Provision Of Support Services Research Articles

Prevalence of Posttraumatic Stress Disorder and Depression Among Internally Displaced Persons in Mogadishu-Somalia.

Nearly 2.6 million people have been forced into displacement camps in Somalia as a result of frequent conflicts exacerbated by climate change disasters. Although the psychological impact of war and natural disasters is well documented elsewhere, little is known about the unseen scars of psychological trauma among internally displaced persons (IDPs) in Somalia. This study was carried out between January and February 2021 and sought to determine the prevalence of post-traumatic stress disorder (PTSD) and depression among IDPs and examine the association between displacement and these psychiatric conditions. A cross-sectional quantitative study was conducted among 401 IDPs in Mogadishu. The Harvard Trauma Questionnaire was used to determine the levels of trauma exposure and PTSD, and Hopkins Symptom Checklist-25 was used to estimate the prevalence of depression. Multivariate and bivariate analyses were performed to analyze the association between demographic and displacement variables and the outcomes of PTSD and depression. More than half (59%) of participants met the symptom criteria of depression, and nearly a third (32%) of respondents met the symptom criteria for PTSD. The most prevalent traumatic event was a lack of food or water (80.2%). Important predictive factors for the development of psychiatric morbidity were unemployment, cumulative traumatic exposure, and frequency and duration of displacement. The study revealed high levels of depressive disorder and PTSD among IDPs in Mogadishu. Furthermore, this study provided evidence of IDPs' susceptibility to trauma exposure and lack of essential services and goods. The study highlighted the importance of the provision of Mental Health and Psychosocial Support (MHPSS) services in IDP camps.

Recommendations for the Strategic Development of Health Care for People with Autism Spectrum Disorder (ASD) in Bavaria

As mental illnesses Autism spectrum disorders (ASD) in DSM-V and ICD - 11 are classified under the category of neuronal and mental disorders. ASD manifests itself them selves in early childhood. A valid, early diagnosis is a basic prerequisite for the provision of appropriate treatment and support services as well as any care planning in all relevant areas such as therapy and early intervention. On the basis of a participatory, scientific developmental process for the formulation of recommendations for the first Bavarian ASD strategy from 2018 to 2021, principles, goals, fields of action and measures for optimizing the care for people with ASD and their relatives were defined. It became clear that there is a need, in particular, to raise awareness of ASD, further generation and provision of knowledge about ASD, expansion of specialized services for early detection, counseling and diagnostics, as well as comprehensive access to early support and therapy.

Why and how do farmers’ organizations get involved in the promotion of agroecological techniques? Insights from Burkina Faso

ABSTRACT Agroecological techniques (AET) have been recognized by many farmers, NGOs, and farmers’ organizations (FOs) as a promising solution for slowing down the persistent soil fertility degradation in West African drylands. In the context of Burkina, the promotion of AET is the result of the interactions between NGOs and farmers’ knowledge through the intermediation of FOs. Although numerous studies have highlighted the instrumental role of FOs in the dissemination of AET in Burkina, there are limited studies focusing on the historical dynamic of FOs’ involvement in the promotion of agroecology. To address this gap, this study aims to answer the following questions: why and how do FOs get involved in the promotion of agroecological techniques, and how do they define the term agroecology or agroecological techniques? A multiple case study approach was used to provide the answer to these questions. The results from the case studies reveal that the FOs’ promotion of AET is largely connected to their aim of fulfilling one of the following three goals: enhancing the productivity of commercial crops; improving the resilience of subsistence farmers; enhancing both the productivity of commercial crops and the resilience of subsistence farmers. The quest to achieve these goals explained their constant interaction with external partners to get the necessary assistance for the provision of agroecological support services to their farmers. Furthermore, the results of the study also reveal that the Farmers’ Organizations’ definitions of agroecology or agroecological terms are mostly associated with the interpretation of agroecology as a collective practice encompassing both economic and ecological aspects of Burkinabè agriculture. A broader insight is that while FOs can fulfill important roles in agroecology transitions this comes with diverse interpretations of agroecology, in which FOs facilitate the hybridization of existing farmers ’practices with those proposed by external actors. The study hence shows the complexity related to the local actors’ definitions of agroecological terms and the broader implication is that in the debate on agroecology transitions, these blended or hybrid forms of agroecology should receive more attention. Areas for future research include drivers of FOs choice making processes in how they approach agroecology, and subsequently the influence of FOs on the drivers of farmers’ decisions toward AET.

