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Thirtymillion Americans remain completely uninsured a decade after the passageof the Affordable Care Act.[4]

major medical organizations, including international ones, say is the standard of evidence-based care: speeding up labor with medication or a dilation and evacuation procedure to empty the uterus.

Alexander doesn’t rule out spontaneous order, but sees that as a rare event.  For a system as a whole to have the properties desired, the builders will most probably have to have a generating system to create the system as a whole.

The pattern form excels an engaging the reader in generative solutions: to understand the principles and values of lasting solutions and long-term emergent behavior. Good patterns go beyond the quick fix.

Our cuticles help protect against infection, according to the Centers for Disease Control and Prevention, so it’s best to leave them alone.

care is multidimensional,

BOULDER COUNTY IMPACT:Building and Sustaining Policy, Practice and Improvement Standardsfor a Multi-Program, Multi-System Collaborative

immediate & ongoing data-driven case planning Moving away from always least restrictive to matching

Behavioral Health Administration (BHA) Rule UpdateRule Volume 2 CCR 502-1, Chapter 1

using the best availablescience, to maximize physical and psychological safety, facilitate the recovery of thechild and family, and support their ability to thrive.”

F742*, §483.40(b)(1), treatment/service for mental/psychosocial concerns (1) A resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder, receives appropriate treatment and services to correct the assessed problem or to attain the highest practicable mental and psychosocial well-being;

Trauma-Informed Care Regulations and F-tags   The regulations and F-tags that apply to trauma and trauma-informed care

Trauma-informedServices are provided under a trauma-informedorganizational structure and treatment framework

A trauma-informed approach to care acknowledges that health care organizations and care teams need to have a complete picture of a patient’s life situation — past and present — in order to provide effective health care services with a healing orientation.

The scope of the Bodhisattva’s sphere of measurement and modification is not just seemingly infinite, but actually so, because a Bodhisattva’s scope and mode of engagement are not defined by the intrinsically limiting frame of one individual mind. Instead, it is shaped and driven by the infinity of living beings, constituting infinitely diverse instances of needs and desires in time and space.

