Journal articles on the topic 'Wellbeing and community services'
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Vaznonienė, Gintarė, and Ilona Kiaušienė. "Social Infrastructure Services for Promoting Local Community Wellbeing in Lithuania." European Countryside 10, no. 2 (June 1, 2018): 340–54. http://dx.doi.org/10.2478/euco-2018-0020.
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Abstract Social infrastructure is largely related to various services for community, facilities and public spaces, relationships and networks among local community members. It is therefore obvious that social infrastructure could be viewed as an important factor for creating better opportunities for integration and participation in society, fostering functional capabilities of a community, acknowledging human rights, improving judgements related to overall life satisfaction. The links between social infrastructure services and focus on local community wellbeing in Lithuanian’s social science discourse has not been substantiated sufficiently yet. Consequently, this article aims at disclosing the importance of social infrastructure services in promotion of local community wellbeing. The research question of this article is formulated as follows: how social infrastructure services contribute and could promote wellbeing of local community. The methodological background is based on both theoretical and empirical findings pertaining to the topic. The research results have suggested that the need of local community for social infrastructure services should be evaluated more carefully in the context of wellbeing. These services have been found to play significant role in reaching a certain level of wellbeing in view of the place where people live, how they feel and how to evaluate the future of their living.
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Duckett, Stephen, Tracie Hogan, and Jan Southgate. "The COAG Reforms and Community Health Services." Australian Journal of Primary Health 1, no. 1 (1995): 3. http://dx.doi.org/10.1071/py95002.
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Ultimately, the reform directions announced by the Council of Australian Governments (COAG) in April 1995 have the potential to touch all aspects of health care and community wellbeing, and the impact will be felt as much by community health services, and for groups with special needs, such as people from non-English speaking backgrounds, as it will for acute care services.
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Rogers, Amy. "Promoting health and wellbeing across community nursing teams: role of the specialist practitioner district nurse." British Journal of Community Nursing 26, no. 5 (May 2, 2021): 224–27. http://dx.doi.org/10.12968/bjcn.2021.26.5.224.
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There is a growing concern around the health and wellbeing of community nurses due to the high complexities of and demand on district nursing services. It is well recognised that district nursing services have no limits to their capacity, and they have been dealing with an increasing caseload, with no increases in resources or staff. Consequently, this has left community nurses feeling exhausted and experiencing burnout, which, in the long term, can lead to compassion fatigue, which can in turn compromise patient safety. Specialist practitioner qualified district nurses (SPQDN) require the skills and knowledge to promote health and wellbeing, in order to provide a positive work environment and limit work-related stress and burnout despite the challenges encountered. This article explores possible strategies to promote health and wellbeing among community nurses and the barriers that SPQDNs encounter in doing so.
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Kingi, Roman, Wani Erick, Vili Hapaki Nosa, Janine Paynter, and Debra de Silva. "Pasifika preferences for mental health support in Australia: focus group study." Pacific Health Dialog 21, no. 7 (June 22, 2021): 373–79. http://dx.doi.org/10.26635/phd.2021.110.
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Introduction: Mental wellbeing is a growing health issue for Pacific Islands communities (Pasifika), particularly amongst people who have resettled in a different country. We explored whether Pasifika people living in Australia think mental health services meet their needs. Methods: We ran eight two-hour focus groups with 183 adults living in Queensland, Australia. There were representatives from the following ethnic groups: Cook Islands, Fiji, Maori, Niue, Papua New Guinea, Samoa, Tokelau and Tonga. We also included mental health providers. We analysed the feedback using thematic analysis. Findings: Pasifika people welcomed having an opportunity to discuss mental wellbeing openly. They said that economic issues, social isolation, cultural differences, shame and substance use contributed to increasingly poor mental health amongst Pasifika communities in Australia. They wanted to work with mainstream services to develop culturally appropriate and engaging models to support mental wellbeing. They suggested opportunities to harness churches, community groups, schools, social media and radio to raise awareness about mental health. Conclusions: Working in partnership with Pasifika communities could strengthen mainstream mental health services and reduce the burden on acute services in Australia. This could include collecting better ethnicity data to help plan services, empowering community structures to promote mental wellbeing and training staff to support Pasifika communities. The key message was that services can work ‘with’ Pasifika communities, not ‘to’ them.
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McCalman, Janya Robyn, Ruth Fagan, Tina McDonald, Semara Jose, Paul Neal, Ilse Blignault, Deborah Askew, and Yvonne Cadet-James. "The Availability, Appropriateness, and Integration of Services to Promote Indigenous Australian Youth Wellbeing and Mental Health: Indigenous Youth and Service Provider Perspectives." International Journal of Environmental Research and Public Health 20, no. 1 (December 26, 2022): 375. http://dx.doi.org/10.3390/ijerph20010375.
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Concerns about the complexity, fragmentation and inefficiency of Australia’s current youth mental health service systems have led policy makers to seek improvements through a shift to community-based solutions. However, there is little evidence of how communities can make this shift. This paper examines the efforts of one Aboriginal and Torres Strait Islander (hereafter, respectfully, Indigenous) community—Yarrabah in north Queensland—to develop strategies for mental health and wellbeing service system improvements for school-aged youth (5–18 years). The research was co-designed with Yarrabah’s community-controlled health service and explores the perceptions of Yarrabah youth and service providers. Iterative grounded theory methods were used to collect and analyse data from 32 youth aged 11–24 years and 24 service providers. Youth were reluctant to seek help, and did so only if they felt a sense of safety, trust, relationality and consistency with providers. Young people’s four suggestions for improvement were access to (1) information and awareness about mental health; (2) youth facilities, spaces and activities; (3) safe and available points of contact; and (4) support for recovery from mental illness. Service providers highlighted an appetite for youth-guided community change and recommended five improvement strategies: (1) listening to youth, (2) linking with community members, (3) providing wellbeing promotion programs, (4) intervening early, and (5) advocating to address the determinants of youth mental health. Overall, both groups realised a disjunct between youth need and service provision, but a willingness to work together for systems change. This study demonstrates the importance of community-driven efforts that harness both youth and service providers’ perspectives, and suggests a need for ongoing dialogue as the basis for co-designing and implementing improvements to wellbeing supports and mental health services for Indigenous youth.
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Robb, Kirsty, Gemma Barber, and Fay Mohedeen. "Making waves: nurse-led urgent community response." British Journal of Community Nursing 27, no. 1 (January 2, 2022): 6–10. http://dx.doi.org/10.12968/bjcn.2022.27.1.6.
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Anyone in England over 18 whose health or wellbeing suddenly deteriorates at home will have access to an urgent community response (UCR) team within 2 hours by April 2022. Community nursing services are providing the core service model to provide these crisis response services. Nurse leads from three UCR accelerator sites (Kirklees, Warrington and Bromley) elaborate on how they are making waves of change for the better, using their clinical skills and building key relationships with other health services. Acutely unwell patients are being seen by practitioners with advanced assessment skills, which keeps eight out of 10 patients at home safe, avoiding hospital admission.
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Duncan, Monica. "Population health management and its relevance to community nurses." British Journal of Community Nursing 24, no. 12 (December 2, 2019): 596–99. http://dx.doi.org/10.12968/bjcn.2019.24.12.596.
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Local services can provide better and more joined-up care for patients when different organisations work collaboratively in an integrated system. Population health management (PHM) provides the shared data about local people's current and future health and wellbeing needs. Joint care planning and support addresses both the psychological and physical needs of an individual recognising the huge overlap between mental and physical wellbeing. Joint posts and joint organisational development are likely to become more commonplace and community nurses will have a vital contribution to planning and delivery of integrated care to improve health and care outcomes for their local populations.