Stand up / Seas Suas: promoting peer awareness, empathy and helping among third level students

ABSTRACT The changing landscape of higher education and increased prevalence of mental health issues have placed pressure on universities to respond effectively to the needs of an increasingly diverse student body. Whilst higher education institutions provide support services to help students who are encountering difficulties, it often falls to fellow students to offer support. However, peers may lack awareness and knowledge about how to intervene or be reluctant to intervene due to the ‘bystander effect’ that diffuses responsibility for action in group settings. This article describes an initiative called Seas Suas, a programme developed by the Chaplaincy at an Irish university that encourages students to be more aware and observant of challenging issues impacting other students’ academic and personal lives and to equip them with the knowledge and skills to respond appropriately. A mixed methods research design was undertaken to assess outcomes from the programme (N = 193). Findings indicate that students showed higher levels of empathy, social responsibility and confidence in helping others after participating in the Seas Suas programme. The implications of the findings for pastoral care in higher education are discussed.

Protection and Support Services for Sexually Abused Female Children in Ethiopia

The article sought to examine and identify the protection and support services provided for sexually abused female children in a safe home in Ethiopia. This organization works with underprivileged female children at risk or victims of violence and physical and sexual abuse. The qualitative research method was used to show how vulnerable female children were protected and got the support they needed to rehabilitate, recover and rejoin society. Ten sexually abused female children from the safe home were interviewed as the target group, and six key informants also participated in the study. Documents in the safe home were reviewed, and observations were made in the compound. The finding showed that when including the provision of protection and support services for sexually abused female children at the safe home, it helped to address their emotional, social, and spiritual needs with significant service efficiency. Finally, implications for application to service improvement are suggested. Future studies were suggested to examine the experiences of other safe homes in Ethiopia. A quantitative study that evaluates the victims’ psychosocial changes over time in safe homes could also be an area for future studies.

The prevalence of officer-involved domestic violence cases in Mongolia: From the perspective of support service providers

ABSTRACT This research empirically explores the pattern and prevalence of officer-involved domestic violence associated with the enforcement of the currently amended Law to Combat Domestic Violence in Mongolia. After a thematic analysis of seven semi-structured interviews with service providers in Mongolian national human rights and non-government organizations, three main themes emerged regarding the relationship between officer-involved domestic violence and the legal enforcement processes of criminalizing domestic violence: (a) officer-involved domestic violence is more prevalent than domestic violence committed by the general population in Mongolia, (b) law enforcement poorly implements the domestic violence law, and (c) officer-involved domestic violence is an intersectional issue exemplifying one of the biggest oppressions to deal with. I argue the bidirectional nature of this relationship: Not only do law enforcement officers’ attitudes contribute to the poor implementation of domestic violence law, but police supervisors contribute to the unsuccessful criminalization of domestic violence by justifying their intimate partner violence under the name of police reputation, maintaining a code of silence in the militarized police culture, and weakening the criminal justice system.

The global agenda on obesity: what does this mean for Singapore?

The global agenda on obesity: what does this mean for Singapore?

Determinants of students’ behavior in using light rail transit in Hanoi

On November 6th, 2021, the first light rail transit (LRT) began operating in Vietnam after a decade of construction. This project aimed to alleviate traffic congestion in the road network of the Hanoi capital. However, despite the deployment of the transit service, passenger volume remains under-capacity, raising questions about how to encourage people, particularly young individuals, to use the new public transit. Hence, this study investigated students’ behavior in choosing the LRT as a means of transport. Statistical analysis of the questionnaire survey showed that the satisfaction level was the dominant factor affecting the mode choices of students. Besides, distance from home to school and LRT station accessibility significantly influenced students’ traveling behavior. These findings provide fundamental insight into young Vietnamese individuals’ behavior regarding a new transit service. We believe these outcomes would help support policy-makers and service providers in improving the LRT projects’ efficiency.

Assessing present status and development strategies of pedestrian bridge in Hanoi

Pedestrian bridge is the optimal transport solution when crossing roads in large cities, especially suitable for Hanoi’s transport system, and the bridge is also considered as an architectural work of urban landscape. Currently, with 70 Pedestrian bridges in Hanoi, it is still not enough to meet the demand for use and ensure urban traffic safety in the city. Especially, traffic violations when crossing roads are also common, pedestrians sometimes hesitate to use pedestrian bridges, and this shows the ineffective development of the pedestrian bridge system. In this study, based on the results of 300 social questionnaires with different walks of life and age brackets, and used that result to analyze the causes of ineffective use of pedestrian bridges. At the same time, giving directions on the construction and development of the pedestrian bridge system in the city to increase the efficiency and function of the pedestrian bridge, socialize the management and exploitation of pedestrian bridges in the Hanoi capital. We believe these outcomes would help support policymakers and service providers in improving the Pedestrian bridge projects’ efficiency.

