Aggression in mental health settings: a case study in Ghana
In: Bulletin of the World Health Organization: the international journal of public health = Bulletin de l'Organisation Mondiale de la Santé, Band 93, Heft 8, S. 587-588
ISSN: 1564-0604
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In: Bulletin of the World Health Organization: the international journal of public health = Bulletin de l'Organisation Mondiale de la Santé, Band 93, Heft 8, S. 587-588
ISSN: 1564-0604
In: Bulletin of the World Health Organization: the international journal of public health, Band 93, Heft 8
ISSN: 0042-9686, 0366-4996, 0510-8659
In: Natural hazards and earth system sciences: NHESS, Band 20, Heft 12, S. 3361-3385
ISSN: 1684-9981
Abstract. Earth science information (data, knowledge, advice) can enhance the evidence base for land-use decision-making. The utility of this information depends on factors including the context and objectives of land-use decisions, the timeliness and efficiency with which earth science information is delivered, and the strength, relevance, uncertainties, and risks assigned to earth science information relative to other inputs. We investigate land-use decision-making practices in Christchurch, New Zealand, and the surrounding region in response to mass movement (e.g., rockfall, cliff collapses) and ground-surface fault rupture hazards incurred during the 2010–2011 Canterbury earthquake sequence (CES). Rockfall fatality risk models combining hazard, exposure, and vulnerability data were co-produced by earth scientists and decision makers and formed primary evidence for risk-based land-use decision-making with adaptive capacity. A public consultation and submission process enabled consideration of additional earth science information primarily via stakeholder requests. For fault rupture hazards, pre-disaster geotechnical guidelines and collaboration networks enhanced the ability of earth scientists to rapidly acquire relevant observational data to meet the demands of decision makers. Expeditious decision-making granted permissive consent for rebuilding in the fault rupture zone based on preliminary scientific advice that was subsequently supported by more comprehensive geological investigations. Rapidly fluctuating and diverse demands for post-disaster earth science information may be best met through the prior establishment of (i) land-use policies and technical guidelines tailored for a variety of diverse disaster scenarios, (ii) hazard and risk analyses in land-use plans, including acquisition of geospatial and other earth science data, and (iii) coordinated scientific networks that may comprise subgroups with diverse goals, operational perspectives, and protocols which allow the many facets of scientific information acquisition and delivery to be successfully addressed. Despite the collective knowledge shared here, some recent land-use practices in New Zealand continue to prioritize other (e.g., socioeconomic) factors above earth science information, even in areas of extreme disaster risk.
In: Hendler , R , Kidia , K , MacHando , D , Crooks , M , Mangezi , W , Abas , M , Katz , C , Thornicroft , G , Semrau , M & Jack , H 2016 , ' "We are not really marketing mental health" : Mental health advocacy in Zimbabwe ' , PL o S One , vol. 11 , no. 9 , e0161860 . https://doi.org/10.1371/journal.pone.0161860
Introduction: Few people with mental disorders in low and middle-income countries (LMICs) receive treatment, in part because mental disorders are highly stigmatized and do not enjoy priority and resources commensurate with their burden on society. Advocacy has been proposed as a means of building political will and community support for mental health and reducing stigma, but few studies have explored the practice and promise of advocacy in LMICs. Methods: We conducted 30 semi-structured interviews with leaders in health and mental health in Zimbabwe to explore key stakeholder perceptions on the challenges and opportunities of the country's mental health system. We coded the transcripts using the constant comparative method, informed by principles of grounded theory. Few interview questions directly concerned advocacy, yet in our analysis, advocacy emerged as a prominent, cross-cutting theme across participants and interview questions. Results: Two thirds of the respondents discussed advocacy, often in depth, returning to the concept throughout the interview and emphasizing their belief in advocacy's importance. Participants described six distinct components of advocacy: the advocates, to whom they advocate ("targets"), what they advocate for ("asks"), how advocates reach their targets ("access"), how they make their asks ("arguments"), and the results of their advocacy ("outcomes"). Discussion: Despite their perception that mental health is widely misunderstood and under-appreciated in Zimbabwe, respondents expressed optimism that strategically speaking out can reduce stigma and increase access to care. Key issues included navigating hierarchies, empowering service users to advocate, and integrating mental health with other health initiatives. Understanding stakeholder perceptions sets the stage for targeted development of mental health advocacy in Zimbabwe and other LMICs.
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