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Ofsted suicides: who is responsible for suicide prevention? Ofsted自杀事件:谁负责预防自杀?
IF 1.4 Q3 Medicine Pub Date : 2023-08-03 DOI: 10.1108/jpmh-06-2023-0051
Sarah Waters, Hilda Palmer
PurposeThe purpose of this paper is to discuss the response of the relevant authorities to evidence that female primary schoolteachers have an elevated suicide risk in the UK. The paper situates the recent tragic death of a primary school head teacher, following an Ofsted inspection at her school, within the wider context of teacher suicide deaths and asks what, if any, action the authorities have taken to prevent avoidable suicide deaths from occurring.Design/methodology/approachThe paper examines a recent case of suicide by a primary head teacher within the wider context of statistical data on suicides by primary schoolteachers and in relation to previous cases of suicide linked to a school inspection.FindingsThe paper suggests that the relevant authorities have failed to act in relation to evidence of high suicide risk amongst female primary schoolteachers and to previous suicide deaths linked to the impact of a school inspection. Without learning from suicide deaths and acting on available evidence, there is a risk that preventable suicide deaths will continue to occur.Originality/valueThe paper draws together case study evidence and statistical data to make the case for regulatory reform to ensure that work-related suicides are investigated, monitored and prevented.
目的本文的目的是讨论有关当局对英国女小学教师自杀风险升高的证据的反应。本文将最近一名小学校长在英国教育标准局对其学校进行检查后不幸死亡的事件置于教师自杀死亡的更广泛背景下,并询问,当局为防止可避免的自杀死亡事件发生而采取的行动。设计/方法/方法本文在更广泛的小学教师自杀统计数据背景下,以及与之前与学校检查有关的自杀案例的关系中,研究了最近一例小学校长自杀案例。调查结果该文件表明,有关当局未能就小学女教师自杀风险高的证据以及之前与学校检查影响有关的自杀死亡采取行动。如果不从自杀式死亡中吸取教训并根据现有证据采取行动,就有可能继续发生可预防的自杀式死亡。独创性/价值该论文汇集了案例研究证据和统计数据,为监管改革提供了理由,以确保对与工作相关的自杀进行调查、监测和预防。
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引用次数: 0
Peer support in Brazil: experiences and strategies of inclusion, empowerment and citizenship 巴西的同伴支持:包容、赋权和公民身份的经验和战略
IF 1.4 Q3 Medicine Pub Date : 2023-07-28 DOI: 10.1108/jpmh-10-2022-0105
C. M. Corradi-Webster, Graziela Reis, E. B. Brisola, C. Araujo, É. Ricci, Lívia Sicaroni Rufato, C. Sampaio, Mário César Rezende Andrade, J. Orsi, Rosa Alba Sarno Oliveira, Ana Lúcia Cidade, Políbio Campos, M. N. Costa
PurposeThe purpose of this paper is to describe six recovery-oriented peer support experiences and strategies implemented in different regions of Brazil in the past 12 years, and explore challenges to their development and potential for empowerment and citizenship.Design/methodology/approachIn this paper, a group of stakeholders in mental health services involving people with lived experience of severe mental illness describe their experiences with services of peer support. These were all conducted in Brazil and in partnership with the International Recovery and Citizenship Collective (IRCC) and The Yale Program for Recovery and Community Health. The authors met monthly to exchange experiences, studies and practices, and six experiences were selected, described, analyzed and compared. A discussion of these experiences, their challenges, impact and potential followed.FindingsThe explored experiences emphasize that peer support, lived experience leadership and advocacy are feasible in the Brazilian mental health system and can help advance the Brazilian Psychiatric Reform.Research limitations/implicationsThis paper is limited to the experience of researchers already engaged in peer support work in six cities in Brazil. Although they represent several different regions in Brazil, there are areas it has not reached. Further research should address and provide a broader view of peer support and recovery strategies spreading in the country.Social implicationsThese experiences demonstrate the feasibility and acceptability of the recovering citizenship approach to reduce stigma, promote empowerment, autonomy, activism and advocacy, and increase a sense of belonging for those in recovery and marginalized by society. The Brazilian psychiatric reform can benefit from including peer supporters as mental health treatment providers.Originality/valueThis paper provides a novel view of the state of the art of peer support initiatives in Brazil and can inspire individuals, government and communities as they see and understand the breadth, depth and meanings of these peer support experiences.
