Delivering collaborative mental health care within supportive housing: implementation evaluation of a community-hospital partnership

Background Approaches to address unmet mental health care needs in supportive housing settings are needed. Collaborative approaches to delivering psychiatric care have robust evidence in multiple settings, however such approaches have not been adequately studied in housing settings. This study evaluates the implementation of a shifted outpatient collaborative care initiative in which a psychiatrist was added to existing housing, community mental health, and primary care supports in a women-centered supportive housing complex in Toronto, Canada. Methods The initiative was designed and implemented by stakeholders from an academic hospital and from community housing and mental health agencies. Program activities comprised multidisciplinary support for tenants (e.g. multidisciplinary care teams, case conferences), tenant engagement (psychoeducation sessions), and staff capacity-building (e.g. formal trainings, informal ad hoc questions). This mixed methods implementation evaluation sought to understand (1) program activity delivery including satisfaction with these activities, (2) consistency with team-based tenant-centered care and with pre-specified shared lenses (trauma-informed, culturally safe, harm reduction), and (3) facilitators and barriers to implementation over a one-year period. Quantitative data included reporting of program activity delivery (weekly and monthly), staff surveys, and tenant surveys (post-group surveys following tenant psychoeducation groups and an all-tenant survey). Qualitative data included focus groups with staff and stakeholders, program documents, and free-text survey responses. Results All three program activity domains (multidisciplinary supports, tenant engagement, staff capacity-building) were successfully implemented. Main program activities were multidisciplinary case conferences, direct psychiatric consultation, tenant psychoeducation sessions, formal staff training, and informal staff support. Psychoeducation for tenants and informal/formal staff support were particularly valued. Most activities were team-based. Of the shared lenses, trauma-informed care was the most consistently implemented. Facilitators to implementation were shared lenses, psychiatrist characteristics, shared time/space, balance between structure and flexibility, building trust, logistical support, and the embedded evaluation. Barriers were that the initial model was driven by leadership, confusion in initial processes, different workflows across organizations, and staff turnover; where possible, iterative changes were implemented to address barriers. Conclusions This evaluation highlights the process of successfully implementing a shifted outpatient collaborative mental health care initiative in supportive housing. Further work is warranted to evaluate whether collaborative care adaptations in supportive housing settings lead to improvements in tenant- and program-level outcomes.

Good Ideas Archive

Cities of Migration was founded on a compilation of blog stories on good practices and policy solutions from global cities. The library of Good Ideas contains more than 325 profiles of promising practices, collected from 160 cities in 25 different countries. Good Ideas included successful city-level initiatives (either a program, activity or strategy) that was considered innovative, practical and exportable.

Good Ideas Archive

Cities of Migration was founded on a compilation of blog stories on good practices and policy solutions from global cities. The library of Good Ideas contains more than 325 profiles of promising practices, collected from 160 cities in 25 different countries. Good Ideas included successful city-level initiatives (either a program, activity or strategy) that was considered innovative, practical and exportable.

PELATIHAN EFEKTIFITAS OPERASIONALISASI PEMBERKASAN SURAT BAGI PEGAWAI DI KANTOR KEPALA DESA CITERAS KEC. RANGKASBITUNG KAB. LEBAK -- BANTEN

Each company must manage the administration of existing letters in the company / office effectively so that it does not interfere with company operations. Procedures are a series of tasks that are integrated in an integrated manner with one another.Citeras village office employees have an important role in serving the administrative needs of the Citeras village community for writing correspondence to and from various institutions, the general public and organizations. Many letters are made and received by village office employees that require structuring, filing and filing letters / documents so that they can be neatly and well organized.The method of implementing this community partnership program activity is the method of participation, namely collaboration between the service team and Citeras village officials. This method is used so that partners can apply it at the village office after training on filing of letter / document archives at the village office so that administration at the village office is neatly organized and there is no difficulty finding the required incoming or outgoing mail archives.Assistance to village office employees is carried out so that the skills of village office employees can increase, this can be seen from the results of the questionnaire and the neat and good administration of the village office. It is hoped that a good administrative arrangement can be maintained so that the community can be served as expected by the government, namely providing the best for the community.

