Street Program Research Articles

Evaluasi Pelaksanaan Program Praktik Kerja Lapangan (PKL) di SMK Negeri 2 Toraja Utara

This study aims to evaluate and analyze the implementation of the Prakerin Program at SMK Negeri 2 Toraja Utara and to identify the factors that influence the success of the program. This research is a qualitative research using the CIPP model evaluation. Data was collected through observation, interviews and document study. The research respondents consisted of PKL supervising teachers, street vendor participant students, and related parties at school. The results of the study show that (1) context aspects: vision and mission have been translated into the formulation of graduate competencies, objectives have not been fully achieved, the curriculum has been synchronized with market needs by involving IDUKA, (2) input aspects: implementation strategy, placement procedures, scheduling and budget management has been carried out according to procedures, communication with IDUKA has been improved, (3) Process aspects: implementation has been according to procedures only monitoring has been intensified, (4) Product aspects: good results, street vendors program is beneficial to students, schools and IDUKA, impact the street vendors program has not been significant for graduate absorption, cooperation with IDUKA needs to be improved. North Toraja 2 Public Vocational School has not yet carried out a thorough evaluation of the implementation of the street vendors program. This research is expected to provide useful input for SMK Negeri 2 Toraja Utara in improving the quality and effectiveness of the implementation of the street vendors program. In addition, this research can also be a reference for other vocational education institutions in optimizing the PKL Program in order to prepare students to enter the world of work.

Art and Storytelling on the Streets: The Council on Interracial Books for Children’s Use of African American Children’s Literature

From 1970 until 1974, the Council on Interracial Children’s Books (CIBC) ran the Arts and Storytelling in the Streets program throughout New York City. This program involved African American and Puerto Rican artists and storytellers bringing children’s literature directly to children in the streets. This occurred amid a rise in African American children’s literature and educational upheavals in the city as local communities demanded oversight of their schools. Originating in the Ocean Hill-Brownsville district in New York City, the Arts and Storytelling on the Streets program helps to underscore the interrelation between African American children’s literature and educational activism. This article examines how storytelling sessions run by authors and illustrators became extensions of African American children’s literature and educational activism in the city as Black American children’s books became key tools in a fight for a more representative and relevant education. Storytelling teams hoped to use African American children’s literature to help engage children in reading and provide a positive association with literature among local children. The Art and Storytelling program mirrored ideas and themes within African American children’s literature including Black pride, community strength, and resisting white supremacy. The program also became a key extension of the literature as the locations, storytellers, and the audiences all helped to expand upon the impact and many meanings inherent in contemporary African American children’s literature.

The role of municipalities and their impact on the transitional capacity of city street experiments: Lessons from Ghent

City street experiments have proven to possess a transitional capacity to achieve system change in urban mobility. Because they challenge the status quo, such experiments often face institutional barriers that can limit their transitional capacity. This paper explores how the role adopted by municipalities–as the formal actor behind institutional arrangements and a key player in urban experimentation–can affect the transitional capacity of street experiments. Using a theoretical framework combining three ideal-typical roles (promoter, enabler and partner) and transitional capacity, we analyze the relationship between the municipality and the Living Streets program in Ghent, Belgium. Our findings reveal that the municipal leadership and subsequent legitimacy accompanied by the promoter and enabler roles can benefit the transitional capacity of experiments in nascent stages, especially when they are radical and potentially contentious. Additionally, the provision of financial, material and human resources, are necessary regardless of role. Lastly, we highlight two dilemmas related to city street experiments and urban mobility: First, should city street experiments be temporarily employed and disbanded once their transitional capacity decreases? And second, can the low-risk nature of experimenting with streets be reconciled with the commitments of long-term policy development required for urban mobility?

Were COVID pedestrian streets good for business? Evidence from interviews and surveys from across the US

During the COVID pandemic, at least 97 US cities closed downtown streets to vehicles to create commercial pedestrian streets with the goal of encouraging active travel and economic activity at safe social distances. This study addressed three questions about these programs for businesses located on a pedestrian street: 1) what factors influenced their feelings about the program; 2) what concerns did businesses located on pedestrian streets have; and 3) how did the pedestrian street program impact a business’s revenue as compared to other businesses in the area on streets that did not close. We created a geographic database of these pedestrian streets and identified nearly 14,000 abutting businesses, from which we collected interview and survey data. The interviews and survey results highlight key issues surrounding businesses’ experiences with pedestrian streets. Businesses abutting pedestrian streets had a slightly higher opinion of these programs than businesses not abutting these streets. A test of the effect of pedestrian street interventions on business revenue using a pseudo-control group showed the effect to be uncertain but, on average, negligible. The findings point to steps that cities can take to maximize the benefits of pedestrian streets for local businesses.

