Métis older adults and the negotiation of nativeness

This chapter refers to community planners and local government decision makers that are acutely aware of the changing demographic character of North American communities. It examines the retirement of the baby boomer generation, which is projected that 20 percent of the North American population will be 65 years or older. It also recounts how the Age-Friendly Communities (AFC) movement acquired considerable policy and research traction since its launch by the World Health Organization (WHO) in 2007. The chapter discusses that the province of Ontario has made several incremental efforts to expand its AFC policy efforts based on three linked strategic policies and investments. It includes the launch of the Finding the Right Fit Age-Friendly Communities Planning Guide, the Ontario AFC Planning Grants Program, and funding for an AFC Outreach and Community Support Program.

Revitalisasi Posyandu sebagai upaya peningkatan kesehatan anak dan balita di Posyandu Manggis Kelurahan Karang Roto Semarang

AbstrakSustainable Development Goals (SDGs) tahun 2016 menempatkan kesehatan ibu dan anak sebagai indikator keberhasilan dalam pembangunan kesehatan. Posyandu merupakan Pelayanan kesehatan yang memungkinkan untuk memantau kesehatan ibu dan anak, karena mampu menjangkau seluruh masyarakat sampai ke pelosok wilayah. Data dan Informasi Kesehatan Indonesia 2018, di Jawa Tengah terdapat sebanyak 46.701 Posyandu, namun yang aktif melaksanakan kegiatan hanya 33.609 Posyandu (71,97%). Sehingga diperlukan revitalisasi posyandu yang bertujuan untuk meningkatkan fungsi dan kinerja Posyandu agar dapat memenuhi kebutuhan kesehatan masyarakat terutama anak dan balita. Program revitalisasi ini berbasis pemberdayaan, dan kader Posyandu sebagai mitranya. Kegiatan utama program revitalisasi posyandu meliputi, 1) Program pelatihan kompetensi kader, 2) Program pelayanan pokok Posyandu, dan 3) Program dukungan masyarakat. Hasil kegiatan menunjukkan kompetensi kader mengalami peningkatan meliputi pengetahuan tentang 5 program pokok posyandu, keterampilan melakukan pemeriksaan kesehatan balita, keterampilan membuat media penyuluhan kesehatan, keterampilan memberikan penyuluhan kesehatan, keterampilan melakukan kunjungan rumah, dan keterampilan melakukan pembukuan sistem informasi posyandu.�Kata kunci: kader; kesehatan anak dan balita; revitalisasi posyandu.��AbstractOne of the 2016 Sustainable Development Goals (SDGs) targets is maternal and child health as an indicator of success in health development. Posyandu is a health service that allows to monitor the health of mothers and children, being able to reach the whole community to remote areas. Indonesian Ministry of Health data for 2018, in Central Java there were 46,701 Posyandu, but only 33,609 Posyandu were active in carrying out activities (71.97%). So that the Posyandu Revitalization is needed which aims to improve the function and performance of Posyandu so that it can meet the health needs of the community, especially children and toddlers. This revitalization program is based on empowerment, and Posyandu cadres as partners. The main activities of the Posyandu revitalization program include, 1) Cadre competency training program, 2) Posyandu main service program, and 3) Community support program. The results of the activity showed that cadres' competencies had increased including knowledge of the five main posyandu programs, skills in conducting under-five health checks, skills in making health education media, skills in providing health education, skills in home visits, and skills in recording posyandu information systems.Keywords: cadres; child and toddler health; posyandu revitalization

Australia’s Private Refugee Sponsorship Program: Creating Complementary Pathways Or Privatising Humanitarianism?

This article provides the first history and critique of Australia’s private refugee sponsorship program, the Community Support Program (CSP). As more countries turn to community sponsorship of refugees as a means to fill the “resettlement gap,” Australia’s model provides a cautionary tale. The CSP, introduced in 2017, does not expand Australia’s overall resettlement commitment but instead takes places from within the existing humanitarian resettlement program. The Australian program charges sponsors exorbitant application fees, while simultaneously prioritizing refugees who are “job ready,” with English-language skills and ability to integrate quickly, undermining the principle of resettling the most vulnerable. As such, we argue that the CSP hijacks places from within Australia’s humanitarian program and represents a market-driven outsourcing and privatization of Australia’s refugee resettlement priorities and commitments.

