Building home on a fault line: Aging out of child welfare with a serious mental health diagnosis

Youth aging out of foster care are at high risk for homelessness. This research explains how and why homelessness occurs among youth with serious mental health struggles after aging out of residential and transitional living programmes. Using a longitudinal constructivist grounded theory design, we analyse 20 in‐depth interviews exploring youth's transition experiences and perceptions of transition success within 4 months of emancipation and at 6 and 12 months postemancipation. Monthly 15‐min check‐ins prevented attrition. A three‐phase transition process was observed driven by participant desires and actions to cultivate psychological home through establishing physical home alone away from social networks. Pre‐emancipation, the promise of home was privacy and opportunity for self‐redefinition. Shortly after emancipation, home became a physical and social space to be, a valuable resource to share and a demonstration of personal transition success. However, later in the year postemancipation, maintaining physical home proves nearly impossible given the risk context. Findings speak to how and why youth aging out appear overly self‐reliant upon emancipation. Cultivating a psychological sense of home has practice implications for child welfare providers who aim to prepare youth to live independently postemancipation.     

Breastfeeding experiences and perspectives among women with postnatal depression: A qualitative evidence synthesis

BackgroundStudies show that postnatal depression affects around 10–16% of women globally. It is associated with earlier cessation of breast feeding, which can negatively impact infants’ long-term development. Mechanisms underpinning associations between mental health and women’s decision to commence and continue to breastfeed are complex and poorly understood.AimThe aim of this review was to investigate breastfeeding experiences, perspectives, and support needs of women with postnatal depression. No previous reviews were identified which had addressed this aim.MethodA systematic search was conducted of six databases to identify relevant qualitative studies. Six included studies were critically appraised and synthesised using thematic synthesis.FindingsFive themes were identified: (1) desire to breastfeed and be a ‘good mother’, (2) struggles with breastfeeding, (3) mixed experiences of support from healthcare professionals, (4) importance of practical and social support, (5) support for mental health and breastfeeding. Most women with postnatal depression expressed strong intentions to breastfeed, although some perceived ‘failure’ to breastfeed triggered their mental health problems. Practical and non-judgemental support for their mental health needs and for successful breastfeeding from healthcare professionals, family and friends are needed.ConclusionMost women with postnatal depression desired to breastfeed but experienced breastfeeding difficulties that could impact on their mental health. By offering women with postnatal depression tailored and timely support, healthcare professionals could help women minimize breastfeeding problems which could consequently impact on their mental well-being and ensure they and their infants have opportunity to benefit from the advantages that breastfeeding offers.     

论“国际社会”的意识形态性——兼论我国国际话语权的提升

作为国际政治领域的重要概念，“国际社会”具有两面性。从表面上看，“国际社会”是国际行为体之间开展合作的场域，应建构和维护国际秩序的公平正义，因而在国际交往中不应以意识形态为标准和以意识形态划线；从本质上看，“国际社会”是国际行为体开展国家利益和意识形态博弈的重要场域，具有强烈的意识形态性。“国际社会”意识形态性的关键是国际话语权，其实质是国家(或国际社会成员)的国际利益。从意识形态的角度考察“国际社会”，有利于看清“国际社会”的本质，这对于深入理解国际热点问题和国际舆论的实质，特别是对于我国国际话语权的建设与提升，具有重要意义。     

价值链网络结构范型下社区公共物品协同供给创新

社区公共物品供给治理本质上是一个开放演化、利益关联、耦合自洽和情境适应的复杂网络系统。由于供给手段智慧化、供给过程复杂性、个体能力失败和主体关系不确定性，传统由单中心主导的分立、单一和线性供给模式不能对整体网络化供给问题给出有效释义和策应方案，需要引入价值链网络结构治理新范式。从价值链理论出发，社区公共物品供给是适应协同供给的价值链网络结构系统，价值链网络系统理论与社区公共物品协同供给具有内在契合性。价值链网络结构范型下社区公共物品协同供给的内在要求体现在现实问题逻辑、供给价值诉求和主体关系博弈三方面；价值系统表征为克服供给碎片化、提供“三变”供给路径和技术手段嵌入支撑；构建基础体现在良好的社区文化、坚实的网络基础和规范的政治环境。建构多中心价值链网络协同供给模型，需要从管理协同、运作协同以及消费反馈协同三个层面展开施加管控。     

