Presentation made by Dr. Carolyn A. (Cindy) Watts on the 5th of November, 2012 during the live webinar hosted by VCU Department of Gerontology (discussion moderated by Dr E. Ayn Welleford) - review recording of webinar at http://www.alzpossible.org/wordpress-3.1.4/wordpress/alliedhealth/
The consolidated billing requirement confers on the SNF the billing responsibility for the entire package of care that residents receive during a covered Part an SNF stay and physical, occupational, and speech therapy services received during a non-covered stay.
Presentation made by Dr. Carolyn A. (Cindy) Watts on the 5th of November, 2012 during the live webinar hosted by VCU Department of Gerontology (discussion moderated by Dr E. Ayn Welleford) - review recording of webinar at http://www.alzpossible.org/wordpress-3.1.4/wordpress/alliedhealth/
The consolidated billing requirement confers on the SNF the billing responsibility for the entire package of care that residents receive during a covered Part an SNF stay and physical, occupational, and speech therapy services received during a non-covered stay.
An estimated four million Canadians act as unpaid or informal caregivers to seniors and persons with disabilities. In her June 3 webinar, Sherri Torjman, Vice-President, Caledon Institute of Social Policy, explores three proposals to protect caregivers from financial ruin: 1) expand Employment Insurance (EI) compassionate care leave; 2) extend Canada Pension Plan (CPP) provisions; and 3) make current tax credits for caregivers refundable.
Everyone is accountable and expected to protect health information. The circle is large and encompasses many different organizations. Patient data is protected for a reason. Let’s look at some brief reminders:
This chapter examines the U.S. health care system—specifically, the organization of medical services; key governmental health programs such as Medicare and Medicaid; the crisis in health care, including attempts to curb health care costs; the large numbers of uninsured people; the impact of the American Medical Association on health care; and that of managed care in the American health care system. The chapter also surveys various proposals designed to ameliorate the problems in U.S. health care and considers how medical services are organized in Great Britain, Canada, and Australia.
An estimated four million Canadians act as unpaid or informal caregivers to seniors and persons with disabilities. In her June 3 webinar, Sherri Torjman, Vice-President, Caledon Institute of Social Policy, explores three proposals to protect caregivers from financial ruin: 1) expand Employment Insurance (EI) compassionate care leave; 2) extend Canada Pension Plan (CPP) provisions; and 3) make current tax credits for caregivers refundable.
Everyone is accountable and expected to protect health information. The circle is large and encompasses many different organizations. Patient data is protected for a reason. Let’s look at some brief reminders:
This chapter examines the U.S. health care system—specifically, the organization of medical services; key governmental health programs such as Medicare and Medicaid; the crisis in health care, including attempts to curb health care costs; the large numbers of uninsured people; the impact of the American Medical Association on health care; and that of managed care in the American health care system. The chapter also surveys various proposals designed to ameliorate the problems in U.S. health care and considers how medical services are organized in Great Britain, Canada, and Australia.
Julie Jacko\'s presentation on ARRA at work in MinnesotaJulie Jacko
Julie Jacko delivered this presentation in June 2010 at the Minnesota e-Health Summit. The purpose was to describe the impact of the American Recovery and Reinvestment Act (ARRA) on workforce efforts in the State of Minnesota.
In partnership with people with disabilities and their families, the Virginia Department of Rehabilitative Services collaborates with the public and private sectors to provide and advocate for the highest quality services that empower individuals with disabilities to maximize their employment, independence and full inclusion into society.
Community Support Services (CSS) involve intensive one-to-one education and training to assist a person with a brain injury to live and participate as independently as possible in home, work, and community settings of choice. Community Support Services typically focus on the development and implementation of compensatory strategies versus the retraining of cognitive skills. Specific services may include education, life skills training, assessment and instruction related to the use of assistive technology, as well as the development and implementation of strategies and techniques to help a person to function successfully in community settings. Areas targeted for Community Support Services may include household and financial management, personal care/hygiene, coping and social skills, using transportation, and other similar skills and tasks.
Creating an Evidence-Based Approach to Lifespan Suicide PreventionDennis Embry
Keynote: Address:
Humans appear to be the only species on the planet that kill themselves, which is the apparent result of the unique properties of language and the fact that other humans are the principal predator and the principal source of safety in our lives. Last year, three times as many America’s died from suicide as died at the height of the polio epidemic in the 1950s: 36,000 deaths from suicide, versus 3,000 from polio.
