scholarly journals Personal and organizational predictors of service provision for refugees

2018 ◽  
Author(s):  
◽  
Eunyoung Jang
Keyword(s):  
Organizational Culture ◽  
Cultural Competence ◽  
Service Provision ◽  
Service Providers ◽  
The United States ◽  
Mediation Effect ◽  
Refugee Resettlement ◽  
Community Resources ◽  
Personal Factors ◽  
Study Participants

This cross-sectional research study examined related predictors such as knowledge of refugees, familiarity with community resources, cultural competence, and organizational culture factors associated with service provision for refugees among a sample of service providers. Three theories/models provided the theoretical framework-- the gateway provider model (Stiffman, Pescosolido, and Cabassa, 2004), cultural competence model (Schim, Doorenbos, and Borse, 2005; Suarez-Balcazar et al., 2011), and organizational theory (Glisson et al., 2008a; Glisson et al., 2008b). This study aimed to 1) describe the characteristics of a sample of refugee service providers, and 2) examine how service providers' personal factors and organizational culture factors are associated with service provision. One hundred seventy refugee service providers across the United States completed an online survey. Descriptive statistics, bivariate analysis, multiple regression analysis, and mediation analysis were employed to address four research questions and related hypotheses. Seventy-five point three percent of study participants were white and 81.5% were female. The age of subjects ranged from 23 to 75 years of age. Most (60%) of the study participants completed a graduate degree or higher and 86.3% of participants had not been a refugee before. Further, 62.3% of study participants were employed in a refugee resettlement related job. Most of the respondents worked in the Midwest (35.6%) and South (36.3%) regions. The vast majority of participants (84.9%) were working at a refugee resettlement agency. The major findings indicated that service providers' personal factors (i.e., knowledge of refugees, familiarity with community resources, and cultural competence) were significantly associated with overall service provided and referrals as well as each domain of service provided and referrals. Proficient organizational culture was positively associated with service provided and referrals, and constantly rigid organizational culture was negatively associated with service provided and referrals. Cultural competence behavior had a mediation effect on the association between service providers' familiarity with community resources and service provision. In addition, cultural competence behavior had a mediation effect on the association between service providers' work experiences and service provision. The findings provide important insights for refugee service providers, refugee service organizations, researchers, and policy makers for improving refugee service by developing a cultural competence training program and an online networking system.

Growing Older with an Intellectual Disability

2000 ◽  
Vol 6 (2) ◽  
pp. 57-66
Author(s):  
Lindsay Gething
Keyword(s):  
Quality Of Life ◽  
Intellectual Disability ◽  
Service Provision ◽  
Service Providers ◽  
Family Care ◽  
Well Being ◽  
The United States ◽  
Aged Care ◽  
Policy And Practice

Both the life expectancy and numbers of older people with intellectual disabilities are growing. Until recently, ageing with a disability had not been a major consideration for Australian policy makers and service providers. The situation was similar in countries such as the United States of America and United Kingdom where, unlike aged care, disability policy and practice had not evolved to meet needs. Ageing with long standing disability has now been specified by the Australian government as a priority area. This paper reports results of consultations held with consumers, their organisations, service providers and government in order to explore quality of life and service provision issues for people with long standing disabilities. It reports these issues and uses themes emerging from consultations to structure previously published information specifically related to ageing with an intellectual disability. Seven broad themes are discussed which relate to: life experiences; attitudes, skills and knowledge of consumers; attitudes skills and knowledge of community and service providers, the nature of service provision; the ageing of family care givers; financial security; and ageing in place. It is concluded that disadvantages and barriers experienced throughout life influence well being and quality of life in old age.

Commuter Rail, Freight Railroads, and the Open Access Debate

2000 ◽  
Vol 1704 (1) ◽  
pp. 35-41 ◽  
Author(s):  
John G. Allen
Keyword(s):  
Open Access ◽  
Service Provision ◽  
Service Providers ◽  
Metropolitan Areas ◽  
The United States ◽  
Fundamental Change ◽  
Rail Freight ◽  
Commuter Rail ◽  
Rail Industry ◽  
The U.S

