The Experts below are selected from a list of 6375 Experts worldwide ranked by ideXlab platform
Jeffrey C Schneider - One of the best experts on this subject based on the ideXlab platform.
-
racial ethnic disparities in longitudinal trajectories of Community Integration after burn injury
American Journal of Physical Medicine & Rehabilitation, 2019Co-Authors: Bradford S Pierce, Paul B Perrin, Mickeal Pugh, Annahir N Cariello, Richard S Henry, Megan Sutter, Shelley A Wiechman, Jeffrey C SchneiderAbstract:OBJECTIVES: The purpose of this study was to examine potential racial/ethnic disparities in Community Integration over the 2 years following burn injury. DESIGN: A sample of 1,773 adults with burn injury from the Burn Model Systems (BMS) database was utilized with data on Community Integration collected at discharge (pre-injury recall), 6, 12, and 24 months post-discharge. METHODS: Four sets of hierarchal linear models (HLM) determined the most appropriate model for understanding racial/ethnic differences in CIQ trajectories over time. RESULTS: Data indicated a decrease in Community Integration between discharge and 6 months, a slight increase between 6 months and 1 year, then a plateau between 1 and 2 years. White individuals had higher Community Integration score trajectories over time than Black (b = .53, p < .001) and Hispanic (b = .58, p < .001) individuals, and Community Integration scores were similar between Black and Hispanic individuals (b = -.05, p = .788). These racial/ethnic disparities remained after accounting for age, gender, total burned surface area, number of days in rehabilitation, and active range of motion deficits. CONCLUSIONS: Additional rehabilitation resources should be targeted to helping Black and Hispanic individuals integrate back into their communities after burn injury.What is known: Prior literature documents racial/ethnic disparities in burn rates, burn outcomes, and Community Integration in other injury populations. What is new: In a sample of 1,773 adults receiving treatment for burns in one of six major metropolitan hospitals, the current study found that White individuals had higher Community Integration score trajectories over time than Black and Hispanic individuals, and that Community Integrations scores were similar between Black and Hispanic individuals. These disparities remained even after accounting for demographics. The findings suggest that additional rehabilitation resources should be targeted to helping Black and Hispanic individuals integrate back into their communities after burn injury.
-
Racial/Ethnic Disparities in Longitudinal Trajectories of Community Integration after Burn Injury.
American Journal of Physical Medicine & Rehabilitation, 2019Co-Authors: Bradford S Pierce, Paul B Perrin, Mickeal Pugh, Annahir N Cariello, Richard S Henry, Megan Sutter, Shelley A Wiechman, Jeffrey C SchneiderAbstract:The purpose of this study was to examine potential racial/ethnic disparities in Community Integration over the 2 years following burn injury. A sample of 1,773 adults with burn injury from the Burn Model Systems (BMS) database was utilized with data on Community Integration collected at discharge (pre-injury recall), 6, 12, and 24 months post-discharge. Four sets of hierarchal linear models (HLM) determined the most appropriate model for understanding racial/ethnic differences in CIQ trajectories over time. Data indicated a decrease in Community Integration between discharge and 6 months, a slight increase between 6 months and 1 year, then a plateau between 1 and 2 years. White individuals had higher Community Integration score trajectories over time than Black (b = .53, p < .001) and Hispanic (b = .58, p < .001) individuals, and Community Integration scores were similar between Black and Hispanic individuals (b = -.05, p = .788). These racial/ethnic disparities remained after accounting for age, gender, total burned surface area, number of days in rehabilitation, and active range of motion deficits. Additional rehabilitation resources should be targeted to helping Black and Hispanic individuals integrate back into their communities after burn injury.What is known: Prior literature documents racial/ethnic disparities in burn rates, burn outcomes, and Community Integration in other injury populations. What is new: In a sample of 1,773 adults receiving treatment for burns in one of six major metropolitan hospitals, the current study found that White individuals had higher Community Integration score trajectories over time than Black and Hispanic individuals, and that Community Integrations scores were similar between Black and Hispanic individuals. These disparities remained even after accounting for demographics. The findings suggest that additional rehabilitation resources should be targeted to helping Black and Hispanic individuals integrate back into their communities after burn injury.
Bradford S Pierce - One of the best experts on this subject based on the ideXlab platform.
