scholarly journals Community-based Mental Healthcare: A Case Study in a Cross-border Region of Germany and the Netherlands

2018 ◽  
Vol 81 (03) ◽  
pp. e58-e63
Author(s):  
Franziska Lohmeyer ◽  
Matthew Commers ◽  
Emanuele Leoncini ◽  
Maria Specchia ◽  
Stefania Boccia ◽  
...  
Keyword(s):  
The Netherlands ◽  
Administrative Support ◽  
Performance Indicator ◽  
Psychiatric Patients ◽  
Mental Healthcare ◽  
Border Region ◽  
Structured Interviews ◽  
Community Based ◽  
Cross Border ◽  
German Region

Abstract Background Community-based mental healthcare (CBMH) aims at supplying psychiatric patients with rehabilitative care outside the hospital. The aim of this study was to compare the organization of CBMH in a cross-border region of Germany and the Netherlands. Method Semi-structured interviews gave insight into characteristics of CBMH approaches applied in the German region of Aachen (IHP) and the Dutch Province of Limburg (FACT). We applied a Delphi technique to select a performance indicator (PI) set for CBMH, which served as a conceptual model to allow comparison. Results Both approaches are flexible, patient-centred and include the evaluation of quality. Both provide financial and administrative support for the access. Conclusion CBMH approaches appear to be equally valid from several perspectives even if they revealed, at the same time, important differences related to scope, integration with non-CBMH care resources and geographic coverage. Secondarily, the study provides a contribution to the development of a PI set to compare and evaluate CBMH approaches.

Interacting Legal Norms and Cross-Border Divorce: Stories of Filipino Migrant Women in the Netherlands

2019 ◽  
Vol 16 (4) ◽  
pp. 521-529
Author(s):  
Asuncion Fresnoza-Flot
Keyword(s):  
The Netherlands ◽  
The Philippines ◽  
Migrant Women ◽  
Structured Interviews ◽  
Legal Norms ◽  
Global Migration ◽  
Cross Border ◽  
Filipino Women ◽  
Transnational Social Spaces ◽  
Filipino Migrants

The Philippines is one of only two states in the world in which absolute divorce remains largely impossible. Through its family laws, it regulates the marriage, family life and conjugal separation of its citizens, including its migrants abroad. To find out how these family laws interact with those in the receiving country of Filipino migrants and shape their lives, the present paper examines the case of Filipino women who experienced or are undergoing divorce in the Netherlands. Drawing from semi-structured interviews and an analysis of selected divorce stories, it unveils the intertwined institutions of marriage and of divorce, the constraints but also possibilities that interacting legal norms bring in the life of Filipino women, and the way these migrants navigate such norms within their transnational social spaces. These findings contribute interesting insights into cross-border divorces in the present age of global migration.

scholarly journals COVID-19: first long-term care facility outbreak in the Netherlands following cross-border introduction from Germany, March 2020

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mitch van Hensbergen ◽  
Casper D. J. den Heijer ◽  
Petra Wolffs ◽  
Volker Hackert ◽  
Henriëtte L. G. ter Waarbeek ◽  
...  
Keyword(s):  
The Netherlands ◽  
Long Term Care ◽  
Care Facility ◽  
Control Measures ◽  
Border Region ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility ◽  
Cross Border

Abstract Background The Dutch province of Limburg borders the German district of Heinsberg, which had a large cluster of COVID-19 cases linked to local carnival activities before any cases were reported in the Netherlands. However, Heinsberg was not included as an area reporting local or community transmission per the national case definition at the time. In early March, two residents from a long-term care facility (LTCF) in Sittard, a Dutch town located in close vicinity to the district of Heinsberg, tested positive for COVID-19. In this study we aimed to determine whether cross-border introduction of the virus took place by analysing the LTCF outbreak in Sittard, both epidemiologically and microbiologically. Methods Surveys and semi-structured oral interviews were conducted with all present LTCF residents by health care workers during regular points of care for information on new or unusual signs and symptoms of disease. Both throat and nasopharyngeal swabs were taken from residents suspect of COVID-19, based on regional criteria, for the detection of SARS-CoV-2 by Real-time Polymerase Chain Reaction. Additionally, whole genome sequencing was performed using a SARS-CoV-2 specific amplicon-based Nanopore sequencing approach. Moreover, twelve random residents were sampled for possible asymptomatic infections. Results Out of 99 residents, 46 got tested for COVID-19. Out of the 46 tested residents, nineteen (41%) tested positive for COVID-19, including 3 asymptomatic residents. CT-values for asymptomatic residents seemed higher compared to symptomatic residents. Eleven samples were sequenced, along with three random samples from COVID-19 patients hospitalized in the regional hospital at the time of the LTCF outbreak. All samples were linked to COVID-19 cases from the cross-border region of Heinsberg, Germany. Conclusions Sequencing combined with epidemiological data was able to virtually prove cross-border transmission at the start of the Dutch COVID-19 epidemic. Our results highlight the need for cross-border collaboration and adjustment of national policy to emerging region-specific needs along borders in order to establish coordinated implementation of infection control measures to limit the spread of COVID-19.

