Behavioral and Mental Health in Nevada

The Nevada Division of Public and Behavioral Health is responsible for providing public and mental health services to people living in or visiting the State. The Division is organized into four branches: Community Services Branch, Regulatory and Planning Services Branch, Clinical Services Branch and Administrative Services Branch. The Clinical Services Branch provides statewide inpatient, outpatient, and community-based public and mental health services. State employees provide mental health services, and contract providers deliver substance use services. Mental health services are additionally organized by age and geography. Adults with mental disorders are treated statewide through the Division of Public and Behavioral Health. Children with mental disorders are served through the Division of Child and Family Services within the populous urban counties (Washoe, Clark and Carson City) and the Division of Public and Behavioral Health across the 14 rural and frontier counties. Services are supported through Medicaid, the Nevada General Fund, and Federal grants. The Division of Public and Behavioral Health is located within the Nevada Department of Health and Human Services, under the Executive Branch of the State, and serves as its Public Health Authority and Mental Health Commissioner. By statute, the Commission on Behavioral Health is responsible for the following: establishing policies to ensure development and administration of services for persons with mental illness, persons with intellectual disabilities and related conditions, and persons with substance use conditions; reviewing programs and finances of the Division; and providing reports to the Governor and Legislature regarding the quality of care and treatment provided to individuals with mental illness, intellectual disabilities, and substance use disorders [Nevada Revised Statutes (NRS) 433.314]. Historically, the governance structure of Nevada’s behavioral and mental health system has been centralized at the state level with limited involvement at regional and local levels. A policy study conducted during 2014 identified Nevada as one of only four states in the country that directly operates community-based mental health services (Kenny C. Guinn Center for Policy Priorities, Mental Health Governance: A Review of State Models & Guide for Nevada Decisions Makers, December, 2014). During that same year, the State began to consider ways to move from its centralized governance structure to a more localized model involving regional, county and city entities. A key consideration was a growing recognition that increasing the State’s responsiveness to the unique needs of individual communities is crucial. Nevada’s plan to restructure the governance of its state mental health system is not without challenges. For example, the numbers of Nevada residents covered by Medicaid benefits almost doubled when Medicaid coverage was expanded by Governor Brian Sandoval under the Affordable Care Act (ACA) during 2014, increasing from 351,315 persons in 2013 to 654,442 individuals in 2015 (Woodard and Nevada Division of Health Care Financing and Policy, 2016). On its face, the increase in numbers of residents covered by Medicaid benefits is a positive outcome. However, the existing mental health provider network was not adequate to serve the increase in numbers of individuals covered. As detailed in later sections in this chapter, the increase in health care coverage appears to have impacted the frequency with which Nevada residents used health care services, most notably hospital emergency departments and inpatient facilities. Thus, the dual influences of increased health care coverage, and limited access to appropriate and optimal mental health services are reflected in the dramatic increase in residents’ utilization of emergency department services for a wide range of mental health-related conditions during 2015, after the expansion of Medicaid during 2014. Also discussed in later sections is the fact that almost all of the State qualifies as a mental health professional shortage area (Health Resources and Services Administration, HRSA). Therefore, moving from a primarily centralized or state control model to a local control model will require accommodation for the shortages in mental health professionals within communities that lie outside the State’s urban centers

STATISTICAL STUDY ON THE HUMAN RESOURCES TRAINING NEED IN THE REGIONAL OLTENIA

This papers sums up the conclusions of a more developed statistical study, carried out in 2009 on the level of the region Oltenia for the analysis of the main disparities on the regional labor market and for the proposal of some professional training modules in the entrepreneurial field, according to the specific needs of training the regional workforce.labor market disparities, regional human development, inter-regional, disparities, quality of the workforce

A participatory approach for digital documentation of Egyptian Bedouins intangible cultural heritage

The Bedouins of Egypt hold a unique intangible cultural heritage (ICH), with distinct cultural values and social practices that are rapidly changing as a consequence of having settled after having been nomadic for centuries. We present our attempt to develop a bottom-up approach to document Bedouin ICH. Grounded in participatory design practices, the project purpose was two-fold: engaging Egyptian Engineering undergraduates with culturally-distant technology users and introducing digital self-documentation of ICH to the Bedouin community. We report the design of a didactic model that deployed the students as research partners to co-design four prototypes of ICH documentation mobile applications with the community. The prototypes reflected an advanced understanding for the values to the Bedouins brought by digital documentation practices. Drawing from our experience, three recommendations were elicited for similar ICH projects. Namely, focusing on the community benefits; promoting motivation ownership, and authenticity; and pursuing a shared identity between designers and community members. These guidelines hold a strong value as they have been tested against local challenges that could have been detrimental to the project

