scholarly journals A KÖZÖSSÉG ÁLTAL TÁMOGATOTT MEZŐGAZDÁLKODÁS SZUBJEKTÍV ASPEKTUSAI

2020 ◽  
Vol 75 (2) ◽  
pp. 271-288
Author(s):  
Birtalan Ilona Liliána ◽  
Kis Bernadett ◽  
Bárdos György

Elméleti háttérA közösség által támogatott mezőgazdálkodás (CSA) gyorsan növekvő jelenség világszerte, a helyi élelmiszer termelésének és elosztásának az a módja, amikor a termelő és a fogyasztók (tagok) közvetlenül elköteleződnek egymás felé. A közösségi mezőgazdálkodási rendszerek, mint alulról jövő társadalmi kezdeményezések, az élelmiszerek „árutlanítása" felé tett törekvésként is értelmezhetők, és szorosan kapcsolódnak a fenntarthatóság kérdésköréhez, mely a pszichológiai és az egészségfejlesztési diskurzusba hazánkban még alig került be.MódszertanA szakirodalmak kiválasztása során először konkrét szókombinációk mentén kerestünk cikkeket, majd a talált cikkek irodalmi hivatkozásait áttanulmányoztuk; illetve szakirodalom-kereső portálok elsődlegesen talált cikkeihez ajánlott további cikkeit tekintettük át a CSA-részvétellel járó tapasztalatok szempontjából.EredményekÁttekintésünk alapján látható, hogy a részvétel nemcsak konkrét előnyök mentén értelmezhető, hanem a további aspektusok, mint Hasonló gondolkodás, Lokalitás (város-vidék tengely), Személyes törődés, Életmódváltás, valamint az Újraírt sémák taglalása is legalább olyan fontos.KövetkeztetésekVéleményünk szerint a CSA-ban való részvétel átgondolása hasznos információkat nyújthat többek között a fenntartható pozitív mentális egészség fogalmának kibontásában.Theoretical backgroundCommunity Supported Agriculture (CSA) is a rapidly growing phenomenon worldwide, a model of production and distribution of local food that connects the producer and consumers (members) directly. As a grassroot initiative, CSAs can be seen as a step towards the decommodification of food and are directly associated with sustainability which is rarely involved in psychological and health promotional discourse in Hungary.MethodsIn the selection process of literature, at first papers containing specific word combinations were selected. Articles recommended by academic literature search portals during this process and references section of the selected papers were studied further in the context CSA involvement to find more relevant articles.ResultsBased on our review it seems that CSA participation can be interpreted not only through factual advantages: Similar Thinking, Locality: urban-rural axis, Personal Care, Lifestyle Change, and Rewriting of Schemes are at least as important.ConsequenciesAccording to our view, studying participation in CSA may yield useful information for developing the concept of sustainable positive mental health.

2017 ◽  
Author(s):  
Eric Nost

Full-text, in-print version here: http://www.sciencedirect.com/science/article/pii/S074301671400014XCitation: Nost, E. 2014. Scaling-up local foods: commodity practice in community supported agriculture (CSA). Journal of Rural Studies 34, 152-160.Non-profit, consumer, and government advocates are working to expand access to locally-produced foods as a way of addressing major social and ecological issues. Some activists, however, suggest that farms “scaling-up” production and distribution may lose sight of the movement's aims by circumventing a direct exchange between growing and consumer and by delivering “local” shares long distances. I argue that in order to answer whether scaling-up is misguided, we first have to understand how farms come to scale differently. I describe the varied practices that three community supported agriculture (CSA) farms in the Midwest perform in order to give their products market value as embedded in a specific socio-ecological context. I focus on three key moments of CSA that advocates are concerned about in scaling-up: 1) the employment of different kinds of labor; 2) operating within the seasons; 3) the management of sharer expectations about produce quantity and quality. As what I call commodity practice, farm decisions about these factors produce differently scaled local food commodities. These different practices are not necessarily incongruent with the aims of the movement. My main point in this approach is to advance an awareness of hybridity in local food institutions. As CSAs and other institutions like food hubs grow and evolve, a look at commodity practices can shed light on and confound some of the apparent contradictions in scaling-up.


