Academic literature on the topic 'Counselling, wellbeing and community services'
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Journal articles on the topic "Counselling, wellbeing and community services"
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Norton, Jonathon, and Jacinta Horan Smith. "Promoting men's wellbeing: Integrated services for responding to men's depression in community health." Australian Journal of Primary Health 11, no. 1 (2005): 9. http://dx.doi.org/10.1071/py05002.
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Men's health issues and depression have both been identified as key priorities in health policy in Australia. A community health service in Melbourne has developed and delivered an integrated and holistic series of interventions specifically targeting depression in men, in addition to individual counselling services. These include a psycho-educational group program, an ongoing therapeutic and support group, and walking and gym exercise activities. Levels of participation, and outcomes, indicate that this type of package of services can be a highly successful way for community health services to respond to issues relating to men's health and wellbeing.
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Quigley, D., and K. D. Murphy. "A qualitative evaluation of the attitudes, barriers, and facilitators relating to the provision of vaccine information by Irish community pharmacists." International Journal of Pharmacy Practice 30, Supplement_1 (April 1, 2022): i17. http://dx.doi.org/10.1093/ijpp/riac021.023.
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Abstract Introduction Community Pharmacists (CPs) can positively impact vaccination uptake. Vaccine hesitancy is not a binary belief but consists of a range of context-specific opinions. CPs are easily-accessible, trusted healthcare professionals responsible for improving patients’ wellbeing. CPs have a positive impact on reducing vaccine hesitancy and improving vaccine uptake. The importance of pharmacists’ role as vaccination educators is clear.(1) Despite the benefits of involvement in vaccine advocacy, CPs may be reluctant to communicate with vaccine-hesitant patients or may find counselling challenging. (2) Aim To examine factors influencing Irish CPs’ attitudes towards vaccine information provision and propose actions to remove barriers and promote facilitators to improve vaccination counselling. Methods Semi-structured interviews with a purposive sample of Irish CPs took place from October-November 2020. Topics covered included personal attitudes to vaccination, attitudes to pharmacists as vaccination educators, and barriers to counselling provision. Participants also completed a survey about their work environment and history of administering vaccines and beliefs about vaccination. Interview audio recordings were transcribed verbatim and thematic analysis used to identify themes. NVivo 12 was used to analyse interview data. Results Twelve pharmacists were interviewed. The majority of interviewees were female (n=10), supervising pharmacists (n=7), and received flu vaccines in at least three of the previous five years (n=7/10). Survey questions were not answered by two participants. All others agreed that vaccines are safe and effective. A single participant did not agree that vaccine counselling is a valuable use of a CPs time and that CPs should try to improve public vaccine uptake. Six themes were identified, with four relating to attitudes towards vaccine counselling; 1) vaccine value and confidence, 2) influence and duty, 3) knowledge, and 4) time and money, and two themes on actions to enhance counselling: 5) supporting resources, and 6) public awareness. Supporting materials would allow participants to be ‘very confident in going through…with them, going through risks, benefits, side-effects’ and would be ‘something tangible to show them’. In addition patients could take them home to help their deliberations. Having insufficient time was a barrier to vaccine counselling as they often were the only CP so they could not ‘start a conversation with someone about vaccine uptake if I can see that I have ten scripts waiting inside in the dispensary to be done.’ Conclusion Participants recognised the value of vaccination for improving patient wellbeing but willingness to promote immunisation was restricted by insufficient knowledge, time, and financial supports. Limited by its low number of participants, the diversity of CPs and overlapping themes strengthen the results of this study. Provision of accessible information repositories, training resources, counselling materials, and awareness campaigns may address deficits in knowledge and confidence. Removal of time and financial barriers may require reform of the role of community pharmacy in delivery of vaccine services in Ireland. References (1) Isenor JE, Edwards NT, Alia TA, Slayter KL, MacDougall DM, McNeil SA, et al. Impact of pharmacists as immunizers on vaccination rates: A systematic review and meta-analysis. Vaccine. 2016 Nov 11;34(47):5708–23. (2) Islam JY, Gruber JF, Lockhart A, Kunwar M, Wilson S, Smith SB, et al. Opportunities and Challenges of Adolescent and Adult Vaccination Administration Within Pharmacies in the United States. Biomed Inform Insights. 2017;9:1178222617692538.
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Minimol, K. "Risk Assessment and Strengths Based Case Management in Elderly Care– Scope of Social Work Practice." Artha - Journal of Social Sciences 15, no. 2 (April 1, 2016): 121. http://dx.doi.org/10.12724/ajss.37.7.
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Social workers have a significant role in ensuring the wellbeing of older people. Social work brings a range of specialized skills and methods of interventions in improving the quality of life of older adults. Conducting proper assessment is an important task of social workers while engaging in the provision of support services. In contrast to the ubiquitous deficit-based assessments, strengths-based assessments provide social work practitioners with methods to assess strengths and abilities and thereby develop strengths-based interventions. Though risk-assessment is necessary to prevent problems occurring, understanding clients’ strengths is an integral resource in the helping process. Assessments giving equal importance to risks and strengths are inevitable in formulating and implementing specific activities to facilitate their independent living in the community. This paper highlights the significance of biopsychosocial assessment, risks/strengths assessment and strengths-based case management of older adults. This paper also presents an inventory of risks and strengths reported by older adults who attended case work and counselling sessions with the author during her role as a social worker in a multidisciplinary community health care setting in Australia.
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de Bruyn, Maria, and Susan Paxton. "HIV testing of pregnant women—what is needed to protect positive women's needs and rights?" Sexual Health 2, no. 3 (2005): 143. http://dx.doi.org/10.1071/sh04056.
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With increased availability of antiretroviral therapy, there is an escalating global trend to test all pregnant women for HIV in order to stop perinatal transmission. However, insufficient consideration is given to the impact this may have on the lives of these women and their families. Many women feel pressured into HIV testing during pregnancy, do not receive adequate pre-test counselling or do not give truly informed consent. Some women who test positive experience significantly more discrimination from their partners, families and community members than HIV-positive men do. As a consequence, large numbers of women diagnosed during pregnancy do not tell their husband their status because they fear blame, abandonment or abuse, including physical assault. Women who do disclose their HIV status may face dramatic negative repercussions on their own and their children’s wellbeing. Consequently, it is unfair to test women during pregnancy solely or mainly to help prevent perinatal transmission if there are no available support services to protect the women’s rights, enable them to live healthily after an HIV-positive diagnosis and engage them in the policies and programmes that affect women’s lives. We need to create a climate that encourages HIV testing before pregnancy so that women can make informed reproductive choices. Men must be brought into the testing process through couple counselling before pregnancy and scaling up of voluntary counselling and testing programmes outside the antenatal care setting. In addition, people living with HIV have unique expertise and are very effective as peer counsellors. They have been under-utilised in the health care sector to provide support to newly-diagnosed people and to help eliminate AIDS-related shame and stigma.
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Gog, Sorin. "Alternative Forms of Spirituality and the Socialization of a Self-Enhancing Subjectivity: Features of the Post-Secular Religious Space in Contemporary Romania." Studia Universitatis Babes-Bolyai Sociologia 61, no. 2 (December 1, 2016): 97–124. http://dx.doi.org/10.1515/subbs-2016-0012.
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AbstractMy paper focuses on the shift in religious values in post-socialist Romania and explores the emergence of alternative spiritual beliefs and practices among the younger generations socialized during the post-communist period. It analyses some of the changes that occurred in the wider traditional religious field and looks at the various spiritualized technologies of the self that produce a distinctive type of religious subjectivity and an immanent ethics of authenticity. By departing from the idea of an integrated religious community and from the relational understanding of religious transformation, the field of alternative spiritualities operates a radical break with traditional religion and emphasizes the possibility of spiritual self-realization and self-discovery. It is this process of the individualizing sacralization of the self that constitutes the object of various workshops, blogs, personal and spiritual development literature, courses, spiritual retreats and counselling services. My research looks at how innovative technologies of the self are developed within these spaces that emphasize creativity, wellbeing and a new understanding of subjective interiority that learns how to find in itself the resources it needs to live in a spiritualized ontology of the present.2
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Fixsen, Alison, Simon Barrett, and Michal Shimonovich. "Weathering the storm: A qualitative study of social prescribing in urban and rural Scotland during the COVID-19 pandemic." SAGE Open Medicine 9 (January 2021): 205031212110291. http://dx.doi.org/10.1177/20503121211029187.
