Based in participatory action research, this project had the aim of building capacity in treatment and support for individuals and families impacted by autism spectrum disorder in remote and rural communities of Canada. Communities were selected based on their rurality and willingness to engage in change efforts for enhanced service delivery…

Background: Secondary prevention involves the early detection of disease while it is asymptomatic to prevent its progression. For adults with intellectual and developmental disabilities, secondary prevention is critical as they may not have the ability to recognize the early signs and symptoms of disease or lack accessible information about these.…

Evidence suggests that schools have, by default, become the primary mental health system for students in Canada. The goal of the present study was to design, implement, and evaluate the Psychology School Mental Health Initiative (PSMHI). The PSMHI is an innovative attempt to increase the capacity of school-based psychology staff to deliver…

Background: To aid decision making regarding the allocation of limited resources, information is needed on the perceived unmet needs of parents of school-aged children with an autism spectrum disorder. Materials and Methods: A cross-sectional survey was conducted of 101 Canadian families of school-aged children with an autism spectrum disorder.…

A variety of alternative programs are being implemented in Canada and the United States for students who have exhibited conduct problems and who are suspended or expelled from their schools. Given the complexity of issues that these students frequently face, treatment must be multifaceted, wrap-around, delivered by trained professionals and be…

Introduction: Numerous population-based studies highlight the need to improve health care delivery and outcomes. Many single and combined interventions are available but their impact is limited and inconsistent. Tailoring may enhance their impact, but the best way to do so remains unclear. The purpose of this exploratory analysis was to identify…

Community-based occupational therapy (OT) services are intended to promote social integration and minimize disability. The objective of this study was to describe community-based OT services for children in the province of Quebec, Canada. Specific aims included (a) to determine the proportion of Centres Locaux de Services Communautaires (CLSCs)…

This year's E-Learn conference has numerous exciting presentations and keynotes. Many speakers will be discussing how education is changing in the forthcoming years. Among them are Dale Stephens who works with the social movement "Uncollege" that empower students to create their own education, Saul Carliner who talks about Massive Online…

Home care programs emerged as an essential component of health care for the elderly and are generally based on hospital or community models. These models coexisted in Manitoba as elsewhere, but services were uncoordinated, fragmented, restrictive, duplicative, and not universally available. In September 1974, a comprehensive home care program was…

Examines social forces, legal processes, governmental policies, and health care practices that combine to perpetuate inadequate health service delivery to Canadian Native communities. Cites 8 statutes and 31 court cases relevant to Indian health jurisdictional issues. Contains 57 other references. (SV)

In the rural regions of Nova Scotia, the Network for Children & Youth of Eastern Nova Scotia is attacking the problem of service fragmentation. The network addresses the multiple factors of health that contribute to the well-being of populations by coordinating the efforts of the 37 member agencies. Accomplishments and practical rules for…

In 1999 Veterans Affairs Canada (VAC) implemented the Overseas Service Veterans (OSV) At Home Pilot Project in response to the problem that a growing number of clients were on waiting lists for beds in long-term care facilities. The At Home pilot offered certain clients on waiting lists, who met nursing-level care and military-service…

The key concepts and methodologies of quality assurance programs used in health service delivery systems are reviewed, and it is suggested they could be readily applied to Canadian universities as a powerful administrative and curricular development tool that would define and enhance the quality of students' educational experiences. (Author/MSE)

Alternatives to long-stay patient back-ups include building more beds of all types, changes in placement policies, and continuing hospital care for older adults. Manitoba's policies have resulted in redistributing the health dollar towards the geriatric patient. (JAC)

This article discusses seven "megatrends" in rehabilitation services for people with disabilities. They include changes in the demography of disability, the empowerment of people with disabilities, the policy of integration, and the rising cost of health and social services. Also considered are changes in rehabilitation service delivery…