Permanent Program Research Articles

Stakeholder perspectives on sustainment of Housing First in a VA permanent supportive housing program.

To evaluate the sustainment of Housing First (HF) implementation in a permanent supportive housing program for homeless-experienced veterans, 5 years after practice implementation. From 2016 to 2017, primary data were collected from providers and veterans in the Department of Housing and Urban Development-VA Supportive Housing (HUD-VASH) program at Los Angeles. Guided by the integrated sustainability framework, we performed a mixed-methods study to evaluate the sustainment of HF, an evidence-based practice implemented to improve housing outcomes. To assess sustainment, we measured fidelity to HF in six of seven HUD-VASH teams. These data were integrated with qualitative interviews with providers and veterans who described perceived sustainment to HF and contextual factors that supported or impeded sustainment. Fidelity to HF at 5 years after practice implementation, as a proxy for sustainment, was quantified via surveys with HUD-VASH teams. HUD-VASH providers (n=51) and 31 veterans participated in semi-structured interviews. Team-based template analyses were used to develop an emergent understanding of stakeholder perspectives on HF sustainment. Overall, HUD-VASH teams reported HF sustainment. The lowest fidelity scores were found in the domains of client-to-staff ratios, frequency of client-provider contact, and time to housing. Qualitative findings indicated that outer contextual factors (e.g., housing scarcity) and organizational factors (e.g., staff turnover) impacted HF sustainment. Providers identified changes in leadership and unmet resource needs as impediments to practice sustainment. All stakeholders identified positively with the HF practice and believed that the approach benefited veterans. This snapshot of HF sustainment demonstrates that this practice can be sustained over time. However, strong leadership, organizational resources, and community partnerships are needed. Adaptations to HF in response to outer contextual factors and organizational capacity may result in practice sustainment while allowing for flexibility in service provision.

Challenges and Opportunities of Emerging Data Sources to Estimate Network-Wide Bike Counts

Emerging sources of mobile location data such as Strava and other phone-based apps may provide useful information for assessing bicycle activity on each link of a network. Despite their potential to complement traditional bike count programs, the representativeness and suitability of these emerging sources for producing bicycle volume estimates remain unclear. This study investigates the challenges and opportunities by fusing Strava data with short-term and permanent conventional count program data to produce bicycle volume estimations using clustering and nonparametric modeling. Analysis indicates that the concentration of permanent counters at high bicycle volume locations presents a significant challenge to produce network-wide daily volume estimations even though Strava data demonstrate potential in mitigating the estimation bias at lower-volume sites. Despite the contribution of Strava to develop reliable and spatially and temporally transferable bicycle volume estimations, significant challenges remain to rely on Strava counts alone to characterize network-level activities due to sampling bias and spatial representations. This study will help planners discern and assess the challenges and opportunities of using emerging data in bicycle planning.

Leaving permanent supportive housing: a scoping review of Moving On Initiative participant outcomes

Homeless services systems are now employing Moving On Initiatives (MOIs) to assist formerly homeless residents of permanent supportive housing programs with the transition from these highly supportive programs to affordable housing without the embedded supports. There remains a dearth of evidence on the effectiveness of these initiatives in regard to post-move housing retention and other participant outcomes, and no review of MOI evaluation outcomes has been conducted to date. To address this gap, a scoping review was used to map and summarize the existing literature on MOI participant outcomes and discuss outstanding gaps in this body of literature. Overall, the early evidence on this emerging approach is promising as this review finds high rates of post-move housing retention and other positive participant outcomes in the few sources located that describe MOI outcomes. However, large-scale studies of MOIs with longer follow-up periods are needed to assess the long-term effectiveness and outcomes of these initiatives.

Housing outcomes among homeless-experienced veterans engaged in vocational services.

Though unemployment and homelessness are closely intertwined, vocational services are rarely prioritized for homeless-experienced individuals engaging in housing services. Our goal was to examine associations between vocational service use and housing outcomes among homeless-experienced Veterans engaged in permanent supportive housing. We obtained data from Veterans Health Administration (VHA) medical record and homelessness registry data for homeless-experienced Veterans engaged in U.S. Department of Veterans Affairs (VA) Greater Los Angeles' permanent supportive housing program from October 2016 to September 2017 (n = 1,200). We used multivariate logistic regression to examine whether vocational service use was associated with housing attainment and/or premature permanent supportive housing exits. We found that Veterans in permanent supportive housing who used vocational services were more likely to attain housing (OR = 2.52, p < .001) than their peers who did not use these services. There were no between-group differences in the odds of premature exits from the permanent supportive housing program (OR = 1.92, p = .425). Our study suggests that, among homeless-experienced Veterans engaged in permanent supportive housing programs, those who use vocational services potentially may be more likely to attain housing. However, future research can better elucidate the pathways underlying vocational service use and housing outcomes for individuals in permanent supportive housing programs. Greater integration of vocational services and permanent supportive housing programs, and encouragement of vocational service use may enhance housing outcomes among permanent supportive housing participants. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Okul Öncesi Dönemde Akran Şiddetini Önleme Eğitim Programının Etkililiğinin İncelenmesi

