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21.
Stress, confusion, and a sense of loss were inevitable during the hospital relocation, especially given the large number of clients, ward communities, and staff needed to move and adjust to change. Despite the fact that the change was perceived as a positive and progressive step in psychiatric-mental health care in Grenada, there were many obstacles and much resistance to overcome. As expected, staff's and clients' fears centered around themes of impending loss and abandonment. An understanding of the transition process, along with the availability of experienced hospital staff for support and guidance, greatly aided the relocation process. Relocation still presented problems and Mt. Gay Hospital continues to struggle to carry out the lasting and beneficial changes that will best promote a therapeutic and culturally sensitive client/staff environment. Despite the fact that the hospital relocation was not entirely self-determined, but partially imposed by political circumstances, a positive resolution of the crisis occurred. The crisis brought about the change that, in this circumstance, is seen as synonymous with growth. It acted as a catalyst to bring about help from unexpected and much needed sources (U.S.A.I.D./Project Hope), which may not have otherwise been available to facilitate such a change. Richmond Hill Mental Hospital took control and advantage of a crisis situation and made it serve its immediate and pressing need for a new psychiatric hospital. 相似文献
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This study is concerned with exploring pre-colonial Malay ideas about power— about relationships between people and those
who sought authority over them — and about the sources of social action and identity in pre-colonial Malay political culture.
It examines, as its principal source for information about these issues, the Sejarah Melayu (Raffles MS 18), identifying significant instances in the text of dissent and of pluralism in Malay political culture. 相似文献
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This paper discusses the impact of central government's rent restructuring policy on social housing in rural areas in England. It examines the effect that restructuring will have on the rents set by social landlords in a set of case study areas then considers some of the likely impacts on affordability and on new investment in rural social housing. One of the primary aims of rent restructuring policy is to reduce unjustifiable differences between the rents of similar dwellings in the local authority and Registered Social Landlord sectors locally. This aim seems likely to be achieved. In doing so, it is likely that affordability will be reduced in the local authority sector but enhanced for tenants of some RSLs. However, the reduction in real RSL rents that improve affordability may further constrain RSLs’ ability to invest in new social housing in rural areas. The paper concludes that rent restructuring by itself will not materially improve the housing prospects of the less well off in rural areas. 相似文献
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Bella M. DePaulo Chris Wetzel R. Weylin Sternglanz Molly J. Walker Wilson 《The Journal of social issues》2003,59(2):391-410
We discuss the ways in which deception can be used to protect privacy, as well as the ways in which claims to privacy can provide the latitude to lie. In their attempts to maintain their own privacy and their secrets, people can be assisted by others who overlook their lies. Habits of honoring other people's verbal and nonverbal claims about themselves, even when they are not totally convincing, and expectations of similar indulgences from others can keep interactions from getting derailed by small interpersonal bumps. But they also enable exploitation in the form of frauds and scams . 相似文献
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Steven Walker 《International Journal of Social Welfare》2003,12(4):307-313
This article discusses the relationship between family support and family therapy and the historical ambivalence between them. Decisions on what form of help to offer families based on effectiveness, efficiency and acceptability are therefore crucial. A review of the characteristics and measures of effectiveness is used to articulate the similarities in both interventions. By illustrating the false dichotomy between them, practitioners in both modes can learn from each other to benefit families. 相似文献