本文的目的是描述过去12年中在巴西不同地区实施的六种以康复为导向的同伴支持经验和策略,并探讨其发展面临的挑战以及赋权和公民身份的潜力。设计/方法/方法在这篇论文中,一群心理健康服务的利益相关者,包括有严重精神疾病生活经历的人,描述了他们在同伴支持服务中的经历。这些都是在巴西进行的,并与国际康复和公民集体(IRCC)和耶鲁大学康复和社区卫生项目合作。作者每月举行一次会议,交流经验、研究和实践,选择、描述、分析和比较6个经验。随后讨论了这些经验、挑战、影响和潜力。研究结果表明,同伴支持、生活经验领导和倡导在巴西精神卫生系统中是可行的,有助于推进巴西精神病学改革。研究局限/启示本文仅限于已经在巴西六个城市从事同伴支持工作的研究人员的经验。虽然他们代表了巴西几个不同的地区,但也有一些地区还没有到达。进一步的研究应涉及并提供在该国传播的同伴支持和恢复战略的更广泛的观点。这些经验证明了恢复公民身份方法的可行性和可接受性,可以减少污名,促进赋权,自主,行动主义和倡导,并增加康复和被社会边缘化的人的归属感。巴西的精神病学改革可以受益于将同伴支持者作为精神健康治疗提供者。原创性/价值这篇论文提供了巴西同伴支持倡议的新观点,可以激励个人、政府和社区,因为他们看到和理解这些同伴支持经验的广度、深度和意义。
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引用次数: 0
The reluctance to the vaccine, mental health, fear of covid-19 and quality of life among Palestinians: an exploratory comparative study in different geographical areas 巴勒斯坦人不愿接种疫苗、心理健康、对covid-19的恐惧和生活质量:不同地理区域的探索性比较研究
IF 1.4 Q3 Medicine Pub Date : 2023-07-28 DOI: 10.1108/jpmh-02-2023-0016
G. Veronese, A. Ismail, F. Mahamid, Basel El-Khodary, Dana Bdier, Marwan Diab
PurposeThis study aims to explore the effect of mental health in terms of depression, anxiety, stress, fear of COVID-19 and quality of life (QoL) on the reluctance to be vaccinated in a population of Palestinian adults living in occupied Palestinian territories and Israel.Design/methodology/approachThe authors recruited 1,122 Palestinian adults who consented to participate in the study; 722 were females, and the mean age of the sample was 40.83 (SD 8.8). Depression, anxiety, and stress scale (DASS), World Health Organization QoL-BREF, FCov-19 and reluctance to the vaccine scale were administered; hierarchical regression analysis was applied to test vaccine reluctance as a dependent variable, and mental health, fear of COVID-19 and QoL as independent variables. This study hypothesized influence of such variables on the vaccine choice with differences due to the participants’ geographical locations.FindingsFindings showed an effect of mental health, particularly depression, QoL and fear of COVID on vaccine reluctance, with depression and fear of COVID in the West Bank and Gaza, while in Israel, QoL played a role in vaccination choices.Research limitations/implicationsThe future needs to be comprehended more thoroughly to discover mutations and fluctuations over time in vaccine hesitancy and the increasing role of psychological distress, diminished QoL and fear of Covid-19. Online recruitment might not have allowed the study to include the most disadvantaged strips of the Palestinian population.Practical implicationsHuman rights perspectives must be considered in public health and public mental health policies to ensure the QoL and well-being for the Palestinian population during and following the pandemic.Social implicationsThe crumbling of the Palestinian health-care system exacerbated the sense of dread among the population and made them less likely to vaccinate. The pandemic-like spread of Covid-19 prompts a plea for the global community to actively advocate for the urgent re-establishment of equity, autonomy and durability of the medical infrastructure in the occupied territories and equal entitlements for the Palestinians in Israel.Originality/valueThe results demonstrated the importance for public mental health to consider the multiple levels implied in the vaccine refusal in Palestine and Israel among the Palestinian population.
