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Book part
Publication date: 4 July 2016

Teresa L. Scheid

In this chapter, I develop an analysis of the institutional logics which have shaped the organizational field of public sector mental health and which provide a framework for…

Abstract

Purpose

In this chapter, I develop an analysis of the institutional logics which have shaped the organizational field of public sector mental health and which provide a framework for understanding the complexities facing policy makers, providers, researchers, and community mental health advocates.

Approach

I first assess the current state of public sector mental health care. I then describe institutional theory, which focuses our attention on the wider social values and priorities (i.e., institutional logics) which shape mental health care. In the current post-deinstitutionalization era, there are three competing institutional logics: recovery and community integration, cost containment and commodification, and increased social control over those with severe mental disorders. Each of these logics, and the conflict between them, is explicated and analyzed. I then develop a theoretical framework for understanding how conflicting institutional logics are resolved. In the concluding section of this chapter, I offer some guidance to both researchers and advocates seeking meaningful system level reform.

Research implications

Researchers studying mental health policy need to understand how competing institutional logics work to shape the political climate, economic priorities, and types of services available.

Social implications

Advocacy is critical for meaningful reform, and a fourth institutional logic – that of social justice – needs to be developed by which to evaluate policy reforms and service offerings.

Details

50 Years After Deinstitutionalization: Mental Illness in Contemporary Communities
Type: Book
ISBN: 978-1-78560-403-4

Keywords

Article
Publication date: 1 February 1984

T.L. Knight

The world abounds with numerous examples of fault‐free brickwork which have endured for centuries with little maintenance. In this country, bricks are an indigenous product and…

Abstract

The world abounds with numerous examples of fault‐free brickwork which have endured for centuries with little maintenance. In this country, bricks are an indigenous product and the use of brickwork is well understood, being a basically simple and economic method of building without sophisticated techniques.

Details

Structural Survey, vol. 2 no. 2
Type: Research Article
ISSN: 0263-080X

Book part
Publication date: 12 November 2015

Ingeborg Nordbø and Nina K. Prebensen

The present work studies hiking as tourist activity and its physical and mental benefits for the tourist. In particular, the study explores the relative importance of these…

Abstract

The present work studies hiking as tourist activity and its physical and mental benefits for the tourist. In particular, the study explores the relative importance of these benefits among the hikers and compare the importance with the tourists’ perceived experience, that is evaluation of the benefits. Building on the perception, performance and perceived quality and benefit literature a survey is carried out at different hiking sites in the southern part of Norway. The study results show that hiking tours in Norway perform rather well on factors such as physical benefits, mental benefits, facilitation of trail and slightly lower on information. Physical benefits are of higher importance than information and are also perceived to provide benefits in line with the importance given. Facilitation of trail is perceived to be of relatively high importance and the actual experience is rated higher than importance. Mental benefits is rated to be of most importance among the attributes. The tourists evaluate mental benefits to be somewhat lower than importance given. Subsequently, practice should focus on how to ensure mental benefits among hikers and research should seek to understand what this actually means in terms of new logics in tourism, that is experience value and the tourist own role in creating such value.

Details

Advances in Hospitality and Leisure
Type: Book
ISBN: 978-1-78560-271-9

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Article
Publication date: 1 December 2018

Syaidatul Azzreen Ishak, Hazreena Hussein and Adi Ainurzaman Jamaludin

This paper probes into the relationship between Neighbourhood Parks and their efficiency as a potential stress reliever from the outdoor environment. It consists of the…

Abstract

This paper probes into the relationship between Neighbourhood Parks and their efficiency as a potential stress reliever from the outdoor environment. It consists of the introduction to the relationship between stress and outdoor environment, background research on recent issues of Neighbourhood Park and it then continues with the context of perceiving Neighbourhood Park as a stress reliever. This paper looks into the previous studies that employed observations, survey, interviews and instruments as methods in proving Neighbourhood Parks as a potential stress reliever. Relevant findings were highlighted and recommendations for improving the design and planning were suggested to generate more quality living environment in the future.

Details

Open House International, vol. 43 no. 4
Type: Research Article
ISSN: 0168-2601

Keywords

Book part
Publication date: 27 November 2023

Ivone Fernandes Santos Silva

Peripheral arterial disease (PAD) is an occlusive atherosclerotic disease that affects blood vessels and reduces blood flow in the lower limbs. It is estimated that around 200…

Abstract

Peripheral arterial disease (PAD) is an occlusive atherosclerotic disease that affects blood vessels and reduces blood flow in the lower limbs. It is estimated that around 200 million people worldwide suffered from it, with a significant number of older people affected. Walking is one of the first-line therapeutic measures for intermittent claudication (IC) in patients with PAD. Supervised Exercise Therapy (SET) programs effectively increase walking distances, however, remain an underutilized tool because they are not readily available in most clinical centres, are extremely expensive, and patient participation is low mainly due to socioeconomic constraints. Home-based Exercise Therapy (HBET) programs are an effective and low-cost alternative to improve both the functional capacity and quality of life (QoL) of patients with IC, as they are performed in the patient’s area of residence and not in the hospital. The WalkingPad program conciliated a smartphone app – the WalkingPad app – with behaviour change intervention to increase walking distances and decrease walking impairment as well to improve QoL at 6 months.

