Policies and Programs

2020 ◽  
pp. 162-189
Author(s):  
Jeff Levin

Chapter 8 details the long-standing history in the United States of official position statements by religious institutions and organizations regarding medical and healthcare issues, legislation, and policies that impact the health and well-being of the broader population. This history is highlighted by the recent national debate on healthcare reform, which was influenced by advocacy reports for or against features of proposed legislation issued by denominations and faith-based organizations across the religious spectrum. This chapter also provides perspectives on the contentious subject of federal faith-based initiatives since the passage of legislation authorizing charitable choice, under President Bill Clinton, which led to establishment of a White House faith-based office in the subsequent three administrations. Programmatic and policy successes of this initiative are described, especially in the areas of community and global health, an example being PEPFAR, the most successful program ever established to address AIDS in the developing world.

Author(s):  
Carlos Gerena

Despite the shift in attitudes in religious institutions toward homosexuals in the United States, there are some religions that continue to view same-sex behavior as a deviant and damning sin. For many, religious beliefs and values provide meaning and impact personal identity. Using autoethnography, I will explicate my own experiences with religious institutions and the ongoing conflict between religious beliefs and sexuality. I will discuss messages received from the Pentecostal church, family, and Latino community, and how these messages influenced my human development and emotional well-being. I show that internalization of the principles taught by the Pentecostal Church triggered a conflict when I became aware of my homosexuality. In this article, I discuss the mental health challenges I faced, and strategies I used to reconcile conflicting identities. I also discuss the use of autoethnography in social work and its implications in social work research and practice.


2020 ◽  
pp. 135-164
Author(s):  
Dan Royles

This chapter describes the work of The Balm in Gilead, which grew out of the efforts of Pernessa Seele, an immunologist at Harlem Hospital, to organize local Black faith leaders to address AIDS through the Harlem Week of Prayer for the Healing of AIDS. As Seele trained African American clergy to incorporate AIDS education into their ministry, she also confronted entrenched homophobia in Black religious institutions. Accordingly, The Balm in Gilead designed programs that would help churches accept and include gay members. In 2001, Seele contracted with the Centers for Disease Control and Prevention to extend her work with Black churches to sub-Saharan Africa, setting up programs in Côte d’Ivoire, Kenya, Nigeria, Zimbabwe, and Tanzania. She argued that because of Black people’s particular relationship with church and faith, the approach that The Balm in Gilead had developed in the United States would work in Africa as well. At the same time, this work intersected with a growing interest in addressing “global AIDS” among U.S. leaders, including Presidents Bill Clinton and George W. Bush, who saw the spread of the disease in Africa as a growing threat to international security.


2018 ◽  
Vol 115 (37) ◽  
pp. 9169-9174 ◽  
Author(s):  
Cynthia Chen ◽  
Dana P. Goldman ◽  
Julie Zissimopoulos ◽  
John W. Rowe ◽  

As long-term changes in life expectancy and fertility drive the emergence of aging societies across the globe, individual countries vary widely in the development of age-relevant policies and programs. While failure to adapt to the demographic transformation carries not only important financial risks but also social risks, most efforts to gauge countries’ preparedness focus on economic indicators. Using data from the Organization for Economic Cooperation and Development (OECD) and other sources, we developed a multidimensional Aging Society Index that assesses the status of older populations across five specific domains, including productivity and engagement, well-being, equity, economic and physical security, and intergenerational cohesion. For 18 OECD countries, the results demonstrate substantial diversity in countries’ progress in adapting to aging. For any given domain, there are wide differences across countries, and within most countries, there is substantial variation across domains. Overall, Norway and Sweden rank first in adaptation to aging, followed by the United States, The Netherlands, and Japan. Central and eastern European countries rank at the bottom, with huge untapped potential for successful aging. The United States ranks best in productivity and engagement, in the top half for cohesion, and in the middle in well-being, but it ranks third from the bottom in equity. Only well-being and security showed significant between-domain correlation (r = 0.59, P = 0.011), strengthening the case for a multidimensional index. Examination of heterogeneity within and across domains of the index can be used to assess the need for, and effectiveness of, various programs and policies and facilitate successful adaptation to the demographic transition.


