Deinstitutionalisation for Long-Term Mental Illness: An Ethnographic Study

2000 ◽  
Vol 34 (3) ◽  
pp. 484-490 ◽  
Author(s):  
L. Newton ◽  
A. Rosen ◽  
C. Tennant ◽  
C. Hobbs ◽  
H.M. Lapsley ◽  
...  
Keyword(s):  
Mental Illness ◽  
Quantitative Research ◽  
Qualitative Data ◽  
Clinical Results ◽  
Ethnographic Study ◽  
Post Discharge ◽  
Seriously Mentally Ill ◽  
Comprehensive Health ◽  
Social Anthropologist ◽  
Participant Observer

Objective: Deinstitutionalisation of seriously mentally ill people in the developed world, including Australia, has occurred since the middle of this century. Evaluation of the effects of this change on the lives of individuals is of paramount importance to ensure that policies are acceptable and effective. Increasingly, multifaceted studies are considered essential for comprehensive health research. The qualitative aspect of this study complements the clinical and economic components. Method: An ethnographic approach enabled contextual, qualitative data to be gathered from within the social world of 47 hospital residents as they moved to the community. A social anthropologist acting explicitly as a participant observer undertook fieldwork over two and a half years both pre- and post-discharge. Qualitative data were collected, stored and analysed separately from quantitative and economic data. Results: Ethnographic findings generally supported and, in many cases, mirrored clinical results. Of the total cohort of 47 patients transferred to the community, the 40 who continue to live outside of hospital all reported a preference for community living. The importance of freedom and simple liberties cannot be underestimated as factors that enabled this resilient group of people to work creatively through difficult periods. Conclusion: Properly planned and resourced deinstitutionalisation not only maintains people with a prolonged mental illness outside of hospital, it also enhances their quality of life. Subjective descriptive material focusing on personal experiences adds meaning to quantitative research data allowing health professionals to more fully understand the implications of health policy on the lives of individuals.

Understanding knowledge brokerage and its transformative potential: a Bourdieusian perspective

2021 ◽  
Author(s):  
Sarah Chew ◽  
Natalie Armstrong ◽  
Graham P. Martin
Keyword(s):  
Qualitative Data ◽  
Healthcare Research ◽  
Ethnographic Study ◽  
Knowledge Brokering ◽  
Research And Practice ◽  
Documentary Sources ◽  
Transformative Potential ◽  
Knowledge Brokerage ◽  
Knowledge Brokers ◽  
Institutional Boundaries

Background: Knowledge brokering is promoted as a means of enabling exchange between fields and closer collaboration across institutional boundaries. Yet examples of its success in fostering collaboration and reconfiguring boundaries remain few.Aims and objectives: We consider the introduction of a dedicated knowledge-brokering role in a partnership across healthcare research and practice, with a view to examining the interaction between knowledge brokers’ location and attributes and the characteristics of the fields across which they work.Methods: We use qualitative data from a four-year ethnographic study, including observations, interviews, focus groups, reflective diaries and other documentary sources. Our analysis draws on Pierre Bourdieu’s conceptual framework.Findings: In efforts to transform the boundaries between related but disjointed fields, a feature posited as advantageous – knowledge brokers’ liminality – may in practice work to their disadvantage. An unequal partnership between two fields, where the capitals (the resources, relationships, markers of prestige and forms of knowledge) valued in one are privileged over the other, left knowledge brokers without a prior affiliation to either field adrift between the two.Discussion and conclusions: Lacking legitimacy to act across fields and bridge the gap between them, knowledge brokers are likely to seek to develop their skills on one side of the boundary, focusing on more limited and conservative activities, rather than advance the value of a distinctive array of capitals in mediating between fields. We identify implications for the construction and deployment of knowledge-brokering interventions towards collaborative objectives.<br />Key messages<br /><ul><li>Knowledge brokers are vaunted as a means of translating knowledge and removing barriers between fields;</li><br /><li>Their position ‘in between’ fields is important, but their influence in those fields may be limited;</li><br /><li>Lacking the resources and relationships to work across fields, they may align with only one;</li><br /><li>Both the structure of fields and the prior knowledge and habitus of brokers will influence knowledge brokerage’s success.</li></ul>

scholarly journals (2012) 30 Windsor Y B Access Just 103 A VIEW FROM WITHIN: RECONCEPTUALIZING MEDIATOR INTERACTIONS