Descriptive study: the novel “full spectrum people-with-opioid-use-disorder care model”

BackgroundPeople with Opioid Use Disorder (PWOUD) represent an underserved and marginalized population for whom treatment gaps exist. Low-barrier programs like mobile care units and street outreach programs have yielded increased access to buprenorphine and social services, however, OUD pertinent co-occurring behavioral health and medical conditions are frequently left unaddressed. A novel, tailored, comprehensive care delivery model may reduce disparities and improve access to care across a range of pathologies in this historically difficult to reach population and enhance efforts to provide universal treatment access in a harm reduction setting.MethodsDescriptive data were collected and analyzed regarding patient demographics, retention in treatment and services rendered at a new, wrap-around, low-barrier buprenorphine clinic established at an existing harm reduction site in New Mexico between August 1, 2020, and August 31, 2021.Results203 people used any service at the newly implemented program, 137 of whom specifically obtained medical and/or behavioral health care services including prescriptions for buprenorphine at least once from the physician onsite. Thirty-seven unique medical and psychiatric conditions were treated, representing a total of 565 separate encounters. The most common service utilized was buprenorphine treatment for opioid use disorder (81%), followed by treatment for post-traumatic stress disorder (62%), anxiety (44.5%) and depression (40.9%). Retention in buprenorphine treatment was 31.2% at 6 months.ConclusionsAn innovative, multidisciplinary, buprenorphine-centric care model, which targets a wide range of OUD pertinent pathologies while employing a harm reduction approach, can enhance utilization of these services among an underserved PWOUD population in a manner which moves our health system toward universal OUD treatment access thereby potentially reducing overdose and existing disparities.

Emergency Department Visits for Firearm Injuries Before and During the COVID-19 Pandemic — United States, January 2019–December 2022

During the COVID-19 pandemic, the U.S. firearm homicide rate increased by nearly 35%, and the firearm suicide rate remained high during 2019-2020 (1). Provisional mortality data from the National Vital Statistics System indicate that rates continued to increase in 2021: the rates of firearm homicide and firearm suicide in 2021 were the highest recorded since 1993 and 1990, respectively (2). Firearm injuries treated in emergency departments (EDs), the primary setting for the immediate medical treatment of such injuries, gradually increased during 2018-2019 (3); however, more recent patterns of ED visits for firearm injuries, particularly during the COVID-19 pandemic, are unknown. Using data from the National Syndromic Surveillance Program (NSSP),* CDC examined changes in ED visits for initial firearm injury encounters during January 2019-December 2022, by year, patient sex, and age group. Increases in the overall weekly number of firearm injury ED visits were detected at certain periods during the COVID-19 pandemic. One such period during which there was a gradual increase was March 2020, which coincided with both the declaration of COVID-19 as a national emergency† and a pronounced decrease in the total number of ED visits. Another increase in firearm injury ED visits occurred in late May 2020, concurrent with a period marked by public outcry related to social injustice and structural racism (4), changes in state-level COVID-19-specific prevention strategies,§ decreased engagement in COVID-19 mitigation behaviors (5), and reported increases in some types of crime (4). Compared with 2019, the average number of weekly ED visits for firearm injury was 37% higher in 2020, 36% higher in 2021, and 20% higher in 2022. A comprehensive approach is needed to prevent and respond to firearm injuries in communities, including strategies that engage community and street outreach programs, implement hospital-based violence prevention programs, improve community physical environments, enhance secure storage of firearms, and strengthen social and economic supports.

Street Psychiatrists Build Trust, Offer Hope to Homeless Patients With SMI

Street Psychiatrists Build Trust, Offer Hope to Homeless Patients With SMI

Strengthening Doctor-Patient Relationships Through Hospital-Based Violence Interventions.

