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Biomedical subjects

E DePoy

Publications and source records attributed to E DePoy.

11 recordsLinked to original sources
PubMed2000

Adolescents with special health care needs in transition: three life histories.

PURPOSE: This study was part of a large multi-method inquiry designed to examine the service and support needs of adolescents with special health care needs who are transitioning to adulthood. METHODS: A multiple case study methodology relying on life history was used to ascertain perspectives of the parents on the longitudinal events and factors in the lives of adolescents with special health care needs that shaped or currently influence adolescent transition to adulthood. Three informants were purposively selected to depict a range of health and socio-economic conditions. Long interviews were conducted and audiotaped and transcribed data were thematically and taxonomically analyzed. RESULTS: Six major themes emerged in the analysis: (1) Begetting a service system, (2) Pathology or not pathology, (3) Educational stability vs. interruptions, (4) Role blurring of parents and providers, (5) Private life made public, and (6) Independence vs. burden. CONCLUSIONS: The study revealed that, consistent with the literature, adolescents with special health care needs do not follow typical developmental sequences, although their needs and desires are no different than those of typical adolescents. The lives of the adolescents and their families are significantly influenced by the timing and nature of the diagnosis, the family's articulation with service providers, and the degree to which school systems are responsive to atypical adolescents. Implications for health providers and future inquiry are advanced.

Adolescent↗
PubMed1997

Educating rural allied health professionals: an interdisciplinary effort.

This article describes the process and outcome of an innovative, interdisciplinary educational effort which was initiated in rural Maine. Within the context of a comprehensive, statewide interdisciplinary rural health care training project that was federally funded through the Interdisciplinary Training for Health Care for Rural Areas (ITHCRA) grant program, a primary strategy for recruiting and training rural allied health practitioners was the development and implementation of a year long interdisciplinary graduate course sequence. The results of the evaluation suggested that interdisciplinary education is not only useful in learning the roles and functions of allied health professions, but is valuable tool in promoting the development of skills necessary for competent and relevant rural allied health practice.

Allied Health Personnel↗
PubMed1996

Successful living placement for adults with disabilities: considerations for social work practice.

This article presents a study which was implemented to investigate successful community living in rural non-elders with chronic physical disabilities. Based on the results of an initial naturalistic study, a survey design was used to identify factors which distinguish persons with disabilities between the ages of 16-65 in institutional settings from their counterparts in community-based settings. The findings revealed significant differences in desire for autonomy, satisfaction with participation in the level of decision making around living environment, knowledge of community living and service options, fear of being alone in the community, support from family and personal care assistance in the community and socialization patterns. Yet no significant differences in functional status or need for assistance in activities of daily living was noted between the groups. The study suggests that living placement is not a function of medical or activities of daily living assistance need, but rather is a complex phenomenon comprised of numerous personal, social, resource and environmental factors.

Adolescent↗
PubMed1996

Preparation of social workers for serving individuals with developmental disabilities: a brief report.

A survey was sent to program directors of 498 social work schools to explore the developmental disabilities content in their curricula. The survey measured developmental disabilities content in terms of course content, practice opportunities, research opportunities, and value content. The response rate was 28.9%. Results indicated that very few schools offered developmental disabilities content in their curricula, and those that did offered it primarily as a field practica experience. Survey findings raise concerns about how well social work students are being prepared for practice in the field of developmental disabilities.

Curriculum↗
PubMed1995

Older people's responses to education about advance directives.

As advances in medical technology increase the life span, social workers committed to quality of life for elderly people are faced with practice challenges. Preserving the autonomy and civil rights of elderly people in guiding their own health care even if they are unable to articulate preferences has become an important area of social work intervention. This article evaluates a social work program in a rural New England community designed to promote autonomous decision making by educating elderly people about advance directives. Results revealed a continuum of willingness among elderly people to address future decision making. Interventions to promote autonomy in health care decision making need to address the diversity of elderly people. The primacy of the family emerged throughout the study, suggesting that advance directives may be a family issue rather than solely an individual one. Further needs assessment research is needed to guide program development in this essential area of social work practice.

Advance Directives↗
PubMed1993

Working with persons with serious mental illness: implication for social work recruitment and retention.

Educating and recruiting practitioners to work in community-based settings with persons with serious mental illness has become a national health person-power issue, particularly in underserved rural areas. This study was conceived in order to obtain a better basis for curriculum development and recruitment strategies. Graduate and undergraduate social work students, representing the greatest pool of mental health practitioners, were surveyed about their perceptions about working with persons with serious mental illness and about factors which are most important to their future job satisfaction. The findings indicate positive perceptions about work with the seriously mentally ill population by a significant number of students, and further reveal that students project job satisfaction factors related to intrinsic reward and ability to learn and grow in their work. The findings also reveal group differences related to educational level, previous work experience in mental health and expressed interest in working with persons with serious mental illness. Important implications for practitioner education, recruitment, administration and job development and ongoing in-service training are discussed.

Adult↗
PubMed1991

An emerging view of mastery, excellence, and leadership in occupational therapy practice.

The recent focus on clinical reasoning in occupational therapy, specifically on how therapists solve complex problems, has stimulated interest in how master clinicians think in practice. By gaining insight into how clinicians think and what they think about when they identify and solve problems, we may be able to identify clinical reasoning patterns and processes that occupational therapy students and novice therapists need to experience in order to progress in their practice or to emerge as leaders in their field. Observation of the way in which clinical masters and leaders view challenges and solve problems as manifested in their clinical reasoning may provide new and potential therapists with clues as to how to best bone their skills and knowledge for future success in practice. This paper describes a study that examined the relationship of mastery, excellence, and leadership in occupational therapy. Ten master clinicians were interviewed to determine the characteristics of their mastery and excellence in practice and to explore the degree to which they engaged in leadership behavior. The findings revealed that mastery, excellence, and leadership are independent of one another but that some characteristics are common to all of these phenomenas.

Attitude of Health Personnel↗
PubMed1990

Steps in collaborative research between clinicians and faculty.

This article suggests a seven-step model for faculty-clinician collaborative research. The steps were developed on the basis of the authors' experiences and anchored in theories of human and organizational behavior. For each step, an aim and outcome are delineated as well as a description of how each stage can be enacted to produce publishable research. An example is used to illustrate how the model has functioned to facilitate the research process. The model lends itself to a full spectrum of qualitative and quantitative designs that are appropriate in clinical occupational therapy.

Humans↗
PubMed1990

Mastery in clinical occupational therapy.

This study sought to describe the characteristics of mastery in occupational therapy practice. A Delphi survey (i.e., an inquiry technique used to predict and define constructs [Linstone & Turoff, 1975]) of 33 occupational therapy experts was conducted to obtain their conceptions of the characteristics of occupational therapy mastery. Three master clinicians, identified by the expert respondents, were then interviewed to validate and illustrate the concepts of mastery identified in the Delphi survey. The results suggest that mastery is a combination of selected personal traits, creative and flexible judgment, the use of occupation as the foundation for practice decisions, and a strong commitment to occupational therapy practice. Further, mastery is expressed through a personal style that is unique to each clinical master.

Attitude of Health Personnel↗
PubMed1987

A model for faculty development in value transmission.

This paper suggests a model for allied health faculty development in professional value transmission. The issue of value transmission in allied health curricula is discussed and analyzed through a review of the current literature on professional socialization. A rationale for the model, based on the relevance of endogenous research concepts to higher education and value investigation, is given and the model and its uses are described.

Allied Health Personnel↗