Collaborative Service Research Articles

Research on the Path of The Digital Transformation of Education in The Era of Artificial Intelligence

The digital transformation of education is a process of driving the ecological reform of education through digital technology, so as to play the effect of education. This paper discusses the core concepts and challenges of the digital transformation of education. In the process of the digital transformation, schools face campus walls elimination, school boundaries continuously reconstruction, curriculum mode subversion, teaching practice restructuring, teachers 'role transformation, professional ability needs to be reconstructed; students' ability weakening and learning ecology needs to be reshaped. Schools need to improve the digital infrastructure, build multiple digital platform, strengthen the systematic training of teachers, to carry out the integration of multimodal learning analysis of learning process tracking, provide man-machine collaborative personalized learning support and service four ways to build intelligent campus, comprehensive innovation teaching space, improve teachers' quality, create learning ecology at full speed.

Students health physique information sharing in publicly collaborative services over edge-cloud networks

Data privacy is playing a vital role while facing the digital life aspects. Today, the world is being extensively inter-connected through the internet of things (IoT) technologies. This huge interconnectivity is bringing very wonderful capabilities for improving the quality of life (QoL) with itself, for instance, in distributed healthcare. On the other hand, there are new challenges in the interconnectivity per use. One of the most challenging issues of IoT use in social systems and digital life is secure, trustable, and reliable interactions over IoT networks such that safety, security, and privacy in both aspects of cyber and physical worlds for humankind should be planned and controlled.Due to the less physical activity of most people in the current world, fitness and aerobic sports are now an important need at any age to help them keep healthy in their cyber-physical life, specifically, for the younger student that are still in the growth ages. However, these sport activities need to be monitored seriously and closely to not put their life in danger. Herewith, healthcare services through IoT is becoming more applicable. Therefore, health information privacy for athletes is now a hot topic of investigation as we present the topic here. We propose an IoT-based physique healthcare system considering private information sharing for athletes based on data hiding at the edge of a collaborative system. The proposed system pays attention to the key factors of healthcare IoT infrastructure but it is bringing its new suggestions for more safety. Moreover, many evaluations based on different kinds of healthcare data are provided.

Exploring the evolving landscape of human-centred crisis informatics: current challenges and future trends

Abstract Modern Information and Communication Technology (ICT) has been used in safety-critical situations for over twenty years. Rooted in Human-Computer Interaction (HCI) and related disciplines, the field of crisis informatics made considerable efforts to investigate social media use and role patterns in crises, facilitate the collection, processing and refinement of social media data, design and evaluate supportive ICT, and provide cumulative and longitudinal research. This narrative review examines contemporary challenges of human-centred crisis informatics and envision trends for the following decade, including (I) a broadening scope of crisis informatics, (II) the professionalisation of cross-platform collaboration of citizen communities and emergency services, (III) expert interfaces for explainable and multimodal artificial intelligence for user-generated content assessment, (IV) internet of things and mobile apps for bidirectional communication and warnings in disruption-tolerant networks, as well as (V) digital twins and virtual reality for the effective training of multi-agency collaboration in hybrid hazards.

Changes in alcohol consumption and binge drinking during the COVID-19 pandemic among American Indians residing in California and Oklahoma

ABSTRACT Background: This study explored the increased quantity and frequency of alcohol use in the American Indian (AI) population during the COVID-19 pandemic. Objectives: The aims of this study were to explore possible associations between covariables and both binge drinking and alcohol consumption during COVID-19. Methods: This cross-sectional survey study analyzed data from a sample of AI individuals (63% female) residing in California (n = 411) and Oklahoma (n = 657) between October 2020-January 2021. Analysis included summary statistics and multivariable logistic regression, including a variety of socio-economic, COVID-19 concern, and tobacco and marijuana use variables. Results: One or more alcohol binge episodes were reported between October 2020-January 2021 in 19.3% of participants and elevated overall alcohol consumption was reported by 21.6% of participants. Higher odds of elevated alcohol consumption occurred in women and those following more social distancing measures. The odds of binge drinking or elevated alcohol consumption in those using both marijuana and tobacco (aOR/ adjusted odds ratio:18.9, 95% CI = 8.5, 42.2, and aOR:3.9, 95% CI = 1.7, 8.6, respectively) were higher compared to those using neither. Similarly, the odds of binge drinking or elevated alcohol consumption in those using tobacco only (aOR:4.7, 95% CI = 2.9, 7.7 and aOR: 2.0, 95% CI = 1.1, 3.5, respectively) were higher compared to those using neither. Conclusions: This study found high rates of alcohol use and bingeing during the COVID-19 pandemic. Offering collaborative, culturally sensitive, and affordable support services are important components of intervention and preparation for future stressful events on local, as well as global levels.

