The essential role of cultural safety in developing culturally-relevant prevention programming in First Nations communities: Lessons learned from a national evaluation of Mental Health First Aid First Nations

Mental Health First Aid is a population health approach that educates people to recognize and respond to mental health challenges. Since 2012, the Mental Health Commission of Canada has worked with six First Nations communities to develop a culturally-relevant version of the program called Mental Health First Aid First Nations (MHFAFN). This paper presents mixed methods, multi-informant data from a national evaluation to assess the extent to which the course was experienced as culturally safe by Indigenous participants, factors that contributed to these experiences, and ways in which cultural relevancy of MHFAFN can be improved. Our evaluation team conducted participant interviews and surveys, as well as facilitator interviews. Nearly all Indigenous participants (94.6%) experienced the course as safe. Participants and facilitators identified a range of factors that promoted cultural safety, including the knowledge and skills of the facilitators and the cultural components of the course. Participants that did not experience safety identified trauma-related factors and facilitation style. The findings suggest that MHFAFN may be situated in a way where shared cultural backgrounds are imperative to the success of the course. Further evaluation of the MHFAFN curriculum, with the goal of continual improvement, may help to further enhance participants’ experiences in taking the course.     

Programmatic and Operational Issues of Continuing Care Retirement Communities

No abstract available for this article.     

Impacts of Home Modifications on Aging-in-Place

The purpose of this study is to analyze the relationship between home modifications and aging-in-place. Using the ENABLE-AGE United Kingdom sample (N = 376), the authors hypothesize that seniors who have modified their housing are likely to have stayed longer in their current housing. There is a positive relationship between home modifications and aging-in-place. The results underscore the importance of supportive environment to prolong living in housing settings.     

Age Segregation and the Quality of Life of the Elderly People in Studio Apartments

ABSTRACT

The paper attempts to ascertain the impact of age-segregation on the quality of life of elderly people who are living in studio apartments in Singapore. After a review of the relevant literature and statistical analysis of a survey data for 390 elderly respondents in studio apartments, it was found that age-segregation have a deleterious impact on the quality of life of the elderly people. Furthermore, it was found that the perception of the elderly in relation to factors that are most significant to their quality of life is at variance with that of the policy makers. This implies that there is a need for policy makers and service providers to review their existing policies, products and services so as to be more effective in providing housing options for the rapidly aging population of Singapore.     

Moving to and Living in a Retirement Home

Abstract

Bad health combined witii deteriorating physical functions force many elderly people to move to a retirement home. The primary focus of this study was to investigate the resident's experience of safety and security. From a sample of 57 residents, 12 persons volunteered to participate in the interview. Data were analyzed with qualitative content analysis. The standard and design of the participant's previous home made mobility difficult and this affected their sense of security. This motivated them to move into an environment where they felt more secure. The environment at the retirement home was predominantly described as secure and safe. The finding shows that the participants felt that safety and security were more important than independence.     

Children and Society Policy Review: Health Policy Affecting Children and Young People

The Health and Social Care Act comes into force in April 2013. It changes the organisation of the health service and accelerates the integration of health and social care. New relationships between primary and secondary healthcare will develop and the culture of clinical and cost effectiveness will expand into social care; work on children in public care is in the vanguard of this change. However, this is not an organisational change designed for children and there are considerable anxieties about how it will impact on the delivery of health care. The issues for children in public care need to stay high on the national agenda and in local fora.     

论传统民本政治哲学的逻辑发展

民本思想是中国传统政治哲学的重要内容。中国古代的民本政治哲学从先秦开始发端，经过先秦、两汉、唐宋、明清等各阶段的发展，最终成为以“新民本”思想为代表的政治哲学，是有其逻辑必然性的。     

西双版纳僾尼人的丧葬等级制及其变迁

西双版纳僾尼人历史上曾实行严格的丧葬等级制。其丧葬等级,并非由死者生前的品行、功德、地位、财富等社会因素决定,而主要与死者死亡的地点、死亡的方式、成年与否、结婚与否、特别是有无子嗣等诸多所谓的完人因素相关。这一制度目前虽有不同程度的遗存,但很多方面已发生流变。僾尼人丧葬等级制及其变迁,为深入认识人类的丧葬文化史提供了独特案例。     

日本检察审查会制度改革及其启示

日本的检察审查会制度是为防止检察官滥用不起诉权而建立的。检察审查会制度发挥了制约检察官的公诉权行使、救济被害人的作用。进入21世纪以后,日本司法进一步扩大民众参与的范围,检察审查会制度的改革就是其中一环。在检察审查会中设立审查辅助员,赋予检察审查会决议以法律强制力,这使检察审查会制度更趋合理。