Bridging the gaps: An early integrated support collaborative for at risk mothers in rural Maine
BACKGROUND: The antecedents that contribute to health disparities in maternal child health populations begin before birth and extend into the early prenatal and gestational growth periods. Mothers and infants living in rural poverty in particular are at considerable risk for problems associated with...
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Veröffentlicht in: | Work (Reading, Mass.) Mass.), 2015-01, Vol.50 (3), p.413-423 |
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creator | Morton, Jennifer Withers, Marjorie Konrad, Shelley Cohen Buterbaugh, Carry Spence, RuthAnne |
description | BACKGROUND: The antecedents that contribute to health disparities in
maternal child health populations begin before birth and extend into the early
prenatal and gestational growth periods. Mothers and infants living in rural
poverty in particular are at considerable risk for problems associated with
reproductive health, including pregnancy complications and premature births.
OBJECTIVE: The aim of this manuscript is thus two-fold, to describe
the epidemiologic makeup of the community and the intervention model of the
Community Caring Collaborative.
METHODS: Innovative models of early-integrated care for high-risk
mothers and children are showing promise for long-term outcomes. They foster
environments that enable mothers to trust health systems while maintaining a
workforce of high functioning health workers who understand the mechanisms that
underpin maternal and child health disparities. The Community Caring
Collaborative in Washington County, Maine developed one such model that has
made inroads in bridging such gaps. This manuscript explicates a case study of
how the Community Caring Collaborative came into being and why it established
the Bridging model of comprehensive care. The focus of this manuscript is thus
two-fold, the community and the intervention model.
RESULTS: The "bridging model" develops trust-based relationships
between high-risk mothers with the health system and its multiple resources.
Community members with advanced training provide the support and care linkages
that are critical for family success.
CONCLUSIONS: Innovative models of collaborative care impact the
health of vulnerable mothers and their children working toward a marked
decrease in health related disparities. |
doi_str_mv | 10.3233/WOR-151999 |
format | Article |
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maternal child health populations begin before birth and extend into the early
prenatal and gestational growth periods. Mothers and infants living in rural
poverty in particular are at considerable risk for problems associated with
reproductive health, including pregnancy complications and premature births.
OBJECTIVE: The aim of this manuscript is thus two-fold, to describe
the epidemiologic makeup of the community and the intervention model of the
Community Caring Collaborative.
METHODS: Innovative models of early-integrated care for high-risk
mothers and children are showing promise for long-term outcomes. They foster
environments that enable mothers to trust health systems while maintaining a
workforce of high functioning health workers who understand the mechanisms that
underpin maternal and child health disparities. The Community Caring
Collaborative in Washington County, Maine developed one such model that has
made inroads in bridging such gaps. This manuscript explicates a case study of
how the Community Caring Collaborative came into being and why it established
the Bridging model of comprehensive care. The focus of this manuscript is thus
two-fold, the community and the intervention model.
RESULTS: The "bridging model" develops trust-based relationships
between high-risk mothers with the health system and its multiple resources.
Community members with advanced training provide the support and care linkages
that are critical for family success.
CONCLUSIONS: Innovative models of collaborative care impact the
health of vulnerable mothers and their children working toward a marked
decrease in health related disparities.</description><identifier>ISSN: 1051-9815</identifier><identifier>EISSN: 1875-9270</identifier><identifier>DOI: 10.3233/WOR-151999</identifier><identifier>PMID: 25672962</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Bridging ; Children ; Childrens health ; Collaboration ; Communities ; Community ; Community Networks - organization & administration ; Community relations ; Female ; Health ; Health disparities ; Health Services Accessibility ; Healthcare Disparities ; Humans ; Infant, Newborn ; Integrative medicine ; Intensive Care, Neonatal ; Maine ; Maternal & child health ; Mathematical models ; Models, Organizational ; Mothers ; Neonatal Abstinence Syndrome - therapy ; Poverty ; Risk ; Risk factors ; Rural ; Rural Health ; Rural Population ; Social Support ; Social Work ; Studies</subject><ispartof>Work (Reading, Mass.), 2015-01, Vol.50 (3), p.413-423</ispartof><rights>IOS Press. All rights reserved</rights><rights>Copyright IOS Press 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c380t-d46d9f32d6258fa846e39ac7cf74a6702414e4c4e12a39c6deeabdf01a882cec3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25672962$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Morton, Jennifer</creatorcontrib><creatorcontrib>Withers, Marjorie</creatorcontrib><creatorcontrib>Konrad, Shelley Cohen</creatorcontrib><creatorcontrib>Buterbaugh, Carry</creatorcontrib><creatorcontrib>Spence, RuthAnne</creatorcontrib><title>Bridging the gaps: An early integrated support collaborative for at risk mothers in rural Maine</title><title>Work (Reading, Mass.)</title><addtitle>Work</addtitle><description>BACKGROUND: The antecedents that contribute to health disparities in
maternal child health populations begin before birth and extend into the early
prenatal and gestational growth periods. Mothers and infants living in rural
poverty in particular are at considerable risk for problems associated with
reproductive health, including pregnancy complications and premature births.