目的本研究旨在探讨心理健康在抑郁、焦虑、压力、对新冠肺炎的恐惧和生活质量(QoL)方面对居住在被占领巴勒斯坦领土和以色列的巴勒斯坦成年人不愿接种疫苗的影响;722名为女性,样本的平均年龄为40.83岁(SD 8.8)。使用抑郁、焦虑和压力量表(DASS)、世界卫生组织QoL BREF、FCov-19和对疫苗的不情愿量表;应用分层回归分析,以疫苗接种不情愿为因变量,以心理健康、对新冠肺炎的恐惧和生活质量为自变量。这项研究假设了这些变量对疫苗选择的影响,由于参与者的地理位置而存在差异。调查结果显示,心理健康,特别是抑郁、生活质量和对新冠肺炎的恐惧对疫苗接种意愿有影响,约旦河西岸和加沙的抑郁和对新新冠肺炎恐惧,而在以色列,生活质量在疫苗接种选择中发挥了作用。研究局限性/含义需要更彻底地理解未来,以发现疫苗犹豫中的突变和随时间的波动,以及心理困扰、生活质量下降和对新冠肺炎的恐惧的日益增加的作用。在线招聘可能不允许这项研究包括巴勒斯坦人口中最弱势的群体。实际影响在公共卫生和公共心理健康政策中必须考虑人权观点,以确保巴勒斯坦人民在疫情期间和之后的生活质量和福祉。社会影响巴勒斯坦医疗保健系统的崩溃加剧了民众的恐惧感,使他们不太可能接种疫苗。新冠肺炎的大规模传播促使国际社会积极倡导紧急重建公平,被占领土医疗基础设施的自主权和持久性,以及以色列巴勒斯坦人的平等权利。原始性/价值研究结果表明,考虑巴勒斯坦和以色列在巴勒斯坦人口中拒绝接种疫苗的多个层面对公共心理健康的重要性。
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引用次数: 0
Service user participation in decision-making – a qualitative study from a services user’s perspective 服务用户参与决策——从服务用户角度进行的定性研究
IF 1.4 Q3 Medicine Pub Date : 2023-07-26 DOI: 10.1108/jpmh-12-2022-0129
Maria Bendtsen Kronkvist, P. Dahlqvist Jönsson, K. Forsberg, M. Sandlund
PurposeThe purpose of this study is to describe participation in decision-making among service users with severe mental illness.Design/methodology/approachService users want to participate in decision-making and in the planning of their care. There are widely known methods, such as shared decision-making, that could be used to facilitate service user participation. Three focus group interviews were conducted with the participation of 14 persons with mental illness and/or substance abuse who were service users at two Swedish Homes for Care and Residence (HVB). Data were analyzed by qualitative content analysis.FindingsTwo themes emerged: service users’ involvement in decisions is hampered by the professionals’ approach and adequate information and experience of participation means greater empowerment.Research limitations/implicationsAlthough it is known that service users would like to have more influence, and that methods like shared decision-making are recommended to empower service users and improve the decision process, research on these matters is limited.Practical implicationsThis study reveals that there is a need of more systematic decisional support, such as shared decision-making, so that service users can be seen as important persons not only in guidelines and policy documents but also in clinical practice.Social implicationsThe findings indicate that service users do not participate in decisions systematically, although policies, guidelines and laws providing that service users should be offered an active part in decision-making with regard to their care and treatment.Originality/valueAlthough it is known that service users would like to have more influence, and that methods like shared decision-making are recommended to empower service users and improve their decision process, research on these matters is limited. The findings indicate that service users do not participate in decisions systematically, even though policies, guidelines and laws are in place stipulating that service users should be offered an active part in decision-making with regard to their own care and treatment. The results of this project bring improvement opportunities to light.
