Search results

The purpose of this paper is to explore the “active ingredients” of integrated behavioral health care (IBHC) from the perspective of Karen refugee participants in an IBHC intervention.

This paper is based on in-depth, semi-structured interviews with participants (n=40) who have received an IBHC intervention for one year. These qualitative data are supplemented by descriptive quantitative data from those same participants.

This research suggested that IBHC increased awareness and access to behavioral health services, and that IBHC may be especially amenable to treating complex health conditions. The research also found that IBHC provided a point of regular contact for patients who had limited time with their primary care providers, which helped to enhance access to and engagement with health care.

IBHC has the potential to meet the complex needs of Karen resettled refugees living in an urban setting in the USA.

IBHC is a promising approach to help meet the mental health needs of refugees in the USA. There are, however, gaps in knowledge about the “active ingredients” of IBHC. This paper helps fill these gaps by studying how IBHC works from the perspective of a group of Karen refugees; these are critical perspectives, missing in the literature, which must be heard in order to better address the complex conditions and needs of resettled refugees.

The Hospital Survey on Patient Safety Culture (HSOPSC) is a rigorously designed tool for measuring inpatient safety culture. The purpose of this paper is to develop a cross-cultural HSOPSC for Hungary and determine its strengths and weaknesses.

The original US version was translated and adapted using existing guidelines. Healthcare workers (n=371) including nurses, physicians and other healthcare staff from six Hungarian hospitals participated. Answers were analyzed using exploratory factor analyses and reliability tests.

Positive responses in all dimensions were lower in Hungary than in the USA. Half the participants considered their work area “acceptable” regarding patient safety. Healthcare staff worked in “crisis mode,” trying to accomplish too much and too quickly. The authors note that a “blame culture” does not facilitate patient safety improvements in Hungary.

The results provide valuable information for promoting a more positive patient safety culture in Hungary and for evaluating future strategies to improve patient safety.

Introducing a validated scale to measure patient safety culture in Hungary improves healthcare quality.

The article deals with one of the key causes of Roma children's low academic achievement, notably their presence in segregated special schools originally reserved for mentally disabled children. The purpose of the research was to analyse the assessment process for school‐readiness and special educational needs, and discover the reasons for Roma children's widespread failure on the tests.

Using a quantitative survey and qualitative focus group interviews, the study analysed the assessment process for school‐readiness and special educational needs.

The tests in use offer an overly generalized picture of children's abilities. The test results have little influence on the actual decisions about the schools children will be sent to. Roma children tend to do significantly worse on the tests than non‐Roma children, in all examined areas.

The situation of Roma is similar in all countries of the East and Central European region, and resembles the situation of all socially excluded ethnic minority groups. The results can therefore contribute to a better understanding of the educational situation of Roma and other ethnic minority groups in the region. However, the education system as well as the process of determining special educational needs are in several ways unique in each country. The findings therefore have limited validity outside of Hungary.

Although the problems with Roma children's academic performance are well documented, there had been no research in Hungary that focused on the selection process and the problems of using assessment tests in determining Roma children's special educational needs.