scholarly journals A Generation at Risk: The Impacts of Lebanon's Escalating Humanitarian Crisis on Children

2021 ◽  
Vol 9 ◽  
Author(s):  
Marian Abouzeid ◽  
Dana A. Halwani ◽  
Ali H. Mokdad ◽  
Rima R. Habib

Lebanon is in the midst of a rapidly escalating, unprecedented humanitarian crisis that is plunging the country deep into poverty and threatens population well-being, economic development, social welfare and national and regional stability. The dire situation is due to the compounding effects of the August 2020 Beirut blast, massive economic collapse and the COVID-19 pandemic, in a setting of longstanding entrenched political corruption and a dysfunctional, mismanaged crisis response by the state. This current emergency occurs on the background of a turbulent history and complex regional geopolitical context – including the Syrian refugee crisis, the ongoing influence of foreign actors and their local proxies, the United-States-imposed sanctions, endemic corruption, a culture of nepotism and entitlement among the political dynasties, dysfunctional power-sharing and deep-seated sectarian divides. With over half the population now living in poverty, a generation of children are among those at risk. This Perspective provides a brief overview of Lebanon's current complex humanitarian crisis, discusses the impacts of the evolving situation on youth and proposes a suite of recommendations to mitigate the effects.

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 772-773
Author(s):  
Rose Ann DiMaria-Ghalili ◽  
Connie Bales ◽  
Julie Locher

Abstract Food insecurity is an under-recognized geriatric syndrome that has extensive implications in the overall health and well-being of older adults. Understanding the impact of food insecurity in older adults is a first step in identifying at-risk populations and provides a framework for potential interventions in both hospital and community-based settings. This symposium will provide an overview of current prevalence rates of food insecurity using large population-based datasets. We will present a summary indicator that expands measurement to include the functional and social support limitations (e.g., community disability, social isolation, frailty, and being homebound), which disproportionately impact older adults, and in turn their rate and experience of food insecurity and inadequate food access. We will illustrate using an example of at-risk seniors the association between sarcopenia, the age-related loss of muscle mass and function, with rates of food security in the United States. The translational aspect of the symposium will then focus on identification of psychosocial and environmental risk factors including food insecurity in older veterans preparing for surgery within the Veterans Affairs Perioperative Optimization of Senior Health clinic. Gaining insights into the importance of food insecurity will lay the foundation for an intervention for food insecurity in the deep south. Our discussant will provide an overview of the implications of these results from a public health standpoint. By highlighting the importance of food insecurity, such data can potentially become a framework to allow policy makers to expand nutritional programs as a line of defense against hunger in this high-risk population.


2021 ◽  
Vol 123 (5) ◽  
pp. 1-30
Author(s):  
Oren Pizmony-Levy ◽  
Nancy Green Saraisky

Background/context One of the most prominent educational social movements in the United States during the past two decades has been the opt-out movement, in which parents and caregivers refuse to have their school-aged children sit for federally mandated tests. Although early responses by government officials framed the movement in terms of race, class, and gender, in truth we know little about the actual motivations that drive opt-out activists. We also know little about the extent to which the movement was affected by recent seismic changes in the political and policy spheres (e.g., the election of Donald J. Trump and the collapse of the Common Core State Standards). Purpose/objective In this study, we build on social movements theories to examine who was opting out and why, as well as whether these participants or their motivations changed over time. By doing so, we seek to build upon the existing literature by synthesizing the two primary theoretical perspectives on social movements and activism—uniting the focus on the social psychological determinants of individual activism with the focus on the role of external factors. Research design Our analysis is based on data from two waves of the National Survey on Opting Out. The first survey was conducted from January 20 to March 31, 2016 (n = 1,611); the second was conducted from March 7 to May 18, 2018 (n =1,298). The National Survey asked respondents to indicate the main reasons or motivations for their participation in the movement. With these data we use descriptive statistics and multivariate analysis to examine the extent to which participant motivations changed between 2016 and 2018. As part of this process we also examine the association between sociodemographic backgrounds and motivations. Findings/results The results of our analysis show both stability and change in the opt-out movement between 2016 and 2018. Although the data reveal certain sociodemographic changes in the composition of the movement, these changes in demographics do not fully account for shifts in activist motivations over time. We also find that much of the variation in motivation across key social categories (e.g., political ideology, teachers/nonteachers, and parents/nonparents) holds over time. Conclusions/discussion In contrast to common perceptions of the opt-out movement, which often portray parental concerns over their child's achievement as the predominant motivation for participation, our study reveals that activists in the movement indicate they are motivated by political and ethical ideas. Participants in the opt-out movement are more concerned with collective problems, such as the well-being of teachers, broad curriculum, and privatization of public education, than with individual challenges. Given the massive changes that took place in the political and policy spheres during our period of study, the degree to which activist motivation stayed constant is notable—suggesting that many of these motivations are insulated from politics.