-
racial ethnic disparities in longitudinal trajectories of Community Integration after burn injury
American Journal of Physical Medicine & Rehabilitation, 2019Co-Authors: Bradford S Pierce, Paul B Perrin, Mickeal Pugh, Annahir N Cariello, Richard S Henry, Megan Sutter, Shelley A Wiechman, Jeffrey C SchneiderAbstract:OBJECTIVES: The purpose of this study was to examine potential racial/ethnic disparities in Community Integration over the 2 years following burn injury. DESIGN: A sample of 1,773 adults with burn injury from the Burn Model Systems (BMS) database was utilized with data on Community Integration collected at discharge (pre-injury recall), 6, 12, and 24 months post-discharge. METHODS: Four sets of hierarchal linear models (HLM) determined the most appropriate model for understanding racial/ethnic differences in CIQ trajectories over time. RESULTS: Data indicated a decrease in Community Integration between discharge and 6 months, a slight increase between 6 months and 1 year, then a plateau between 1 and 2 years. White individuals had higher Community Integration score trajectories over time than Black (b = .53, p < .001) and Hispanic (b = .58, p < .001) individuals, and Community Integration scores were similar between Black and Hispanic individuals (b = -.05, p = .788). These racial/ethnic disparities remained after accounting for age, gender, total burned surface area, number of days in rehabilitation, and active range of motion deficits. CONCLUSIONS: Additional rehabilitation resources should be targeted to helping Black and Hispanic individuals integrate back into their communities after burn injury.What is known: Prior literature documents racial/ethnic disparities in burn rates, burn outcomes, and Community Integration in other injury populations. What is new: In a sample of 1,773 adults receiving treatment for burns in one of six major metropolitan hospitals, the current study found that White individuals had higher Community Integration score trajectories over time than Black and Hispanic individuals, and that Community Integrations scores were similar between Black and Hispanic individuals. These disparities remained even after accounting for demographics. The findings suggest that additional rehabilitation resources should be targeted to helping Black and Hispanic individuals integrate back into their communities after burn injury.
-
Racial/Ethnic Disparities in Longitudinal Trajectories of Community Integration after Burn Injury.
American Journal of Physical Medicine & Rehabilitation, 2019Co-Authors: Bradford S Pierce, Paul B Perrin, Mickeal Pugh, Annahir N Cariello, Richard S Henry, Megan Sutter, Shelley A Wiechman, Jeffrey C SchneiderAbstract:The purpose of this study was to examine potential racial/ethnic disparities in Community Integration over the 2 years following burn injury. A sample of 1,773 adults with burn injury from the Burn Model Systems (BMS) database was utilized with data on Community Integration collected at discharge (pre-injury recall), 6, 12, and 24 months post-discharge. Four sets of hierarchal linear models (HLM) determined the most appropriate model for understanding racial/ethnic differences in CIQ trajectories over time. Data indicated a decrease in Community Integration between discharge and 6 months, a slight increase between 6 months and 1 year, then a plateau between 1 and 2 years. White individuals had higher Community Integration score trajectories over time than Black (b = .53, p < .001) and Hispanic (b = .58, p < .001) individuals, and Community Integration scores were similar between Black and Hispanic individuals (b = -.05, p = .788). These racial/ethnic disparities remained after accounting for age, gender, total burned surface area, number of days in rehabilitation, and active range of motion deficits. Additional rehabilitation resources should be targeted to helping Black and Hispanic individuals integrate back into their communities after burn injury.What is known: Prior literature documents racial/ethnic disparities in burn rates, burn outcomes, and Community Integration in other injury populations. What is new: In a sample of 1,773 adults receiving treatment for burns in one of six major metropolitan hospitals, the current study found that White individuals had higher Community Integration score trajectories over time than Black and Hispanic individuals, and that Community Integrations scores were similar between Black and Hispanic individuals. These disparities remained even after accounting for demographics. The findings suggest that additional rehabilitation resources should be targeted to helping Black and Hispanic individuals integrate back into their communities after burn injury.
Michael F Green - One of the best experts on this subject based on the ideXlab platform.
-
exploring Community Integration among formerly homeless veterans in project based versus tenant based supportive housing
Community Mental Health Journal, 2020Co-Authors: Melissa Chinchilla, Sonya Gabrielian, Amy Glasmeier, Michael F GreenAbstract:Community Integration—an individual’s embeddedness in his/her Community—impacts mental and physical health. This study aimed to understand factors affecting Community Integration among Veterans in the Department of Housing and Urban Development-VA Supportive Housing (HUD-VASH) program. Semi-structured interviews and focus groups were conducted with HUD-VASH staff (n = 14) and persons residing in project-based (n = 9) and tenant-based (n = 9) housing at VA Greater Los Angeles. Participants identified neighborhood safety concerns as a limitation to Community Integration. Participants were reluctant to connect with HUD-VASH peers living nearby because they wanted to focus on their own recovery (e.g., from substance use); and many were dissatisfied with the location of their apartments. Staff valued Community Integration but saw it as secondary to housing retention. Increased access to safe neighborhoods (e.g., through relationship building with landlords) and the addition of staff dedicated to improving Community Integration (e.g., peer-support specialists) would enhance Community Integration in the HUD-VASH program.