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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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Baba, Zawiyah, and A. Abrizah. "Transformation strategies in community engagement." IFLA Journal 44, no. 2 (May 25, 2018): 90–105. http://dx.doi.org/10.1177/0340035218778435.
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This paper examines initiatives developed in Malaysian libraries to enhance library roles in promoting knowledge and technology exchange as well as community wellbeing. It explores how libraries in Malaysia are transforming society through community engagement and highlights initiatives undertaken by libraries that promote community access to collections, services, and events. The success of the initiatives is demonstrated in seven transformation strategy themes, namely; (i) embedded services; (ii) bridges and web technology; (iii) strategic and institutional partnering; (iv) rural libraries; (v) community libraries; (vi) asset-based community development; and (vii) international librarianship. While it is often cited that public libraries are those that serve the community at large, this paper provides the perspective from other types of library viewpoints, emphasizing that such community outreach services should not be limited to public libraries. The library science community at large, and especially academic libraries, must play a role in community engagement.
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Yeung, Polly, and Awhina English. "A survey of knowledge, attitudes and behaviours regarding sexual wellbeing among Chinese women living in New Zealand – a pilot study." Aotearoa New Zealand Social Work 24, no. 1 (July 8, 2016): 14–30. http://dx.doi.org/10.11157/anzswj-vol24iss1id138.
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The aims of the study were to assess sexual wellbeing knowledge and attitudes among Chinese women living in New Zealand and to investigate the factors that prevented them from seeking support from sexual wellbeing services. Seventy-nine Chinese women from Hong Kong, China and Taiwan were recruited through community and personal networks to complete a self-report survey, which included questions on socio-demographics, self-rated adjustment, knowledge of sexual wellbeing, importance of understanding sexual wellbeing, cultural influences, structural influences, and willingness to seek information and assistance. The findings in this study suggested that younger Chinese women lacked sexual wellbeing knowledge and were less likely to seek support when compared to their older age group counterparts. Three out of the eight variables assessed were found to make a significant contribution in the willingness of Chinese women seeking support from sexual wellbeing services. These were knowledge of sexual wellbeing, self-perceived importance of gaining an understanding of sexual wellbeing issues and cultural influences. Our results suggest that despite the length of residency and self-rated adjustment in New Zealand, traditional Chinese values and beliefs continue to influence the perceptions of Chinese women regarding their sexual wellbeing. Interventions to improve sexual and reproductive wellbeing in this population, particularly younger Chinese women, should be tailored to the specific enabling and reinforcing factors that include cultural views, communications between Chinese women and health and social services providers, and access to healthcare information.
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Howard, April, Stephanie Riger, Rebecca Campbell, and Sharon Wasco. "Counseling Services for Battered Women." Journal of Interpersonal Violence 18, no. 7 (July 2003): 717–34. http://dx.doi.org/10.1177/0886260503253230.
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Approximately 15% of married or cohabiting women and as many as 60% of battered women are raped at least once by their partners. This study compared community-based counseling outcomes of battered women with outcomes of women who were both raped and battered by their partners. Over time, both groups improved in wellbeing and coping. Although those both battered and raped progressed more in counseling, they had lower scores before and after counseling compared to women who were battered only. Implications for research and intervention are discussed.
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Liu, Juichieh, and Paul Opdam. "Valuing ecosystem services in community-based landscape planning: introducing a wellbeing-based approach." Landscape Ecology 29, no. 8 (June 7, 2014): 1347–60. http://dx.doi.org/10.1007/s10980-014-0045-8.
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Blignault, Ilse, Hend Saab, Lisa Woodland, Klara Giourgas, and Heba Baddah. "Promoting Mental Health and Wellbeing in Multicultural Australia: A Collaborative Regional Approach." International Journal of Environmental Research and Public Health 19, no. 5 (February 26, 2022): 2723. http://dx.doi.org/10.3390/ijerph19052723.
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Migrant communities are often under-served by mental health services. Lack of community engagement results in missed opportunities for mental health promotion and early intervention, delayed care, and high rates of untreated psychological distress. Bilingual clinicians and others who work with these communities lack linguistically and culturally appropriate resources. This article reports on the implementation and evaluation of a community-based group mindfulness program delivered to Arabic and Bangla-speaking communities in Sydney, Australia, including modifications made to the content and format in response to the COVID-19 pandemic. The program was positioned within a stepped-care model for primary mental health care and adopted a collaborative regional approach. In addition to improved mental health outcomes for face-to-face and online program participants, we have documented numerous referrals to specialist services and extensive diffusion of mindfulness skills, mostly to family members, within each community. Community partnerships were critical to community engagement. Training workshops to build the skills of the bilingual health and community workforce increased the program’s reach. In immigrant nations such as Australia, mainstream mental health promotion must be complemented by activities that target specific population groups. Scaled up, and with appropriate adaptation, the group mindfulness program offers a low-intensity in-language intervention for under-served communities.
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Cartmel, Jennifer, Kerry Smith, and Debbie Miller. "Empowered with Wings: Professional Development for Supporting Children's Social and Emotional Wellbeing in South-West Queensland." Children Australia 41, no. 4 (October 20, 2016): 292–96. http://dx.doi.org/10.1017/cha.2016.35.
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Wings: Social and emotional wellbeing in the early years is a professional development programme designed to assist educators in early years services to improve outcomes for children. It uses a strengths-based approach and supports educators to understand the impact of their interactions with children and to use communication strategies, such as descriptive feedback, to develop children's capacities. These strategies are used to help children recognise their strengths and build their ability to self-regulate and manage their own social and emotional wellbeing. This paper reports on the outcomes of the Wings programme introduced into early childhood services in rural and remote south-west Queensland, Australia, through the Community Wellbeing Project run by the Pathways to Resilience Trust in partnership with Anglicare Southern Queensland. Preliminary findings indicate the Wings programme successfully enhanced the confidence and knowledge of early years educators engaged in promoting children's social and emotional wellbeing.
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Danquah, Michael, Peter Quartey, and Abdul Malik Iddrisu. "Access to Financial Services Via Rural and Community Banks and Poverty Reduction in Rural Households in Ghana." Journal of African Development 19, no. 2 (October 1, 2017): 67–76. http://dx.doi.org/10.5325/jafrideve.19.2.0067.
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Abstract This paper examines whether financial services provided by Rural and Community Banks to rural households in Ghana has a significant impact on the wellbeing of the households. The analysis utilizes data from the Round 6 of the Ghana Living Standard Survey (GLSS) and it employs several econometric techniques. We find that access to financial services via Rural and Community Banks exerts a positive and significant influence on the standard of living of rural households, suggesting that Rural and Community Banks can play a significant role in reducing poverty rates in rural households in Ghana.
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Abdul Latiff, Abdul Rais, and Saidatulakmal Mohd. "Transport, Mobility and the Wellbeing of Older Adults: An Exploration of Private Chauffeuring and Companionship Services in Malaysia." International Journal of Environmental Research and Public Health 20, no. 3 (February 3, 2023): 2720. http://dx.doi.org/10.3390/ijerph20032720.
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As physical abilities and health decline with age, older adults tend to lose their driving abilities, which affects their mobility. As mobility is important to older adults’ wellbeing, there is a need to explore alternative modes of transportation to increase their ability to actively participate in society. Hence, this paper aims to understand the characteristics of private chauffeuring and companionship services for older adults, and to assess their possible effects on older adults’ wellbeing. We gathered the views of transport operators, government agencies, and city councils that offer private chauffeuring and companionship services for older adults. We frame the model of private chauffeuring and companionship services as alternative mobility for older adults and outline a conceptual framework for its possible effects on their wellbeing. The underlying mobility characteristics were availability, accessibility, safety, and affordability—all of which influence wellbeing. The study found that the private chauffeuring and companionship model for older adults includes an additional model of government-to-consumer services in addition to the existing peer-to-peer and business-to-consumer services. While the services are available, the services provided are not standardized, with different operators offering different services and prices, and limiting certain geographical areas. Transport operators perceived that the services they offer promote older adults’ physical and mental health, improve their social participation in the community, and empower them in making their travel decisions. The findings of the paper provide insights for policy makers for future planning of alternative transportation for older adults to enhance their mobility.
