Promoting the Readiness of Minors in Supplemental Security Income (PROMISE) [CFDA 84.418P]

Over the past two decades, New York State (NYS) has been actively and collaboratively engaged in systems change across three primary domains: 1) to develop a comprehensive employment system to reduce barriers to work and improve employment outcomes of individuals with disabilities; 2) to enhance the post-school adult outcomes of youth with disabilities, by collaboratively advancing evidence-based secondary transition practices at the regional, school district and individual student levels; and, 3) to support the return-to-work efforts of individuals with disabilities who receive Social Security Administration (SSA) disability benefits under the Supplemental Security Income (SSI) program and Social Security Disability Insurance (SSDI). These domains have been supported by numerous federal and state initiatives including: the US Department of Education’s Office of Special Education and Rehabilitation Services (OSERS)-sponsored Transition Systems Change grant; the SSA-sponsored State Partnership Initiative (NYWORKS); two Youth Transition Demonstrations (YTD); the Benefits Offset National Demonstration (BOND); and, three cycles of funding for the National Work Incentives Support Center (WISC); the US Department of Labor (DOL)-sponsored Work Incentive Grant, Disability Program Navigator Initiative, and Disability Employment Initiative; three rounds of funding from the Center for Medicaid and Medicare Services (CMS) for Medicaid Infrastructure Grants (MIG, NY Makes Work Pay); the NYS Education Department (NYSED) sponsored Model Transition Program (MTP); and three multi-year cycles of the statewide Transition Coordination Site network. Most recently, NYS has sponsored the Statewide Transition Services Professional Development Support Center (PDSC); the NYS Developmental Disability Planning Council (DDPC)-sponsored Transition Technical Assistance Support Program (T-TASP), NYS Work Incentives Support Center (NYS WISC), and NYS Partners in Policy Making (PIP); the NYS Office of Mental Health (OMH)-sponsored Career Development Initiative; and others. The growing statewide and gubernatorial emphasis on employment for New Yorkers with disabilities developed over the past two decades stemming from these initiatives, supported by service innovations and shared vision across state agencies and employment stakeholders, establishes a strong foundation for implementing and sustaining a research demonstration to “Promote the Readiness of Minors in Supplemental Security Income” (PROMISE). The NYS PROMISE will build upon NYS’ past successes and significantly support NYS in removing systems, policy and practice barriers for transition-age youth who receive SSI and their families. The NYS OMH through the Research Foundation for Mental Hygiene (RFMH), with their management partners the New York Employment Support System (NYESS) Statewide Coordinating Council (SCC) and Cornell University Employment and Disability Institute, along with the proposed research demonstration site community, join the NYS Governor’s Office in designing and implementing a series of statewide strategic service interventions to support the transition and employment preparation of youth ages 14-16 who receive SSI

Purchasing Strategies to Improve Care Management for Complex Populations: A National Scan of State Purchasers

Explores cost-effective alternatives to fee-for-service plans and full-risk managed care for Medicaid's aged, blind, and disabled or Supplementary Security Income beneficiaries. Includes summaries of systems being implemented in twelve states

A Review of Recent Evaluation Efforts Associated with Programs and Policies Designed to Promote the Employment of Adults with Disabilities

The purpose of this report is to provide a review of the recent evaluation activities being conducted for a number of state and federal programs, policies, and initiatives designed to promote the employment of people with disabilities. The review is intended to provide a single source for information on the nature of the initiatives and the evaluation efforts that have been recently completed or are currently under way and the findings to date related to the effectiveness of these initiatives. This broad review is also intended to provide some evidence of the progress we are making. The report also suggests avenues where further efforts and progress might be warranted. We identified 27 initiatives or programs and their associated evaluations that represent a federally sponsored program, policy, or initiative designed specifically to improve employment of the working-age adult population with disabilities. Because of resource constraints, we did not review initiatives designed to improve the adult employment outcomes of youth with disabilities, such as the Social Security Administration (SSA) sponsored Youth Transition Demonstrations. We also did not review small-scale studies evaluating the effectiveness of specific clinical, supported employment, or vocational rehabilitation (VR) approaches. We only looked at information related to the major federal programs serving people with disabilities, general legislation and policies, and initiatives that were fairly large-scale in nature

Women, Health and Aging: Building a Statewide Movement

Provides an overview of current policy and program environments that affect the state's most vulnerable elder population, and considers some effective strategies to address the growing needs of older persons in California

Rural infrastructure to contribute to African agricultural development: the case of irrigation