A public-health approach across the lifespan is required to reduce this terrible suffering and injury. A public-health campaign is less about the warning signs of suicide than specific actions that disable the “pump handle” to the wells of despair that result in suicidality.
This talk lays out four key principles from a lead article in a special issue of the American Psychologist on prevention, by the presenter and colleagues [1]. These principles arise from the consilience of evolutionary, medical, and behavioral sciences. The principles are not limited to the prevention of suicide; indeed, they principles address prevention of multiple mental, emotional, behavioral, and related physical disorders as outlined by the Institute of Medicine [2].
This talk integrates these principles with low-cost evidence-based kernels [3] and behavioral vaccines [4, 5] that can operate as an integrated public-health model to prevent multiple mental, emotional, behavioral, and related disorders [6]. This talk specifically shows how several apparently simple strategies can be promoted to prevent suicide across the lifespan, illustrated by data and practical mechanisms with rapid results and cost savings for multiple-silos of government and the private sector. The net result is happier, healthier, and productive citizens of all ages.
Breakout #1: Preventing Future Suicide from Pregnancy through Childhood Evidence-based Kernels and Behavioral Vaccines
This breakout expands on the keynote with specific evidence-based kernels and behavioral vaccines, organization and implementation details for low-cost strategies that can avert suicidality 10 to 20 years later cost effectively. One specific strategy that will be covered in greater detail is the Good Behavior Game (which is being widely promoted by in the US and Canada), as the only early elementary school strategy with lifetime scientific data on reducing sucidality [7]. Presently, the Substance Abuse and Mental Health Services Administration (SAMSHA) is funding 30 sties to do the Good Behavior Game, with 28 of those being supervised by Dr. Embry and his colleagues.
Breakout #2: Preventing Suicide from Adulthood through Senior Years
This breakout explores what science we have that shows pathways for preventing suicide among adults of all ages, beyond signs of suicide. This breakout links the principles from the keynote with evidence-based kernels and behavioral vaccines that can be used in multiple contexts and initiatives. Policies and practices can be scale
Three Easy Pieces for Maternal and Child Health Policy: MACHs Roundtable 2012 Dennis Embry
Troubles impact the future of our children in the modern world, many of which are traceable to what evolutionary thinkers call—evolutionary mismatch. I am a participant with the Evolution Institute, which says this about mismatch:
Natural selection adapts organisms to their past environments and has no ability to foresee the future. When the environment changes, adaptations to past environments can misfire in the current environment, producing a mismatch that can only be solved by subsequent evolution or by modifying the current environment. Mismatches are an inevitable consequence of evolution in changing environments.
Today, we examples of potential mismatch lurking in a whole range of mental, emotional, behavioral, and related disorders affecting maternal and child health. It this talk, I plan to explore how five simple policies might address mismatch that has created epidemics of autism, fetal alcohol effects, schizophrenia, depression, and other ills. These three policy categories emerge from robust science that challenges our conventional theories about the causes of troubling things like the rise of autism, serious mental illness, or aggressive and violent behavior.
In my experience as a prevention scientist, Manitoba is perhaps the only place in the Western Hemisphere capable of implementing policies and practices that might reverse adverse trends affecting the wellbeing of mothers and children for the future. So let us have a roundtable about three easy pieces for our futures:
1. Policy Goal 1: Reduce multiple sources of neuro-inflammation before pregnancy, during pregnancy and during childhood—using low-cost, scientifically proven evidence-based kernels [1].
2. Policy Goal 2: Recognize, reinforce and reward non-use of tobacco, alcohol & other drugs among women of childbearing age —using low-cost, scientifically proven evidence-based kernels [1].
3. Policy Goal 3: Create public-private partnerships to promote specific nurturing environments actionable strategies for children and their caregivers [2, 3]
References Utilized and Cited
1. Embry DD, Biglan A: Evidence-Based Kernels: Fundamental Units of Behavioral Influence. Clinical Child & Family Psychology Review 2008, 11(3):75-113.
2. Biglan A, Flay BR, Embry DD, Sandler IN: The critical role of nurturing environments for promoting human well-being. American Psychologist 2012, 67(4):257-271.
3. Embry DD: Behavioral Vaccines and Evidence-Based Kernels: Nonpharmaceutical Approaches for the Prevention of Mental, Emotional, and Behavioral Disorders. Psychiatric Clinics of North America 2011, 34(March):1-34.