-
determinants of Community Integration among formerly homeless veterans who received supportive housing
Frontiers in Psychiatry, 2019Co-Authors: Melissa Chinchilla, Sonya Gabrielian, Amy Glasmeier, Gerhard Hellemann, Michael F GreenAbstract:Community Integration is recognized as a meaningful goal that is highly relevant to the long-term success of supportive housing programs. Research to date highlights concerns that some individuals in permanent supportive housing remain socially isolated and have limited success in other domains of Community Integration. However, we know little about what factors impact formerly homeless Veterans ability to achieve Community Integration. To identify factors associated with Community Integration among homeless Veterans housed through the VA’s Supportive Housing program (HUD-VASH), we performed secondary database analyses of Veterans (n=560) housed via HUD-VASH in the VA Greater Los Angeles Healthcare System from 10/1/14-9/30/15 We conducted ordinal and logit regressions to examine associations between baseline HUD-VASH participant characteristics, supportive housing voucher type, health service utilization in the year post-housing, and three types of Community Integration outcomes (i.e., change in Community adjustment, status of housing stability, and change in employment). Data were obtained from HOMES (VA’s homeless registry) and CDW (VA’s a national administrative dataset of VA inpatient and outpatient care). Mental health service utilization was negatively associated with Community adjustment, housing stability, and employment. Employment at baseline was positively associated with housing stability and employment. Also, substance use disorder visits was positively associated with employment, and combined medical and substance use disorder diagnoses was positively associated with change in Community adjustment. We considered 29 variables and found relatively few were associated with Community Integration. Consistent with previous research, our study highlights the importance of mental health needs, and suggests that utilization of mental health services is an important indicator of improvements in Community adjustment, housing stability, and employment.
-
Motivational and cognitive correlates of Community Integration in homeless veterans entering a permanent supported housing program.
American Journal of Orthopsychiatry, 2019Co-Authors: William P. Horan, Sonya Gabrielian, Gerhard Hellemann, Jonathan K. Wynn, Shirley M. Glynn, Robert S. Kern, Stephen R. Marder, Catherine A. Sugar, Michael F GreenAbstract:Homelessness is a major public health problem, and serious mental illness (SMI) is highly prevalent in the homeless population. Although supported housing services-which provide permanent housing in the Community along with case management-improve housing outcomes, Community Integration typically remains poor, and little is known about the underlying determinants of poor Community Integration postresidential placement. The general SMI literature has indicated that motivational and cognitive ability factors are key determinants of successful Community Integration, which provides a foundation for examining this issue. This study evaluated whether interview- and performance-based assessments of motivation, nonsocial and social-cognitive ability, and psychiatric symptoms were associated with Community Integration indices in 2 samples of homeless veterans either with (N = 96) or without (N = 80) a psychotic disorder who had recently been admitted to a supported housing program but who had not yet attained housing. Motivation indices, including experiential negative symptoms and defeatist performance attitudes, stood out as the most robust correlates (rs = -.30 to -.69) of Community Integration across both samples, particularly for social role participation. Demographics, general psychiatric symptoms, and nonsocial cognition showed generally weak relations with Community Integration, though social cognition showed a few relations. The consistent findings across samples point to the importance of motivational factors for understanding the determinants of poor Community Integration in this complex population. Further, interventions that target motivational challenges may have widespread usefulness for enhancing Community Integration outcomes beyond obtaining housing. (PsycINFO Database Record (c) 2020 APA, all rights reserved).
Paul B Perrin - One of the best experts on this subject based on the ideXlab platform.
