scholarly journals Nationwide evidence that education disrupts the intergenerational transmission of disadvantage

2021 ◽  
Vol 118 (31) ◽  
pp. e2103896118
Author(s):  
Signe Hald Andersen ◽  
Leah S. Richmond-Rakerd ◽  
Terrie E. Moffitt ◽  
Avshalom Caspi
Keyword(s):  
Social Services ◽  
Family Background ◽  
Later Life ◽  
Poor Mental Health ◽  
World Health ◽  
Administrative Databases ◽  
Western World ◽  
Social Disparities ◽  
Protective Services ◽  
Health And Social Services

Despite overall improvements in health and living standards in the Western world, health and social disadvantages persist across generations. Using nationwide administrative databases linked for 2.1 million Danish citizens, we leveraged a three-generation approach to test whether multiple, different health and social disadvantages—poor physical health, poor mental health, social welfare dependency, criminal offending, and Child Protective Services involvement—were transmitted within families and whether education disrupted these statistical associations. Health and social disadvantages concentrated, aggregated, and accumulated within a small, high-need segment of families: Adults who relied disproportionately on multiple, different health and social services tended to have parents who relied disproportionately on multiple, different health and social services and tended to have children who evidenced risk for disadvantage at an early age, through appearance in protective services records. Intra- and intergenerational comparisons were consistent with the possibility that education disrupted this transmission. Within families, siblings who obtained more education were at a reduced risk for later-life disadvantage compared with their cosiblings who obtained less education, despite shared family background. Supporting the education potential of the most vulnerable citizens might mitigate the multigenerational transmission of multiple disadvantages and reduce health and social disparities.

scholarly journals Development of accreditation standards for interprofessional education: a Canadian Case Study

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Ruby E. Grymonpre ◽  
Lesley Bainbridge ◽  
Louise Nasmith ◽  
Cynthia Baker
Keyword(s):  
Social Services ◽  
Interprofessional Education ◽  
World Health ◽  
Major Influence ◽  
Education Programs ◽  
Health And Social Services ◽  
Accreditation Standards ◽  
The World ◽  
Health Social Services

Abstract Background Academic institutions worldwide are embedding interprofessional education (IPE) into their health/social services education programs in response to global evidence that this leads to interprofessional collaborative practice (IPC). The World Health Organization (WHO) is holding its 193 member countries accountable for Indicator 3–06 (‘IPE Accreditation’) through its National Health Workforce Accounts. Despite the major influence of accreditation on the quality of health and social services education programs, little has been written about accreditation of IPE. Case study Canada has been a global leader in IPE Accreditation. The Accreditation of Interprofessional Health Education (AIPHE) projects (2007–2011) involved a collaborative of eight Canadian organizations that accredit pre-licensure education for six health/social services professions. The AIPHE vision was for learners to develop the necessary knowledge, skills and attitudes to provide IPC through IPE. The aim of this paper is to share the Canadian Case Study including policy context, supporting theories, preconditions, logic model and evaluation findings to achieve the primary project deliverable, increased awareness of the need to embed IPE language into the accreditation standards for health and social services academic programs. Future research implications are also discussed. Conclusions As a result of AIPHE, Canada is the only country in the world in which, for over a decade, a collective of participating health/social services accrediting organizations have been looking for evidence of IPE in the programs they accredit. This puts Canada in the unique position to now examine the downstream impacts of IPE accreditation.

scholarly journals Effective Consumer Consultation in the Planning and Delivery of  Health and Social Services: A New Zealand Case Study: A Comparative Study of the Theory and Practice of Government Organisations in Engaging Consumers in Consultation

2021 ◽  
Author(s):  
◽  
Julz Britnell
Keyword(s):  
Decision Making ◽  
Social Services ◽  
World Health Organisation ◽  
Theory And Practice ◽  
World Health ◽  
Local Health ◽  
Health And Social Services ◽  
Planning Decisions ◽  
The Uk ◽  
The Right

<p>About 600 million people in the world live with disabilities (World Health Organisation, 2007). Over the past ten years there has been increasing calls for government organisations in the health and disability sector to involve consumers in their decision-making, service design and general governance. This has led government health and disability organisations in different countries to try and find ways to ensure consumers are consulted with and involved in decision-making processes (Coney, 2004). The potential benefits of effective consumer consultation are better quality services, policy and planning decisions that a more consumer focused, improved communications and greater ownership of the local health services. For consumers effective consultation can mean they get better outcomes of treatment and support, a more accessible and responsive service and improved health. For the community consultation can help bring about a reduction in health inequalities and provide a health service better able to meet the needs of its constituents (Anderson et al., 2002). There are a number of real and perceived barriers to consumer consultation. Consumers may be anxious that their views will not be taken seriously, that they will look foolish or that they won’t understand what’s being talked about. Staff and organisations might be anxious that their work will be criticised, that there will be unrealistic demands to change services or that their role and authority might be undermined (Fletcher & Bradburn, 2001). For consultation to work there needs to be commitment from the organisation to plan and provide adequate resources. Developing a strategy is critical before organisations start down this path. The UK Audit Commission (2003) believe developing a strategy will help organisations to define exactly what the purpose of the consultation is, what they want to achieve, help them identify the relevant stakeholders and assess what level of engagement to undertake. Consultation is an important part of designing, delivering and managing effective health and social services. There are many different ways of engaging consumers and finding the right way for each organisation takes planning, commitment, time and energy.</p>

scholarly journals Effective Consumer Consultation in the Planning and Delivery of  Health and Social Services: A New Zealand Case Study: A Comparative Study of the Theory and Practice of Government Organisations in Engaging Consumers in Consultation