Prevalência de uso de álcool na gestação, Brasil, 2011-2012

Abstract: This is a national cross-sectional, hospital-based study, which interviewed 23,894 postpartum women in 2011-2012 aiming to estimate the prevalence of alcohol use during pregnancy and identifying more vulnerable groups. Alcohol use during pregnancy was identified using the TWEAK scale, and women with a score of ≥ 2 were classified as having a “presumable diagnosis of inadequate alcohol use”. The national prevalence of alcohol use and the prevalence in subgroups were calculated according to maternal characteristics, with respective 95% confidence intervals (95%CI). Coexistence of smoking, inadequate prenatal consultations, and alcohol use during pregnancy were graphically identified. The prevalence of alcohol use was 14% (95%CI: 13.3-14.7), with 10% (95%CI: 9.3-10.6) of women presenting presumable diagnosis of inadequate alcohol us during pregnancy. Higher prevalence of alcohol use and presumable diagnosis of inadequate alcohol us was observed in black women, aged 12-19 years, with lower educational level, from a lower economic class, without a partner, without paid work, with more than three previous births, who did not want to get pregnant, with inadequate prenatal care, with previous delivery in public services, and who reported smoking during pregnancy. Among the interviewees, 1.2% presented all three risk factors for negative perinatal outcomes at the same time: smoking, alcohol use, and inadequate prenatal care. The results showed a high prevalence of alcohol use during pregnancy and presumable diagnosis of inadequate alcohol us, especially among women with worse social conditions. These data are relevant for the formulation of public policies to prevent alcohol use and provide support services to help this population stop alcohol use during pregnancy.

Prevalence of alcohol use during pregnancy, Brazil, 2011-2012.

This is a national cross-sectional, hospital-based study, which interviewed 23,894 postpartum women in 2011-2012 aiming to estimate the prevalence of alcohol use during pregnancy and identifying more vulnerable groups. Alcohol use during pregnancy was identified using the TWEAK scale, and women with a score of ≥ 2 were classified as having a "presumable diagnosis of inadequate alcohol use". The national prevalence of alcohol use and the prevalence in subgroups were calculated according to maternal characteristics, with respective 95% confidence intervals (95%CI). Coexistence of smoking, inadequate prenatal consultations, and alcohol use during pregnancy were graphically identified. The prevalence of alcohol use was 14% (95%CI: 13.3-14.7), with 10% (95%CI: 9.3-10.6) of women presenting presumable diagnosis of inadequate alcohol us during pregnancy. Higher prevalence of alcohol use and presumable diagnosis of inadequate alcohol us was observed in black women, aged 12-19 years, with lower educational level, from a lower economic class, without a partner, without paid work, with more than three previous births, who did not want to get pregnant, with inadequate prenatal care, with previous delivery in public services, and who reported smoking during pregnancy. Among the interviewees, 1.2% presented all three risk factors for negative perinatal outcomes at the same time: smoking, alcohol use, and inadequate prenatal care. The results showed a high prevalence of alcohol use during pregnancy and presumable diagnosis of inadequate alcohol us, especially among women with worse social conditions. These data are relevant for the formulation of public policies to prevent alcohol use and provide support services to help this population stop alcohol use during pregnancy.

Coining Tactile Signs: A Guided Experience of Tactile Communication for People with Acquired Deafblindness and their Communication Partners

Introduction: When hearing and vision are affected simultaneously, communication can be challenging (Nordic Welfare Centre, 2016). However, undertaking a bodily – tactile modality of communication can benefit the interactions for people with acquired deafblindness and their partners (Lahtinen, 2008). This research aimed to understand the process of creating tactile communication. It focused on analysing the process of coining tactile signs for specific objects. Method: A qualitative and descriptive case study was conducted, utilizing video-analysis and questionnaires. An intervention was based on a learning guide and inspired by the project Landscape of Touch (Tactile Communication Group DbI, 2012). Different activities of tactile communication, progressive in complexity, led the participants to a final experience of coining (the creation of) their own tactile signs. Results: The results showed three blended stages in the coining process, tactile exploration, information selection and negotiation of meaning. The coined signs were compared with their visual pair of NZSL [New Zealand Sign Language] finding several similarities in their components. This research had an expanding effect on the participant’s perspective of tactile communication and the possibility of integrating it to their daily life. Conclusion and Discussion: Further research on sign coining and tactile elements in the communication, including individual experiences, is essential for developing good practices for educators and support service providers in this field. It is recommended to use video analysis as a tool to observe the details in the handmovements. Some limitations in this study were the application in a case study, therefore no generalisations can be made, and the access to technology limited the possibilities for other possible participants.

