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Mental Health Policy, Practice, and Service Accessibility in Contemporary Society最新文献

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Aboriginal Wellbeing 土著居民的健康
Pub Date : 1900-01-01 DOI: 10.4018/978-1-5225-7402-6.CH007
Jennifer Martin, Jenni White, S. Roberts, Zac Haussegger, E. Greenwood, Kellie Grant, T. Haines
The aim of this chapter is to contribute to addressing the gap between policy and practice for the development and implementation of accessible health and wellbeing organizations and practices from a culturally safe, trauma-informed approach. The objective is to increase use of services early on by Aboriginal people and ultimately to improve health and wellbeing outcomes. A targeted literature search identifies the main features of cultural safety and trauma-informed approaches followed by the presentation of a culturally safe, trauma-informed framework, and implementation plan. The literature on organizations is predominantly from Australia with the work of Michael Yellow Bird in the United States relied upon for the discussion of decolonization. For improved health and wellbeing outcomes with Aboriginal people, historical and contemporary political, economic, and social contextual factors relating to colonization must be acknowledged, and in the Australian context, particular attention must be given to the stolen generations.
本章的目的是帮助解决政策与实践之间的差距,以文化上安全、了解创伤的方式建立和实施无障碍保健和福利组织和做法。其目标是增加土著人民早期对服务的利用,并最终改善健康和福祉结果。有针对性的文献检索确定了文化安全和创伤知情方法的主要特征,随后提出了文化安全和创伤知情框架和实施计划。关于组织的文献主要来自澳大利亚,美国的Michael Yellow Bird的工作被用于非殖民化的讨论。为了改善土著人民的健康和福祉,必须承认与殖民有关的历史和当代政治、经济和社会背景因素,并且在澳大利亚的背景下,必须特别注意被偷走的一代。
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引用次数: 2
Encouraging Social Inclusion for Older Adults Through “Interest”-Led Technology Use 以“兴趣”为导向使用科技,鼓励长者融入社会
Pub Date : 1900-01-01 DOI: 10.4018/978-1-5225-7402-6.CH012
Jeanie Beh, B. Mascitelli, S. Pedell
There are many misconceptions about older adults' capabilities and aspirations, and especially their attitudes and approach towards technology. They are often misunderstood and seen as uninterested and unmotivated to engage with use of technology. Due to an absence of an “interest” framework for older adults to learn mobile touch screen technologies, this chapter investigates the role that pre-existing interests play in older adults' adoption of technology. Can a curriculum guided only by pre-existing interests of older adults, rather than a structured curriculum have a positive influence on its adoption for mobile touch screen technologies? The results show that when older adults are taught according to requests based on their pre-existing interests, it encouraged long-term adoption of technology including building up their confidence in usage of mobile touch screen technologies.
关于老年人的能力和愿望,尤其是他们对科技的态度和方法,有许多误解。他们经常被误解,并被视为对使用技术不感兴趣和没有动力。由于缺乏老年人学习移动触摸屏技术的“兴趣”框架,本章调查了预先存在的兴趣在老年人采用技术中的作用。仅以老年人已有的兴趣为指导的课程,而不是结构化的课程,能否对其采用移动触摸屏技术产生积极影响?结果表明,当老年人根据他们先前的兴趣要求接受教育时,它会鼓励他们长期采用技术,包括建立他们使用移动触摸屏技术的信心。
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引用次数: 3
Access to Evidence-Based Services for Individuals With Borderline Personality Disorder 为边缘型人格障碍患者提供循证服务
Pub Date : 1900-01-01 DOI: 10.4018/978-1-5225-7402-6.CH009
P. King, Jennifer Martin
This chapter outlines the key features of the diagnosis of borderline personality disorder. This is a diagnosis that has attracted significant levels of stigma and has generally been viewed as difficult to treat. This has resulted in often inadequate service responses for people experiencing high levels of distress. Increased understanding is facilitated by exploring precipitating factors leading to this diagnosis, including invalidating and often traumatizing environments. Available evidence from Australian and international literature is considered, with main treatments identified to inform improved treatment outcomes. The need for attention to biological, psychological factors is highlighted and in particular acknowledgment of the high prevalence of trauma, particularly childhood sexual assault, amongst the mostly women who are given this diagnosis.