This study was conducted to develop the "Education Program for Preventing Peer Violence (EPPPV)" and to examine the effectiveness of the developed program. The study was carried out through the hybrid research method, in which the qualitative and quantitative research methods are used together. The qualitative research method was conducted initially and the quantitative research method was conducted afterwards for the study, then the study was planned as an exploratory sequential research method, one of the hybrid research methods. A focus group interview was conducted on 8 preschool teachers for the study. Study data were collected through "Bully and Victim Children Evaluation Form”, developed by Özyürek and Kurnaz (2019) and the "Teacher Interview Form" developed by the researcher. A classroom consisting of 25 students studying in nursery schools during the 2018-2019 academic years was identified as the experimental and the control group. There were also eight preschool teachers in the study group who took part in the focus group interview. The Education Program for Preventing Peer Violence (EPPPV) was conducted on the experimental group two days a week (Tuesday-Thursday) for 12 weeks and for 24 sessions. A post-test was conducted on the experiment and control groups after the program was completed. A permanence test was conducted on the experiment group 3 weeks after the post-test. At the end of the study, it was observed that the EPPPV is an effective and permanent program.

Potentially harmful materials in the feces of wild ring-tailed coatis (Nasua nasua) and health implications

ABSTRACT: In ecological parks, the proximity to tourist activities facilitates the exploration of garbage by coatis, with possible serious consequences for the animals health . We described the contents of wild coatis feces from three ecological parks. After analyzing 62 samples, fragments of plants and animals were identified in all feces. In the feces of two parks, seeds were present between 36.4% and 48.6% of the samples. Arthropod fragments were identified in 100% of the samples from two parks, but only 87.3% in a third park. Scales, bones or bird feathers were present in some samples. Undigested material of industrial origin was detected in 34.3% to 54.5% of the samples, such as fragments of paper, string, plastic, aluminum, latex and glass. Results are in line with other studies on the diet of wild coatis, but the intake of foreign bodies, potentially harmful to health, is described for the first time. Clinical problems resulting from ingesting waste can be dental fractures, mucosal erosions, intestinal perforation, peritonitis, impaction, diarrhea, weight loss, intoxication and infections. Coatis in the three parks are at risk of health, and actions are needed to avoid clinical and potentially fatal problems. Four actions are recommended to avoid ingesting foreign bodies: increasing the environmental education of visitors; improving the storage of waste generated in parks; periodically monitor the health of coatis, in order to make interventions when possible; make a permanent program to study the ecology of species in the three parks.

Pesticides in water and sediments of Chacahua-Pastoria Lagoon System, Oaxaca, Mexico

This is the first report about the presence of pesticide residues in water and sediments from Chacahua-Pastoria Lagoon System in the Oaxaca Coast, Mexico. Organochlorine and organophosphate pesticides were analyzed in water and sediment samples collected during rainy and dry seasons in 2018. The pesticides extraction was carried out by 525.2 EPA and QuEChERS methods for water and sediments samples, respectively. The quantification was done by gas chromatography coupled to electron microcapture (μECD) and flame photometric (FPD) detectors. Univariate and multivariate analysis were carried out to evaluate the distribution patterns, comparing between lagoons, seasons and matrices. The spatial distribution of malathion and organochlorines in water showed the highest values near to adjacent land with some patterns differences. DDT was the most frequent in water and sediments samples, showed the highest concentrations in the Pastoria Lagoon. These results indicate the need to establish a permanent monitoring programs to implement mitigation measures.

