No description available.

This research examines access to community resources - services, facilities and amenities that are potentially health promoting - in two New Zealand territorial authorities, and the policy and planning frameworks of each regarding community resources. International research evidence indicates that community resource access is potentially beneficial to health and wellbeing, through creating supportive environments for health, and providing venues to facilitate social connections. Review of the urban design and planning literature indicates that community resource access is strongly influenced by the dominant urban design and planning models. Geographic information systems were used to develop a Census meshblock-based indicator of community resource accessibility (the Community Resource Accessibility Index). Quantitative analysis examined associations of resource access with socio-economic and demographic population patterns. Qualitative analysis, using key informant interviews and document analysis, explored policies on community resource access, and the role of health and wellbeing as a policy goal for each territorial authority. Quantitative analysis revealed the socio-economically wealthier city had higher overall levels of community resource access, but within each city, more deprived areas had higher levels of access. The location of community resources within poorer areas reduces the mobility costs of people within these areas to access such resources, and makes more available the general health benefits of community resources. Qualitative analysis indicated community resources are important components of urban strategies. Historic patterns of community resource development, aggregated city wealth and local policies were important determinants of the level of community resource access. In New Zealand, as will be the case internationally to varying degrees, there is considerable scope for territorial authorities to enhance local health and wellbeing, through direct delivery of community resources, and through collaboration with external agencies to develop community resources that are outside the direct responsibilities of territorial authorities. When these findings are considered in the context of the passage of local government legislation in late 2002, there is growing potential for territorial authorities to use a variety of levers to enhance community resource access, and by implication, health and wellbeing. Health promoters have opportunities to engage with local government and contribute to urban development strategies, for the purposes of enhancing population health and reducing health inequalities.

No description available.

This thesis examines the rapport building that occurs between rangatahi Māori whaiora (adolescent Māori who use mental health services) and Māori social workers in the field of community mental health. Six Māori social workers were interviewed to explore how they view and practice rapport building with rangatahi Māori whaiora. The Māori social workers were able to provide valuable perspectives based on years of personal and professional experience. The research was conducted using a social constructionist perspective, informed and guided by Māori-centred research principles. A qualitative research method was used and both Massey University and Māori ethical considerations thoroughly explored. Face to face interviews guided by an integrated practice framework, enabled the voices of the Māori social workers to be heard, eliciting in detail where their views have come from. The findings from the research showed that Māori social workers view rapport as essential in their practice and therefore they practice in a way that facilitates this with rangatahi. The social workers utilise their values and beliefs in their practice, according to their worldview; how they were raised; what they have experienced, and what they have learned. Specifically, Māori social workers identified the importance of practicing with a Māori worldview, therefore enabling physical connection, spiritual connection, and cultural connection with the rangatahi. These all contributed towards rapport building with the rangatahi and also their whānau. The importance of action reflection processes were also highlighted. This is due to the balance required from Māori social workers to fulfil the needs of the rangatahi as aligned with their values and beliefs, while meeting the requirements of the organisation, profession and wider community. This thesis explores these key findings.