scholarly journals Improving Coherence in a Cross-Border Public Transport System: Lessons from the Greater Copenhagen Region

2020 ◽  
Vol 12 (15) ◽  
pp. 6208
Author(s):  
Jean Ryan ◽  
Anders Wretstrand
Keyword(s):  
Transport System ◽  
Public Transport ◽  
Environmental Sustainability ◽  
Border Region ◽  
Structured Interviews ◽  
Public Transport System ◽  
Cross Border ◽  
Organizational Issues ◽  
The Cross ◽  
Cross Border Cooperation

Greater Copenhagen is often cited as a good example of cross-border cooperation. Shared historical contexts and socio-political willingness have meant that considerable resources have been invested into the development of infrastructure in this region. The Öresund fixed link constitutes the most important element of this infrastructure, facilitating a cross-border public transport system which ties the region together. This public transport system in turn underpins the social, economic and environmental sustainability of the cross-border region. The aim of this study is to investigate the issues at play with respect to improving the coherence of this cross-border public transport system, in relation to ticketing and public transport information in particular. This study comprises the compilation and analysis of the perspectives of the actors involved in and affected by the development of the cross-border transport system. In total, twelve semi-structured interviews were conducted. Six predominant themes emerged from the analysis of the empirical material: “Focus on the customer”, “The Other Side”, “Tidying up at home first”, “Political challenges”, “Back to basics” and “The low-hanging fruits”. It became apparent that the prioritization of internal and organizational issues in the first instance could mean compromises, not only for cross-border cooperation but also for the customer’s (the passenger’s) experience. Results suggest that improvements to coherence in this transport system will most likely take the form of incremental changes and adopting common standards. This is opposed to the development of common systems, or of a significant departure from existing systems.

scholarly journals Implementation of High and Intensive Care (HIC) in the Netherlands: a Process Evaluation

2021 ◽  
Author(s):  
A. Laura van Melle ◽  
Alida J. van der Ham ◽  
Guy A. M. Widdershoven ◽  
Yolande Voskes
Keyword(s):  
Intensive Care ◽  
The Netherlands ◽  
Organizational Support ◽  
Resistance To Change ◽  
Psychiatric Patients ◽  
Mental Healthcare ◽  
Implementation Process ◽  
Drivers Of Change ◽  
Facilitators And Barriers ◽  
Axial Coding

AbstractThe High and Intensive Care model (HIC) was developed to reduce coercion and improve the quality of acute mental health care in the Netherlands. This study aimed to identify drivers of change which motivate professionals and management to implement HIC, and to identify facilitators and barriers to the implementation process. 41 interviews were conducted with multiple disciplines on 29 closed acute admission wards for adult psychiatric patients of 21 mental healthcare institutions in the Netherlands. The interviews were analysed by means of thematic analysis, consisting of the steps of open coding, axial coding and selective coding. Findings reveal three major drivers of change: the combination of existing interventions in one overall approach to reduce coercion, the focus on contact and cooperation and the alignment with recovery oriented care. Facilitators to implementation of HIC were leadership, involving staff, making choices about what to implement first, using positive feedback and celebrating successes, training and reflection, and providing operationalizable goals. Barriers included the lack of formal organizational support, resistance to change, shortage of staff and use of flex workers, time restraints and costs, lack of knowledge, lack of facilities, and envisaged shortcomings of the HIC standards. Drivers of change motivate staff to implement HIC. In the process of implementation, attention to facilitators and barriers on the level of culture, structure and practice is needed.