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Objectives: The non-clinical approach known as social prescribing aims to tackle multi-morbidity, reduce general practitioner (GP) workload and promote wellbeing by directing patients to community services. Usual in-person modes of delivery of social prescribing have been virtually impossible under social distancing rules. This study qualitatively examined and compared the responses of three social prescribing schemes in Scotland to the COVID-19 pandemic. Methods: We interviewed a theoretical sample of 23 stakeholders in urban and rural social prescribing schemes at the start of COVID-19 pandemic. Follow-up interviews with a representative sample were conducted around 10 months later. Interviewees included social prescribing coordinators (SPCs) GPs, managers, researchers and representatives of third sector organizations. Interview transcripts were analysed in stages and an inductive approach to coding was supported by NVivo. Results: Findings revealed a complex social prescribing landscape in Scotland with schemes funded, structured and delivering services in diverse ways. Across all schemes, working effectively during the pandemic and shifting to online delivery had been challenging and demanding; however, their priorities in response to the pandemic had differed. With GP time and services stretched to limits, GP practice-attached ‘Link Workers’ had taken on counselling and advocacy roles, sometimes for serious mental health cases. Community-based SPCs had mostly assumed a health education role, and those on the Western Isles of Scotland a digital support role. In both rural or urban areas, combatting loneliness and isolation – especially given social distancing – remained a pivotal aspect of the SPC role. Conclusion: This study highlights significant challenges and shifts in focus in social prescribing in response to the pandemic. The use of multiple digital technologies has assumed a central role in social prescribing, and this situation seems likely to remain. With statutory and non-statutory services stretched to their limits, there is a danger of SPCs assuming new tasks without adequate training or support.
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Almunef, M., J. Mason, C. Curtis, and Z. Jalal. "The role of primary care pharmacist in the management of chronic illnesses in young people: a qualitative study." International Journal of Pharmacy Practice 30, Supplement_1 (April 1, 2022): i34. http://dx.doi.org/10.1093/ijpp/riac019.047.
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Abstract Introduction Recent evidence has shown that the incidence of long-term illnesses in young people is increasing (1). Pharmacists, as medicine experts, are in a unique position to promote young people’s health by improving their knowledge regarding effective use of medication through the provision of pharmaceutical services. To date, there are few studies that have explored the potential roles of primary care pharmacists in providing health care for young people with long term illnesses (2). This study attempts to show the potential role of primary care pharmacists in caring of young people with chronic illnesses. Aim To explore the role of primary care pharmacists in the management of chronic illnesses in young people aged 18-24 years. Methods A qualitative study was undertaken. From June to November 2019, semi-structured interviews were conducted with 23 primary care pharmacists in the UK. A purposive sampling strategy was followed to form a population for this study. The targeted participants were UK primary care pharmacists i.e. General Practice (GP) and community based pharmacists. Through professional networks, the participants were identified, approached and recruited by email or in person. Interviews on average lasted 35 minutes, and were audio recorded, transcribed verbatim and analysed inductively using thematic analysis. Emergent themes were reviewed by all authors and any discrepancies were resolved through discussion. Results Four themes emerged from the data: pharmacists’ roles, prescribing issues, pharmaceutical services and young people medication-related experiences. Participants identified several roles for primary care pharmacists in caring of young people with chronic illness. These roles included encouraging young people to visit the pharmacy to collect their medicines and ensuring that they have enough medicines supply, counselling and educating young people about their medicines and answering their queries, building trusted relationships directly with them, provision of specialist services, following up with young people and checking on medication compliance, and signposting them for further support. The most discussed chronic illnesses in young people by participants were respiratory diseases such as asthma and mental health illnesses. However, many pharmacists perceive a fundamental communication barrier that hinders the provision of this support, i.e., lack of access to the patient. Participants identified a lack of support from other health care providers as one of the associated challenges for pharmacists in supporting young people with chronic illness. Conclusion Primary care pharmacists felt that they have an important role in supporting young people with chronic illness. This study identified many ways in which pharmacists provide services and support to young people. This study makes a major contribution to the limited literature on primary care pharmacists’ experience of dealing with young people with chronic illness by exploring the pharmaceutical care currently available and identifying other issues which may influence pharmaceutical care. Although the research was limited by a relatively small number of participants, the findings of this research could inform future research to provide more evidence of the benefit of primary care pharmacists in supporting young people with chronic illness in the optimal use of their medication. References (1) Shah R, Hagell A, Cheung R. International comparisons of health and wellbeing in adolescence and early adulthood. London (UK): Nuffield Trust; 2019. (2) Gray N, Shaw K, Smith F, et al. The Role of Pharmacists in Caring for Young People With Chronic Illness. Journal of Adolescent Health, 2017; 60 (2): 219–225.
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Cooper, Mick. "School counselling: The evidence for what works." British Journal of Child Health 2, no. 2 (April 2, 2021): 101–2. http://dx.doi.org/10.12968/chhe.2021.2.2.101.
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School counselling services are a common response to mental health and wellbeing challenges, not least those caused by COVID-19 and lockdown. New research findings have shown us exactly when and how counselling can be most effective, Professor Mick Cooper explains.
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Forman, Sarah, and Katrina Andrews. "Perceptions of students’ counselling experience with intern counsellors within a tertiary education setting: A thematic analysis." Journal of the Australian and New Zealand Student Services Association 29, no. 1 (May 24, 2021): 59–73. http://dx.doi.org/10.30688/janzssa.2021.1.03.
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Mental health decline and psychological distress is rising among tertiary students’ worldwide andis now recognised internationally as an important public health issue.There is a growing demand for campus-based counselling services as evidence suggests that providing on-campus counselling support can significantly support student mental health and wellbeing. In addition, there is a symbiotic demand for counselling students to have the opportunity to integrate their skills through practice with clients. With the increasing demand for universities and tertiary institutes to provide counselling support, the use of graduate level trainees to deliver counselling services could provide an innovative and effective model to cope with high demand in a cost-efficient way. This qualitative research explores the perceptions of students who have sought counselling, delivered by trainee counsellors within a tertiary education setting. A thematic analysis was used to interpret the data from anonymous, semi-structured survey questions. Three predominate themes were identified; 1) positive experiences of counselling were connected directly to the relationship and positive regard that the counsellor fostered; 2) the counselling process supported the clients’ autonomy, self-determination and resilience and 3) despite nervousness, clients were surprised by the perceived positive benefits of counselling. A fourth theme identified that a minority of clients need a more experienced therapist to support their needs. This study demonstrated that counselling services delivered by trainee counsellors was perceived as helpful by the majority of students and has implications for improving practice and service availability through the use of trainees within university counselling services.
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Flynn, Gillian Barclay, Jennifer Bogle, Caroline Gos, Pamela Kennedy, and Eilidh McIver. "The integration and evaluation of school counselling in Scottish schools." Educational Psychology in Scotland 22, no. 1 (2022): 75–83. http://dx.doi.org/10.53841/bpsepis.2022.22.1.75.
