Home About us Contact
|
Home About us Contact | ||
|
|
||
Health Community (health + community)
Kinds of Health Community Selected AbstractsWork, Identity, and Stigma Management in an Italian Mental Health CommunityANTHROPOLOGY OF WORK REVIEW, Issue 1 2006Sara M. Bergstresser Abstract When mental illness prevents an individual from working, the economic burden is obvious, but little attention has been paid to the accompanying loss of social identity. This paper addresses the meanings of work and unemployment for participants in an Italian community mental health center, and it evaluates the role of work therapy in an agricultural setting as a way to regain some social aspects of work or professional identity. The study is based on over a year of anthropological fieldwork in the Province of Bergamo, Northern Italy, conducted to investigate the relationship between community-based mental health care, social stigma of mental illness, and the social sphere in everyday life. The social position of the individual at the time of job loss is significant in his or her professional expectations while in the community center. Those who had previously worked in manual or farming capacities found this type of work therapy to be a helpful means of social participation. On the other hand, expectations based on educational, social, and economic hierarchies persist for individuals within mental health communities. For those individuals with high education, manual labor violated professional expectations, and the reality of their employability provided a conflict between social participation and perceived status group. The stigma of unemployment is also addressed in relation to political identity and desire for worker status. [source] Developing a learning network to support engagement with health communitiesHEALTH EXPECTATIONS, Issue 4 2004Kathie Andrews No abstract is available for this article. [source] Globalization, coca-colonization and the chronic disease epidemic: can the Doomsday scenario be averted?JOURNAL OF INTERNAL MEDICINE, Issue 3 2000P. Zimmet Zimmet P (International Diabetes Institute, Melbourne, Australia). Globalization, coca-colonization and the chronic disease epidemic: can the Doomsday scenario be averted? J Intern Med 2000; 247: 301,310. There are at present approximately 110 million people with diabetes in the world but this number will reach over 220 million by the year 2010, the majority of them with type 2 diabetes. Thus there is an urgent need for strategies to prevent the emerging global epidemic of type 2 diabetes to be implemented. Tackling diabetes must be part of an integrated program that addresses lifestyle related disorders. The prevention and control of type 2 diabetes and the other major noncommunicable diseases (NCDs) can be cost- and health-effective through an integrated (i.e. horizontal) approach to noncommunicable diseases disease prevention and control. With the re-emergence of devastating communicable diseases including AIDS, the Ebola virus and tuberculosis, the pressure is on international and regional agencies to see that the noncommunicable disease epidemic is addressed. The international diabetes and public health communities need to adopt a more pragmatic view of the epidemic of type 2 diabetes and other noncommunicable diseases. The current situation is a symptom of globalization with respect to its social, cultural, economic and political significance. Type 2 diabetes will not be prevented by traditional medical approaches; what is required are major and dramatic changes in the socio-economic and cultural status of people in developing countries and the disadvantaged, minority groups in developed nations. The international diabetes and public health communities must lobby and mobilize politicians, other international agencies such as UNDP, UNICEF, and the World Bank as well as other international nongovernmental agencies dealing with the noncommunicable diseases to address the socio-economic, behavioural, nutritional and public health issues that have led to the type 2 diabetes and noncommunicable diseases epidemic. A multidisciplinary Task Force representing all parties which can contribute to a reversal of the underlying socio-economic causes of the problem is an urgent priority. [source] Association of Community Health Nursing Educators: Disaster Preparedness White Paper for Community/Public Health Nursing EducatorsPUBLIC HEALTH NURSING, Issue 4 2008Sandra W. Kuntz ABSTRACT The Association of Community Health Nursing Educators (ACHNE) has developed a number of documents designed to delineate the scope and function of community/public health nursing educators, researchers, and practitioners. In response to societal issues, increased emphasis on disaster preparedness in nursing and public health, and requests from partner organizations to contribute to curriculum development endeavors regarding disaster preparedness, the ACHNE Disaster Preparedness Task Force was appointed in spring 2007 for the purpose of developing this document. Task Force members developed a draft of the document in summer and fall 2007, input was solicited and received from ACHNE members in fall 2007, and the document was approved and published in January 2008. The members of ACHNE extend their appreciation to the members of the Emergency Preparedness Task Force for their efforts: Pam Frable, N.D., R.N.; Sandra Kuntz, Ph.D., C.N.S.