Clinical Intervention Paper - Essay Example

Community Intervention Paper Gemmelle C Essuman Mercy College Community Health Nursing This paper is an assessment of a community intervention; done with the consumers of Arc of Westchester living in Katonah House. The Arc of Westchester supports people with intellectual disabilities to meet their daily challenges through crisis intervention, individual support services by the House leadership, awareness of the family and the coordination of Medicaid and Non-Medicaid services. Individualized support helps adults live independently in the community.

Intensive intervention includes the coordination of services, skills training and the creation of life monthly financial budgets to maintain an independent lifestyle. Arc of Winchester and Services OfferedArc of Westchester is the most extensive care-giving agency in the county of Westchester. The agency cares for both children and adults who have been affected by autism coupled with other developmental problems or disabilities. It was founded in 1949 and has over 800 employees serving over 1000 special-needs individuals.

Other services provided by the agency include family services, education services for its occupants and employment for persons with disabilities. The agency receives the funds necessary for its operations from donations.The Westchester Arc understands that some families who have a child with intellectual disabilities have difficulties in coping with the unique behavioral problems of their children with special needs. Medicaid Service Coordination helps individuals and their families who are eligible for Medicaid, to coordinate a wide range of services.

These include access to government services and advocacy for services, including medical assessments and appointment, training and professional development, educational, recreational resources and housing.Westchester County DemographyThe county experienced a population growth of 3%, that is, from 923,459 to 949,113 according to the census conducted in 2010. The population growth was as a result of the increase in the number of people of Hispanic and Latino origin in the county. The increase in the Hispanic population was registered as 62,908 and now accounts for 22% of the total population in the county.

The Chester port and Sleepy Hollow are majorly occupied by People of Latino and Hispanic origins. The Hispanic and Latino population constitutes 59% of the total population in Port Chester and 51% in Sleepy Hollow. Katonah DemographyKatonah defines a minute town within New York. The people of Katonah reside within small settlement schemes and their population density is low because the city is considered as being a hamlet. According to the US Census 2010, the Katonah city had a total population of 1,679 people.

The population composition in 2010 was 883 males representing 52.6% of the total population. The females were 796 a represented of 47.4% of the population. In terms of races, Whites in Katonah were 1,373 (81.8%). People of Hispanic origin were 200, that is, 11.9% of the total population. Asians were 43 in number representing 2.6% of the total population. There were 37 which is 2.2%. People belonging to two or more races amounted to 21, which is 1.3% of the population. Other races apart from the ones already mentioned accounted for 0.

4% a representative of 4 individuals only. The remaining 0.06 percent is accounted for by only one American India (City Data, 2015). In CDP Katonah, there were 1,679 people, 589 households, and 445 families. The population density is 2,398.6 per square mile (883.7 / km2). There existed housing units of about 619 at 884.3 ml / sq (325.8 / km2) average density. The city has 87.1% White, 2.5% African American, 0.2% Native American, 2.6% Asian, 5.4% some other race, and 2.2% Hispanic (Kennedy, 2009).

There were 589 households out of which 46.5% had children under the age of 18 living with them, 59.4% were married couples led by, 12.2% had a female householder with no husband present, and 24.4% were non-families. 17.5% of all households were made up of individuals and 5.1% had an elderly dependent. The approximate household size was 2.83 and the average family size was 3.24. In the CDP the masses were spread out with 29.5% under the age of 18, 5.1% from 18 to 24, 24.1% 25-44, 31.7% from 45 to 64, and 9.

6% spread, the 65 years of age or were older. For the period 2007-11, the estimated average annual income for a household in the city was $ 86.296, and the median income for a family was $ 86.923. Full-time male workers had a median income of $ 54,250 USD 64 674 against women. About 7.7% of families and 9.7% of the population below the poverty line, including 12.0% of those under age 18 and none of that aged 65 or over (Martin & Thompson, 2011).The Intervention done on the Residents On a weekly basis, we interacted with 6-8 male consumers at Bedford community.