Underrepresented in medicine students’ perspectives on impactful medical education

BackgroundExploring the perceptions of underrepresented in medicine (URiM) students about the medical education curriculum and learning environment could optimize their education outcomes. The current study delineated perceptions of URiM medical students about the unique elements and characteristics of an impactful medical education program that create a positive, supportive learning environment culture.MethodsWe conducted in-depth interviews with 15 URiM students between January 2018 and April 2018. Interviewees were recruited from an accredited medical education program in Historically Black Colleges and Universities (HBCUs). The University is also a member of the Hispanic Association of Colleges and Universities in the U.S. The main question that guided the study was, “What do URiM students at a Historically Black Colleges and Universities (HBCU) medical school believe would make a medical education program (MEP) impactful?” We used the grounded theory analytical approach and performed content analysis via qualitative thematic evaluation.ResultsOf 112 enrolled medical students (MS), 15 verbally consented to participation. We identified four general themes and several subthemes. The themes include 1) Grounding learning in the community; 2) Progressive system-based practice competency; 3) Social justice competency and 4) Trauma-informed medical education delivery. Theme 1 included the following subthemes (a) community engagement, and (b) student-run clinic, mobile clinic, and homeless clinic rotations. Theme 2 includes (a) interprofessional learning and (b) multidisciplinary medicine for cultivating a ‘just’ healthcare system. Theme 3 includes (a) longitudinal social justice curriculum, (b) advocacy, and (c) health disparity research. Theme 4 had the following subdomains (a) early and ongoing mentoring and (b) provision of supportive policies, services and practices to maximize learning and mental health.ConclusionOur learners found that social justice, trauma-informed, community-based curricula are impactful for URiM learners. These findings highlight the need for further research to assess the impact of permeating the championship culture, community cultural wealth, and transformational education in all aspects of the MEP in providing a supporting and positive learning environment for URiM students.

Impact of Covid-19 on the Aviation Industry: An Overview of Global and Some Local Effects

The COVID-19 pandemic temporarily paralysed demand for air travel causing long-term implications for all industry stakeholders involved. Nobody was spared, and without government support, many airlines, airports and air navigation service providers (ANSP), would have gone out of business already in the first year of the pandemic. In order to assess the global impact of COVID-19 on the aviation industry, this paper reviewed data from publications by various international aviation organizations, academic papers, and annual reports by airlines, airports and ANSPs, etc. The findings show that the global aviation industry was severely hit by the pandemic, pushing all stakeholders to adopt countermeasures, with the most common response by airlines being the reconfiguring their networks and capacity or switching to cargo operations, airports and other operators reacted by reducing staff numbers, while passengers had to adapt to the new travel rules and the new normality.

Farmer-centered and structural perspectives on innovation and scaling: a study on sustainable agriculture and nutrition in East Africa

ABSTRACT Purpose We studied innovation processes in agriculture and nutrition to discuss a scaling approach that encompasses the technical, institutional, and behavioral dimensions of change. Approach To understand dynamics across these dimensions, we analyzed farmers’ innovation processes through two analytical lenses: farmer-centered and structural. Focus group discussions in Kapchorwa, Uganda, and Teso South, Kenya, looked at farmers’ choices of innovations. Individual interviews and stakeholder workshops at both study sites increased understanding of the local innovation system. Findings To address local challenges, strive for livelihood aspirations, and fulfill personal taste preferences, farmers selected and adapted practices promoted by a research project. A wide range of additional support providers encouraged farmers to develop innovations in agriculture, marketing, and nutrition. Practical implications By promoting innovation as a process rather than an outcome, it is possible to address context-specific needs and enhance farmers’ adaptive capacities. Scaling these processes necessitates the involvement of innovation support service providers in order to create an enabling environment for experimentation. Theoretical implications Analytical dualism highlights the different roles of human agency and structures in innovation processes needed to design successful scaling strategies. Originality/value This paper sets out a novel approach to understanding the increasingly discussed dimensions of scaling by linking them with concepts from innovation studies.