Details

Technology-Enhanced Healthcare Education: Transformative Learning for Patient-centric Health
Type: Book
ISBN: 978-1-83753-599-6

Keywords

Book part
Publication date: 31 October 2022

Kety Jauregui and Susy Quevedo

This chapter analyzes key concepts involved in the development of a well-being organizational culture, as well as theoretical proposals to promote this type of culture at work. It…

Abstract

This chapter analyzes key concepts involved in the development of a well-being organizational culture, as well as theoretical proposals to promote this type of culture at work. It reflects on how companies can – drawing from this effort – articulate the Sustainable Development Goals (SDGs) in their management, strengthen their sustainability, and contribute to sustainability in their societies and exemplify how this topic has been dealt with during the pandemic in several organizations.

Book part
Publication date: 1 December 2008

Lisbeth Nielsen and John W.R. Phillips

Purpose – This chapter offers an integrative review of psychological and neurobiological differences between younger and older adults that might impact economic behavior. Focusing…

Abstract

Purpose – This chapter offers an integrative review of psychological and neurobiological differences between younger and older adults that might impact economic behavior. Focusing on key health economic challenges facing the elderly, it offers perspectives on how these psychological and neurobiological factors may influence decision-making over the life course and considers future interdisciplinary research directions.

Methodology/approach – We review relevant literature from three domains that are essential for developing a comprehensive science of decision-making and economic behavior in aging (psychology, neuroscience, and economics), consider implications for prescription drug coverage and long-term care (LTC) insurance, and highlight future research directions.

Findings – Older adults face many complex economic decisions that directly affect their health and well-being, including LTC insurance, prescription drug plans, and end of life care. Economic research suggests that many older Americans are not making cost-effective and economically rational decisions. While economic models provide insight into some of the financial incentives associated with these decisions, they typically do not consider the roles of cognition and affect in decision-making. Research has established that older age is associated with predictable declines in many cognitive functions and evidence is accumulating that distinct social motives and affect-processing profiles emerge in older age. It is unknown how these age differences impact the economic behaviors of older people and implies opportunities for path-breaking interdisciplinary research.

Originality/value of the chapter – Our chapter looks to develop interdisciplinary research to better understand the causes and consequences of age-related changes in economic decision-making and guide interventions to improve public programs and overall social welfare.

Details

Neuroeconomics
Type: Book
ISBN: 978-1-84855-304-0

Content available
Book part
Publication date: 5 March 2024

Stephen Corbett

Abstract

Details

Education Workforce Well-being
Type: Book
ISBN: 978-1-83797-400-9

Book part
Publication date: 17 January 2022

Chris Forlin and Joanne Deppeler

With the move toward a more inclusive educational system across most jurisdictions, the expectation is that students with the most complex needs who have previously attended…

Abstract

With the move toward a more inclusive educational system across most jurisdictions, the expectation is that students with the most complex needs who have previously attended special schools, will gradually transition into inclusive schools. This expectation raises issues regarding the practicality of this move and the capacity of inclusive schools in being able to provide appropriate support and curriculum for these learners. Examples of transition programs across different countries are discussed to establish the most effective processes, support structures, and initiatives that have been employed to facilitate this transfer. The role of collaboration between schools and a review of support models that are provided for learners with high support needs in inclusive settings are discussed. Compared to the expectations for this move, and to understand the reality of it, perceptions of teachers, parents, and students are considered.

Details

Transition Programs for Children and Youth with Diverse Needs
Type: Book
ISBN: 978-1-80117-102-1

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Book part
Publication date: 20 March 2024

Janine E. Carlse

Spurred by the COVID-19 pandemic, there has been an increase in the open acknowledgment of the importance of teaching and learning praxis that is grounded in compassion…

Abstract

Spurred by the COVID-19 pandemic, there has been an increase in the open acknowledgment of the importance of teaching and learning praxis that is grounded in compassion, understanding, cocreation, community, and flexibility. This is especially so for ‘traditional’ university spaces, in essence questioning and resisting the many established dynamics that face-to-face teaching and learning took for granted within many neoliberal and neocolonial higher education contexts. In this chapter, I propose positioning a love ethic as a primary point of departure for all educational engagements, a foundational shift in ontology (way of being) of the university. By focusing on love as liberation and justice, and teaching as an act of love, I draw on critical, engaged, and feminist pedagogies, as well as my experience as a lecturer in a social justice– and global citizenship-oriented program at the University of Cape Town (UCT), South Africa, where I positioned a love ethic as central to my pedagogical approach. I argue that when we begin to view love as more than mere emotion, but as an ideological position that informs values and praxis within higher education (and our university “classrooms” in particular), we may move toward new and exciting ways of envisioning the decolonized university of the 21st century. A love ethic, as defined by bell hooks, offers possibilities for an approach to critical transformation that is not merely motivated by the change of institutional structures, but by the reform of values guiding teaching and learning and ways of being within higher education institutions.

Details

Worldviews and Values in Higher Education
Type: Book
ISBN: 978-1-80262-898-2

Keywords

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