Something has been happening in America. More and more young people are showing up with various mental, emotional, and behavioral disorders—based on the 2009 Institute of Medicine Report on the Prevention of Mental, Emotional, and Behavioral Disorders Among Young People. These disorders—from alcohol addiction to other serious mental and behavioral problems—are not just happening in K-12 education: they are fully present in larger numbers on college and university campuses. And, even more importantly, they are now epidemic in our broader society, causing untold damage to the fiscal stability of America, its national security, and global economic competitiveness.
Oddly, it is American institutions of higher learning that have pioneered the world’s best science why and how this epidemic is happening and what can be done to avert the problems. Still more oddly, it is not American institutions of higher learning leading the charge on applying that science—something at odds with the unique heritage of America applying science to better the world. Other rich democracies now lead in applying prevention science for the protection of their future generations.
American Colleges and Universities can become one of the drivers of great carbon revolution, not just a revolution in silicon technology. By a carbon revolution, this means resolving the problems of human behavior that are the largest burdens of social and economic pain and suffering.
In my presentations, I intend to outline how the youthful energies of our young people might be combined with prevention science for population-level prevention and protection against mental, emotional, behavioral and related physical disorders plaguing our futures.
• First, the presentation is aimed at evoking understanding of how these problems have arisen from fundamental evolutionary mismatch—something that my colleagues in the evolutionary sciences have started to map well.
• Second, the presentation gives concrete examples of how prevention science can be scaled to a public-health model to protect our young people and our broader society.
• Third, the presentation outlines how colleges and universities—students, faculty and staff—might have a leadership role in changing the trajectory of these problems rapidly.
• Fourth, the presentation maps how all this can be funded in a politically powerful way, which will in turn strengthen colleges and universities by reducing the huge rise in tuition and other costs that have well outpaced inflation. Indeed, the cost of higher education is now significantly higher in the US proportionately than that of other rich democracies.
I realize that this not a standard presentation about addictions among our college-age youth, decrying the alcohol industry or arguing over the age of drinking or the legalization of marijuana. I believe we must have a much bigger solution, not just for the sake of the young people on our campuses—but for all o
Rapid results for usa jobs and child family wellbeingDennis Embry
Imagine US Corporations repatriated and invested their $1.5 trillion overseas profits back into the use to increase employment in the nation's 4.6 million small businesses, reduce and prevent the nation's epidemic of mental, emotional, and behavioral disorders among our young people, and improved the health of the country and radically reduced the burden of our prisons on the taxpayers while improving public safety. Impossible? Hardly. The US tax code enables this to happen, and the US companies will only pay interest on their investments in the US—not the repatriated funds. This can happen through the vehicle of Social Impact Bonds, and the world-class prevention science of the United States. Please read and help us make this idea happen.
Connecticut nurturing environments for rapid results rev2Dennis Embry
Can we make huge change to benefit children and families. This talk was before state, federal and private leaders on how we can reclaim our children's futures.
Connecticut Presentation for Major ChangeDennis Embry
The state of Connecticut recently held a major meeting with Congressional members, cabinet members, and funders to outline a plan to create major, population-level impact on improving the wellbeing of Connecticut's children and families. This presentation opened the discussion
Creating a culture of prevention and recoveryDennis Embry
Texas is the land of professed public bootstraps, and very private suffering. There is not a family in Texas that has not been touched by the rising prevalence of mental, emotional, behavioral and related physical illnesses. In fact there is not a family in America that has not been so touched, based on the elegant epidemiological monitoring in the US.
So in the land of big hats, why cannot Texas take the lead in a very big idea that will save billions of dollars, improve health, increase the global economic competitiveness of the US, and improve our national security? All that sounds, well, frankly very patriotic and American. What is the really big idea?
First, virtually every mental, emotional, and behavioral disorder (including addictions) is preventable. How solid is that statement? Stamp on the ground ten times as hard as you can. Did you feel it? Well that is how solid the science is. You don’t hear it on your TV; you don’t hear that science in your newspaper or Time magazine; you don’t hear it from your health care provider; and people are not learning this at university. And absolutely nobody is lobbying the Texas Legislature or Governor about this science and possibility. I’ll wager you might not believe me, even though I am a pretty dang good scientist. So if you don’t believe me that the science exists, you can go to www.pubmed.gov and look every study or fact I site. After my talk, you will jabbering away at just about anybody who will listen.
