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  • English  (6)
  • 2005-2009  (6)
  • Rand Corporation  (6)
  • Nuclear Energy Agency
  • Social Sciences  (6)
  • 1
    ISBN: 9780833060105 , 0833060104
    Language: English
    Pages: 1 Online-Ressource (1 online resource)
    DDC: 362.14
    Keywords: Home care services ; Home care services ; Home Care, Non-Professional ; Community Networks ; Evaluation Studies as Topic ; Personnel Turnover ; Home Nursing ; Social Welfare & Social Work - General ; Home care services ; Social Welfare & Social Work ; Social Sciences ; Electronic books
    Abstract: Direct service workers (DSWs) provide personal care or nonmedical services to individuals who need assistance with activities of daily living. Direct service work is very physically and emotionally demanding, and pay for DSWs is too low to attract a stable and sufficiently trained pool of workers that is adequate for the needs of the vulnerable individuals who require their assistance. To help address this issue, in 2003-2004 the Centers for Medicare and Medicaid Services (CMS) awarded ten grants under the Demonstration to Improve the Direct Service Community Workforce; these grants funded initiatives to improve the recruitment and retention among DSWs. Funded initiatives included such efforts as increasing access to health care, training, mentoring, recognition, worker registries, and marketing campaigns. In 2005, CMS funded a national evaluation, by a consortium led by the RAND Corporation, to study the implementation and outcomes of the ten funded initiatives. As part of this evaluation, researchers reviewed grantees' records, interviewed project stakeholders, conducted site visits, and surveyed direct service agencies, DSWs, and consumers. In this volume, the authors present their findings on the implementation and outcomes from the ten grantees
    Abstract: Direct service workers (DSWs) provide personal care or nonmedical services to individuals who need assistance with activities of daily living. Direct service work is very physically and emotionally demanding, and pay for DSWs is too low to attract a stable and sufficiently trained pool of workers that is adequate for the needs of the vulnerable individuals who require their assistance. To help address this issue, in 2003-2004 the Centers for Medicare and Medicaid Services (CMS) awarded ten grants under the Demonstration to Improve the Direct Service Community Workforce; these grants funded initiatives to improve the recruitment and retention among DSWs. Funded initiatives included such efforts as increasing access to health care, training, mentoring, recognition, worker registries, and marketing campaigns. In 2005, CMS funded a national evaluation, by a consortium led by the RAND Corporation, to study the implementation and outcomes of the ten funded initiatives. As part of this evaluation, researchers reviewed grantees' records, interviewed project stakeholders, conducted site visits, and surveyed direct service agencies, DSWs, and consumers. In this volume, the authors present their findings on the implementation and outcomes from the ten grantees
    Note: Includes bibliographical references , Mode of access: internet via WWW.
    URL: Volltext  (kostenfrei)
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  • 2
    ISBN: 9780833060082 , 0833060082
    Language: English
    Pages: 1 Online-Ressource
    DDC: 362.292088055
    Keywords: Youth Alcohol use ; Prevention ; Teenagers Alcohol use ; Prevention ; Community organization ; Youth ; Teenagers ; Community organization ; United States ; Community organization ; Teenagers ; Alcohol use ; Prevention ; Youth ; Alcohol use ; Prevention ; Substance Abuse ; Social Sciences ; Social Welfare & Social Work ; Electronic books
    Abstract: Underage drinking is a significant problem in the United States: Alcohol is the primary contributor to the leading causes of death among adolescents. As a result, communitywide strategies to prevent underage drinking are more important than ever. Such strategies depend on the involvement and education of adolescents, parents, law enforcement officials, merchants, and other stakeholders. This guide is designed to take communities through the process of planning, implementing, and evaluating strategies to prevent underage drinking and youth access to alcohol. The guide is structured according to the Substance Abuse and Mental Health Services Administration's (SAMHSA's) Strategic Prevention Framework, a five-step prevention approach. Within the five steps, the guide adopts the Getting To Outcomes model of empowerment evaluation, results-based accountability, and continuous quality improvement. The result is a comprehensive, step-by-step manual for developing, implementing, and evaluating a high-quality communitywide plan to prevent underage drinking and its related consequences. Recommendations include the development of educational strategies for parents, adolescents, and alcohol merchants; attracting the involvement of civic leaders; working to reform legislation governing underage access to alcohol; and training law enforcement officials to be vigilant but safe in their efforts to police underage drinking in the community
    Abstract: Underage drinking is a significant problem in the United States: Alcohol is the primary contributor to the leading causes of death among adolescents. As a result, communitywide strategies to prevent underage drinking are more important than ever. Such strategies depend on the involvement and education of adolescents, parents, law enforcement officials, merchants, and other stakeholders. This guide is designed to take communities through the process of planning, implementing, and evaluating strategies to prevent underage drinking and youth access to alcohol. The guide is structured according to the Substance Abuse and Mental Health Services Administration's (SAMHSA's) Strategic Prevention Framework, a five-step prevention approach. Within the five steps, the guide adopts the Getting To Outcomes model of empowerment evaluation, results-based accountability, and continuous quality improvement. The result is a comprehensive, step-by-step manual for developing, implementing, and evaluating a high-quality communitywide plan to prevent underage drinking and its related consequences. Recommendations include the development of educational strategies for parents, adolescents, and alcohol merchants; attracting the involvement of civic leaders; working to reform legislation governing underage access to alcohol; and training law enforcement officials to be vigilant but safe in their efforts to police underage drinking in the community
    Note: Includes bibliographical references , Mode of access: internet via WWW.