We did a research on the community (ARC population) and determination of the services they provide. The population is mainly affected by Developmental Disorder comorbidities. During the intervention, we engaged in various social activities that enabled proper understanding of the residents. The activities include puzzle games, bingo, baking cookies and playing video games. In the course of the activities a person was injured but recuperated quickly. The majority of people in newly registered nursing homes with comorbidities were younger than 65, and many of them lacked clinical indications for the level of care units.

These results may reflect a community support service system for non-elderly adults with inadequate comorbidities (Kennedy, 2009). According to the federal government, in any way a person with a mental illness forced to live in a group home if he or she could live in the community with appropriate supports. PASRR aims to ensure that the group home is suitable placement for people with mental illness. Although the use of PASRR is associated with an overall reduction of group home admissions for people with mental illness, against the state with PASRR was problematic.

The higher health problems among non-elderly adults with depression in adults and elderly by psychiatric diagnoses indicate a need for psychiatric and medical care in group homes integrated. Most group homes have no access to mental health providers (Martin & Thompson, 2011). Grabowski and colleagues found that the treatment of mental health problems in group homes is often unhealthy. Geriatric Psychiatry recommended the establishment of policies that nursing homes needed formal agreements with consultation of mental health to establish provider of training, consulting and treatment services.

Self-monitoring, goal setting and problem solving skills were trained. We interact with 6-8 male consumers with DD with comorbidities on a weekly basis, interacting as well as doing activities such as painting, cookie making, making wallets, flower pots and picture frames and playing bingo. Classes and phone calls were also provided for emotional and social support and motivation to change behavior (Martin & Thompson, 2011). Classes include a support session in which the participants discussed the barriers and difficulties with chronic disease self-management and behavioral change connected.

This component is designed to provide social support among participants and to develop problem-solving skills and increase self-efficacy.The establishment of weekly goals focused on small behavioral changes in nutrition, physical activity and glucose monitoring. The purpose of the weekly phone calls from supporters Peer was to monitor the defined goals and remove potential obstacles to the achievement of the objectives (Martin & Thompson, 2011). Peer supporters for 10 weeks with a psychologist, nutritionist and health educator were also integrated weekly.

Mirroring life training classes to support the DD and comorbidities’ helped them for dependency and self-sustenance (Kennedy, 2009). They acquired skills of problem solving, in order to overcome barriers to the attainment of the objectives. Training and support were in weekly team meetings with the psychologist of the study continued. This is a class-based self-management of diabetes and other diet.There were two main limitations of this assessment. First, the assessment of the validity of the clinical and functional assessment MDS data is not easy.

The validity of the MDS data is provided by many of the questions, both because suppliers have reason to inflate amortization maximize Medicare and Medicaid payment and poor and inconsistent training of evaluators group home (Polity & Beck, 2008). However, results obtained from studies show the reliability and authenticity of this information, with some variations between the group homes. Second, the sample was prepared on the basis of the first group home admissions rather than on a single section of the consumers at any given time.

As such, the data can check the flow of consumers in group homes and not the total number of people with mental illness to receive services.ReferencesBerry, M. (2010). Alzheimer’s and individuals with intellectual and developmental disabilities. Impact, 23(1), 26-27, 35. Retrieved from https://ici.umn.edu/products/impact/231/21.htmlKennedy, C. (2009). Nursing Research: Appraising Evidence in Nursing (7th Ed.). Philadelphia: Walters & Wilkins.Martin, C., & Thompson, D. (2011). Design and Interpretation of Clinical and Nursing Research Studies.

London: Rutledge.Polity, D., & Beck, C. (2008). Nursing Research: Developing and Assessing Evidence in the Nursing Practice (8th Ed.). Philadelphia: Walters & Wilkins.City Data. (2015). Katonah: New York. Web. March 13, 2015. Retrieved from http://www.city-data.com/city/Katonah-New-York.html