Second, recovery from mental, emotional, and behavioral disorders—including very serious ones like schizophrenia and bipolar disorder—can go into remission. This remission and recovery is not dependent on medications. Now that is not a fact that you will hear on TV, or hear from the pharmaceutical detail people in your doctor’s office. Now I read almost everything I can on these problems, and I missed hearing about this science—until recently. That shows you how buried it is. At my plenary, you will hear about the practical science of recovery.
Third, there are ways to pay for all this using something called, “Social Impact Bonds.” So instead of Texas selling bonds for building another prison, bonds can be sold preventing or reducing the problems in the first place. Now there’s an idea. And, yes other countries are doing this.
The really big idea—a Texas big idea? Well, Texas could be the first place in America to do all this. That would change America, and all our futures.
Biglan et al the critical role of nurturing environments for promoting human ...Dennis Embry
The recent Institute of Medicine report on prevention (National Research Council & Institute of Medicine, 2009) noted the substantial interrelationship among mental, emotional, and behavioral disorders and pointed out that, to a great extent, these problems stem from a set of common conditions. However, despite the evidence, current research and practice continue to deal with the prevention of mental, emotional, and behavioral disorders as if they are unrelated and each stems from different conditions. This article proposes a framework that could accelerate progress in preventing these problems. Environments that foster successful development and prevent the development of psychological and behavioral problems are usefully characterized as nurturing environments. First, these environments minimize biologically and psychologically toxic events. Second, they teach, promote, and richly reinforce prosocial behavior, including self-regulatory behaviors and all of the skills needed to become productive adult members of society. Third, they monitor and limit opportunities for problem behavior. Fourth, they foster psychological flexibility—the ability to be mindful of one's thoughts and feelings and to act in the service of one's values even when one's thoughts and feelings discourage taking valued action. We review evidence to support this synthesis and describe the kind of public health movement that could increase the prevalence of nurturing environments and thereby contribute to the prevention of most mental, emotional, and behavioral disorders. This article is one of three in a special section (see also Muñoz Beardslee, & Leykin, 2012; Yoshikawa, Aber, & Beardslee, 2012) representing an elaboration on a theme for prevention science developed by the 2009 report of the National Research Council and Institute of Medicine. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
CAPE MAY: A Different Scientific Perspective About the Causes and Cures of Bu...Dennis Embry
The story of the bully is very old. You can read descriptions of bullies in the Old Testament. Bullying seems to be increasing. Why is that? Why is it that aggressive, disturbing and disruptive behaviors have steadily increased in America—much more than other rich countries? We see bullying at preschool, at elementary school, in secondary school. We see bullying in the workplace, in the media, in every walk of life imaginable. Why is this so? What has happened that this behavior is more prevalent? The causes of being a bully and being bully victim have increasingly intriguing scientific findings. This presentation outlines what might underlying causes of the increase and the implications for larger action in society. We will look a biology, the brain, behavior and even evolutionary findings to get a deeper understanding for action. Some of the causes of being a bully and being a bully victim will surprise you, and will lay the foundation for a culture freer of bullying.
Cape May New Jersey Presentation on PreventionDennis Embry
The story of the bully is very old. You can read descriptions of bullies in the Old Testament. Bullying seems to be increasing. Why is that? Why is it that aggressive, disturbing and disruptive behaviors have steadily increased in America—much more than other rich countries? We see bullying at preschool, at elementary school, in secondary school. We see bullying in the workplace, in the media, in every walk of life imaginable. Why is this so? What has happened that this behavior is more prevalent? The causes of being a bully and being bully victim have increasingly intriguing scientific findings. This presentation outlines what might underlying causes of the increase and the implications for larger action in society. We will look a biology, the brain, behavior and even evolutionary findings to get a deeper understanding for action. Some of the causes of being a bully and being a bully victim will surprise you, and will lay the foundation for a culture freer of bullying.
In this 1 hour presentation, a deeper unstinting of why crime prevention must incorporate evolutionary theory. Humans are the principle predator of humans, and the principle source of safety. This talk outlines several clear strategies with large preventive effects.
New Hampshire Keynote on Prevention for Whole County 11 10-11Dennis Embry
Cheshire County, NH, seeks to be the healthiest county in America by 2020. The County is off to a roaring start: it has statistical snapshots and research briefs. Now the summit is about moving into high-gear to influence the behavior of 77,000 people from birth to 100 to meet the challenge.