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Perrott, Alaine. "Improving Wellbeing Through a Modern, Integrated Experience." He Rourou 2, no. 1 (October 25, 2022): 24–45. http://dx.doi.org/10.54474/herourou.v2i1.7145.
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This article is a summary of the research undertaken on the concept of improving individuals’ wellbeing which was carried out between February 2021 and February 2022. This involved desktop research, a consumer survey and stakeholder interviews. Key factors that contribute to wellbeing are investigated (with a focus on personal finance) as well as existing solutions that are available to improve wellbeing in New Zealand (NZ).
From this research a wellbeing eco-system consisting of four elements is defined: personal, financial, community and environmental wellbeing. These elements are interlinked and together present a holistic approach to improving wellbeing. The benefits of improving wellbeing are also discussed. Just as the elements are interlinked, there are demonstrated flow-on benefits to improving wellbeing in each area. Using this framework as a basis, a modern, end-to-end solution is designed, incorporating value-driven products and services and other features that contribute to improving wellbeing which could be developed, empowering people to thrive.
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Myck, Michal, Martina Brandt, Claudius Garten, Monika Oczkowska, and Alina Schmitz. "Material Conditions and Well-Being in Old Age: the Role of Contextual Factors at Regional Level." Innovation in Aging 4, Supplement_1 (December 1, 2020): 712. http://dx.doi.org/10.1093/geroni/igaa057.2508.
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Abstract In our Beethoven project “Age-well” we examine the role of regional contextual factors for the relationship between individual wellbeing and material conditions over time, using a unique combination of individual and regional level longitudinal data. The analyses consider a broad range of regional, community-level indicators for two countries, Germany and Poland, both characterised by rapid population ageing and significant regional variation in the standard of living. These variables, including local indicators of economic conditions and public services, are combined with detailed individual-level information on wellbeing from the Survey of Health, Ageing and Retirement in Europe (SHARE). This data match allows us to study the degree to which regional contexts affect the relationship between individual material conditions and wellbeing in later life. Local public services are shown to mediate the importance of individual level resources for wellbeing confirming an important channel through which public policy can improve welfare of older people.
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Crosse, Ann Marie, Margaret M. Barry, Mary Jo Lavelle, and Jane Sixsmith. "Bridging Knowledge Systems: A Community-Participatory Approach to EcoHealth." International Journal of Environmental Research and Public Health 18, no. 23 (November 26, 2021): 12437. http://dx.doi.org/10.3390/ijerph182312437.
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Earth’s life-supporting ecosystems are integral to human and planetary health. Ecosystem services connect ecosystem functions to human wellbeing. The complex, multifaceted socio-ecological challenges of ecosystem decline necessitate a transdisciplinary approach, including the active and meaningful engagement and participation of local communities. Communities uniquely possess expert local knowledge, which, when integrated into policy development and community planning, has the potential to enhance and sustain ecosystem benefits for health and wellbeing. Community-informed mapping tools provide an opportunity for integrating science, policy, and public participation in data collection. However, there is a dearth of community-informed mapping tools demonstrating the interconnection of the ecological and social determinants of health at a place-based level. This paper presents a study that employs a community-based participatory research approach to mapping local knowledge systems on EcoHealth. The study seeks to develop a community mapping tool for shared dialogue and decision-making on EcoHealth between local communities and policymakers. The participatory research methods used to explore community awareness and knowledge regarding ecosystem services, health, and sustainability in the local area are described. The process of co-producing a Community EcoHealth Toolkit, based on the integration of different knowledge systems into local policy and planning, is discussed.
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Gaudet, Janice Cindy, and Carmen Chilton. "Milo Pimatisiwin Project." International Journal of Indigenous Health 13, no. 1 (August 23, 2018): 20–40. http://dx.doi.org/10.32799/ijih.v13i1.30264.
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The Milo Pimatisiwin Project is a community-centred initiative of John Delaney Youth Centre in the Moose Cree First Nation community in the James Bay region, Ontario, Canada. This article describes the creation of this collaborative youth-centred project and how it re-centres Indigenous values and conception of health and wellbeing. The article begins with an overview of the Cree philosophy of milo pimatisiwin, “good and healthy living.” This sets the background for the focus of the article, namely the significance of sharing pimatisiwin teachings over the local youth radio station and within land-based initiatives. The study includes the project results and feedback from the youth engaged in the project. It also describes the Youth Services Director’s vision and leadership efforts to enhance culturally relevant programming at the Youth Centre. Finally, it discusses lessons learned in the project and suggests best ways to enhance wellbeing in community-engaged research initiatives. The aim is to privilege Indigenous people, their knowledge and experiences, and their critical role in decolonizing notions of health and wellbeing within research practices and community-centred initiatives.
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HARDILL, IRENE, and PETER DWYER. "Delivering Public Services in the Mixed Economy of Welfare: Perspectives from the Voluntary and Community Sector in Rural England." Journal of Social Policy 40, no. 1 (April 16, 2010): 157–72. http://dx.doi.org/10.1017/s0047279410000292.
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AbstractThe voluntary and community sector in England is playing an increasingly important role in the delivery of public services to older adults and in doing so they rely on unpaid volunteers. In this article, we draw on the findings of a recent qualitative study of the impact on the voluntary and community sector of delivering ‘low-level’ public services that promote independent living and wellbeing in old age. The fieldwork focused on services that help older adults aged 70+ living in remote rural communities across three English regions. Those charged with service delivery, which is increasingly the voluntary and community sector, face particular challenges, such as uncertain funding regimes and reliance on volunteer labour.
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Easpaig, Bróna Nic Giolla, and Rachael Fox. "Young people’s experiences of negotiating health care services in relation to sexual and gender identities: A communitybased approach to service improvement." Psychology of Sexualities Review 8, no. 1 (2017): 39–52. http://dx.doi.org/10.53841/bpssex.2017.8.1.39.
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LGBTIQ young people experience intersecting forms of disadvantage concerning youth status and sexual and/or gender identity, contributing to poorer wellbeing. The paper presents a research project with a youth mental health service, youth reference group and researchers to improve services to this community in Australia. An online survey was designed to learn about their views on service access, experiences and improvements to inform the development of training programmes for health care professionals. Thematic analysis of surveys (N=101) highlights the salience of: services’ visible commitment to LGBTIQ communities; how the relevance of sexuality and/or gender to service interaction is negotiated; and the heteronormative and cisnormative shaping of health care interactions. Implications for health-enabling contexts are reflected upon from a community health psychology perspective.
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Hawkes, J. V. N. (Vince). "Mobilizing and engaging your community to reduce victimization and reinvest police resources." Journal of Community Safety and Well-Being 1, no. 2 (August 8, 2016): 21. http://dx.doi.org/10.35502/jcswb.11.
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The Ontario government released its most recent Ontario Mobilization & Engagement Model for Community Policing (OMEM) in 2010, but many police services in the province are just now starting to move toward implementation. OMEM emphasizes having all community members and human services agencies working with the police to keep neighbourhoods safer, more secure, and healthier. The most appropriate service takes the lead in any community safety and wellbeing initiative. The new model requires considerable cultural change from all participants to be successful. This article outlines the Ontario Provincial Police efforts to implement OMEM and some of its early successes and ongoing challenges.