目的本研究旨在描述患有严重精神疾病的服务使用者参与决策的情况。设计/方法/方法服务用户希望参与决策和护理计划。有一些广为人知的方法,例如共享决策,可以用来促进服务用户的参与。进行了三次焦点小组访谈,14名患有精神疾病和/或药物滥用的人参加了访谈,他们是瑞典两家养老院的服务使用者。数据采用定性内容分析法进行分析。发现出现了两个主题:服务用户对决策的参与受到专业人员方法的阻碍,充分的参与信息和经验意味着更大的授权。研究局限性/含义尽管众所周知,服务用户希望拥有更多的影响力,并且建议采用共享决策等方法来增强服务用户的能力并改进决策过程,但对这些问题的研究是有限的。实践意义这项研究表明,需要更系统的决策支持,例如共享决策,以便服务用户不仅在指南和政策文件中,而且在临床实践中都能被视为重要人物。社会影响研究结果表明,服务使用者没有系统地参与决策,尽管政策、指导方针和法律规定,服务使用者应积极参与有关其护理和治疗的决策。原创性/价值尽管众所周知,服务用户希望拥有更多的影响力,并且建议采用共享决策等方法来增强服务用户的能力并改进他们的决策过程,但对这些问题的研究有限。调查结果表明,尽管制定了政策、指导方针和法律,规定服务用户应积极参与自己的护理和治疗决策,但服务用户并没有系统地参与决策。这个项目的结果带来了改进的机会。
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引用次数: 0
Editorial 编辑
IF 1.4 Q3 Medicine Pub Date : 2023-06-26 DOI: 10.1108/jpmh-07-2023-161
J. Ashton
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引用次数: 0
Conceptualising and measuring positive mental health literacy: a systematic literature review 概念化和测量积极的心理健康素养:一项系统的文献综述
IF 1.4 Q3 Medicine Pub Date : 2023-06-22 DOI: 10.1108/jpmh-12-2022-0128
J. Cresswell-Smith, Pia Solin, K. Wahlbeck, Nina Tamminen
PurposeThe purpose of this study is to systematically review how positive mental health literacy has been conceptualised and measured over the last 20 years. Positive mental health recognises the benefits of feeling good and functioning effectively. Developing clarity around conceptualisation and knowledge (or literacy) of what constitutes positive mental health is an area of continued development, and an important step in measuring the impact of mental health promotion.Design/methodology/approachA systematic review of literature was performed to investigate how positive mental health literacy has been conceptualised and measured over the last 20 years. Databases searched included EDS, Scopus, ERIC, PsycINFO, CINAHL and SocIndex with fulltext. Search terms relating to positive mental health were combined with proximity operators within four words denoting knowledge, competence or literacy.FindingsA total of 464 records were assessed on title level, with six articles included for final review. The final studies included three measures assessing participants’ knowledge of positive mental health, some of which included more distal themes such as awareness of coping strategies and emotional awareness. One measure, the Mental Health Promoting Knowledge – 10, stood out as the most fitting measure of positive mental health literacy.Research limitations/implicationsOur review approaches an under reported area of study, highlighting an area in need for further development with a few limitations. When building the search strategy, care was taken to line it up with literacy around positive mental health and its synonyms. The word “mental health” without positive specification was omitted in the final search strategy, increasing the risk of it also omitting potential articles of interest.Practical implicationsOur findings therefore highlight a knowledge gap in relation to conceptualisations and measures of positive mental health literacy, unfolding an area for further development. A more harmonised understanding of what is meant by positive mental health is an important step towards clarifying the concept and facilitating future study of the topic. Measures of positive mental health literacy could be an important indicator for mental health promotion.Social implicationsNew ways of measuring positive mental health literacy can be a useful way to establish benefits of mental health promotion, taking a salutogenic approach to mental health.Originality/valueThese findings expose an apparent knowledge gap in relation to conceptualisations and measures of positive mental health literacy, highlighting an area in need for further development. Measures of positive mental health literacy could be an important indicator for mental health promotion.
