Anne Felton, Penny Arnold, Sarah Fairbank and Torsten Shaw
Tackling the social exclusion of people with mental health problems is a primary concern for contemporary mental health services. A social inclusion network was developed to…
Abstract
Tackling the social exclusion of people with mental health problems is a primary concern for contemporary mental health services. A social inclusion network was developed to co‐ordinate a small participatory project arising as part of a practice development initiative. It aimed to examine the experiences of involvement in the community from the perspectives of those using and working in rehabilitation adult mental health services.To gather information three different approaches were used. Networks between rehabilitation services and community resources were identified using a mapping tool whilst focus groups were used to gain more in‐depth perceptions from rehabilitation staff. Finally, a participatory photo project was conducted which involved working with people who use services to capture images of their involvement in their local community. This article reports on the outcomes of the focus groups and photography project.Findings suggested that services reported some success at developing partnerships within the community, but discrimination still remained a significant obstacle. For those people living in the units, social inclusion was an acutely subjective experience in which people continued to experience acceptance and inclusion within mental health services and had made active choices in defining this as their community.
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Wylie H. Wan, Sarah N. Haverly and Leslie B. Hammer
This chapter focuses on military couples and factors that affect their experiences of work, stress, and health using a life course perspective. An introduction to the definition…
Abstract
This chapter focuses on military couples and factors that affect their experiences of work, stress, and health using a life course perspective. An introduction to the definition of military couples is provided followed by a brief review of previous research on marital quality and divorce among military couples. The core of the chapter describes the advantages of using a life course perspective to examine the military life course for couples, and two critical transitions of military life are more fully examined. Specifically, periodic relocation and deployment and their impacts on military couples are reviewed in detail. Future directions for research on military couples are provided, and the use of the Convoy Model of Social Relations as an integrative approach to examine military personnel and family members’ stress and health across the military life course is introduced.
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Emily Dauria, Christopher Rodriguez, Sarah Bauerle Bass, Marina Tolou-Shams and Katerina Christopoulos
Women involved in the carceral system (CS) experience several conditions that increase their risk for HIV (e.g. high rates of substance use, psychiatric disorders, histories of…
Abstract
Purpose
Women involved in the carceral system (CS) experience several conditions that increase their risk for HIV (e.g. high rates of substance use, psychiatric disorders, histories of victimization). The purpose of this study is to explore perspectives on potential strategies to connect women in the CS to pre-exposure prophylaxis (PrEP) services.
Design/methodology/approach
This study conducted in-depth interviews with 27 women involved in the CS eligible for PrEP. Using vignettes, interviews explored attitudes, barriers and facilitators toward PrEP screening, referral and linkage facilitated via a CS stakeholder, an mHealth application or providing PrEP service referrals during detention via a navigator.
Findings
Most women were, on average, 41.3 years, from racial and ethnic minority groups (56% black/African American; 19% Latinx). Inductive thematic analysis revealed CS involved women expressed mostly positive attitudes toward CS-based PrEP implementation. Younger women were more accepting of and interested in mHealth interventions. Implementation facilitators included leveraging relationships with trusted allies (e.g. “peers”) and existing systems collaborations. Recommended implementation strategies included providing HIV and PrEP-specific education and training for system stakeholders and addressing issues related to privacy, system mistrust and stigma.
Originality/value
Results provide a critical foundation for the implementation of interventions to improve PrEP access for women involved in the CS and have important implications for implementation strategies for all adults involved in the CS. Improving access to PrEP among this population may also support progress toward addressing national disparities in PrEP uptake, where women, black and Latinx populations have substantial unmet need.