学校社会工作与学校心理健康教育之比较研究

现今社会,心理健康问题凸显,人们对学生心理健康的重视程度也不断加深,学校心理健康教育在维持学生心理健康方面发挥着重要的作用,但其存在的问题也越来越明显。而此时,随着学校社会工作的兴起,越来越多的心理健康教育者开始重视学校社会工作在学生心理健康工作中作用。本文则以此为研究点,探讨学校社会工作与学校心理健康教育在目的、对象和方法上存在的异同,以便更好阐述学校社会工作和心理健康教育二者的地位和作用。     

Eligibility Criteria and Entitlements: Defining Need for NHS Continuing Care

The 1995 guidance HSG(95)8 "NHS Responsibilities for Meeting Continuing Health Care Needs" required health authorities to develop local policies and eligibility criteria for a range of continuing care services. The role of criteria in defining health need, and the potential effect on open-ended rights to NHS care, need to be considered in light of the prior erosion of rights associated with changes in continuing care provision. This paper examines whether the development of eligibility criteria has led to a loss of entitlements to NHS care. Analysis of empirical evidence from a study of the policies and criteria of six health authorities found that criteria for fully funded care were generally well defined and restricted access to those with very intense and specialist needs, thereby constituting a loss of rights. In contrast, the criteria for community-based services left eligibility dependent on professional discretion but often failed to clarify the relationship between individual need and levels of service provision. The research found that resource limits are likely to remain a factor in the allocation of services and this will affect the status of the criteria as potential entitlements.     

Looking Inwards,Looking Outwards: Dismantling the “Berlin Wall” Between Health and Social Services?

This paper argues that at a time when policy guidance urged closer collaboration and joint working between health and social services, the long-established cultural and professional gaps were widening and deteriorating. Drawing on data from four research sites, the paper argues that the deterioration was rooted principally in practitioners' preoccupations with changes within their own organizations and daily work, resulting from a major period of change in both health and social services, which, ironically, was at the expense of the joint working which the "Caring for People" reforms required. As the policy environment changes again, under the Labour government, it is likely that health and social care practitioners will be working within further organizational turbulence and change. It will be crucial that those changes are managed in such a way that they avoid the very real danger of compounding the problems which our respondents identified.     

英美侵权法神经损害之诉及其合理借鉴

神经损害之诉是英美侵权法中的一项颇具特色的制度,其对严格保护自然人生命健康权有着积极意义,但客观上该制度也蕴含着难以合理控制责任范围的问题.故此我国立法合理借鉴该制度的正确做法应该是:在我国既有的生命健康权保护的框架内,对后果严重的神经损害受害人予以救济,从而既能对确需救济的神经损害受害人予以合理保护,同时也能防止诉讼泛滥所带来的种种弊端.     

Foreign-born health integration during the transition to adulthood: The case of weight

Nativity differences in youths’ health in the United States are striking—the children of foreign-born parents often have healthier outcomes than those of native-born parents. However, very little is known about how immigrant-native differences evolve within the same individuals over time, or about life cycle aspects of the health-related integration of youth with migration backgrounds. Using data from the National Longitudinal Study of Adolescent Health, I examine nativity differences in trajectories of weight gain during adolescence and early adulthood, as well as the degree to which temporal patterns are stratified by race/ethnicity and socioeconomic status. I examine whether nativity differences converge, diverge or remain stable over time, and whether patterns are socially stratified within and across nativity groups. I find that first-generation adolescents begin at a lower weight than their third generation peers and gain weight at a significantly slower pace, resulting in meaningful differences by early adulthood. More complex examination of the relationship between nativity and weight gain reveals additional differences by ethnicity: the foreign-born advantage over time does not extend as strongly to Hispanic adolescents. The findings demonstrate how the health-related integration of foreign-born youth is tied to race/ethnicity and socioeconomic circumstances, and suggest the need to examine the ways in which social circumstances and health change together.     