Orientador: Solange L'Abbate / Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas / Made available in DSpace on 2018-08-18T01:40:18Z (GMT). No. of bitstreams: 1 Sol_NuncioAntonioAraujo_D.pdf: 30048278 bytes, checksum: 049f92b5a39004870d7b6253fa32095e (MD5) Previous issue date: 2011 / Résumé: Cette thèse a comme objectif général sauver, à travers l'Analyse Institutionnelle Socio-Historique, le processus de constitution de la Médecine Générale et Communautaire (MGC) brésilienne à partir de quelques expériences municipales. Important faire ressortir la forte implication de l'auteur avec ce travail être ex-residente de médecine générale communautaire de l'Hôpital Monsenhor Horta dans Mariana/MG. La MCG au Brésil présente de multiples et complexes influences sociales, politiques et culturelles, caractérisée par des éléments idéologiques et conceptuels divers et beaucoup de fois conflictuelles, originaires, au un premiers moments, de scénarios internationaux qui, à accosteront au Brésil, souffrent un processus assimilation " tropicalizada ", lié au choc entre La normatization d'état et de fondations internationales et sa il accomplit de la mise en oeuvre à partir des réalités locales où ils ont été implantés. Nous pourrions supposer l'existence d'un modèle brésilien de MGC? Ainsi, l'hypothèse centrale de ce travail est ce dont MGC au Brésil a présenté des caractéristiques propres qui la diffèrent du modèle original américain, en prévalant, dans le processus d'implantation et de mise en oeuvre, la flexibilité et les innovations de caractère local. S'analyse la mise en oeuvre de la Médecine Générale Communautaire au Brésil dans les décennies de 70 à 90, en élaborant une possible genèse conceptuelle et sociale de MGC à travers l'analyse de trois expériences dans MGC - les Du Centre de Santé-École Murialdo et de Grupo Hospitalier Conceição les deux à Porto Alegre /RS et encore opérant, et ce de l'Hôpital Monsenhor Horta dans Mariana/MG, interrompue en 1984. Il s'agit d'une étude de nature qualitative, de fond simultanément théorique ET empirique, sur base d'entrevues et de recherche documentaire. Des résultats montrent que les trois expériences analysées présentent des différences importantes, tant nous leurs processus d'implantation qu'aussi nous leurs liens institutionnels, politiques et idéologiques. Se détache aussi la variété des expériences concernant la formation de médecins résidants dans le secteur de MGC / Resumo: Esta tese tem como objetivo geral resgatar, através da Análise Institucional Sócio-Histórica, o processo de constituição da Medicina Geral e Comunitária (MGC) brasileira a partir de algumas experiências municipais. É importante salientar a forte implicação do pesquisador com este trabalho por ser ex-residente de medicina geral comunitária do Hospital Monsenhor Horta em Mariana/MG. A MCG no Brasil apresenta múltiplas e complexas influências sociais, políticas e culturais, caracterizada por elementos ideológicos e conceituais diversos e muitas vezes conflituosos, oriundos, num primeiro momento, de cenários internacionais que, ao aportarem no Brasil, sofrem um processo de assimilação "tropicalizada", decorrente do embate entre a normatização estatal e de fundações internacionais e sua efetiva implementação a partir das realidades locais onde foram implantadas. Poderíamos, então, supor a existência de um modelo brasileiro de MGC? Assim, a hipótese central deste trabalho é a de que a MGC no Brasil apresentou características próprias que a diferem do modelo original americano, prevalecendo, no processo de implantação e implementação, a flexibilidade e as inovações de caráter local. Foi analisada a trajetória da Medicina Geral Comunitária no Brasil nas décadas de 70 a 90, elaborando uma possível gênese conceitual e social da MGC através da análise de três experiências em MGC - o do Centro de Saúde-Escola Murialdo e do Grupo Hospitalar Conceição ambos em Porto Alegre/RS e ainda atuantes, e a do Hospital Mons. Horta em Mariana/MG, interrompido em 1984. Trata-se de um estudo de natureza qualitativa, de fundo simultaneamente teórico e empírico, com base em entrevistas semi-estruturadas e pesquisa documental. Os resultados mostram que as três experiências analisadas apresentam diferenças relevantes, tanto nos seus processos de implantação como também nos seus vínculos institucionais, políticos e ideológicos. Destaca-se também a variedade das experiências em relação à formação de médicos residentes na área de MGC / Abstract: This dissertation aims at rescuing, by Socio-Historical Institutional Analysis, the process of constitution of Brazilian General Medicine Community (GMC) from some municipal experiences. It is important to point out the strong implication between the researcher and this study, since he was a former-resident of GMC of Monsenhor Horta Hospital in Mariana/MG. The GMC in Brazil presents multiple and complex social, cultural and political influences, it is also characterized by diverse ideological and conceptual elements and many times conflictive, deriving, at the first moment, from international settings that, when arriving in Brazil, suffered from a process called "tropical like" assimilation, resulting from the shock between the state normalization and international foundations and its effective implementation through the local realities where they were implanted. So, could we suppose the existence of a Brazilian model of GMC? Thus, the central hypothesis of this work would be that the GMC in Brazil presented proper characteristics that differ from the American original model, prevailing, in the process of implantation and implementation, the flexibility and the innovations of local feature. The study analyzed the implementation of Brazilian General Medicine Community in the decades of 70 the 90, elaborating possible conceptual and social genesis of the GMC through the analysis of three different experiences in GMC - Center of Murialdo Health-School and the Conceição Hospital Group, both still operating in Porto Alegre /RS and Mons. Horta Hospital in Mariana/MG, interrupted in 1984. This is a qualitative study of theoretical and empirical background simultaneously, based on semi-structured interviews and desk research. Results point out that the three experiences show relevant differences not only in their insertion processes but also in their institutional, political and ideological bonds. The research also highlights the variety of experiences for the training of medical residents in the area of GMC in Brazil / Doutorado / Ciências Sociais em Saúde / Doutor em Saude Coletiva

