#8220;Wellness&#8221;, I do not mean taxing things that are bad for you. I assure you if you charge the Insurance Industry with this mandate and promote competition amongst the industry; they will come up with a solution. Consumers who practice wellness pay less, plain and simple. Companies who promote wellness pay less, plain and simple. I assure you this is the second biggest issue in the United States with Health Care.</p>
<p>3.	The consumer has to bear some of the responsibility of his or her health care. I think that by promoting &#8220;Wellness&#8221;, by not allowing runaway judgments in law suits, by having the consumer consciously making decisions and these decisions affecting his or her cost and or wellness will undoubtedly put the responsibility in the consumer&#8217;s hands. This too has consequences for example we may need to cover all children under the age of say 18, because we do not want some penny pinching parent not taking the kid to the doctor; however, again, promoting wellness. The point here is there are people in our country who are addicted to doctors and hospitals for what ever reason. We all have them in our family. We may have an elderly person who every time we visit them they are talking about going to the doctor and this is wrong or that is wrong. There has to be pain for this behavior. You cannot simply run the doctor every time you sneeze, and have no consequence.</p>
<p>4.	Competition is going to make things work. Look at a system that works not only in the US, but the world. Cosmetic Surgery is as evasive as anything on the planet, and it is not covered by insurance, and it is competitive. There are cheap boob jobs and expensive boob jobs; you can choose to have your recovery in your living room or in a resort. It is up to the consumer to choose the price and the service. The only problem with cosmetic surgery again is the tort issue. There is still the risk of runaway law suits. The consumer who has cosmetic surgery knows the risk when they go under the knife, and in most cases bears the burden; however, because of our crazy tort laws the doctor is still not protected, and the insurance companies still are not protected from accidents.</p>
<p>5.	Catastrophic/ Preexisting conditions are a problem that we all need to help solve. There are people who are deceases that they are born with usually because of something we put in the environment or something their parent took (a drug) or whatever. The point is some people are sick and need help and health care. We need the country to set up a pool to support these people. This pool or insurance needs to be funded by all Americans, by all businesses, by all insurance companies, by all doctors, and by all hospitals This group of people is not that large and rules need to be carefully thought out and discussed. I do not know how big this group is, but the point is if you have someone who can have a surgery and wake up better they need to have it if it is decease caused issue which has nothing to do with wellness and bad choices by that individual.</p>
<p>6.	This last item comes from my conservative nature, but I truly believe it and I believe that if we really want to attack the issues that run up the cost of health care we have got to realize our moral consciousness as a country and our lifestyles affect our health. It is proven time and time again diet and exercise is good, but the number one factor in good health is happiness. The number one factor in happiness is relationships and family. They family unit in the United States is not the same as in other countries. We do not have 3 generations living under one roof, at least in most cases. We do not go to church as a family on Sunday. We do not sit down for dinner as a family and say grace before we eat. I hate to tell the law makers cannot ban &#8220;God&#8221; from our schools and then work on health care. You cannot promote &#8220;Wellness&#8221; and forbid the &#8220;Ten Commandments&#8221;. I can go on, but I think I have made my point. You cannot promote health, but pay for abortions. These things do not flow and go together.</p>
<p>In summary, I agree we must control the cost of health care, but we must not look at health care in a vacuum. I am not a health care expert and do not pretend to be. I have not read the health care bill, yet, but I will. I did just get through reading the book &#8220;Outliers: The Story of Success&#8221; which is a great book and actually does touch on the &#8220;happiness&#8221; issue. In the first chapter, it talks about the Italian immigrants who settled in Bangor, Pennsylvania who are the healthiest people in the world and honestly, do not particularly do much different in terms of diet and exercise than the rest of the world, but they are happy because of family and friends.</p>
]]></content:encoded>
			<wfw:commentRss>http://shapelab.org/state-of-uss-health-care/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Applying the 4 Quadrant Healthcare Model and Evidence-Based Practices to Behavioral Health</title>