Violence in Chicago has been persistently high in low-income communities of color. Recent attention has focused on how structural inequities weaken protective factors that help keep communities healthy and safe. Spikes in community violence seen in Chicago since the COVID-19 pandemic further expose the lack of social service, health care, economic, and political safety nets in low-income communities and the apparent dearth of faith in those systems. The authors contend that a comprehensive, collaborative approach to violence prevention that prioritizes treatment and community partnerships is needed to address social determinants of health and structural characteristics that often provide the context for interpersonal violence. One strategy to address decreasing faith in systems like hospitals is foregrounding frontline paraprofessional prevention workers who possess cultural capital based on their experiences navigating interpersonal and structural violence. Hospital-based violence intervention programs help professionalize these prevention workers by providing a framework for patient-centered crisis intervention and assertive case management. The authors describe how the Violence Recovery Program (VRP), a multidisciplinary hospital-based violence intervention model, leverages the cultural capital of credible messengers to use teachable moments to promote trauma-informed care to violently injured patients, assess their immediate risk for reinjury and retaliation, and connect them to wrap-around services to help aid comprehensive recovery. Violence recovery specialists have engaged over 6,000 victims of violence since the program's launch in 2018. Three-quarters of patients expressed social determinants of health needs. Over the past year, specialists have connected over one-third of engaged patients to mental health referrals and community-based social services. High violence rates in Chicago limited case management opportunities in the emergency room. In fall 2022, the VRP began to establish collaborative agreements with community-based street outreach programs and medical-legal partnerships to address structural determinants of health.

Unintended impacts of the Open Streets program on noise complaints in New York City

BackgroundDuring the COVID-19 pandemic, several cities allocated more public spaces for physical activity and recreation instead of road transport through Open Streets. This policy locally reduces traffic and provides experimental testbeds for healthier cities. However, it may also generate unintended impacts. For instance, Open Streets may impact the levels of exposure to environmental noise but there are no studies assessing these unintended impacts. ObjectivesUsing noise complaints from New York City (NYC) as a proxy of annoyance caused by environmental noise, we estimated associations at the census tract level between same-day proportion of Open Streets in a census tract and noise complaints in NYC. MethodsUsing data from summer 2019 (pre-implementation) and summer 2021 (post-implementation), we fit regressions to estimate the association between census tract-level proportion of Open Streets and daily noise complaints, with random effects to account for within-tract correlation and natural splines to allow non-linearity in the estimated association. We accounted for temporal trends and other potential confounders, such as population density and poverty rate. ResultsIn adjusted analyses, daily street/sidewalk noise complaints were nonlinearly associated with an increasing proportion of Open Streets. Specifically, compared to the mean proportion of Open Streets in a census tract (0.11%), 5% of Open Streets had a 1.09 (95% CI: 0.98, 1.20) and 10% had a 1.21 (95% CI: 1.04, 1.42) times higher rate of street/sidewalk noise complaints. Our results were robust to the choice of data source for identifying Open Streets. ConclusionOur findings suggest that Open Streets in NYC may be linked to an increase in street/sidewalk noise complaints. These results highlight the necessity to reinforce urban policies with a careful analysis for potential unintended impacts to optimize and maximize the benefits of these policies.

Factors Affecting the Effectiveness ofStreet Families’ Rehabilitation Programs in Nairobi City County Kenya

Introduction:Street family rehabilitation is a major problem in Nairobi County as the numbers keep rising despite rehabilitation efforts. The current study was to assess the factors affecting the effectiveness of street families’ rehabilitation programs in Nairobi City County Kenya. Attachment theory was employed in the study. Methodology:The concurrent triangulation study design was employed. A sample of 135 respondents was selected through simple random sampling and data collected through questionnaires. Descriptive statistics was used to analyse data and presented in tables. Findings:The study revealed that poverty (28.2%) was the greatest demographic factor affecting the effectiveness of street family rehabilitation programs. Results also revealed that the main resource available for rehabilitating street families the County is personnel (36.4%) and funding (13.6%) were the main needed resource for rehabilitation and that resource availability (52.7%)negatively affected street family rehabilitation. Finally, financial mobilization at (37.3%) by rehabilitation personnel was the main technical expertise need for effective street family rehabilitation which further affects the effectiveness of street family rehabilitation programs in Nairobi City County. The study therefore concludes that demographic factors, resource availability as well as technical expertise negatively affect the effectiveness of street families’ rehabilitation programs in Nairobi City County Kenya.

Street Medicine: A Scoping Review of Program Elements

Globally, homelessness has grown over the past decade due to a diverse range of social and economic factors, including lack of affordable housing and retrenchment of social programs. People experiencing homelessness (PEH) experience markedly higher disease burdens than housed populations, as well as reduced access to healthcare. Street Medicine is a promising form of healthcare delivery that seeks to address the healthcare needs of this population despite known structural barriers to access. However, there is limited empirical literature describing Street Medicine practice and program elements. To address this gap, scoping review methods were used to review two major academic databases, web-based literature, and sources provided by content experts. Studies had to specifically reference “Street Medicine” as healthcare delivery and at least one of the review’s primary focuses: definitions, philosophies, or program elements. We conducted qualitative analysis to identify relevant themes. Of 1,016 unique sources identified, 349 met inclusion criteria. Six practice categories were identified: direct care, wraparound health services, harm reduction services, psychosocial case management, provision of life necessities, and education/research/advocacy. Despite a shared definition, there are a wide variety of Street Medicine program elements in use. This review sets parameters around which future research on effectiveness of these elements could be based.