The future of the U.S. commuter rail industry is inextricably linked to that of the freight railroads. Because of recent mergers and associated operating issues, some shipper interests are seeking fundamental change in the organization of freight railroading. Under proposals for open access, railroads judged to be abusing a monopolistic position or providing inadequate service would be required to accommodate competing operators. As in the telecommunications and natural gas industries, infrastructure and service provision would be disaggregated and rail freight shippers could choose among different railroads. Open access is expected to lead to greater volatility in freight scheduling, as bulk shippers change service providers to maximize their commercial advantage. With freight railroads already at capacity in several metropolitan areas, open access would probably exacerbate capacity problems. The possible effects on commuter operations in Washington, D.C., and Chicago are analyzed. If the United States moves toward some form of open access, commuter railroads must ensure that their operating rights are fully preserved, especially during rush hours.

scholarly journals ‘Scrambling to figure out what to do’: a mixed method analysis of COVID-19’s impact on sexual and reproductive health and rights in the United States

2021 ◽  
pp. bmjsrh-2021-201081
Author(s):  
Malia Maier ◽  
Goleen Samari ◽  
Jennifer Ostrowski ◽  
Clarisa Bencomo ◽  
Terry McGovern
Keyword(s):  
United States ◽  
Reproductive Health ◽  
Mixed Method ◽  
Service Provision ◽  
Local Governments ◽  
Sexual And Reproductive Health ◽  
Service Providers ◽  
The United States ◽  
Service Utilisation ◽  
Preparedness Planning

ObjectiveA weak and politicised COVID-19 pandemic response in the United States (US) that failed to prioritise sexual and reproductive health and rights (SRHR) overlaid longstanding SRHR inequities. In this study we investigated how COVID-19 affected SRHR service provision in the US during the first 6 months of the pandemic.MethodsWe used a multiphase, three-part, mixed method approach incorporating: (1) a comprehensive review of state-by-state emergency response policies that mapped state-level actions to protect or suspend SRHR services including abortion, (2) a survey of SRHR service providers (n=40) in a sample of 10 states that either protected or suspended services and (3) in-depth interviews (n=15) with SRHR service providers and advocacy organisations.ResultsTwenty-one states designated some or all SRHR services as essential and therefore exempt from emergency restrictions. Protections, however, varied by state and were not always comprehensive. Fourteen states acted to suspend abortion. Five cross-cutting themes surrounding COVID-19’s impact on SRHR services emerged across the survey and interviews: reductions in SRHR service provision; shifts in service utilisation; infrastructural impacts; the critical role of state and local governments; and exacerbation of SRHR inequities for certain groups.ConclusionsThis study demonstrates serious disruptions to the provision of SRHR care that exacerbated existing SRHR inequities. The presence or absence of policy protections for SRHR services had critical implications for providers and patients. Policymakers and service providers must prioritise and integrate SRHR into emergency preparedness planning and implementation, with earmarked funding and tailored service delivery for historically oppressed groups.

Urban African American Girls at Risk: An Exploratory Study of Service Needs and Provision

2010 ◽  
Vol 8 (3) ◽  
pp. 250-265 ◽  
Author(s):  
Sarah Jane Brubaker ◽  
Kristan C. Fox
Keyword(s):  
African American ◽  
Service Provision ◽  
Justice System ◽  
Juvenile Justice System ◽  
Service Providers ◽  
The United States ◽  
Service Needs ◽  
African American Girls ◽  
Race And Gender ◽  
And Gender

Although much has been gained from efforts to document and improve upon race and gender bias within the juvenile justice system, research continues to overlook the importance of service provision, particularly in terms of race and gender differences and inequities. Research focusing on urban African American girls, in particular, remains sparse. This article contributes to these neglected areas by presenting findings from an exploratory, qualitative study of service providers in a southeastern city in the United States. The findings are based on providers’ perceptions of the major problems and needs of the African American girls they serve, as well as of the strengths, weaknesses, and challenges of the programs and services they provide.