An Investigation of Spirituality in Person-Centered Planning for Adults With Intellectual/Developmental Disabilities

While research identifies spirituality and inclusion in a community of faith as key factors contributing to quality of life for many individuals in our society, people with disabilities are often not able to access this aspect of everyday life if they wish. To change this, four groups must come together: (1) individuals with disabilities; (2) faith communities; (3) families of people with disabilities; and (4) support service providers. Current research describes the efforts of faith communities and people with disabilities and their families relative to spiritual inclusion; however, little is known about how support service systems are addressing this topic. This study surveyed direct support professionals to examine their beliefs, perceptions, and practices regarding spirituality and its role in the person-centered planning process for people with disabilities. Results indicate professionals have a high level of support for including spirituality in person-centered planning; however, this attitude does not consistently transfer to their practices. Overcoming identified barriers and meeting the needs of professionals are discussed in the context of better inclusion of this quality of life aspect for people with disabilities.

Using the Capability Approach to Review the National Legislative Frameworks for Support Services for Persons with Disabilities in Four Countries in Asia

Implementation of the United Nations Convention on the rights of persons with disabilities (UN CRPD) requires countries to harmonise their legislative frameworks with it. This paper investigates the national legislative frameworks of four Asian countries to see the extent to which they provide support services in accordance with Article 19 of the UN CRPD. The UN CRPD requires persons with disabilities to have access to and choice and control over support services. To analyse the policy alignment with the UN CRPD, an analytical framework based on the Capability Approach (CA) was developed. The results show that most countries address support services, including assistive devices, only from the perspective of a social security measure for persons with disabilities living in poverty, failing to uphold the rights of those not meeting those eligibility criteria. However, while support services are inseparably linked to social security, they also are a right for persons with disabilities. Therefore, a paradigm shift is required in the approach of support services and the distributive systems of countries, from one that addresses persons with disabilities as those requiring care considered a burden, to one that considers them rights holders with equal opportunities, for which, support services are a pre-requisite.

A Case Study of a Low-Income African American Career Academy’s Approach to Student Services

The provision of support services has been found critical for meeting the needs of students and their families, but related research in predominantly low-income, African American/Black communities, is limited. Thus, through a case study we explored how a school, located in a low-income area with a predominantly African American/Black population, adopted and enacted support services. The setting was an urban high school with an enrollment of 700 students who are predominantly African American (98%) and 100% low-income. We conducted interviews with district, school, and community stakeholders; and we followed a thematic approach for the analysis. A major finding was that the adoption of support services built on the shared belief that the school should serve as a central place of support for students and the community. We identified two distinct strands of support services, one represented by in-school supports for students and the other designed to help families in the community. Further, we found an underlying philosophy of removing obstacles for students as a means to help them succeed in school. Regarding implications for practice, it is important to note the difficulty in replicating the efficacy of support services without culturally relevant leadership at the district and school level.

Guidelines to Establish an Equitable Mobile Health Ecosystem.

Mobile health (mHealth)-that is, use of mobile devices, such as mobile phones, monitoring devices, personal digital assistants, and other wireless devices, in medical care-is a promising approach to the provision of support services. mHealth may aid in facilitating monitoring of mental health conditions, offering peer support, providing psychoeducation (i.e., information about mental health conditions), and delivering evidence-based practices. However, some groups may fail to benefit from mHealth despite a high need for mental health services, including people from racially and ethnically disadvantaged groups, rural residents, individuals who are socioeconomically disadvantaged, and people with disabilities. A well-designed mHealth ecosystem that considers multiple elements of design, development, and implementation can afford disadvantaged populations the opportunity to address inequities and facilitate access to and uptake of mHealth. This article proposes inclusion of the following principles and standards in the development of an mHealth ecosystem of equity: use a human-centered design, reduce bias in machine-learning analytical techniques, promote inclusivity via mHealth design features, facilitate informed decision making in technology selection, embrace adaptive technology, promote digital literacy through mHealth by teaching patients how to use the technology, and facilitate access to mHealth to improve health outcomes.

Access to Community Support Services among Older Adults in Social Housing in Ontario.

Community support services are an integral enabler of aging in place. In social housing, older adult tenants struggle to access these services because of the siloed nature of housing and health services. This study examined the provision of government-funded community support services to 83 seniors' social housing buildings in Toronto, Ontario. Although there were 56 different agencies operating within the buildings, only about one third of older tenants were actually receiving services. There was a subset of services that were available in more than 80 per cent of the buildings, and the most widely accessed services were food supports, crisis intervention, transportation, caregiver support, and hearing/vision care. There were also many cases in which multiple agencies offered duplicative services within the same building, suggesting that there are opportunities for improving service coordination. Practice recommendations for increasing access to community support services among low-income older adults in social housing are provided.