Suchergebnisse

Objectives: This article examines an innovative mental health program in the largest Mexican consulate in the United States guided by a social good organizing framework and an intersectionality lens. The mental health program, Modulo de Salud Mental, was designed to address barriers to help seeking. Methods: The Modulo used the central characteristics of the social good model, such as innovative collaborations between systems that otherwise do not typically collaborate and burgeoning technologies to overcome barriers for service utilization among this population. We conducted a qualitative study to examine how the Modulo addressed structural and cultural barriers to care. Results: The salient themes from interviews were classified into four categories: current political situation, reasons for seeking services, prior barriers to care addressed by program, and perceived benefits of the program. Conclusions: Findings suggest that the Modulo's services and convenient location in an unconventional setting can serve as a model for promoting social good by facilitating help seeking and alleviating illness burden for this immigrant community.

The management ofsmall scale fisheries and of marine protected areas (MPA's) are both hot topics olcurrent marine policy development in Vietnam. Commonalities exist between these two policy areas, and MPA's are viewed as providing good opportunities to model approaches for co-management involring coastal fishing comm unities. There has been considerable effort made to capture the essence of successful resource management interventions in order to develop appropriate fisheries co-management models for Vietnam's unique context over the last decade. One of the most significant questions arising from this collation of experience is how to maintain commitment and involvement of all people in the process, from different levels of government to the local community? Against this backdrop of macro-policy change sits the position of Vietnamese small scale coastal fishers, who are often perceived as unwilling to invest in alternative future livelihood opportunities. Lack of long term resource access security access to capital and declining fisheries resources are all potential reasons for this lack ol confidence in future investment resulting in unwillingness to change. Limitations of rural locations, lack of infrastructure, low education and limited life experience outside of the small scale fishing way of life all complicate the transformation of fishers' lives and livelihoods, and impact on the success of interventions seeking behavioural and livelihood-related change.For participatory interventions to be successful amid this complexity requires the commitment, and not just involvement of local people. For this commitment to evolve, local people need to perceive some benefits from participation. But how can this commitment be maintained when the process itsell is long term and the resulting benefits may take even longer to manfest? Although the form of benefit may be different for higher level stakeholders, its role as a key driver is equally important. These issues will be explored with reference to one island MPA case study in central Vietnam. Cu Lao Cham MPA project com menced in October 2003 and the MPA was formally established in December 2005. The population of around 3000 people is concentrated on the largest island in the Cham islands group, with around 80% of the population dependant on fishing. The island's size, restrictions on forest use and its military importance also limit land availability for expansion of agricultural or urban development. The islands' people, fishing seasons and tourism are also impacted by the typhoon season which can limit boat traffic and cut transport between Cu Lao Cham and the mainland for long periods. The last 12 months of the MPA Authority's operation have focused strongly on community development interventions around alternative livelihood activities, targeting households determined to be most affected by the MPA regulations. Management of household waste has also been addressed during recent years through community participation processes. This presentation will explore the evolution of participatory activities through these experiences, focusing on the key themes of model development and implementation, the involvement and commitment of local people, and the connections to benefit that have arisen.

This study had two purposes: (1) to learn how hearing students in a mainstream college setting perceive deaf students as classmates, and (2) to discover how those perceptions influence the integration of deaf and hearing students on campus. Thirty full-time students at the Rochester Institute of Technology in Rochester, New York, were interviewed using in-depth, open-ended interview strategies. It was found that even in this setting, designed expressly to integrate deaf and hearing students, full integration did not occur. Deaf students were successfully placed on the campus with hearing students for educational purposes; however, social integration did not occur.

Abstract
Little is known about family context and substance use behaviors among Latinos with schizophrenia. Learning about patient and family caregiver perceptions of use is critical to our understanding of how best to support these vulnerable patients and family caregivers. This study explored perceptions of substance use in relation to mental illness among Latinos primarily of Mexican origin with schizophrenia and their family caregivers. Semistructured interviews were conducted with 34 participants (20 family caregivers; 14 patients) with direct and indirect substance use experience, in their preferred language. Data were analyzed using thematic analysis, which consisted of comparing codes across and within patient and family caregiver transcripts. Findings revealed that substance use affected well-being, particularly patient recovery and caregiver burden. Strategies to address well-being included limiting substance use, being vigilant about patient use, and communicating the negative impact of use. The environmental impact and stigma of substance use were major contextual challenges. Patients addressed these by limiting their socialization. Family social context was important to how substance use was perceived and managed by patients and caregivers. As such, treatment models should consider a holistic perspective that incorporates family context when addressing substance use among Latinos with schizophrenia.