How will the organizers and advocates do this with due hast and cost-efficiency in terms of people power, money and time?
How will the organizers and advocates make increased wellness and reduced morbidity and mortality happen across all the categories —from healthy weights, to mental illness, to cancer, to unintentional or intentional injuries, to addictions, to self harm, and heart disease?
This talk lays out real answers from somebody who has done large scale prevention trials with success, with diverse problems.
First, people will learn to tackle the problems not so much by topic (i.e., each separate issue), but by tackling the underlying common threads that hold and cause multiple problems. When you cut the common thread, you have impact across many domains. This is called a multi-problem or syndemic approach, and participates will learn from examples how to apply this to real-world issues from the Research Briefs.
Second, people need to use powerful yet low cost tools to influence those 77,000 to make changes in their behavior—with enough people to tip the balance of change. We cannot do therapy with every citizen to achieve the change; we need a public health model that empowers each citizen—young or old—to act not just for themselves but also in ways that help the health and wellbeing futures of many others. Again, the talk and related activities will illustrate how such behavior change and mobilization can be done using the same basic toolkit over and over, with examples.
Third, the whole community needs a way to be invested in ALL OUR FUTURES, not just self. Why? Because, the aggregate success actually reduces the “behavioral contagion” causing many of these problems. And, health equals wealth, both an individual and community level. This part of the presentation gives examples and illustrations that can help create the healthiest county not just for 2020—but also for decades to come
Keynote talk: Vermont Assn. for Mental Health and Friends of Recovery Annual...Dennis Embry
Dear Attendees of the Vermont Association for Mental Health and Friends of Recovery Annual Conference,
I am delighted to be participating at your event about the very real possibility of preventing mental illness at a population level in Vermont, based on the world-class research reviewed in the 2009 Institute of Medicine Report on the Prevention of Mental, Emotional, and Behavioral Disorders in Young People.
Vermont is in a unique position in the history of America to implement strategies that could catapult our country into unparalleled wellbeing. During my work with you on Thursday, October 27, I will be discussing how the State can use the opportunity of its Health Care Initiative to do what impeccable science (and a good dose of grand-motherly wisdom) show is within our grasp:
• Prevent, avert, and/or reduce most mental, emotional, and behavioral disorders.
• Promote mental, emotional, and behavioral wellbeing that improves educational and workplace productivity.
When these are changed, the state’s economic wellbeing will be improved on multiple fronts, since these problems are the biggest cost centers of local, state and business operations.
If Vermont can do this, then its success can help move America into a place of greater fiscal and political safety for all our futures.
Thus, I join you with a spirit of practical optimism on Thursday, and invite you to download and share two recent papers related to our work together.
(Use this tiny hyperlink: http://bit.ly/IOM-EMBRY)
Embry, D. D. (2011). "Behavioral Vaccines and Evidence-Based Kernels: Non-pharmaceutical Approaches for the Prevention of Mental, Emotional, and Behavioral Disorders." Psychiatric Clinics of North America 34(March): 1-34.
The Institute of Medicine Report on the Prevention of Mental, Emotional and Behavioral Disorders Among Young People1 (IOM Report) provides a powerful map for how the United States might significantly prevent mental illnesses and behavioral disorders like alcohol, tobacco, and other drug use among America’s youth. This document is already shaping United States policies, and will almost certainly affect Canada and other countries’ policies. Mental, emotional, and behavioral disorders (MEBs) among America’s youth and young adults present a serious threat to the country’s national security2 and to our economic competitiveness compared with 22 other rich countries.3–7 Such MEBs are also the leading preventable cost center for local, state, and the federal governments.1,4 Further, safe schools, healthy working environments, and public events or places are seriously compromised by MEBs as well.
(Use this tiny hyperlink: http://bit.ly/EmbryBiglanKernels)
Embry, D. D. and A. Biglan (2008). "Evidence-Based Kernels: Fundamental Units of Behavioral Influence." Clinical Child & Family Psychology Review 11(3): 75-113.