-B.C. (Chair); Kristine Qureshi, D.N.Sc., C.E.N., R.N.; Linda Strong, Ed.D., R.N. This white paper is aimed at meeting the needs of community/public health nursing educators and clarifying issues for the nursing and public health communities. ACHNE is committed to promotion of the public's health through ensuring leadership and excellence in community and public health nursing education, research, and practice. [source] Work, Identity, and Stigma Management in an Italian Mental Health CommunityANTHROPOLOGY OF WORK REVIEW, Issue 1 2006Sara M. Bergstresser Abstract When mental illness prevents an individual from working, the economic burden is obvious, but little attention has been paid to the accompanying loss of social identity. This paper addresses the meanings of work and unemployment for participants in an Italian community mental health center, and it evaluates the role of work therapy in an agricultural setting as a way to regain some social aspects of work or professional identity. The study is based on over a year of anthropological fieldwork in the Province of Bergamo, Northern Italy, conducted to investigate the relationship between community-based mental health care, social stigma of mental illness, and the social sphere in everyday life. The social position of the individual at the time of job loss is significant in his or her professional expectations while in the community center. Those who had previously worked in manual or farming capacities found this type of work therapy to be a helpful means of social participation. On the other hand, expectations based on educational, social, and economic hierarchies persist for individuals within mental health communities. For those individuals with high education, manual labor violated professional expectations, and the reality of their employability provided a conflict between social participation and perceived status group. The stigma of unemployment is also addressed in relation to political identity and desire for worker status. [source] Interrogating power: the case of arts and mental health in community projectsJOURNAL OF COMMUNITY & APPLIED SOCIAL PSYCHOLOGY, Issue 4 2007Rebecca Lawthom Abstract In this paper, we use the multi-dimensional model of power to interrogate arts and mental health community based projects. Using data retrospectively gathered during a series of participative evaluations, we re-analyse the data focusing on the ways in which power is located and negotiated across levels of analysis and multiple ecological domains. Evidence from the evaluations is richly presented illustrating power at the micro, meso and macro level. Whilst the model offers a rich reading of power, it is difficult to operationalize historically. Moreover, the static nature of the model fails to adequately capture the multiplicity of sometimes polar positions adopted. Engaging in a particular framework of community psychology, we argue that this project may be seen as part of a wider prefigurative action research agenda. Copyright © 2007 John Wiley & Sons, Ltd. [source] DSM-III and the revolution in the classification of mental illnessJOURNAL OF THE HISTORY OF THE BEHAVIORAL SCIENCES, Issue 3 2005Rick Mayes A revolution occurred within the psychiatric profession in the early 1980s that rapidly transformed the theory and practice of mental health in the United States. In a very short period of time, mental illnesses were transformed from broad, etiologically defined entities that were continuous with normality to symptom-based, categorical diseases. The third edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-III) was responsible for this change. The paradigm shift in mental health diagnosis in the DSM-III was neither a product of growing scientific knowledge nor of increasing medicalization. Instead, its symptom-based diagnoses reflect a growing standardization of psychiatric diagnoses. This standardization was the product of many factors, including: (1) professional politics within the mental health community, (2) increased government involvement in mental health research and policymaking, (3) mounting pressure on psychiatrists from health insurers to demonstrate the effectiveness of their practices, and (4) the necessity of pharmaceutical companies to market their products to treat specific diseases. This article endeavors to explain the origins of DSM-III, the political struggles that generated it, and its long-term consequences for clinical diagnosis and treatment of mental disorders in the United States. © 2005 Wiley Periodicals, Inc. [source] Use of O*NET as a job exposure matrix: A literature reviewAMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 9 2010Manuel Cifuentes MD Abstract Background O*NET is a publicly available online database that describes occupational features across US job titles and that has been used to estimate workplace physical and psychosocial exposures and organizational characteristics. The aim of this review is to describe and evaluate the use of O*NET as a job exposure matrix. Methods A review of the peer-reviewed published and gray literature was conducted. Twenty-eight studies were found that used O*NET to estimate work exposures related to health or safety outcomes. Each was systematically evaluated across eight main features. Results Many health outcomes have been studied with O*NET estimates of job exposures. Some studies did not use conceptual definitions of exposure; few studies estimated convergent validity, most used predictive validity. Multilevel analysis was underutilized. Conclusion O*NET is worthy of exploration by the occupational health community, although its scientific value is still undetermined. More studies could eventually provide evidence of convergent validity. O*NET has the potential to allow examination of occupational risks that might have otherwise been ignored due to missing data or resource constraints on field data collection of job exposure information. Am. J. Ind. Med. 53:898,914, 2010. © 2010 Wiley-Liss, Inc. [source] Surveillance of occupational health