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MacIlvaine, W. Rodman, Lindsay A. Nelson, Jeanette A. Stewart, and William C. Stewart. "Association of Strength of Community Service to Personal Wellbeing." Community Mental Health Journal 50, no. 5 (December 3, 2013): 577–82. http://dx.doi.org/10.1007/s10597-013-9660-0.
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Plugge, Emma, Anees Ahmed Abdul Pari, Janet Maxwell, and Sarah Holland. "When prison is “easier”: probationers’ perceptions of health and wellbeing." International Journal of Prisoner Health 10, no. 1 (March 12, 2014): 38–46. http://dx.doi.org/10.1108/ijph-01-2013-0001.
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Purpose – There are currently over 300,000 offenders in England and Wales and the majority, around 240,000, are in the community on probation. However, there is a paucity of research on their health and healthcare needs. The purpose of this paper is to explore issues around health and access to health services for those on probation. In particular the paper explores what people on probation consider to be the key health issues currently affecting them, and to identify barriers to accessing healthcare in the community. Design/methodology/approach – The authors ran six focus groups with a total of 41 participants; two were with staff and the others with men and women on probation. In each focus group, the researchers used semi-structured guide and the discussions were recorded electronically and then transcribed. The paper adopted a thematic analytical framework and used NVivo 7 to facilitate analysis. Findings – Both probationers and professionals largely agreed about the key issues which included substance use and mental health problems. However, the most important issue for probationers was dealing with the stress of being on probation which was not generally recognised by professionals. All participants recognised the impact of issues such as housing, finances and employment on the wellbeing of probationers and were concerned about the lack of access to health services, in particular mental health and alcohol services. Research limitations/implications – This was a small study conducted in one part of England and therefore it is not clear that the findings are generalisable. However, it raises important issues about the mental health needs of probationers and the lack of appropriate services for them. Effective services may have positive impact on re-offending and further research is needed to evaluate models of care. Practical implications – The challenge remains for local health service commissioners and providers and the probation service to work together to provide appropriate and accessible services for all those on probation. Originality/value – Nearly one-quarter of a million people are on probation at any one time in the UK but the existing evidence on their health is patchy and dated. Little is known about effective health interventions or the extent to which their health needs are met. This study shows that probationers see the stress of being on probation as their most important health concern. Both probationers and staff recognise that mental health and substance use are persistent problems and that these important health needs in these areas are not being met by existing services.
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Alvi, Aaqib Shahzad, Asif Naveed Ranjha, and Ibad Ullah Sajid. "Institutionalized Care and Child Wellbeing: A Study of Residents of Child Welfare Institutions of District Sargodha." Pakistan Journal of Applied Social Sciences 11, no. 2 (September 8, 2020): 1–20. http://dx.doi.org/10.46568/pjass.v11i2.504.
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This research has focussed on child welfare services and wellbeing among residents of residential child care centers. A well designed interview schedule and a wellbeing scale were used as instruments. The purposive sampling technique was used from the target population and 115 respondents were taken as sample size. Analysis of the data was made on the basis of descriptive analysis and Cross- tabulation. Results reveal that two third of respondents were male. It has also found that majority of respondents reported positively regarding staff behavior, living arrangements, nutrition status, arrangements of education and health condition. Moreover, almost half of the children have moderate and one forth estimated high level of wellbeing. A plethora of children desired to live in these institutions because they fulfil their basic needs. Majority of residents of Kashana, Anjumane-e-Khaliqia were belonged to rural areas and SOS Village residents were residents of urban community. Most of Kashana residents had both parents alive whereas in other child care centers majority were orphans. No significant variation was observed regarding levels of satisfaction in these three institutions. Hence, these institutions play a vital role in upbringing, child welfare services and wellbeing of orphans and vulnerable.
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Liddelow-Hunt, Shakara, Ashleigh Lin, James Hector Laurent Hill, Kate Daglas, Braden Hill, Yael Perry, Mirella Wilson, and Bep Uink. "Conceptualising Wellbeing for Australian Aboriginal LGBTQA+ Young People." Youth 3, no. 1 (January 12, 2023): 70–92. http://dx.doi.org/10.3390/youth3010005.
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It is likely that young people who are both Aboriginal and Torres Strait Islander and LGBTQA+ would be at increased risk for poor mental health outcomes due to the layered impacts of discrimination they experience; however, there is very little empirical evidence focused on the mental health and wellbeing of Aboriginal and Torres Strait Islander LGBTQA+ young people. The current study represents a qualitative exploration of wellbeing among Aboriginal LGBTQA+ young people. This study consisted of semi-structured interviews and focus groups with Aboriginal LGBTQA+ young people aged 14–25 years old in the Perth metropolitan area of Western Australia. Thematic analysis identified seven major themes that were significant to participants’ wellbeing: identity, family, community, visibility, services, stigma and navigating.
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Chadborn, Neil, Chris Craig, Gina Sands, Justine Schneider, and John Gladman. "Improving community support for older people’s needs through commissioning third sector services: a qualitative study." Journal of Health Services Research & Policy 24, no. 2 (April 2019): 116–23. http://dx.doi.org/10.1177/1355819619829774.
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Aim This exploratory study of commissioning third sector services for older people aimed to explore whether service data was fed back to commissioners and whether this could improve intelligence about the population and hence inform future commissioning decisions. Background Third sector services are provided through charities and non-profit community organizations, and over recent years services have developed that assess and advise people for self-management or provide wellbeing support in the community. Third sector services have an opportunity to reach vulnerable populations and to provide intelligence about them. Some third sector services are state funded (commissioned) in the United Kingdom. While evidence is available about the commissioning of statutory health and social care, as well as private providers, there is limited evidence about how third sector health services are funded. Methods Participants were recruited from commissioner organizations and third sector organizations, both with an interest in supporting the independence, self-management and wellbeing of older people. Organizations were recruited from five purposively selected sites within one region of England (East Midlands). Semi-structured interviews explored the relationships between commissioners and providers and the nature of funding arrangements, including co-production. Interviews also explored collection of data within the service and how data were fed back to commissioners. Focus groups were held with older people with the potential to benefit from wellbeing services. Results Commissioning arrangements were varied, sometimes complex, and often involved co-production with the third sector. Commissioners valued third sector organizations for their engagement with the local community, value for money, outreach services and ability to provide information about the community. Assessing the needs and outcomes of individuals was integral to delivery of support and advice to older people. Diverse approaches were used to assess an individual’s needs and outcomes, although there were concerns that some assessment questionnaires may be too complex for this vulnerable group. Assessment and outcomes data were also used to monitor the service contract and there was potential for the data to be summarized to inform commissioning strategies, but commissioners did not report using assessment data in this way, in practice. While the policy context encouraged partnerships with third sector organizations and their involvement in decision making, the relationship with third sector organizations was not valued within contract arrangements, and may have been made more difficult by the tendering process and the lack of analysis of service data. Conclusion This exploratory study has demonstrated a diversity of commissioning arrangements for third sector services across one region of England. Most commissioners invited co-production; that is, the commissioners sought input from the third sector while specifying details of the service. Service data, including assessments of needs and outcomes, were reported to commissioners, however commissioners did not appear to use this to full advantage to inform future commissioning decisions. This may indicate a need to improve measurement of needs and outcomes in order to improve the credibility of the commissioning process.
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Gustina, Margo, Eli Guinnee, Rick Bonney, and Hope Decker. "Pathways to Wellbeing: Public Library Service in Rural Communities." Journal of New Librarianship 7, no. 2 (December 7, 2022): 159–89. http://dx.doi.org/10.33011/newlibs/11/14.