Pemberdayaan Buruh Migran Indonesia (BMI) di Singapura: Penyusunan Panduan Kehidupan Berbangsa dan Bernegara

It is known that the number of BMI in Singapore in 2020 was 88 thousand people, including those from Ponorogo. On the other hand, the population in Singapore consists of various ethnicities and religions. Of course this also has an influence on religious life. The aim of community service with Madani Intitut Singapore is to prepare guidelines for national and state life for BMI in Singapore, especially in worship. The implementation method used in this service is in the form of collaboration with Madani Intitut by carrying out various activities, including: hearings, counseling and hearings. The results of this collaborative service, apart from obtaining an MoU with Madani Intitut Singapore, are also the preparation of practical guidelines for national and state life for Indonesian female workers in Singapore, especially in worship for Indonesian female workers in Singapore. The conclusion from the activity is that Singapore is a country that upholds pluralism, meritocracy and the supremacy of law. The key is that all agreements are stated in the employment agreement, including in worship. Then the state will guarantee the rights of the community, including BSI in Singapore, to worship.

Design of an interdisciplinary training program for interprofessional collaboration in health and social services in patient partnership: contribution of an empowering approach reinforced by instructional design

Interprofessional education (IPE) has been a key area of research and teaching practice for the past twenty years in both university and practice settings in the health sciences and social psychology. IPE training opportunities arise when students from multiple health professions interactively learn together about interprofessional collaboration and how to improve care outcomes for the community at large. It has been proven that the design of care is of higher quality when healthcare professionals understand each other's respective roles, facilitating their communication and teamwork. However, this type of pedagogical approach to interdisciplinary training is fraught with problems, such as communication barriers, synchronization of schedules and logistics, as well as the compartmentalization of professions, which can lead to prejudice despite the educational efforts made. What's more, these courses are attended by large cohorts of initial university trainees, and their pedagogical design may lack authentic anchors, thus diminishing the ability of individuals to mobilize interprofessional collaboration in care partnerships. This article proposes a theoretical model based on an enhanced capability approach, including the use of pedagogical design for student success, to design this type of training by overcoming.

Navigating challenges and workarounds: A qualitative study of healthcare and support workers' perceptions on providing care to people seeking sanctuary.

Healthcare and support workers play a pivotal role in delivering quality services and support to people seeking sanctuary who have experienced poor physical and mental health linked to previous trauma, relocation and loss of freedoms. However, they often encounter various challenges in their daily work, ranging from communication barriers to resource constraints. This qualitative study seeks to delve into the perspectives of healthcare and support workers' experience of workarounds, employed to overcome barriers to providing care. This study aims to describe healthcare providers', practitioners' and health and third sector support workers' views on barriers and workarounds to providing care for people seeking sanctuary, to inform policy and practice. A qualitative study was carried out using semi-structured telephone interviews. This study focused on primary, secondary, community and specialist National Health Service (NHS) support services for people seeking sanctuary in Wales, United Kingdom (2018). We interviewed 32 healthcare providers, practitioners and support workers employed by primary care and third sector organisations. Our approach involved obtaining verbal informed consent before digitally recording and transcribing all interviews. To analyse the data, we used the Four Levels of Change for Improving Quality model as a guiding framework for interpretation. Our study findings reveal that certain respondents expressed challenges in meeting the needs of people seeking sanctuary; notably, their experience of delivering care differed by care settings. Specifically, those involved in providing specialist NHS care believed that there was room for improvement. Mainstream primary, secondary and community health practitioners faced limitations due to resource constraints and lacked tailored information to address the unique circumstances and needs of sanctuary seekers. To address these gaps, workarounds emerged at both individual and local levels (team/departmental and organisational level). These included establishing informal communication channels between providers, fostering cross service collaboration to fill gaps and adapting existing services to enhance accessibility. Understanding healthcare providers', practitioners' and support workers' perspectives offers invaluable insights into ways to enhance healthcare delivery to sanctuary seekers. Acknowledging challenges and harnessing innovative workarounds can foster a more effective and compassionate service for this vulnerable population. The HEAR study actively involved public contributors in the design, delivery and dissemination of the research. Two public contributors (S. M. and G. R.) who had personal experience of seeking asylum served as study co-applicants. They played pivotal roles in shaping the research by participating in its development and securing funding. Alongside other co-applicants, S. M. and G. R. formed the Research Management Group, overseeing study delivery. Their contributions extended to strategic decision-making and specific feedback at critical junctures, including participant recruitment, data collection, analysis and reporting. Additionally, S. M. and G. R. were instrumental in recruiting and supporting a team of peer researchers, enhancing respondent participation among people seeking sanctuary. To facilitate effective public involvement, we provided named contacts for support (A. K. and R. F.), research training, honoraria, reimbursement of expenses and accessible information in line with best practice.

