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Article
Publication date: 28 March 2022

Ashley J. Maister, Caitlin McCarthy, Lee G. Ruszczyk, Rachael Evans and Megan E. Maroney

Integrated health care occurs when specialty and general care providers work together to address both the physical and mental health needs of their patients. The Substance Abuse…

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Abstract

Purpose

Integrated health care occurs when specialty and general care providers work together to address both the physical and mental health needs of their patients. The Substance Abuse and Mental Health Services Administration model of integration is broken into six levels of coordinated, co-located and integrated care. Our institution offers both co-located and integrated care among eight clinic sites. The care team is typically composed of the primary care provider, nurse and medical assistant, but other professionals may be introduced based on the patient’s medical and psychiatric conditions. The purpose of this prospective, quality improvement study was to compare the rates of adherence to long-acting injectable antipsychotics (LAIAs) between both types of integrated primary care settings at our institution. The comparison of the two settings sought to determine which environment provides improved outcomes for patients with serious psychiatric illnesses. Additionally, we aimed to assess the quality of medication-related monitoring and care team composition between care settings, and the ability of pharmacists to deliver interprofessional care team training and education on LAI use in clinical practice.

Design/methodology/approach

Subjects were identified and included in the study if they had received primary care services from our institution within the previous 12 months. Patient demographic and laboratory variables were collected at baseline and when clinically indicated. The rates of adherence between care settings were assessed at intervals that align with the medication’s administration schedule (e.g. every four weeks). Medication-related monitoring parameters were collected at baseline and when clinically indicated. The interprofessional care team completed Likert scale surveys to evaluate the pharmacist’s LAIA education and training.

Findings

There was not a statistically significant difference detected between integrated primary care settings on the rates of adherence to LAIAs. Additionally, there was not a statistically significant difference between rates of adherence to medication-related monitoring parameters or the effect of the patient treatment team composition. There was a statistically significant difference between pre- and post-session survey scores following interprofessional education and training provided by a pharmacist.

Originality/value

Because overall rates of adherence were low, both primary care settings were found to be equivalent. Our study may have been underpowered to detect a difference in the primary endpoint because of the small sample size. However, our study demonstrates that interprofessional education and training may lend itself to changes in practice, which is evident by the clinically significant relative increase in adherence. The Henry J. Austin Health Center network will be implementing a standard operating procedure regarding LAIA management within the primary care setting. Further studies are needed to assess a larger number of patients between both types of primary care settings, as well as the impact of the clinical psychiatric pharmacist as a member of the treatment team.

Details

Journal of Integrated Care, vol. 30 no. 3
Type: Research Article
ISSN: 1476-9018

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Book part
Publication date: 10 July 2019

Ruth M. López, Jaime L. Del Razo and Jaein J. Lee

Grounded in ethnic identity theory, critical race theory (CRT) and critical discourse analysis (CDA), this chapter’s objective is to demonstrate the role of news media in the…

Abstract

Grounded in ethnic identity theory, critical race theory (CRT) and critical discourse analysis (CDA), this chapter’s objective is to demonstrate the role of news media in the (mis)construction of the identity formation of undocumented youth and the resulting implications of this (mis)construction within the field of education. This study uses mixed methods that include a CDA of Spanish and English language evening television news reports about the Development, Relief, and Education for Alien Minors Act of 2010, and qualitative analysis of interviews with undocumented youth. The implications for undocumented youth traverse from greater society and into schools, and we argue that education leaders must actively challenge and disrupt the (mis)constructions in direct and intentional ways. We provide a theoretical argument and practical steps for how education leaders can support undocumented youth in their communities.

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Article
Publication date: 29 November 2023

Philipp Ulbrich, André Vinicius Leal Sobral, Luis Alejandro Rivera-Flórez, Edna Margarita Rodríguez-Gaviria, Jon Coaffee, Victor Marchezini and João Porto de Albuquerque

Disasters continue to be most prevalent and severe for marginalised communities. To reach those furthest behind first, as the global community pledges in the 2030 Agenda, a…

166

Abstract

Purpose

Disasters continue to be most prevalent and severe for marginalised communities. To reach those furthest behind first, as the global community pledges in the 2030 Agenda, a critical assessment of equity in disaster risk governance is necessary. Yet, the understanding of factors that mediate the capacity of the governance processes to achieve equity ambitions is limited. This paper addresses this gap by proposing and testing a conceptual framework to assess equity in disaster risk governance.

