“Poverty is stressful both for the parents and the children, because of the uncertainty of life, and basic life needs that face families on a very tight income,” said Dr. Coulton who believes it’s very clear that stress is the mechanism linking poverty with poor health. Compounding the problem, the longer the stress lasts the more adverse it has on the health of the child. “Long-term poverty, particularly that starts in childhood, is a big factor in differences in health outcomes, even on into adulthood.”
While Cleveland has one of the highest poverty rates for children in the country, Coulton believes “Cleveland is really out ahead of the nation” on building a coalition to increase prekindergarten enrollment. Studies have shown high quality Pre-K and childcare can greatly helps low-income children be prepared for school. PRE4CLE, a partnership begun earlier this year, plans to double the number of Cleveland children in preschool. The Poverty Center is a technical consultant to the Cleveland Pre-K Task Force.
Dr. Coulton and the Poverty Center have been studying poverty in the region, its affects on children, and the benefits of prekindergarten for decades. The above map is from a recent Poverty Center report on child poverty. See also:
Supported Employment/Individual Placement and Support (SE/IPS) is an evidence-based practice that helps people with mental illness identify and acquire part-time or full-time jobs of their choice in the community with rapid job-search and placement services. SE/IPS emphasizes that work is not the product of treatment and recovery. Work is integral to both. These Supported Employment workshops at EBP Conference 2014 still have seats available. Register today! This event is sponsored by the Center for Evidence-Based Practices. Deadline to register is September 30.
A-08 | Supported Employment 101: SE Model Overview
B-07 | Job Development for People with Legal Backgrounds
C-04 | Supported Employment Follow-Along and Job Retention Supports
D-06 | The Vocational Profile & Job Development
E-06 | Supervising the Supported Employment Team, Part 1: Use of Outcomes
F-01 | Employment & Transitional Youth: Planning for the Future
F-05 | Supervising the Supported Employment Team, Part 2: Supervising Job Development
Cataract surgery on Alzheimer’s disease patients slows dementia and improves their quality of life, according to clinical trials conducted by researchers at Case Western Reserve University, University Hospitals Case Medical Center and MetroHealth Medical Center in Cleveland.
Grover “Cleve” Gilmore, PhD, Dean of the Mandel School, led the five-year study funded by the National Institute on Aging that examined the benefits of cataract surgery for people with Alzheimer’s disease. Gilmore said he hopes the study’s outcomes change the health disparity for Alzheimer’s patients denied cataract surgery due to a lack of evidence of any benefit.
“We’ve shown that it does benefit them,” he said.
The researchers report that, after assessing risks and safety issues for Alzheimer’s patients, co-occurring health problems—like cataracts—should be addressed.
“This study supports the Alzheimer’s Association view that people with dementia retain, and benefit from, full health care treatment,” said Maria Carrillo, PhD, the association’s vice president of medical and science relations.
Common perceptions that Alzheimer’s patients need no extra care or shouldn’t be put through surgery “are not justified and are bad medical practice,” Carrillo said.
Gilmore’s psychological research in visual perception deficits has shown that blurred vision and problems with contrast, which can occur with aging and dementia, place many at risk for accidents, such as bumping into things and falling down stairs. And as their visual world disappears, he said, many become withdrawn.
The study’s co-investigators are: Alan Lerner and Jon Lass, from Case Western Reserve’s Department of Ophthalmology at the medical school and University Hospitals Case Medical Center (UH); Julie Belkin and Susie Sami, from UH; Tatiana Riedel from Case Western Reserve’s Department of Psychological Sciences and Sara Debanne from the Department of Epidemiology; and Thomas Steinemann, from Case Western Reserve and MetroHealth Medical Center.
The patients weren’t the only ones to benefit from the surgery. Gilmore said caregivers reported being less stressed because the surgery allowed Alzheimer’s patients to become more mobile and independent—getting dressed, eating, moving and even driving.
The goal of Cityscape is to bring high-quality original research on housing and community development issues to scholars, government officials, policymakers, and practitioners. Published three times a year, Cityscape is open to all relevant disciplines, including architecture, consumer research, demography, economics, engineering, ethnography, finance, geography, law, planning, political science, public policy, regional science, sociology, statistics, and urban studies.
Dr. Joseph has also been selected to introduce award-winning British author Zadie Smith when she speaks at the CWRU campus on September 30 for the Cuyahoga County Public Library’s Writers Center Stage series. Smith has published four novels, all of which have received substantial critical praise. Her most recent novel, NW, was a National Book Critics Circle Award finalist.