When Antimicrobial Treatment and Surgical Prophylaxis Collide: A Stewardship Opportunity.

Background: In 2002, the Centers for Medicare and Medicaid Services (CMS) in collaboration with the Centers for Disease Control and Prevention (CDC) established the Surgical Infection Prevention (SIP) project for the purposes of developing and standardizing quality improvement measures known to reduce the rates of post-operative surgical site infections (SSIs). Four years later the Surgical Care Improvement Project (SCIP), an expansion of SIP, was published in governmental Specifications Manual for National Inpatient Quality Measures and provided several additional initiatives applicable to the perioperative period. Central to both projects are the assurance of the timeliness, selection, and duration of peri-operative surgical prophylactic antibiotics. In support of this objective, various medical associations, such as the American Society of Health-System Pharmacists (ASHP) and the Infectious Diseases Society of America (IDSA), have developed the Clinical Practice Guidelines for Antimicrobial Prophylaxis in Surgery. To ensure compliance with quality measures, hospitals are required to report data to the Physicians Quality Reporting System, which is then reviewed by CMS for reimbursement purposes and to measure hospital performance. To maintain optimal standards of care and satisfy all core measures, it is expected that patients undergoing most categories of surgical procedures receive prophylactic antibiotics. We recognized that patients already being administered antimicrobial therapy as treatment for the condition requiring the surgery not uncommonly also were prescribed unwarranted and redundant pre-operative antibiotics. Our study was meant to quantify such antibiotic redundancy, which only risks the development of antimicrobial resistance and adverse events, to bolster our and other hospitals antimicrobial stewardship programs. Methods: A retrospective analysis of computerized hospital records over a one-month period of time (November 2022) was conducted focusing on hospital admissions that involved surgical operative procedures. Only those patients who had received a pre-operative surgical prophylactic antibiotic were included in the analysis. Results: Of the 92 surgeries that fulfilled the inclusion criteria, 38 (41.3%) were performed on patients who were already receiving therapeutic antibiotics for more than 24 hours targeted to treat the infection for which they were undergoing surgery. These included laparoscopic cholecystectomy (24), appendectomy (12), wound debridement (12), and soft tissue incision and drainage procedures (9), comprising nearly 50% of each type of these operations performed during the study time period. Conclusion: These findings demonstrate a clear opportunity to strengthen both our, and presumably other, hospitals antimicrobial stewardship programs. Together with physician education, granting the pharmacy the ability to cancel unnecessary and redundant surgical prophylactic antibiotics would conceivably be of great benefit.