“intelligence as care

what what this is fundamentally about is is care and compassion

biology Buddhism and AI

Flu Vaccines Available

A text by Johanna Hedva The language of illness is a language of platitudes. Get well soon. Hoping for a quick recovery. Sending love. Take care in this tough time. Adjectives become few: quick, tough. The same verbs are used over and over: get, send, take, hope. The language of revolutions is also one of platitudes. Ain’t no power like the power of the people ’cause the power of the people won’t stop, say what. The people united will never be divided. No no we won’t go. No matter what they are asking for, protesters chant the same chants, their signs shout the slogans of before. When we are desperate for change, as we are both in illness and insurrection, our language drains of complexity, becomes honed to its barest essentials. We feel we cannot waste time with adjectives or similes or hypotaxis. No, we have a message to get across, and it’s crucial and immediate; we can’t afford to risk its meaning getting lost in too many words. As illness and revolution persist, though, the language made in them and about them deepens, lets in more nuance, absorbed in the acutely human experience of encountering one’s limits at the site of the world’s end. Are these my own limits, or are they the limits of the world? As they share a quality of language, illness and revolution both exist in similar kinds of time, the kind that feels crushingly present. The time is now, and it is long. However, the temporality in each can feel quite different, at first. In illness, time slows down so extremely as to become still and unbearably heavy. For the sick person, or someone caring for the sick, time freezes, hardening around the body, locking everything into this new center of gravity. All that can be done is to wait. The future gets further and further away, and the present moment—the one soaked in illness—becomes huge and cruel. In illness, the now feels like punishment. In revolution, when it’s still young and fervent, time froths around the fact that the time is now. No longer will we do what we’ve done in the past, from today forward, we will!—and it doesn’t matter what comes next, its function is the same. The promise of change, the zeal for a new tomorrow, the hope for a different future: these innovate the now, and the now becomes a joyous defiance of fate. At some point, though, the revolutionary now shifts toward the now of illness, wedged into what Arendt called “between past and future,” never-ending, waiting for change to come, waiting, still, waiting. Conversely, as many chronically ill and disabled folks know, the now of illness soon radicalizes, reveals its subversive power, and produces a politic. We tend to place illness and revolution opposite each other on the spectrum of action: illness is on the end of inaction, passivity, and surrender, while revolution is on the end of movement, surging and agitating. But maybe this spectrum is more like an ouroboros: one end feeding the other, transforming into, because of, made of the same stuff as the other. Many thought the revolution, when it came, would look like how it’s looked before: a protest in the streets, some good looting and riots, a coup, a mutiny. The world has been anticipating the fury that’s been building up, in everyone and everything, about everyone and everything, and we’ve ached for it to finally boil over and erupt. Now might be a good time to rethink what a revolution can look like. Perhaps it doesn’t look like a march of angry, abled bodies in the streets. Perhaps it looks something more like the world standing still because all the bodies in it are exhausted—because care has to be prioritized before it’s too late. Those of us for whom sickness is an everyday reality have long known about its revolutionary potential. We’ve known that a revolution can look like a horizontal body in a bed, unable to go to work. We’ve known that it might look like hundreds of thousands of bodies in bed, organizing a rent strike, separating life’s value from capitalist productivity. We’ve known that a revolution can look like the labor of a single nurse, keeping the patients in her ward alive, or the labor of a single friend, helping you buy groceries. We’ve known that it can look like the labor of nursing and care expanded exponentially, all of us reaching out to everyone we know, everyone we know reaching out to theirs. We’ve known that a revolution can look like a community pitching in $5 per person for someone’s medical treatment—we’ve wondered when that community would notice just how revolutionary the act of communal care is. The world has changed into something unrecognizable in these last weeks. The interminable now of illness is upon us, and the world’s ableism has risen forcefully to meet it. The world’s ableism has always been a thing, it’s just now getting closer to those who normally don’t feel it. What we’re watching happen with COVID-19 is what happens when care insists on itself, when the care of others becomes mandatory, when it takes up space and money and labor and energy. See how hard it is to do? The world isn’t built to give care freely and abundantly. It’s trying now, but look how alien a concept this is, how hard it is to make happen.⁣ It will take all of us—it will take all of us operating on the principle that if only some of us are well, none of us are. And that’s exactly why it’s revolutionary. Because care demands that we live as though we are all interconnected—which we are—it invalidates the myth of the individual’s autonomy. In care, we know our limits because they are the places where we meet each other. My limit is where you meet me, yours is where I find you, and, at this meeting place, we are linked, made of the same stuff, transforming into one because of the other. Care so often feels as though it has to be given to you by someone else, and this can also seem how revolution feels. We wait for the change to be given to us by those in control, we hope for those in power to come to their senses. So many activists know that as power can be taken, it can be taken back. As care can be given, we can also take it. I’ve always found solace in the fact that the words caregiver and caretaker mean the same thing. We take care, we give care, and it can be contagious, it can spread. It shows us that the limit of the world is always a place to be exploded, pushed against, transformed. Meet me there, at the end, where there is give and take, and let’s follow each other into the beginning.

Generalist repositorie

In these other tests we do not care what was passed to the Load method so specify a “don’t care” with It.IsAny.

The researchers did observe a change in their referral population in recent years, however. More kids assigned female at birth have been transitioning in recent years than those assigned male at birth. Many studies have captured this difference—including the 2018 survey proposing ROGD—but experts are unsure of its cause.

A recent analysis of 10 Canadian medical centers in the Journal of Pediatrics found that 98.3 percent of young people seeking gender-affirming care had realized more than a year prior that they may have been transgender.

