“Stay Connected”: Psychological Services for Retired Firefighters after 11 September 2001

2007 ◽  
Vol 22 (1) ◽  
pp. 49-54 ◽  
Author(s):  
Jennifer Alvarez ◽  
Craig Rosen ◽  
Kim Davis ◽  
Greg Smith ◽  
Malachy Corrigan
Keyword(s):  
Intervention Program ◽  
Community Outreach ◽  
Fire Department ◽  
Counseling Service ◽  
Structured Interviews ◽  
Professional Counseling ◽  
Peer Involvement ◽  
Service Unit ◽  
Social Events ◽  
Multiple Challenges

AbstractIntroduction:A large number of firefighters retired after 11 September 2001. These retirees were confronted with multiple challenges, including grief, trauma- related physical injuries and psychological distress, difficulties related to the transition of their roles, and deterioration of social support.Objective:The Fire Department of NewYork (FDNY) Counseling Service Unit's “Stay Connected” Program designed and implemented after 11 September 2001 is described in this report. This unique program was designed to usea combination of peer outreach and professional counseling to address the mental health needs of retiring firefighters and their families.Methods:Descriptive information about the intervention program was gathered through semi-structured interviews with Counseling Service Unit staff. Client satisfaction surveys were collected during three six-week periods.Results:Quantitative data indicate that clients rated their overall satisfaction with the clerical and counseling staff a perfect 4 out of 4. The report of their overall satisfaction with the services also was nearly at ceiling (3.99 out 4).The perceived helpfulness of the services in resolving the problems experienced by the clients increased significantly over time.Qualitative data indicate that peer involvement and intensive community outreach, i.e., social events, wellness activities, and classes, were integral to the success of the intervention.Conclusions:This project provided valuable lessons about how to develop and implement a “culturally competent”intervention program for public safety workers retiring after a disaster. Creative, proactive, non-traditional outreach efforts and leveraging peers for credibility and support were particularly important.

Selecting Skills To Teach Communication Partners: Where Do I Start?

2012 ◽  
Vol 21 (4) ◽  
pp. 127-135 ◽  
Author(s):  
Cathy Binger ◽  
Jennifer Kent-Walsh
Keyword(s):  
Clinical Outcomes ◽  
Intervention Program ◽  
Communication Partners ◽  
Multiple Challenges

Abstract Clinicians and researchers long have recognized that teaching communication partners how to provide AAC supports is essential to AAC success. One way to improve clinical outcomes is to select appropriate skills to teach communication partners. Although this sometimes seems like it should be a straightforward component of any intervention program, deciding which skills to teach partners can present multiple challenges. In this article, we will troubleshoot common issues and discuss how to select skills systematically, resulting in the desired effects for both communication partners and clients.

scholarly journals “I Spent Most of Freshers in my Room”—A Qualitative Study of the Social Experiences of University Students on the Autistic Spectrum

2021 ◽  
Author(s):  
Helen Goddard ◽  
Anna Cook
Keyword(s):  
University Students ◽  
Social Isolation ◽  
Social Life ◽  
Social Experiences ◽  
Mental Wellbeing ◽  
Structured Interviews ◽  
Social Lives ◽  
Social Events ◽  
University Life ◽  
The Impact

AbstractAutistic university students face extra challenges in both their academic and social life. Barriers to socialising appear to be less well understood and supported by universities than academic requirements. Semi-structured interviews were conducted with ten autistic university students to explore their social experiences. Questions explored their social experiences, satisfaction with social life, disclosure of ASD to others, and the impact of mental wellbeing on university life. Thematic analysis indicated most participants were unsatisfied with their social lives and experienced mental health issues. Factors exacerbating social isolation included lack of suitable social events, lack of social support and feeling unable to disclose to peers. Factors which reduced social isolation included joining an autism or special interest society and receiving social mentoring.