This paper describes evidence-based kernels, fundamental units of behavioral influence that appear to u
Women In Medicine University of KansasDennis Embry
Specific Learning Objectives:
1. Learning the four key malleable factors for preventing multiple, interrelated mental, emotional, behavioral and physical disorders that are epidemic in America
2. 2. . Learning how to move from rationing of prevention to universal access to simple, scientifically proven strategies (e.g., evidence-based kernels and behavioral vaccines) that prevent the most costly burdens affecting children, youth, and adults.
3. 3. Learning actual examples that can be applied to improve practice, applied science and basic science as well as for personal or family benefit
Abstract:
“How are the children?” goes the greeting when chiefs of aboriginal peoples meet. The question is not about the chiefs’ own children, but about all the children of the tribe. The children and young adults today are not all right. The 2009 IOM Report on the Prevention of Mental, Emotional and Behavioral Disorders (and related physical disorders) shows that the prevalence rates in the US are the worst among the rich democracies, and continuing to get worse. These trends imperil the future security, safety, economic, and political stability of America.
Just as John Snow showed how the Cholera epidemic could be stopped by a simple strategy that provided “prevention for everyone,” so are there very simple strategies from robust science called “evidence-based kernels” and “behavioral vaccines” that prevent, avert or reduce almost every mental, emotional, behavior and related physical disorders. Prevailing scientific dogma, political policies, and mega-marketing by pharmaceutical companies obscures the clear potential to achieve major shifts in morbidity and mortality for the whole country.
This presentation show real world scientifically validated examples, many of which amusingly have significant histories from science at the University of Kansas over the past 45 years. Examples will be presented to show clinical, scientific and personal applications.
New prevention for everyone washington state aug 2011 copyDennis Embry
Washington State Educational Service District #113 had an exciting event in which virtually every level of community and government was present to learn how to apply evidence-based kernels and behavioral vaccines across the board to achieve large benefits in reducing or preventing mental, emotional, behavioral, and related physical health problems. This even was the first to engage in helping Dr. Embry write a new book for chaining
Nurturing the genius of genes the new frontier of education, therapy, and un...Dennis Embry
Not every child seems equally susceptible to the same parental, educational, or environmental influences even if cognitive level is similar. This study is the first ran- domized controlled trial to apply the differential susceptibility paradigm to education in relation to children’s genotype and early literacy skills. A randomized pretest–posttest control group design was used to examine the effects of the Intelligent Tutoring System Living Letters. Two intervention groups were created, 1 receiving feedback and 1 completing the program without feedback, and 1 control group. Carriers of the long variant of the dopamine D4 receptor gene (DRD4 7-repeat) profited most from the computer program with positive feed- back, whereas they performed at the lowest level of early literacy skills in the absence of such feedback. Our findings suggest that behind modest overall educational intervention effects a strong effect on a subgroup of susceptible children may be hidden.
Harvard University Brief on Causes and Cures of Bullying and Harassment Dennis Embry
Bullying and harassment in the 21st century in the United States is one of the symptoms of a broader epidemic of mental, emotional, behavioral and related physical illnesses—collectively the result of evolutionary mismatches and selection by consequences within the broader culture. Focusing on bullying and harassment per se may paradoxically serve to maintain multiple toxic conditions causing victimization that all here assembled find reprehensible.
Harvard University Brief on Causes and Cures of Bullying and Harassment
Prevention for everyone graphic
1. Health Care Reform Act
Family Business Donors/ National Media
Foundations Sponsors
Local
Health Local/Regional Media
Prevention
Insurers
Private Donors Scoreboard
Consumer Prevention Products
Property/Auto & (Retail & Online)
United Way and/or Life Insurers
National
Community
Foundations
Foundations
School Personnel Local, State
Local NGO: and
State Health Local Health
Prevention Private Providers National
Professional
Authority Authority for Everyone* Groups
(prenatal thru age 21) Agency Providers
Local Gov'ts
Center for Medicaid Services FQHC & Tribal County
Extension Suppliers of Evidence-
(Medicaid Administrative Match) Lookalikes Governments Based Prevention
Products or Tech. Asst.
Dept. of Defense
Example Enabling Regulations
Universities &
Preventive services Rehabilitative services Comm. Colleges
(Act, 42 C.F.R. 440.130 (c), 2004) (Act, 42 C.F.R. 440.130 (d), 2004)
Private Scientific Orgs
Early and Periodic Screening, Medical Services under the Individuals
Diagnostic, and Treatments with Disabilities Education Act
Services (IDEA, 2004) *Can be existing entities (e.g.,
DFC's, non-profits)