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To answer the question “If public libraries are a component of social wellbeing in rural communities, how are they successful?” we conducted, transcribed, coded, and analyzed 114 group and individual interviews with 202 people at eight field research sites in isolated rural communities distributed throughout the United States. Motivating this study is a gap in understanding the library service mechanisms involved at the community level which will yield beneficial social wellbeing outcomes. Through iterative phenomenological analysis, we established how rural residents defined social wellbeing for themselves and how they describe the library’s role in that context. We found that rural residents forego access to standard amenities for access to deep social connections, natural resources, and community cultures of freedom and mutual support. We found long term locally made structural, social, and cultural norms, which we call pathways, through which libraries support wellbeing.
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Guillermo, Vanessa, Sully Santos de Ucles, and Kelley Bunkers. "The critical intersection between child reintegration and community connectedness: An experience from Guatemala." Global Studies of Childhood 12, no. 1 (March 2022): 70–82. http://dx.doi.org/10.1177/20436106221082666.
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A 2019 census of residential care facilities in Guatemala found 3863 children in residential care and that 97% of these children had at least one living relative. The census clearly indicates that children in the facilities are not orphans and the possibility of reunification, if appropriate processes and services are in place to support the child and parent/caregiver before, during, and after reunification, is possible. We (the authors) played a key role in designing a case management process to support the reunification of children from residential care back into families with the end goal being successful reintegration. A series of wellbeing domains were designed to help understand and measure what successful reintegration would include within the case management system. Informed by a case review of 36 Guatemalan children supported to reintegrate into families, and interviews with social workers and psychologists engaged in the process, this article explores the role of the “community connectedness” wellbeing domain. We explore how community connectedness or lack thereof, can contribute to child and parent/caregiver wellbeing and successful reintegration—the different types of community connectedness and who/what was involved in establishing and fostering these connections. With growing interest in reintegration efforts globally, efforts to better understand the unique role that community connectedness has in overall family wellbeing is well timed. Whilst the topic has been explored in post conflict settings with children and youth previously engaged in armed conflict, experiences of reintegration from residential care facilities in non-emergency contexts is limited, including in Spanish speaking contexts.
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Abotsie, Gabriel, Roger Kingerlee, Andrew Fisk, Sam Watts, Rachel Cooke, Luke Woodley, Dawn Collins, and Bonnie Teague. "The men’s wellbeing project: promoting the well-being and mental health of men." Journal of Public Mental Health 19, no. 2 (April 13, 2020): 179–89. http://dx.doi.org/10.1108/jpmh-03-2020-0014.
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Purpose Comparatively, men have poorer physical and mental health outcomes than women, with a significantly higher suicide rate. Contributory factors are thought to be social and biological, leading to reduced access to health-care services. The study aims to develop and implement community-based support to increase awareness of and access to men’s mental health support networks and groups. Design/methodology/approach The project involved three key work-packages discussed in this paper: raising awareness of men’s mental health needs in health care, educational and community settings; collaboration between National Health Services (NHS) and non-NHS health-care support organisations to build multi-sector partnership working; and developing a supported sports-based community intervention aimed at men living with mental health conditions. The acceptability and feasibility of these work-packages were pragmatically evaluated through mixed-methods surveys and qualitative content analysis. Findings Overall, both community events and sports groups successfully engaged men living with mental health problems. Organisations interested in men’s mental health are continuing to engage in a partnership initiative. Community events were well-attended and received positive feedback, particularly regarding the educative and real-life experiences approach promoted in the events. The sports intervention is feasible and well-accepted by participants, who described feeling supported with their physical and mental health needs, with increased mental well-being reported. Research limitations/implications The main limitations of this project are that the authors only evaluated a football group rather than all work areas. The project collected outcomes relating to participants’ demographics and qualitative reflections of participating in the football group along with a retrospective survey of perceived benefits, but the project did not undertake a pre- and post-comparison of well-being outcomes owing to low completion of these measures. Future work could focus on collecting more pre- and post-measures related to well-being, recovery and inclusion and compare these with men not involved in the football groups or public events. Practical implications This paper discusses the development and feasibility of setting up community-based men’s mental health support networks, involving public events, partnership working and targeted-sports interventions. All initiatives were well-received and successfully attended by men living with mental health conditions. Evaluation of the programme revealed the value placed on education about mental health and the role that community sports interventions may play in men’s mental health care. Social implications This project has demonstrated three different ways of supporting men’s mental health needs in the community. Community public events were held to raise awareness of men’s mental health needs and issues were well-attended and highlighted the need for health promotion and education in this area across all the communities. The men’s football group demonstrated the feasibility of moving mental health support out into a non-clinical and more community arena in a way that men engaged effectively. Finally, the creation of MensNet has bought together disparate multi-sector organisations successfully to lead public health mechanisms to support men’s mental health needs. Originality/value This paper describes a new multi-disciplined approach to supporting health-seeking challenges among men, in particular, how partnership working across NHS and non-NHS sectors can successfully support an identified public health need pragmatically using existing services and organisations.
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Visram, Shelina, Sarah Smith, Natalie Connor, Graeme Greig, and Chris Scorer. "Examining associations between health, wellbeing and social capital: findings from a survey developed and conducted using participatory action research." Journal of Public Mental Health 17, no. 3 (September 17, 2018): 122–34. http://dx.doi.org/10.1108/jpmh-09-2017-0035.
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Purpose The purpose of this paper is to employ innovative methods to examine the associations between personal wellbeing, self-rated health and various aspects of social capital within a socio-economically disadvantaged town in northern England. Design/methodology/approach A survey was developed and administered with input from local stakeholders (including residents), using a participatory action research (PAR) approach. In total, 11 lay interviewers were trained to pilot and deliver the final survey, which was completed either in person or online. In total, 233 valid surveys were returned. Findings Respondents were aged between 17 and 87 years (mean 47.3, SD 17.4), 65.7 per cent were female and 46.2 per cent identified themselves as having a longstanding illness, disability or infirmity. Overall, respondents reported lower levels of personal wellbeing and social capital in comparison with UK averages, although free-text responses highlighted a strong sense of community spirit and pride in the town. Low wellbeing was strongly associated with poor health, social isolation and neighbourhood factors such as perceived lack of community safety and trust. Research limitations/implications PAR appears to be an acceptable approach in generating estimates of population characteristics associated with personal wellbeing. Practical implications The findings of this study may be used by policymakers to design services and interventions to better meet the needs of communities characterised by indicators of poor health and wellbeing. Originality/value This work constitutes part of a global trend to measure personal and societal wellbeing. A novel methodology has been used to examine the factors that influence wellbeing at a neighbourhood level.
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Jensen, Christine M., and Sheena E. E. Blair. "Rhyme and Reason: The Relationship between Creative Writing and Mental Wellbeing." British Journal of Occupational Therapy 60, no. 12 (December 1997): 525–30. http://dx.doi.org/10.1177/030802269706001205.
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The relationship between creative writing and mental wellbeing is the subject of much debate and is often founded on conjecture and supposition. The aim of this small study was to explore the relationship between creative writing and mental wellbeing, with the cooperation of 14 adults who had all been users of mental health services and were involved in a creative writing group in the community. Qualitative data were collected from an interview (with the group facilitator), observation (of the group over a period of four group sessions) and the nominal group technique (to elicit the beliefs and opinions of the group itself). The findings of the study were two-fold. Firstly, there was a tension between the cathartic expression of thoughts and feelings and the production of quality writings and, secondly, the notion of stigmatisation as a result of being a user of mental health services emerged. This explorative study, carried out in an urban Scottish context, indicated a covert relationship between creative writing as a product (rhyme) and its therapeutic by-products which affect an individual's mental wellbeing (reason).
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Neill, Ruth D., Junko Wake, Mie Ohwa, Jill Manthorpe, Patricia Gillen, and Paula McFadden. "Comparing the Mental Wellbeing and Quality of Working Life among Nurses and Social Care Workers in the UK and Japan in Older Adults’ Care Services during the COVID-19 Pandemic." Psych 4, no. 4 (November 1, 2022): 843–55. http://dx.doi.org/10.3390/psych4040062.