-
racial ethnic disparities in longitudinal trajectories of Community Integration after burn injury
American Journal of Physical Medicine & Rehabilitation, 2019Co-Authors: Bradford S Pierce, Paul B Perrin, Mickeal Pugh, Annahir N Cariello, Richard S Henry, Megan Sutter, Shelley A Wiechman, Jeffrey C SchneiderAbstract:OBJECTIVES: The purpose of this study was to examine potential racial/ethnic disparities in Community Integration over the 2 years following burn injury. DESIGN: A sample of 1,773 adults with burn injury from the Burn Model Systems (BMS) database was utilized with data on Community Integration collected at discharge (pre-injury recall), 6, 12, and 24 months post-discharge. METHODS: Four sets of hierarchal linear models (HLM) determined the most appropriate model for understanding racial/ethnic differences in CIQ trajectories over time. RESULTS: Data indicated a decrease in Community Integration between discharge and 6 months, a slight increase between 6 months and 1 year, then a plateau between 1 and 2 years. White individuals had higher Community Integration score trajectories over time than Black (b = .53, p < .001) and Hispanic (b = .58, p < .001) individuals, and Community Integration scores were similar between Black and Hispanic individuals (b = -.05, p = .788). These racial/ethnic disparities remained after accounting for age, gender, total burned surface area, number of days in rehabilitation, and active range of motion deficits. CONCLUSIONS: Additional rehabilitation resources should be targeted to helping Black and Hispanic individuals integrate back into their communities after burn injury.What is known: Prior literature documents racial/ethnic disparities in burn rates, burn outcomes, and Community Integration in other injury populations. What is new: In a sample of 1,773 adults receiving treatment for burns in one of six major metropolitan hospitals, the current study found that White individuals had higher Community Integration score trajectories over time than Black and Hispanic individuals, and that Community Integrations scores were similar between Black and Hispanic individuals. These disparities remained even after accounting for demographics. The findings suggest that additional rehabilitation resources should be targeted to helping Black and Hispanic individuals integrate back into their communities after burn injury.
-
Racial/Ethnic Disparities in Longitudinal Trajectories of Community Integration after Burn Injury.
American Journal of Physical Medicine & Rehabilitation, 2019Co-Authors: Bradford S Pierce, Paul B Perrin, Mickeal Pugh, Annahir N Cariello, Richard S Henry, Megan Sutter, Shelley A Wiechman, Jeffrey C SchneiderAbstract:The purpose of this study was to examine potential racial/ethnic disparities in Community Integration over the 2 years following burn injury. A sample of 1,773 adults with burn injury from the Burn Model Systems (BMS) database was utilized with data on Community Integration collected at discharge (pre-injury recall), 6, 12, and 24 months post-discharge. Four sets of hierarchal linear models (HLM) determined the most appropriate model for understanding racial/ethnic differences in CIQ trajectories over time. Data indicated a decrease in Community Integration between discharge and 6 months, a slight increase between 6 months and 1 year, then a plateau between 1 and 2 years. White individuals had higher Community Integration score trajectories over time than Black (b = .53, p < .001) and Hispanic (b = .58, p < .001) individuals, and Community Integration scores were similar between Black and Hispanic individuals (b = -.05, p = .788). These racial/ethnic disparities remained after accounting for age, gender, total burned surface area, number of days in rehabilitation, and active range of motion deficits. Additional rehabilitation resources should be targeted to helping Black and Hispanic individuals integrate back into their communities after burn injury.What is known: Prior literature documents racial/ethnic disparities in burn rates, burn outcomes, and Community Integration in other injury populations. What is new: In a sample of 1,773 adults receiving treatment for burns in one of six major metropolitan hospitals, the current study found that White individuals had higher Community Integration score trajectories over time than Black and Hispanic individuals, and that Community Integrations scores were similar between Black and Hispanic individuals. These disparities remained even after accounting for demographics. The findings suggest that additional rehabilitation resources should be targeted to helping Black and Hispanic individuals integrate back into their communities after burn injury.
-
Modeling of Community Integration Trajectories in the First Five Years after Traumatic Brain Injury
Journal of Neurotrauma, 2015Co-Authors: Nada Andelic, Paul B Perrin, Juan Catlos Arango-lasprilla, Solrun Sigurdardottir, Juan Lu, Laiene Olabarrieta Landa, Marit V. ForslundAbstract:Abstract The aims of this study were to assess the trajectories of Community Integration in individuals with traumatic brain injury (TBI) through one, two, and five years post-injury and to examine whether those trajectories could be predicted by demographic and injury characteristics. A longitudinal cohort study was conducted with 105 individuals with moderate-to-severe TBI admitted to a trauma referral center in 2005–2007. Demographics and injury-related factors were extracted from medical records. At the one-, two- and five-year follow-ups, Community Integration was measured by the Community Integration Questionnaire (CIQ). A hierarchical linear model (HLM) examined whether longitudinal trajectories of Community Integration could be predicted by: time, sex, age, relationship status, education, employment status, occupation, acute Glasgow Coma Scale score, cause of injury, days in post-traumatic amnesia (PTA), computed tomography Marshall Score, and Injury Severity Score. CIQ scores improved across the ...
Mary Ann Mccoll - One of the best experts on this subject based on the ideXlab platform.