		<link>http://shapelab.org/applying-the-4-quadrant-healthcare-model-and-evidence-based-practices-to-behavioral-health/</link>
		<comments>http://shapelab.org/applying-the-4-quadrant-healthcare-model-and-evidence-based-practices-to-behavioral-health/#comments</comments>
		<pubDate>Sat, 05 Dec 2009 04:30:31 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Other]]></category>
		<category><![CDATA[behavioral health]]></category>
		<category><![CDATA[depression]]></category>
		<category><![CDATA[health care]]></category>
		<category><![CDATA[healthcare]]></category>
		<category><![CDATA[mental health]]></category>

		<guid isPermaLink="false">http://shapelab.org/applying-the-4-quadrant-healthcare-model-and-evidence-based-practices-to-behavioral-health/</guid>
		<description><![CDATA[APPLICATION OF THE FOUR QUADRANT HEALTHCARE MODEL TO VARIOUS POPULATIONS -The examples used in the diagram of the Four Quadrant Integration model are for adult populations; the same template can be used to create models that are specific for children and adolescents, or older adults, reflecting the unique issues of serving those populations (for example, [...]]]></description>
			<content:encoded><![CDATA[<p>
APPLICATION OF THE FOUR QUADRANT HEALTHCARE MODEL TO VARIOUS POPULATIONS -The examples used in the diagram of the Four Quadrant Integration model are for adult populations; the same template can be used to create models that are specific for children and adolescents, or older adults, reflecting the unique issues of serving those populations (for example, the role of schools and school based services in serving children). Older adults, particularly, have been shown to utilize primary care settings for psychosocial, non-organic somatic complaints and to be underrepresented in specialty behavioral health populations &#8212; research suggests they are willing to receive behavioral health services in a primary care setting and that targeted interventions can make a difference in depression symptoms. Ethnic, language and racial groups also have unique issues in receiving language and culturally appropriate behavioral health services. Primary care based behavioral health services can improve access for these populations and lead to appropriate engagement with behavioral health specialty services as needed. For example, the Bridge Program in metropolitan New York has been successful in reaching the Asian-American community via their primary care settings. There are also differences between rural and urban environments and among regional markets in terms of the resources available and ease or difficulty of access to services. The Four Quadrant Integration model provides a template for considering the resources locally available and developing alternative methods of coordination (for example, telemedicine) that may be required when specialty care (either physical or behavioral health) is delivered in another community. The Four Quadrant Clinical Integration model is not diagnosis specific; it looks at degree of clinical complexity and risk/level of functioning. Further, the evidence-base is at different levels of development in each of the Quadrants. The model is intended to provide a conceptual construct for how to integrate services. Diagnosis specific guidelines should be used to provide detailed guidance for the scope of the primary care provider, the primary care based behavioral health provider, and the specialty behavioral health provider. THE FOUR QUADRANT MODEL AND EVIDENCE-BASED PRACTICES IN HEALTHCARE AND BEHAVIORAL HEALTH &#8211; In the healthcare system, there are numerous evidence-based practice guidelines that are diagnosis/condition specific. The National Guideline Clearinghouse (NGC) is a public resource for evidence-based clinical practice guidelines. NGC is sponsored by the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services, in partnership with the American Medical Association and the American Association of Health Plans. There are over 1000 disease/condition guidelines that can be accessed through their website (www.guideline.gov). The Chronic Care Model (CCM) (http://www.improvingchroniccare.org/change/index.html) was developed under the Improving Chronic Illness Care Program. The CCM is in use in a variety of healthcare settings, providing a structured approach for clinical improvement. The CCM has been used to develop specific approaches for serving patients with diabetes, cardiovascular disease, asthma and depression in a project sponsored by the Bureau of Primary Health Care (BPHC) with the Institute for Healthcare Improvement (IHI), a not-for-profit organization driving the improvement of health by advancing the quality and value of health care. The Health Disparities Collaboratives (http://www.healthdisparities.net/) are a multi-year national initiative to implement models of patient care and change management in order to transform the system of care for underserved populations. The organizing principles for each of Health Disparities Manuals follows the key elements of the CCM; many of the components apply to each disease entity (e.g., diabetes, asthma, depression), while