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This study explored and compared the psychological wellbeing, burnout, coping strategies and work-related quality of life amongst health and social care workers in older adults’ care homes and community settings during the COVID-19 pandemic in the United Kingdom (UK) and Japan. A cross-sectional online survey was conducted in the UK (May–July 2021) and a postal survey conducted in Japan (September–October 2021). Participants recruited were health and social care professionals within nursing, social care and social work occupations working in care home or community settings in the UK and Japan during the pandemic. Data were analysed using SPSS. 1327 respondents across the UK and Japan completed the survey. Respondents’ psychological wellbeing was significantly lower in Japan compared to the UK (p ≤ 0.001). UK respondents had significantly higher personal burnout (p < 0.05) and work-related burnout (p < 0.05) while those in Japan had significantly higher client-related burnout (p < 0.001). The novelty of this study relates to exploring mental wellbeing and quality of working life in two culturally contrasting countries. The overall psychological wellbeing and work-related quality of life of staff who work with older adults in the UK and Japan during the COVID-19 pandemic were lower than the population norm. Greater support and flexible working conditions for this workforce are needed to reduce burnout by improving wellbeing and work-related quality of life.
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Pescheny, Julia V., Gurch Randhawa, and Yannis Pappas. "The impact of social prescribing services on service users: a systematic review of the evidence." European Journal of Public Health 30, no. 4 (June 14, 2019): 664–73. http://dx.doi.org/10.1093/eurpub/ckz078.
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Abstract Background Social prescribing initiatives are widely implemented in the UK National Health Service to integrate health and social care. Social prescribing is a service in primary care that links patients with non-medical needs to sources of support provided by the community and voluntary sector to help improve their health and wellbeing. Such programmes usually include navigators, who work with referred patients and issue onward referrals to sources of non-medical support. This systematic review aimed to assess the evidence of service user outcomes of social prescribing programmes based on primary care and involving navigators. Methods We searched 11 databases, the grey literature, and the reference lists of relevant studies to identify the available evidence on the impact of social prescribing on service users. Searches were limited to literature written in English. No date restrictions were applied, and searches were conducted to June 2018. Findings were synthesized narratively, employing thematic analysis. The Mixed Methods Appraisal Tool Version 2011 was used to evaluate the methodological quality of included studies. Results Sixteen studies met the inclusion criteria. The evidence base is mixed, some studies found improvements in health and wellbeing, health-related behaviours, self-concepts, feelings, social contacts and day-to-day functioning post-social prescribing, whereas others have not. The review also shows that the evaluation methodologies utilized were variable in quality. Conclusion In order to assess the success of social prescribing services, more high quality and comparable evaluations need to be conducted in the future. International Prospective Register of Systematic Reviews number: CRD42017079664
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Thomas, Tamsin, James Baker, Debbie Massey, Daniel D’Appio, and Christina Aggar. "Stepped-Wedge Cluster Randomised Trial of Social Prescribing of Forest Therapy for Quality of Life and Biopsychosocial Wellbeing in Community-Living Australian Adults with Mental Illness: Protocol." International Journal of Environmental Research and Public Health 17, no. 23 (December 4, 2020): 9076. http://dx.doi.org/10.3390/ijerph17239076.
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Social Prescribing (SP) involves linking individuals with mental illness to local health and welfare services to improve quality of life (QoL) and biopsychosocial wellbeing. SP programs address psychosocial wellbeing by linking individuals to group activities. Forest Therapy (FT) is a group nature walk with prescribed activities that promote mindfulness, relaxation, and shared experience. Improvements in psychological and physical wellbeing have been demonstrated in FT, but psychosocial impacts have not been widely investigated. This study will implement an SP FT intervention and assess the impacts on QoL and biopsychosocial wellbeing. Participants will include 140 community-living adults with mental illness at Sydney/Gold Coast, Australia. A stepped-wedge cluster randomised design will be used; each participant will complete a 10-week control period followed by a 10-week FT intervention. Weekly 90-min FT sessions will be conducted in groups of 6–10 in local nature reserves. Validated tools will measure self-report QoL and biopsychosocial wellbeing pre- and post-control and intervention periods, and 5-week follow-up. Blood pressure and heart rate will be measured pre- and post-FT sessions. Hypothesised outcomes include improvements in QoL and biopsychosocial wellbeing. This study is the first to assess SP FT, and may provide evidence for a novel, scalable mental illness intervention.
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Hall, Rosie, and Natalie D. Lopez. "Staff wellbeing initiatives in a multidisciplinary community learning disability service in response to the Covid-19 pandemic." FPID Bulletin: The Bulletin of the Faculty for People with Intellectual Disabilities 18, no. 3 (December 2020): 16–22. http://dx.doi.org/10.53841/bpsfpid.2020.18.3.16.
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In response to the pressure and potential burden on staff members in a busy London Community Learning Disability Service during the Covid-19 pandemic, several staff wellbeing initiatives emerged. These included a weekly wellbeing newsletter, wellbeing sessions, virtual lunches and reflective practice sessions. Through using a responsive approach, the initiatives were adjusted to meet demand and the need of the staff members within the service. Feedback has suggested that in particular, the wellbeing session and newsletter were the most valued and gave staff members a sense of connectedness and belonging and helped to manage anxiety. These initiatives are now ongoing. To increase the reach and potential benefits of the wellbeing initiatives across the service our learning indicates management modelling, protected time and collaboration across disciplines may be important factors.
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Carra, Kylie, Nerida Hyett, Amanda Kenny, and Michael Curtin. "Strengthening occupational therapy practice with communities after traumatic events." British Journal of Occupational Therapy 82, no. 5 (August 27, 2018): 316–19. http://dx.doi.org/10.1177/0308022618795594.
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Occupational therapists have immense potential to strengthen their role in supporting communities to recover from collective trauma. After traumatic events, a community-centred practice approach can be used by occupational therapists to improve health, safety, security and wellbeing at a population level. Three strategies to strengthen the role of occupational therapy in this critical area of practice are proposed: (a) work collaboratively with communities to design programmes centred on community strengths and needs; (b) select and use therapeutic occupations to support community recovery; and (c) develop strong networks to enhance community partnerships and sustainability of services.
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Worthington, Andrew, Lee Edwards, and Lauren Joiner. "Homelessness and head injury: Health, wellbeing and social integration in referrals to a neurocase management service." Neuropsychologist 1, no. 9 (April 2020): 47–54. http://dx.doi.org/10.53841/bpsneur.2020.1.9.47.
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This paper describes the setting up of a pilot community neurocase management service for homeless adults with a brain injury. Whilst homelessness is a major problem in the UK and elsewhere, to date few brain injury or homelessness services have considered the complex medical, psychological and social factors affecting this population specifically. Investment of resources in service provision should be based upon evidence of the presenting needs and best practice in meeting these. This paper addresses the first of these two requirements, focusing on the initial cohort referred into our service. More detail about the interventions received and outcomes achieved, along with a discussion of the challenges encountered in providing the service will be provided in a follow-up paper. The need for psychologically-informed services to promote social inclusion is supported by our data which revealed concerning levels of community estrangement. Our data also confirm that homelessness often occurs in the context of multiple comorbidities which traverse conventional boundaries across medical, social care and criminal justice systems, meaning that collaborative working is essential. The argument for neuropsychological input in designing and delivering support alongside other services is clear.
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Gibbs, Katie, Lowri Wilkie, Jack Jarman, Abigail Barker-Smith, Andrew H. Kemp, and Zoe Fisher. "Riding the wave into wellbeing: A qualitative evaluation of surf therapy for individuals living with acquired brain injury." PLOS ONE 17, no. 4 (April 7, 2022): e0266388. http://dx.doi.org/10.1371/journal.pone.0266388.