    URL: Volltext  (kostenfrei)
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  • 3
    ISBN: 9780833060044 , 083306004X
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Technical report
    DDC: 363.3480973
    Keywords: Hospitals Administration ; Planning ; Public health administration ; Emergency management Evaluation ; Crisis management Health aspects ; Preparedness ; Disaster medicine Evaluation ; Public health Evaluation ; Hospitals ; Public health administration ; Emergency management ; Crisis management ; Preparedness ; Disaster medicine ; Public health ; Public Health Administration ; Disaster Planning organization & administration ; State Government ; Local Government ; Delivery of Health Care organization & administration ; Hospitals ; Administration ; Planning ; Social Welfare & Social Work - General ; Preparedness ; Public health administration ; Public health ; Evaluation ; Social Welfare & Social Work ; Social Sciences ; United States ; Emergency management ; Evaluation ; United States ; Electronic books ; Technical Report
    Abstract: Improving the ability to respond to bioterrorism and other emergencies is an important challenge facing the U.S. public health system. Despite having a knowledgeable workforce, practice and experience, capacity, and partnerships with other responders in the community, the system₂s ability to respond may depend largely on its structure. This study examines a key question: Are state and local public health agencies related to one another in a way that facilitates emergency response? Specific objectives of this study are to explain the factors influencing the particular ways in which state and local public health systems are organized, how the various types of relationships that exist between state and local public health departments have been arrived at, and, most important, the consequences of such structures and relationships for emergency preparedness. We also examine alternative structures from several different types of service industries (public education, banking, the welfare system, and port authorities). Finally, we recommend concrete strategies to improve public health preparedness. This report will be of interest to policymakers and to public health professionals at the state and local levels who are involved in bioterrorism response and emergency preparedness, as well as to other agencies involved in emergency response
    Abstract: Improving the ability to respond to bioterrorism and other emergencies is an important challenge facing the U.S. public health system. Despite having a knowledgeable workforce, practice and experience, capacity, and partnerships with other responders in the community, the system₂s ability to respond may depend largely on its structure. This study examines a key question: Are state and local public health agencies related to one another in a way that facilitates emergency response? Specific objectives of this study are to explain the factors influencing the particular ways in which state and local public health systems are organized, how the various types of relationships that exist between state and local public health departments have been arrived at, and, most important, the consequences of such structures and relationships for emergency preparedness. We also examine alternative structures from several different types of service industries (public education, banking, the welfare system, and port authorities). Finally, we recommend concrete strategies to improve public health preparedness. This report will be of interest to policymakers and to public health professionals at the state and local levels who are involved in bioterrorism response and emergency preparedness, as well as to other agencies involved in emergency response
    Note: Includes bibliographical references , Mode of access: internet via WWW.