Almost 40 percent of transgender youth experience homelessness or housing instability, according to a 2022 report from the Trevor Project, a nonprofit that provides crisis support for young LGBTQ+ people.

The participants in both the 2018 and the retracted 2023 studies were recruited from online communities that were explicitly critical about many aspects of gender-affirming care for transgender kids.

As legislation targeting trans people has reached an all-time high in the U.S., ROGD’s alleged social contagion has been invoked by lawmakers in states such as Missouri, Utah and Arkansas to justify banning or restricting gender-affirming care for young people.

“We have, for a very long time, been rendered less capable of caring for people even in our most intimate spheres, while being energetically encouraged to restrict our care for strangers and distant others. No wonder right-wing and authoritarian populism has once again proved seductive. It has been easily fueled, given the profound difficulties and unbearable collective anxieties of living in an uncaring world. Defensive self-interest thrives in conditions like these since, when our very sense of security and comfort is so fragile, it becomes harder to care for ourselves, let alone for others. In this way, care has been – and continues to be – overshadowed by totalitarian, nationalistic and authoritarian logics that re-articulate and reorient our caring inclinations towards ‘people like us’. The spaces left for attending to difference or indeed developing more expansive forms of care have been rapidly diminishing. To appropriate a term famously used by Hannah Arendt, a systemic level of banality permeates our everyday carelessness. Hearing about catastrophes such as the vast numbers of drowned refugees, or the ever-expanding homelessness in our streets, has become routine. Most acts of ‘not caring’ happen unthinkingly. It is not that most of us actively enjoy seeing others left without the care they need, or that we share sadistic and destructive impulses. And yet we are failing to challenge the limits being placed upon our caring capacities, practices and imaginations.”

Colorado’s vision is that all children, youth, parents or kin caregivers with these risk factors will be eligible for Title IV-E prevention services—both those who are involved in the child welfare system and those who have not been the subject of a child maltreatment report but share characteristics that deem them at serious risk of out-of-home placement.

Reunification, adoption or guardianship arrangements that are at risk of disruption

the existing system cannot just be modified; rather, a fundamental shift in service delivery and support to families must occur.

A child is considered to be a IV-E Prevention Candidate when:• The child is designated as being at “serious risk”of out-of-home placement (see FAQs for moreinformation);• There is a prevention/treatment plan in place forthe child/family; and,• The child and/or their family is receiving anevidence-based service (as identified throughColorado’s prevention plan)

circumstancesandcharacteristicsthatputchildrenandyouthatseriousriskofenteringorre-enteringfostercareasidentifiedbyresearchandexperience

InColorado,theintentofplacementpreventionservicesistoproactivelystrengthenandsupportfamiliesasearlyaspossible,beforetheyareincrisis,regardlessofwhethertheyareformallyinvolvedwiththechildwelfaresystemornot

• Make specific findings to deviate from the assessmentrequired in 19-1-115 (4)(h).• Make findings regarding why an alternative other thanQRTP does not meet the needs of the child/youth.• Lack of available placements cannot be a reason.• Make required findings:• QRTP provides the most effective appropriatelevel of care for the child/youth/juvenile in the leastrestrictive environment.• Consistent with the permanency plan (if set).• Consistent with the child/youth/juvenile’s short- andlong-term goals.• Set QRTP review prior to discharge date or no longerthan 90 days, see 19-1-115(4)(g)

Reasonable CandidatesReasonable candidates for foster care, for the purposes of Title IV-E program, are childrendetermined to be at risk of imminent placement out of the home as defined in Section 19-1-103(64), C.R.S. Administrative costs may be claimed for children who are determined to be atimminent risk of removal from the home through a voluntary placement agreement or court-ordered custody with the county department. A determination must be made as to whether thechild is at imminent risk of removal from the home no less frequently than every six (6) months.Reasonable efforts shall be made to prevent the removal of the child from the home until suchtime that pursuing removal of the child from the home becomes necessary.

