Online Program

A Case Management Model of Healthcare Delivery for People with Disabilities affected by the Legacies of the Vietnam War: Agent Orange and Unexploded Ordnance

Monday, November 2, 2015 : 1:10 p.m. - 1:30 p.m.

Carole Baraldi, Ed.D, RN, School of Health and Natural Sciences, Mercy College, New York, NY
Background:  For ten years during the Vietnam War, 80 million liters of toxic chemicals, mainly Agent Orange were sprayed to exfoliate vegetation to enhance military surveillance.  Unfortunately, the toxic chemical dioxin destroyed the ecological environment impacting the Vietnamese directly exposed and their offspring resulting in various disabilities.  Additionally, there were undetonated explosive weapons deployed that remain in the environment posing a risk of detonation decades later. 


Method:  Veterans for Peace have requested monetary assistance from the USAID to fund Project RENEW (Restoring the Environment and Neutralizing the Effects of the War) in their efforts to assist the victims of Agent Orange and unexploded ordnance.   The proposal is to develop and implement a five year plan integrating concepts of community based rehabilitation with case management.  RENEW is a Vietnamese managed and staffed non-governmental organization trained to international standards that currently implements ordnance survey and clearance, risk education, and provides victim assistance. 

Results:   The case management concept includes an interdisciplinary team of healthcare professionals to develop and deliver patient-centered rehabilitation to people with disabilities. The combination of the well established CBR model with case management will provide a more comprehensive and sustainable healthcare delivery system.  


Conclusions:  The case management model has been used extensively in industrialized nations to coordinate care through interdisciplinary teams.  This targeted, patient-centered approach has been shown to improve quality outcomes, and efficacies while being cost effective. The victims of these war legacies may benefit from this extended model to maximize functional abilities and enhance societal integration.

Learning Areas:

Administer health education strategies, interventions and programs
Advocacy for health and health education
Assessment of individual and community needs for health education
Public health or related nursing

Learning Objectives:
Discuss how case management model of healthcare delivery can benefit individuals with disabilities affected by Agent Orange and unexploded ordnance to maximize functional abilities and enhance societal integration.

Keyword(s): Accessibility, Community Health Planning

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the recipient of several grants that included the creation of materials for women with disabilities on breast cancer and lectured extensively on the topic throughout the New York City area I have worked as a professional nurse with over 35 years experience in public health sector and as an adult nurse practitioner. I also have been a disability rights advocate promoting equitable access to preventive health care
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.