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AimIn 2019 the Scottish Government introduced local authority funding to provide school counselling for 10 to 18 year olds. Since September 2019 this local education authority (LEA) has been developing and implementing its strategy to provide school counselling led by Psychological Services. This report summarises the first year’s evaluation.MethodSurveys were conducted with counsellors and school staff. Data on delivery including numbers accessing counselling, demographics, presenting issues and pre and post intervention measures were collected and analysed.FindingsThe integration of counselling within schools was felt to be a very effective model and positive impact was demonstrated. Counselling was skewed 2:1 towards girls and the peak age accessing counselling was 13 to 16 years. Individuals were accessing counselling for a wide range of wellbeing issues. Several themes are identified as supporting the effective delivery and development of counselling in schools.LimitationsThere was a heavy reliance on counsellors for accurate recording and reporting of data which may have impacted reliability. The current evaluation has not yet included feedback from children and young people themselves, their parents or wider stakeholders.ConclusionsThe first year implementation has demonstrated the value of integrating school counselling within school systems and as part of a whole school approach to mental health and wellbeing. The locality wide data indicated a gender bias towards girls, however this was not consistent across all settings and further exploration of this theme could be useful in understanding the factors that influence access to counselling across genders.
Dissertations / Theses on the topic "Counselling, wellbeing and community services"
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Waters, Elizabeth. "Measuring child health and wellbeing." Thesis, University of Oxford, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.270153.
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Whelan, Blanche M. "The impact of counselling services at a small community college, multiple perspectives." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape3/PQDD_0033/MQ62440.pdf.
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Van, Wyk Sherine. "Locating a counselling internship within a community setting." Thesis, Stellenbosch : Stellenbosch University, 2002. http://hdl.handle.net/10019.1/49732.
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Thesis (MA) -- University of Stellenbosch, 2002.ENGLISH ABSTRACT: no abstract available
AFRIKAANSE OPSOMMING: Hierdie navorsing ondersoek die behoefte van Sielkunde as professie om meer sosiaal relevante en gepaste dienste vir al die mense van Suid-Afrika te lewer. Dit bespreek die kritiek teen tradisionele sielkunde en die dringende behoefte vir 'n meer kontekstuele benadering om the negatiewe sielkundige verskynsels in the samelewing te begryp en verklaar. Die waarde van Gemeenskapsielkunde om voorkomende, kuratiewe en bevorderende geestesgesondheidsdienste aan gemeenskappe te lewer, word ook ondersoek. Verskeie modelle van gemeenskapsielkunde en die voorgestelde integrasie van geestesgesondheidsdienste by Primere Gesondheid word bespreek. Die plasing van 'n voorligtingsielkunde internskap binne 'n gemeenskapsomgewing, naamlik, die Don en Pat Bilton Kliniek, Jamestown, word beskryf en qeevalueer.
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Montgomery, Anna. "Counselling in Swedish Community Pharmacies : Understanding the Process of a Pharmaceutical Care Service." Doctoral thesis, Uppsala universitet, Institutionen för farmaci, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-108973.
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Community pharmacy practice is moving towards patient care and away from the mere dispensing of medicines. In this movement, which is guided by the philosophy of Pharmaceutical care (PC), new counselling services emerge. The purpose of the thesis was to add knowledge about the real-world provision of PC services by studying a defined PC service in Swedish pharmacies. Specific aims of this thesis were to investigate the experiences of professionals working with or close to the service and to describe the content of consultations, counselling behaviour and patterns of follow-up. Further aims were to characterise patients receiving the service and describe their perceived outcomes, in relation to standard service. Data were collected via focus groups, telephone interviews, observations, a patient medication record database and a cross-sectional survey. The practitioners reported greater use of their pharmaceutical knowledge and provision of more thorough patient support. Perceived barriers in delivering the service included difficulties in documenting and getting commitment from colleagues, managers and prescribers. Doctors working close to PC pharmacies held varying opinions about the service. Consultations dealt with issues potentially improving the outcomes of medical treatment, but the level of patient centredness varied and was limited by the practitioners’ focus on the computer screen. The rate of follow-up evaluations was modest, but was higher at pharmacies with a high volume of patients receiving the service. PC patients were mostly elderly and female, using about 10 prescription drugs. In comparison to patients receiving standard service, they were more worried, vulnerable and information-seeking. At the same time, their feelings of safety following the pharmacy visit were more pronounced than those of patients receiving standard service. They also felt better prepared for doctor visits. In order for community pharmacy to better meet patients’ needs and optimise PC services, increased attention should be given to implementation strategies, interprofessional collaboration and educational efforts focusing on patient centredness.
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Shahidullah, AKM. "Community-Based Developmental Entrepreneurship: Linking Microfinance with Ecosystem Services." International Journal of Development and Sustainabilty, 2 (3), 1703-1722, 2013. http://hdl.handle.net/1993/31836.
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This research examined whether microfinance-assisted developmental mechanisms can integrate ecological objectives alongside social and economic ones—thus promoting sustainability. The specific focus was to test the ability of microenterprises operated by community-entrepreneurs in supporting local ecosystem services. To this end, the research: elucidated the nature and dynamics of linkages between communities and the local ecosystems with the lens of coupled social-ecological systems, i.e. illustrated ecological modernization of microenterprises in a developing country context; tested how community-based enterprises transform upon application of green microfinance strategy; and then recognized how social learning is promoted through such community-based intervention mechanisms, e.g. microfinance.
The research used case study and participatory approaches. The case study comprised two components: i) a green microfinance program, and ii) communities in a riparian, and a wetland ecosystem in Bangladesh engaged in entrepreneurship. The major tools that the study employed for data collections were: household surveys, participatory land -use surveys, semi-structured interviews, key informant interviews, focus group discussions, multi-stakeholder workshops, field observations, and document reviews.
The research findings reveal that the green microfinance strategy, in the short and medium terms, catalyzes entrepreneurial and social innovations, and combine the embedded economic and social objectives of the classic microfinance with the new ecological objectives towards sustainability. The strategy applied by Microfinance Institution (MFI) and adopted by community enterprises transformed the ventures—helping them to go green and reducing greenhouse gas emission. Besides, the partnerships that occur between non-governmental organization (NGO) and community-based organization (CBO) in the process of implementing developmental programs—result social learning and innovations in the communities.
The research review found grassroots developmental initiatives as an evolving phenomenon over time. With this view, and with its observation through this cross-sectional study, the research proposes a framework entitled ‘community-based developmental enterprise (CBDE)’. The framework proposes community level entrepreneurial ventures, associated NGO-MFIs, CBOs and other development partners to consider ecosystem services and wellbeing components in entrepreneurial design and actions.October 2016
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Taylor, Vicki. "Talking clients into tests : the interactional accomplishment and management of unsolicited 'offers' in HIV pre-test counselling interviews." Thesis, Goldsmiths College (University of London), 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.325354.
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Dennis, Matthew. "The role of community-led innovation in the adaptive capacity of ecosystem services in an urban social-ecological system." Thesis, University of Salford, 2015. http://usir.salford.ac.uk/35449/.
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Urban areas are hubs of creativity and innovation providing fertile ground for novel responses to modern environmental challenges. One such response is the community-led management of urban green spaces as a form of organised social-ecological innovation (OSEI). Previous studies have attempted to conceptualise the ecological, social and political potential of such informal approaches to urban green space management. However, little work has been carried out into their efficacy in the landscape, either by describing the social-ecological conditions influencing their occurrence or by quantifying the actual benefits in terms of ecosystem service provision. This research explores the emergence and impact of OSEI in a continuous urban landscape comprising the metropolitan areas of Manchester, Salford and Trafford (UK). The social-ecological context and content of OSEI were investigated using a cross-scale approach. At the landscape scale a snowball-sampling method mapped the occurrence of OSEIs using GIS and remote sensing technology. At the micro-scale, a case study quantified relative levels of provision across four key ecosystem services. The analysis presented OSEI as an adaptive response to environmental stressors, clustered around “hubs” of social-ecological innovation in the urban landscape. The distribution of OSEIs was influenced by historical context, degree of urbanisation and dependent on levels of, and dynamics between, social and ecological deprivation. Urban agriculture was instrumental as a catalyst for the emergence of OSEI and the associated production of a range of ecosystem services. Site productivity was also influenced by spatial and design considerations. This thesis has detailed the character of OSEI as a coherent phenomenon in the urban landscape which exhibits valuable response diversity according to social-ecological conditions. This, together with an evaluation of factors influencing ecosystem service provision at the local scale, has informed the validity of OSEI as an element of adaptive capacity which contributes to resilience in urban social-ecological systems.