目的本研究的目的是系统地回顾过去20年来积极的心理健康素养是如何被概念化和衡量的。积极的心理健康认识到感觉良好和有效运作的好处。明确什么是积极的心理健康的概念和知识(或识字)是一个持续发展的领域,也是衡量心理健康促进影响的重要一步。设计/方法/方法对文献进行了系统回顾,以调查在过去20年中积极的心理健康素养是如何被概念化和衡量的。检索到的数据库包括EDS、Scopus、ERIC、PsycINFO、CINAHL和全文SocIndex。与积极心理健康相关的搜索词与表示知识、能力或识字能力的四个词内的邻近运算符相结合。调查结果共对464份记录进行了标题级别的评估,其中6篇文章进行了最终审查。最后的研究包括三项评估参与者积极心理健康知识的措施,其中一些措施包括更远端的主题,如应对策略意识和情绪意识。其中一项措施,即“心理健康促进知识-10”,是衡量积极心理健康素养的最合适的措施。研究局限性/含义我们的综述涉及一个报告不足的研究领域,强调了一个需要进一步发展的领域,但有一些局限性。在制定搜索策略时,要注意将其与积极心理健康及其同义词的识字率相一致。在最终的搜索策略中,没有明确说明的“心理健康”一词被省略了,这增加了它省略潜在感兴趣文章的风险。因此,我们的研究结果突出了积极心理健康素养的概念化和衡量标准方面的知识差距,为进一步发展开辟了一个领域。对积极心理健康的含义有一个更协调的理解,这是澄清概念和促进未来研究该主题的重要一步。积极的心理健康素养测量可以成为促进心理健康的一个重要指标。社会含义衡量积极心理健康素养的新方法可以是确定心理健康促进效益的有用方法,对心理健康采取有益的方法。原创性/价值这些发现暴露了积极心理健康素养的概念化和衡量标准方面的明显知识差距,突出了一个需要进一步发展的领域。积极的心理健康素养测量可以成为促进心理健康的一个重要指标。
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引用次数: 0
Job loss negatively impacts the mental health of working Medicaid beneficiaries 失业对在职医疗补助受益人的心理健康产生负面影响
IF 1.4 Q3 Medicine Pub Date : 2023-06-13 DOI: 10.1108/jpmh-12-2022-0127
Yixuan Li, S. Zeger, A. Elmi, M. Wilder, M. Mccarthy
PurposeFew have studied the relationship between employment and health in the Medicaid population. The purpose of this study is to estimate the impact of job loss on the mental health of working Medicaid beneficiaries.Design/methodology/approachThis study conducted a post hoc analysis of 1,538 adult Medicaid beneficiaries enrolled in a prospective cohort study. The authors matched participants who lost their job to participants who remained employed based on demographics, illness severity and social determinants of health. The authors estimated the effect of job loss on the odds of a diagnosis of depression and/or anxiety and self-reported mental health during a one-year follow-up period, stratified by prior history of depression and/or anxiety as documented in the Medicaid claims.FindingsAmong participants with no preexisting depression or anxiety, the incidence of depression or anxiety was 17% versus 7% (aOR = 2.85; 95% confidence interval (CI): 1.88 to 4.34) between those who lost versus kept their job, respectively, and the mean difference in self-reported mental health was −4.3 (95% CI: −6.02 to −2.58). Self-reported mental health was also poorer between those who lost versus kept their job among participants with preexisting depression and/or anxiety (x = −4.78 (95% CI: −8.90 to −0.66).Research limitations/implicationsLimitations of this study are as follows: we may not have matched on all factors that influence retaining a job; we do not distinguish between involuntary and voluntary job loss; generalizability is limited; and employment information is based on self-report.Practical implicationsOur society should invest more resources into supporting low-wage workers such as Medicaid beneficiaries.Social implicationsActive labor policies that connect people to jobs, help them retain their job and support skills training to secure a better quality job, could reduce health disparities in the Medicaid population.Originality/valueUse of both claims and self-reported mental health information to evaluate the impact of job loss on working Medicaid beneficiaries.