OBJECTIVE: The aim of this manuscript is thus two-fold, to describe
the epidemiologic makeup of the community and the intervention model of the
Community Caring Collaborative.
METHODS: Innovative models of early-integrated care for high-risk
mothers and children are showing promise for long-term outcomes. They foster
environments that enable mothers to trust health systems while maintaining a
workforce of high functioning health workers who understand the mechanisms that
underpin maternal and child health disparities. The Community Caring
Collaborative in Washington County, Maine developed one such model that has
made inroads in bridging such gaps. This manuscript explicates a case study of
how the Community Caring Collaborative came into being and why it established
the Bridging model of comprehensive care. The focus of this manuscript is thus
two-fold, the community and the intervention model.
RESULTS: The "bridging model" develops trust-based relationships
between high-risk mothers with the health system and its multiple resources.
Community members with advanced training provide the support and care linkages
that are critical for family success.
CONCLUSIONS: Innovative models of collaborative care impact the
health of vulnerable mothers and their children working toward a marked
decrease in health related disparities.</description><subject>Bridging</subject><subject>Children</subject><subject>Childrens health</subject><subject>Collaboration</subject><subject>Communities</subject><subject>Community</subject><subject>Community Networks - organization & administration</subject><subject>Community relations</subject><subject>Female</subject><subject>Health</subject><subject>Health disparities</subject><subject>Health Services Accessibility</subject><subject>Healthcare Disparities</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Integrative medicine</subject><subject>Intensive Care, Neonatal</subject><subject>Maine</subject><subject>Maternal & child health</subject><subject>Mathematical models</subject><subject>Models, Organizational</subject><subject>Mothers</subject><subject>Neonatal Abstinence Syndrome - therapy</subject><subject>Poverty</subject><subject>Risk</subject><subject>Risk factors</subject><subject>Rural</subject><subject>Rural Health</subject><subject>Rural Population</subject><subject>Social Support</subject><subject>Social Work</subject><subject>Studies</subject><issn>1051-9815</issn><issn>1875-9270</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkctKxTAQhoMo3jc-gARcKEI1t-bi7ijeQBFEcVly0mmt9jQ1aQXf3shREd24yhC--WaGH6EtSg444_zw4eY2ozk1xiygVapVnhmmyGKqSU4zo2m-gtZifCKEMEbMMlphuVTMSLaKiuPQlHXT1Xh4BFzbPh7hSYfBhvYNN90AdbADlDiOfe_DgJ1vWzv16bN5BVz5gO2AQxOf8cwnQ4ipCYcx2BZf26aDDbRU2TbC5ue7ju7PTu9OLrKrm_PLk8lV5rgmQ1YKWZqKs1KyXFdWCwncWKdcpYSVijBBBQgngDLLjZMlgJ2WFaFWa-bA8XW0N_f2wb-MEIdi1kQHadkO_BgLKpUyWuSC_QOViotcGZLQnV_okx9Dlw75EBJqhOE6UftzygUfY4Cq6EMzs-GtoKT4SKhICRXzhBK8_akcpzMov9GvSBKwOweireHHvL-qd3gSl1o</recordid><startdate>20150101</startdate><enddate>20150101</enddate><creator>Morton, Jennifer</creator><creator>Withers, Marjorie</creator><creator>Konrad, Shelley Cohen</creator><creator>Buterbaugh, Carry</creator><creator>Spence, RuthAnne</creator><general>SAGE Publications</general><general>IOS Press BV</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7TA</scope><scope>7TB</scope><scope>8FD</scope><scope>FR3</scope><scope>JG9</scope></search><sort><creationdate>20150101</creationdate><title>Bridging the gaps: An early integrated support collaborative for at risk mothers in rural Maine</title><author>Morton, Jennifer ; Withers, Marjorie ; Konrad, Shelley Cohen ; Buterbaugh, Carry ; Spence, RuthAnne</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c380t-d46d9f32d6258fa846e39ac7cf74a6702414e4c4e12a39c6deeabdf01a882cec3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Bridging</topic><topic>Children</topic><topic>Childrens health</topic><topic>Collaboration</topic><topic>Communities</topic><topic>Community</topic><topic>Community Networks - organization & administration</topic><topic>Community relations</topic><topic>Female</topic><topic>Health</topic><topic>Health disparities</topic><topic>Health Services Accessibility</topic><topic>Healthcare