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Nature has long demonstrated the capacity to facilitate wellbeing. Interventions involving the natural environment such as surf therapy, are increasingly being used to facilitate aspects of wellbeing in clinical populations. However, explorations of how nature-based interventions such as surf therapy may be used to promote wellbeing in the context of neurorehabilitation are missing from the peer-reviewed literature. Here we characterize the experience of a five-week surfing intervention involving fifteen adults living with the psycho-social and cognitive sequelae of acquired brain injury. Insights were analysed using reflexive thematic analysis, which highlighted the importance of seven overarching themes, including: 1) Connection to Nature, 2) Facilitating Trust and Safety, 3) Managing and Accepting Difficult Emotions, 4) Facilitating Positive Emotion, Meaning and Purpose, 5) Building Community through Social Connection, and 6) Positive Change. Barriers and opportunities (theme 7) were also identified as components on which clinical services may be improved. We present a theoretical model for the benefits of surf therapy in people living with acquired brain injury (ABI) based on these themes and reflections on findings from the wider literature. Findings emphasise the importance of leveraging community partnerships to augment the holistic model of neurorehabilitation and potential implications for service redesign are discussed, focusing on recent developments in wellbeing science.
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Noblet, Andrew, Cary Cooper, John McWilliams, and Annette Rudd. "Wellbeing, Job Satisfaction and Commitment among Australian Community Health Workers: The Relationship with Working Conditions." Australian Journal of Primary Health 13, no. 3 (2007): 40. http://dx.doi.org/10.1071/py07037.
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The Australian community health sector has undergone extensive organisational reform in recent times, and, in the push to enhance efficiencies and contain costs, there are indications that these changes may have undermined the wellbeing of community health personnel and their ability to provide high quality illness-prevention services. The aim of this study was to examine the working environments experienced by community health service employees and identify conditions that are predictive of employee stress. The study was guided by a tailored version of the demand-control-support model, whereby the generic components of the model had been augmented by more situation-specific stressors. The results of multiple regression analyses indicated that job control, and, to a lesser extent, social support, were closely associated with the outcome variables (psychological health, job satisfaction and organisational commitment). The more situation-specific stressors also accounted for significant proportions of explained variance. Overall, the results suggest that working conditions, particularly job control, social support and specific job stressors, offer valuable opportunities for protecting and enhancing the wellbeing of community health service personnel.
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Musetsho, Khangwelo Desmond, Munyaradzi Chitakira, and Abel Ramoelo. "Ecosystem Service Valuation for a Critical Biodiversity Area: Case of the Mphaphuli Community, South Africa." Land 11, no. 10 (September 30, 2022): 1696. http://dx.doi.org/10.3390/land11101696.
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The study of ecosystem services and the valuation of their contribution to human wellbeing is gaining increasing interest among scientists and decision-makers. The setting of this study was a critical biodiversity area on a portion of land largely presided over by a traditional leadership structure on behalf of a relatively poor local community in South Africa. The study identified several ecosystem services and performed an economic valuation of these services, and their importance both locally and globally using the Co$ting Nature V3 tool. The study identified ecosystem services such as the regulation of air quality, regulation of natural hazards, and provision of water. The economic valuation was carried out for all identified ecosystem services, realised and potential. The total realised economic value of ecosystem services was found to be US$528,280,256.00, whereas hazard mitigation potential was found to be US$765,598,080.00 across the study area. Artisanal fisheries were the least valued ecosystem service at US$5577.54. The values of the ecosystem services differed across the eleven land use land cover classes. The outcomes of the study focused on a very local scale, which was a departure from other studies previously carried out in South Africa, which focused more on the identification and valuation of regional and national scale ecosystem services.
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Savage, Sally, Susan Bailey, David Wellman, and Sharon Brady. "Service Provision Factors that Affect the Health and Wellbeing of People Living in a Lower SES Environment: The Perspective of Service Providers." Australian Journal of Primary Health 11, no. 3 (2005): 11. http://dx.doi.org/10.1071/py05037.
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Inequalities in health and wellbeing within low socioeconomic (SES) environments are well documented. Factors inherent to the health care system itself, such as inaccessible, inflexible or inappropriate service provision, contribute to the poorer health status of residents of low SES areas. This paper explores the issues of service provision in low SES areas, documenting the perceptions of service providers about the service needs of residents, in order to understand the systemic factors that negatively impact on health and wellbeing. A total of 54 health and welfare service providers from two adjacent low SES suburbs within regional Victoria were interviewed using qualitative research methods. Key findings indicate that successful navigation of health care services by residents within these low SES environments is being impeded by issues of access, a lack of appropriate early intervention options or measures, and general resident disempowerment. Central to the improvement of service provision is the need for services to become economically, geographically and culturally accessible. In particular, the importance of community involvement in health planning and health promoting services must be reflected in the ethos of service provision.
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Yotebieng, Kelly A., Jennifer L. Syvertsen, and Paschal Kum Awah. "Cessation Clauses, Uncertain Futures and Wellbeing among Rwandan Urban Refugees in Cameroon." Journal of Refugee Studies 32, no. 3 (July 16, 2018): 436–55. http://dx.doi.org/10.1093/jrs/fey037.
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AbstractOver half of the world’s displaced persons live in urban areas of developing countries. As they settle into countries with already strained health services, urban refugees face a unique set of challenges related to accessing social and mental health services. Humanitarian policy can inadvertently exacerbate these problems. This article discusses the intersection of humanitarian policy and physical and mental wellbeing among the Rwandan urban-refugee community facing uncertain futures in Yaoundé, Cameroon, as the result of a Cessation Clause. This analysis drew from participant observation, focus groups and unstructured interviews with 30 Rwandan refugee households in Yaoundé, Cameroon, over 11 months in May–August 2016, May–August 2017 and February–June 2018. The theme of uncertain futures stemming from humanitarian policy changes as a source of anxiety about the future organically emerged from the Rwandan research participants. Our analysis highlights the need to review the impacts that global humanitarian policies have on refugees’ wellbeing and the ways in which it can erode hope.
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Buchan, Jena, Bonnie Clough, Jonathan Munro, Tatjana Ewais, Jamie Wallis, and Andrew Teodorczuk. "Development of an Online Transdisciplinary Student Wellbeing Bundle: A Thematic Analysis." Journal of the Australian and New Zealand Student Services Association 30, no. 1 (December 18, 2022): 3–18. http://dx.doi.org/10.30688/janzssa.2022-1-01.
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The consequences of burnout for tertiary students across the health professions are well documented. As key stakeholders in university-offered wellbeing services and support, it is desirable for students to hold a central role in development of such resources. Hence, there is a compelling need to develop a student-driven approach to promote wellbeing in the tertiary setting. Based on this need, an online student-focused platform was developed using a bottom-up approach to support participant-driven enhancement of wellbeing and resilience to counteract burnout at a large Australian university. This study reports on the development of the initial online “student bundle”, providing a foundation to inform the design of more locally-based approaches to improve wellness and prevent burnout. Students and staff were invited to participate in a series of focus groups. Sessions sought to collect information on desired structure, resources, and overall content of the student bundle, with a thematic analysis undertaken to identify emerging themes. Focus groups were conducted separately with staff (n=17) and students (n=7). Six main themes in relation to the development of the bundle emerged: Communication/Engagement, Accessibility/Flexibility, Professional practice, Community, Awareness, and Opportunity for personal growth. Stakeholders emphasised a bundle should be engaging and proactive to address wellbeing issues; incorporate aspects linked to professional identity; and foster community, connectedness, and self-awareness, providing an opportunity for growth. Our research has exposed significant needs in relation to how an online student-focused wellbeing bundle could be delivered and what it could provide. Findings from this study will be used to guide further development and implementation of a multimodal, interactive student wellbeing bundle.