Global problem, local solutions: Challenges to exiting commercial sexual exploitation and service provision

2017 ◽  
Vol 62 (2) ◽  
pp. 741-753 ◽  
Author(s):  
Bincy Wilson
Keyword(s):  
Best Practices ◽  
Service Provision ◽  
Service Providers ◽  
Sexual Exploitation ◽  
The United States ◽  
Commercial Sexual Exploitation ◽  
Local Solutions ◽  
Using Data ◽  
Different Cultures ◽  
Insight Into

This article explores the challenges (barriers and needs) in exit from commercial sexual exploitation and its implications on service provision across different cultures, using data gathered from 55 service providers in India and the United States. The findings provide an insight into the societal nuances of the exit phenomenon, where the similarities reflect the ubiquitous nature of exploitation and the differences reflect the distinct cultural outlook within each society. The learning would initiate development/modification of interventions that are culturally sensitive and appropriate while sharing knowledge of best practices, thereby helping to make a real impact in the lives of those affected.

scholarly journals Working towards Culturally Responsive Trauma-Informed Care in the Refugee Resettlement Process: Qualitative Inquiry with Refugee-Serving Professionals in the United States

2021 ◽  
Vol 11 (11) ◽  
pp. 155
Author(s):  
Hyojin Im ◽  
Laura E. T. Swan
Keyword(s):  
Mental Health ◽  
United States ◽  
Culturally Responsive ◽  
Service Providers ◽  
The United States ◽  
Qualitative Inquiry ◽  
Refugee Resettlement ◽  
Trauma Informed Care ◽  
Trauma Informed ◽  
Resettlement Programs

Trauma-informed care (TIC) approaches have gained popularity in various contexts of human services over the past decades. However, relatively little has been explored about how it is applicable and built into services for refugee populations in resettlement programs. This study explores the current status of the application of TIC in refugee-serving agencies and identifies perceived and experienced challenges and opportunities for culturally responsive TIC in the United States. As designed as part of the evaluation of state-wide refugee health promotion programs, this study conducted individual interviews with 78 refugee service providers from five resettlement sites. Despite the burgeoning interest and attempt to embrace TIC, our findings show that there is clear inconsistency and inexperience in TIC adaptation in resettlement programs. This study highlights that TIC that is culturally responsive and relevant to refugee trauma and acculturation experiences is a vital way to address the chasms between refugee-specific programs and mainstream services including mental health care systems. This study also discusses community resources and opportunities to bridge the deep divide and substantial gaps between mental health services and refugee resettlement services and to address comprehensive needs around mental health and wellness in the refugee community.

Facilitators of Formal Help-Seeking for Adult Survivors of IPV in the United States: A Systematic Review

2021 ◽  
pp. 152483802199595
Author(s):  
Kristen E. Ravi ◽  
Sarah R. Robinson ◽  
Rachel Voth Schrag
Keyword(s):  
United States ◽  
Systematic Review ◽  
Partner Violence ◽  
Help Seeking ◽  
Service Providers ◽  
Middle Eastern ◽  
Adult Survivors ◽  
The United States ◽  
Personal Factors ◽  
Formal Services

A survivor’s decision to engage with formal services for experiences of intimate partner violence (IPV) is influenced by factors at the individual, interpersonal, and sociocultural levels. Understanding factors that facilitate survivors’ choice to seek services could be beneficial to formal service providers including community agencies, health professionals, and the criminal justice system, providing guidance toward the development and implementation of accessible services for survivors of IPV. This systematic review of the literature aims to identify key factors that facilitate survivors’ formal help-seeking. Ten electronic databases were searched for key terms related to help-seeking from formal services and facilitators of formal help-seeking. Articles were included in the review if the studies were conducted in the United States, focused on adults with experiences of IPV, and discussed facilitators of formal help-seeking. A total of 1,155 studies were initially identified, and after screening, 24 were included in the review. Seven factors were identified including provider knowledge, support, accessibility, desire to provide protection and to prevent future violence, and other factors such as knoweldge of and desire for services, policy factors, and personal factors. Findings demonstrate a need for more research on the facilitators of help-seeking among East Asian, South Asian, and Middle Eastern survivors living in the United States, as well as male-identified, trans, and gender nonconforming survivors. The review also indicates a need for culturally sensitive and accessible services that support survivors and the importance of raising awareness of the services and resources available for survivors.

A self-assessment tool for healthcare and social service provision in French: What use for managers?