目的很少有人研究医疗补助人群的就业与健康之间的关系。本研究的目的是评估失业对在职医疗补助受益人心理健康的影响。设计/方法/方法本研究对参与前瞻性队列研究的1538名成年医疗补助受益人进行了事后分析。作者根据人口统计、疾病严重程度和健康的社会决定因素,将失业的参与者与仍在工作的参与者进行了匹配。作者估计了在一年的随访期内,失业对诊断为抑郁症和/或焦虑症的几率以及自我报告的心理健康的影响,并根据医疗补助申请中记录的抑郁症和/或者焦虑症的既往史进行了分层。发现在没有预先存在抑郁或焦虑的参与者中,失业者和保住工作者的抑郁或焦虑发生率分别为17%和7%(aOR=2.85;95%置信区间(CI):1.88至4.34),自我报告的心理健康的平均差异为−4.3(95%置信区间:−6.02至−2.58)。在先前患有抑郁症和/或焦虑症的参与者中,失业者和保住工作者的自我报告心理健康也较差(x=−4.78(95%可信区间:−8.90至−0.66)。本研究的研究局限性/含义如下:我们可能在所有方面都不匹配影响保住工作的因素;我们不区分非自愿和自愿失业;可推广性有限;就业信息基于自我报告。实际意义我们的社会应该投入更多的资源来支持像医疗补助受益人这样的低工资工人。社会影响积极的劳工政策将人们与工作联系起来,帮助他们保住工作,并支持技能培训,以确保获得更高质量的工作,这可以减少医疗补助人群的健康差距。独创性/价值利用索赔和自我报告的心理健康信息来评估失业对在职医疗补助受益人的影响。
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引用次数: 0
Community knowledge and attitudes toward recovering citizenship and mental illness: a telephone survey approach 社区对恢复公民身份和精神疾病的知识和态度:一项电话调查方法
IF 1.4 Q3 Medicine Pub Date : 2023-05-31 DOI: 10.1108/jpmh-08-2022-0086
F. Wong, Keith Kin-lung Wong, P. Lam, Lok-yan Chin, Cheung-tim. Fung
PurposeThis study aims to assess the knowledge and attitudes toward recovering citizenship (RC)/5 Rs and mental illness of people aged ≥18 years in Hong Kong using a telephone survey approach.Design/methodology/approachA questionnaire comprised the Mental Health Knowledge Schedule (MAKS), Short Form-Community Attitudes Toward Mental Illness (SF-CAMI) and questions on attitudes toward RC/5 Rs, was administered on the phone.FindingsA total of 1,009 respondents completed the telephone survey. A high mean score of MAKS (4.37 ± 1.08) was found with 68%–94% answering the knowledge items correctly. The mean score of SF-CAMI was 46.50 ± 8.74 with the most positive attitude toward fear and exclusion. Approximately half had heard about a similar concept of RC and 79%–94.3% agreed with people in recovery to possess the 5 Rs. Those with greater knowledge or more positive toward mental illness, or knowing someone in recovery were more supportive toward 5 Rs. Those aged 18–44 years, attained a post-secondary education, were employed, and received a monthly income of US$3,861–6,434 were significantly more positive toward 5 Rs.Originality/valueTo the best of the authors’ knowledge, this is the first study assessing the views of RC of people in the community. The sample had a good knowledge of mental illness but recognition of recovery from mental illness and a sympathetic view toward people in recovery can be further improved. Besides promotion programs, dissemination of the concept of RC and having people in recovery take up valued roles in the community could potentially facilitate the acceptance of social inclusion and acceptance in the community.