Les facteurs d’aide : Pour une meilleure compréhension des éléments-clés de l’intervention en contexte de nature et d’aventure

Groupwork ◽  
2020 ◽  
Vol 29 (1) ◽  
pp. 87-107
Author(s):  
Virginie Gargano
Keyword(s):  
Structured Interviews ◽  
The Past ◽  
Travail Social ◽  
Group Members ◽  
Key Features ◽  
Multiple Challenges ◽  
Interpersonal Learning ◽  
The Relationship ◽  
Connaissance De Soi ◽  
Primary Family

Les programmes d’intervention en contexte de nature et d’aventure (INA) font l’objet d’études depuis plus d’une cinquantaine d’années. Malgré la reconnaissance des effets qui leur sont attribués, peu de travaux portent sur les processus s’opérant dans ces interventions. L’objectif de cet article est d’identifier ces processus et de mieux comprendre leur influence sur l’expérience de groupe. Pour ce faire, le modèle des facteurs d’aide (FA) a été retenu. Des entrevues semi-dirigées ont été réalisées auprès de 23 sujets âgés de 17 à 21 ans ayant participé à une expédition de 18 jours. Les éléments-clés de l’INA sont les suivants : la multitude de défis, la déstabilisation, la relation entre les enseignants et les participants et le milieu naturel. Ensuite, leur relation avec les FA est mise en relief. Il est question de : l’altruisme, les comportements d’imitation, la cohésion, la connaissance de soi, le partage d’information, l’universalité et les techniques de socialisation. Les apprentissages interpersonnels, la catharsis, l’espoir, les facteurs existentiels et la récapitulation corrective de la famille sont absents. Ces résultats mettent en lumière l’interaction entre les éléments-clés de l’INA et les FA, et la pertinence de s’y intéresser en travail social de groupe.A number of studies have addressed outdoor and adventure programs over the past fifty years. Despite empirical evidence that demonstrates the personal benefits of these programs, research investigating the key features responsible for these effects is scarce. The purpose of this article is to identify them and understand their influence. In order to achieve this goal, the data were examined from the perspective of helping factors (HFs). Semi-structured interviews were undertaken with 23 subjects aged between 17 and 21 who had participated in an 18 day expedition. The results show that participation in the program promoted key features: multiple challenges, the experience of destabilization, the relationship between the facilitators and group members and finally, the experience of being in wilderness. Then, relationships between key features and HFs are highlighted. Many of them are found: altruism, imitative behavior, cohesiveness, self-understanding, imparting information, development of socializing techniques, and universality. Interpersonal learning, catharsis, hope, existential factors, and corrective recapitulation of the primary family group are absent. These results give a better understanding of how key features interact with HFs in nature and adventure settings and its relevance in social work with groups.

scholarly journals Older People in a Community Gospel Choir: Musical Engagement and Social Connection

2017 ◽  
Author(s):  
Dawn Joseph ◽  
Jane Southcott
Keyword(s):  
Interpretative Phenomenological Analysis ◽  
Community Outreach ◽  
Social Connection ◽  
Structured Interviews ◽  
Musical Engagement ◽  
Self Worth ◽  
Gospel Choir ◽  
Freedom Songs ◽  
Social Importance

This research explores the role of community music in the lives of older Australians. This qualitative case study investigated the meanings and understandings ascribed by participants to their musical engagement in the South of the River Community Gospel Choir. This mixed a cappella SATB choir was formed in 2002 in Melbourne. The choir began with a repertoire of African-American Gospel music and South African Freedom Songs. With time their musical choices have transitioned to include more contemporary Australian composed works. The choir sings in diverse community settings such as high security prisons, palliative care, hospitals and the more common range of gigs such as community events, private events and folk festivals. Data were gathered from individual and focus group semi-structured interviews undertaken in 2016 with the members of the choir and with the Musical Director. Data were analysed using interpretative phenomenological analysis and reported under the themes of Musical engagement and Social connection, Performing and Outreach. The findings confirmed the pivotal musical and social importance of the Music Director; the importance of performance opportunities that support both socialising and community outreach; and the role of ensemble membership in fostering and maintaining understandings of self-worth and self-esteem.

scholarly journals Obesity and health care interventions: Substantiating a multi-modal challenge through the lens of grounded theory

2020 ◽  
Author(s):  
M Mandlik ◽  
JG Oetzel ◽  
Djavlonbek Kadirov
Keyword(s):  
Health Care ◽  
Grounded Theory ◽  
Intervention Program ◽  
Care Service ◽  
Health Care Service ◽  
Ecological Factors ◽  
Service Provisioning ◽  
Structured Interviews ◽  
Health Care Intervention ◽  
Care Intervention

