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1 – 10 of over 104000
Article
Publication date: 1 March 1999

Steven Edwards

This paper follows a project undertaken by the University of Zululand in conjunction with local organisations. A description of the Zululand Mental Health Community Psychology…

Abstract

This paper follows a project undertaken by the University of Zululand in conjunction with local organisations. A description of the Zululand Mental Health Community Psychology Programme provides an example of progress through partnerships between the University and those groups. It also examines the mental health model in relation to the social action, organisational, ecological and phenomenological models of community psychology in the Zululand context. A holistic, community psychological mental health model is introduced, based on promotion and prevention models.

Details

Journal of Public Mental Health, vol. 1 no. 3
Type: Research Article
ISSN: 1746-5729

Book part
Publication date: 29 July 2009

Anne M. Hewitt

Purpose – A structured comparison, based on underlying social ecological constructs, provides the framework for this preliminary investigation of the commonalities and differences…

Abstract

Purpose – A structured comparison, based on underlying social ecological constructs, provides the framework for this preliminary investigation of the commonalities and differences between three emerging approaches to health disparities: community-based participatory research (CBPR), community-focused health outreach (CFHO), and community health promotion programs (CHPP).

Methodology/approach – A conceptual review and preliminary analysis at the macrolevel of major community trends that focus on eliminating health disparity outcomes.

Findings – Each of the three community health approaches share similar purposes using community-focused collaborative efforts, but involve different change agents, levels of partnership, timeframes, social participation, and implementation methodologies.

Research limitations/implications – Additional in-depth literature reviews and meta-evaluations highlighting the contributions of each of the three approaches (CPBR, CFHO, and CHPP) are strongly recommended.

Practical implications – Interested community stakeholders can monitor results and impacts of each of the three approaches within their environments.

Originality/value of paper – Past reviews have concentrated on isolating individual contributing social causes of health disparities. This analysis introduces three emerging trends that currently function within community-based frameworks as potential mechanisms for helping the health disadvantaged.

Details

Social Sources of Disparities in Health and Health Care and Linkages to Policy, Population Concerns and Providers of Care
Type: Book
ISBN: 978-1-84855-835-9

Article
Publication date: 31 December 2010

Farah Barbir

Community‐based research requires the involvement of both the community and researchers to investigate the influence of existing political, social and structural factors on the…

1587

Abstract

Community‐based research requires the involvement of both the community and researchers to investigate the influence of existing political, social and structural factors on the health of individuals and communities. In the Bekaa Valley of Lebanon, a community‐based intervention is proposed, as part of an EU INCO DEV‐funded project that aims to assess reproductive health care among Bedouin in Lebanon and Jordan. This intervention intends to train Bedouin community health volunteers (CHVs) to spread reproductive and child health knowledge and awareness among the Bedouin community and link them to the existing primary health care centres. The challenges facing this intervention relate to the existing political atmosphere and the difficult process of building and maintaining a partnership between the research team and the Bedouin. Evidence from the data‐collection phase and the current implementation phase of the Bedouin project has shown that the positive outcomes that result from community‐based interventions can be outweighed by the burden of obstacles and challenges that arise. These have to be carefully anticipated and tackled to guarantee a successful intervention. This paper will explore these obstacles and highlight some recommendations for implementing a community‐based intervention on the basis of our experience with the Bedouin.

Details

International Journal of Migration, Health and Social Care, vol. 6 no. 3
Type: Research Article
ISSN: 1747-9894

Keywords

Article
Publication date: 1 January 1989

C.A.K. Yesudian

This paper deals with the effectiveness of using the community organisation approach in a community health programme. It describes a pilot project in one of the slum pockets in…

Abstract

This paper deals with the effectiveness of using the community organisation approach in a community health programme. It describes a pilot project in one of the slum pockets in Bombay in India where the municipal health post workers were helped to adopt the community organisation approach to implement an immunisation programme. The various strategies used to demonstrate the usefulness of the community organisation approach, and the process of training the health staff towards adopting this approach, are described in the paper.

Details

Journal of Management in Medicine, vol. 4 no. 1
Type: Research Article
ISSN: 0268-9235

Keywords

Article
Publication date: 1 December 2010

Neil Quinn and Hannah Biggs

There are significant inequalities in mental health, with mental health problems and poor mental health more common in areas of deprivation. Current policy in Scotland…

Abstract

There are significant inequalities in mental health, with mental health problems and poor mental health more common in areas of deprivation. Current policy in Scotland acknowledges the impact of social and environmental factors on community mental health and well‐being and the need for public mental health to engage with regeneration initiatives. This study, based in a low‐income community in east Glasgow, assesses what factors influence community mental health and well‐being and how to develop par tnerships to address these issues. It involved a workshop with community planning agencies and residents' groups in east Glasgow, an action research project with local residents and a validation event with local residents. The study found that social circumstances influenced mental health and well‐being, with people having concerns about their neighbourhood and environment, with antisocial behaviour emerging as a major factor contributing to residents feeling unsafe, isolated and unhappy living in the area. At the same time, residents talked a lot about how happy they felt about the community they were par t of and the impor tant role that social capital can play in low‐income areas in promoting well‐being. The study also highlights the need for par tnerships between health and other sectors and the impor tance of ensuring multi‐agency working that embeds public mental health within the agendas of housing and regeneration sectors. Finally, it demonstrates that action research between par tner agencies and communities will be more effective in identifying key issues and that within such a process, there is more likely to be ‘buy in’ from these agencies to bring about social change.