Access to the Internet and Regional Structures: The Case of Italy

I study the effects of Internet access on regional structures and provide some insights into the complex question of the role of technology in regional development. The paper analyzes the distribution of access to the Internet in Italy, highlighting the differences among regions and sub-regional areas and with respect to categories of users. This is an aspect of the so-called \u201cdigital divide\u201d. I concentrate on the stability and change of regional structures in Italy, pointing at conclusions of general relevance. My analysis confirms the dynamism of the regions of the so-called \u201cThird Italy\u201d and the fundamental distinction between the North-Center with respect to the South, the Italian Mezzogiorno. My preliminary conclusions on the effects of the Internet in promoting economic development suggest lines for further investigation. Key Words: Regional development, Italy, Internet, digital divide JEL Classifications: R11, R12, O3

THE OPENING OF THE FIRST MICROSOFT INNOVATION CENTER IN ROMANIA WITHIN THE ROMANIAN – AMERICAN UNIVERSITY

On January 30, 2008, at the Romanian-American University, the Microsoft Innovation Center was opened, in the presence of Mr. Szomogy, state secretary at the Telecommunications Ministry, Mr. Silviu Hotăran, general manager of Microsoft Romania, prof. univ. dr. Ion Smedescu, founding rector of the Romanian-American University, teaching staff, students and representatives of prestigious companies in IT. On a global scale, there are, at present, 110 Microsoft Innovation Centers working in 60 countries, Romania joining, now, this network. With this opportunity the Contract of Collaboration between Microsoft Romania and the Romanian-American University was signed, which marked de creation of the first Microsoft Innovation Center in Romania, its goal being the increase of students abilities in business applications.innovation, e-campus platform, quality characteristics, business

Education today: 12 + 5 < 4 - lessons of education reforms in Portugal and beyond

Since the adoption of the ‘Lei de Bases…’ of 1984, the quality of education in Portugal is declining, undermined by ‘critical, creative and independent thinking’, implemented by neglecting memorization as a learning tool, as supposedly students should understand things without knowing them. As a consequence, vast majority of students can’t retain any abstract knowledge. They prepare from scratch for their tests and forget everything afterwards. The students never acquire essential primary-school skills such as capacity to do mental calculations, hence the title of this report, comparing contemporary school + university education to pre-1984 primary school of 4 years. The quality of education is further degraded by ‘evaluation’ of teachers at school and university, judged by academic success and degree of satisfaction of their students. With the students objectively incapable to learn, understand or remember, the teachers have a dilemma of either letting such students pass without retained knowledge, skills and competences, or else have their own ‘evaluation’ suffer. As the generations change, students who were ‘passed’ become teachers themselves, still with no retained knowledge and thus no moral authority to fail their own students. Thus, the level of requirements monotonously degrades, with the educational fraud perpetuated in the new generations.info:eu-repo/semantics/publishedVersio

Transnational Corporations - Key Enablers Globalization

Romania, Romanian economic agents have become in recent years present ever more active in world trade. Association agreements agreed with the European Union and beyond, opening Romania and Romanian participants in international trade relations, prospects of major deep involvement in the world flow of values and knowledge. But it also means aligning our trade laws to European legislation profile, with priority to Community law and assimilation regulatory provisions of international conventions ratified across Romania as part of national law rules. Transnational corporations, which operate in more than one country or nation at a time, have become some of the most powerful economic and political entities in the world today. The United Nations has justly described these corporations as “the productive core of the globalizing world economy.globalization, transnational corporations, global village, ecommerce

The evolution of a national research plan for computers in education in The Netherlands

This paper describes the evolution of a national research plan for computers and education in The Netherlands. This approach was initiated in 1983 and includes two phases: one from 1984 until 1988 and one from 1989 until 1992. The paper describes the research plans for the second phase, based upon the experiences of the first, and draws some general conclusions about the development of national research plans for computers in education