Submitted by Marcia Bacha (marcia.bacha@fgv.br) on 2012-05-14T11:57:14Z No. of bitstreams: 1 Genicy de Araujo Sena.pdf: 635187 bytes, checksum: 77bf33f3d8ae1298023ea54b8135581d (MD5) / Approved for entry into archive by Marcia Bacha (marcia.bacha@fgv.br) on 2012-05-14T11:57:28Z (GMT) No. of bitstreams: 1 Genicy de Araujo Sena.pdf: 635187 bytes, checksum: 77bf33f3d8ae1298023ea54b8135581d (MD5) / Made available in DSpace on 2012-05-14T11:57:37Z (GMT). No. of bitstreams: 1 Genicy de Araujo Sena.pdf: 635187 bytes, checksum: 77bf33f3d8ae1298023ea54b8135581d (MD5) Previous issue date: 2012 / Este trabalho objetiva constatar se a pena de prestação de serviços à comunidade, quando aplicada, tem um papel educativo junto ao infrator beneficiário da medida, seja como substituta da pena privativa de liberdade, após a condenação, seja como medida alternativa, após transação penal em sede do Juizado Especial Criminal. Com base no conceito de educação apresentado pelo professor Paulo Freire, busca identificar, através de entrevistas com beneficiários, se existe um trabalho conscientizador ( mediante troca de experiências e atividades educativas) desenvolvido pelas instituições receptoras dos beneficiários da medida e, se a reinserção imediata do infrator na sociedade viabiliza essa conscientização sobre a sua conduta criminosa. Assim, pretende constatar se a referida medida tem apenas um caráter punitivo ou vem desenvolvendo uma função educativa durante a sua execução. / This study aims to determine whether a sentence of community service, when applied, have an educational role by the offender as beneficiary or as a substitute for the sentence of imprisonment, upon conviction, either as an alternative, after transaction criminal headquarters of the Special Criminal Court. Based on the concept of education presented by Professor Paulo Freire, seeks to identify, through interviews with beneficiaries, if there is a work conscientizing (through an exchange of experiences and educational activities) developed by the institutions which are sent and if the immediate reintegration of the offender in society enables this awareness of their criminal conduct. So, you want to see if the measure has only a punitive or has developed an educational function during its execution.

No description available.

Interracial couples have different experiences compared to their intraracial counterparts. Interracial couples and their relationships (particularly their marriages) have been studied to see whether there are any effects on the relationship due to the couple’s inherent differences. However, the literature heavily focuses on interracial marriages while only touching on interracial relationships in general, with a primary focus on interracial couples of all kinds. With the tension between White and Black Americans over the years, one can wonder if there would be any noticeable differences within Black/White interracial couples with regard to racial identification and experienced discrimination due to the Black-White racial disparity. This study tested whether these factors contribute to the overall relationship satisfaction in Black/White interracial couples. Data were collected via MTurk and participants completed three assessments to capture how racial identity and experienced discrimination impact their relationship. Racial identity was assessed using Worrell, Mendoza, and Wang’s (2019) Cross Ethnic-racial Identity Scale- Adult (CERIS-A); perceived racial discrimination was assessed Conger’s (2006) revised version of Landrine et al.’s (2006) General Ethnic Discrimination Scale; and relationship satisfaction was assessed using Funk and Rogge’s (2007) Couples Satisfaction Index (CSI-16). It was predicted that experienced discrimination and racial identity would impact the relationship satisfaction of Black-White interracial couples. The results showed that experienced discrimination did significantly impact relationship satisfaction and racial identity, however, racial identity did not significantly impact relationship satisfaction in Black-White interracial couples. The lack of research on the CERIS-A’s validity when interacting with other constructs, a missing question on the CSI-16, and not accounting for biracial participants and their experiences with racial identity development are all limitations that should be considered when reviewing the results. Clinicians can use the information from this study to assist clients in having more conversations about their experiences of discrimination with one another and having them create their own meanings around interracial dating and racial identity.

The purpose of this quantitative study was to examine the interaction between parents’ own trauma and their assessment of their child’s functioning and its relationship to the parent’s belief that their child would benefit from mental health care services. The parents’ trauma experience was measured using the Adverse Childhood Experiences (ACEs) questionnaire and Trauma History Questionnaire (THQ), and the child’s functioning was measured using the Columbia Impairment Scale (CIS). It was hypothesized that the higher number of traumas a parent experienced was associated with a weaker relationship between a parent’s assessment of their child’s functional impairment and the likelihood a parent recognizes the benefit of mental health care services for their child. One hundred and eighty-four people participated in this study. Data were analyzed using multiple binary logistic regression, and no significant relationship was found between a parent’s assessment of their child’s functional impairment and that parent’s belief that their child would benefit from mental healthcare services. The parent’s childhood THQ score and age were found to have significant positive relationships with the parent’s belief that their child would benefit from mental healthcare services. The variable found to have the most significant positive relationship with the parent’s belief that their child would benefit from mental healthcare services was an educational or healthcare professional telling the parent that the child would benefit from mental health care services. Clinical implications, limitations, and future directions for research were addressed.

This thesis is concerned with cultural connection and its role in creating cultural permanence when planning for Indigenous children and youth in care. Its goal is to mitigate the current path of disconnection and imbalance for Indigenous children and youth in care and to recommend an ecological, holistic approach to child welfare practice. It comprises a literature review that documents theories and practices to support belonging, cultural permanence, and cultural identity for Indigenous children while supporting meaningful connections with family, culture, and community. This information and analysis will be applied to the care of children and youth being served by Northwest Inter-Nation Family and Community Services Society (NIFCS) in British Columbia. The study’s findings will highlight guidance to assist social workers in centering cultural traditions that promote cultural strengths, resiliency, and a sense of belonging for Indigenous children and youth. This thesis will provide suggestions for interacting with the Indigenous community, parents, relatives, workers, and other delegated agencies. Finally, this thesis will explore how one social worker’s dream influences the direction of her practice to build on cultural strengths and spiritual resiliency. / Graduate / 0452 / 0631 / 0628 / kbennett@nifcs.org