2021 ◽  
Author(s):  
◽  
Julz Britnell
Keyword(s):  
Decision Making ◽  
Social Services ◽  
World Health Organisation ◽  
Theory And Practice ◽  
World Health ◽  
Local Health ◽  
Health And Social Services ◽  
Planning Decisions ◽  
The Uk ◽  
The Right

<p>About 600 million people in the world live with disabilities (World Health Organisation, 2007). Over the past ten years there has been increasing calls for government organisations in the health and disability sector to involve consumers in their decision-making, service design and general governance. This has led government health and disability organisations in different countries to try and find ways to ensure consumers are consulted with and involved in decision-making processes (Coney, 2004). The potential benefits of effective consumer consultation are better quality services, policy and planning decisions that a more consumer focused, improved communications and greater ownership of the local health services. For consumers effective consultation can mean they get better outcomes of treatment and support, a more accessible and responsive service and improved health. For the community consultation can help bring about a reduction in health inequalities and provide a health service better able to meet the needs of its constituents (Anderson et al., 2002). There are a number of real and perceived barriers to consumer consultation. Consumers may be anxious that their views will not be taken seriously, that they will look foolish or that they won’t understand what’s being talked about. Staff and organisations might be anxious that their work will be criticised, that there will be unrealistic demands to change services or that their role and authority might be undermined (Fletcher & Bradburn, 2001). For consultation to work there needs to be commitment from the organisation to plan and provide adequate resources. Developing a strategy is critical before organisations start down this path. The UK Audit Commission (2003) believe developing a strategy will help organisations to define exactly what the purpose of the consultation is, what they want to achieve, help them identify the relevant stakeholders and assess what level of engagement to undertake. Consultation is an important part of designing, delivering and managing effective health and social services. There are many different ways of engaging consumers and finding the right way for each organisation takes planning, commitment, time and energy.</p>

Loneliness in later life: a cross-sectional survey analysis of place-based factors in Ireland

2019 ◽  
Vol 20 (2) ◽  
pp. 80-96 ◽  
Author(s):  
Sarah Gibney ◽  
Tara Moore ◽  
Sinead Shannon
Keyword(s):  
Social Services ◽  
Social Engagement ◽  
Social Inclusion ◽  
Negative Binomial ◽  
Later Life ◽  
Community Dwelling ◽  
World Health ◽  
Ageing Population ◽  
Content Type ◽  
Local Environments

Purpose The purpose of this paper is to investigate the relationship between the age-friendliness of local environments and self-reported loneliness for a representative sample of community-dwelling adults aged 55+ in Ireland. Design/methodology/approach Data were from the Healthy and Positive Ageing Initiative Age friendly Cities and Counties Survey (n=10,540) (2016). Several age friendly indicators, as proposed by World Health Organisation, were included in this study: outdoor spaces and buildings; access to social services; social participation; respect and social inclusion; and transport. Loneliness was measured using five items from the UCLA Loneliness Scale. Informed by an ecological approach to ageing, multi-level negative binomial regression models were used to investigate the association between each age friendly indicator and social loneliness. Models were adjusted for known demographic, socio-economic and health correlates of loneliness. Findings Average loneliness scores were significantly higher for those in poorer health, who lived alone, were materially deprived and those never or formerly married. Lower ratings and poorer outcomes for several interrelated age friendly place-based factors were significantly associated with higher loneliness scores: difficulty with transport, difficulty accessing social services, barriers to community activities, lower social engagement, and experiences and perceptions of ageism in the community; however, the effect sizes were small. Originality/value This study identified several modifiable age friendly features of local environments that are associated with loneliness in this older population. The results of this study can inform coordinated local and national efforts to enhance the age-friendliness of local environments and reduce the risk and experience of loneliness among the ageing population in Ireland.

scholarly journals Social Exclusion in Health and Social Services Offered to Minority Patients: Do Racialization and Racism Play Roles?

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 561-561
Author(s):  
Sandra Torres
Keyword(s):  
Social Exclusion ◽  
Social Services ◽  
Ethnic Differences ◽  
Scoping Review ◽  
Western World ◽  
Migration Flow ◽  
Health And Social Services ◽  
Systematic Fashion ◽  
Exclusion Mechanism ◽  
And Migration

Abstract Cultural and ethnic differences stemming from migration are a source of social exclusion in old age. This topic is of concern in part because an increased migration flow coupled with growing anti-immigrants sentiments in much of the Western world can ignite social exclusion mechanisms even when unintended. Given these trends, we ask whether racism figures in research on ethno-cultural and racial older minorities. Thus, based on a scoping review of peer-reviewed articles published between 1998-2017 (n=336), this presentation asks if, and how, racialization and racism inform this research. In answering these questions, this presentation will argue that the role that racism plays as a social exclusion mechanism that affects older ethnic and racial minorities needs to be studied in a systematic fashion. Part of a symposium sponsored by the International Aging and Migration Interest Group.