© 2020 Australian Health Promotion Association Issue addressed: One of the biggest concerns for human health in the 21st century is the ever-increasing rate of obesity and its associated budgetary implications for publicly funded health care service provisioning. This study at the outset explores the multifaceted nature of food-related consumption choices and outcomes of obesity, and later offers suggestions to improve the existing interventional strategies to curtail the epidemic. Methods: A total of 24 participants were recruited through poster invitations placed around the greater metropolitan area of Auckland, New Zealand. Participants shared their health care intervention program experiences through in-depth, semi-structured interviews. Data were analysed in keeping with traditions of constructivist grounded theory. Findings: Analysis revealed various concurrent individually acting and ecologically mediated processes which led to obesogenic outcomes as a result of social actors’ (participants) engagement in acts of (food-related) consumption practices. Conclusions: This study helps to illustrate the underlying, multifaceted processes that lead to obese individuals feeling defeated or disempowered and categorically willing, yet unable to bring about healthy changes in their lives. We hope this study will prompt health care practitioners to take a holistic approach while conceiving and deploying health care intervention programs. So what?: Current health care interventional programs are not achieving optimum solutions for those in need. All future programs need to acknowledge the roles played by an individual, as well as ecological factors, while deploying client-centric intervention solutions. Perhaps these programs are in need of a team-based approach to offer a truly “wrap-around” service provisioning strategy, rather than the traditional one-on-one consultative approaches in use at current times.

scholarly journals The rescue of the polytraumatized victims due to violence in transit in the city of Chapecó-SC: the “golden hour”

2020 ◽  
Vol 13 (7) ◽  
pp. 102
Author(s):  
G. A. S. Moser ◽  
D. C. M. Aguiar ◽  
B. C. Franciscon ◽  
J. F. Lima ◽  
F. B. Haag
Keyword(s):  
Customer Service ◽  
Hospital Care ◽  
Life Support ◽  
Fire Department ◽  
Modern Society ◽  
Advanced Trauma Life Support ◽  
Structured Interviews ◽  
The West ◽  
Golden Hour ◽  
Delay Of Care

Trauma is considered the third cause of death, being understood as a disease with endemic character in modern society is not only affecting the field of public health, but also, the socio-political society. According to the Advanced Trauma Life Support - ATLS, in emergencies, the first hour, called the "Golden Hour" (Golden hour), this is the moment in which more deaths occur. However, this is also the time for more if you can avoid them. This study aimed to understand how the pre-hospital care and hospital conducted both by the Fire Department of the west of SC, and by nurses from the emergency department of a regional hospital in the west of Santa Catarina, whereas the reception and customer service in the first hour of trauma ("golden hour") the polytraumatized patients. It is a qualitative, with data collection in the first half of October 2016, through semi structured interviews held with nine Militarized Firemen and four nurses to an emergency room, using as analytical method to Content Analysis of Bardin. In this study, it was observed that within 60 minutes that comprise the golden hour, first medical care which is since the so-called redemption until the reached the hospital, is done quickly and properly in most of the times, ignoring the factors that may delay the answer, as transit, incarceration and away from the occurrence, being the victim transported in a timely manner. This delay in care is often caused by delay of complementary examinations, delay of care by the medical team, deficiency of structure and overcrowding, these factors generate a cascade of delay, which consequently worsen the situation of the patient, increasing morbidity and mortality. You will notice that the golden hour is valuable in that it concerns the maintenance of life and consequences for patients. A quick and effective way can increase the chances of survival of same. It is known that the development of services of APH, whether public or private, culminate with the need for trained and qualified professionals that meet the specific needs of the nursing care during the pre-hospital care, with a view to prevention, protection and recovery to healthIt is of great importance to discuss more about the topic and conduct further studies to develop mechanisms that reduce this time-response thus lowering the risk of sequelae and mortality due to trauma.