Allocating municipal services to individuals with complex rehabilitation needs – a discourse analysis of individual administrative decision letters

BackgroundRehabilitation is considered paramount for enhancing quality of life and reducing healthcare costs. As a result of healthcare reforms, Norwegian municipalities have been given greater responsibility for allocating rehabilitation services following discharge from hospital. Individual decision letters serve as the basis for implementing services and they have been described as information labels on the services provided by the municipality. They play an important role in planning and implementing the services in collaboration with the individual applicants. Research indicates that the implementation of policies may lead to unintended consequences, as individuals receiving municipal services perceive them as fragmented. This perception is characterised by limited user involvement and a high focus on body functions. The aim of this study was to examine how municipal decision letters about service allocation incorporate the recommendations made in the official national guideline and reflect a holistic approach to rehabilitation, coordination and user involvement for individuals with comprehensive needs.MethodsThe decision letters of ten individuals with moderate to severe brain injury allocating rehabilitation services in two municipalities were examined. It was assessed whether the content was in accordance with the authorities’ recommendations, and a discourse analysis was conducted using four tools adapted from an established integrated approach.ResultsThe letters primarily contained standard texts concerning legal and administrative regulations. They were predominantly in line with the official guideline to municipal service allocation. From a rehabilitation perspective, the focus was mainly on medically oriented care, scarcely referring to psychosocial needs, activity, and participation. The intended user involvement seemed to vary between active and passive status, while the coordination of services was given limited attention.ConclusionsThe written decision letters did fulfil legal and administrative recommendations for service allocation. However, they did not fulfil their potential to serve as a means of conveying rehabilitation issues, such as specification of the allocated services, a holistic approach to health, coordination, or the involvement of users in decision processes. These elements must be incorporated throughout the allocation process if the policies are to be implemented as intended. Findings can have international relevance for discussions between clinicians and policy makers.

Analysis on the Path to Improve College Students' Innovation Ability

The core elements of innovation or creativity mainly include creative thinking and creative personality. Universities should start from the perspectives of collaborative participation, service and publicity, establish a sound innovation education mechanism, link up professional teaching, develop characteristic entrepreneurship and innovation courses, build diversified entrepreneurship and innovation practice platforms, and hold entrepreneurship and innovation competitions, so as to promote college students to accumulate knowledge, skills and experience in innovation and entrepreneurship in practice.

Behavior-environment interaction aware manufacturing service collaboration optimization

Manufacturing enterprises participate in platform-based collaboration by encapsulating their manufacturing resources/capabilities as manufacturing services (MSs). In platform-based manufacturing service collaboration (MSC), the mutually influential between behaviors of MS providers and the collaborative environment will have an important impact on the MSs supply ability and the MSC scheme planning. Therefore, this paper proposes a behavior-environment interaction aware MSC optimization method. Firstly, the behavior-environment interaction mechanism considering the proactive/ passive behaviors of MS providers (i.e., join/exit platform behavior, accept/reject task behavior, cooperate/non-cooperate behavior) and the collaborative environment is built. Then, the collaborative environment is described by the BBV complex network, taking into account the inherent attributes of the providers and the collaborative relationship based on the priority attachment characteristics. Finally, the behaviour-environment interaction mechanism is combined with the Dueling DQN algorithm to address the MSC optimization problem. The proposed method can effectively solve the MSC optimization problem, ensuring a balanced consideration of the interests of consumers, MS providers and the platform. According to the experiment, the arrival of new MS providers will enhance the global efficiency of the platform. And the higher the willingness of MS providers to participate in MSC, the higher their income and the global efficiency of the platform.

A Systematic Literature Review on University Collaboration in Open Innovation: Trends, Technologies, and Frameworks

