Each year approximately 1,000,000 child become the victims of abuse or neglect. The detrimental effects of child maltreatment (CM) have been well documented and create significant problems for the survivors and for society as well. All fifty states have enacted mandatory reporting laws to combat the CM epidemic. As mandated reporters, nurse practitioners and nurse midwives (APRNs) have the opportunity and responsibilities to identify and refer potential victims of CM, in this study a significant percentage choose not to report their suspicions. Respondents to the study survey identified several potential barriers to APRN reporting such as lack of education and training about CM, negative perceptions of child protective services and lack of physical evidence indicating CM occurred.

While a significant amount of attention has been paid to the efficacy of marriage and family therapy (MFT), research on the effectiveness of MFT is lacking. Furthermore, university training clinics are an underutilized, yet excellent resource for collecting effectiveness research data. This study examined the current practices at the Center for Family Services, an MFT university training clinic, by examining therapists' ratings of therapy effectiveness for clients seen more than once over the past five years (n = 558). Data on therapy modality, treatment length, fee for services, presenting problems, and termination category were examined. A statistically significant relationship was found between treatment outcome and each of the following variables: treatment length, number of presenting problems, and termination category (completed or dropout). Furthermore, termination category best discriminated membership in the three outcome groups. A statistically significant relationship was not found between treatment outcome and the following variables: therapy modality and fee for services. Strengths, limitations, suggestions for future research, and implications of the findings are discussed. / Master of Science

No description available.

No description available.

No description available.

No description available.

As the population ages and individuals with serious illnesses continue to live longer, they are experiencing disruptions in habits and routines, roles, and rituals that provide meaning to their lives. Many individuals receiving palliative or hospice care and their family members are unable to maintain their quality of life (QOL) and well-being due to the negative impact of the serious illness. Individuals and their family caregivers experience difficulty in participating and engaging in activities of daily living (ADLs) (i.e., dressing, bathing, eating) and instrumental activities of daily living (IADLs) (i.e., making meals, working, finances). Individuals are unable to maintain their independence, return home due to environmental barriers, and receive support from family members due to a lack of training. Family caregivers are thrust into the role of caring for their loved ones without training. Currently, there is an increased need for more health professionals to work in palliative and hospice care. Occupational therapy is one profession that can fill this gap; however, there is a lack of education for occupational therapy practitioners (OTPs) at both the entry and post-professional levels. Occupational Therapy in Palliative and Hospice Care: A Certificate Program contains key components of related professional certification programs in palliative care. Program content aligns with palliative care principles and specific evidence-based occupational knowledge so OTPs will become integral interprofessional palliative care team members. It aims to demonstrate occupational therapy's value in this setting and prepare OTPs to work successfully. Modules provide the foundational information needed to facilitate the use of the principles of palliative care, understand the clients, collaborate with members of the interprofessional team, and provide meaningful occupational interventions during this transition. This program addresses the gap and need for occupational engagement, health promotion, and occupational justice for these individuals and their family members at the end-of-life (EOL).

No / Dementia has been a latecomer to the field of service user involvement. Although there are now beginning to be welcome signs of improvement in the inclusion of the service-user voice, at present those with milder cognitive impairment, those who are still living at home, and those who come from white, professional s are over-represented. The BSc/MSc Dementia Studies programmes at the University of Bradford recruit part-time students who are already employed in the field of dementia care. The majority of students work in long-term or intermediate care, with smaller sub-groups working in the community, in acute care and on general hospital wards. The client groups with dementia they encounter in these settings are diverse, and tend to have different needs and perspectives from those articulated by mainstream service user groups. For this reason we have been seeking to develop an inclusive approach to service user involvement in the degree programmes we run, in order to ensure that the whole range of experiences of dementia is covered. Over the last five years this has involved developing an outreach programme in order to involve people with dementia in the environments where they spend their time, rather than restricting service user involvement to on-site activities at the University. This presentation showcases one such project which involved members of the course team working with clients attending a resource centre for older people with dementia to develop a series of short film clips (Bay Tree Voices) which were then embedded into the course learning materials in order to model alternative approaches to communication. The presentation includes formal and informal evaluations of these film-based teaching resources from service users, students and care staff.

No / The Division of Dementia Studies at the University of Bradford has a 3-stage strategy to involve service users with dementia in practitioner education. This year¿s conference will be a perfect opportunity for us to show how the involvement of people with dementia in our Dementia Studies courses has moved from rhetoric to reality over the past three years. We now have people with dementia involved in the management, delivery and assessment of our degree programmes. A participatory video outreach project carried out in a day centre for people with dementia in 2009 produced a variety of audio-visual material including voice recordings, photographs, and film which people with dementia were directly involved in making, and which are now used as learning resources for students. In a parallel project, former carers contributed to a DVD that was developed as part of a dedicated training programme for Bupa care staff. Students on the MSc Dementia Studies (Training in Dementia Care) pathway are now also beginning to include people with dementia in the training they provide in order to complete their award. A further project to pilot methods of involving service users in long-term care, including those with severe dementia is to begin in March 2011, and early findings from this will also be presented. The presenters include an academic course lead, a MSc student, a researcher, a service user/campaigner, and current and former family carers. We will present using a variety of formats including small case studies, film, audio, photographs and service user narratives. We will also be open to questions and comments about the practical, ethical and educational challenges arising from this ongoing work.

Yes / Introduction Over the last 2 decades the assistant radiographer practitioner (ARP) role has been introduced into NHS diagnostic imaging departments as a strategy to expand the workforce and create capacity. This skill mix initiative has not been implemented in a standardised way and there is limited knowledge of the current role scope within general radiography (X-Ray). Method An electronic survey of ARPs working within UK diagnostic imaging departments was conducted. Both open and closed questions sought information regarding basic demographic data (age category; gender; geographic region), scope of practice (patient groups; anatomical regions; imaging outside of the diagnostic imaging department), limitations placed on practice, supervision and additional roles. Results A total of 108 responses, including 13 trainees, were received. Most sites employ three or less ARPs in general radiography (n = 43/66; 65.2%), although 11 sites have five (range 1–15). The majority undertake imaging of both adults and children (n = 85/108; 78.7%), although limitations on age were described. Their scope of practice covers a broad anatomical range and included some non-ambulant patients. The level of supervision varied with some sites empowering ARPs to check the referral prior to examination (n = 25) or images post acquisition (n = 32) (both n = 20/66; χ2 = 16.003; 1df; p = 0.000). Conclusion ARPs are helping to maintain capacity in imaging departments but we suggest there is further scope for expansion. The practice described by the post holders suggests that many are working beyond the scope envisaged by the radiography professional body.