2020 ◽  
Author(s):  
Sarah L. Weinberger-Litman ◽  
Leib Litman ◽  
Zohn Rosen ◽  
David H. Rosmarin ◽  
Cheskie Rosenzweig

The current study examined anxiety and distress among members of the first community to be quarantined in the United States due to the COVID-19 pandemic. In addition to being historically significant, the current sample was unusual in that those quarantined were all members of a Modern Orthodox Jewish community and were connected via religious institutions at which exposure may have occurred. We sought to explore the community and religious factors unique to this sample, as they relate to the psychological and public health impact of quarantine. Community organizations were trusted more than any other source of COVID 19-related information, including federal, state, and other government agencies, including the CDC, WHO and media news sources. This was supported qualitatively with open-ended responses in which participants described the range of supports organized by community organizations. These included tangible needs (i.e. food delivery), social support, virtual religious services, and dissemination of COVID-19 related information. The overall levels of distress and anxiety were elevated and directly associated with what was reported to be largely inadequate and inconsistent health related information received from local departments of health. In addition, the majority of participants felt that perception of or concern about future stigma related to a COVID-19 diagnosis or association of COVID-19 with the Jewish community was high and also significantly predicted distress and anxiety. The current study demonstrates the ways in which religious institutions can play a vital role in promoting the well-being of their constituents. During this unprecedented pandemic, public health authorities have an opportunity to form partnerships with religious institutions in the common interests of promoting health, relaying accurate information and supporting the psychosocial needs of community members, as well as protecting communities against stigma and discrimination.


2021 ◽  
pp. 82-90
Author(s):  
Ellen C. Perrin ◽  
Sean M. Hurley ◽  
Kathryn Mattern ◽  
Lila Flavin ◽  
Ellen E. Pinderhughes

BACKGROUND Gay men have become fathers in the context of a heterosexual relationship, by adoption, by donating sperm to 1 or 2 lesbian women and subsequently sharing parenting responsibilities, and/or by engaging the services of a surrogate pregnancy carrier. Despite legal, medical, and social advances, gay fathers and their children continue to experience stigma and avoid situations because of fear of stigma. Increasing evidence reveals that stigma is associated with reduced well-being of children and adults, including psychiatric symptoms and suicidality. METHODS Men throughout the United States who identified as gay and fathers completed an online survey. Dissemination of the survey was enhanced via a “snowball” method, yielding 732 complete responses from 47 states. The survey asked how the respondent had become a father, whether he had encountered barriers, and whether he and his child(ren) had experienced stigma in various social contexts. RESULTS Gay men are increasingly becoming fathers via adoption and with assistance of an unrelated pregnancy carrier. Their pathways to fatherhood vary with socioeconomic class and the extent of legal protections in their state. Respondents reported barriers to becoming a father and stigma associated with fatherhood in multiple social contexts, most often in religious institutions. Fewer barriers and less stigma were experienced by fathers living in states with more legal protections. CONCLUSIONS Despite growing acceptance of parenting by same-gender adults, barriers and stigma persist. States’ legal and social protections for lesbian and gay individuals and families appear to be effective in reducing experiences of stigma for gay fathers.


Author(s):  
Sofia Gruskin ◽  
Paula Braveman

Violation or neglect of human rights jeopardizes health by interfering with physical, mental, and social well-being. This chapter considers the relevance of human rights to public health as legal standards and obligations of governments, as a conceptual framework of analysis and advocacy, and as guiding principles for designing and implementing policies and programs. It recommends institutionalizing perspectives on social justice and human rights in all health-sector actions, monitoring implications of policies in all sectors that affect health, and building public consensus for equitable financing of healthcare. The authors assert that human rights principles provide a framework that can guide health workers and others in achieving social justice in health and that health workers should be aware that human rights norms, standards, laws, and accountability mechanisms are relevant tools to help achieve social justice in health. A text box focuses on promoting the rights of “undocumented immigrants” in the United States.