2012 ◽  
Vol 30 (2) ◽  
pp. 103 ◽  
Author(s):  
Debbie De Girolamo
Keyword(s):  
Real Life ◽  
Ethnographic Study ◽  
Third Party ◽  
Mediation Process ◽  
Study Analysis ◽  
Case Study Analysis ◽  
Third Party Intervention ◽  
Life Patterns ◽  
Participant Observer

This paper explores mediator interactions from within the mediation process. It is difficult to obtain access to mediations due to issues of confidentiality and litigation privilege, thus restricting direct empirical research. During a yearlong ethnographic study during which the author was a participant-observer of a number of commercial mediations, the nature of mediations was explored from an independent observational perspective – separate from the process yet within the process. In this study, real life patterns of interactions are examined through case study analysis. It offers a reconceptualization of the nature of mediator interventions, one that moves beyond the accepted understanding of third party intervention. It suggests that the mediator has a fugitive identity in mediation, reflecting a traditional neutral third party intervener role, a party role and an adviser role.Dans le présent document, l‟auteure explore les interactions des médiateurs dans le cadre du processus de médiation. Il est difficile d‟obtenir l‟accès aux séances de médiation en raison du secret professionnel et du privilège relatif au litige, et cette difficulté limite la recherche empirique directe. Au cours d‟une étude ethnographique qui s‟est déroulée sur une année et à laquelle l‟auteure a participé comme observatrice d‟un certain nombre de médiations commerciales, la nature des médiations a été explorée d‟un point de vue observationnel indépendant – distinct du processus bien qu‟au sein du processus. Dans la présente étude, des situations réelles d‟interaction sont examinées au moyen de l‟analyse d‟études de cas. L‟auteure offre une reconceptualisation de la nature des interventions du médiateur, qui va au-delà de ce qui est reconnu comme l‟intervention d‟une tierce partie. Le médiateur aurait une identité fugace dans le processus de médiation, cette identité s‟expliquant par un rôle traditionnel de tiers intervenant neutre, un rôle de partie et un rôle de conseiller.

scholarly journals IMPLEMENTASI PROGRAM RENCANA PEMBANGUNAN JANGKA MENENGAH DAERAH (RPJMD) KABUPATEN KUTAI BARAT TAHUN 2011 - 2015

2019 ◽  
Vol 6 (2) ◽  
pp. 93
Author(s):  
Frans Christiyanto
Keyword(s):  
Data Analysis ◽  
Organizational Structure ◽  
Program Implementation ◽  
Quantitative Research ◽  
Qualitative Data ◽  
Survey Methods ◽  
Coefficient Of Determination ◽  
Survey Method ◽  
Analysis Tool ◽  
Independent Variables

The purpose of this paper is to analyze the effect of variable communication, resources, disposition and organizational structure for program implementation RPJMD West Kutai 2011-2015, either partially or simultaneously. Type of this research is quantitative research. The analysis tool used is multiple linear regression. In this study using survey methods explanation (explanatory survey method) is a survey that explains the variables under study and further analyze the influence between variables accompanied by hypothesis testing. This research was conducted by collecting qualitative data, which will then be presented in the form of numbers (quantified) to be tested in accordance with the design verification of data analysis. The results showed the coefficient of determination (R2) of 0.421. There is significant influence between independent variables namely communication, resources, disposition and organizational structure for program implementation RPJMD West Kutai 2011-2015.Keyword: Implementation RPJMD, Communication, Resources

scholarly journals Efektifitas SUSCATIN dalam Membentuk Keluarga yang Sakinah Mawaddah Wa Rahmah

