Suchergebnisse

Inhalt -- 1. Einleitung: Adelige Schreibpraxis im 19. Jahrhundert -- 1.1 Die Verfasserin der Tagebücher -- 1.2 Die Tagebücher der Gräfin -- 1.3 Vorgehensweise und Methoden -- 2. Ein verschriftlichtes Leben: Beziehungen -- 2.1 Erste Liebesgeschichten -- 2.2 Eheanbahnung und Verlobung -- 2.3 Lieben in der Ehe -- 2.4 Verwandtschaftliche Netzwerke und Freundschaften -- 2.5 Zusammenfassung -- 3. Ein verschriftlichtes Leben: Alltag -- 3.1 Das Dorf Nordkirchen -- 3.2 Herrschaftliche Wohnkultur -- 3.2.1 Schloss Nordkirchen -- 3.2.2 Wohnen -- 3.3 Alltägliche Abläufe und Geselligkeiten

Von Liebeskummer über Hofzeremonien bis hin zu konkurrierenden Loyalitäten in Zeiten von Revolutionen – die hochadelige Gräfin Maria Esterházy-Galántha, geborene Plettenberg-Mietingen (1809 – 1861), schrieb von ihren Jugendtagen bis kurz vor ihrem Tod Tagebücher. Anhand dieser Quellen schildert Sheila Patel das Leben der Gräfin sowie deren Wahrnehmung von sich selbst und ihrer Zeit. Sie zeigt, dass der Zugang über Schreibpraxis und Schreibstrategien sowie das Lesen der Tagebücher neue Einblicke in das Erleben und Empfinden einer adeligen Frau im 19. Jahrhundert gewinnen lässt.

POLICY POINTS: Individuals with behavioral health (BH) conditions comprise a medically complex population with high costs and high health care needs. Considering national shortages of BH providers, primary care providers serve a critical role in identifying and treating BH conditions and making referrals to BH providers. States are increasingly seeking ways to address BH conditions among their residents. States funded by the Centers for Medicare and Medicaid Services under the first round of the State Innovation Models (SIM) Initiative all invested in BH integration. States found sharing data among providers, bridging professional divides, and overcoming BH provider shortages were key barriers. Nonetheless, states made significant strides in integrating BH care. Beyond payment models, a key catalyst for change was facilitating informal relationships between BH providers and primary care physicians. Infrastructure investments such as promoting data sharing by connecting BH providers to a health information exchange and providing tailored technical assistance for both BH and primary care providers were also important in improving integration of BH care. CONTEXT: Increasing numbers of states are looking for ways to address behavioral health (BH) conditions among their residents. The first round of the State Innovation Models (SIM) Initiative provided financial and technical support to six states since 2013 to test the ability of state governments to lead health care system transformation. All six SIM states invested in integration of BH and primary care services. This study summarizes states' progress, challenges, and lessons learned on BH integration. Additionally, the study reports impacts on expenditure, utilization, and quality‐of‐care outcomes for persons with BH conditions across four SIM states. METHODS: We use a mixed‐methods design, drawing on focus groups and key informant interviews to reach conclusions on implementation and quantitative analysis using Medicaid claims data to assess impact. For three ...