Introduction

Author(s):  
Joy G. Dryfoos

We have invited some practitioners who “do the work” to tell us what they do. Six program areas are covered here: parent involvement, after-school and summer programs, early childhood programs, primary health services, mental health services, and community development. These are the basic components of the community school model developed by The Children’s Aid Society (CAS); most other models include some or all of these activities as well. We have asked our experts from CAS to provide the rationale for what they do in their components, describe a working example, discuss implementation issues and sources of financing for the component, and tell us about the challenges they faced and the lessons they have learned from their experiences. Many of these components require space within the school—a designated area for parents to congregate, rooms for a primary health care clinic, private offices for mental health counseling, and classrooms and gyms for before- and after-school activities. Not every school can meet these space requirements, or at least many schools do not think that they have room for one more activity. I have observed, though, that more space becomes available in direct relationship to how essential the services become. One principal, reluctant to place a school-based clinic in his building, offered one very small room in a dark corner. Yet five years later, a full suite of rooms had been designated the “Health Place” with two examining rooms, a dental office, a meeting room, three private offices, and an attractive waiting room. The principal described the facility as “my clinic” when a newscaster came to do a story on the program. Unquestionably, full-service community schools require delicate negotiations over many issues, especially space. The CAS schools make full use of classrooms for after-school activities and need access to the gymnasium, auditorium, band room, restrooms, cafeteria, and playground. The principal and the community school director must work out the arrangements for the use of facilities and for cleaning and maintaining them. As you will see from these descriptions of the core components, this work is labor intensive. In every aspect of community school work, individual attention to students and their families is paramount.

2001 ◽  
Vol 1 (1) ◽  
Author(s):  
David Otieno Akombo

There are approximately 500,000 refugees living in Kenya today, with approximately 20,000 children attending formal education in about twenty refugee schools. These children often show severe emotional distress that is observable through consistent evaluation. The children's hopes need to be restored and their mental health rejuvenated. Several Kenyan music teachers and paramedics including myself came together in August 1998, and thought about new ways and means of helping these children. One way we thought was worth trying was music therapy. This we thought could be achieved by incorporating a music therapy component into their co-curricular (after school) activities. We thought singing and dancing after school could be a good stepping stone for the provision of therapy to the kids in the refugee camps.


2012 ◽  
Vol 48 (1) ◽  
pp. 45-51
Author(s):  
Peter Karlsudd

In the doctoral dissertation "Children with intellectual disability in the integrated school-age care system" the extent and goal fulfilment of after-school recreation centre activities in 19 Swedish municipalities were studied. The study gave high marks to these centres for integrating intellectually disabled children into their activities. The empirics of the dissertation revealed, however, a number of warning signals, which indicated an increase in offering “special solutions” to these children. This article will contain a comparison between the study from 1999 and the one carried out in the spring of 2011. The two studies have followed the same question construction in order to achieve a comparison over time. The aim of study, focusing on children received into schools for the intellectually disabled was to evaluate to what extent integrated activities occurred and to look for factors with a positive impact on the quality of those after-school activities which gathered children from these and compulsory schools in the same groups. On the basis of the comparison made between the 12 years that have passed from the earlier to the later study, it must be regretfully concluded that segregated activities have gained a firm hold on the activities of after-school recreation care centres. Key words: after-school activities, inclusion, integrated, intellectual disability, school-age care system.


2015 ◽  
Vol 7 (2) ◽  
pp. 19-32
Author(s):  
ARTO GRÅSTÉN

Background: Since less than one-third of 13-year-olds in many Western countries meet the physical activity guidelines, there is a major need to promote physical activity. The aim of this study was to examine children’s segment specific moderate to vigorous physical activity (MVPA) through the school-initiated program. Material/Methods: The sample comprised 76 Finnish elementary school children. Accelerometers were used to investigate the patterns of segmented MVPA through 2012-2014. Repeated Measures Analysis was implemented to summarize variability between time and segments of MVPA. Results: The examination of children’s MVPA revealed that their total, weekend, and before-school activity were significant predictors for their subsequent activity. Children’s MVPA in physical education classes, before- and after-school, and during school breaks decreased through the program. Both girls and boys accumulated the majority of their weekly MVPA during weekdays and out-of-school. Conclusions: The program provedto be effective in order to sustain children’s total MVPA levels, although physical education, before- and after-school, and recess MVPA decreased through the program. Out-of-school activities seemed to be more important than in-school activities in relation to children’s total MVPA minutes, when they transfer to the higher grades. Attention should be paid to out-of-school, especially weekend, activities.


Author(s):  
Ahmad Hajebi ◽  
Vandad Sharifi ◽  
Maryam Abbasinejad ◽  
Ali Asadi ◽  
Nahid Jafari ◽  
...  

Objective: The main objective of this study was to review aspects of the current situation and structure of the integrated mental health care services for planning a reform. Aspects of the newly designed infrastructure, along with specification of duties of the various human resources, and its relation with Iran’s Comprehensive Mental and Social Health Services (the SERAJ Program), will also be presented Method: This is a study on service design and three methods of literature review, deep interview with stakeholders, and focused group discussions. In the literature review, national and international official documents, including official reports of the World Health Organization (WHO) and consultant field visits, were reviewed. Deep semi-structured interviews with 9 stakeholders were performed and results were gathered and categorized into 3 main questions were analyzed using the responsibility and effectiveness matrix method. The Final results were discussed with experts, during which the main five-domain questions were asked and the experts’ opinions were observed. Results: In this study, the main gaps of the public mental health care (PHC) services in Iran were identified, which included reduction of risk factors for mental disorders, training the general population, early recognition and treatment of patients with mental disorders, educating patients and their families, and rehabilitation services. The new model was then proposed to fill these gaps focusing on increasing access, continuity of care, coordination in service delivery, and comprehensiveness of care. A mental health worker was placed besides general healthcare workers and general practitioners (GPs). Services were prioritized and the master flowchart for mental health service delivery was designed. Conclusion: A reform was indeed necessary in the integrated mental health services in Iran, but regarding the infrastructure needed for this reform, including human and financial resources, support of the senior authorities of the Ministry of Health (MOH) is necessary for the continuity and enhancement of services. In this model, attention has been given to the principles of integrating mental health services into primary health care. Current experience shows that the primary health care system has been facing many executive challenges, and mental health services are not exclusion to this issue. Monitoring and evaluation of this model of service and efforts for maintaining sustainable financial resources is recommended to make a reform in this system and to stabilize it.


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