23 research outputs found

    Chavis Heights Public Housing Community, Southeast Raleigh, Wake County, North Carolina : action-oriented community diagnosis : findings and next steps of action

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    During the 2002-2003 academic year, six students from the Department of Health Behavior and Health Education within the University of North Carolina at Chapel Hill School of Public Health, under the guidance of a preceptor from Wake County Human Services and faculty of the program, conducted an Action Oriented Community Diagnosis (AOCD) of the Chavis Heights public housing community in Southeast Raleigh, Wake County, North Carolina. The purpose of this document is to summarize the AOCD process, present findings, and suggest future action steps to improve life within the community. The paper begins with an introduction to the AOCD process, a basic history of the Chavis Heights public housing community, and some demographic information about Chavis Heights residents. This is followed by a description of the qualitative methodology used by the student team to conduct the community diagnosis. Findings from the data collection process are reported on six prominent domains identified during the AOCD process; those domains include crime, sense of community, services, youth, health, and schools/education. Under each domain, emergent themes are discussed, including a presentation of insiders’ and outsiders’ perspectives, secondary data analysis, and participant observations. Conclusions are then drawn about how well the four sources of information about the Chavis Heights community match up. A description of the community meeting, the culminating event of the diagnosis, and potential action steps discussed at this event are also discussed. This is followed by conclusions and recommendations made by the student team at the end of the diagnosis. While residents of Chavis Heights face many challenges, the AOCD shows that community members and service providers working in the area agree on which issues should receive priority attention. It is clear that the Chavis Heights residents have a number of strengths, including a strong devotion to the many children who live within the community. The coordination of outside resources and community input would certainly enhance the lives of many community members. It is the student team’s hope that with improved communication between service providers and community members, this document can serve as a useful resource for those working to make Chavis Heights a better place in the years to come.Master of Public Healt

    How a Stressed Local Public System Copes With People in Psychiatric Crisis

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    In order to bolster the public mental health safety net, we must first understand how these systems function on a day-to-day basis. This study explored how individual attributes and organizational interdependencies within one predominantly urban US county affected responses to individuals’ needs during psychiatric crises. We interviewed clinicians and managers within the crisis response network about people at immediate risk of psychiatric hospitalization, what had happened to them during their crises, and factors affecting services provided (N = 94 individuals and 9 agencies). Social network diagrams depicted patterns of referrals between agencies. Iterative coding of interview transcripts was used to contextualize the social network findings. Often, agencies saw crises through to resolution. However, providers also limited the types of people they served, leaving many people in crisis in limbo. This study illustrates how attributes of individuals with mental illness, service providers and their interactions, and state and federal policies intersect to shape the trajectories of individuals during psychiatric crises. Understanding both the structures of current local systems and their contexts may support continued evolution toward a more humane and robust safety net for some of our society’s most vulnerable members
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