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Mahajan, Shauna. "Who benefits and who loses? : Evaluating the impacts of community-based marine protected areas on ecosystem services and human wellbeing." Thesis, Stockholms universitet, Stockholm Resilience Centre, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-105721.
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Coral reef ecosystems are some of the most biologically diverse systems in the world, and provide a number of ecosystem services that humans depend on for their wellbeing. Marine protected areas (MPAs) are a social-ecological intervention that while conserving these ecosystems, also have significant impacts on the communities that depend on them for their wellbeing. Community-based MPAs are growing in popularity with the assumption that by putting communities at the forefront of their planning and management, more participation will occur, ensuring positive social and ecological impacts. This study, through mixed qualitative and quantitative methods, examines two community-based MPAs in coastal Kenya (called tengefus) to understand how each tengefu was incepted, and how resource users perceive the impacts of the tengefu on ecosystem services and human wellbeing. Participation in and donor support for the tengefu were found to influence how resource users perceived impacts. Individuals who were more engaged in the project or held some type of leadership position perceived more positive impacts on ecosystem services and human wellbeing compared to those not involved. In the two cases, tangible benefits (e.g. fisheries spillover and ecotourism) from the marine enclosure itself are too few to benefit the community as a whole. For tengefus to be social successes, more attention should be given to engaging all resource-dependent community members in their planning, implementation and management, and to understanding the multifaceted role of donor funding in supporting these initiatives.
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Alizadeh, khoei Mahtab. "Assessing factors in utilisation of health services and community aged care services by the Iranian elderly living in the Sydney metropolitan area." University of Sydney, 2008. http://hdl.handle.net/2123/3986.
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Doctor of philosophy (PhD)Abstract As one of the most culturally diverse countries in the world, Australia has a high proportion of minority communities. However, its ageing population, particularly within these ethnic minorities, faces a range of barriers or difficulties in gaining access to and using health and aged care services. This study aims to identify the acculturation factors that affect the health status of Iranian-born elderly immigrants to Australia and their utilisation of health and community aged care services. The results of this study will be of value to Iranian elders, their families, and Australian aged health care service providers. The findings could also contribute towards enriched multicultural policy and improved social fairness, access to services, and equity for the aged from different ethnic backgrounds. 302 Iranian migrants aged 65 years who had lived in the Sydney Metropolitan area for at least six months were surveyed via a written questionnaire, face-to-face interviews, and telephone interviews. The results were analysed using SPSS and then compared to the findings from a 1999 survey of NSW elderly. The results indicate that Iranian migrants suffer higher levels of psychological distress and are more limited in their physical functioning than the general population of older Australians. They are in greater need of assistance with activities of daily living, have a lower sense of wellbeing, and are far less likely to utilise aged care services. Iranian migrant who do not speak English at home experience these disadvantages to an even greater extent English language proficiency was the only acculturation factor found to affect whether Iranian elderly utilised health and community aged care services, while ability to engage in activities of daily living (ADL) was the only health variable associated with their utilisation of community supportive aged care services. This variable did not predict the use of community aged care services in the broader sample of NSW respondents. Since limited proficiency in English placed elderly Iranian migrants at greater health risk and impeded their access to necessary assistance, the findings suggest that they would clearly benefit from English classes and from access to health and community care services and information regarding these services in the Farsi language.
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Edmund, Ampeire. "The utilisation of HIV services on campus by the students of the University of the Western Cape." Thesis, University of the Western Cape, 2009. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_7383_1299041199.
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This qualitative study was conducted from June to November 2009, using designed questionnaires for sixty three (63) registered students and five (5) HIV program staff .The main reason for this study was to understand the underlying factors for why students may utilize or may not utilize the available HIV services on campus. The willingness of students to express their views was a positive finding in this study. Majority students who answered the questionnaires were quite aware of these HIV services. They also agreed that services provided are good. The study also found out that females utilized these services more than males and majority of students learnt of the HIV services from the HIV programs pamphlets and website thus indicating that the HIV program at UWC is function. However the research study also found out that the though students are aware of these services few utilize them and majority are females thus leaves a question why males do not utilize.
Books on the topic "Counselling, wellbeing and community services"
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Caroline, Cohrssen, and Catholic AIDS Action (Namibia), eds. Community-based counselling for people affected by HIV and AIDS. Cape Town, South Africa: Longman, 2004.
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Moon, Lyndsey. Counselling ideologies: Queer challenges to heteronormativity. Farnham: Ashgate Pub., 2010.
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Working with life experience. Milton Keynes: Open University, 2010.
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Working with life experience. Milton Keynes: Open University, 2008.
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Biswas, Jit. Inclusive Society: Health and Wellbeing in the Community, and Care at Home: 11th International Conference on Smart Homes and Health Telematics, ICOST 2013, Singapore, June 19-21, 2013. Proceedings. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013.
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L, Strike Diane, Cornell University, and Suicide Prevention and Crisis Service of Tompkins County (Tompkins County, N.Y.), eds. Talking with the caller: Guidelines for crisisline and other volunteer counselors. Thousand Oaks, Calif: Sage Publications, 1998.
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(Editor), Steve Cropper, Alison Porter (Editor), Gareth Williams (Editor), Sandra Carlisle (Editor), and Robert Moore (Editor), eds. Community Health and Wellbeing: Action Research on Health Inequalities (Health & Society Series). Policy Pr, 2007.
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A Suitable space: Improving counselling services for Asian people. Bristol: Policy Press, 2001.
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(Editor), Steve Cropper, Alison Porter (Editor), Gareth Williams (Editor), Sandra Carlisle (Editor), and Robert Moore (Editor), eds. Community Health and Wellbeing: Action Research on Health Inequalities (Health & Society Series). Policy Pr, 2007.
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Counselling Services for Sterilisation, Vasectomy and Termination of Pregnancy. Policy Studies Institute, 1985.
Find full textBook chapters on the topic "Counselling, wellbeing and community services"
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Kegerreis, Sue. "Family Consultation Centres, Community Adolescent Services and Beyond." In Psychodynamic Counselling with Children and Young People, 139–51. London: Macmillan Education UK, 2010. http://dx.doi.org/10.1007/978-1-137-05711-2_13.
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Keijzer-Broers, Wally J. W., Mark de Reuver, and Nick A. Guldemond. "Designing a Matchmaking Platform for Smart Living Services." In Inclusive Society: Health and Wellbeing in the Community, and Care at Home, 224–29. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-39470-6_28.
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Sedhain, Jyoti, and Elson Ian Nyl Ebreo Galang. "Gendered Values, Roles, and Challenges for Sustainable Provision of Forest-Based Ecosystem Services in Nepal." In Human-Nature Interactions, 101–12. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-01980-7_9.
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Significance StatementWomen empowerment and participation in forest management are essential to sustain critical natural benefits or ecosystem services (ES) that forests provide. In mountainous landscapes in Nepal, women are the core users or dependents of key forest-based ES such as food, fodder, and fuel to support their families’ wellbeing. With the country’s Community Forestry program, they gained capacities to participate and eventually become the stewards of sustainable management of these ES. However, several social-ecological challenges such as deforestation, illegal felling, and climate change threaten both the supply of forest-based ES and women’s capacities for sustainable management. These results highlight the need to strengthen support for women in forest management to enable them to adapt better to the impacts of these challenges.
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Schneider, Petra, and Tino Fauk. "The Role of Allotment Gardens for Connecting Nature and People." In Human-Nature Interactions, 261–72. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-01980-7_21.