Policy Effects for Forest Conservation and Local Livelihood Improvements in Vietnam: A Case Study of Bach Ma National Park

In 2012, the Vietnamese Government enacted “Decision 24” aiming at forest conservation and local development, incorporating the community support program in national park buffer zone to enhance the poor household livelihoods on the condition of reducing forest exploitation. In this program, the village submits an annual plan based on the needs of local people. To evaluate policy impacts, 1) provision of alternative job opportunity, 2) targeting the poor households, and 3) reducing frequency of incursion into national park, were examined. An interview was conducted on 95 households in the buffer zone of Bach Ma National Park. The achievements of the program depended on the village governance. There is a case of inappropriate policy selection that non-incursion HHs were selected and got benefits. It is important that the authority pays attention to not only the local people’s demands but also their management abilities, production conditions, and access to technical support.

Using Smartphone Apps to Promote Psychiatric Rehabilitation in a Peer-Led Community Support Program: Pilot Study

Background Management of severe and persistent mental illness is a complex, resource-intensive challenge for individuals, their families, treaters, and the health care system at large. Community-based rehabilitation, in which peer specialists provide support for individuals managing their own condition, has demonstrated effectiveness but has only been implemented in specialty centers. It remains unclear how the peer-based community rehabilitation model could be expanded, given that it requires significant resources to both establish and maintain. Objective Here, we describe the results from a study of one such program implemented within Waverley Place, a community support program at McLean Hospital, emphasizing psychiatric rehabilitation for individuals with severe and persistent mental illness, as well as describing the challenges encountered during the implementation of the program. Key questions were whether the patients could, and would, successfully use the app. Methods The smartphone app offered multiple features relevant to psychiatric rehabilitation, including daily task lists, activity tracking, and text messaging with peer specialists. A 90-day program of activities, goals, and content specific to the community support program was created on the basis of a prior pilot, in collaboration between members of the app development team (WellFrame), and peers, clinical, and research staff associated with the program. Hospital research staff recruited patients into the study, monitored peer and patient engagement, and handled all raw data acquired from the study. Results Of 100 people approached for the study, a total of 13 provided consent, of which 10 downloaded and used the app. Two patients were unable to complete the app installation. Five used the app regularly as part of their daily lives for at least 20 days of the 90-day program. We were unable to identify any specific factors (eg, clinical or demographic) that affected willingness to consent or engage with the app platform in the very limited sample, although the individuals with significant app use were generally satisfied with the experience. Conclusions Smartphone apps may become a useful tool for psychiatric rehabilitation, addressing both psychiatric and co-occurring medical problems. Individualizing functions to each patient and facilitating connection with a certified peer specialist may be an important feature of useful apps. Unlike prior reports emphasizing that patients with schizophrenia will adopt smartphone platforms, we found that implementation of digital tools into existing community support programs for severe and persistent mental illness has many challenges yet to be fully overcome to realize the potential benefits such apps could have to promote systematization and cost reduction for psychiatric rehabilitation.

Using Smartphone Apps to Promote Psychiatric Rehabilitation in a Peer-led Community Support Program (Preprint)

BACKGROUND Management of severe and persistent mental illness is a complex, resource-intensive challenge for individuals, their families, their treaters, and the healthcare system at large. Community based rehabilitation, in which peer specialists provide support for individuals managing their own condition, has demonstrated effectiveness, but has only been implemented in specialty centers. It remains unclear how the peer based community rehabilitation model could be expanded, given that it requires significant resources to both establish and maintain. OBJECTIVE Here, we describe the results from a study of one such program implemented within Waverley Place, a community support program at McLean Hospital emphasizing psychiatric rehabilitation for individuals with severe and persistent mental illness. Key questions were whether the patients could and would successfully use the app. METHODS The smartphone app offered multiple features relevant to psychiatric rehabilitation, including daily task lists and text messaging with peer specialists. Thirteen patients downloaded the app and used it for up to 90 days. RESULTS Only two patients were not able to complete app installation. Five patients were able to use the app regularly as part of their daily lives. No demographic or clinical features predicted ability to use the app in this way, but receiving a message from the certified peer specialist on the first day after installing the app did. Reasons for success or failure were highly individualistic. CONCLUSIONS Smartphone apps may become a useful tool for psychiatric rehabilitation, addressing both psychiatric and co-occurring medical problems. Individualizing functions to each patient and facilitating connection with a certified peer specialist may be an important feature of useful apps.