Open innovation is a concept of collaboration of ideas, knowledge, and resources that originates from within the organization and involves external organizations. University-industry collaboration is a factor driving innovation and competitiveness. Most research on interactions between universities and industry concentrated on the industrial side meanwhile, universities, as knowledge producers, play a vital role in creating an open innovation ecosystem that encourages realizing innovations that benefit society. Therefore, the problem raised in this research is how university collaboration can support open innovation. This research aims to identify research trends, the latest technologies, and inter-university collaboration frameworks that can support open innovation. The methodology used is Kitchenham's Systematic Literature Review (SLR) and bibliometric. SLR consists of Identification Study, Selection Studies, Quality Assessment, Data Extraction and Study Synthesis. From the SLR stages, 21 papers published between 2019 and 2023 were obtained. Synthesis and additional literature review were carried out to identify trends, technologies, and frameworks related to the topic comprehensively. In terms of trend, based on the application bibliometric, it was found that there was an increase in the number of publications and the top list of open innovation journals. University collaboration in open innovation more frequently takes place in the UK, and the industries mostly involved are small-medium enterprises. Quantitative research methodology and data analyses, comprising of hypothesis test, regression test, and descriptive statistics, are mostly preferred. Meanwhile, descriptive data analysis is the most common means of qualitative data analysis. Numerous suggestions on topics for future research were also identified. In addition, data analysis using machine learning survival data is identified as a novelty among data analysis methods. Technology transfer and the use of digital platforms may support open innovation processes, and the use of blockchain technology may promote digital platforms development. Seven domains form the framework for university collaboration in open innovation, namely Social Behavior, People, Process, Organization, Environment, Technology, and Performance. The findings of trends, technologies, and frameworks in this research may serve as a foundation for research on similar topics, and the identified framework domains could serve as framework components that might be used by universities to collaborate with partners in implementing open innovation processes. The research have contributes to knowledge management theoretically and practically. Theoretically, open innovation can expand the knowledge base by supporting the concept that knowledge and expertise can be found outside organizational boundaries. Practically, it can enrich knowledge management practices by emphasizing the importance of utilizing digital platform technology in supporting knowledge management sourced from external knowledge and collaboration services in the open innovation process.

Spreading Love in Fitra Qaseh Refuge Home Malaysia: A Community Service Activity

Fitra Qaseh Orphanage is a shelter for children who have been abandoned by their parents due to social problems within the family. Fitra Qaseh Orphanage which is known as the Fitra Qaseh Refuge Home is located in Johor Bahru City, Malaysia. Fitra Qaseh currently currently accommodates 53 children ranging from 1 month to 17 years old. The problem that faced by Fitra Qaseh is the development of facilities for the residents' outdoor play and activities. Fitra Qaseh outdoor activities, providing motivation for residents of Fitra Qaseh shelter homes in the form of in the form of education, religious knowledge, protection and affection, Providing assistance to fulfil the daily needs of residents both food and fulfil the daily needs of residents both food and clothing for daily needs residents of the Fitra Qaseh protection house. For this reason, Ibrahim Sultan Polytechnic (PIS) and Politeknik Negeri Padang (PNP) collaborate in the context of international community service International. The aim of this collaborative community Service activity is to address issues that arise at the orphanage. The community service is implemented using the applicative method, which directly solves the problems that exist in partners. The step of activity is survey, collecting data, plan resolve the problem and action. The result of this program are The results of this activity are that the facilities and infrastructure of the orphanage have been repaired, assistance has been provided and children have been motivated to keep learning to reach their goals.

Maternal awareness, acceptability and willingness towards respiratory syncytial virus (RSV) vaccination during pregnancy in Ireland.

Respiratory syncytial virus (RSV) is the world's leading cause of viral acute lower respiratory infections (ALRI) in infants. WHO has identified maternal RSV vaccination a priority and candidate vaccines are in development; however, vaccine hesitancy remains an impediment to successful implementation of maternal immunization. This study, the largest antenatal survey conducted to-date, aimed to examine maternal RSV awareness, likely acceptance of RSV vaccination in pregnancy, and attitudes to maternal vaccination. Pregnant women of all gestations attending antenatal clinic of a university maternity hospital in Ireland were invited to participate. An information leaflet provided, consent obtained, and survey administered examining RSV awareness, willingness to avail of antenatal RSV vaccination, factors influencing acceptability and preferred sources of assistance. Research Ethics Committee (REC) approval obtained, and general data protection regulation (GDPR) guidelines followed. 528 women completed the survey. A large proportion (75.6%) had never heard of RSV, yet 48.5% would still avail of a vaccine, 45.8% were undecided and only 5.3% would not. The main factor making vaccination acceptable to women (76.4%) was that it protects their infant from illness (p < .001, CV 0.336 for association with acceptance) and general practitioner (GP) was the preferred guidance source in decision-making (57.7%). Despite low levels of maternal awareness of RSV, pregnant women in Ireland are open to availing of antenatal vaccination. Maternal immunization strategies need to focus on infant's protection from RSV-associated ALRI along with vaccine safety, and build on an interdisciplinary collaboration of maternal, neonatal, primary care and public health services.