Details

Journal of Public Mental Health, vol. 9 no. 4
Type: Research Article
ISSN: 1746-5729

Keywords

Abstract

Details

Social Capital
Type: Book
ISBN: 978-1-83797-587-7

Article
Publication date: 1 March 1998

Dennise Albrecht

In an increasing trend, clients are being moved from tertiary and secondary care to primary care. This “downloading”, accompanied by the increasingly complex needs of clients, has…

1108

Abstract

In an increasing trend, clients are being moved from tertiary and secondary care to primary care. This “downloading”, accompanied by the increasingly complex needs of clients, has forced providers and policy makers to acknowledge the importance of primary care. In exploring options for the reorganization of primary care, the characteristics of community health centres are often promoted as the model with the best potential. This article outlines a descriptive overview of community health centres (CHCs) across Canada.

Details

Leadership in Health Services, vol. 11 no. 1
Type: Research Article
ISSN: 1366-0756

Keywords

Article
Publication date: 1 November 2006

Sally Nathan, Elizabeth Harris, Lynn Kemp and Ben Harris‐Roxas

This paper sets out to report attitudes of staff on key health service committees towards community participation before and after appointment of community representatives.

722

Abstract

Purpose

This paper sets out to report attitudes of staff on key health service committees towards community participation before and after appointment of community representatives.

Design/methodology/approach

The paper shows a self‐completed questionnaire administered to staff on committees as a baseline measure and 12 months after community representatives had been appointed.

Findings

The paper finds that significantly more staff at the follow‐up survey reported that they and other staff were clear about the role of community representatives and how to work with them on committees. Significantly more staff at follow‐up felt that the health service was ready for this type of initiative. There was no significant increase in the percentage of staff who felt that financial and other supports for community representatives were sufficient and no significant changes in staff views about the potential for community representatives to influence decision making, although there were strong trends in a positive direction.

Research limitations/implications

The study in this paper was conducted in one health service and did not follow changes in attitudes of particular staff over time. Larger samples would be necessary to assess generalisability of findings and future studies should examine in more depth staff beliefs about the role and influence of community members on committees.

Practical implications

The paper implies that the development of ongoing and constructive relationships between health services and communities clearly takes time and, at least in part, results from direct experience working alongside community members.

Originality/value

The paper shows that this is the first study examining how the attitudes of health service staff to community participation change over time and as a direct result of interaction with community members on committees. A better understanding of health service staff attitudes to community participation is important for health care managers to effectively address structural and attitudinal barriers to community participation.

Details

Journal of Health Organization and Management, vol. 20 no. 6
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 1 December 2006

Helen Tucker

There is a strong tradition of integration in rural community hospitals which has been largely unrecognised in the past. The national strategy for health in England now gives…

Abstract

There is a strong tradition of integration in rural community hospitals which has been largely unrecognised in the past. The national strategy for health in England now gives community hospitals a central role in providing integrated health and social care, in a policy referred to as ‘care closer to home’. The evidence emerging from international and national studies is demonstrating the benefit of the community hospital model of care. Public support for community hospitals over their 100‐year history has been strong, with value being placed on accessibility, quality and continuity. There is, however, a tension between the national policy and the current financial pressures to close or reduce services in one in three community hospitals in England. Innovative ways of owning and managing these services are being put forward by communities who are actively seeking to maintain and develop their local hospitals. The challenge is to demonstrate that community hospital services are valued models of person‐centred integrated care, and to demonstrate their contribution to the health and well‐being of their communities.

Details

Journal of Integrated Care, vol. 14 no. 6
Type: Research Article
ISSN: 1476-9018

Keywords

Article
Publication date: 28 March 2024

Manoj Kumar, Rekha Bos, Emma Emily de Wit and J.G.F. Bunders-Aelen

This study aims to evaluate how a community psychiatry model, referred to as the Mental Health Action Trust (MHAT) in India, provides decentralized care and comprehensive services…

Abstract

Purpose

This study aims to evaluate how a community psychiatry model, referred to as the Mental Health Action Trust (MHAT) in India, provides decentralized care and comprehensive services to people with severe mental illness living in poverty. Using the complex adaptive system (CAS) framework, the authors aim to understand the factors that contribute to the diverse outcomes of the MHAT community mental health programme as observed in four different locations.

Design/methodology/approach

Four MHAT clinics were purposively chosen from two districts in Kerala. A comparative case study methodology was used to document each clinic’s MHAT services and activities, as found during field visits and interviews with staff members and volunteers.

Findings

The study shows that all four clinics met the basic aim of providing free, quality mental health care to the poorest populations, although not all aspects of the comprehensive model could be equally provided. Alignment with the MHAT vision, appropriate leadership, the relationship with partners and their level of community engagement determined the varied success between clinics.

Originality/value

The current study evaluation stresses that community ownership is crucial. Careful attention must be paid to the characteristics of selected partners, including their leadership styles and ability to garner resources.

Details

The Journal of Mental Health Training, Education and Practice, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1755-6228

Keywords

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