Justice advocates cite state as treatment model

It’s now common for youth to remain in foster care or residential treatment for years. For troubled or victimized children in need, assistance at home is often more effective than foster placement.

Doctors at Stanford University developed per-patient and per-month payment plans to better support patients with complex medical needs. The approach upends the typical per-service payment model. It has radically improved primary care by incentivizing healthcare providers to offer more comprehensive support.

A consent decree ensures juveniles are not held more than 21 days in a Jackson, Miss., facility that was the subject of a lawsuit over the number of children it held and the conditions they faced. But opponents, including a youth court judge, say this is not solving the underlying problems facing the young offenders and even the plaintiffs in the suit says the larger issue is the approach to juvenile justice in the state.

New Zealand introduced restorative justice practices for juveniles in their criminal justice system after incredibly high rates of child incarceration and an over-representation of minorities. The practice, in places since the late 80's, includes youth justice councils and limits police arrests. The "overall number of youth arrested, charged, and incarcerated" has fallen, but there is still disproportionate representation of minority groups in the system.

The Children Living With Cancer Foundation organizes dance parties for children with cancer, to provide them with a sense of joy, encouragement, and community during times of need. The nonprofit also organizes community events and donations and works with local pharmacies to get patients the medicines they need at subsidized rates. So far, the Foundation has supported 300 childhood cancer patients and their families.

To allow patients to still see their doctors during the coronavirus pandemic, insurance providers have eliminated some of the barriers for providers to be reimbursed for telehealth appointments. This change in policy has helped doctors in Maine grow their telehealth practices in ways that may outlast the pandemic.

The United Kingdom's health-care system – which has been lauded as one of the most equitable models for care – is built around a government agency that decides "which treatments are worth covering, and for whom." Although the measures used to determine these recommendations are controversial and the agency doesn't always sustain public trust in their decisions, the overall outcome has increased both social solidarity and life expectancy.

Drug Aid Africa sources unused, unaltered drugs from people who don’t need them anymore and distributes them to people who do need them but can’t afford or access them. Drug Aid Africa provides free routine medications for conditions like sickle-cell anemia, as well as antimalarials, antibiotics and frequent visits to communities where they provide healthcare support and supplies. So far, the organization's efforts have helped more than 10,000 people.

School-based health centers provide free services including flu shots, physicals, contraceptive care and reproductive education, talk therapy and behavioral health care to students. Research has found that these school-based clinics boost vaccination rates, reduce hospital visits, lower rates of teen pregnancy and depression and improve grades and attendance levels, all while reducing disparities and making healthcare more accessible.

A pair of doctors are working to make healthcare more accessible and affordable by training area hospitals to use new technology, like ultrasound devices, to detect non-communicable diseases. Through their newly established non-communicable disease clinic staffed with personnel trained to provide more precise medical care, about 1,100 patients have been cared for.