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Significance StatementAllotment gardens (AG) are valuable elements of communities that provide substantial ecosystem services. An AG as a type of community garden is a plot of land made available for individual, non-commercial gardening or growing food plants. Beside the provision of urban ecosystem services, AG’s deliver an ecological potential to habitat connectivity in the urban realm as well a substantial contribution to human health. The role of AG’s in the frame of urban ecosystems is manifold and multifunctional. Beside their purpose for food production and recreation, AG’s offer crucial benefits for public health and wellbeing, social inclusion, environment, and as cultural archive. Their intrinsic purpose is connectivity, for habitats, people, ecosystem services and circular flux management. The contribution is based on a literature review supported by a field survey that was performed in the period 2017–2020 in Ecuador, Germany, Sweden, Uganda, and Vietnam.
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Wekesa, Chemuku, Leila Ndalilo, and Carolyne Manya. "Reconciling Community Livelihood Needs and Biodiversity Conservation in Taita Hills Forests for Improved Livelihoods and Transformational Management of the Landscape." In Fostering Transformative Change for Sustainability in the Context of Socio-Ecological Production Landscapes and Seascapes (SEPLS), 17–35. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-33-6761-6_2.
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AbstractThe fragmented forests of Taita Hills form an exceptional multi-functional socio-ecological production landscape with outstanding diversity of flora and fauna that provide ecosystem goods and services supporting human wellbeing and livelihood systems. However, these forests are threatened by illegal logging for wood products and encroachment for crop farming. A study was conducted in villages surrounding five forest fragments to establish the conservation programmes responsible for keeping these forests intact for provision of goods and services to the local communities. Semi-structured questionnaires were used to collect data from 250 respondents in 25 villages surrounding the five forest fragments. Twenty-five focus group discussions (FGDs) were held with key informants actively involved in conservation activities. Results showed that the Taita community conserves the forest fragments through management practices that integrate livelihood needs in conservation, such as butterfly farming, bee-keeping and ecotourism. Additionally, community tree nurseries have been established to produce seedlings for restoring degraded areas, and agroforestry belts have been established on the forests’ edges to provide wood products and protect the forests from encroachment. Likewise, village committees have been established to oversee conservation activities inside the village jurisdictional area. The integrated conservation and livelihood approach has reduced forest destruction, enhanced landscape connectivity for biodiversity conservation, increased incomes, enhanced capacity of the community to adapt to climate change, improved food security, enhanced carbon storage, strengthened traditional knowledge and practices, and ensured availability of clean water for the local population.
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Abel, Gillian, and Catherine Healy. "Sex Worker-Led Provision of Services in New Zealand: Optimising Health and Safety in a Decriminalised Context." In Sex Work, Health, and Human Rights, 175–87. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-64171-9_10.
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AbstractDecriminalisation recognises sex work as work; it provides opportunities for promoting the health of sex workers and therefore goes a long way to addressing health and human rights inequities for this sector of the population. This chapter focuses on three scenarios (among many) where decriminalisation of sex work in New Zealand has been successful in promoting sex workers’ health, safety, and wellbeing and, in so doing, provides a blueprint for best practice in working with sex workers.Although services for sex workers are available in many countries, they tend to focus on street-based sex workers, who are perceived as the most vulnerable and thus most in need. A decriminalised context provides greater access to peer support (Harcourt 2010), which is much better positioned to address the complex needs of all sex workers. It also allows for sex workers to engage with others in the community for more effective policy as well as service provision (O’Neill and Pitcher, Sex work matters: exploring money, power and intimacy in the sex industry, Zed Books, London, 2010). In this chapter, we discuss: How access to police has been improved for sex workers who wish to report sexual assault How decriminalisation has enabled interagency collaboration when working with sex workers who have concerns about practices within certain brothels How new sex workers access information on safe practices in a decriminalised environment We use the research literature from New Zealand and elsewhere to expand on the real-life stories of the engagement between New Zealand Prostitutes Collective and sex workers, agencies, and individuals to illustrate the three scenarios.
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Belle, Carl Vadivella. "Developing Multicultural Counselling in an Australian University." In Multicultural Counseling Applications for Improved Mental Healthcare Services, 168–82. IGI Global, 2019. http://dx.doi.org/10.4018/978-1-5225-6073-9.ch010.
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Lifetime experiences have equipped the author with a broad and diverse background in approaching counselling and problem resolution. This has ranged from grief counselling to management of rural financial counselling and spiritual counselling. In 2004, the author was appointed Inaugural Hindu Chaplain at the Flinders University of South Australia, a position held until late 2007 (although his counselling role has continued until this day). The chaplaincy to which he was appointed was one of several that collectively comprised a multi-faith chaplaincy involving a team approach. The concept was one in which chaplains of different faiths would respect each other's traditions, would eschew proselytization, and would work cooperatively to mount joint educational and community interest projects. However, at the more fundamental level, his role consisted of providing chaplaincy services to Hindu students and staff studying or employed at Flinders University. (Increasingly this role extended to members of the other two universities based in Adelaide, neither of which possessed a Hindu chaplain.)
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Banks, Nicholas. "Cultural Competencies in Delivering Counselling and Psychotherapy Services to a Black Multicultural Population: Time for Change and Action." In The International Handbook of Black Community Mental Health, 181–97. Emerald Publishing Limited, 2020. http://dx.doi.org/10.1108/978-1-83909-964-920201014.
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Bosco, Nicolina, Susanna Giaccherini, Fausto Petrini, Stefano Castagnoli, and Patrizia Meringolo. "Fighting Stigma in the Community." In Research Anthology on Mental Health Stigma, Education, and Treatment, 880–908. IGI Global, 2021. http://dx.doi.org/10.4018/978-1-7998-8544-3.ch051.
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This chapter will discuss action research conducted in Tuscany to fight stigma surrounding mental illness. Public mental health services (PMHS) in Italy are perceived as ascribing a mentally ill label to individuals who utilize these programs. Local associations, especially sports associations, can be used to fight this stigma. This chapter will present key aspects and results of a community social innovation intervention jointly performed by a PMHS and the University of Florence. The research will explore perceptions surrounding the role and value of the community sports association, participants' perceived improvements, effects of sports participation, and the role of the sports association as an instrument to promote mental health. Results will show that the sports association is perceived as an agent of social capital to reduce social barriers emerging from mental illness. In addition, stigma is deconstructed through improvements to individual and social wellbeing.
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Chitetele Soy Pinto, Alister, Ana Pinto de Moura, Augusto Mário Miquitaio, Bas’llele Malomalo, Cristina Amaro da Costa, Daniela Queiroz Zuliani, Delfim Domingos da Costa, et al. "Networking and Participatory Research Promoting Quality of Life and Well-Being in Portuguese-Speaking African Countries." In Standard of Living, Wellbeing, and Community Development [Working Title]. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.97730.
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Spread across the planet each human being, individually or in community, aspires for well-being and quality of life, according to the ideal of each one. However, we all believe that there are always ways to live better. For many people the measurement of a better life translates into the guarantee of social rights, the right to basic services, good land, seed and sufficient nutritious food for their community members. The Mechanism to Facilitate the Participation of Universities in the Food and Nutrition Security Council of the Community of Portuguese Speaking Countries is a cooperative academic network fomented by the Community of Portuguese Speaking Countries (CPLP) with support from the Food and Agriculture Organization of the United Nations. This mechanism works with teaching, research and extension in the CPLP Food and Nutrition Security Strategy. The pillars of CPLP Strategy are the strengthening of the governance of public policies on Food and Nutrition Security at all levels of government, social protection based on guaranteeing access to food and family farming with a strategy to increase the availability of good quality food, promoting social and environmental sustainability. CPLP University Mechanism has provided training processes for technicians who work in public policies for Food and Nutrition Security and has contributed to the strengthening of postgraduate programs in Portuguese-speaking African countries. As consequence, it has favored participatory research and mixed methods as a theoretical methodological approach. Therefore, it seeks to focus on the territories of Food and Nutrition Security practices to transform reality, as recommended by CPLP Strategy, however, with the autonomous assumptions of the collaborative network. This chapter presents how local researchers perceive the results of a process of inducing an academic network to transform the local reality and promote Food and Nutrition Security in the context of the CPLP.
