#CommunityHealth

citizenportal.ai

Commissioners report: transit fare draft, river access planning, and waste management concerns

Commissioners updated the board on a draft transit fare structure (proposed $2 one‑way, $5 all‑day, $25 monthly, $250 yearly), early river access planning and regional solid waste pressure following Coffin Butte closure; public health and overdose trends were also highlighted.

citizenportal.ai

Silver Cross Hospital tells Will County board it provided $62 million in community benefit last year

Silver Cross Hospital officials updated the Will County board on services, partnerships and a $1.3 billion annual economic impact; presenters said the hospital delivered roughly $62 million in community benefit in fiscal 2025 and defended its nonprofit property-tax exemption reporting.

dlvr.it

Developing and Implementing an Occupation-Based Practice Service Delivery Model for Stroke Survivors in a Rural Thai Community Rehabilitation Center: Mixed Methods #feasibility Study

Background: Occupation-based practice (OBP) has been demonstrated to enhance occupational performance and goal attainment in stroke rehabilitation. However, existing evidence is predominantly derived from hospital-based settings, with limited investigations into OBP implementation in community contexts. In Thailand, particularly in rural areas, there remains a need to establish effective OBP service delivery models and to evaluate their outcomes across diverse client populations receiving community-based rehabilitation services. Objective: This study aimed to develop an OBP service delivery model for community-based stroke rehabilitation in the Doi Lor community, Chiang Mai Province, Thailand, and to evaluate its effects on occupational performance, goal attainment, and quality of life among community-dwelling stroke survivors. Additionally, the study explored the occupational therapist’s experience and perceptions of implementing the model, particularly the practicality of implementation in long-term community-based occupational therapy services. Methods: This study used an embedded mixed methods #feasibility design comprising a 1-group pretest-posttest intervention study and a qualitative descriptive interview. An OBP service delivery model for community-based stroke rehabilitation was developed based on the Dynamic Model of Occupation-Based Practice; the Occupational Therapy Practice Framework, Fourth Edition; and evidence-based stroke rehabilitation principles. The model was implemented by a trained occupational therapist with 7 stroke survivors at a rural community rehabilitation center over 14 sessions spanning 7 weeks. Quantitative outcomes were assessed before and after the intervention using the Canadian Occupational Performance Measure, goal attainment scaling, and the World Health Organization Quality of Life–Brief Version. Qualitative data were collected through a semistructured interview with the occupational therapist to explore experiences of implementing the OBP service delivery model. Results: In the quantitative analysis, participants demonstrated statistically significant improvements in occupational performance and satisfaction as measured by the Canadian Occupational Performance Measure (=.02), higher levels of goal attainment on the goal attainment scaling (=.02), and improved overall quality of life as assessed by the World Health Organization Quality of Life–Brief Version (=.02). Qualitative findings from the occupational therapist interview indicated 2 themes, including facilitating client-centered outcomes through OBP implementation and enhancing professional confidence and supporting the practical implementation of OBP in community-based practice. The occupational therapist described the model as practical and feasible and reported increased confidence in delivering occupation-based interventions. The findings also highlighted the potential applicability of the model within long-term, community-based occupational therapy services. Conclusions: This preliminary study suggests that an OBP service delivery model grounded in therapist preparation, client-centered goal setting, and outcome-focused intervention may support improvements in occupational performance, goal attainment, and quality of life among stroke survivors receiving community-based rehabilitation. This approach may contribute to strengthening long-term stroke care, particularly in rural communities where access to hospital-based rehabilitation services is limited.

citizenportal.ai

Site providers describe walk-in MOUD, mobile clinics and data barriers in panel to CSRSAC

Panelists from Blue Mountain Heart to Heart, HealthPoint, SoundPathways and tribal sites described services enabled by hub funding (walk-in MOUD, wound care, mobile units), billing and staffing hurdles, and success stories including long-acting buprenorphine inductions and participants entering sustained recovery.

citizenportal.ai

Missoula health department plans CASPER door-to-door survey and regional CHA reports

Health department will use the MAP framework, University of Montana secondary data and a CASPER-style door-to-door sampling (210 interviews, Oct. 13–17) plus focus groups to produce a regional report and a Missoula-specific community health assessment that aims to be smaller and more actionable than prior multi-hundred-page reports.

citizenportal.ai

Council moves discussion forward on International Way annexation, leaves record reopening open

The Springfield City Council discussed an annexation for the International Way/North Gateway site, debated whether it meets comprehensive-plan annexation criteria and agreed to continue deliberations with a focus on transportation, stormwater and annexation-agreement terms rather than immediately reopening the hearing.

citizenportal.ai

County health administrator warns of early flu and some COVID activity ahead of football season

Bill Ayers said conference calls indicate flu activity is beginning in August and that some COVID activity exists in the state; he warned that travel and football season could accelerate spread and urged awareness.