Publications, College of Public Health
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Browsing Publications, College of Public Health by Author "LeRoy, Barbara"
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Item Challenges to the Systematic Adoption of Person-Centered Planning(2007) Wolf-Branigin, Michael; LeRoy, Barbara; Wolf-Branigin, Karen; Israel, Nathaniel; Kulik, NoelPrevious reviews of person-centered planning indicate a need for more comprehensive training to promote skill generalization. A three-phase training intervention was implemented with 22 planning teams for people with a disability in the Detroit metropolitan area. Independent observers rated team meetings posttraining on consumer orientation regarding three components of person-centered planning: meeting structure, interpersonal skills, and planning strategies. Analyses of ratings indicated that structural skills were significantly more readily incorporated than either interpersonal or strategic skills. Exploratory analyses indicated that the number of family members, friends, and advocates at the planning meetings was positively correlated with planning strategies, while living arrangements were negatively correlated with planning strategies. Implications for the acquisition and generalization of more complex planning skills are discussed.Item Designing Accessible Managed Care Services for People with Physical Disabilities: Consumer Suggestions Within an Emergent Design Process(2004) Wolf-Branigin, Michael; LeRoy, BarbaraPersons with physical disabilities have difficulty accessing health care. This has become more pronounced with the emergence of managed care and other efforts to limit growing healthcare costs. In responding to a state's Medicaid office interest in designing accessible health services, a consumer-based evaluation including a series of nine focus groups (96 participants) was conducted using an emergent design method. Our inductive analysis approach identified difficulties and provided the basis for recommending strategies to improve access. Two sets of consumer recommended strategies consistently were expressed during this process: (1) initiating one-to-one advocacy to improve local service coordination and (2) performing person-centered planning at enrollment in a managed care plan to facilitate appropriate and prompt access. These access strategies formed the basis for a later intervention design.