-
Postacute Programming for Community Integration: A Scoping Review
Brain Impairment, 2007Co-Authors: Mary Ann MccollAbstract:There has been a dramatic increase in recent years in the literature available on Community Integration among people with acquired brain injuries. At the same time, however, clinicians are calling for information that has utility in the complex environment of Community practice. The study was a scoping review to address the question: What is known from the existing literature regarding the best ways to promote Community Integration in the postacute phase of brain injury recovery? From a preliminary pool of 925 studies identified by electronic searching of 5 databases in a 15-year time window, a final set of 30 was selected for further review, referring to 25 distinct programs. This scoping review has shown that there are 5 types of programs typically offered to survivors of brain injuries to assist with Community Integration: supported employment, traditional rehabilitation, environmental adaptation, support development and transitional living. These 5 approaches were primarily used to address 2 aspects of Community Integration: traditional rehabilitation was most commonly used to promote independent living, and supported employment was the most common approach used to promote productive occupation. Themes that emerged from the review were the need for highly individualised programming, in vivo approaches, tailored supports, early intervention and a focus on participation. Methodologically, the study represents an important acknowledgement of the valuable information that is available in the literature in descriptive and small sample research.
-
Community Integration: a useful construct, but what does it really mean?
Brain Injury, 2003Co-Authors: Patricia Minnes, Peter Carlson, Mary Ann Mccoll, Mary Lou Nolte, Jane Johnston, Katherine BuellAbstract:The primary objective of this paper is to contribute to a clearer understanding of the construct of Community Integration. Rehabilitation literature is discussed in relation to three measures of Community Integration: the AIMS Interview, Community Integration Measure and Community Integration Questionnaire. Results of a principal components analysis with varimax rotation indicated that the measures are independent and coherent. Significant correlations were not found between total scores on the three measures and problem behaviour or quality of life. However, analysis of individual items on the scales yielded one significant correlation between the first item on the Community Integration Measure (i.e. sense of belonging) and quality of life. The need for a clear statement in future research regarding the definition of Community Integration is emphasized, and inclusion of both subjective perceptions and objective indicators of Community Integration is recommended. Language: en
-
the Community Integration measure development and preliminary validation
Archives of Physical Medicine and Rehabilitation, 2001Co-Authors: Mary Ann Mccoll, Peter Carlson, Jane Johnston, Diane Davies, Patricia MinnesAbstract:Abstract McColl MA, Davies D, Carlson P, Johnston J, Minnes P. The Community Integration Measure: development and preliminary validation. Arch Phys Med Rehabil 2001;82:429-34. Objective: To present a new measure of Community Integration, the Community Integration Measure (CIM), and to offer preliminary information about its psychometric properties. Design: Validation study. Setting: Community. Participants: Ninety-two participants placed in 3 subgroups (brain injury survivors, n = 41; significant others, n = 36; college students, n = 15). Main Outcome Measures: The distributional properties, factor structure, internal consistency reliability, content validity, discriminant validity, concurrent validity, and construct validity of the CIM. Results: All items correlated positively with each other and with the total score. Principal components factor analysis confirmed a 1-factor structure, which explained 44.1% of the variance. Internal consistency reliability, using Cronbach's alpha, was.87. Content validity was assured by the development procedure, correspondence with the theoretical model, and direct use of consumer language. Discriminant validity was supported by the CIM's ability to differentiate between subsamples. Criterion validity was supported by using correlations with the Community Integration Questionnaire. Construct validity was supported by correlations with the Interpersonal Support Evaluation List. Conclusion: The CIM offers a brief, easily administered measure of Community Integration that conforms to an empirically derived theoretical model and is psychometrically sound. © 2001 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation
-
the definition of Community Integration perspectives of people with brain injuries
Brain Injury, 1998Co-Authors: Mary Ann Mccoll, Patricia Minnes, Peter Carlson, Jane Johnston, Diane Davies, Karen Shue, Tracey KarlovitsAbstract:Despite considerable attention to Community Integration and related topics in the past decades, a clear definition of Community Integration continues to elude researchers and service providers. Common to most discussions of the topic, however, are three ideas: that Integration involves relationships with others, independence in one s living situation and activities to fill one s time. The present study sought to expand this conceptualization of Community Integration by asking people with brain injuries for their own perspectives on Community Integration. This qualitative study resulted in a definition of Community Integration consisting of nine indicators: orientation, acceptance, conformity, close and diffuse relationships, living situation, independence, productivity and leisure. These indicators were empirically derived from the text of 116 interviews with people with moderate-severe brain injuries living in the Community. Eighteen adults living in supported living programmes were followed for 1 year, ...