The mothers in me

2018 ◽  
Vol 50 (1) ◽  
pp. 129-140 ◽  
Author(s):  
Saija Katila

Abstraction of the narrative The paper aims to evoke readers’ reflective and affective capacities and thereby facilitate understanding of the multisensorial, affective, and relational nature of knowing and becoming. It highlights the role of embodied knowing in becoming by following the journey of an individual faced with sudden trauma. It describes the affective energies crossing time and space in the continuously changing sociomaterial networks of relationships encountered in different organizational settings, be they in academia, health and social services, family, or otherwise. The paper is based on an auto-ethnographic narrative of becoming a mother that connects individual experiences with cultural understandings. The narrative is an outcome of a diffractive analysis of becoming; knowing emerges during the course of a writing process in which theoretical understandings, emotions, concepts, discourses, embodied experiences, and affects come together. The paper brings out the multiplicity of contradictory discourses involved in knowing and becoming. In so doing, it highlights the entangled coexistence of body and mind, reality and imagination, public and private, reason and emotion, as well as past, present, and future.

Author(s):  
Harry Minas

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.


Author(s):  
Ilaria Chirico ◽  
Rabih Chattat ◽  
Vladimíra Dostálová ◽  
Pavla Povolná ◽  
Iva Holmerová ◽  
...  

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.


JAMA ◽  
2018 ◽  
Vol 320 (21) ◽  
pp. 2197 ◽  
Author(s):  
William H. Shrank ◽  
Donna J. Keyser ◽  
John G. Lovelace

Author(s):  
Maria Manuela Cunha ◽  
Goran D. Putnik ◽  
Ricardo Simões

According to a report on e-marketplaces for the health sector (Kuller, 2005), the European Health and Social Services sector is a complex web of “businesses” and “customers,” characterized by a combination of public and private providers who control the strategic direction and finances. The services are delivered by microbusinesses, that is, hospitals, clinics, general practitioners, and specialists, and delivered through government, public, or nonprofit bodies, not the private sector (although this is slowly changing in some countries) (Kuller, 2005). The resulting absence of the profit goal means that the motivation for changing business processes and implementing tools is driven by a need to improve “patient care,” and not a desire to make or save money. This partly explains why the Health and Social Services sector lags behind others with regard to IT infrastructure in place and e-business usage.


2018 ◽  
Vol 55 (1) ◽  
pp. 288-320 ◽  
Author(s):  
Hyun Kim ◽  
David W. Marcouiller ◽  
Yeol Choi

Using recent residential redevelopment projects in South Korea, relocation decisions were investigated with respect to social justice, social capital, and various urban spatial attributes at individual, neighborhood, and community levels. Drawing on previous social justice theory, a spatial multilevel analysis using both primary and secondary data was employed to measure community attributes that reflected social justice, social capital, social services, environmental, and economic characteristics. Results suggest that relationships with neighbors in the redevelopment project lead to a lower likelihood of relocation. These empirical findings are intended to inform policy makers interested in the perspectives of residents who are potentially displaced by public and private redevelopment efforts.


2019 ◽  
Vol 9 (3) ◽  
pp. 66
Author(s):  
Vuokko Niiranen ◽  
Joakim Zitting ◽  
Sanna Laulainen

The Finnish health and social care sector is currently undergoing numerous reforms. These reforms involve novel demands regarding the role of steering, decision-making, and management in health and social services. This article sheds light on some of the critical factors encountered by decision-makers and managers when implementing reforms to change health and social services. The article investigates cooperation between the steering ministries and different dimensions of management in local health and social service organizations. Interview data from the ministries were studied through content analysis, and quantitative survey data were analyzed using mean values guided by the model of multidimensional management. The co-operation between different ministries has intensified while implementing different reforms, but functional and cultural boundaries between them persist. The management dimensions in changing health and social service organizations stress the role of managers as facilitators and enablers, highlighting the significance of caring for the human resource dimension as one of the managers’ core tasks. The successful implementation of change should never be automatic. What emerges prominently is the skill essential to achieve cooperation which transcends the borders of both multiprofessional and traditional professional and administrative work both in ministries and local health and social service organizations.


1993 ◽  
Vol 17 (5) ◽  
pp. 282-285 ◽  
Author(s):  
Peter Huxley ◽  
Michael Kerfoot

This paper reports the results of a nationwide survey of social services responses to psychiatric emergencies. The survey is a companion to that by Johnson & Thornicroft (1991) (J&T) who reviewed the emergency service options available in psychiatry, including the emergency clinic, general hospital services, the emergency ward, acute day hospital and crisis intervention and residential services, as well as considering the role of sectorised services, and community mental health centres (CMHCs). For the purposes of our respective surveys of health and social services in England and Wales, we have defined a psychiatric emergency as “occurring when someone (patient, friend, relative or professional) requests urgent intervention on behalf of someone in the community who is suffering from a mental disorder”.


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