Profesijos pasirinkimas yra viena aktualiausių problemų, nuo kurios tinkamo sprendimo priklauso žmogaus asmeninė gerovė. Todėl labai svarbu, kad jau pats pirmasis moksleivio apsisprendimas būtų sąmoningas, tikslingas, kad jaunuolis suprastų, jog adaptacija darbo pasaulyje ir asmenybės vidinė harmonija priklauso nuo tinkamo apsisprendimo. Dabar, kai vis labiau integruojamės į Europos Sąjungą, jaunimui susidaro vis didesnės galimybės laisvai pasirinkti profesiją, tačiau tuo pačiu padidėja jaunimo individualios kompetencijos ir asmeninės atsakomybės reikšmė. V.Stanišauskienė, straipsnyje „ Ugdymas karjerai mokykloje: kaip padėti moksleiviui įgyti šiuolaikinę karjeros kompetenciją“ teigia, kad mokytojui reikalinga šiuolaikinė karjeros kompetencija, įgalinanti vystyti savąją karjerą, ir ugdymo karjerai kompetenciją, apibrėžiama kaip nuostatų, žinių, gebėjimų, būtinų ugdant moksleivius karjerai, sistema. Taigi, norint keisti profesinio orientavimo metodus ir formas, kurie padės moksleiviui rasti tinkamiausią profesinį apsisprendim����, reikia supažindinti mokytojus su šiuolaikiniame darbo pasaulyje teikiamomis galimybėmis, mokinių ugdymo karjerai būdais ir leisti suprasti, kad tik įgyta ugdymo karjerai kompetencija, naudojama saviugdos procese, leis pasiekti laukiamo rezultato. Šiame darbe atlikto tyrimo metu nustatyta, kad profesinis orientavimas, informavimas ir konsultavimas vidurinėje mokykloje yra aktualus ir turi didelę įtaką tolesnei mokinio profesinei karjerai, kadangi... [toliau žr. visą tekstą] / The choice of profession is the most topical problem, which is the key to every person’s welfare. It is very important that the first pupil’s decision would be aware and purposeful, and youngster would understand that adaptation in the world of job and individuality depends on the right decision. Nowadays, when everybody more and more integrates in European Union, the youth has larger opportunities to choose the profession, though, the individual competence and responsibility is large as well. V. Stanišauskienė in her article “Education for career at school: how to help the pupils to gain the up-to-date career competence” states, that teachers need the up-to-date career competence, which could help to develop their own career and give enough knowledge, useful to educate pupils for their career. Therefore, if we want to change the methods and forms of professional counseling, which will help to find the most suitable professional decision, the teachers must be acquainted with the possibilities of work in the nowadays world, career competences and how these competences could be used in the self-help process. In this study, using research methods was found, that professional counselling, information and consulting in the secondary school is very relevant and has great influence on pupil’s professional career, because most of them have no right decision about future profession; and teachers are not informed in this area, too. It is very important, that school would pay more... [to full text]

Introduction: The field of implementation science provides the variables adoption and reach, which can be used to evaluate aspects to access, a primary incitement for integrated care. This study compared two integrated models: In Year 1, behavioral health consultants worked collaboratively with pediatricians to provide brief on-the-spot consultations to patients with behavioral concerns, and in Year 2, a structured, evidence-based treatment (EBT), the Family Check-Up, was developed to be delivered in conjunction with the existing collaborative model. Method: A chart review revealed the number of children who (a) attended a 4- to 5-year-old well-visit, (B) were screened, (c) were identified as having behavior problems, (d) were referred, and (e) accessed the services. Outcomes were calculated as percentages of children with behavioral concerns who were referred to (adoption) and received (reach) the services in each year. Results: Key findings were that (a) physician referrals increased when an EBT was added, but (b) patients had better first-session contact with the brief approach than the EBT, which few patients completed. Discussion: Results underscore the utility of measuring adoption and reach as partial indicators of access to services. These are accessible variables, collected in every practice that can be measured routinely in the context of quality improvement and, ideally, reported in studies as a way to disseminate knowledge about how to build behavioral health technology into primary care. Future research should strive for more rigor in measuring adoption and reach, and consider including a number of other implementation outcomes.