COVID-19’s impact on local planning and urban design practice: focusing on tactical urbanism and the public realm with respect to low income communities

ABSTRACT In the face of lockdowns promulgated in response to COVID-19, the effects on local planning are diverse. One of the effects is planners’ use of tactical urbanism in their efforts to improve public health. Tactical urbanism is characterized as temporary, and it is appropriate to ask whether tactical strategies help keep communities healthy in times of pandemic. We address that question by examining several examples of a tactical program called Slow Streets. This program provides temporary public spaces in the streets for exercise and interaction. We review literature to understand the relevance of the program to tactical urbanism, and we investigate how successful it has been. Survey questionnaires complement the research. The study outcomes suggest that the pandemic forced planners to act swiftly, but the Slow Streets program was limited in improving the health of the underserved population because it lacks comprehensive community engagement and alignment with longer term plans.

Engaging health professions students in community-based service learning through the design of a needs assessment survey

Background: Interprofessional student participation in community-based service learning projects is critically important for the preparation of future health professionals to care for underserved and vulnerable populations. Oftentimes, there is a disconnect between existing community services and the actual needs of individuals being served, such as those experiencing homelessness. A best practice of launching a new service learning project is to begin with a needs assessment. This study describes the stepwise approach taken to guide students launching a new street medicine program in developing and administering a needs assessment survey and is generalizable to other student-led service learning outreaches. Methods: We conducted a needs assessment from April-June 2018 on 144 unsheltered homeless individuals in metro Phoenix, Arizona. The 16-question survey investigated perceptions of priority needs, sources of medical care, health literacy, and health status. Survey results were analyzed using Wilcoxon Rank Sum Test, chi-squared analysis, and multivariable logistic regression. Results: Most respondents (91.6%) identified food as a top need. The majority (64.1%) utilized emergency departments as their primary source of care, and 40.1% reported suboptimal health. Suboptimal health was more likely to be reported in those who expressed transportation (OR 3.03, 95% CI: 1.30-7.07) as a top priority need. Health illiteracy (OR 3.68, 95% CI: 0.76-17.9) was associated with suboptimal health, as was obtaining care at an Emergency Department (OR 2.05, 95% CI: 0.81-5.25). Conclusions: Pairing healthcare with meals and other primary needs may be an effective strategy to increase service utilization by this population. Future needs assessments should consider implementing open-ended questions to better assess the holistic needs of study populations and match community partner organization services with these needs. Needs assessments provide an opportunity for health professional students to learn about social needs and more effectively connect patients with services from community agencies and healthcare organizations.

Does Street Outreach Engage Its Intended Target Population? Clinical Experience in the Veteran's Health Administration Homeless Service Programs.

Clinical street outreach programs serve people experiencing unsheltered homelessness, who have been shown to have greater medical and psychiatric comorbidities, and increased social and financial challenges. However, outreach programs may struggle in practice to engage the most vulnerable of these individuals. Data from the Veterans Health Administration's (VHA's) Homeless Operations Management System (HOMES) from 2018 to 2019 (N = 101,998) were used to compare sociodemographic, clinical, and financial characteristics of literally homeless veterans contacted through street outreach to those who were self-referred or clinic-referred. Veterans engaged through street outreach reported substantially more days of unsheltered homelessness in the past month (mean (M) = 11.18 days, s.d.=13.8) than the clinic-referred group (M = 6.75 days, s.d.=11.1), and were more likely to have spent the past 30 days unsheltered (RR = 2.23). There were notably few other differences between the groups. Despite epidemiologic evidence in the literature showing higher medical, psychiatric, and social and financial vulnerabilities among unsheltered homeless individuals, our street outreach group was not found to be any worse off on such variables than the clinic-referred or self-referred groups, other than increased time unsheltered. Outreach workers seem to engage more unsheltered individuals, but do not necessarily engage those with such severe vulnerabilities. Dedicated outreach program funding, training, and support are needed to support street outreach to those with the most severe problems.