目的本研究旨在评估≥18岁人群对恢复公民身份(RC)/5Rs和精神疾病的知识和态度 在香港使用电话调查的方法。设计/方法/方法通过电话进行问卷调查,包括心理健康知识表(MAKS)、社区对精神疾病的简短态度(SF-CAMI)和对RC/5Rs的态度问题。调查结果共有1009名受访者完成了电话调查。MAKS平均得分高(4.37 ± 1.08),68%–94%的人正确回答了知识项目。SF-CAMI的平均得分为46.50 ± 8.74对恐惧和排斥持最积极的态度。大约一半的人听说过类似的RC概念,79%-94.3%的人同意康复中的人拥有5卢比。那些对精神疾病有更深入的了解或更积极的态度,或者知道有人在康复中,更支持5卢比。18-44岁的人 年,接受中学后教育,就业,月收入3861–6434美元,对5卢比的原始价值显著更积极。据作者所知,这是第一项评估社区中RC观点的研究。样本对精神疾病有很好的了解,但对精神疾病康复的认识和对康复者的同情可以进一步提高。除了推广计划外,传播RC的概念,让康复者在社区中发挥重要作用,可能有助于接受社会包容和社区接受。
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引用次数: 0
People and places: the potential of city events to facilitate the inclusion of people with disabilities in the community life 人和地方:城市活动促进残疾人融入社区生活的潜力
IF 1.4 Q3 Medicine Pub Date : 2023-05-24 DOI: 10.1108/jpmh-09-2022-0094
E. Šumskienė, Violeta Gevorgianienė, Jurga Mataityte-Dirziene, Rasa Geniene
PurposeThis paper aims to explore the symbolic meanings of physical places and social spaces for community members with and without disabilities in the process of relocation of people with disabilities into the communities. It particularly focuses on the potential of city events to become places for interacting with each other.Design/methodology/approachThe data was gathered using two methods: drawing ecological maps (indicating places a person visits) and conducting interviews with people with disabilities and other community members. The ecological map is based on the theory of Bronfenbrenner (1979, 1986). Empirical data was gathered in four Lithuanian communities by drawing ecological maps and conducting interviews with community members with disabilities (35) and without disabilities (24).FindingsData shows that two groups occasionally overlap in physical locations but seldom interact socially. However, city events which are rare, but provide a clearer structure for persons with disabilities and are attractive to other community members as well, offer a good starting point for inclusion.Research limitations/implicationsFurther research of community places where people with disabilities live and act could focus on, first, the gender differences in people with disabilities participation; second, on the challenging versus nonchallenging community environments and their role in the people with disabilities learning to live and act as community members and citizens. It is also essential to explore the meaning of privacy in the participation of people with disabilities, and the potential of private and less private places to facilitate their inclusion.Practical implicationsIn the context of the ongoing deinstitutionalization, it is essential to identify the means of and desirable support for people with disabilities for their interaction in cafés, markets, bus stops and street corners, which encompass fewer preconditions for preparation. This implies, that practitioners should consider developing the abilities of people with disabilities to cope with the “chaotic order” of social gatherings. However, community-based citizenship implies not only festive city events but participation in decision-making. Thus, social policy actors should consider including people with disabilities in the community councils, increasing information accessibility and thus implementing the vision of an inclusive community.Originality/valueThe originality and value of the research lies in revealing the “framed” nature of people with disabilities participation. This type of participation is determined by their institutional experience, financial means and whose appearance (“coming in groups”) is frequently noticed by the community members.