城市外来务工人员的工作和居住环境及其健康效应——以深圳为例

20世纪80年代以来,我国快速的人口流动与事实城市化对城市环境与人口健康提出了严峻的挑战。本研究通过在深圳市开展的调查,分析了城市外来务工人员的工作、生活环境特征与身心健康状况,初步检验了环境因素对外来务工人员身心健康的净效应。研究发现,相对于其他社会经济因素而言,居住环境和工作环境对外来务工人员的健康具有更为突出的影响。改善外来务工人员的工作和居住环境、倡导良好的保健行为和生活习惯,对于改善其健康状况具有重要意义。     

与收入相关的老人健康不平等及其分解——基于中国城镇和农村的经验研究

本文使用“中国老年人健康长寿影响因素调查”（CLHLS）数据,测度了中国老人健康不平等程度,重点计算了收入、婚姻状况、居住安排等因素对健康不平等的贡献。回归基础上的集中系数及其分解结果显示：我国存在亲富人的健康不平等,高收入人群的健康状况更好;城镇地区,健康不平等主要的贡献因素为收入、婚姻状况、医疗保险、经常锻炼,居住安排对健康不平等的贡献为负。农村地区,收入因素对于健康不平等的贡献最大,这就意味着消除农村健康不平等的关键是要降低收入不平等。在城镇和农村地区医疗保险的不平等程度更甚,进一步强化了健康不平等。因此如果政策想要降低健康不平等,首先要降低穷人获得医疗保险的经济门槛,增加医疗保健服务的可及性。     

The United Kingdom and the Netherlands maternity care responses to COVID-19: A comparative study

BackgroundThe national health care response to coronavirus (COVID-19) has varied between countries. The United Kingdom (UK) and the Netherlands (NL) have comparable maternity and neonatal care systems, and experienced similar numbers of COVID-19 infections, but had different organisational responses to the pandemic. Understanding why and how similarities and differences occurred in these two contexts could inform optimal care in normal circumstances, and during future crises.AimTo compare the UK and Dutch COVID-19 maternity and neonatal care responses in three key domains: choice of birthplace, companionship, and families in vulnerable situations.MethodA multi-method study, including documentary analysis of national organisation policy and guidance on COVID-19, and interviews with national and regional stakeholders.FindingsBoth countries had an infection control focus, with less emphasis on the impact of restrictions, especially for families in vulnerable situations. Differences included care providers’ fear of contracting COVID-19; the extent to which community- and personalised care was embedded in the care system before the pandemic; and how far multidisciplinary collaboration and service-user involvement were prioritised.ConclusionWe recommend that countries should 1) make a systematic plan for crisis decision-making before a serious event occurs, and that this must include authentic service-user involvement, multidisciplinary collaboration, and protection of staff wellbeing 2) integrate women’s and families’ values into the maternity and neonatal care system, ensuring equitable inclusion of the most vulnerable and 3) strengthen community provision to ensure system wide resilience to future shocks from pandemics, or other unexpected large-scale events.     

Taking the reins: A grounded theory study of women's experiences of negotiating water immersion for labour and birth after a previous caesarean section

BackgroundWomen seeking a vaginal birth after a caesarean section (VBAC) frequently want to keep their subsequent labour and birth free from intervention. Water immersion (WI) during labour is potentially an effective tool for women having a VBAC for its natural pain-relieving properties. However, negotiating access to WI can be difficult, especially in the context of VBAC.AimTo explore women's experiences of negotiating WI for labour and birth in the context of VBAC.MethodologyThis Grounded Theory study followed Strauss and Corbin's framework and analytic process. Twenty-five women planning or using WI for their VBAC labour or birth were recruited from two midwifery practices and a social media group across Australia. Participants were interviewed during pregnancy and/or postnatally.Findings‘Taking the reins’, the core category explaining the women’s experiences of assuming authority over their birth, comprised five categories: ‘Robbed of my previous birth experience’; ‘My eyes were opened’; ‘Water is my tool for a successful VBAC’; ‘Actioning my choices and rights for WI’, and ‘Empowered to take back control’. ‘Wanting natural and normal’ was the driving force behind women’s desire to birth vaginally. Two mediating factors: Having someone in your corner and Rules for birth facilitated or hindered their birth choices, respectively.ConclusionThe women became active participants in their healthcare by seeking information and options to keep their birth experience natural and normal. Support from other women and advocacy in the form of continuity of midwifery care was crucial in successfully negotiating WI for their VBAC when navigating the complex health system.     

Reaching at-risk populations: The inconsistency of communication channels among American Indian tribes and nations in Oklahoma

While according to Census figures American Indians are considered a single minority group, not all tribes within the racial classification of American Indian have the same access to information and resources. This study exposes the inconsistent availability of communication channels among American Indian tribes and nations and the use of available channels for disseminating diabetes awareness, prevention, and treatment messages. Findings imply that health communication campaigns targeting at-risk groups should first identify and assess the ethnic communication channels available to the population, and inclusion of these channels should be essential in the health communication campaign; however, practitioners cannot assume equality of access and availability of these channels within a minority population.