本章概述了边缘型人格障碍诊断的主要特征。这种诊断引起了很大程度的耻辱感,通常被认为难以治疗。这导致对经历高度痛苦的人的服务反应往往不足。通过探索导致这种诊断的促发因素,包括无效的和经常造成创伤的环境,有助于增进理解。从澳大利亚和国际文献中获得的证据被考虑,并确定了主要治疗方法,以改善治疗结果。强调需要注意生物和心理因素,特别是承认在大多数被诊断为这种疾病的妇女中,创伤,特别是儿童期性侵犯的发生率很高。
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引用次数: 0
Natural Environments, Ecosystems, Conflict, and Wellbeing 自然环境、生态系统、冲突和幸福
Pub Date : 1900-01-01 DOI: 10.4018/978-1-5225-7402-6.CH013
Fatih Bodzemir, Jennifer Martin
This chapter examines the correlation between environmental issues and wellbeing. A broad literature review illustrates that changing climate, increasing populations, and degrading natural environments have negative impacts on health and wellbeing. The focus of this chapter is on conflicts arising from the limited supply of natural resources and competing needs, interests, and demands. This can create high levels of tension and division within communities that erodes community spirit, support, and connectedness as people compete for limited resources. The conflict arising from such disputes has negative impacts on social cohesion and the high levels of stress experienced, without adequate supports, can trigger mental ill health. The example of basin level water conflict in Turkey is used to illustrate this.
本章探讨了环境问题与幸福感之间的关系。一项广泛的文献综述表明,气候变化、人口增长和自然环境退化对健康和福祉产生了负面影响。本章的重点是自然资源的有限供应和相互竞争的需求、利益和要求所引起的冲突。这可能在社区内造成高度紧张和分裂,侵蚀社区精神、支持和联系,因为人们争夺有限的资源。此类争端引起的冲突对社会凝聚力产生负面影响,如果没有适当的支持,所经历的高度压力可能引发精神疾病。本文以土耳其盆地水位冲突为例说明了这一点。
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引用次数: 0
Working With Lesbian, Gay, Bisexual, and Transgender People in Care Relationships 与照顾关系中的女同性恋、男同性恋、双性恋和变性人一起工作
Pub Date : 1900-01-01 DOI: 10.4018/978-1-5225-7402-6.CH010
Gabriel Aleksandrs
This chapter details some key considerations for health and human services professionals working with lesbian, gay, bisexual, and transgender (LGBT) people in care relationships. Reflecting on the impacts of stigma and discrimination as well as the social, cultural, and political contexts of LGBT communities and carers, this chapter will explore some of ways these factors (as well as heterosexist and cis-genderist assumptions about families and partners) impact the identification, support, and recognition of LGBT people in care relationships. Finally, this chapter will recommend strategies to reduce poor mental health and wellbeing outcomes among people in care relationships where one or all people involved are LGBT, and explore some key actions that may assist health and human services better support and include LGBT people in care relationships.
本章详细介绍了在护理关系中与女同性恋、男同性恋、双性恋和变性人(LGBT)打交道的卫生和人类服务专业人员的一些关键注意事项。通过反思污名化和歧视的影响,以及LGBT社区和照顾者的社会、文化和政治背景,本章将探讨这些因素(以及异性恋者和顺性性别主义者对家庭和伴侣的假设)对照顾关系中LGBT人群的认同、支持和认可的一些影响。最后,本章将推荐一些策略,以减少护理关系中一个或所有参与者都是LGBT的人的不良心理健康和福祉结果,并探索一些关键行动,这些行动可能有助于健康和人类服务更好地支持和包括LGBT人群在护理关系中。
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引用次数: 1
Healthcare Decision Making 医疗保健决策
Pub Date : 1900-01-01 DOI: 10.4018/978-1-5225-7402-6.CH003
Haylee Lane, Jennifer Martin, T. Haines
The aim of this chapter is to explore the factors that health managers adopt when making decisions on how to allocate limited healthcare resources. The objective is to increase knowledge and understanding of decision making processes at the macro, meso, and micro levels and priority setting. An examination of current healthcare decision-making processes used for resource allocation around the world highlights the disparities in models and approaches and the often ad hoc nature of decisions made. A description of the allied health workforce highlights the size and significance of this workforce and why understanding decisions made in regards to allied health resources is of importance. Issues of access and equity are also considered in relation to notions of fairness and efficacy in relation to health outcomes.
本章的目的是探讨卫生管理者在决定如何分配有限的医疗资源时所采用的因素。目标是增加对宏观、中观和微观各级决策过程的认识和理解,并确定优先事项。对世界各地用于资源分配的当前医疗保健决策过程的检查突出了模型和方法的差异以及所作决策的通常临时性质。对联合卫生人力的描述强调了这一人力的规模和重要性,以及为什么理解有关联合卫生资源的决策是重要的。在与健康结果有关的公平和效力概念方面,还审议了机会和公平问题。
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引用次数: 5
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Mental Health Policy, Practice, and Service Accessibility in Contemporary Society
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