{"id":5494,"date":"2016-03-09T19:47:36","date_gmt":"2016-03-10T03:47:36","guid":{"rendered":"https:\/\/www.careersingovernment.com\/tools\/?p=5494"},"modified":"2016-03-09T19:47:44","modified_gmt":"2016-03-10T03:47:44","slug":"the-history-of-public-health-care-and-lillian-wald","status":"publish","type":"post","link":"https:\/\/www.careersingovernment.com\/tools\/gov-talk\/career-advice\/on-the-job\/the-history-of-public-health-care-and-lillian-wald\/","title":{"rendered":"The History of Public Health Care and Lillian Wald"},"content":{"rendered":"

\"public<\/a>March 10 celebrates the birth of an extraordinary woman: Lillian Wald.\u00a0 Wald was born into a middle-class New York family in 1867 and became a nurse at the age of 24.\u00a0 After taking medical courses, Wald\u2019s journey to health care reformer began.<\/p>\n

While working in Manhattan\u2019s Lower East Side, Wald was confronted with poverty and a lack of care she hadn\u2019t anticipated.\u00a0 Teaching home health care courses to New York\u2019s immigrant poor of the late 19th Century wasn\u2019t solving the problems Wald saw.<\/p>\n

Thus, she created the Nurses\u2019 Settlement, today called the Henry Street Settlement<\/a>, in 1893.\u00a0 Today, the settlement serves one of the nation\u2019s most ethnically diverse communities with a range of services.\u00a0 It and its founder also serve as models of public service and community care.<\/p>\n

Wald\u2019s Role<\/h2>\n

After leaving medical school to teach her home care classes, Wald began actively visiting her patients in their homes to provide care.\u00a0 She recruited a fellow nurse to join her in her visits, and then the seeds of Henry Street were sewn.<\/p>\n

Wald and Mary Brewster, the second nurse, moved into rooms in the community in which they were practicing.\u00a0 This is when Wald coined a term that is still used today: public health nursing.<\/p>\n

Community and public health nursing can be found in multiple iterations.\u00a0 As Wald\u2019s terminology suggests, public health nurses rarely work in institutions like hospitals or clinics<\/a>.\u00a0 If they are found in institutions, these are either non-profit or state-funded.<\/p>\n

Following the example set by Wald and her fellows, community health care providers continue to provide care for underserved populations while reforming and innovating.<\/p>\n

A Service Model<\/h2>\n

The settlement serves as a thorough model of community health care.\u00a0 Henry Street has four homeless shelters as well as an organically created retirement community.\u00a0 There are youth programs including college prep courses and GED classes and even a summer day camp.<\/p>\n

For municipalities wishing to provide community health care, Henry Street\u2019s holistic services are a great model to emulate.\u00a0 The settlement provides not only state-licensed primary care services through a family clinic, it also provides extensive mental health services to its community.<\/p>\n

Because of the large population of Asian immigrants in the community, there are Asian Bi-Cultural Mental Health Services, staffed by health care providers who speak Mandarin, Cantonese, and Taiwanese.\u00a0 The settlement\u2019s mental health services also provide satellite counseling at area schools.<\/p>\n

One of the more progressive mental health programs at Henry Street is PROS, or Personalized Recovery Oriented Services.\u00a0 Modeled on theories like neurocounseling<\/a>, which uses techniques like neurofeedback to re-train the brain and the body, PROS tackles severe cases of mental illness with holistic treatment.\u00a0 It includes treatment programs and workforce training to help integrate or reintegrate a patient into the community and the workforce.<\/p>\n

The Visiting Nurse Service of New York, also founded by Wald, is another model of community health care for government entities looking to provide services to their constituents.\u00a0 During this year\u2019s \u201cSnowmageddon,\u201d VNSNY care providers were on the ground in the harsh conditions, working with their everyday patients.<\/p>\n

One VNSNY provider, a physical therapist, arrived for a regular appointment despite the lack of public transportation.\u00a0 Like the founder of his organization, he knew that providing routine access to care was essential to his patients<\/a>.<\/p>\n

The Past is the Future<\/h2>\n

Wald was a shining example of selfless service to the poor and disadvantaged.\u00a0 She was a health care innovator at the turn of the 19th Century.\u00a0 Now, health care innovation is an entire industry.\u00a0 Government entities create entire business functions around community health care because of the pioneering work of Lillian Wald.\u00a0 Celebrate her birthday by looking to the future of health care innovation.<\/p>\n","protected":false},"excerpt":{"rendered":"

March 10 celebrates the birth of an extraordinary woman: Lillian Wald.\u00a0 Wald was born into a middle-class New York family in 1867 and became a nurse at the age of 24.\u00a0 After taking medical courses, Wald\u2019s journey to health care reformer began. While working in Manhattan\u2019s Lower East Side, Wald was confronted with poverty and […]<\/p>\n","protected":false},"author":3046,"featured_media":5495,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","_cbd_carousel_blocks":"[]","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[32],"tags":[35,611],"class_list":["post-5494","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-on-the-job","tag-government-trends","tag-health-careers"],"acf":[],"yoast_head":"\nThe History of Public Health Care and Lillian Wald - Careers in Government<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.careersingovernment.com\/tools\/gov-talk\/career-advice\/on-the-job\/the-history-of-public-health-care-and-lillian-wald\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The History of Public Health Care and Lillian Wald - Careers in Government\" \/>\n<meta property=\"og:description\" content=\"March 10 celebrates the birth of an extraordinary woman: Lillian Wald.\u00a0 Wald was born into a middle-class New York family in 1867 and became a nurse at the age of 24.\u00a0 After taking medical courses, Wald\u2019s journey to health care reformer began. 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