Toche-Manley L.L.,Polaris Health Directions, Inc. |
Dietzen L.,Polaris Health Directions, Inc. |
Nankin J.,Polaris Health Directions, Inc. |
Beigel A.,County of Los Angeles
Journal of Behavioral Health Services and Research | Year: 2013
Outcomes management technology holds great promise for improving the quality of services provided to youth in the child welfare system. Advantages include better detection of behavioral health and trauma-related issues, early indicators of case progress or risk of failure, and program- and system-level learning. Yet organizational barriers to implementation persist. Attention is spent in this paper on addressing these barriers so the use of outcomes management technology becomes a common practice. A model for predicting resiliency is presented, along with case examples demonstrating its potential use for treatment planning and monitoring progress. © 2013 National Council for Community Behavioral Healthcare. Source
County Of Los Angeles | Date: 2012-12-31
Clothing, namely, t-shirts, shirts, sweatshirts, sweatpants, pullovers, caps, baseball caps, and jackets. Fire fighting services.
Eisenman D.P.,University of California at Los Angeles |
Eisenman D.P.,RAND Corporation |
Williams M.V.,RAND Corporation |
Glik D.,University of California at Los Angeles |
And 3 more authors.
Journal of Public Health Management and Practice | Year: 2012
Context: Trust contributes to community resilience by the critical influence it has on the community's responses to public health recommendations before, during, and after disasters. However, trust in public health is a multifactorial concept that has rarely been defined and measured empirically in public health jurisdictional risk assessment surveys. Measuring trust helps public health departments identify and ameliorate a threat to effective risk communications and increase resilience. Such a measure should be brief to be incorporated into assessments conducted by public health departments. Objective: We report on a brief scale of public health disaster-related trust, its psychometric properties, and its validity. Design: On the basis of a literature review, our conceptual model of public health disaster-related trust and previously conducted focus groups, we postulated that public health disaster-related trust includes 4 major domains: competency, honesty, fairness, and confidentiality. Setting: A random-digit-dialed telephone survey of the Los Angeles county population, conducted in 2004-2005 in 6 languages. Participants: Two thousand five hundred eighty-eight adults aged 18 years and older including oversamples of African Americans and Asian Americans. Main Outcome Measures: Trust was measured by 4 items scored on a 4-point Likert scale. A summary score from 4 to 16 was constructed. Results: Scores ranged from 4 to 16 and were normally distributed with a mean of 8.5 (SD 2.7). Cronbach α = 0.79. As hypothesized, scores were lower among racial/ethnic minority populations than whites. Also, trust was associated with lower likelihood of following public health recommendations in a hypothetical disaster and lower likelihood of household disaster preparedness. Conclusions: The Public Health Disaster Trust scale may facilitate identifying communities where trust is low and prioritizing them for inclusion in community partnership building efforts under Function 2 of the Centers for Disease Control and Prevention's Public Health Preparedness Capability 1. The scale is brief, reliable, and validated in multiple ethnic populations and languages. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins. Source
County Of Los Angeles | Date: 1998-04-07
Delaney K.P.,Centers for Disease Control and Prevention |
Rurangirwa J.,County of Los Angeles |
Facente S.,HIV Prevention Section |
Dowling T.,HIV Prevention Section |
And 7 more authors.
Journal of Acquired Immune Deficiency Syndromes | Year: 2016
Background: Use of a rapid HIV testing algorithm (RTA) in which all tests are conducted within one client appointment could eliminate off-site confirmatory testing and reduce the number of persons not receiving confirmed results. Methods: An RTA was implemented in 9 sites in Los Angeles and San Francisco; results of testing at these sites were compared with 23 sites conducting rapid HIV testing with off-site confirmation. RTA clients with reactive results on more than 1 rapid test were considered HIV+ and immediately referred for HIV care. The positive predictive values (PPVs) of a single rapid HIV test and the RTA were calculated compared with laboratory-based confirmatory testing. A Poisson risk regression model was used to assess the effect of RTA on the proportion of HIV+ persons linked to HIV care within 90 days of a reactive rapid test. Results: The PPV of the RTA was 100% compared with 86.4% for a single rapid test. The time between testing and receipt of RTA results was on average 8 days shorter than laboratory-based confirmatory testing. For risk groups other than men who had sex with men, the RTA increased the probability of being in care within 90 days compared with standard testing practice. Conclusions: The RTA increased the PPV of rapid testing to 100%, giving providers, clients, and HIV counselors timely information about a client's HIV-positive serostatus. Use of RTA could reduce loss to follow-up between testing positive and confirmation and increase the proportion of HIV-infected persons receiving HIV care. © 2015 Wolters Kluwer Health, Inc. All rights reserved. Source