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Article
Publication date: 16 November 2012

Gail Gilchrist, Jacqui Cameron, Susan Nicolson, Megan Galbally and Paddy Moore

Perinatal drug users are a marginalized group at risk of depression and parenting stress. This study aims to inform service development by determining key components needed to…

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Abstract

Purpose

Perinatal drug users are a marginalized group at risk of depression and parenting stress. This study aims to inform service development by determining key components needed to reduce depression among this population by triangulating data from qualitative interviews with service users and their care providers.

Design/methodology/approach

Pre and post natal in‐depth qualitative interviews with drug users attending a specialist antenatal clinic in Melbourne, Australia, and their care providers were conducted; and an email survey of experts was undertaken. Twenty‐eight interviews were conducted and the views of ten experts were received. Data from these sources were triangulated to determine the key components of an intervention to reduce depression among perinatal drug users.

Findings

There was high concordance among data sources. Key service components identified were: case management; extended postnatal care; access to mental health services and drug treatment including relapse prevention; parenting support, and housing support. Judgmental attitudes from healthcare staff and the fear of child protection may be barriers to accessing services.

Research limitations/implications

The study findings are limited by the small sample size.

Practical implications

Services should be enhanced in pregnancy and the early parenting years to build a service model that incorporates the key components identified in this study and supported in the literature.

Originality/value

The originality and value of this study is that it determines the key service components needed to reduce depression among perinatal drug users by triangulating their experiences and views, that of their care providers and expert opinion.

Details

Advances in Dual Diagnosis, vol. 5 no. 4
Type: Research Article
ISSN: 1757-0972

Keywords

Article
Publication date: 5 January 2021

Andrew Martel, Kirsten Day, Mary Ann Jackson and Saumya Kaushik

The COVID-19 pandemic has engendered changes in previously unimaginable timeframes, leading to new ways of working, which can quickly become the “ordinary” way of working. Many…

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Abstract

Purpose

The COVID-19 pandemic has engendered changes in previously unimaginable timeframes, leading to new ways of working, which can quickly become the “ordinary” way of working. Many traditional workplace and educational practices and environments, however, are disadvantageous to people with disability and consequently are under-represented in the workforce and higher education.

Design/methodology/approach

Contributing factors include exclusionary societal and employer attitudes and inaccessible built environments including lack of attention to paths of travel, amenities, acoustics, lighting and temperature. Social exclusion resulting from lack of access to meaningful work is also problematic. COVID-19 has accelerated the incidence of working and studying from home, but the home environment of many people with disability may not be suitable in terms of space, privacy, technology access and connection to the wider community.

Findings

However, remote and flexible working arrangements may hold opportunities for enhancing work participation of people with disabilities. Instigating systemic conditions that will empower people with disability to take full advantage of ordinary working trajectories is key. As the current global experiment in modified work and study practices has shown, structural, organisational and design norms need to change. The future of work and study is almost certainly more work and study from home. An expanded understanding of people with disabilities lived experience of the built environment encompassing opportunities for work, study and socialisation from home and the neighbourhood would more closely align with the UNCRPD's emphasis on full citizenship.

Originality/value

This paper examines what is currently missing in the development of a distributed work and study place continuum that includes traditional workplaces and campuses, local neighbourhood hubs and homes.

Details

Archnet-IJAR: International Journal of Architectural Research, vol. 15 no. 1
Type: Research Article
ISSN: 2631-6862

Keywords

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