Environmental Considerations for the Management of the Bivalve Fisheries of Bahía Magdalena (Mexico), a Coastal Lagoon at the Southern End of the California Current

This study presents an overview of bivalve assemblages in Bahia Magdalena (BM, México) and the possible impact of environmental variability on these populations, constantly stressed by fishing. This lagoon is responsible for a high proportion of harvest of regional bivalves. First, we list the bivalve species reported in public biogeographic databases. Based on eight commercially exploited species, we described the composition of the bivalve assemblage and its biological characteristics, the history of fishery, and environmental variability in the marine area adjacent to the lagoon (1970–2019) and the habitat of bivalves (2002–2020). Sources of data were public databases and published literature. The enlisted species (n = 184) belong to six orders, and most are small and infaunal, but the structure of the assemblage is unknown. The fisheries began at different times and focused on the most valuable resources. Almost all harvest of bivalves had wide variations because of intensive fishing and a weak regulation frame. After 2015, the main resources were the Pacific wing-oyster (a new resource since 2017) and the geoduck clam due to the declining abundance of other resources (e.g., pen shells, Pacific calico scallop). There was a warming trend in the region since the 1970's, but the strongest El Niño-Southern Oscillation (ENSO) phases caused the most notable changes before 2013; after that year, a combination of large-scale phenomena increased the temperature significantly. The trend of chlorophyll-a abundance negatively correlated with temperature, but there was an almost constant supply of particulate organic matter in the interior of Bahia Magdalena (BM). After 2015, the quality of lagoon water gradually deteriorated, and in 2017 and 2019, harmful algal blooms developed, but the impact was not fully assessed. The challenges faced by the fishery are multiple (institutional weakness and regional warming); however, permanent monitoring programs of environmental conditions and critical biological variables should be implemented to design scenarios that allow fishery sustainability.

Evolution of a Telehealth Course During the Global Pandemic: From Temporary Elective to Permanent Rural Education Program.

Evolution of a Telehealth Course During the Global Pandemic: From Temporary Elective to Permanent Rural Education Program.

After COVID‐19, telemedicine may be used in addition to usual care and not in lieu of: Implications for health systems

After <scp>COVID</scp>‐19, telemedicine may be used in addition to usual care and not in lieu of: Implications for health systems

Seroprevalence and associated factors of HIV and Hepatitis C in Brazilian high-security prisons: A state-wide epidemiological study.

The prevalence of hepatitis C virus (HCV) and the acquired immunodeficiency virus (HIV) is much higher in prisons than in community settings. Some explanatory factors for this burden include putative aspects of the prison environment, such as unprotected sexual relations and sexual violence, use of injectable drugs and syringe sharing. Nonetheless, efforts in better understanding the dynamics of both HCV and HIV are scarce in developing countries such as Brazil, which poses a risk not only to the inmates but to the community as well. In this investigation, we sought to determine the seroprevalence and sociodemographic and behavioral risk factors associated with HIV and anti-HCV antibodies among men detained at high-security institutions. This is an epidemiological, proportionally stratified observational study including 1,132 inmates aged 18 to 79 years-old (Mage = 32.58±10.18) from eleven high-security prisons located in the State of Paraná, Brazil. We found that HIV and anti-HCV prevalence were 1.6% (95% CI: 1.0-2.5) and 2.7% (95% CI: 1.0-2.5), respectively. Risk factors associated with HIV included not receiving intimate visits (OR = 8.80, 95% CI: 1.15-66.88), already having another sexually transmitted infection (OR = 3.89, 95% CI: 1.47-10.29), and reporting attendance in HIV preventive campaigns (OR = 4.24, 95% CI: 1.58-11.36). Moreover, anti-HCV seroprevalence was associated with higher age (OR = 4.03, 95% CI: 1.61-10.07), criminal recidivism (OR = 2.58, 95% CI 1.02-6.52), and the use of injectable drugs (OR = 7.32, 95% CI 3.36-15.92). Although prisons might increase the risk for acquiring and transmitting HIV and HCV, the adoption of permanent epidemiological surveillance programs could help reducing the circulation of viruses, involving strategies focusing on screening, treating, and preventing infections to assure proper prisoner health. Moreover, these policies need to take place inside and outside the prison environment to offer continued assistance to former prisoners once they leave the institution.

MEMAKNAI IMPLEMENTASI CORPORATE SOCIAL RESPONSIBILITY MENUJU SUSTAINABILITY DALAM PERSPEKTIF SOCIAL PRACTICE BOURDIEU

This study aims to interpret the implementation of CSR in achieving corporate sustainability studied with Bourdieu's social practice theory. This study uses an interpretive paradigm with a phenomenological approach. The research location is PT. Tirta Investama - Pasuruan Keboncandi Factory. Data collection was carried out by conducting in-depth interviews with key informants who took turns to obtain data triangulation.The results showed that the implementation of CSR on the research site was well organized and structured and became a permanent and incidental program. CSR is implemented based on the principle of "dual commitment", which is the belief that if a company wants to be successful in business, the company must be successful socially. The process of defining and understanding CSR towards corporate sustainability is pursued by forming a habitus, maintaining the existence of capital and mastering the field, this is in line with Bourdieu's concept of social practice.