Infodemiological patterns in searching medication errors: relationship with risk management and shift work (Preprint)

2019 ◽  
Author(s):  
Fabio Fabbian ◽  
Emanuele Di Simone ◽  
Sara Dionisi ◽  
Noemi Giannetta ◽  
Luigi De Gennaro ◽  
...  
Keyword(s):  
Health Care ◽  
Risk Management ◽  
Shift Work ◽  
Medication Errors ◽  
Medical Errors ◽  
World Health ◽  
Noncommunicable Diseases ◽  
Western World ◽  
The World ◽  
Google Search

BACKGROUND Western world health care systems have been trying to improve their efficiency and effectiveness in order to respond properly to the aging of the population and the epidemic of noncommunicable diseases. Errors in drugs administration is an actual important issue due to different causes. OBJECTIVE Aim of this study is to measure interest in online seeking medical errors information online related to interest in risk management and shift work. METHODS We investigated Google Trends® for popular search relating to medical errors, risk management and shift work. Relative search volumes (RSVs) were evaluated for the period November 2008-November 2018 all around the world. A comparison between RSV curves related to medical errors, risk management and shift work was carried out. Then we compared world to Italian search. RESULTS RSVs were persistently higher for risk management than for medication errors during the study period (mean RSVs 74 vs. 51%) and RSVs were stably higher for medical errors than shift work during the study period (mean RSVs 51 vs 23%). In Italy, RSVs were much lower than the rest of the world, and RSVs for medication errors during the study period were negligible. Mean RSVs for risk management and shift work were 3 and 25%, respectively. RSVs related to medication errors and clinical risk management were correlated (r=0.520, p<0.0001). CONCLUSIONS Google search query volumes related to medication errors, risk management and shift work are different. RSVs for risk management are higher, are correlated with medication errors, and the relationship with shift work appears to be even worse, by analyzing the entire world. In Italy such a relationship completely disappears, suggesting that it needs to be emphasized by health care authorities.

Depression in the Developing World

2017 ◽  
Author(s):  
Harry Minas
Keyword(s):  
Mental Health ◽  
International Development ◽  
Social Services ◽  
Development Programs ◽  
Middle Income ◽  
Health And Social Services ◽  
Middle Income Countries ◽  
Culturally Informed ◽  
Global Understanding

This chapter provides an overview of what is known about prevalence, social determinants, treatment, and course and impact of depression in developing, or low- and middle-income, countries. The importance of culture in depression and in the construction and application of diagnostic classifications and in health and social services is highlighted, with a particular focus on the applicability of ‘Western’ diagnostic constructs and service systems in developing country settings. The role of international organizations, such as WHO, and international development programs, such as the SDGs, in improving our understanding of depression and in developing effective and culturally appropriate responses is briefly examined. There is both a need and increasing opportunities in developing countries for greater commitment to mental health of populations, increased investment in mental health and social services, and culturally informed research that will contribute to improved global understanding of mental disorders in general and depression in particular.

scholarly journals The Integration of Psychosocial Care into National Dementia Strategies Across Europe: Evidence from the Skills in DEmentia Care (SiDECar) Project

2021 ◽  
Vol 18 (7) ◽  
pp. 3422
Author(s):  
Ilaria Chirico ◽  
Rabih Chattat ◽  
Vladimíra Dostálová ◽  
Pavla Povolná ◽  
Iva Holmerová ◽  
...  
Keyword(s):  
Content Analysis ◽  
Clinical Practice ◽  
Social Services ◽  
Psychosocial Care ◽  
Psychosocial Interventions ◽  
System Of Care ◽  
Dementia Care ◽  
Integrated System ◽  
Health And Social Services

There is evidence supporting the use of psychosocial interventions in dementia care. Due to the role of policy in clinical practice, the present study investigates whether and how the issue of psychosocial care and interventions has been addressed in the national dementia plans and strategies across Europe. A total of 26 national documents were found. They were analyzed by content analysis to identify the main pillars associated with the topic of psychosocial care and interventions. Specifically, three categories emerged: (1) Treatment, (2) Education, and (3) Research. The first one was further divided into three subcategories: (1) Person-centred conceptual framework, (2) Psychosocial interventions, and (3) Health and social services networks. Overall, the topic of psychosocial care and interventions has been addressed in all the country policies. However, the amount of information provided differs across the documents, with only the category of ‘Treatment’ covering all of them. Furthermore, on the basis of the existing policies, how the provision of psychosocial care and interventions would be enabled, and how it would be assessed are not fully apparent yet. Findings highlight the importance of policies based on a comprehensive and well-integrated system of care, where the issue of psychosocial care and interventions is fully embedded.

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