Disparities</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Integrative medicine</topic><topic>Intensive Care, Neonatal</topic><topic>Maine</topic><topic>Maternal & child health</topic><topic>Mathematical models</topic><topic>Models, Organizational</topic><topic>Mothers</topic><topic>Neonatal Abstinence Syndrome - therapy</topic><topic>Poverty</topic><topic>Risk</topic><topic>Risk factors</topic><topic>Rural</topic><topic>Rural Health</topic><topic>Rural Population</topic><topic>Social Support</topic><topic>Social Work</topic><topic>Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Morton, Jennifer</creatorcontrib><creatorcontrib>Withers, Marjorie</creatorcontrib><creatorcontrib>Konrad, Shelley Cohen</creatorcontrib><creatorcontrib>Buterbaugh, Carry</creatorcontrib><creatorcontrib>Spence, RuthAnne</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Materials Business File</collection><collection>Mechanical & Transportation Engineering Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Materials Research Database</collection><jtitle>Work (Reading, Mass.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Morton, Jennifer</au><au>Withers, Marjorie</au><au>Konrad, Shelley Cohen</au><au>Buterbaugh, Carry</au><au>Spence, RuthAnne</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bridging the gaps: An early integrated support collaborative for at risk mothers in rural Maine</atitle><jtitle>Work (Reading, Mass.)</jtitle><addtitle>Work</addtitle><date>2015-01-01</date><risdate>2015</risdate><volume>50</volume><issue>3</issue><spage>413</spage><epage>423</epage><pages>413-423</pages><issn>1051-9815</issn><eissn>1875-9270</eissn><abstract>BACKGROUND: The antecedents that contribute to health disparities in
maternal child health populations begin before birth and extend into the early
prenatal and gestational growth periods. Mothers and infants living in rural
poverty in particular are at considerable risk for problems associated with
reproductive health, including pregnancy complications and premature births.
OBJECTIVE: The aim of this manuscript is thus two-fold, to describe
the epidemiologic makeup of the community and the intervention model of the
Community Caring Collaborative.
METHODS: Innovative models of early-integrated care for high-risk
mothers and children are showing promise for long-term outcomes. They foster
environments that enable mothers to trust health systems while maintaining a
workforce of high functioning health workers who understand the mechanisms that
underpin maternal and child health disparities. The Community Caring
Collaborative in Washington County, Maine developed one such model that has
made inroads in bridging such gaps. This manuscript explicates a case study of
how the Community Caring Collaborative came into being and why it established
the Bridging model of comprehensive care. The focus of this manuscript is thus
two-fold, the community and the intervention model.
RESULTS: The "bridging model" develops trust-based relationships
between high-risk mothers with the health system and its multiple resources.
Community members with advanced training provide the support and care linkages
that are critical for family success.
CONCLUSIONS: Innovative models of collaborative care impact the
health of vulnerable mothers and their children working toward a marked
decrease in health related disparities.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>25672962</pmid><doi>10.3233/WOR-151999</doi><tpages>11</tpages></addata></record> |
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subjects | Bridging Children Childrens health Collaboration Communities Community Community Networks - organization & administration Community relations Female Health Health disparities Health Services Accessibility Healthcare Disparities Humans Infant, Newborn Integrative medicine Intensive Care, Neonatal Maine Maternal & child health Mathematical models Models, Organizational Mothers Neonatal Abstinence Syndrome - therapy Poverty Risk Risk factors Rural Rural Health Rural Population Social Support Social Work Studies |
title | Bridging the gaps: An early integrated support collaborative for at risk mothers in rural Maine |
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