Conference papers on the topic "Counselling, wellbeing and community services"
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Morton, Chloe, Alan Chester, and Emma-Jane Cross. "Improving the wellbeing and mental health of young people through the delivery of online mentoring and counselling services." In The 26th BCS Conference on Human Computer Interaction. BCS Learning & Development, 2012. http://dx.doi.org/10.14236/ewic/hci2012.79.
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Dixon, Sandra, and Juliane Bell. "Shedding Light on a Forbidden Topic: The Need for Mental Health Professionals to Accommodate the Faith-Based Practices of Immigrant Clients." In 7th International Conference on Spirituality and Psychology. Tomorrow People Organization, 2022. http://dx.doi.org/10.52987/icsp.2022.009.
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Abstract There is much to learn about how immigrants describe their experiences of faith in the counselling context while negotiating meaningful relationships with mental health professionals (MHPs). Here, MHPs refer to individuals in the helping profession who provide services to immigrant clients such as social workers, psychologists, clinicians, practitioners, and counsellors. For the purpose of this presentation, immigrants are viewed as persons relocating to a host country for the purpose of resettlement for a better life (Perruchoud & Redpath-Cross, 2011). In this context, faith describes one’s committed spiritual and religious belief system. Although, it is important to the wellbeing of many immigrant clients, some MHPs struggle to integrate religious faith into the counselling process. According to Plumb (2011), these challenges might be a result of limited training in the area of faith as well as lack of confidence, competence, and comfort related to faith-based practices (Plumb, 2011). These professionals also appear to lack the knowledge and skill set needed to adapt culturally appropriate faith-based interventions in their work with immigrant clients (Dixon, 2015). Many immigrants rely on such faith-based interventions as a source of internal strength and comfort to manage social inequities like racism and discrimination. As such, MHPs have a responsibility to accommodate, recognize, and consider the importance of faith-based practices and interventions when providing counselling services to diverse immigrant client populations. Therefore, the aim of this live virtual presentation session is to engage in reflective discussions with attendees that highlight the role of faith within the therapeutic relationship. The co-presenters will provide useful faith-based interventions for attendees to consider when working with immigrant clients. We will also create a culturally safe environment for attendees to discuss practical ways that they have incorporated faith-based interventions in their counselling practices. Key words: Immigrants, Faith, Faith-Based Interventions, Mental Health Professionals
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Lucey, Siobhán, Frank Burke, Briony Supple, and Jennie Foley. "Learning spaces in community-based dental education." In Learning Connections 2019: Spaces, People, Practice. University College Cork||National Forum for the Enhancement of Teaching and Learning in Higher Education, 2019. http://dx.doi.org/10.33178/lc.2019.17.
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In response to various institutional and national policy drivers (University College Cork, 2018; Department of Health, 2019), a community-based dental education (CBDE) initiative in a non-dental setting has been proposed as a new curriculum offering in Paediatric Dentistry in University College Cork. The student-led clinic for children aged 0-5 years will be located in a new primary healthcare centre, which serves as a community hub for health and wellbeing services. The innovative use of learning spaces to imbue a culture of community-engaged scholarship in higher education is widely encouraged (Campus Engage, 2014; Galvin, O’Mahony, Powell & Neville, 2017). This work seeks to explore the features of the proposed learning environment, which may impact upon teaching and learning practice.
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Dehury, Ranjit Kumar. "MATERNAL HEALTH SERVICES IN THE TRIBAL COMMUNITY OF BALASORE DISTRICT, ODISHA: CHALLENGES AND IMPLICATIONS." In EPHP 2016, Bangalore, 8–9 July 2016, Third national conference on bringing Evidence into Public Health Policy Equitable India: All for Health and Wellbeing. BMJ Publishing Group Ltd, 2016. http://dx.doi.org/10.1136/bmjgh-2016-ephpabstracts.3.
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Singh, Pooja, Tom Newton-Lewis, Ruhi Saith, Prabal Singh, Mohini Kak, Kaveri Gill, Sao Tunyi, Nandira Changkija, and Patrick Mullen. "USING RESEARCH TO INFORM POLICY AND PRACTICE: INCENTIVISING COMMUNITY MANAGEMENT OF HEALTH SERVICES IN NAGALAND." In EPHP 2016, Bangalore, 8–9 July 2016, Third national conference on bringing Evidence into Public Health Policy Equitable India: All for Health and Wellbeing. BMJ Publishing Group Ltd, 2016. http://dx.doi.org/10.1136/bmjgh-2016-ephpabstracts.36.
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Lee-Morgan, Jenny, Kim Penetito, and Ngahuia Eruera. "Marae Ora, Kāinga Ora: A Marae-Led Response to Covid-19." In 2021 ITP Research Symposium. Unitec ePress, 2022. http://dx.doi.org/10.34074/proc.2205013.
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Marae Ora, Kāinga Ora (MOKO) is a marae-led community development and wellbeing research project. Lee-Morgan et al. (2021) explain this three-year research project, stating: “MOKO investigates the potential of five marae to strengthen their provision of kāinga (village, settlement) in the contemporary urban context of South Auckland” (p. 2). Using a Kaupapa Māori (KM) approach to Community Based Participatory Research (CBPR), this project explores the ancient Indigenous innovation of marae (both a spiritual and physical location with a socio-cultural setting for Māori to be immersed in a cultural context) and kāinga to understand and co-create new culturally based initiatives and support the activation of community development and wellbeing initiatives. While marae are highly valued by Māori communities as being critical to cultural sustainability and are recognised by government agencies as important community providers, there is a dearth of research about how contemporary urban marae operate and how they can work with, and for, communities (Kawharu, 2014; Tapsell, 2002; Thornley et al., 2015). The MOKO research aim is to enable marae to explore their potential role within their communities, to develop their own interpretation and opportunities for kāinga. These insights influence opportunities to partner with external agencies and services to achieve greater outcomes and collaborative advantages for whānau (family group) and community wellbeing, alongside marae. In brief, the MOKO project is focused on the intergenerational sustainability of the knowledge systems and replenishment of resources inherent within marae, our natural environment and kāinga ora.
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Mwebaze, Moses M. "The Role of Mobile Learning in Supporting Community Health Workers’ Continuous Learning: A Case of a Village Health Teams Training APP." In Tenth Pan-Commonwealth Forum on Open Learning. Commonwealth of Learning, 2022. http://dx.doi.org/10.56059/pcf10.3349.
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The purpose of this study is to assess the role of mobile learning in supporting Community Health Workers referred to as Village Health Teams in Uganda. Continuous learning with a smartphone application (App). The study aimed to objectify the concept of using Mobile learning to support CHWs’ training, which is presently considered to be irregular, and underfunded. A Mobile App prototype is used as a study tool to digitize training content on the subject of diseases, reproductive health, sanitation, and family wellbeing. The study involved 41 respondent participants categorized as CHWs, paramedical students, and Community Health Leaders. The variables for the study included the prevalence of smartphone devices, ease of Mobile App use, challenges of the existing approach to training and information delivery, App accessibility issues, and anticipated technical challenges. Despite the conspicuous challenges of mobile technology, the study findings suggest that mobile learning is a favorable alternative to support the training of CHWs. The identified advantages relate to geographic convenience, numerous mobile services, ease of access, update, storage, and sharing of content. However, imminent challenges include the availability of devices among CHWs, lack of electricity, unreliable network, and lack of internet data. Interventions by stakeholders to mitigate challenges are highlighted and mobile learning recommendations are expanded.