2019 ◽  
Vol 5 (1) ◽  
pp. 114-129
Author(s):  
Muhammad Al Faruq
Keyword(s):  
Research And Development ◽  
Quantitative Research ◽  
Qualitative Data ◽  
Director General ◽  
Qualitative And Quantitative ◽  
The Family ◽  
Harmonious Family

Abstract Ministry of Religious initiatives to implement the program in accordance with the regulations issued by the Director-General of Islamic Community guidance of the Department of Religious candidates for the No. DJ. II/491 Year 2009. Therefore, the quality of a marriage is determined by the readiness and maturity of the two prospective spouses to meet the life of the household in order to form a harmonious family in accordance with the premarital ideals. The research uses Research and Development (R&D) methods by combining qualitative and quantitative research. Qualitative data is obtained through verbal and written interview results. The problems that occur in the community that the effectiveness of the prospective bride course has not walked fully well, with a variety of factors that inhibit, so that the bride who has not understood the whole material about the concept of family Sakinah that has been poured in the course process Bride brides. For that, the research seeks to uncover the implementation of the bride candidate course at the Office of Religious Affairs (KUA) of Papar District of Kediri, as well as how the prospective bride understanding the family concept of Sakinah.

The impact of alcohol misuse on fathering in Northern Uganda: An ethnographic study of fathers

2020 ◽  
pp. 136346152094331
Author(s):  
Christopher J. Mehus ◽  
Elizabeth Wieling ◽  
Okot Thomas Oloya ◽  
Achan Laura ◽  
Verena Ertl
Keyword(s):  
Qualitative Data ◽  
Alcohol Misuse ◽  
Ethnographic Study ◽  
Northern Uganda ◽  
Drinking Alcohol ◽  
Negative Effects ◽  
Entire Family ◽  
Post War ◽  
The Impact ◽  
Depth Interviews

The Acholi people of northern Uganda experienced decades of conflict. Alcohol misuse is high among northern Ugandan men. This is common in displaced or post-war communities. Because parents are often the most significant and proximal influence in a child’s development, it is important to understand the relationships between parental behavioral health and parenting. The purpose of this ethnographic study was to understand the impact of alcohol misuse on fathering, from fathers’ perspectives. We collected qualitative data from several sources, including in-depth interviews with 19 fathers. Informants identified three ways in which a father can “overdrink”: drinking to drunkenness, spending too much money on alcohol, or spending too much time drinking alcohol. Fathers described the specific ways in which overdrinking impacted each of the three primary roles of a father, which were identified as providing, educating, and creating a stable home. Of the negative effects of overdrinking, a compromised ability to provide for basic needs was described as the most salient. The findings suggest that support for families in this region should include support for father’s substance misuse, as a father’s overdrinking is widely understood to be problematic for the entire family.

scholarly journals Draw(Me) and Tell: Use of Children’s Drawings as Elicitation Tools to Explore Embodiment in the Very Young

2019 ◽  
Vol 18 ◽  
pp. 160940691881623 ◽  
Author(s):  
Gillian M. Martin
Keyword(s):  
Qualitative Research ◽  
Childhood Obesity ◽  
Qualitative Data ◽  
Ethical Issues ◽  
Relational Ethics ◽  
Ethnographic Study ◽  
Generation Process ◽  
Data Generation ◽  
Research With Children ◽  
Body Shapes

Qualitative research with children as participants is challenging on many levels—ethical, methodological, and relational. When researching the experience of children with particular bodily vulnerabilities, these issues are further amplified. This article describes a data generating tool designed to address these challenges. It was used within the context of an ethnographic study exploring relational societal processes associated with childhood obesity in Malta. This creative child-centric method uses “me” drawings as elicitation foci during informal conversations in the field where the agentic status of the child was prioritized and their role as active collaborators emphasized. Optimizing ethical symmetry was a key concern, as was emphasis on relational ethics and assent. Using the “Draw(Me) and Tell” activity positioned the child in a realistic position of power by giving them control over the data generation process, and helped address ethical issues related to agency, privacy, and sensitivity. It allowed ethical generation of qualitative data based on the children’s reflexive commentary on their own body shapes, with the aim of exploring their embodied habitus, identity, and selfhood.