If the court or administrative review division deviates from the qualified individual’s assessment and recommendation, the court or the administrative review division shall make specific findings of fact regarding the most effective, appropriate, and least restrictive placement for the child or youth and whether the placement is consistent with child- or youth-specific short- and long-term goals for the child or youth and the family. When making such findings of fact, the court or administrative review division shall consider all relevant information, including:(I) Whether the protocol for the qualified residential treatment program assessment was followed;(II) The strengths and specific treatment or service needs of the child or youth and the family;(III) The expected length of stay; and(IV) The placement preference of the child or youth and the family.

Candidate for Foster Care:For the purposes of Title IV-E Prevention Services,a child is a candidate for foster care when atserious risk of entering or reentering foster careand who is able to remain safely in the home withprovision of mental health, substance use disorder,or In-home parenting services for the child, parentor kin caregiver. Foster youth who are pregnant orparenting are also candidates.COLORADO'S FINALDEFINITION

Coloradowants:• All kids who need services to have access toservices and to be served in their family’s homeor in a relative’s home whenever possible• Families to have what they need to keep theirfamily safe and together, and• Services available without requiring the family tobe involved in the child welfare system

FEDERAL DEFINITION OFCANDIDACYA “child who is a candidate for foster care” is defined asa child who is identified in a title IV-E prevention plan asbeing at imminent risk of entering foster care, but whocan remain safely in the child's home or in a kinshipplacement as long as the title IV-E prevention servicesthat are necessary to prevent the entry of the child intofoster care are provided”This includes a child whose adoption or guardianshiparrangement is at risk of a disruption or dissolution thatwould result in a foster care placement (section 475(13)of the Act).

Question 1. May we claim Federal financial participation (FFP) for the administrative costs associated with foster care candidates even for children who never enter foster care? Answer Yes. Federal financial participation for administrative costs listed at 45 CFR 1356.60(c) may be claimed regardless of whether the child is actually placed in foster care and becomes a recipient of title IV-E foster care benefits. However, reimbursement is limited to those individuals the title IV-E agency reasonably views as candidates for title IV-E foster care maintenance payments consistent with section 472(i)(2) of the Social Security Act. The three acceptable methods of documentation indicating that a child is a candidate for title IV-E foster care benefits are: (1) A defined case plan which clearly indicates that, absent effective preventive services, foster care is the planned arrangement for the child, (2) an eligibility determination form which has been completed to establish the child's eligibility under title IV-E, or (3) evidence of court proceedings in relation to the removal of the child from the home, in the form of a petition to the court, a court order or a transcript of the court's proceedings. Should the title IV-E agency determine that the child is no longer a candidate for foster care at any point prior to the removal of the child from his home, subsequent activities will not be allowable for reimbursement of costs under title IV-E. Source/Date ACYF-CB-PA-87-05 (10/22/87); 7/7/2006; (12/17/2019) Legal and Related References Social Security Act - sections 471(a)(15), 472(i)(2), and 479B; DHHS Grant Appeals Board Decision No. 844; ACYF-CB-IM-06-02

By definition, a candidate is a child for whom the title IV-E agency is either pursuing or making reasonable efforts to prevent a remova

