Poverty and Disability: Toward a New Framework for Community Mental Health

1990 ◽  
Vol 9 (2) ◽  
pp. 97-109 ◽  
Author(s):  
Marcia H. Rioux ◽  
Cameron Crawford

Canadians who have disabilities are generally poor and have little if any significant attachment to the paid labour force. Income level and work have both been identified as critical factors in health and mental health. This article critically examines some of the key systemic factors responsible for the close bond that fuses disability, low participation in employment, and poverty. It outlines alternative principles for policy and program design, and examines in some detail the concrete implications of these principles as applied to the area of income programming. These alternatives could, it is argued, contribute to more inclusive workplaces and to an income system around disability that is more rational and equitable.

2012 ◽  
Vol 28 (4) ◽  
pp. 255-261 ◽  
Author(s):  
Sabine Loos ◽  
Reinhold Kilian ◽  
Thomas Becker ◽  
Birgit Janssen ◽  
Harald Freyberger ◽  
...  

Objective: There are presently no instruments available in German language to assess the therapeutic relationship in psychiatric care. This study validates the German version of the Scale to Assess the Therapeutic Relationship in Community Mental Health Care (D-STAR). Method: 460 persons with severe mental illness and 154 clinicians who had participated in a multicenter RCT testing a discharge planning intervention completed the D-STAR. Psychometric properties were established via item analysis, analyses of missing values, internal consistency, and confirmatory factor analysis. Furthermore, convergent validity was scrutinized via calculating correlations of the D-STAR scales with two measures of treatment satisfaction. Results: As in the original English version, fit indices of a 3-factor model of the therapeutic relationship were only moderate. However, the feasibility and internal consistency of the D-STAR was good, and correlations with other measures suggested reasonable convergent validity. Conclusions: The psychometric properties of the D-STAR are acceptable. Its use can be recommended in German-speaking countries to assess the therapeutic relationship in both routine care and research.


1976 ◽  
Vol 21 (10) ◽  
pp. 705-706
Author(s):  
BONNIE SPRING

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