Report for The Commission for Afric

Applying a Sectoral System of Innovation (SSI) Approach to the Australian Red Meat Industry with Implications for Improving Innovation and Entrepreneurship in the Australian Agrifood Industry

This paper describes an action research study conducted over four years (2002-2006) in the Australian red meat industry. The study aimed to extend the body of knowledge on innovation and entrepreneurship. It also sought to explore options for improving practice through interventions that would accelerate the development of innovation culture and capabilities. A conceptual framework was developed leading to a new Systems Innovation Intervention Framework. The framework was subsequently implemented via 30 individual pilots. The outcomes of the research study were tested for relevance more broadly within the Australian food industry and high levels of acceptance were reported.innovation, sectoral innovation systems, innovation system failures, intervention strategies, Research and Development/Tech Change/Emerging Technologies, Q10, Q16,

Prophylactic antibiotic regimens in tumour surgery (PARITY): a pilot multicentre randomised controlled trial.

ObjectiveClinical studies of patients with bone sarcomas have been challenged by insufficient numbers at individual centres to draw valid conclusions. Our objective was to assess the feasibility of conducting a definitive multi-centre randomised controlled trial (RCT) to determine whether a five-day regimen of post-operative antibiotics, in comparison to a 24-hour regimen, decreases surgical site infections in patients undergoing endoprosthetic reconstruction for lower extremity primary bone tumours.MethodsWe performed a pilot international multi-centre RCT. We used central randomisation to conceal treatment allocation and sham antibiotics to blind participants, surgeons, and data collectors. We determined feasibility by measuring patient enrolment, completeness of follow-up, and protocol deviations for the antibiotic regimens.ResultsWe screened 96 patients and enrolled 60 participants (44 men and 16 women) across 21 sites from four countries over 24 months (mean 2.13 participants per site per year, standard deviation 2.14). One participant was lost to follow-up and one withdrew consent. Complete data were obtained for 98% of eligible patients at two weeks, 83% at six months, and 73% at one year (the remainder with partial data or pending queries). In total, 18 participants missed at least one dose of antibiotics or placebo post-operatively, but 93% of all post-operative doses were administered per protocol.ConclusionsIt is feasible to conduct a definitive multi-centre RCT of post-operative antibiotic regimens in patients with bone sarcomas, but further expansion of our collaborative network will be critical. We have demonstrated an ability to coordinate in multiple countries, enrol participants, maintain protocol adherence, and minimise losses to follow-up. Cite this article: Bone Joint Res;4:154-162

Recommendations to the Social Security Administration on the Design of the Mental Health Treatment Study

Many beneficiaries with mental illness who have a strong desire to work nevertheless continue to seek the protection and security of disability benefits, not only because of the income such benefits provide but also for the health care coverage that comes with it. Further complicating matters is that few jobs available to people with mental illnesses have mental health care coverage, forcing individuals to choose between employment and access to care. These barriers, coupled with the limited treatment options and negative employer attitudes and even discrimination when it comes to employing people with serious metal illness, help "explain" the very rates of low labor force participation among people with psychiatric disabilities

Ambient vibration re-testing and operational modal analysis of the Humber Bridge

An ambient vibration survey of the Humber Bridge was carried out in July 2008 by a combined team from the UK, Portugal and Hong Kong. The exercise had several purposes that included the evaluation of the current technology for instrumentation and system identification and the generation of an experimental dataset of modal properties to be used for validation and updating of finite element models for scenario simulation and structural health monitoring. The exercise was conducted as part of a project aimed at developing online diagnosis capabilities for three landmark European suspension bridges. Ten stand-alone tri-axial acceleration recorders were deployed at locations along all three spans and in all four pylons during five days of consecutive one-hour recordings. Time series segments from the recorders were merged, and several operational modal analysis techniques were used to analyse these data and assemble modal models representing the global behaviour of the bridge in all three dimensions for all components of the structure. The paper describes the equipment and procedures used for the exercise, compares the operational modal analysis (OMA) technology used for system identification and presents modal parameters for key vibration modes of the complete structure. The results obtained using three techniques, natural excitation technique/eigensystem realisation algorithm, stochastic subspace identification and poly-Least Squares Frequency Domain method, are compared among themselves and with those obtained from a 1985 test of the bridge, showing few significant modal parameter changes over 23 years in cases where direct comparison is possible. The measurement system and the much more sophisticated OMA technology used in the present test show clear advantages necessary due to the compressed timescales compared to the earlier exercise. Even so, the parameter estimates exhibit significant variability between different methods and variations of the same method, while also varying in time and having inherent variability. (C) 2010 Elsevier Ltd. All rights reserved