PENGEMBANGAN HUNIAN DAN PERTANIAN VERTIKAL DI BOGOR DENGAN PENDEKATAN DESAIN BERBASIS PERILAKU

Future Farmer’s Dwelling in Bogor is a new typology which is the result of unification of two main program activity. The project which is located in Bogor, is a new kind of typology in the field of agriculture. The agricultural sector in Indonesia still use the traditional methods although there have been many developments that have occurred in agriculture field, but those advancements have not been implemented yet. As designing this project, the design method used is behavior-based architecture where the method is aimed to understand the behavioral habits of building users. As for the design strategies such as implementation of the newest methods and technology in agriculture like the efficiency of land area with the use of vertical farming methods, to save the amounts of water being used through hydroponic techniques which are also assisted by technology such as automatic regulation of water use which can be timed through a device. It is hoped that from the combination of all the methods can make an improvement for farmers productivity. Keywords: Farmers dwelling; Vertical Farming; Behavior; Hydroponic; Agriculture TechnologyAbstrakHunian Petani Massa Depan di Bogor merupakan sebuah bentuk tipologi baru yang berasal dari penggabungan dua buah program kegiatan utama. Proyek yang berlokasi di Bogor ini merupakan sebuah hal yang baru dalam bidang hunian dan agrikultur. Bidang agrikultur di Indonesia mayoritas masih menggunakan metode dan cara tradisional dalam prakteknya walaupun sudah banyak perkembangan-perkembangan yang sudah terjadi dalam bidang tersebut namun kemajuan ini masih belum fasih diterapkan di seluruh Indonesia. Metode perancangan yang digunakan adalah arsitektur berdasar perilaku dimana dengan metode tersebut ditujukan untuk memahami kebiasaan perilaku dari calon pengguna bangunan. Adanya strategi desain berupa penerapan perkembangan metode dan teknologi di bidang agrikultur seperti penggunaan luas lahan yang efisien dengan metode pertanian vertikal, penggunaan jumlah air yang efisien melalui teknik hidroponik yang juga dibantu teknologi seperti pengaturan otomatis penggunaan air yang dapat diautur waktunya melalui sebuah perangkat. Diharapkan agar perpaduan tersebut dapat meningkatkan produktivitas dari para petani yang menggunakan fasilitas pada proyek ini.

Neuropsychological Aspects of Dysorthography

The article covers the findings of the comparative combined neuropsychological and logopedic study of 150 comprehensive school children studying in the third grade. Some of the children experienced persistent difficulties in acquiring orthography skills. To determine to what extent spelling errors are attributed to ill-formed morphofunctional cerebral systems the authors ado­pted several forms of statistical analysis. It was discovered that a number of aspects of brain function, as well as the range of functional indicators correlating with spelling errors, differ in children with higher and lower level of orthography (spelling) competence, difference being especially evident in boys. All types of spelling errors demonstrated correlation with decreased level of program activity organization.

The critical friend – a way to develop as a tutor in problem-based learning groups

Tutors in problem-based learning (PBL) need to reflect on their role, to prevent stagnation. We aimed to explore the learning experiences of tutors gained by being and having a critical friend in a PBL group. Eight teachers, from several professional programs at the Faculty of Medicine of a Swedish university, participated in a cross-program activity involving the being and having a critical friend to improve their skills as PBL group tutors. They were individually interviewed, and the transcriptions were subjected to conventional qualitative content analysis. The results revealed that a critical friend from another discipline can be useful and that experiences from both roles, to be and to have a critical friend, is necessary for reflection and learning, and thus optimal results. We conclude that support from the organisation, knowledge sharing, and communication are required to enable a systematic use of critical friends to be implemented with credibility.