Unintended impacts of the Open Streets program on noise complaints in New York City

Background and Aim: Exposure to high levels of environmental noise and noise annoyance have been associated with detrimental health outcomes. In 2012, a campaign in New York City (NYC) measured noise levels frequently exceeding recommended standards. Noise complaints have been used as a proxy of noise annoyance and exposure. NYC has been opening parts of its street network to recreation and physical activity through the Open Streets program. We aim to describe the citywide distribution of noise complaints by census tract percentage of Open Streets. Methods: We conducted analyses at the census tract level from 2019 to 2021 across NYC. We used noise complaints from 311 calls for specific locations and times, which we aggregated to daily census tract counts of noise complaints. We focused on two categories of noise complaints that may be impacted by Open Streets: vehicle and street/sidewalk noise complaints. We used a mixed-effects model with random intercepts for census tracts to estimate the association between changes in noise complaints and area covered by Open Streets (%) given tract-level socioeconomic status and street geometry. We allowed for nonlinear exposure–outcome relationships using natural splines. We also carried out sensitivity analyses using data from a citizen’s survey on Open Streets implementation levels gathered by Transportation Alternatives (TA) to assess its impact on model results. Results: Census tracts with increasing use of street space as Open Streets (i.e. higher than 5%) reported more daily street/sidewalk noise complaints. For vehicle noise complaints, 5 to 10% of area covered by Open Streets showed increasing noise complaints but estimates plateaued at higher percentages. The sensitivity analyses using TA implementation data showed that our estimates were fairly robust. Conclusions: Our preliminary results suggest that Open Streets were associated with increases in street/sidewalk noise complaints. Keywords (2-6): Policy, Noise annoyance, Open Streets, Urban planning, Cities

COMMUNITY-BASED AND RESTORATIVE-JUSTICE INTERVENTIONS TO REDUCE OVER-POLICING

COMMUNITY-BASED AND RESTORATIVE-JUSTICE INTERVENTIONS TO REDUCE OVER-POLICING

Lessons from sustainability of Play Streets in the United States

Communities around the world lack safe places for children to play and be physically active. One solution to this issue is Play Streets, which involves the temporary closure of streets for several hours to create a safe space for active play and physical activity. While the benefits of these programs are greater when they are recurring over many years, there is a dearth of literature regarding how to successfully sustain Play Streets. To understand how Play Streets can be sustained in the long term, we conducted semi-structured interviews with 24 Play Streets organizers representing 22 Play Streets programs across the United States. Four recurring sustainability challenges were highlighted from the thematic analysis: 1) securing and sustaining funding, 2) managing community and city resistance to street closures, 3) navigating government bureaucracy, and 4) retaining interest amongst organizers and volunteers. With each challenge, we describe how Play Streets organizers navigated those challenges, with a goal of generating recommendations for those wishing to sustain Play Streets programs in the long term.

Seasonal Patterns of Oestrus and Reproduction in Street Dogs of Indian Cities.

Understanding seasonal breeding dynamics is essential for maximizing efficiency and welfare in the application of street dog management programs. Humane Society International (HSI) has conducted many animal birth control programmes concerning the street dog populations in urban India. This paper analyses the data on reproductive indicators—oestrus, pregnancy, and pups—collected by HSI sterilization clinics in the cities of Jamshedpur, Dehradun, and Vadodara over a period of 3, 5, and 4 years, respectively. We found a consistent reproductive seasonality dynamic in all three cities, with peak oestrus and pregnancies occurring in the late/post-monsoon season. Pup proportions peaked soon after. Both these findings are consistent with previous studies of free-roaming domestic dog populations both in India and worldwide. Additionally, we identified minor inter-city differences in the temporal breeding dynamic, which we propose are the result of localized seasonal climatic and human factors. Finally, we examine and assert the relevance of breeding seasonality in the implementation of efficient and welfare-sensitive birth control programmes.

A study on the feasibility of introducing a street management program in which local organizations actively participate

A study on the feasibility of introducing a street management program in which local organizations actively participate

Predictive models of phosphorus concentration and load in stormwater runoff from small urban residential watersheds in fall season

Urban street trees are a key part of public green infrastructure in many cities, however, leaf litter on streets is a critical biogenic source of phosphorus (P) in urban stormwater runoff during Fall. This study identified mass of street leaf litter (Mleaf) and antecedent dry days (ADD) as the top two explanatory parameters that have significant predictive power of event end-of-pipe P concentrations through multiple linear regression (MLR) analysis. Mleaf and volume of runoff (Vol) were the top two key explanatory parameters of event end-of-pipe P loads. Two-predictor MLR models were developed with these explanatory parameters using a 40-storm dataset derived from six small urban residential watersheds in Wisconsin, USA, and evaluated using storms specific to each study basin. The MLR model validation results indicated sensitivity to storm composition in the datasets. Our analysis shows selected parameters can be used by environmental managers to facilitate end-of-pipe P prediction in urban areas. This information can be used to reduce the amount of P in stormwater runoff by adjusting the timing and frequency of municipal leaf collection and street cleaning programs in urban areas.