Question 2. At what point may a child be considered a candidate for foster care? Answer A candidate for foster care is a child who is at serious risk of removal from home as evidenced by the title IV-E agency either pursuing his/her removal from the home or making reasonable efforts to prevent such removal. The basis for determining when a child may be considered a candidate for foster care can be found in statute, Departmental policy, and Departmental Appeals Board (DAB) decisions: STATUTE: Section 471(a)(15)(B)(i) of the Act provides the frame of reference for determining the point at which a child becomes a candidate for foster care by requiring a title IV-E agency to make reasonable efforts to prevent a child's removal from home. A child may not be considered a candidate for foster care solely because the title IV-E agency is involved with the child and his/her family. In order for the child to be considered a candidate for foster care, the title IV-E agency's involvement with the child and family must be for the specific purpose of either removing the child from the home or satisfying the reasonable efforts requirement with regard to preventing removal. DEPARTMENTAL POLICY: Stipulates the three acceptable methods for documenting a child's candidacy for title IV-E foster maintenance payments. The existence of these forms of documentation indicates that a child legitimately may be considered a candidate for foster care: 1) A defined case plan which clearly indicates that, absent effective preventive services, foster care is the planned arrangement for the child. The decision to remove a child from home is a significant legal and practice issue that is not entered into lightly. Therefore, a case plan that sets foster care as the goal for the child absent effective preventive services is an indication that the child is at serious risk of removal from his/her home because the title IV-E agency believes that a plan of action is needed to prevent that removal. 2) An eligibility determination form which has been completed to establish the child's eligibility for title IV-E foster care maintenance payments. Completing the documentation to establish a child's title IV-E eligibility is an indication that the title IV-E agency is anticipating the child's entry into foster care and that s/he is at serious risk of removal from home. Eligibility forms used to document a child's candidacy for foster care should include evidence that the child is at serious risk of removal from home. Evidence of AFDC eligibility in and of itself is insufficient to establish a child's candidacy for foster care. 3) Evidence of court proceedings in relation to the removal of the child from the home, in the form of a petition to the court, a court order or a transcript of the court proceedings. Clearly, if the title IV-E agency has initiated court proceedings to effect the child's removal from home, s/he is at serious risk of removal from the home. DAB DECISIONS: DAB Decision No. 1428 offers the following guidance for identifying the point at which a child may be considered a candidate: "...The methods of documenting candidacy [identified in the Department's policy guidance] involve activities which occur at a point when the state has initiated efforts to actually remove a child from his or her home or at the point the state has made a decision that the child should be placed in foster care unless preventive services are effective..." The DAB also ruled in Decision No. 1428 that a report of child abuse or neglect is insufficient for establishing a child's candidacy for foster care: "...The fact that a child is the subject of [a child abuse/neglect report] falls far short of establishing that the child is at serious risk of placement in foster care and thus of becoming eligible for IV-E assistance..." A candidate, in the opinion of the DAB, is a child who is at serious risk of removal from his/her home because the title IV-E agency is either pursuing that removal or attempting to prevent it. A child cannot be considered a candidate for foster care when the title IV-E agency has no formal involvement with the child or simply because s/he has been described as "at risk" due to circumstances such as social/interpersonal problems or a dysfunctional home environment. Source/Date ACYF-CB-PA-01-02 (7/3/01); (12/17/2019) Legal and Related References Social Security Act - sections 471(a)(15), 472(i), and 479B; Departmental Appeals Board Decision No. 1428

The reason is that the journaling is in part an accumulative method: There is a long period of low-structured input which benefits manifest first acutely (writing in itself seems to be healing through understanding). After you amassed a time-line of thoughts you can try to find throughlines and patterns which then gives you access to deep insights if you have the right tools. Most of the time people use psychologists which I think is in a similar way problematic that people use physical therapists for too much of their problems: Many problems are best solved by the person that has immediate access to the ego-perspective (phenomenological layer, subjective access, etc.) of the problem. This is of course dependent on self-education on basic concepts of what I call true self-care. Self-care seems to be associated with stuff like doing pleasant things (hot bath, nice walks in the sun) nowadays. If you take the antifragile nature of us humans into account this is just another way of the modern hedonist to keep stuck. (This is important for my approach to incorporate journaling into the Zettelkasten Method)

“It makes me feel like I need a disclaimer because I feel like it makes you seem unprofessional to have these weirdly spelled words in your captions,” she said, “especially for content that's supposed to be serious and medically inclined.”