Flow-down of safety from general contractors to subcontractors working on commercial construction projects

Small and medium construction firms have high injury rates but lack resources to establish and maintain effective safety programs. General contractors with exemplary safety programs may serve as intermediaries to support development of smaller firm’s safety programs. The purpose of this study was to examine the flow-down influence of general contractors’ safety programs on the safety climate and safety behaviors among workers employed by small and medium sized subcontractors. This study collected workers’ perception of safety climate and safety behaviors while working on projects with general contractors with exemplary safety programs and other general contractors. We also documented the safety program policies and practices of subcontractors, and recorded the changes in safety policies required from general contractors with exemplary programs. We examined differences in safety program changes between small and medium sized subcontractors. Results showed workers perceived general contractors with exemplary safety programs had stronger safety climates than other general contractors. Smaller subcontractors had less robust safety programs with fewer safety elements than larger subcontractors, and therefore, many of the smaller subcontractors had to adopt more safety policies and practices to work for general contractors than large subcontractors. These findings suggest that general contractors with robust safety programs can serve as intermediaries and influence the development of the safety programs of small sized firms. Future work will need to determine if smaller firms eventually adopt safety policies and practices as part of their permanent safety program.

Joining reinterpretation to reparations

ABSTRACT In 1752, on land cultivated by Nonotuck and other Indigenous people for millennia, Moses and Elizabeth Porter established a farmstead along the Connecticut River in Western Massachusetts. This property remained in the family for 200 years, becoming a museum in 1949. A traditional historic house museum for decades, more recently the Porter-Phelps-Huntington Museum has shifted focus to the site’s enslaved, indigenous, and hired laborers. More inclusive storytelling is necessary, but the museum also seeks more direct impacts. In spring 2021 the museum collaborated on a Reparative Farming project enabling Somali refugees to grow their own crops. The museum plans to expand this pilot-project into a permanent program for communities of color – enacting links between racial and environmental justice. This co-authored provocation situates this fledgling project within larger interpretive genealogies, suggesting ways small museums can begin to confront the histories of colonization, enslavement, and displacement they narrate.

National Judicial Policy for Inclusive and Accessible Labor Justice: Permanent Programs and Actions Aimed at the Inclusion and Accessibility of People with Disabilities at Work

National Judicial Policy for Inclusive and Accessible Labor Justice: Permanent Programs and Actions Aimed at the Inclusion and Accessibility of People with Disabilities at Work

Supervivencia de los niños con Leucemia Linfoide Aguda manejados con protocolo Basado en ALL-IC-BFM 2009 en Bogotá D.C. Colombia.

Introducción: La Leucemia Linfoide Aguda es la neoplasia más frecuente en la infancia y por ello, la estrategia de tratamiento y el acceso a cada una de las intervenciones son aspectos definitorios en la curación del paciente. Objetivos: determinar la supervivencia global y libre de evento de pacientes con Leucemia Linfoide Aguda tratados con estrategia basada en el protocolo Leucemia Linfoide Aguda Intercontinental Berlín Frankfurt y Münster (ALL-IC-BFM 2009) contando con un programa de seguimiento administrativo permanente al cual ingresa el paciente una vez se le realiza el diagnostico oncológico. Al igual que establecer la supervivencia de los pacientes según el grupo de riesgo asignado y describir la tasa de recaída en el grupo evaluado. Métodos: se siguieron por 4 años 51 pacientes menores de 18 años con diagnóstico de Leucemia Linfoide Aguda, tratados con la estrategia ALL-IC-BFM 2009 que entraron al programa de atención integral del paciente oncológico de la Clínica Infantil Colsubsidio. Estudio observacional de cohorte prospectiva con análisis de supervivencia. Resultados: La supervivencia global para la cohorte a 4 años fue del 71.1 %, mientras que la supervivencia libre de evento fue del 69.4 %. La supervivencia global según los grupos de riesgo fue del 89 %, para el riesgo estándar de 85.2 %, para el grupo de riesgo intermedio y de 39.8 % para el grupo de riesgo alto. Conclusiones: La supervivencia global se comportó como la reportada en la región, sin embargo, los resultados obtenidos en los pacientes de riesgo estándar e intermedio superaron la supervivencia global.

