scholarly journals Qualitative needs assessment: healthcare experiences of underserved populations in Montgomery County, Virginia, USA

2012 ◽  
Author(s):  
Kelly L Pieh-Holder ◽  
Cathleen Goldschmidt ◽  
Pat Young
Keyword(s):  
Needs Assessment ◽  
Underserved Populations ◽  
Montgomery County ◽  
Healthcare Experiences

Growing the IBCLC Workforce: A Florida Needs Assessment

2017 ◽  
Vol 34 (1) ◽  
pp. 148-155 ◽  
Author(s):  
Aimee R. Eden ◽  
Erica H. Anstey ◽  
Deidre Orriola
Keyword(s):  
Needs Assessment ◽  
Training Program ◽  
Healthcare Workers ◽  
Online Survey ◽  
Underserved Populations ◽  
Microsoft Excel ◽  
Lactation Consultants ◽  
Child Healthcare ◽  
High Level ◽  
Network Project

Background: Florida has fewer International Board Certified Lactation Consultants (IBCLCs) per 1,000 live births than the national average. An important strategy to support breastfeeding entails creating opportunities to prepare and train IBCLCs from underrepresented groups. However, it can be difficult for individuals to access lactation education and gain clinical experience necessary to become an IBCLC. Research aim: The Building a Better Breastfeeding Network project was a needs assessment designed to assess the interest in an IBCLC training program in Florida and perceived barriers and facilitators to completing such a program. Methods: An online survey was distributed via email to non-IBCLC students and maternal and child healthcare workers in Florida. Microsoft Excel was used to complete descriptive analyses. Results: Surveys were initiated by 1,939 eligible individuals from diverse racial and ethnic backgrounds across the state, 86% of whom responded that they would be possibly to very interested in an IBCLC training program. For those interested, cost was perceived as a potential barrier to enrolling in a program, but flexible course schedules and scholarship or financial aid availability would further attract participants. More than half were interested in working with underserved populations or in low-resource settings, but Black and Hispanic participants were significantly more likely to express interest in working in those settings. Conclusion: Due to the high level of interest in an IBCLC training program in Florida, a formal lactation training program may be successful in attracting diverse students, particularly if funding and program flexibility needs are met.

scholarly journals Informing ASPIRE and a future student-run clinic: healthcare needs assessment of London, Ontario

2019 ◽  
Author(s):  
Michael A. Iacocca ◽  
Yara Abou-Hamde ◽  
Ruth Fisher ◽  
Adam Hopfgartner ◽  
Bobbak Makooie
Keyword(s):  
Primary Care ◽  
Needs Assessment ◽  
Low Socioeconomic Status ◽  
Underserved Populations ◽  
Healthcare Delivery ◽  
Low Socioeconomic ◽  
Healthcare Needs ◽  
Rising Incidence ◽  
Primary Care Practitioners ◽  
Interdisciplinary Healthcare

A needs assessment was conducted by the Alliance of Students Providing Interprofessional Resources and Education (ASPIRE) to identify gaps in healthcare delivery and health promotion within London, Ontario that can be addressed by a student-run clinic. Investigations into the social determinants of health revealed a low employment rate with notable housing and food insecurities. From a physical health perspective, cardiovascular and respiratory diseases were identified as the leading causes of hospitalization and mortality. Additionally, a high burden of mental illness and rising incidence of human immunodeficiency virus (HIV) were identified as major health challenges. Upon examination of primary care resources, various patient and practitioner-reported barriers to care were noted. Patients cited long wait times, inaccessible office hours, and inconvenient locations of practice as barriers. Primary care practitioners reported lack of resources to adequately meet the needs of complex populations, particularly those of low socioeconomic status backgrounds. To conclude, a discussion of the role and operation of a student-run clinic in addressing these findings is presented; an additional interdisciplinary healthcare resource that offers extended hours of operation, clinical outreach, and healthcare-related workshops can improve the accessibility to timely healthcare for underserved populations in London.

scholarly journals Co-morbid Health Conditions in Latinx Adults Receiving Care for Depression and Anxiety

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 128-128
Author(s):  
Margaret Gutierrez ◽  
Janet Diaz-Martinez ◽  
Jezabel Maisonet ◽  
Juan Ayala ◽  
Aydeivis Jean Pierre ◽  
...  
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Type 2 Diabetes ◽  
Needs Assessment ◽  
Underserved Populations ◽  
Health Conditions ◽  
Depression And Anxiety ◽  
Care Needs ◽  
Cvd Risk

