An Ecological Understanding of Caregiver Experiences in Palliative Care

Palliative care is specialized health care to improve quality of life for patients with serious illness and their families through prevention and relief of suffering. A Palliative Care Institute was held in western Washington to capture community voices about diverse needs, strengths, and opportunities for improvement of palliative care. Researchers employed qualitative methods to obtain thematic data, provide real-time analysis, and engage in a multivoting technique to reflect stakeholder interest in individual themes and prioritize larger group interests. Bronfenbrenner’s ecological systems framework was used to explore caregiver experiences. Within the microsystem, caregivers reported difficulties in interactions with medical providers as a key challenge. Within the mesosysytem, interactions between patients and medical providers and the impact on caregivers were explored. Within the exosystem, caregivers reported lack of control over the schedules of personal care staff. Macrosystem influences included impact of local culture on the development of palliative care services. Chronosystem influences include de-medicalization of childbirth and its impact on perceptions of palliative care. Implications include the need for social workers to be proactive in fostering trust and effective communication between care providers and caregivers, and the demand for health care provider training in communication with patients and families.     

Community Wise: The Development of an Anti-Oppression Model to Promote Individual and Community Health

Communities with histories of oppression have shown great resilience, yet few health interventions focus on structural oppression as a contributor to health problems in these communities. This article describes the development and active ingredients of Community Wise, a unique behavioral health intervention designed to reduce substance use frequency, related health risk behaviors, and recidivism among individuals with a history of incarceration and substance abuse residing in distressed and predominantly African American communities. Community Wise, developed through the collaborative efforts of a board of service providers, researchers, consumers, and government officials, is a 12-week group intervention that aims to address behavioral health problems by raising critical consciousness in distressed communities.     

论新中国成立后街道校外教育的社会作用——以北京地区为中心（1949-1965）

新中国成立后,街道办事处与居委会等组织为弥补学校教育的不足,积极开展少年儿童校外教育,有效的实现了学校教育、社会教育、家庭教育的互动与结合.街居制下校外教育的发展,有效的净化了社会环境,为少年儿童的成长创建了良好的社会氛围,发挥了积极作用.     

“A stitch in time”: group work during the covid-19 scare in the Nicobar Islands,India

ABSTRACT

When India suddenly went into its first coronavirus-induced nationwide lockdown in March 2020, several members of a historically isolated indigenous community in the eastern Indian ocean- the Nicobarese, began to panic. Their leaders came together and formed a group to boost community solidarity and helped the vulnerable indigenes to safely navigate through the crisis. In these uncertain times of Covid-19, when the “modern” world appears more fissured than ever, leaving its “others” to fend for themselves; the Nicobarese’s group has set an example for everyone to follow.     

城市高密度人口分布下的社区建设——以广州荔湾区为例

以广州荔湾区“六普”资料为根据，就人口高密度分布与社区建设的关系进行梳理与探讨。荔湾区“六普”数据显示，城区人口密度过高，成为影响社区生活的主要因素，给居民生命安全、公共生活质量与日常生活便利性带来负面效应。科学化与人性化人口密度干预是治理高密度人口问题的理性策略，如“跳出”社区视野，在城市“一盘棋”中均衡人口布局，在社区建设中，通过社区更新改造，增强人口承载能力，通过建构便利舒适人居环境，提升社区生活质量。     

生活世界视域中的公民身份认同探究

生活世界开启了人类活动的空间，同样它以自身的整体性纠正着人类前行道路的偏差，它使得人们在社会之中建构的各种权利获得了合法性和合理性支撑，同样，它促使人们认识到，对共同体的忠诚是公民履行自己的义务和责任，人类必须对生活世界或者栖息之地有归属感和认同感，对自己生活的共同体应该负有责任感，正是这种责任促使人们产生一种生态公民身份，以便人们更好地处理人对自然关系，达到人与自然和谐相处。     

Community Resilience and Decision Theory Challenges for Catastrophic Events

Extreme and catastrophic events pose challenges for normative models of risk management decision making. They invite development of new methods and principles to complement existing normative decision and risk analysis. Because such events are rare, it is difficult to learn about them from experience. They can prompt both too little concern before the fact, and too much after. Emotionally charged and vivid outcomes promote probability neglect and distort risk perceptions. Aversion to acting on uncertain probabilities saps precautionary action; moral hazard distorts incentives to take care; imperfect learning and social adaptation (e.g., herd‐following, group‐think) complicate forecasting and coordination of individual behaviors and undermine prediction, preparation, and insurance of catastrophic events. Such difficulties raise substantial challenges for normative decision theories prescribing how catastrophe risks should be managed. This article summarizes challenges for catastrophic hazards with uncertain or unpredictable frequencies and severities, hard‐to‐envision and incompletely described decision alternatives and consequences, and individual responses that influence each other. Conceptual models and examples clarify where and why new methods are needed to complement traditional normative decision theories for individuals and groups. For example, prospective and retrospective preferences for risk management alternatives may conflict; procedures for combining individual beliefs or preferences can produce collective decisions that no one favors; and individual choices or behaviors in preparing for possible disasters may have no equilibrium. Recent ideas for building “disaster‐resilient” communities can complement traditional normative decision theories, helping to meet the practical need for better ways to manage risks of extreme and catastrophic events.     

New Policy Spaces: The Impact of Devolution on Third Sector Policy in the UK

The development of third sector policy in the UK since 1997 has seen changes which have been of significance both for analysts and practitioners. This period has seen government engagement with and support for the sector extend far beyond the levels found throughout much of the last century. This has led to a growth in the size and scale of the sector and a closer involvement of sector representatives in political debate and policy planning. These changes have taken place at the same time as third sector policy has been devolved to the new administrations in Scotland, Wales and Northern Ireland. This article explores the impact of devolution on these policy developments and assesses the extent to which political devolution has led to policy divergence across the four countries in the UK. The conclusion is reached that policy devolution has created important new space for policy development for the third sector across the UK, but that the direction of travel in all four regimes has remained remarkably similar.     

吉林省社区体育教育职能的醒觉——参加吉林省国家级社体指导员培训的启示

本文通过文献资料法、实地考察法和专家访谈法等对吉林省社区体育的发展状况进行研究,研究发现:吉林省群众体育事业正在逐步发展壮大,社区体育的教育职能得到明显的发展.人们在从生存体育向享受体育的转化过程中,潜移默化地接受体育的教育职能;在吉林省社区体育中,中老年女性群体是参加健身运动的骨干力量.男性则成为社区健身运动的薄弱群体;吉林省社区体育参与者面临的主要问题表现在对体育教育职能不够理解,社会体育指导员队伍的建设仍然是社会体育发展的重点问题.     

红色文化增进铸牢中华民族共同体意识的多维向度解析

红色文化是中国革命建设征程的历史凝结,补钙壮骨,通今溯源,与中华民族共同体意识有着严密的耦合逻辑。在政治上,红色文化有利于坚定中国共产党的领导,明晰铸牢中华民族共同体意识的政治前提;在经济上,红色文化彰显社会主义市场经济的民族互惠指向,夯实铸牢中华民族共同体意识的经济基础;在文化上,红色文化标注社会主义先进文化建设的中国底色,聚合中华民族共同体建设的文化动力;在社会上,红色文化促进各民族交往交流交融,提升铸牢中华民族共同体意识的社会认知;在生态上,红色文化有助于建立人与自然交响协奏的生命共同体,筑牢中华民族共同家园的生态底线。