African and Indigenous games and activities: a pilot study on their legitimacy and complexity in Brazilian physical education teaching

ABSTRACT Although the teaching of African-Brazilian and Indigenous history and culture is mandatory in primary and secondary schools, there has been a lack of proper contextualizing in PETE programs [Corsino, L. N., & Conceição, W. L. (Eds.). (2016). Educação física escolar e relações étnico-raciais: Subsídios para a implementação das leis 10.639-03 e 11.645-08 [School physical education and ethnic-racial relations: Subsidies for the implementation of laws 10.639-03 and 11.645-08]. CRV, v. 11]. There is also a need to study how the recognition of African-Brazilian and Indigenous ethnic-racial issues in primary and secondary physical education is mandated by the law. The purpose of this research – framed as a pilot study – is to address the invisibility of African-Brazilian and Indigenous history and culture in schools. The objective is to analyze both the teachers’ knowledge and the law application in physical education classes concerning African and Indigenous games and activities. We have addressed the invisibility of Black and Indigenous people in Brazil, connections to the African diasporas and Indigenous cultures, ethnic-racial inequalities in physical education, and the African-Brazilian and Indigenous complexities as challenges for PETE. The research method is qualitatively oriented and descriptive. Data was generated from an online questionnaire responded to by physical education teachers who work in primary schools. Findings suggest that there is a lack of discussion on ethnic-racial issues in PETE or in permanent teacher education programs. Despite the law, there is a discrepancy in its application in Brazilian education. Physical education opens space to reflect upon the African-Brazilian and Indigenous cultures in the schools. Even teachers who do not teach ethnic-racial issues at their schools affirm the importance to teach. In conclusion, it is necessary to decolonize the curriculum, emphasizing the ethnic-racial complexity in PETE. Transform pedagogies and prompt the construction of new paths for social justice practices do require a more culturally diverse physical education curriculum.

Housing Boston's Chronically Homeless Unsheltered Population: 14 Years Later.

The long-term outcomes of permanent supportive housing for chronically unsheltered individuals, or rough sleepers, are largely unknown. We therefore assessed housing outcomes for a group of unsheltered individuals who were housed directly from the streets after living outside for decades. Using an open-cohort design, 73 chronically unsheltered individuals were enrolled and housed in permanent supportive housing directly from the streets of Boston from 2005 to 2019. Through descriptive, regression, and survival analysis, we assessed housing retention, housing stability, and predictors of survival. Housing retention at ≥1 year was 82% yet fell to 36% at ≥5 years; corresponding Kaplan-Meier estimates for retention were 72% at ≥1, 42.5% at ≥5, and 37.5% at ≥10 years. Nearly half of the cohort (45%) died while housed. The co-occurrence of medical, psychiatric, and substance use disorder, or "trimorbidity," was common. Moves to a new apartment were also common; 38% were moved 45 times to avoid an eviction. Each subsequent housing relocation increased the risk of a tenant returning to homelessness. Three or more housing relocations substantially increased the risk of death. Long-term outcomes for this permanent supportive housing program for chronically unsheltered individuals showed low housing retention and poor survival. Housing stability for this vulnerable population likely requires more robust and flexible and long-term medical and social supports.

Performance measurement embedded in organizational project management of general contractors operating in Poland

PurposeThe purpose of this paper is to discuss contemporary knowledge relevant to the application of performance measurement (PMe) in the concept of OPM and to compare findings from a literature review with solutions recommended for utilization by managers from general contractors operating in Poland. There are few studies related to the mentioned topic, much fewer describing the geographical area of Eastern Europe.Design/methodology/approachTriangulation of research methods was selected. First literature review, next desk research and finally descriptive statistical analysis and interview were conducted. The research methods were applied in three steps whose beginnings overlapped and the mid-term findings from one study complemented others.FindingsPMe should be focused on management and governance issues. Its evaluation is related to various organizational levels (permanent organization, portfolio, program, project, construction site and supply chain), most of them are under valuated by practitioners. The conducted study pointed out that there are numerous supporting tools and measures applicable in organizational project management (OPM). The managers recommend combining various tools in one comprehensive OPM system, to limit multiple manual incorporations of the same data to the various databases. The managers call to increase the practical usefulness of researchers’ proposals, to educate the construction managers in the application of complex performance systems and to promote portfolio thinking.Originality/valueThe comparison of performance measurement solutions proposed by academia with experience collected from Polish construction managers could support the better application of theoretical ideas in practice.

Adventures in getting paid

Adventures in getting paid