10.18060/3795 ◽  
2013 ◽  
Vol 14 (1) ◽  
pp. 26-48 ◽  
Author(s):  
Cándida Madrigal

This study examined the extent to which four factors—acculturation, ethnic identity, self-esteem, and resilience—can explain the well-being of Colombian immigrants in the United States across three waves of immigration (wave 1, from 1945–1964; wave 2, from 1965–1989; and wave 3, from 1990–2008). The results indicate that of the four factors, self-esteem most correlated with and was a predictor of well-being. Participants exhibited high levels of well-being as their level of self-esteem increased. Ethnic identity negatively predicted well-being, especially for men who entered during wave 3; as the extent of their ethnic identity increased, their well-being decreased. Correspondingly, Colombians who entered as political refugees reported a lower level of well-being. This research was groundbreaking in assessing factors contributing to the well-being of Colombian immigrants and assisting in the search for appropriate scales to study this population. Although its results have to be considered with caution, the study opens doors to future research, policies, and programs regarding the mental health assessment and treatment of Colombians in the United States.


2004 ◽  
Vol 21 (1) ◽  
pp. 202-220
Author(s):  
John Haldane

In recent years it has become increasingly common in the United States and in the United Kingdom for newspapers and other media to expose problematic aspects of the private lives of political (and other public) figures; or, since the facts may already be in the public domain, to draw wider attention to them and to make them the subject of commentary. These “problematic aspects” may include past or continuing physical or psychological illness, eating disorders, drug and alcohol abuse or dependence, financial difficulties, family conflict, infidelity, or certain sexual proclivities of both the political figures themselves and of their family members or intimates. In the United States, the most prominent cases are probably those of President Bill Clinton in relation to a series of alleged extramarital affairs leading up to the scandal involving White House intern Monica Lewinsky, and of President John F. Kennedy, also in relation to marital infidelities. The latter exposure was, of course retrospective, as were revelations of similar matters concerning other presidents and holders of high office. Up until the mid-1960s, while it was sometimes known to the press that politicians had “problems” in their private lives, it was rare for these to be made public. Sometimes it might be reported, or more likely hinted, that a figure had a “complex” or “difficult” personal life, and the public was left to infer whatever it might from this (generally concluding that infidelity, alcoholism, or both, were probably at issue). The recent culture of exposure results from a combination of factors, including changed attitudes toward public discussion of sexual conduct, changed standards of sexual behavior, recognition of the scale of Cold War espionage and of its practice of blackmail, a general decline in social deference, a threat to the print media posed by the growth of television, and the rise of satirical entertainment. All of these elements were present in the case that marked the establishment of the culture of exposure in the U.K.: the ‘Profumo scandal’ of 1963. For those unaware of this episode, it may be sufficient to say that it involved the then-secretary of state for war, members of the British aristocracy, a Soviet naval attaché, and a number of “society” call girls, and that it contributed to the resignation of Prime Minister Harold Macmillan and the subsequent fall from power of the Conservative Party. In the United States, the culture of exposure developed somewhat later and took shape in the period of the Watergate scandal, which damaged the American public's perception of the governing classes just as the Profumo scandal had in Britain.


Author(s):  
Andrew Sanders

Clinton’s election in 1992 brought a Democrat back to the White House. Clinton had pledged to involve the United States in the Northern Ireland peace process more significantly than any previous administration, and immediately set about exploring issues such as a visitor's visa for Sinn Fein leader Gerry Adams and the creation of a Special Envoy to Northern Ireland, duly following through on both pledges despite resistance from Ulster unionists. This chapter utilizes a range of state and personal papers to examine the ways in which Clinton was engaged and advised by a small group of Irish-American supporters, led by a former college friend and former Congressman, Bruce Morrison. The chapter also examines the three visits that Clinton made to Northern Ireland, focusing on his historic 1995 visit. In particular, the chapter considers the role of the US government in the achievement of the 1998 Good Friday Agreement and the associated paramilitary ceasefires that preceded it.


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