scholarly journals Pengembangan Potensi Wisata Asam Jokowi sebagai Produk Wisata Berbasis Masyarakat Kawasan Perbatasan di Desa Tulakadi Kabupaten Belu

2021 ◽  
pp. 430
Author(s):  
Yudha Eka Nugraha
Keyword(s):  
Development Strategy ◽  
Swot Analysis ◽  
Border Region ◽  
Rural Tourism ◽  
Community Based ◽  
Cross Border ◽  
Tourism Product ◽  
Tourism Potential ◽  
Depth Interviews

This research is concerned with cross-border tourism in Asam Jokowi, Desa Tulakadi. It aims to determine the potential of tourism based on supporting and inhibiting factors of rural tourism development in Asam Jokowi and analyzing the strategy of Community Based Tourism in Desa Tulakadi. The research was conducted in Desa Tulakadi. This study uses qualitative method which the data obtained through depth interviews with five key informants. Futhermore, the data were analyzed using IFAS EFAS analysis and SWOT analysis. The result of this study indicate that Desa Tulakadi has a potential tourist attraction. Based from IFAS EFAS analysis, Asam Jokowi Desa Tulakadi classified in Quadrant I (Agresive Growth) which means the strategies needed to maintain and improve the quality of tourism potential attractions. The role and cooperation of the community, media, academics, and government are necessary to develop the tourism potential of Asam Jokowi in Desa Tulakadi as a tourist destination in the cross-border region. Keywords: Development Strategy, Tourism Product, Community Based Tourism, Cross-Border Tourism, Rural Tourism

scholarly journals Hacia una geografía histórica del Gerês/Xurés: la conformación de una región transfronteriza = Towards a historical geography of Gerês / Xurés: the making of a cross-border region

2019 ◽  
Vol 30 ◽  
pp. 119
Author(s):  
Valerià Paül ◽  
Juan M. Trillo Santamaría
Keyword(s):  
National Park ◽  
Historical Geography ◽  
Central Area ◽  
Border Region ◽  
Web Pages ◽  
Structured Interviews ◽  
Cross Border ◽  
Natural Park ◽  
Different Sources ◽  
Transboundary Protected Area

Resumen: En el espacio central de la raya entre Galicia y el Norte de Portugal se extiende el Gerês/Xurés. Este ámbito territorial está conformado por dos Parques, uno Nacional en Portugal y otro Natural en Galicia. El presente artículo aporta los mimbres para una geografía histórica de este ámbito, en clave de región transfronteriza. La metodología aúna trabajo de campo (entrevistas semiestructuradas) y análisis de diversas fuentes de información: libros, documentos oficiales, artículos, páginas web y documentación de archivo.Palabras clave: Geografía histórica, territorio, frontera, región transfronteriza, espacio natural protegido transfronterizo,Galicia/Portugal.Abstract: The Gerês/Xurés region is located in the central area of the Galician-North Portuguese borderlands. The territory encompasses two parks: a national park in Portugal, and a natural park in Galicia. In this article, a historical geography of the area, under the theoretical framework of cross-border region. The methods combine fieldwork (semi-structured interviews) and analysis of different sources: books, official documents, articles, web pages and archives.Key words: Historical geography, territory, boundary, crossborder región, Transboundary Protected Area (TBPA), Galicia/Portugal.

scholarly journals Belief in Brua among psychiatric patients from Aruba, Bonaire, and Curaçao: Results from an explorative study in the Netherlands

2021 ◽  
pp. 136346152110363
Author(s):  
Janne L. Punski-Hoogervorst ◽  
Sarah N. Rhuggenaath ◽  
Jan Dirk Blom
Keyword(s):  
The Netherlands ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Oral Tradition ◽  
Psychiatric Patients ◽  
Idioms Of Distress ◽  
Psychiatric Institute ◽  
Structured Interviews ◽  
Netherlands Antilles ◽  
Illness Concepts