    URL: Volltext  (kostenfrei)
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  • 4
    Online Resource
    Online Resource
    Santa Monica, CA : RAND
    ISBN: 9780833041012 , 0833041061 , 9781433709463 , 1433709465 , 0833041010 , 9780833038685 , 9780833041067 , 0833038680
    Language: English
    Pages: 1 Online-Ressource (xxv, 124 pages)
    Series Statement: Rand publications series MG-432-RC
    Parallel Title: Print version Hosek, James R How deployments affect service members
    Keywords: Deployment (Strategy) ; Deployment (Strategy) ; Analytical, Diagnostic and Therapeutic Techniques and Equipment ; Anthropology, Education, Sociology and Social Phenomena ; Communicable Disease Control ; Delivery of Health Care ; Disease Notification ; Environment and Public Health ; Epidemiologic Methods ; Government ; Health Care Economics and Organizations ; Investigative Techniques ; Local Government ; Organizations ; Public Health Practice ; Public Health ; Social Sciences ; Pathology ; Medicine ; Health & Biological Sciences ; Military Administration ; Military & Naval Science ; Law, Politics & Government ; BUSINESS & ECONOMICS ; Human Resources & Personnel Management ; Armed Forces ; Personnel management ; United States ; Deployment (Strategy) ; Recruiting and enlistment ; HISTORY ; Military ; General ; United States Armed Forces ; Personnel management ; United States Armed Forces ; Recruiting, enlistment, etc ; United States ; United States ; Electronic books
    Abstract: The one-third cut in active-duty manpower at the end of the Cold War, from 2.1 million to 1.4 million in uniform, combined with a shift in the national security environment, has today resulted in the need for longer and repeated deployments, especially for the Army and the Marine Corps, and these deployments have posed challenges for active-duty service members and for their families. The authors undertook the preparation of this monograph with the objective of offering insights into the challenges faced by active-duty service members deployed to Iraq and Afghanistan, the resiliency they and their families have shown in coping with these challenges, and the adequacy of defense manpower policy in assisting members and families. The monograph draws on the perspectives of economics, sociology, and psychology; provides a formal model of deployment and retention; reviews published work; reports on the results of focus groups conducted in each of the services; and presents findings from an analysis of survey data. The focus groups and survey data relate to the period from 2003 to early 2004. Family separation, long work hours both during and preceding deployments, and uncertainty surrounding deployments were some of the more significant stresses associated with deployments that were reported in focus groups. Furthermore, according to focus-group and survey data, even personnel who did not deploy experienced work stress as a result of long hours supporting deployments. The authors use these findings to suggest ways to improve quality of life for deployed and nondeployed personnel and their families, including improved communication home, more effectively structured deployment pays, and, when possible, greater certainty in the timing and length of the deployment cycle. The findings also underscore the importance of individual and unit preparation prior to deployment and the role of unit cohesion during deployment. The monograph may be of interest to the military services, the Office of the Secretary of Defense, individual service members and their families, members of Congress and their staff, and the media. It may also interest foreign militaries that have converted to a volunteer system and that want to be informed about the personnel strains caused by a high operating tempo
    Abstract: The one-third cut in active-duty manpower at the end of the Cold War, from 2.1 million to 1.4 million in uniform, combined with a shift in the national security environment, has today resulted in the need for longer and repeated deployments, especially for the Army and the Marine Corps, and these deployments have posed challenges for active-duty service members and for their families. The authors undertook the preparation of this monograph with the objective of offering insights into the challenges faced by active-duty service members deployed to Iraq and Afghanistan, the resiliency they and their families have shown in coping with these challenges, and the adequacy of defense manpower policy in assisting members and families. The monograph draws on the perspectives of economics, sociology, and psychology; provides a formal model of deployment and retention; reviews published work; reports on the results of focus groups conducted in each of the services; and presents findings from an analysis of survey data. The focus groups and survey data relate to the period from 2003 to early 2004. Family separation, long work hours both during and preceding deployments, and uncertainty surrounding deployments were some of the more significant stresses associated with deployments that were reported in focus groups. Furthermore, according to focus-group and survey data, even personnel who did not deploy experienced work stress as a result of long hours supporting deployments. The authors use these findings to suggest ways to improve quality of life for deployed and nondeployed personnel and their families, including improved communication home, more effectively structured deployment pays, and, when possible, greater certainty in the timing and length of the deployment cycle. The findings also underscore the importance of individual and unit preparation prior to deployment and the role of unit cohesion during deployment. The monograph may be of interest to the military services, the Office of the Secretary of Defense, individual service members and their families, members of Congress and their staff, and the media. It may also interest foreign militaries that have converted to a volunteer system and that want to be informed about the personnel strains caused by a high operating tempo