524 Navigator: Providing a foundation for cross team collaboration and custom research service through the CTSA Hub

OBJECTIVES/GOALS: The Oregon Clinical and Translational Research Institute (OCTRI) Clinical Research Navigator program provides a single point of entry for clinical and translational research services, support, advice and guidance. We provide data to illustrate the Navigator model at OHSU and examine continued opportunities to optimize research resources. METHODS/STUDY POPULATION: Requests and activities performed by the OCTRI Navigator program, staffed by 3 FTE (2 Assistant Navigators and 1 Assistant Director) were analyzed. Navigator receives requests through multiple methods: a digital form (REDCap®), email, phone calls. Requests for services and support include focused need for a core or a broad request for multiple services for start-up: informatics, the clinical and translational research center, regulatory knowledge and support, recruitment, qualitative methods, community research, biostatistics or broad consultations. Requests are tracked in SPARCRequest. Navigator also supports wayfinding to institutional resources outside of the CTSA, matchmaking for sponsors seeking investigators, and serves as a connector and facilitator across programs. RESULTS/ANTICIPATED RESULTS: OCTRI Clinical Research Navigator triaged an average of 964 research requests for 613 projects with 388 unique investigators annually between 2018-2022. Navigator also fields more than 80 calls each year that are unrelated to CTSA projects. Project requests are examined to illustrate trends in projects requesting multiple services and display how Navigator simplifies project intake and connects researchers to resources they may have not recognized they needed. Project attributes including funding type and funding status are included in this review. DISCUSSION/SIGNIFICANCE: CTSA resources are essential to the infrastructure available to researchers. While absolute numbers of requests provide little insight into the impact each CTSA hub may have, the timing and clustering trends of projects with multiple program requests shows how a combination of technology and experienced staff can efficiently support researchers.

Research on collaborative edge network service migration strategy based on crowd clustering

The innovative application of Crowd Intelligent Devices (CIDS) in edge networks has garnered attention due to the rapid development of artificial intelligence and computer technology. This application offers users more reliable and low-latency computing services through computation offloading technology. However, the dynamic nature of network terminals and the limited coverage of edge servers pose challenges, such as data loss and service interruption. Furthermore, the high-speed mobility of intelligent terminals in the dynamic edge network environment further complicates the design of computation offloading and service migration strategies. To address these challenges, this paper explores the computation offloading model of cluster intelligence collaboration in a heterogeneous network environment. This model involves multiple intelligences collaborating to provide computation offloading services for terminals. To accommodate various roles, a switching strategy of split-cluster group collaboration is introduced, assigning the cluster head, the alternate cluster head, and the ordinary user are assigned to a group with different functions. Additionally, the paper formulates the optimal offloading strategy for group smart terminals as a Markov decision process, taking into account factors such as user mobility, service delay, service accuracy, and migration cost. To implement this strategy, the paper utilizes the deep reinforcement learning-based CCSMS algorithm. Simulation results demonstrate that the proposed edge network service migration strategy, rooted in groupwise cluster collaboration, effectively mitigates interruption delay and enhances service migration efficiency.

Aisyiyah Organization Communication Network In Tuberculosis Prevention In North Sumatra