The world is currently in the midst of unprecedented challenges—from the impacts of climate change and the humanitarian crisis of forced migration, to the rise of nationalism and epidemic growth of deaths of despair. These challenges require new approaches catalyzing communities, cities, and countries around the globe to embrace a well-being agenda to assess progress and guide solutions. Thus, this book provides ideas and guidance on advancing well-being locally, nationally, and internationally. It illuminates how diverse communities and cultures can work together to strengthen these efforts. Ultimately, the well-being framework offers an equity focus; a more human centered view of how things are going; holistic approaches; and interconnectedness. The goal here is to advance global dialogue and action on the well-being construct, and to inform the Robert Wood Johnson Foundation’s (RWJF) work with others to create a Culture of Health in the United States.


2019 ◽  
Vol 149 (2) ◽  
pp. 240-248 ◽  
Author(s):  
Emily L Tuthill ◽  
Lila A Sheira ◽  
Kartika Palar ◽  
Edward A Frongillo ◽  
Tracey E Wilson ◽  
...  

Abstract Background Food insecurity and mental health negatively affect the lives of women in the United States. Participants in the Women's Interagency HIV Study (WIHS) provided the opportunity to understand the association of food insecurity with depression and mental well-being over time. Objective We investigated the association between current and persistent food insecurity and depression among women at risk of or living with HIV in the United States. Methods We used longitudinal data from the WIHS, a prospective cohort study in women at risk of or living with HIV from multiple sites in the United States. Participants completed 6 semiannual assessments from 2013 to 2016 on food security (FS; high, marginal, low, and very low) and mental health (i.e., depressive symptoms and mental well-being). We used multiple regression analysis to estimate the association between these variables. Results Among 2551 participants, 44% were food insecure and 35% reported depressive symptoms indicative of probable depression. Current marginal, low, and very low FS were associated with 2.1-, 3.5-, and 5.5-point (all P < 0.001) higher depression scores, respectively. In models adjusting for both current and previous FS, previous marginal, low, and very low FS were associated with 0.2-, 0.93-, and 1.52-point higher scores, respectively (all P < 0.001). Women with very low FS at both time points (persistent food insecurity) had a 6.86-point higher depression score (P < 0.001). In the mental health models, there was a dose-response relation between current FS and worse mental health even when controlling for previous FS (all P < 0.001). Previous low FS was associated with worse mental health. These associations did not differ by HIV status. Conclusions Food insecurity placed women at risk of depression and poor mental well-being, but the risk was substantially higher for women experiencing persistent food insecurity. Future interventions to improve women's mental health call for multilevel components that include addressing food insecurity.


2018 ◽  
Vol 7 (8) ◽  
pp. 135
Author(s):  
Lisa Werkmeister Rozas ◽  
Jason Ostrander ◽  
Megan Feely

This article demonstrates how structural social work theory and critical consciousness development can be used to help facilitate a transition from a deficit model approach to an inequities perspective in a child welfare system that was working to improve the identification of and services for domestic minor sex trafficked youth (DMST). The response of Connecticut’s child welfare system to the issue of DMST is provided as an example of how a child welfare systems could apply an inequities perspective to a population involved in and at risk for exploitation. Structural social work theory helps illustrate how neo-liberalist social structures in the United States perpetuate and maintain social inequity based on race, gender, age, sexual orientation, and socio-economic status for youth at risk for DMST. Through critical consciousness development, youth can be recognized as victims of intersecting forms of oppression, rather than criminals. These theories can be combined to increase individual awareness of the risks and oppression of youth across the population, and to identify how child welfare services can be leveraged to decrease inequities and improve child well-being.