目的本文旨在探讨在残疾人迁移到社区的过程中,物理场所和社会空间对残疾和非残疾社区成员的象征意义。它特别关注城市活动成为相互交流场所的潜力。设计/方法/方法使用两种方法收集数据:绘制生态地图(指示一个人访问的地方)和对残疾人和其他社区成员进行访谈。生态地图是基于Bronfenbrenner(19791986)的理论。通过绘制生态地图和对残疾(35)和非残疾(24)社区成员进行访谈,在立陶宛的四个社区收集了经验数据。发现数据显示,这两个群体偶尔在物理位置重叠,但很少进行社交互动。然而,城市活动虽然罕见,但为残疾人提供了更清晰的结构,对其他社区成员也很有吸引力,为包容提供了一个良好的起点。研究局限性/影响对残疾人生活和行动的社区场所的进一步研究可以侧重于,首先,残疾人参与的性别差异;第二,关于具有挑战性和非挑战性的社区环境及其在残疾人学习作为社区成员和公民生活和行为中的作用。探索隐私在残疾人参与中的意义,以及私人和非私人场所促进残疾人融入的潜力,也是至关重要的。实际含义在正在进行的非机构化背景下,必须确定残疾人在咖啡馆、市场、公交车站和街角互动的方式和所需的支持,因为这些地方的准备先决条件较少。这意味着,从业者应该考虑培养残疾人应对社交聚会“混乱秩序”的能力。然而,以社区为基础的公民身份不仅意味着城市的节日活动,而且意味着参与决策。因此,社会政策行动者应考虑将残疾人纳入社区理事会,增加信息的可及性,从而实现包容性社区的愿景。独创性/价值研究的独创性和价值在于揭示残疾人参与的“框架”性质。这种类型的参与是由他们的机构经验、经济手段以及社区成员经常注意到的表现(“分组参与”)决定的。
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引用次数: 0
Mental health of single mothers in Australia 澳大利亚单身母亲的心理健康
IF 1.4 Q3 Medicine Pub Date : 2023-05-23 DOI: 10.1108/jpmh-12-2022-0124
Tania Dey, A. Cebulla
PurposeThis study aims to examine mental health amongst two cohorts of single mothers in Australia before and after major social welfare reforms, which limited single parents’ access to welfare payments to encourage labour market participation.Design/methodology/approachThe study analyses The Australian Longitudinal Study on Women’s Health, which surveyed 9,145 women born in the 1970s in 2003, and 8,346 women born in the 1990s in 2019.FindingsCompared with other women of similar age, single mothers reported a higher prevalence of depression, anxiety, self-harm and suicidal thoughts and lower levels of mental health, although the magnitude varied between age groups and cohorts. This difference disappeared after controlling for socio-demographic characteristics. Mental health of single mothers improved relative to that of other women between cohorts (1970s cohort surveyed in 2003, aged 25–30 versus 1990s cohort surveyed 2019, aged 24–30) and within the same 1970s cohort (surveyed 2003 and 2018), all else equal. Single mothers from the 1970s cohort aged 40–45 years and those in the 1990s cohort aged 24–30 years old were more qualified and held better jobs than the 1970s cohort at aged 25–30. Stress-related to money, ability to manage on available income and experiencing domestic violence were negatively associated with mental health across all cohorts and ages. Social support had a strong positive association with mental health.Originality/valueThe study suggests low welfare payment to encourage greater labour market participation is associated with financial distress linked to poor mental health.
目的:本研究旨在检查澳大利亚两组单身母亲在重大社会福利改革前后的心理健康状况,这些改革限制了单身父母获得福利金的机会,以鼓励劳动力市场的参与。该研究分析了澳大利亚妇女健康纵向研究,该研究于2003年调查了9145名20世纪70年代出生的妇女,并于2019年调查了8346名90年代出生的妇女。研究结果与其他同龄女性相比,单身母亲抑郁、焦虑、自残和自杀念头的发生率更高,心理健康水平较低,尽管不同年龄组和群体的程度有所不同。在控制了社会人口特征后,这种差异消失了。在其他条件相同的情况下,单身母亲的心理健康状况相对于其他女性有所改善(2003年调查的20世纪70年代队列,年龄为25-30岁,而2019年调查的20世纪90年代队列,年龄为24-30岁)和同一70年代队列(2003年和2018年调查)。年龄在40-45岁之间的70后和年龄在24-30岁之间的90后单身母亲比年龄在25-30岁之间的70后单身母亲更有资格,工作也更好。与金钱有关的压力、管理现有收入的能力和经历家庭暴力与所有年龄组的心理健康呈负相关。社会支持与心理健康有很强的正相关。独创性/价值研究表明,为了鼓励更多的劳动力市场参与而支付的低福利,与精神健康状况不佳相关的财务困境有关。
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引用次数: 0
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Journal of Public Mental Health
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