2020 ◽  
Author(s):  
Patrizia Zeppegno ◽  
Carla Gramaglia ◽  
Chiara Guerriero ◽  
Fabio Madeddu ◽  
Raffaella Calati

Background: The World Health Organization declared the Corona Virus Disease 19 (Covid-19) a pandemic in March 2020. Psychological impact of Covid-19 can be consisent and should be prevented with adequate measures. Methods: We performed a literature mini review searching for studies in PubMed focusing on the psychological/psychiatric impact of Covid-19.Results: The selection process yielded 34 papers focusing on the relation between Covid-19 and mental health: 9 correspondence, 8 letters to the editor, 7 commentaries, 3 editorials, 4 original studies, 2 brief reports, and 1 a rapid review. The majority of the articles were performed in China. They focused on the general population and particular categories considered more fragile, e.g., psychiatric patients, older adults, international migrant workers, homeless people. Authors are unanimous in believing that Covid-19 will likely increase the risk of mental health problems and worsen existing psychiatric disorders/symptoms in patients, exposed subjects, and staff. Together with the negative emotionality related to the unpredictability of the situation, uncertainty concerning the risk, excessive fear, fear of death, loneliness, guilt, stigma, denial, anger, frustration, boredome, some symptoms might appear such as insomnia until patophobia (specifically, coronaphobia), depressive and anxiety disorders, post-traumatic stress disorder, and suicidal risk.Limitations: Literature is rapidly increasing and present results are only partial. Conclusions: Mental health care should not be overlooked in this moment. The experience of China should be of help for all the countries facing with Covid-19, among them Italy.


Medicina ◽  
2021 ◽  
Vol 57 (8) ◽  
pp. 793
Author(s):  
Laura Orsolini ◽  
Simone Pompili ◽  
Virginio Salvi ◽  
Umberto Volpe

Background and Objectives: The Internet is widely used and disseminated amongst youngsters and many web-based applications may serve to improve mental health care access, particularly in remote and distant sites or in settings where there is a shortage of mental health practitioners. However, in recent years, specific digital psychiatry interventions have been developed and implemented for special populations such as children and adolescents. Materials and Methods: Hereby, we describe the current state-of-the-art in the field of TMH application for young mental health, focusing on recent studies concerning anxiety, obsessive-compulsive disorder and affective disorders. Results: After screening and selection process, a total of 56 studies focusing on TMH applied to youth depression (n = 29), to only youth anxiety (n = 12) or mixed youth anxiety/depression (n = 7) and youth OCD (n = 8) were selected and retrieved. Conclusions: Telemental Health (TMH; i.e., the use of telecommunications and information technology to provide access to mental health assessment, diagnosis, intervention, consultation, supervision across distance) may offer an effective and efficacious tool to overcome many of the barriers encountering in the delivery of young mental health care.


2021 ◽  
Author(s):  
Patrizia Ungar ◽  
Ann-Kathrin Schindler ◽  
Sabine Polujanski ◽  
Thomas Rotthoff

BACKGROUND Medical students are at an increasing risk of depression and burnout during their study period. This trend among future physicians is a cause for concern, given the great responsibility that the medical profession entails. Medical faculties therefore play a significant role in supporting medical students in maintaining their mental health. Especially in the context of the current COVID-19 pandemic, support services that allow greater flexibility in their use become particularly relevant. Online programs can be accessed from anywhere and any time and can be used individually in a safe or well-known setting. From a preventive perspective, individual characteristics that have been shown to be protective of mental health should be addressed in such programs. Before conceptualizing an online program, reviewing existing online programs for medical students is a first relevant step. OBJECTIVE This review provides an overview of the current online programs for medical students to strengthen their mental health by addressing individual characteristics believed to be protective of mental health and addressable in medical curricula. METHODS PubMed, ERIC, Cochrane, and Web of Science were used for a systematic literature search. The programs had to be offered digitally and address medical students. Preventive individual characteristics for mental health were included in the search to provide information on their role in the studies. Publications also should include information on the effectiveness of the respective programs. RESULTS The literature search yielded 592 articles; of them, only nine met the study criteria. The programs found included elements of cognitive-behavioral therapy, mindfulness training, or peer support. Regarding the mental health outcomes, two studies showed a significant reduction in perceived stress and one study indicated a reduced level of burnout. One program had significant immediate effects on mindfulness, empathy, and resilience; two studies indicated strengthening coping strategies. Two programs were qualitatively assessed as helpful. One study is still ongoing. CONCLUSIONS Only a few studies have assessed the effectiveness of online programs to strengthen medical students’ mental health. The programs found mostly addressed preventive individual characteristics but were not developed on the basis of a survey of medical students’ demands. Furthermore, they were provided as add-on programs; integration of such programs into the curriculum may highlight the relevance of mental health. For the development of future online programs, the concrete needs of the respective target group should be surveyed and taken into account. Based on this, suitable online programs can be developed in a targeted way to strengthen mental health by addressing preventive individual characteristics. This needs-based prevention approach can support health-promoting education of future physicians.