Brua is an Afro-Caribbean religion and healing tradition predominantly practised on the ABC islands of the former Netherlands Antilles. It is grounded in oral tradition and shrouded in strict social taboos. Existing literature suggests that the majority of people on and from the islands are familiar with Brua and that it plays a substantial role in shaping their illness conception and idioms of distress. A lack of knowledge of Brua may therefore lead biomedically trained health professionals to misdiagnose these patients. This article discusses how religious beliefs related to Brua influence the illness concepts and idioms of distress of psychiatric patients originating from the ABC Islands, based on semi-structured interviews with former islanders receiving treatment at a psychiatric institute in the Netherlands. We found that of the 29 interviewees, 93.1% knew what Brua involved, 72.4% believed in it, 48.2% had first-hand experience with Brua practices, and 34.5% attributed their mental illness to Brua with greater or lesser certainty. However, only one patient had previously discussed her belief in Brua with her psychiatrist and only when asked to do so. The role of psychoactive substances in the context of Brua practices was negligible. Thus, the present study indicates that the majority of psychiatric patients from the ABC islands are familiar with Brua, but feel reluctant to discuss their concerns in this area with mental health professionals. Recommendations for clinical practice and further research are provided, including the need for a culture-sensitive approach and integrative care.

Transgenero Performance

2019 ◽  
pp. 171-183
Author(s):  
Dora Arreola
Keyword(s):  
Political Economy ◽  
Female Identity ◽  
Border Region ◽  
Women's Bodies ◽  
Community Based ◽  
Collaborative Process ◽  
Sexual Identities ◽  
Cross Border ◽  
Theatre Company ◽  
Gender Transgression

Validating the practice of art for the empowerment of female identity and contesting borders of gender and sexual identities, in this chapter, the author describes the collaborative process of Mujeres en Ritual Danza-Teatro, a cross-border, all-women dance-theatre company, which she founded in 1999 in Tijuana, Mexico. Rooted in ritual and contemporary techniques of physical theatre, the work of Mujeres en Ritual explores the limits of gender, taboo sexuality, and culture in the border region. It examines the exploitation of women’s bodies as an extension of U.S.-Mexico relations and political economy. Through a community-based process with women on both sides of the border, the company experiments with gender transgression and transformation to arrive at transgenero (“transgender” and “trans-genre”) performance.

scholarly journals KINERJA POS LINTAS BATAS NEGARA (PLBN) TERPADU WINI DI KAWASAN PERBATASAN RI - RDTL KABUPATEN TIMOR TENGAH UTARA PROVINSI NUSA TENGGARA TIMUR

2019 ◽  
pp. 11-24
Author(s):  
Gradiana Tefa ◽  
Florianus P. Thaal
Keyword(s):  
Border Crossing ◽  
Border Region ◽  
Community Based ◽  
North Central ◽  
Cross Border ◽  
Qualitative Research Design ◽  
Service Activities ◽  
Descriptive Approach ◽  
The Government ◽  
Asean Economic Community

State border management is an important aspect in maintaining the integrity and sovereignty of a country. The start of the Asean Economic Community (AEC) program in 2015 among Southeast Asian countries in order to improve the economy, the border region became a strategic place that was the gateway to various cooperation activities between countries. To improve crossborder services between countries, the Government issued INPRES No. 6 of 2016 concerning the Development of 7 Cross-border State Posts. One of the construction of the State Border Crossing Post is located in North Insana District, North Central Timor Regency, East Nusa TenggaraProvince. This study aims to determine the performance of Integrated Wini Cross-border Post (PLBN) in cross-border service activities in the RI-RDTL Border Region of North Central Timor Regency, East Nusa Tenggara Province. This research uses a qualitative research design with a descriptive approach. Informants in the study were determined by purposive sampling and incidental sampling techniques. Data collected by interview, observation and documentation techniques. And in analyzing data using miles and huberman models, namely data reduction, data displays and drawing / verification conclusions. The results showed that the performanceof Pos Lintas Batas Negara Terpini wini in cross-border service activities was not optimal. This is influenced by the inhibiting factors, among others, limited personel resources, limited facilities and infrastructure, weak coordination between elements of CIQ, difficulties in licensing trade documents, and lack of understanding of the community. Based on the results of the analysis, the authors suggest that PLBN Managers improve coordination between elements of CIQ, provide socialization to the community, improve service facilities and infrastructure, facilitate licensing of trade documents to increase recruitment of CIQ employees. Keywords: Performance; Border; PLBN

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