disparities: Challenges and opportunities,,AMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 2 2010Kerry Souza ScD Abstract Increasingly, the occupational health community is turning its attention to the effects of work on previously underserved populations, and researchers have identified many examples of disparities in occupational health outcomes. However, the occupational health status of some underserved worker populations is not described due to limitations in existing surveillance systems. As such, the occupational health community has identified the need to enhance and improve occupational health surveillance to describe the nature and extent of disparities in occupational illnesses and injuries (including fatalities), identify priorities for research and intervention, and evaluate trends. This report summarizes the data sources and methods discussed at an April 2008 workshop organized by NIOSH on the topic of improving surveillance for occupational health disparities. We discuss the capability of existing occupational health surveillance systems to document occupational health disparities and to provide surveillance data on minority and other underserved communities. Use of administrative data, secondary data analysis, and the development of targeted surveillance systems for occupational health surveillance are also discussed. Identifying and reducing occupational health disparities is one of NIOSH's priority areas under the National Occupational Research Agenda (NORA). Am. J. Ind. Med. 53:84,94 2010. Published 2010 Wiley-Liss, Inc. [source] Where Is the Future in Public Health?THE MILBANK QUARTERLY, Issue 2 2010HILARY GRAHAM Context: Today's societies have far-reaching impacts on future conditions for health. Against this backdrop, this article explores how the future is represented in contemporary public health, examining both its conceptual base and influential approaches through which evidence is generated for policy. Methods: Mission statements and official reviews provide insight into how the future is represented in public health's conceptual and ethical foundations. For its research practices, the article takes examples from epidemiological, intervention, and economic research, selecting risk-factor epidemiology, randomized controlled trials, and economic evaluation as exemplars. Findings: Concepts and ethics suggest that public health research and policy will be concerned with protecting both today's and tomorrow's populations from conditions that threaten their health. But rather than facilitating sustained engagement with future conditions and future health, exemplary approaches to gathering evidence focus on today's population. Thus, risk-factor epidemiology pinpoints risks in temporal proximity to the individual; controlled trials track short-term effects of interventions on the participants' health; and economic evaluations weigh policies according to their value to the current population. While their orientation to the present and near future aligns well with the compressed timescales for policy delivery on which democratic governments tend to work, it makes it difficult for the public health community to direct attention to conditions for future health. Conclusions: This article points to the need for research perspectives and practices that, consistent with public health's conceptual and ethical foundations, represent the interests of both tomorrow's and today's populations. [source] Alcohol research and the alcoholic beverage industry: issues, concerns and conflicts of interestADDICTION, Issue 2009Thomas F. Babor ABSTRACT Aims Using terms of justification such as ,corporate social responsibility' and ,partnerships with the public health community', the alcoholic beverage industry (mainly large producers, trade associations and ,social aspects' organizations) funds a variety of scientific activities that involve or overlap with the work of independent scientists. The aim of this paper is to evaluate the ethical, professional and scientific challenges that have emerged from industry involvement in alcohol science. Method Source material came from an extensive review of organizational websites, newspaper articles, journal papers, letters to the editor, editorials, books, book chapters and unpublished documents. Results Industry involvement in alcohol science was identified in seven areas: (i) sponsorship of research funding organizations; (ii) direct financing of university-based scientists and centers; (iii) studies conducted through contract research organizations; (iv) research conducted by trade organizations and social aspects/public relations organizations; (v) efforts to influence public perceptions of research, research findings and alcohol policies; (vi) publication of scientific documents and support of scientific journals; and (vii) sponsorship of scientific conferences and presentations at conferences. Conclusion While industry involvement in research activities is increasing, it constitutes currently a rather small direct investment in scientific research, one that is unlikely to contribute to alcohol science, lead to scientific breakthroughs or reduce the burden of alcohol-related illness. At best, the scientific activities funded by the alcoholic beverage industry provide financial support and small consulting fees for basic and behavioral scientists engaged in alcohol research; at worst, the industry's scientific activities confuse public discussion of health issues and policy options, raise questions about the objectivity of industry-supported alcohol scientists and provide industry with a convenient way to demonstrate ,corporate responsibility' in its attempts to avoid taxation and regulation. [source] | |||||||||||||