The purpose of this study was to analyze the communication network built by the Aisyiyah organization in the prevention of Tuberculosis (TB) in North Sumatra. Aisyiyah as Lembaga autonomy Muhammmadiyah who became one of the government fatners in the eradication of tuberculosis. Eradication of tuberculosis is something that must be done in breaking the chain of the spread of tuberculosis that is of concern to the world because the disease is very fast spreading and is the no. 2 deadly disease after HIV Aids. Transmission is through people infected with tuberculosis coughing and removing mycobacterium bacteria. The research methods used are descriptive through qualitative approaches. The informant in this study was the Head of Aisyiyah Region of North Sumatra, TB-HIV Care Aisyiyah Team of North Sumatra. Data collection techniques through interviews, observations, and documentation. The results showed that the communication network built by Aisyiyah North Sumatra in the prevention of Tuberculosis by forming TB-HIV Care Aisyiyah. Cadres as implementers who plunge into the community to the village level in helping to provide services in collaboration with puskesmas services. Cadres in carrying out this humanitarian task always put forward human values by not paying attention to race, religion, or ethnicity. For cadres to be able to carry out tasks in the field are given debriefing that supports competence in the form of knowledge related to TB, effective communication and evaluation, and reporting, in addition, cadres in performing their duties are provided facilities such as jackets of pinaster marks, participant cards as TB cadres. . As for the reporting made by cadres so that sufferers, suspects more easily obtain drug services that can later be obtained from the nearest health center whose treatment is provided by the government for free. The recruitment of these cadres is usually done through Aisyiyah studies or can be done through other channels such as through social media, and in coordination with other organizations or associations such as the PKK Mother

Barriers to Mental Health care in Canada Identified by Healthcare Providers: A Scoping Review.

The mental health treatment gap remains wide across the world despite mental illness being a significant cause of disability globally. Both end-user and healthcare provider perspectives are critical to understanding barriers to mental healthcare and developing interventions. However, the views of providers are relatively understudied. In this review, we synthesized findings from current literature regarding providers' perspectives on barriers to mental healthcare in Canada. We searched Medline, PsycINFO, Embase, and CINAHL for eligible Canadian studies published since 2000. Analysis and quality assessment were conducted on the included studies. Of 4,773 reports screened, 29 moderate-high quality studies were reviewed. Five themes of barriers emerged: health systems availability and complexity (reported in 72% of the studies), work conditions (55%), training/education (52%), patient accessibility (41%), and identity-based sensitivity (17%). Common barriers included lack of resources, fragmented services, and gaps in continuing education. Interestingly, clinicians often cited confusion in determining the ideal service for patients due to an overwhelming number of potential services without clear descriptions. These five domains of barriers present a synthesized review of areas of improvement for mental healthcare spanning both patients and clinicians. Canadian mental health systems face a need to improve capacity, clinician training, and in particular service navigability and collaboration.

Legitimacy of community-based social enterprises (CBSE) in service provision in rural areas

PurposeMunicipalities seek new opportunities for co-producing services in rural areas. One potential partner is community-based social enterprises (CBSEs). However, whilst service co-production through CBSEs obscures the traditional roles of actors, it may lead to a legitimation crisis in local service provision. In this paper, the ways CBSEs are legitimised as service providers in rural areas are addressed from the CBSE and municipality perspectives.Design/methodology/approachEmpirical data combine interviews with CBSE representatives and open-ended national survey responses from municipality decision-makers. The data analysis is based on a qualitative content analysis to examine legitimation arguments.FindingsResults show that unestablished legitimacy and un-institutionalised support structures for co-production models build mistrust between CBSEs and municipalities, which prevents the parties from seeing the benefits of cooperation in service production.Research limitations/implicationsThe research focusses on the legitimation of CBSEs in service co-production in rural areas. As legitimation seems to be a context-specific process, future research is needed regarding other contexts.Practical implicationsMunicipalities interested in the co-production of services might benefit from establishing a collaborative and responsive (rural) service policy forum that would institutionalise new models of co-production and enable better design and governance of service provision.Originality/valueResults will give new theoretical and practical insights into the importance of legitimacy in the development of service co-production relationships.

Understanding the Perceptions of School Engagement of Parents of Students With Autism

Family–school engagement is integral to the success of students with autism. However, limited research has examined the conceptualization of family–school engagement from the perspective of parents of children with autism. With this in mind, we conducted focus groups with 22 parents of school-age children (ages 3–21) with autism. Using qualitative analysis, the authors identified seven types of engagement, each of which requires specific supports and has different barriers that may limit their use. These included: (a) collaborative partnership, (b) home-school communication, (c) advocacy, (d) school-based participation, (e) home-based participation, (f) service coordination, and (g) classroom observation. Adding two novel types of family engagement to the existing literature, findings contribute to a conceptualization of school engagement that incorporates the preferences and experiences of diverse parents of children with autism. Implications and directions for future research are discussed.