Tatsächlich kostet es aber auch jede Menge Geld, wenn man es richtig machen möchte. Immerhin fallen Server, Strom, Backup & Co. nicht vom Himmel, sondern wollen bezahlt werden. Und solange eine allgemeine "Geiz ist geil"-Mentalität vorherrscht, funktioniert das nicht im großen Stil, denn dann tragen einige wenige die Kosten für ein größeres System. Das ist zutiefst unfair, das führt zu Burnout, das führt dazu, dass Menschen irgendwann keine Kraft mehr haben, sich zu engagieren. Solche Fälle gab und gibt es in der Open-Source-Szene immer wieder, und das wird an dieser Stelle nicht anders laufen.

Der Punkt ist aber, dass eine derartige Plattform viel Aufwand nach sich zieht, in der Wartung, im Betrieb und so weiter. Und da weiß ich nicht, ob ich das in den Händen einiger weniger Freiwilliger sehen möchte, die das unentgeltlich machen. Die Absichten sind sicherlich hehrer Natur, das will ich gar nicht in Abrede stellen – aber es gibt halt einen großen Unterschied zwischen einem professionellen, sicheren und verlässlichen Betrieb und dem, was eine Privatperson leisten kann oder will.

reciprocate if you give them the opportunity to

Slack teams as well.

to lowered economic productivity through reduced earnings. In addition,increased health costs amount to $192 billion, whereas costs associated withincreased crime and incarceration (increased victimization costs of street crime;increased corrections and crime deterrence; increased social costs of incarcer-ation) total $406 billion.

engineers will get tired, mistakes will happen, and maintenance will get kicked down the road. Teams need buffer as much as systems do.

We’re dedicated to providing the highest standards of safety to protect you and your family during your visit to Founders Family Medicine. We screen all patients for COVID-19 symptoms. We also require masks and social distancing at our clinic.

Jul 3, 2016 — Effective contingency planning addresses the causes and consequences of EHR unavailability, and involves processes and preparations that can ...

throughout an individual's schooling, the activity of readinglacks a coherent or explicit relationship to work that is assessed,unlike writing (Du Boulay 1999; Saltmarsh & Saltmarsh, 2008)

Diabetes is a condition where the body does not make enough insulin or use the insulin it creates the way it should. As a result, the body isn’t processing food properly to produce energy. Instead, sugars build up in the blood leading to health complications.

Most of the existing self-care guidelines, however, are specifically tailored towards practitioners, humanitarian workers, service-providers and front-line staff (Frey et al., 2017; Williamson et al., 2020).

Given that so much of the web environment isn't being written by writers who care, I'm increasingly seeing 'login' used as a verb.

Urgent Care Treatment with X-Rays in Castle Rock

Collegial pedagogy, a term introduced by Lissa Soep and Vivian Chávez, describes a dynamic where both teacher and learner stand mutually invested in a shared project, where neither party could complete the work without the other. They need each other to get it right. “Collegiality is a relationship of shared collective responsibility.”

trust in neighbours, access to care, opportunities for creative expression, recognition

Castle Rock Urgent Care and Family Medicine Founders Family Medicine

About Eye Mantra Hospital

The collaborative and relational approaches that we propose in this article specifically include ‘turning to people who get it’ (Theidon, 2014: 2) and who share a lived reality, as well as fostering ‘caring communities’ (Care Collective, 2020: 45) in the forms of groups, collectives or networks.

For this reason, the Secretary of State set out a vision1 for health and care to have nationalopen standards for data and interoperability that are mandated throughout the NHS andsocial care.

In her 2002 dissertation, and then in a series of articles published in medicaljournals, Pape made a case for imitating this practice. “The key to preventingmedication errors lies with adopting protocols from other safety-focusedindustries,” Pape wrote in the journal MEDSURG Nursing in 2003. “The airlineindustry, for example, has methods in place that improve pilots’ focus andprovide a milieu of safety when human life is at stake.”

.

Professional Gardening Service Provider

Informing the Placement Continuum: Classifying Children in Out-of-Home Placement Using Integrated Administrative Data