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Marques, Maria, Fabio Lopes, Ruben Costa, Carlos Agostinho, Pedro Oliveira, and Ricardo Jardim-Goncalves. "Innovative Product/Service for Personalized Health Management." In ASME 2019 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2019. http://dx.doi.org/10.1115/imece2019-11711.
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Abstract Smart4Health project is a European project aiming to empower citizens with electronic health(care) record exchange, personal connected health services, and the ability of data donorship to the scientific community. The Smart4Health platform will enable citizens to manage, collect, store, access and share own health and healthcare data, at international level, through an easy-to-use, secure, constantly accessible and portable health data and services prototype within the EU and beyond. This shall also comprise self-quantified and citizen-generated data through IoT and wearables (e.g. smart watches, smart devices/textiles/shoes). Therefore, the citizen will not only be able to access data produced in the context of health systems, but become important contributor of health data more generally speaking. The information to be collected will feed the Smart4Health platform (4HealthPlatform – 4HP), enabling the Smart4Health user portal (4HealthNavigator – 4HN) services and applications to provide advanced personalised health services accessible whenever and wherever. In this paper we explore the work being developed for data integration coming from different smart devices aiming at enriching the citizen health and personal data as well as providing insight about citizen behaviour and support on how to modify/adapt postures and habits that may contribute for better health and wellbeing.
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Pérez Jiménez, M., A. Dávila Rivas, C. Félix Arce, LA Padilla, and MA Cordero-Díaz. "ACADEMIC CONTINUITY OF CLINICAL TRAINING IN POSTGRADUATE MEDICAL EDUCATION AMID THE PANDEMIC." In The 7th International Conference on Education 2021. The International Institute of Knowledge Management, 2021. http://dx.doi.org/10.17501/24246700.2021.7108.
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The pandemic has posed many challenges for the academic continuity of clinical training. The social responsibility of universities and the professionalism of physicians inspired residents on taking the leadership in the front line of COVID-19. Their direct involvement in patient care required the establishment of protocols to offer mentoring and support services for self-care and mental health strategies to prevent burnout. The objective of this study was to describe the design and implementation of a comprehensive strategy to transform the Multicentric Program of postgraduate medical education in northern Mexico to continue academic and clinical training activities amid the pandemic. The participants in this study include six training centers which represent 290 physicians in 17 medical specialties programs. The results of the designed strategy focus on three specific activities: 1) offering formal curricular elements through online platforms and mobile devices, 2) adaptative clinical training for the residents participating directly in SARS-Cov2 patient care, and 3) specific training on COVID-19 for all participants on patient safety protocols and use of protective equipment. All 17 programs achieved academic continuity by the use of digital platforms. The protection and safety of the educational community were privileged with the purpose of training by providing residents specific safety training on COVID-19, personal protection equipment, periodical PCR testing and by the vaccination strategy. The responsibility and responsiveness of educational institutions to address the challenges to continue the clinical training during the health crisis will significantly affect the educational results and preparedness of the next generation of health professionals. The commitment of universities should be beyond academic continuity or sharing content online, it should address as well self-care and wellbeing strategies that could provide graduates with the skills that are essential to thrive in the current pandemic. Keywords: higher education, educational innovation, postgraduate medical education, residents’ education, COVID-19
Reports on the topic "Counselling, wellbeing and community services"
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Smit, Amelia, Kate Dunlop, Nehal Singh, Diona Damian, Kylie Vuong, and Anne Cust. Primary prevention of skin cancer in primary care settings. The Sax Institute, August 2022. http://dx.doi.org/10.57022/qpsm1481.
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Overview Skin cancer prevention is a component of the new Cancer Plan 2022–27, which guides the work of the Cancer Institute NSW. To lessen the impact of skin cancer on the community, the Cancer Institute NSW works closely with the NSW Skin Cancer Prevention Advisory Committee, comprising governmental and non-governmental organisation representatives, to develop and implement the NSW Skin Cancer Prevention Strategy. Primary Health Networks and primary care providers are seen as important stakeholders in this work. To guide improvements in skin cancer prevention and inform the development of the next NSW Skin Cancer Prevention Strategy, an up-to-date review of the evidence on the effectiveness and feasibility of skin cancer prevention activities in primary care is required. A research team led by the Daffodil Centre, a joint venture between the University of Sydney and Cancer Council NSW, was contracted to undertake an Evidence Check review to address the questions below. Evidence Check questions This Evidence Check aimed to address the following questions: Question 1: What skin cancer primary prevention activities can be effectively administered in primary care settings? As part of this, identify the key components of such messages, strategies, programs or initiatives that have been effectively implemented and their feasibility in the NSW/Australian context. Question 2: What are the main barriers and enablers for primary care providers in delivering skin cancer primary prevention activities within their setting? Summary of methods The research team conducted a detailed analysis of the published and grey literature, based on a comprehensive search. We developed the search strategy in consultation with a medical librarian at the University of Sydney and the Cancer Institute NSW team, and implemented it across the databases Embase, MEDLINE, PsycInfo, Scopus, Cochrane Central and CINAHL. Results were exported and uploaded to Covidence for screening and further selection. The search strategy was designed according to the SPIDER tool for Qualitative and Mixed-Methods Evidence Synthesis, which is a systematic strategy for searching qualitative and mixed-methods research studies. The SPIDER tool facilitates rigour in research by defining key elements of non-quantitative research questions. We included peer-reviewed and grey literature that included skin cancer primary prevention strategies/ interventions/ techniques/ programs within primary care settings, e.g. involving general practitioners and primary care nurses. The literature was limited to publications since 2014, and for studies or programs conducted in Australia, the UK, New Zealand, Canada, Ireland, Western Europe and Scandinavia. We also included relevant systematic reviews and evidence syntheses based on a range of international evidence where also relevant to the Australian context. To address Question 1, about the effectiveness of skin cancer prevention activities in primary care settings, we summarised findings from the Evidence Check according to different skin cancer prevention activities. To address Question 2, about the barriers and enablers of skin cancer prevention activities in primary care settings, we summarised findings according to the Consolidated Framework for Implementation Research (CFIR). The CFIR is a framework for identifying important implementation considerations for novel interventions in healthcare settings and provides a practical guide for systematically assessing potential barriers and facilitators in preparation for implementing a new activity or program. We assessed study quality using the National Health and Medical Research Council (NHMRC) levels of evidence. Key findings We identified 25 peer-reviewed journal articles that met the eligibility criteria and we included these in the Evidence Check. Eight of the studies were conducted in Australia, six in the UK, and the others elsewhere (mainly other European countries). In addition, the grey literature search identified four relevant guidelines, 12 education/training resources, two Cancer Care pathways, two position statements, three reports and five other resources that we included in the Evidence Check. Question 1 (related to effectiveness) We categorised the studies into different types of skin cancer prevention activities: behavioural counselling (n=3); risk assessment and delivering risk-tailored information (n=10); new technologies for early detection and accompanying prevention advice (n=4); and education and training programs for general practitioners (GPs) and primary care nurses regarding skin cancer prevention (n=3). There was good evidence that behavioural counselling interventions can result in a small improvement in sun protection behaviours among adults with fair skin types (defined as ivory or pale skin, light hair and eye colour, freckles, or those who sunburn easily), which would include the majority of Australians. It was found that clinicians play an important role in counselling patients about sun-protective behaviours, and recommended tailoring messages to the age and demographics of target groups (e.g. high-risk groups) to have maximal influence on behaviours. Several web-based melanoma risk prediction tools are now available in Australia, mainly designed for health professionals to identify patients’ risk of a new or subsequent primary melanoma and guide discussions with patients about primary prevention and early detection. Intervention studies have demonstrated that use of these melanoma risk prediction tools is feasible and acceptable to participants in primary care settings, and there is some evidence, including from Australian studies, that using these risk prediction tools to tailor primary prevention and early detection messages can improve sun-related behaviours. Some studies examined novel technologies, such as apps, to support early detection through skin examinations, including a very limited focus on the provision of preventive advice. These novel technologies are still largely in the research domain rather than recommended for routine use but provide a potential future opportunity to incorporate more primary prevention tailored advice. There are a number of online short courses available for primary healthcare professionals specifically focusing on skin cancer prevention. Most education and training programs for GPs and primary care nurses in the field of skin cancer focus on treatment and early detection, though some programs have specifically incorporated primary prevention education and training. A notable example is the Dermoscopy for Victorian General Practice Program, in which 93% of participating GPs reported that they had increased preventive information provided to high-risk patients and during skin examinations. Question 2 (related to barriers and enablers) Key enablers of performing skin cancer prevention activities in primary care settings included: • Easy access and availability of guidelines and point-of-care tools and resources • A fit with existing workflows and systems, so there is minimal disruption to flow of care • Easy-to-understand patient information • Using the waiting room for collection of risk assessment information on an electronic device such as an iPad/tablet where possible • Pairing with early detection activities • Sharing of successful programs across jurisdictions. Key barriers to performing skin cancer prevention activities in primary care settings included: • Unclear requirements and lack of confidence (self-efficacy) about prevention counselling • Limited availability of GP services especially in regional and remote areas • Competing demands, low priority, lack of time • Lack of incentives.