specific tasks and tools are unique to the specific disease entity. The key change concepts found in the Depression Collaborative manual include: Organization of Health Care/Leadership &#8211; &gt;ÂÂ Make sure senior leaders and staff visibly support and promote the effort to improve chronic care &gt;ÂÂ Make improving chronic care a part of the organization&#8217;s vision, mission, goals, performance improvement, and business plan &gt;ÂÂ Make sure senior leaders actively support the improvement effort by removing barriers andÂ providing necessary resources &gt;ÂÂ Assign day-to-day leadership for continued clinical improvement &gt;ÂÂ Integrate collaborative models into the quality improvement program Decision Support &#8211; &gt;ÂÂ Embed evidence-based guidelines in the care delivery system &gt;ÂÂ Establish linkages with key specialists to assure that primary care providers have access to expert support &gt;ÂÂ Provide skill oriented interactive training programs for all staff in support of chronic illness improvement &gt;ÂÂ Educate patients about guidelines Delivery System Design -&gt;ÂÂ Identify depressed patients during visits for other purposes &gt;ÂÂ Use the registry to proactively review care and plan visits &gt;ÂÂ Assign roles, duties and tasks for planned visits to a multidisciplinary care team. Use cross training to expand staff capability &gt;ÂÂ Use planned visits in individual and group settings &gt;ÂÂ Make designated staff responsible for follow-up by various methods, including outreach workers, telephone calls and home visits Clinical Information System &#8211;  &gt;ÂÂ Establish a registry &gt;ÂÂ Develop processes for use of the registry, including designating personnel to enter data, assure data integrity, and maintain the registry &gt;ÂÂ Use the registry to generate reminders and care planning tools for individual patients &gt;ÂÂ Use the registry to provide feedback to care team and leaders Self- Management &#8211; &gt;ÂÂ Use depression self management tools that are based on evidence of effectiveness &gt;ÂÂ Set and document self management goals collaboratively with patients &gt;ÂÂ Train providers and other key staff on how to help patients with self management goals &gt;ÂÂ Follow up and monitor self management goals &gt;ÂÂ Use group visits to support self management Community -&gt;ÂÂ Establish links with organizations to develop support programs and policies &gt;ÂÂ Link to community resources for defrayed medication costs, education and materials &gt;ÂÂ Encourage participation in community education classes and support groups &gt;ÂÂ Raise community awareness through networking, outreach and education &gt;ÂÂ Provide a list of community resources to patients, families and staff EVIDENCE-BASED PRACTICES IN THE BEHAVIORAL HEALTH SYSTEM &#8211; The Chronic Care Model (CCM) has also been adapted by The National Program Office for Depression in Primary Care (http://www.wpic.pitt.edu/dppc/), to develop a clinical framework for all partnering organizations to follow. Its Flexible Blueprint was developed after a review of published interventions used to treat depression, interviews with a variety of primary care physicians, mental health specialists and other experts in the field, and selected site visits to view elements of the Chronic Care Model in action. The Substance Abuse and Mental Health Services Administration (SAMHSA) is supporting the Implementing Evidence Based Practices Project. This project is focused on people who have severe mental illness; these people are most frequently served in the public mental health system &#40;http://www.mentalhealthpractices.org/&#41;. There are six areas that have been researched. Toolkits have been developed based on the multi-state demonstrations that have been underway. The six areas are described below, based on the website materials: Illness Management and Recovery &#8211; This is a program of weekly sessions where specially trained MH practitioners help people develop personal strategies for coping with mental illness and moving forward in their lives. The program emphasizes helping people set and pursue personal goals and become better able to realize their vision of recovery. Medication Management Approaches In Psychiatry (Medmap) &#8211; This focuses on using medication in a systematic and effective way, providing guidelines and steps for decision-making based on current evidence and outcomes, monitoring and recording information about medication results, and involving consumers in the decision-making process. Assertive Community Treatment (ACT) -This program is for people who experience the most severe symptoms of mental illness. The goal is to help people stay out of the hospital and develop skills for living in the community. Services are provided by a team of practitioners, are available whenever and wherever needed, 24-hours a day, and are provided for as long as they are wanted and needed. Family Psychoeducation &#8211; This involves a strong partnership between consumers, families and supporters, and practitioners. People work toward recovery by developing better skills for