Special Problems and Populations in Feigned Incompetence

2018 ◽  
pp. 129-152
Author(s):  
Steve Rubenzer
Keyword(s):  
Verbal Ability ◽  
Self Report ◽  
Intellectually Disabled ◽  
Structured Interviews ◽  
Validity Assessment ◽  
Memory Problems ◽  
Symptom Validity Test ◽  
Multiple Challenges ◽  
Validity Tests ◽  
Performance Validity Tests

This chapter addresses assessment of feigning or exaggeration in cases involving claimed amnesia for the crime, in intellectually disabled defendants, and in adolescent examinees. Claimed amnesia for the offense is one of the most common forms of feigning in criminal defendants, and multiple tests, including the crime-specific symptom validity test, as well as self-report measures and traditional validity tests, permit assessment of claimed memory problems. Intellectually disabled defendants, whose reading or verbal ability may compromise self-report measures and even structured interviews, present multiple challenges for validity assessment. Further, many performance validity tests are vulnerable to false positives for such examinees and cannot distinguish low ability from poor effort. This chapter suggests ways in which collateral data, such as prior IQ scores, can help inform the competency judgment. Finally, adolescent defendants present difficulty because much less research has been conducted on response style in non-adults. The available data are reviewed and suggestions are offered.

Safety improvements from health lean management implementation

2016 ◽  
Vol 33 (8) ◽  
pp. 1150-1178 ◽  
Author(s):  
Maria Crema ◽  
Chiara Verbano
Keyword(s):  
Patient Safety ◽  
Lean Management ◽  
Structured Interviews ◽  
Content Type ◽  
Organizational Issues ◽  
Qualitative Research Methodology ◽  
Multiple Challenges ◽  
Archival Documentation ◽  
Research Stream ◽  
New Research

Purpose In a context where healthcare systems have to face multiple challenges, the development of a methodology that combines new managerial approaches could contribute to pursue and achieve multiple objectives. Inside the research stream that intends to combine health lean management (HLM) and clinical risk management (CRM), the purpose of this paper is to study the significant features that characterize HLM projects obtaining patient safety improvements (L&S projects). Design/methodology/approach The novelty of the research implies to adopt qualitative research methodology, analyzing in-depth case studies. L&S projects at different organizational levels have been selected from the same hospital. Following a research protocol, data have been collected through semi-structured interviews and they have been triangulated studying reports and archival documentation. Findings Comparing the three cases, it emerges that HLM can be a support for CRM since safety improvements can be achieved solving organizational issues. Analyzing the significant features of the three cases, relevant differences have been highlighted among them. At the end, first indications useful for achieving safety improvements from lean project implementation have been grasped. Originality/value This research provides a preliminary contribution to a new research stream that aims to develop a synergic methodology combining HLM and CRM. The first provided indications can be followed by hospital managers who wish to learn how to implement projects achieving patient safety improvements besides efficiency enhancement. After testing and exploiting the obtained results, a new methodology should be developed moving toward a safer and more sustainable healthcare system.

A professional counseling service for women

Social Work ◽  
1974 ◽  
Vol 19 (2) ◽  
pp. 187-195 ◽  
Author(s):  
Cynthia Pincus ◽  
Natalie Radding ◽  
Roberta Lawrence
Keyword(s):  
Counseling Service ◽  
Professional Counseling

scholarly journals Exploring the experiences of being an ethnic minority student within undergraduate nurse education: a qualitative study

BMC Nursing ◽  
2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Sylvi Monika Flateland ◽  
Maxine Pryce-Miller ◽  
Anne Valen-Sendstad Skisland ◽  
Anne Flaatten Tønsberg ◽  
Ulrika Söderhamn
Keyword(s):  
Cultural Awareness ◽  
Minority Student ◽  
Culturally Appropriate ◽  
Structured Interviews ◽  
Language And Culture ◽  
Personal Support ◽  
Undergraduate Nursing ◽  
Manifest Content ◽  
Multiple Challenges ◽  
Professional Practitioners

Abstract Background Students studying in a country where another language is spoken face multiple challenges including their ability to fully integrate with peers and academic pressures in trying to obtain an undergraduate nursing degree. The aim of the study was to explore the lived experiences of students, from varying cultural and ethnic backgrounds, undertaking an undergraduate nursing degree. Methods The study adopted a qualitative design and eight individual semi-structured interviews were conducted. The interviews were analysed using manifest content analysis according to Graneheim and Lundman. Results Students reported feelings of isolation and the lack of opportunities to integrate with native students within academia and practice. The need for personal support was a crucial factor that was independent of gender and students reported challenges related to both language and culture during the programme. Conclusions Suggestions arising from this study includes appropriate support systems within academia and practice. It is imperative that universities and practice settings promote and integrate cultural awareness within academia and practice in meeting the needs of students and providing culturally appropriate nursing care, thereby providing opportunities for all students to become competent and professional practitioners.

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