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Mann, Denise, Noreen Cushen-Brewster, and Giovambattista Zeppetella. "Exploring the experiences of a community palliative care team as services were adapted to meet the demand of the COVID-19 pandemic." British Journal of Community Nursing 27, no. 8 (August 2, 2022): 402–10. http://dx.doi.org/10.12968/bjcn.2022.27.8.402.
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During COVID-19, it was critical that services adapted to meet the high demands of the pandemic. This qualitative study explores the experiences of several staff members of the community palliative care team, as they adapted the delivery of their services to such pressures. Semi-structured interviews via a virtual platform were conducted and four themes were identified: service development, communication, inter-professional relationships and support mechanisms. The participants supported the change in service delivery and use of technology to triage patients. The participants also reported improved collaboration and patient care-coordination, and enhanced support mechanisms used by the team helped sustain resilience and wellbeing. Although challenging, the team embraced the changes and described improved collaboration and coordination of patient care.
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Wilkie, Lowri, Zoe Fisher, and Andrew H. Kemp. "The ‘Rippling’ Waves of Wellbeing: A Mixed Methods Evaluation of a Surf-Therapy Intervention on Patients with Acquired Brain Injury." Sustainability 14, no. 15 (August 4, 2022): 9605. http://dx.doi.org/10.3390/su14159605.
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Dominant psychological models of wellbeing neglect the role that nature connection and other key factors, such as positive health behaviours and behaviour change, play in determining wellbeing. The present mixed-methods evaluation explores the impact of ”Surf-Ability”, an adapted surf therapy intervention delivered in collaboration with a UK neurorehabilitation service, on individuals with acquired brain injury (ABI) as part of an effort to design interventions based on advances in wellbeing science. Following five surf-therapy sessions, within-subjects analysis (n= 15) revealed significant improvements on the Warwick–Edinburgh mental wellbeing scale (t (15) = −2.164, p = 0.048), as well as in anxiety and happiness as measured via a brief visual analogue. No significant changes occurred in the Hospital Anxiety and Depression Scale (HADS) or resting heart rate variability (HRV). A ripple effects mapping (REM) session at 6–10 months follow-up (n = 6) revealed that the physical and psychological experience of a nature-based challenge initiated a mindset shift in participants, which ultimately led to them adopting wellbeing-promoting long-term behaviour changes. These changes occurred at the scale of (1) individual wellbeing—increased mindfulness and physical activity; (2) collective wellbeing—improved relationships, community participation and contribution to organisations; and (3) planetary wellbeing—connection to nature. These findings align with the GENIAL theoretical framework, which defines wellbeing from a biopsychosocial ecological perspective across multiple levels of scale. The findings support the need for healthcare providers—including neurorehabilitation services—to enhance interventions for patients by incorporating novel factors that improve wellbeing, such as nature-connection.
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Wilson, Gemma, Valerie Larkin, Nancy Redfern, Jane Stewart, and Alison Steven. "Exploring the relationship between mentoring and doctors’ health and wellbeing: a narrative review." Journal of the Royal Society of Medicine 110, no. 5 (March 20, 2017): 188–97. http://dx.doi.org/10.1177/0141076817700848.
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The health and wellbeing of doctors are crucial, both for the individuals themselves and their ability to deliver optimum patient care. With increased pressures on healthcare, support mechanisms that attend to doctors’ health and wellbeing may require greater emphasis to safeguard those working in frontline services. To inform future developments, this systematic narrative review aimed to identify, explore and map empirical and anecdotal evidence indicating the relationships between mentoring activities and the health and wellbeing of doctors. Twelve databases were searched for publications printed between January 2006 and January 2016. Articles were included if they involved doctors’ engagement in mentoring activities and, either health or wellbeing, or the benefits, barriers or impact of mentoring. The initial search returned 4669 papers, after exclusions a full-text analysis of 37 papers was conducted. Reference lists and citations of each retrieved paper were also searched. Thirteen papers were accepted for review. The Business in the Community model was used as a theoretical framework for analysis. Mentoring influenced collegiate relationships, networking and aspects of personal wellbeing, such as confidence and stress management, and was valued by doctors as a specialist support mechanism. This review contributes to the evidence base concerning mentoring and doctors’ health and wellbeing. However, it highlights that focused research is required to explore the relationship between mentoring, and health and wellbeing.
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Kennedy, Michelle, Tess Bright, Simon Graham, Christina Heris, Shannon K. Bennetts, Renee Fiolet, Elise Davis, et al. "“You Can’t Replace That Feeling of Connection to Culture and Country”: Aboriginal and Torres Strait Islander Parents’ Experiences of the COVID-19 Pandemic." International Journal of Environmental Research and Public Health 19, no. 24 (December 13, 2022): 16724. http://dx.doi.org/10.3390/ijerph192416724.
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This Aboriginal-led study explores Aboriginal and Torres Strait Islander parents’ experiences of COVID-19. 110 Aboriginal and Torres Strait Islander parents were interviewed between October 2020 and March 2022. Participants were recruited through community networks and partner health services in South Australia, Victoria, and Northern Territory, Australia. Participants were predominantly female (89%) and based in Victoria (47%) or South Australia (45%). Inductive thematic analysis identified three themes: (1) Changes to daily living; (2) Impact on social and emotional wellbeing; and (3) Disconnection from family, community, and culture. COVID-19 impacted Aboriginal and Torres Strait Islander families. Disruption to cultural practice, and disconnection from country, family, and community was detrimental to wellbeing. These impacts aggravated pre-existing inequalities and may continue to have greater impact on Aboriginal and Torres Strait Islander parents and communities due to intergenerational trauma, stemming from colonisation, violence and dispossession and ongoing systemic racism. We advocate for the development of a framework that ensures an equitable approach to future public health responses for Aboriginal and Torres Strait Islander people.
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Vogelpoel, Nicholas, and Kara Jarrold. "Social prescription and the role of participatory arts programmes for older people with sensory impairments." Journal of Integrated Care 22, no. 2 (April 14, 2014): 39–50. http://dx.doi.org/10.1108/jica-01-2014-0002.
Full textAbstract:
Purpose – The purpose of this paper is to describe the benefits of a social prescribing service for older people with sensory impairments experiencing social isolation. The paper draws on the findings from a 12-week programme run by Sense, a voluntary sector organisation, and illustrates how integrated services, combining arts-based participation and voluntary sector support, can create positive health and wellbeing outcomes for older people. Design/methodology/approach – The research took a mixed-methodological approach, conducting and analysing data from interviews and dynamic observation proformas with facilitators and quantitative psychological wellbeing scores with participants throughout the course of the programme. Observations and case study data were also collected to complement and contextualise the data sets. Findings – The research found that participatory arts programmes can help combat social isolation amongst older people with sensory impairments and can offer an important alliance for social care providers who are required to reach more people under increasing pecuniary pressures. The research also highlights other benefits for health and wellbeing in the group including increased self-confidence, new friendships, increased mental wellbeing and reduced social isolation. Research limitations/implications – The research was based on a sample size of 12 people with sensory impairments and therefore may lack generalisability. However, similar outcomes for people engaging in participatory arts through social prescription are documented elsewhere in the literature. Practical implications – The paper includes implications for existing health and social care services and argues that delivering more integrated services that combine health and social care pathways with arts provision have the potential to create social and medical health benefits without being care/support resource heavy. Originality/value – This paper fulfils a need to understand and develop services that are beneficial to older people who become sensory impaired in later life. This cohort is growing and, at present, there are very few services for this community at high risk of social isolation.