Design/methodology/approach

The framework analyses the extent to which institutional relationships and data in risk governance support inclusion and diversity of voice and enable the equitable engagement of communities. The study applied the framework to key risk policies across governance levels in Brazil and Colombia.

Findings

The study finds that institutional awareness of cross-sectoral and -scalar coordination clearly exists. Yet, the engagement of actors further down the governance scale is framed reactively at all scales in both countries. The analysis of the risk data practices indicates that although data integration and sharing are key policy priorities, the policies frame the relations of disaster risk data actors as hierarchical, with data needs determined from the top down.

Originality/value

A key contribution of this framework is that its equity view results in a nuanced analysis, thus pointing to the differences between the two countries concerning the factors that mediate these challenges and providing specific entry points for strengthening equity in risk governance policies.

Details

Disaster Prevention and Management: An International Journal, vol. 32 no. 4/5
Type: Research Article
ISSN: 0965-3562

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Article
Publication date: 13 March 2019

Haorui Wu and Chaoping Hou

The protection of traditional grassroots place-making knowledge and skills that comprise valuable intangible heritage has not been attracting enough attention in the field of…

787

Abstract

Purpose

The protection of traditional grassroots place-making knowledge and skills that comprise valuable intangible heritage has not been attracting enough attention in the field of post-disaster reconstruction and recovery. Based on the Guchengping Village’s reconstruction that followed the Lushan earthquake (Sichuan, China), the purpose of this paper is to identify the benefits of a co-design approach for post-disaster reconstruction and recovery, in order to ascertain various stakeholders’ contributions toward the protection of community-based intangible place-making heritage.

Design/methodology/approach

A qualitative method was employed to assist the professional designers in facilitating the co-design approach by bridging governments closer together with local communities. At the governmental level, focus groups and personal interviews were conducted to discover the government’s role in preserving the communities’ intangible heritage. At the community level, community-based workshops and family-based design partnerships engaged various community stakeholders to decipher their roles and contributions toward advancing the heritage age.

Findings

As the advocates of intangible heritage, all levels of government guaranteed that intangible heritage would be safeguarded in the government strategic plans. At the community level, local residents played a fundamental role as the grassroots protectors. Professional designers utilized cutting edge technologies to improve weaknesses found in the traditional knowledge and skills, by performing the protection in practice. Community-based service agencies promoted the value of heritage to address societal issues.

Originality/value

The co-design approach offered a new method of intangible heritage protection in post-disaster reconstruction and recovery by engaging different stakeholders, in order to effectively transfer the governmental strategic plans into community-based action plans, and in turn, enabled the grassroots voice to inform the government policies.

Details

Disaster Prevention and Management: An International Journal, vol. 29 no. 1
Type: Research Article
ISSN: 0965-3562

Keywords

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Article
Publication date: 25 October 2022

Anup Kumar, Sudhanshu Joshi, Manu Sharma and Neeraj Vishvakarma

This study proposes a digital humanitarianism dynamic capability (DHDC) paradigm that explores the direct effects of DHDC on disaster risk reduction (DRR) and the mediating…

519

Abstract

Purpose

This study proposes a digital humanitarianism dynamic capability (DHDC) paradigm that explores the direct effects of DHDC on disaster risk reduction (DRR) and the mediating effects of process-oriented dynamic capabilities (PODC) on the relationship between DHDC and DRR.

Design/methodology/approach

To validate the proposed model, the authors used an offline survey to gather data from 260 district magistrates in India managing the COVID-19 pandemic.

Findings

The results affirm the importance of the DHDC system for DRR. The findings depict that the impact of PODC on DRR in the DHDC system is negligible. This study can help policymakers in planning during emergencies.

Research limitations/implications

Technological innovation has reshaped the way humanitarian organizations (HOs) respond to humanitarian crises. These organizations are able to provide immediate aid to affected communities through digital humanitarianism (DH), which involves significant innovations to match the specific needs of people in real-time through online platforms. Despite the growing need for DH, there is still limited know-how regarding how to leverage such technological concepts into disaster management. Moreover, the impact of DH on DRR is rarely examined.

Originality/value

The present study examines the impact of the dynamic capabilities of HOs on DRR by applying the resource-based view (RBV) and dynamic capability theory (DCT).

Details

Journal of Humanitarian Logistics and Supply Chain Management, vol. 12 no. 4
Type: Research Article
ISSN: 2042-6747

Keywords

Available. Content available

Abstract

Details

Disaster Prevention and Management: An International Journal, vol. 31 no. 1
Type: Research Article
ISSN: 0965-3562

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