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Transitional Care/After Care

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  • Topic: Transitional care/after care
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Community Alliance Combats Substance Abuse in Vallejo, Calif.

May 1, 2005 | Program Result

The Fighting Back project in Vallejo, Calif., worked from 1990 to 2002 to prevent, intervene and treat alcohol and other drug abuse, focusing on local partnerships and strategic alliances to coordinate activities.

Project Expands Well-Baby Care for Infants Born to Low-Income Women

January 31, 2004 | Program Result

The Gift of Life Foundation worked to remove barriers to care for infants born to low-income mothers in Montgomery's four-county region and to help prevent babies from "falling through the cracks" of the health care system there.

"Newark Fighting Back" Organizers Tackled Substance Abuse, Increased Treatment Rates

May 1, 2003 | Program Result

In 1989, the Boys and Girls Club of Newark initiated a project designed to reduce demand for alcohol, tobacco and other drugs in selected neighborhoods in the city of Newark.

Increased Access to Medicaid Had Little Effect on Pregnancy Care or Outcome

January 1, 2001 | Program Result

From 1991 to 1996, investigators at Harvard Medical School examined the effects of Medicaid eligibility expansions on a range of maternal and neonatal outcomes in California and South Carolina.

Aftercare Treatment Coordinated for Mentally Ill, Substance Abusing Teens in One New Jersey County

September 1, 2000 | Program Result

The Middlesex County Educational Services Commission developed and implemented the first aftercare service in Middlesex County, N.J., for mentally ill youth completing treatment for substance abuse.

Extra Help Takes Parolees Only So Far

October 1, 2000 | Program Result

New York University and Columbia University planned, implemented, and evaluated a demonstration program designed to reduce substance-abuse relapse and criminal recidivism among felony offenders released from prison.

Discharge Nurse Position Description

June 4, 2008 | Toolkit

Staff at the University of Texas M.D. Anderson Cancer Center, Houston, Texas, began using an experienced nurse to support the clinical nurses by coordinating discharge activities, serving as a liaison to other team members and ensuring that all aspects of discharge are complete for patients and families.

Heart Failure Encounter Form

June 1, 2008 | Toolkit

An off-site, nurse-led heart failure clinic was created to help heart failure patients better control and self-manage their disease post-hospitalization.

Cardiology Admission Orders Physician's Order Sheet

June 4, 2008 | Toolkit

Staff combined information from three existing order sets into a single, comprehensive cardiology admission order set to reduce provider confusion and help the hospital reach regular compliance rates of 90 to 100% for evidence-based cardiac measures.

Support from "San Antonio Fighting Back" to Community Coalitions Increases Substance Abuse Treatment and Reduces Crime

March 1, 2007 | Program Result

San Antonio Fighting Back worked to plan and implement a comprehensive system of substance abuse prevention, treatment and aftercare services in the southeast quadrant of San Antonio.

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