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Background: Funded by the Third EU Public Health Programme, Optimity Advisors has followed up on the work carried out by the Health System Performance Assessment HSPA Expert Group in the development of an assessment framework for integrated care. The study conducted has assessed the level penetration and adoption of integrated care in the EU28, Norway and Iceland, and the level of maturity of several health systems at national, regional and local level. Through engagement with stakeholders in the integrated care field, a new, user-friendly framework for the performance assessment of integrated care has been co-developed and further validated by Optimity Advisors, DG SANTE i.e. Directorate-General for Health and Consumers of the European Union, CHAFEA Consumers, Health, Agriculture and Food Executive Agency and stakeholders across the integrated care community in the 28 Member States, Norway and Iceland. The Integrated Care Performance Assessment Framework was developed based on previously validated frameworks, such as the WHO 2015 framework People-centred and integrated health services: an overview of the evidence. Aims and Objectives: The main objective of this workshop will be to communicate the preliminary results and the experience of using the framework to assess the performance of a number of integrated care systems at local, regional and national level. Format: The agenda for the workshop will be as follows: Introduction to the methodological approach and preliminary outputs of the framework, by Optimity Advisors and DG SANTE; Presentation by one or two representatitves of integrated care projects who have contributed in the co-design of the framework explaining the design process; Demonstration of the use of the framework by representatitves of integrated care projects, who will show how to obtain a performance profile for integrated care systems; Group discussion on the different conditions in different health systems that can enhance, or limit the adoption of the framework, and on what could be done to minimise the barriers and maximise facilitating conditions; Conclusion by the facilitators on future steps to address the issues raised by the attendees, and final remarks. Target audience: We envision the target audience of the workshop to be comprised of individuals who have an integrated care performance assessment need, including health managers, policy makers, and other stakeholders that are directly involved in decision-making actions within integrated health systems. Learnings/Take away: By the end of the session, we expect attendees to i have an understanding of a new way to assess the performance of integrated care systems, ii develop a performance profile and actionable roadmap for performance improvement of an integrated care system of their choosing.

OBJECTIVE There is a dearth of empirical studies aimed at examining the impact of differential cultural adaptation of evidence-based clinical and prevention interventions. This prevention study consisted of a randomized controlled trial aimed at comparing the impact of 2 differentially culturally adapted versions of the evidence-based parenting intervention known as Parent Management Training, the Oregon Model (PMTOR). METHOD The sample consisted of 103 Latina/o immigrant families (190 individual parents). Each family was allocated to 1 of 3 conditions: (a) a culturally adapted PMTO (CA), (b) culturally adapted and enhanced PMTO (CE), and (c) a wait-list control. Measurements were implemented at baseline (T1), treatment completion (T2) and 6-month follow up (T3). RESULTS Multilevel growth modeling analyses indicated statistically significant improvements on parenting skills for fathers and mothers (main effect) at 6-month follow-up in both adapted interventions, when compared with the control condition. With regard to parent-reported child behaviors, child internalizing behaviors were significantly lower for both parents in the CE intervention (main effect), compared with control at 6-month follow-up. No main effect was found for child externalizing behaviors. However, a Parent × Condition effect was found indicating a significant reduction of child externalizing behaviors for CE fathers compared with CA and control fathers at posttest and 6-month follow-up. CONCLUSION Present findings indicate the value of differential cultural adaptation research designs and the importance of examining effects for both mothers and fathers, particularly when culturally focused and gender variables are considered for intervention design and implementation. (PsycINFO Database Record

The United States Department of Homeland Security has identified 16 critical infrastructure sectors that employ computing, technology and engineering students. However, most undergraduate curricula in these disciplines do not incorporate the fundamentals of critical infrastructure protection (CIP) into their curricula in a meaningful way. This paper describes the design, development, and usage of a modular curricular framework for integrating CIP into undergraduate programs via self-contained interdisciplinary course modules; a course module is a distinct curricular unit such as a lab or teaching component for use by an instructor in existing courses without requiring any course or program modifications. The framework is designed for use in multiple disciplines, and the modules are designed for presentation at different levels of the undergraduate experience, with subsequent modules built on those presented earlier. In addition, the paper discusses assessment results obtained from the validation of the framework and modules over the past three years that covered 345 students at the community college and university levels.