2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
Mohammad Abdolshah

This paper presents a review of decision criteria reported in the literature for supporting the supplier selection process. The review is based on an extensive search in the academic literature. After a literature review of decision criteria, we discuss the most important criteria: quality. Then different methods and factors for assessing the quality of supplier are discussed. Results showed that all methods and factors mentioned in this paper are not appropriate tools for quality evaluation. Moreover, we propose a novel method (using loss functions) in order to assess the quality of suppliers.


2018 ◽  
Vol 28 (6) ◽  
pp. 780-799 ◽  
Author(s):  
Radosław Stupak ◽  
Krzysztof Dyga

The article reconstructs postpsychiatry’s core propositions and briefly describes its theoretical background and assumptions. It also presents chosen aspects of postmodern psychotherapy, which seem to be in many ways similar to postpsychiatry’s ideas. Although they are drawn from different inspiration, postpsychiatry and postmodern psychotherapy seem to come to similar conclusions, especially regarding the role of the patient in the therapeutic process, the meaning of psychiatric diagnosis, and the importance of the institutional, cultural, and social contexts in mental health practice and research. The paper also aims to place postpsychiatry and postmodern psychotherapy in a Polish context, focusing on the ethical challenges faced by psychiatry and showing that some of postpsychiatry’s ideas and solutions to contemporary problems were already present in the Polish psychiatric literature of the 20th century. It also contains a brief description of the Polish social and historical context of psychiatry, as well as key aspects of the Polish legal system that relate to mental health and seem to reflect the nature of biomedical explanations of mental distress. It concludes that the model of psychiatric care postulated by “postmodern” approaches seems more ethical and scientifically and philosophically grounded and promises better treatment results than the “traditional” biomedical model.


2017 ◽  
Vol 33 (S1) ◽  
pp. 137-138
Author(s):  
Ionela Gheorghiu ◽  
Alain Lesage ◽  
Adam Mongodin ◽  
Marlène Galdin

INTRODUCTION:Our Hospital-based Health Technology Assessment unit (HB-HTA) was founded in 2011 following the nomination of Louis-H. Lafontaine hospital as the Montreal University Mental Health Institute (IUSMM). From the beginning, the HB-HTA has been supporting and advising the Chief Executive Officer of IUSMM in the decision-making process concerning the implementation of new technologies and practices in mental health. Since 2015, the HB-HTA is part of the East of Montreal Regional Integrated Health and Social Services Centre (CIUSSS de l'Est-de-l’Île de Montréal), continuing to support decisions in mental health. Currently, the HB-HTA unit is nested in the Quality, Performance and Ethics department.METHODS:Formed by a coordinator, a scientific advisor and a manager, the HB-HTA team plans, organizes and sets up the evaluation activities. The unit benefits from the support of a Steering Committee which consists of representatives of clinical, administrative and research directions, as well as of health users and families. This committee determine the strategic orientation of the HB-HTA unit, prioritize the projects, approves the evaluation products and gives indications on the knowledge transfer process.RESULTS:To answer the decision questions, our HB-HTA unit employs two types of products: evaluation reports and informative notes. Based on an exhaustive literature search and consultations with stakeholders, the evaluation reports offer recommendations to support the decision-making process. The informative notes are rapid responses based on a partial literature search. The nature of this type of analysis does not allow the formulation of recommendations, however, a conclusion of the consulted literature is offered.CONCLUSIONS:Based on the work of our HB-HTA unit, some important decisions were made by the IUSMM. As an example, the systematic screening of psychiatric patients for drug and alcohol was not favored by our institution; rather than this, priority was given to staff training, in order to better identify and treat psychiatric patients with substance abuse comorbidity.


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