Abstract Objectives Multi-morbidity greatly increases the complexity of managing disease, particularly among underserved populations who also suffer from mental health disorders. Multi-morbidity is also more likely to worsen outcomes and reduce positive behavioral changes due to coexisting depression or anxiety, complicating global/individual health care needs. The objective of this study was to determine the prevalence of having three or more chronic conditions in Latinx patients receiving medical care at Caridad Center who suffer from depression and anxiety. Methods A needs assessment was conducted on Latinx patients who sought care for mental health from Caridad Center in Boynton Beach, FL to determine which co-morbidities they experience. Medical records of 100 random patients diagnosed with depression and/or anxiety were obtained to collect data on demographics, diagnoses of health conditions, and biomedical laboratory information. Descriptive statistics were used to obtain the means, standard deviations, and frequencies for each respective variable type. Results The mean age was 51.9 ± 11.9 years and majority were female, 79.4%. Out of the 100 individuals, 43% were diagnosed with depression, 38% with anxiety and 17% with both depression and anxiety. In those with depression, 54% had ≥3CVD risk factors, 39% had ≥3 diagnosed co-morbidities, 47% had hypertension and hyperlipidemia, and 38% had type 2 diabetes. Additionally, 43% of those with anxiety had ≥ 3 CVD risk factors, 31% ≥3 diagnosed co-morbidities, 46% had hypertension, 41% had hyperlipidemia and 31% had type 2 diabetes. The overall sample had mean BMIs indicative of overweight/obese (30.0 ± 5.9 kg/m2). Plasma glucose (119.5 ± 52.3 mg/dL), hemoglobin A1C (8.4 ± 2.8%), and triglyceride levels (141.2 ± 72.9 mg/dL) were above normal limits and glomerular filtration rate (39.0 ± 45.5 ml/min) was below the recommended level, indicative of Chronic Kidney Disease. Conclusions Completion of a needs assessment from Caridad Center, the largest provider of free medical and mental health services in Florida, demonstrated that multi-morbidity were prevalent among the Latinx sample afflicted by depression and/or anxiety. More work is needed to further investigate how lifestyle and other risk factors interplay with the severity of mental illness in this population. Funding Sources FIU RCMI/NIMHD.

An Approach to Mainstreaming Language-Disabled Children in the Elementary School

1978 ◽  
Vol 9 (1) ◽  
pp. 17-23
Author(s):  
Karen Navratil ◽  
Margie Petrasek
Keyword(s):  
Elementary School ◽  
Public Schools ◽  
Oral Language ◽  
School Age Children ◽  
Montgomery County ◽  
Elementary School Age ◽  
Language Classrooms ◽  
Language Pathology ◽  
General Goal ◽  
Resource Program

In 1972 a program was developed in Montgomery County Public Schools, Maryland, to provide daily resource remediation to elementary school-age children with language handicaps. In accord with the Maryland’s guidelines for language and speech disabilities, the general goal of the program was to provide remediation that enabled children with language problems to increase their abilities in the comprehension or production of oral language. Although self-contained language classrooms and itinerant speech-language pathology programs existed, the resource program was designed to fill a gap in the continuum of services provided by the speech and language department.

Using Technology to Improve Access to Health Care for Culturally and Linguistically Diverse Populations

2012 ◽  
Vol 19 (3) ◽  
pp. 71-76 ◽  
Author(s):  
Pauline A. Mashima
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Access To Health Care ◽  
Underserved Populations ◽  
Linguistically Diverse ◽  
Care Providers ◽  
Department Of Health ◽  
Use Of Technology ◽  
Access To Health ◽  
Improve Access

Important initiatives in health care include (a) improving access to services for disadvantaged populations, (b) providing equal access for individuals with limited or non-English proficiency, and (c) ensuring cultural competence of health-care providers to facilitate effective services for individuals from diverse racial and ethnic backgrounds (U.S. Department of Health and Human Services, Office of Minority Health, 2001). This article provides a brief overview of the use of technology by speech-language pathologists and audiologists to extend their services to underserved populations who live in remote geographic areas, or when cultural and linguistic differences impact service delivery.

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