Genetic Counseling Service Delivery Models in the United States: Assessment of changes in use from 2010 to 2017

2020 ◽  
Vol 29 (6) ◽  
pp. 1126-1141 ◽  
Author(s):  
Samantha E. Greenberg ◽  
Emily Boothe ◽  
Christine L. Delaney ◽  
Ryan Noss ◽  
Stephanie A. Cohen
2016 ◽  
Vol 25 (5) ◽  
pp. 1010-1018 ◽  
Author(s):  
Stephanie A. Cohen ◽  
Rachelle C. Huziak ◽  
Shanna Gustafson ◽  
Robin E. Grubs

2020 ◽  
Vol 38 (2) ◽  
pp. 151-156
Author(s):  
David Knott ◽  
Seneca Block

Abstract As the global Coronavirus disease (COVID-19) pandemic transforms our society, music therapists must adapt service delivery models that ensure client safety. Given the prevalence of COVID-19 in our communities and lack of personal protective equipment in many settings, music therapists are faced with the need to shift delivery models in order to provide safe and relevant services. Telehealth is one solution to these current service delivery challenges. Music therapists possess a depth of practice-based knowledge and understanding of client populations, which enables them to develop virtual services, matching both the clinicians’ and clients’ technical capabilities. Developed during the initial wave of COVID-19 infections in the United States, this article describes the coauthors’ three-tiered scaffold model intended to support the program development and deployment of virtual music therapy (VMT) services. The model describes an approach to developing VMT services that directs the clinician’s goals of care in formats that are accessible, appropriate, and best meet the patient/client’s needs and abilities. The severity and lasting nature of this worldwide health crisis and its disruption of traditional service delivery models require clinicians and researchers to develop the most effective uses of VMT while considering its limits with regard to clinical populations and need areas.


10.2196/23523 ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. e23523
Author(s):  
Melissa Raspa ◽  
Rebecca Moultrie ◽  
Danielle Toth ◽  
Saira Naim Haque

Background Advances in diagnostics testing and treatment of genetic conditions have led to increased demand for genetic services in the United States. At the same time, there is a shortage of genetic services professionals. Thus, understanding the models of service delivery currently in use can help increase access and improve outcomes for individuals identified with genetic conditions. Objective This review aims to provide an overview of barriers and facilitators to genetic service delivery models to inform future service delivery. Methods We conducted a scoping literature review of the evidence to more fully understand barriers and facilitators around the provision of genetic services. Results There were a number of challenges identified, including the limited number of genetics specialists, wait time for appointments, delivery of services by nongenetics providers, reimbursement, and licensure. The ways to address these challenges include the use of health information technology such as telehealth, group genetic counseling, provider-to-provider education, partnership models, and training; expanding genetic provider types; and embedding genetic counselors in clinical settings. Conclusions The literature review highlighted the need to expand access to genetic services. Ways to expand services include telehealth, technical assistance, and changing staffing models. In addition, using technology to improve knowledge among related professionals can help expand access.


Simply attending and graduating from high school is no longer a guarantee of employment. Students with disabilities need to attend college like their nondisabled peers in order to secure a good-paying job, but in order to do this, they must have special support systems in place. Fifteen colleges in the United States offer such assistance to these students. Most programs go beyond simply tutoring and include a learning specialist to assist the students with their learning, which can be anything from working on executive functioning skills to note-taking, to test-taking strategies, to being able to regulate one's emotions. An explanation of each program is included in this chapter.


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