2018 ◽  
Vol 18 (3) ◽  
pp. 833-852 ◽  
Author(s):  
Asli Cennet Yalim ◽  
Isok Kim

Since 2011, the Syrian refugee crisis has resulted in a massive displacement of Syrians, inside and outside of Syria. The enormous psychosocial needs of displaced Syrians have been documented by various reports and studies. With expected arrivals of Syrian refugees resettling in the United States in the near future, the intensity of the challenges for both resettlement agencies and the Syrian refugees themselves are expected to increase. A literature review was conducted for publications produced between March 2011 and January 2017. Academic and grey literature were explored to provide an overview of the psychosocial well-being and cultural characteristics of Syrians. Additionally, current models were analyzed to identify future directions for social work practice. It is vital to understand the Syrian refugee crisis through a multidisciplinary lens. Responding to the challenges found among Syrians requires deliberate consideration for sociocultural, historical, and political issues that uniquely describe them and their contexts. Identifying psychosocial needs may facilitate other aspects of resettlement outcomes, such as employment, education, and social integration. Incorporating a holistic model that reflects trauma-informed and human rights perspectives into clinical as well as policy practices is critical for better overall resettlement outcomes for Syrian refugees, and refugee populations in general.


2021 ◽  
Vol 65 (1) ◽  
pp. 5-13
Author(s):  
V. Kuvaldin

The fairly common pandemic of the coronavirus has paralyzed the global world. The material damage it inflicted amounts to trillions of dollars. It is unclear how long it will take for humanity to overcome the consequences of the most serious socio-economic crisis after the World War II. The contours of the “new normal” after the pandemic are even vaguer. The “perfect storm” of the pandemic was created by a combination of three destructive forces: the coronavirus, the cyclical crisis of the economic conjuncture, and the nefarious trends of neoliberal globalization. The political practice of neoliberalism in recent decades, which has brought the world a number of significant achievements, has created a tangle of intractable contradictions in all areas of modern life. Both of its main drivers – capital accumulation on the basis of expanded reproduction and the global hegemony of the Anglo-Saxon elite – were called into question. Issues such as a more equitable distribution of the created wealth and expanding the membership of the elite club of global regulation are going to the forefront. At the same time, protecting the environment and preventing other cataclysms that threaten the well-being and even the very existence of mankind have become urgent imperatives of the political agenda. However, it seems that the world elite is not ready for a profound correction of the existing world order yet. The most likely scenario for the foreseeable future seems to be attempts, in one form or another, to return to the unconditional hegemony of the collective West under the aegis of the United States in world affairs. This portends a turbulent decade filled with conflicts of varying severity and duration. Although there is a fundamental possibility of another, much more positive scenario for the development of globalization processes. In it, the coordinated actions of national and global elites would focus on finding solutions to the most pressing problems of the world community, namely environmental protection, human rights upholding, the unhindered development of world trade, the prevention of pandemics, and the fight against terrorism.


Author(s):  
Mark J. Rozell ◽  
Clyde Wilcox

Federalism: A Very Short Introduction provides a concise overview of the principles and operations of federalism, the political system defined by power sharing between a national government and its subnational units, from its origins and evolution to the key events and constitutional decisions that have defined its framework. While the primary focus is on the United States, a comparative analysis of other federal systems, including those of Australia, Brazil, Canada, India, Nigeria, and Switzerland, is provided. The role of federal government is explained alongside the critical roles of state and local governments. This VSI also examines whether federal structures are viable in an era of increasingly centralized and authoritarian-style government.


Author(s):  
Michael Warner

Between 1917 and 1977, the United States created a massive and sophisticated intelligence establishment to inform the decisions of its leaders and facilitate the success of their policies. At the beginning, the nation's armed forces held crude notions of military intelligence. By 1977, the United States had the most sophisticated and expensive intelligence system. This rise of intelligence was the United States's response to three challenges: the growing willingness of states to hold non-combatants at risk for political ends; the startling increases in the ability of the states to wreak havoc; and the spiraling expenses in deterring enemies who possessed new powerful weapons. This article discusses the early development of the U.S. Intelligence in 1917 and its expansion to an “Intelligence Community” from 1977 onwards. It also discusses the influences on the development of American intelligence system and the political strains that come along with the development of the intelligence system.


Author(s):  
Mimi Abramovitz ◽  
Jennifer Zelnick

Neoliberalism emerged in the United States in the mid-1970s in response to the second economic crisis of the 20th century. Seeking to undo the New Deal enacted in response to the 1930s economic collapse, neoliberalism redistributes income upward and downsizes the state using tax cuts, budget cuts, privatization, devolution, and reducing the power of social movements. Privatization, a key neoliberal strategy, is typically understood as shifting responsibility for entitlement programs such as Social Security or Medicare from public to the private sector. Managerialism (i.e., the adoption of business principle and practices) refers to operationalization privatization within human service agencies. The growing dominance of managerialist productivity, accountability efficiency, and standardization has redefined the landscape of the human services The troubling impact on service provision, working conditions, and the well-being of human service workers leads us to ask if the social work mission will become a casualty of managerialism.


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