The Assertive Community Treatment model (ACT) was developed more than 30 years ago to treat individuals with serious and persistent mental illness. This qualitative study highlights practical challenges encountered when establishing ACT teams in diverse settings serving people who are homeless with co-occurring mental and addictive disorders (COD). Program administrators and evaluators from nine programs located in seven states completed a survey on implementation challenges, fidelity, modifications to the ACT model, and program successes. Challenges encountered related largely to staffing and funding limitations as well as to difficulties with implementing the ACT model without modifications. Several modifications to the model were believed beneficial to recruiting and retaining consumers. These included emphasizing housing, adding staff positions not prescribed by ACT, implementing mini-teams within the program, delivering in-office services in a group format, and placing time-limited services by transi...

Fidelity rating of evidence-based practices ensures the implementation of interventions as intended and enhances the likelihood of replication of positive outcomes previously demonstrated. However, modifications have been necessary when a practice is adopted in settings or for populations other than those for which they were developed. This study reports fidelity findings for six programs implementing the Assertive Community Treatment model in different settings for adults who are homeless and who present with mental and addictive disorders, together with a methodology that can assist programs to achieve fidelity. Initial and final fidelity ratings using the Dartmouth Assertive Community Treatment Scale were collected from six programs. Findings indicate that while fidelity in programs can vary over time, core elements can be maintained, resulting in at least moderate fidelity in each program and modest overall increases across all programs combined with concomitant decreases in the variance of fidelity s...

An estimated 3.5 million people in the United States meet criteria for being homeless (National Law Center on Homelessness & Poverty, 2007), about 1.4% to 2% of the population (Greenberg & Rosenhec...

The author analyzes the influences of black women as decisionmakers and creators in entertainment television and focuses on the effects black women have had on the system during the period 1999–2004. She also assesses whether a black presence has made a difference in the process and the products produced for television viewers.

This paper reports the results of a study conducted in the Illinois ILCSO consortium about the impact of consortial guidelines for cataloging remote access computer files on the quantity, quality and nature of bibliographic records for Internet resources found in the consortium online catalog, ILLINET Online (IO). A pre-test sample was gathered in March 2000, while a post-test sample was harvested in April 2001 approximately a year following introduction of the guidelines. The study shows that while the presence of consortial guidelines for cataloging Internet resources may have impacted the quantity of bibliographic records for Internet resources in IO, the guidelines had only a small effect on the quality and nature of Internet computer file records found in IO.

PRAY TV: TELEVANGELISM IN AMERICA by Steven Bruce (New York: Routledge, Chapman & Hall, 1990–$16.95, paper, ISBN 0-415-03098-6, 272 pp.) RELIGIOUS TELEVISION: CONTROVERSIES AND CONCLUSIONS edited by Robert Abelman and Stewart M. Hoover (Norwood, NJ: Ablex, 1990—price not given, ISBN 0-89391-643-9, 366 pp.) THE GAME BEHIND THE GAME: HIGH STAKES, HIGH PRESSURE IN TELEVISION SPORTS by Terry O'Neil (New York: Harper & Row [now HarperCollins], 1989—$17.95, ISBN 0-06-016019-5, 291 pp.) GAMES AND SETS: THE CHANGING FACE OF SPORT ON TELEVISION by Steven Barnett (London: British Film Institute/Bloomington: Indiana University Press, 1990—$35.00/13.95, ISBN 0-85170-267-8 hard, 0-85170-268-6 paper, 214 pp.) SPLIT IMAGE: AFRICAN AMERICANS IN THE MASS MEDIA edited by Jannette L. Dates and William Barlow (Howard University Press, 2900 Van Ness St. NW, Washington, DC 20008—$29.95/14.95, ISBN 0-88258-035-3 hard, 0-88258-063-9 paper, 492 pp.) TELEVISION AND WOMEN'S CULTURE: THE POLITICS OF THE POPULAR edited by Mary Ellen ...

Summary: The Adience-Abience and the Psychopathology Scales of the HABGT were applied under pretreatment and posttreatment conditions to 120 13-15-year-old male delinquents. Comparison with other personality variabes, prediction of recidivism, and analysis of mean scores on the two scales with the means of normal and disturbed children of comparable age were attempted. The delinquent group was more abient than normal children and was significantly higher in psychopthology than either normals or disturbed children. Significant correlations were obtained between Adience-Abience and Psychopathology and recidivism, although neither scale alone, nor both scales in combination, was high enough in prediction to warrant their use for individual predictive purposes. However, their utility in such programs as well as their construct validity were demonstrated.