Multiple-Scale Integrated Analysis of Farming Systems: The Thuong Lo Commune (Vietnamese Uplands) Case Study

This paper presents an application of an innovative methodological tool for the integrated assessment of farming systems (Multi-Objective Multiple-Scale Integrated Representation). It describes the effect of rural development in parallel on economic and ecological reading at different levels: household, village, and the commune comprising 3 villages. Socio-economic and environmental indicators are organized into integrated packages across scales. This is an ex-post facto analysis of a program of rural development implemented in the Central Vietnamese uplands in 1995 by the central government with the collaboration of FAO. We conclude that two classic problems can only be faced by using an integrated analysis across levels: Large scale generalizations can miss important location-specific characteristics, and exclusive focus on location specific issues carries the risk of loosing the big picture.     

Perspectives on family caregiving of people aging with intellectual disability affected by dementia: Commentary from the International Summit on Intellectual Disability and Dementia

ABSTRACT

This article, an output of the 2016 International Summit on Intellectual Disability and Dementia, examines familial caregiving situations within the context of a support-staging model for adults with intellectual disability (ID) affected by dementia. Seven narratives offer context to this support-staging model to interpret situations experienced by caregivers. The multidimensional model has two fundamental aspects: identifying the role and nature of caregiving as either primary (direct) or secondary (supportive); and defining how caregiving is influenced by stage of dementia. We propose staging can affect caregiving via different expressions: (1) the “diagnostic phase,” (2) the “explorative phase,” (3) the “adaptive phase,” and (4) the “closure phase.” The international narratives illustrate direct and indirect caregiving with commonality being extent of caregiver involvement and attention to the needs of an adult with ID. We conclude that the model is the first to empirically formalize the variability of caregiving within families of people with ID that is distinct from other caregiving groups, and that many of these caregivers have idiosyncratic needs. A support-staging model that recognizes the changing roles and demands of carers of people with ID and dementia can be useful in constructing research, defining family-based support services, and setting public policy.