    Note: "MG-432-RC"--Page 4 of cover , Includes bibliographical references (pages 113-124)
    URL: Volltext  (kostenfrei)
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  • 5
    Online Resource
    Online Resource
    Santa Monica, CA : RAND
    ISBN: 9780833038487 , 0833041002 , 9781601290250 , 160129025X , 9780833041005 , 0833038486
    Language: English
    Pages: 1 Online-Ressource (xix, 68 pages)
    Parallel Title: Print version Oil shale development in the United States
    DDC: 622/.3383/0973
    Keywords: Oil-shales ; Oil-shale industry ; Oil-shales ; Oil-shale industry ; Social Welfare & Social Work ; Social Sciences ; United States ; Oil-shale industry ; Oil-shales ; TECHNOLOGY & ENGINEERING ; Mining ; Criminology, Penology & Juvenile Delinquency ; Electronic books
    Abstract: In the late 1970s and early 1980s, when crude oil prices were high, government and private-sector energy experts took a hard look at the costs and benefits of extracting oil from the vast deposits of oil shale that lie beneath the western United States (much of it under government land). Oil prices soon subsided, and interest in the topic waned. With oil prices again spiking and global demand showing no signs of abating, it makes sense to reexamine the costs and benefits of oil shale development. In this report, the authors describe the oil shale resources (estimated at more than triple the proven oil reserves of Saudi Arabia); the suitability, cost, and performance of technologies for developing these resources; and the key energy, environmental, land-use, and socioeconomic policy issues that need to be addressed by government decisionmakers. The authors conclude by outlining both the challenges and opportunities for early action with regard to those policy issues
    Abstract: In the late 1970s and early 1980s, when crude oil prices were high, government and private-sector energy experts took a hard look at the costs and benefits of extracting oil from the vast deposits of oil shale that lie beneath the western United States (much of it under government land). Oil prices soon subsided, and interest in the topic waned. With oil prices again spiking and global demand showing no signs of abating, it makes sense to reexamine the costs and benefits of oil shale development. In this report, the authors describe the oil shale resources (estimated at more than triple the proven oil reserves of Saudi Arabia); the suitability, cost, and performance of technologies for developing these resources; and the key energy, environmental, land-use, and socioeconomic policy issues that need to be addressed by government decisionmakers. The authors conclude by outlining both the challenges and opportunities for early action with regard to those policy issues
    Note: "MG-414 , Includes bibliographical references (pages 63-68) , Title from PDF title page (viewed Oct. 13, 2005)
    URL: Volltext  (kostenfrei)
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  • 6
    ISBN: 9780833037732 , 0833040731 , 0833037730 , 9780833040732
    Language: English
    Pages: 1 Online-Ressource (xxxiv, 176 pages)
    Parallel Title: Print version Implementation of the asthma practice guideline in the Army Medical Department
    DDC: 616.2/3806
    Keywords: United States Medical care ; Standards ; United States ; United States ; United States ; United States ; Soldiers Medical care ; Asthma Treatment ; Evaluation ; Soldiers ; Asthma ; Guideline Adherence ; Military Medicine organization & administration ; Process Assessment (Health Care) ; Asthma therapy ; Case Management organization & administration ; Military & Naval Science ; United States ; POLITICAL SCIENCE ; International Relations ; Diplomacy ; Law, Politics & Government ; Military Administration ; Soldiers ; Medical care ; Criminology, Penology & Juvenile Delinquency ; United States ; Social Welfare & Social Work ; MEDICAL ; Pulmonary & Thoracic Medicine ; Social Sciences ; HEALTH & FITNESS ; Diseases ; Respiratory ; United States ; Electronic book ; Statistics
    Abstract: In partnership with the Army Medical Department (AMEDD), RAND researchers worked to implement clinical practice guidelines in treatment of three common ailments (asthma, diabetes, and low back pain). This report is an evaluation of the asthma practice guideline demonstration. It documents the extent to which intended actions were implemented, assesses short-term effects on clinical practices, and measures the quality and limitations of available data for monitoring practice improvements and clinical outcomes. The authors found that, although the implementation scored some notable successes, resource limitations and organizational barriers curbed overall progress. They conclude that allowing for flexibility, monitoring the facilities consistently, and training providers thoroughly are the keys to implementing the practice guidelines throughout AMEDD. The also concluded that patient education was an area in need of improvement
    Abstract: In partnership with the Army Medical Department (AMEDD), RAND researchers worked to implement clinical practice guidelines in treatment of three common ailments (asthma, diabetes, and low back pain). This report is an evaluation of the asthma practice guideline demonstration. It documents the extent to which intended actions were implemented, assesses short-term effects on clinical practices, and measures the quality and limitations of available data for monitoring practice improvements and clinical outcomes. The authors found that, although the implementation scored some notable successes, resource limitations and organizational barriers curbed overall progress. They conclude that allowing for flexibility, monitoring the facilities consistently, and training providers thoroughly are the keys to implementing the practice guidelines throughout AMEDD. The also concluded that patient education was an area in need of improvement
    Note: "RAND Arroyo Center , "Center for Military Health Policy Research , Includes bibliographical references (pages 173-176) , Supersedes RAND/DRR-2872-A
    URL: Volltext  (kostenfrei)
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