论共同体观念的语词生成与理论建构

本文运用发生学的方法，揭示共同体观念的语词生成和共同体思想的理论建构。第一部分，作者指出，共同体这个语词在西方语言中源于共善和公共，具有丰富的内涵。第二部分，作者指出，共同体是古希腊罗马哲学和政治学的重要概念，在哲学形上学和伦理学的语境下，共同体与共善的关系密不可分;而在政治学的语境下，共同体是公共的名词化和实体化，共善则是建构人类社会的纲领和目标。把善提升为至善是一条哲学伦理学的理论建构通道，而把善提升为共善，则是哲学政治学的通道，与哲学伦理学的理论建构通道并行不悖。第三部分，作者指出，奥古斯丁批判地吸取了柏拉图和西塞罗的相关思想，然后以公义为纲，建构了他的理想共同体———上帝之城。奥古斯丁对共善的探究，直接导致对理想共同体的理论建构。他的理想共同体以信仰为核心，以伦理为共同体成员的守则，以秩序与和谐为共同体的特色，以普爱为共同体生存与发展的动力。     

Open spaces for dialogue promoting mental health as a social work education methodology

ABSTRACT

The authors discuss service user involvement as a key approach regarding training of social workers. In many European Union countries this is a stable practice with a lengthy tradition in research and application. However, in Poland it is almost entirely absent and marginalized. This article presents the results of a participatory action research project conducted at the Institute of Sociology of the Jagiellonian University in Krakow, the objective of which was to identify and critically analyze the key substantive and formal aspects of training of social workers with the participation of individuals with experience of mental illness. This research project adopted an open approach to cognizing reality based on qualitative co-participatory methods. In the conclusion, the authors emphasize that the fundamental criterion for the success of this particular form of training is voluntary and differentiated participation of students—both in the role of people sharing their own experience and as learners—as well as shaping a culture of open dialogue, educational alliances of recognition and recovery, the foundation of which is axiological experience.     

Perceptions of transition-related health and mental health services among transgender adults

The opportunity to live authentically is critical for the well-being of transgender individuals. For many this requires accessing transition-related services. Current knowledge of transition-related care is limited. This study aims to elucidate experiences and needs of transgender individuals (N = 65) related to (a) therapeutic support, (b) medical care, and (c) aspects of living authentically in order to inform the development and delivery of trans-affirmative services. Findings reveal challenges accessing health care providers with trans-specific competency; gaps between critical aspects of transition-related care and receipt of services; and heterogeneity of experiences and needs. Recommendations for improving transgender-affirmative services are provided.     

Political and economic determinants of expenditure on day services for persons with intellectual disabilities or autism

This study investigates whether the Swedish national entitlement legislation, which is known to be one of the most developed in Europe for persons with intellectual disabilities or autism, accomplishes its aim to provide equal quality of day services independent of location. We estimated a reduced-form model of demand and supply-side determinants of a latent quality variable for day-service programmes using panel data on expenditure per attendee for the 290 Swedish municipalities 2004–2012. We found that expenditure per attendee is among others affected by changes of the local tax base and outcome in elections to the local assemblies. These results imply that rights of persons with intellectual disabilities with regard to equal quality of day services independent of where they live are not fully honoured in budget allocation decisions made by local governments.     

习近平关于人民健康重要论述的理论内涵与实践价值

促进全民健康，决胜全面小康。习近平总书记关于人民健康的重要论述，充分彰显了以人民为中心的时代要求，蕴含着以推动全面建成小康社会为战略目标，以维护社会公平正义为价值追求，以社会资源共建共享为方法路径，以中国特色社会主义制度的优越性为条件保证的丰富内涵。在新时代，习近平总书记关于人民健康的重要论述对于加快实施健康中国战略、推动构建中国健康工作体系特别是指导此次新型冠状病毒肺炎疫情防控展现出重要的实践价值。