scholarly journals Does Quantitative Research in Child Maltreatment Tell the Whole Story? The Need for Mixed-Methods Approaches to Explore the Effects of Maltreatment in Infancy

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Samuel Glass ◽  
Ruchika Gajwani ◽  
Fiona Turner-Halliday
Keyword(s):  
Mental Health ◽  
Mixed Methods ◽  
Child Maltreatment ◽  
Quantitative Research ◽  
Qualitative Data ◽  
Quantitative Measurement ◽  
Social Care ◽  
Mixed Methods Study ◽  
Semistructured Interviews ◽  
Qualitative Exploration

Background and Aims.Research on child maltreatment has largely overlooked the under-five age group and focuses primarily on quantitative measurement. This mixed-methods study of maltreated children (N=92) entering care (age 6–60 months) combines a quantitative focus on the associations between care journey characteristics and mental health outcomes with a qualitative exploration of maltreatment in four different families.Methods.Care journey data was obtained from social care records; mental health and attachment assessments were carried out following entry to care; qualitative data comprised semistructured interviews with professionals, foster carers, and parents.Results.Significant associations were found between suspected sexual abuse and increased DAI inhibited attachment symptoms (p=0.001) and between reported domestic violence and decreased DAI inhibited (p=0.016) and disinhibited (p=0.004) attachment symptoms. Qualitative results: two themes demonstrate the complexity of assessing maltreatment: (1) overlapping maltreatment factors occur in most cases and (2) maltreatment effects may be particularly challenging to isolate. Conclusions.Qualitative exploration has underscored the complexity of assessing maltreatment, indicating why expected associations were not found in this study and posing questions for the quantitative measurement of maltreatment in general. We therefore suggest a new categorisation of maltreatment and call for the complimentary research lenses of further mixed-methods approaches.

Access of the LGBTQI+ population from the perspective of community health agents, Brazil

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M H N Souza ◽  
A A Pinho ◽  
L Graever ◽  
A R Pereira ◽  
A M S Santana ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Community Health ◽  
Quantitative Research ◽  
Health Workers ◽  
National Policy ◽  
Comprehensive Health Care ◽  
Care Network ◽  
Primary Health ◽  
Comprehensive Health

Abstract Introduction In Brazil, according to the National Policy for Integral Health for Lesbians, Gays, Bisexuals, Transvestites, Transsexuals, Queers, Intersexuals and other identities (LGBTQI+), it is increasingly necessary to guarantee access to the health system, as well as to train qualified professionals. Objective describing the perception of Community Health Agents (CHA) about the approach to and access of LGBTQI+ people to primary health care. Methods Quantitative research conducted in October 2019 with 60 community health workers from the municipality of Rio de Janeiro, Brazil. The research was approved by the Ethics and Research Committees of the participating institutions. Results it was found that 100% of the CHA have already supported LGBTQI+ people, 19.2% identify prejudiced attitudes and delay in service as barriers to accessing the unit, and 19.2% recognize the presence of group activities in the unit. In the view of the CHA interviewed, LGBTQI+ patients could be approached in groups (50%), individually (19.2%) or both (30.8%). Among the strategies to increase the access of those patients, 61.5% are unaware and 38.5% listed possible strategies to be implemented in the unit. The topics of interest for discussion were: approach to reception, sexual identity, prejudice, psychological support, family, diseases, violence, and rights. Conclusions From the perspective of community health agents, the study allowed reflections on how approaching and making access available to LGBTQI+ patients in the primary care network. This evidences stigmas and fragility of professionals in the individual and collective approach to deal with issues regarding guidance sexuality and gender identity of the clientele served. It is important to emphasize permanent education actions among professionals, aiming at a comprehensive health care for the LGBTQI+ population. Key messages Welcoming and qualified listening promote comprehensive health care for the LGBTQI+ population. Improvements in the access of the LGBTQI+ population to the primary health care network decrease morbidity and mortality.

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