2020 ◽  
Vol 33 (6) ◽  
pp. 265-270
Author(s):  
Sébastien Savard ◽  
Jacinthe Savard ◽  
Solange van Kemenade ◽  
Josée Benoît ◽  
Michelle Tabor
Keyword(s):  
Social Services ◽  
Service Provision ◽  
Assessment Tool ◽  
Service Providers ◽  
French Language ◽  
Community Resources ◽  
Self Assessment ◽  
Minority Community ◽  
Francophone Minority ◽  
The Continuum

Language is an important determinant of health, and lack of access to quality, linguistically adapted healthcare and social services negatively impacts users. Besides the lack of bilingual resources, our previous research on Francophone minority community seniors’ trajectories through these services shed light on important and nonobvious challenges currently faced by organizations offering healthcare and social services to this population. Current service provision appeared limited due to organizations working in silos with suboptimally used resources for integrating active offer of French language services throughout the continuum of care. This situation led our team to create the Organizational and Community Resources Self-Assessment Tool for Active Offer and Continuity of French Language Healthcare and Social Services, which is intended to help managers and service providers promote and facilitate the integration of active offer throughout the continuum of service provision. This article describes the Tool’s creation, content validation, and pilot-testing.

scholarly journals Factors Related to Early Termination From Work for Youth With Disabilities

2014 ◽  
Vol 20 (2) ◽  
pp. 100-113
Author(s):  
Roxanna N. Pebdani
Keyword(s):  
Young Adults ◽  
Asian American ◽  
Service Providers ◽  
The United States ◽  
School To Work ◽  
Early Termination ◽  
Personal Factors ◽  
Adults With Disabilities ◽  
Work Transition ◽  
Supplemental Services

This study of young adults with disabilities in transition explored what factors contributed to young adults with disabilities terminating early from a transition program. Data from 6,227 young adults with disabilities aged 17–22 living in one of eight major metropolitan areas in the United States were utilised (58.7% of the sample were male, 63.1% were African-American, and 71.4% had a learning disability). All participants were enrolled in a school-to-work transition programme in which service providers place students into paid internships. Service providers at the eight sites collected data while working with participants, and then collected follow-up data at three and twelve months post-programme completion or termination. Hierarchical Linear Modelling was used to explore how personal factors impacted early termination, while controlling for variation at the site level. Results showed the three main reasons for early termination from work to be: programme initiated termination, interpersonal conflicts with coworkers or supervisors and transportation issues. Additionally, the multilevel model that controlled for variance at the site level demonstrated that Asian-American young adults with disabilities were less likely to terminate early from work. These results can help individuals who work with young adults with disabilities, provide supplemental services to students who may need additional assistance to succeed in a transition programme.

scholarly journals Measuring the Cultural Competence of Latinx Domestic Violence Service Organizations

2021 ◽  
pp. 088626052110256
Author(s):  
Christopher J. Wretman ◽  
Cynthia Fraga Rizo ◽  
Jeongsuk Kim ◽  
Carolina Alzuru ◽  
Deena Fulton ◽  
...  
Keyword(s):  
Domestic Violence ◽  
Cultural Competence ◽  
Service Provision ◽  
Convergent Validity ◽  
The United States ◽  
Cross Sectional Study ◽  
Health Concern ◽  
Negative Consequences ◽  
Cross Sectional ◽  
Provision Of Services

Domestic violence (DV) represents a significant public health concern in the United States, including among Latinx populations. Despite the negative consequences associated with experiencing DV, research has shown that Latinx DV survivors may be less likely than others to utilize important services. One potential barrier is cultural competence (CC) in the provision of services specific to Latinx survivors among DV organizations. Thus, a beneficial addition to the field of DV service provision for such survivors is a better understanding and measurement of CC for this unique population. The exploratory, cross-sectional study herein presents the development and evaluation of a novel instrument for measuring the CC of DV organizations. Exploratory factor analysis was used on a purposive sample of 76 organizations in North Carolina who completed a comprehensive survey on their characteristics, practices, norms, and values. Psychometric results found best support for a 29-item, 4-factor bifactor model with both a general CC factor as well as three sub-factors. The general scale was named “General Cultural Competence,” while the three sub-scales were named “Organizational Values and Procedures,” “Latinx Knowledge and Inclusion,” and “Latinx DV Knowledge.” The final measure also demonstrated convergent validity with key organizational characteristics. Overall, higher CC scores were associated with organizations having more DV services in Spanish, a higher percentage of staff attending CC training, a higher percentage of staff attending Latinx service provision training, and a medium or greater presence in the Latinx community, and a moderate or stronger relationship with the Latinx community. The development of this measure is particularly useful in addressing knowledge gaps regarding the measurement of CC for Latinx DV services. Implications have importance for both the measurement of organizational CC and the scope of the measure’s associations with organizational, provider, and client outcomes.

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