overcoming everyday problems and illness-related issues, developing social support, and improving communication with treatment providers. Supported Employment &#8211; This is a well-defined approach to helping people with mental illness find and keep competitive employment. These programs are for anyone who expresses the desire to work. The programs are staffed by employment specialists who work with the treatment team to integrate services. They help people look for jobs soon after entering the program, and provide support as long as consumers want the assistance. Integrated Dual Disorders Treatment -This treatment approach is for people who have mental illness and addiction disorders, offering mental health and substance abuse services together, in one setting, at the same time. A wide variety of services are offered in a stage-wise fashion because some services are important early in treatment, while others are important later on. The EBPs described above are intended for use in the public mental health system, serving people with severe mental illness; they are not diagnosis specific. The American Association of Community Psychiatrists (http://www.wpic.pitt.edu/aacp/default.htm) has released guidelines, such as Guidelines for Recovery Oriented Services that also address this target population rather than a diagnosis specific population. The American Psychiatric Association has developed diagnosis specific practice guidelines (http://www.psych.org/) that are applicable in a wide variety of settings, as have other professional groups. The following list of behavioral healthcare guidelines and protocols is from the National Guideline Clearinghouse: &gt;ÂÂ Adjustment Disorders &gt;ÂÂ Anxiety Disorders &gt;ÂÂ Delirium, Dementia, Amnestic, Cognitive Disorders &gt;ÂÂ Dissociative Disorders &gt;ÂÂ Eating Disorders &gt;ÂÂ Factitious Disorders &gt;ÂÂ Impulse Control Disorders &gt;ÂÂ Mental Disorders Diagnosed in Childhood &gt;ÂÂ Mood Disorders &gt;ÂÂ Neurotic Disorders &gt;ÂÂ Personality Disorders &gt;ÂÂ Schizophrenia and Disorders with Psychotic Features &gt;ÂÂ Sexual and Gender Disorders &gt;ÂÂ Sleep Disorders &gt;ÂÂ Somatoform Disorders &gt;ÂÂ Substance-Related Disorders EVIDENCE-BASED PRACTICES FOR ALL POPULATIONS &#8211; There are evidence-based practices in clinical preventive services that should be utilized with all populations, whether or not they are receiving services related to a particular diagnosis or condition. This is an area for improvement in services to persons with severe mental illness, who historically have had difficult accessing healthcare services for acute or chronic medical conditions, not to mention clinical screening and prevention services. The U.S. Preventive Services Task Force (USPSTF) (http://www.ahcpr.gov/clinic/uspstfix.htm) was convened by the U.S. Public Health Service to rigorously evaluate clinical research in order to assess the merits of preventive measures, including screening tests, counseling, immunizations, and chemoprevention. The USPSTF consists of 15 experts from the specialties of family medicine, pediatrics, internal medicine, obstetrics and gynecology, geriatrics, preventive medicine, public health, behavioral medicine, and nursing. The recommended clinical prevention services are organized into the following clinical categories: &gt;ÂÂ Cancer &gt;ÂÂ Heart and Vascular Diseases &gt;ÂÂ Injury and Violence-Related Disorders &gt;ÂÂ Infectious Diseases &gt;ÂÂ Mental Disorders and Substance Abuse &gt;ÂÂ Metabolic, Nutritional, and Endocrine Disorders &gt;ÂÂ Musculoskeletal Disorders &gt;ÂÂ Obstetric Disorders &gt;ÂÂ Pediatric Disorders &gt;ÂÂ Vision and Hearing Disorders The original Task Force&#8217;s efforts culminated in the 1989 Guide to Clinical Preventive Services. A second edition of the Guide was published in 1996. In November 1998, the Agency for Healthcare Research and Quality (then the Agency for Health Care Policy and Research) convened the current USPSTF to update existing Task Force assessments and recommendations and to address new topics. CONCLUSION &#8211; The Institute of Medicine&#8217;s Improving the Quality of Healthcare for Mental and Substance-Use Conditions states: &#8220;A large body of research and other published work on organizational change, for example, consistently calls attention to five predominantly human resource management practices (and one other organizational practice) that are key to successful change implementation (1) ongoing communication about the desired change with those who are to effect it; (2) training in the new practice; (3) worker involvement in designing the change process; (4) sustained attention to progress in making the change; (5) use of mechanisms for measurement, feedback, and redesign; and (6) functioning as a learning organization. All of these practices require the exercise of effective leadership.&#8221;</p>
]]></content:encoded>
			<wfw:commentRss>http://shapelab.org/applying-the-4-quadrant-healthcare-model-and-evidence-based-practices-to-behavioral-health/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
	</channel>
</rss>