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Hajarizadeh, Behzad, Jennifer MacLachlan, Benjamin Cowie, and Gregory J. Dore. Population-level interventions to improve the health outcomes of people living with hepatitis B: an Evidence Check brokered by the Sax Institute for the NSW Ministry of Health, 2022. The Sax Institute, August 2022. http://dx.doi.org/10.57022/pxwj3682.
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Background An estimated 292 million people are living with chronic hepatitis B virus (HBV) infection globally, including 223,000 people in Australia. HBV diagnosis and linkage of people living with HBV to clinical care is suboptimal in Australia, with 27% of people living with HBV undiagnosed and 77% not receiving regular HBV clinical care. This systematic review aimed to characterize population-level interventions implemented to enhance all components of HBV care cascade and analyse the effectiveness of interventions. Review questions Question 1: What population-level interventions, programs or policy approaches have been shown to be effective in reducing the incidence of hepatitis B; and that may not yet be fully rolled out or evaluated in Australia demonstrate early effectiveness, or promise, in reducing the incidence of hepatitis B? Question 2: What population-level interventions and/or programs are effective at reducing disease burden for people in the community with hepatitis B? Methods Four bibliographic databases and 21 grey literature sources were searched. Studies were eligible for inclusion if the study population included people with or at risk of chronic HBV, and the study conducted a population-level interventions to decrease HBV incidence or disease burden or to enhance any components of HBV care cascade (i.e., diagnosis, linkage to care, treatment initiation, adherence to clinical care), or HBV vaccination coverage. Studies published in the past 10 years (since January 2012), with or without comparison groups were eligible for inclusion. Studies conducting an HBV screening intervention were eligible if they reported proportion of people participating in screening, proportion of newly diagnosed HBV (participant was unaware of their HBV status), proportion of people received HBV vaccination following screening, or proportion of participants diagnosed with chronic HBV infection who were linked to HBV clinical care. Studies were excluded if study population was less than 20 participants, intervention included a pharmaceutical intervention or a hospital-based intervention, or study was implemented in limited clinical services. The records were initially screened by title and abstract. The full texts of potentially eligible records were reviewed, and eligible studies were selected for inclusion. For each study included in analysis, the study outcome and corresponding 95% confidence intervals (95%CIs) were calculated. For studies including a comparison group, odds ratio (OR) and corresponding 95%CIs were calculated. Random effect meta-analysis models were used to calculate the pooled study outcome estimates. Stratified analyses were conducted by study setting, study population, and intervention-specific characteristics. Key findings A total of 61 studies were included in the analysis. A large majority of studies (study n=48, 79%) included single-arm studies with no concurrent control, with seven (12%) randomised controlled trials, and six (10%) non-randomised controlled studies. A total of 109 interventions were evaluated in 61 included studies. On-site or outreach HBV screening and linkage to HBV clinical care coordination were the most frequent interventions, conducted in 27 and 26 studies, respectively. Question 1 We found no studies reporting HBV incidence as the study outcome. One study conducted in remote area demonstrated that an intervention including education of pregnant women and training village health volunteers enhanced coverage of HBV birth dose vaccination (93% post-intervention, vs. 81% pre-intervention), but no data of HBV incidence among infants were reported. Question 2 Study outcomes most relevant to the HBV burden for people in the community with HBV included, HBV diagnosis, linkage to HBV care, and HBV vaccination coverage. Among randomised controlled trials aimed at enhancing HBV screening, a meta-analysis was conducted including three studies which implemented an intervention including community face-to-face education focused on HBV and/or liver cancer among migrants from high HBV prevalence areas. This analysis demonstrated a significantly higher HBV testing uptake in intervention groups with the likelihood of HBV testing 3.6 times higher among those participating in education programs compared to the control groups (OR: 3.62, 95% CI 2.72, 4.88). In another analysis, including 25 studies evaluating an intervention to enhance HBV screening, a pooled estimate of 66% of participants received HBV testing following the study intervention (95%CI: 58-75%), with high heterogeneity across studies (range: 17-98%; I-square: 99.9%). A stratified analysis by HBV screening strategy demonstrated that in the studies providing participants with on-site HBV testing, the proportion receiving HBV testing (80%, 95%CI: 72-87%) was significantly higher compared to the studies referring participants to an external site for HBV testing (54%, 95%CI: 37-71%). In the studies implementing an intervention to enhance linkage of people diagnosed with HBV infection to clinical care, the interventions included different components and varied across studies. The most common component was post-test counselling followed by assistance with scheduling clinical appointments, conducted in 52% and 38% of the studies, respectively. In meta-analysis, a pooled estimate of 73% of people with HBV infection were linked to HBV clinical care (95%CI: 64-81%), with high heterogeneity across studies (range: 28-100%; I-square: 99.2%). A stratified analysis by study population demonstrated that in the studies among general population in high prevalence countries, 94% of people (95%CI: 88-100%) who received the study intervention were linked to care, significantly higher than 72% (95%CI: 61-83%) in studies among migrants from high prevalence area living in a country with low prevalence. In 19 studies, HBV vaccination uptake was assessed after an intervention, among which one study assessed birth dose vaccination among infants, one study assessed vaccination in elementary school children and 17 studies assessed vaccination in adults. Among studies assessing adult vaccination, a pooled estimate of 38% (95%CI: 21-56%) of people initiated vaccination, with high heterogeneity across studies (range: 0.5-93%; I square: 99.9%). A stratified analysis by HBV vaccination strategy demonstrated that in the studies providing on-site vaccination, the uptake was 78% (95%CI: 62-94%), significantly higher compared to 27% (95%CI: 13-42%) in studies referring participants to an external site for vaccination. Conclusion This systematic review identified a wide variety of interventions, mostly multi-component interventions, to enhance HBV screening, linkage to HBV clinical care, and HBV vaccination coverage. High heterogeneity was observed in effectiveness of interventions in all three domains of screening, linkage to care, and vaccination. Strategies identified to boost the effectiveness of interventions included providing on-site HBV testing and vaccination (versus referral for testing and vaccination) and including community education focussed on HBV or liver cancer in an HBV screening program. Further studies are needed to evaluate the effectiveness of more novel interventions (e.g., point of care testing) and interventions specifically including Indigenous populations, people who inject drugs, men who have sex with men, and people incarcerated.
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Child and Adolescent Mental Health Services. ACAMH, May 2018. http://dx.doi.org/10.13056/acamh.1081.
Full textAbstract:
Child and Adolescent Mental Health Services (CAMHS) is a broad term for all services that work with children and young people who have difficulties with their emotional or behavioural wellbeing. As well as NHS CAMHS, local areas will have a range of other services available, based on local need and commissioning arrangements. These include services from local authorities, schools, charities, the private sector and community paediatrics.