In order to achieve effective behavioral intervention

Part 1

3. In order to achieve effective behavioral intervention, most Physicians use clinical practice guidelines that are based on the 5 A’s model. Briefly describe the model using the tobacco cessation counseling as an example.

(Step 1 assessment only relevant Behavior such as health risk appraisal or briefs screening but individual factors that helped and tailoring the intervention such as medical physiological factors motives. Patient stage of change support socially and cultural value, step 2 advice expressing confidence in the patient’s ability to change and soliciting the patients thoughts about the recommended changes, step 3 agree and negotiate on collaborate Lees define behavioral change goals and treatment plan which commonly indicate practical problem – solving to assist in the patient addressing the personal changes, step 4 assist the patient and Advising personal change. Building social support in developing a more social immediate social and physical environment, step 5 arrange follow-up support and assistance including referral to more intensive or customize help or to online tools and support to help the patient maintain behavioral change maintenance)

4. Describe the parallel shapes that have taken place during the past 30 years in understanding what the essential Target’s must be for successful intervention (a) to increase patient adherence to recommended prevention-orientated health behavior and (b) to increase providers use of recommended clinical prevention behavioral change interventions.

5. With reference to McKinlay’s population – based intervention model, outline possible coordinated Downstream, Midstream, and Upstream strategies that can be used to achieve one of the following: (a) curb binge drinking on a college campus, (b) increase smoking cessation, especially among pregnant smokers enrolled in a Medicaid managed care plan, or (c.) Increased physical activity and healthy eating among middle school students in an urban center. Be sure to mention the different sectors that would need to be involved (e.g., public health, law enforcement, local business, school officials, policymakers, Community planning, transportacion, Health Plan leader/providers, and so on).

 

Downstream interventions:

Individual dash level interventions aimed at those who possess a behavioral risk factor or suffer from wrist – related disease. Emphasis is on changing rather than preventing risky Behavior.

 

*Group and individual counseling

*Patient health education /cognitive Behavioral interventions

*Self – help programs and tailored communications.

*Pharmacologic treatments

 

Midstream interventions

 

Population – level interventions that Target Define populations in order to change and slash or prevent behavioral risk factors. May involve mediation through important organizational channels or natural environments.

 

*Worksite in community – based health promotion / disease prevention programs

*Health Plan – bass Primary Care screening / intervention

*School – based youth prevention activities

*Community – based interventions focused on defined at – risk populations

 

Upstream interventions

 

State and national public policy / environmental interventions that aim to strengthen social norms and

supports for healthy behavior and redirect unhealthy Behavior.

 

*National public education / media campaigns

*Economic incentives (e.g, excise taxes on Tobacco products comma reimbursement for Effective Primary Care, diets, and extensive counseling)

*Policies reducing excess to unhealthy products (e.g., pricing, excess, labeling)

*Policies reducing the advertising and promotion of unhealthy products and behavior.

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Part 2

 

1.How have shifted demographics, the rise in prevalence of chronic conditions, and the sprained social service sector contributed to the growing number of vulnerable populations?

3. How does the current payment system fall short in meeting the needs of vulnerable populations?

4. Review limitations for meeting the needs of vulnerable populations in ACA Provisions. Propose ways in which you would address these limitations using (a) new policies, (b) existing policies and structures, (c) innovative ideas (such as public / private Partnerships).

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Part 3

 

1. The U.S. health system is Shifting its focus to Wellness and prevention. Give an example of three forms of prevention. How should emphasis on prevention alter the delivery of health services in a particular community?

 

2. The baby boomer generation, which represents a significant portion of the u.s. population, it’s reaching an age when it’s utilization of health services will most likely increase. Additionally, life expectancy continues to improve with advancements in Medicine and Community Health. Discuss how this aging of such a large segment of the population will affect specific Healthcare delivery services and organizations.

4. All of the United States spends more money per capita on Healthcare than any other country in the world, it’s performance has much room for improvement. How can ideas such as triple aim initiative or patient-centered this help to improve performance in the U.S. health system?

5. Discuss why Coordinated Care delivery approaches, such as PCMHs or ACOs, might improve care for patients. Discuss barriers and opportunities for implementation of such Coordinated Care delivery approaches.