6 research outputs found
UNderstanding uptake of Immunisations in TravellIng aNd Gypsy communities (UNITING): a qualitative interview study
Background: Gypsies, Travellers and Roma (referred to as Travellers) are less likely to access health services, including immunisation. To improve immunisation rates, we need to understand what helps and hinders individuals in these communities in taking up immunisations. Aims: (1) Investigate the barriers to and facilitators of acceptability and uptake of immunisations among six Traveller communities across four UK cities; and (2) identify possible interventions to increase uptake of immunisations in these Traveller communities that could be tested in a subsequent feasibility study. Methods: Three-phase qualitative study underpinned by the social ecological model. Phase 1: interviews with 174 Travellers from six communities: Romanian Roma (Bristol); English Gypsy/Irish Traveller (Bristol); English Gypsy (York); Romanian/Slovakian Roma (Glasgow); Scottish Showpeople (Glasgow); and Irish Traveller (London). Focus on childhood and adult vaccines. Phase 2: interviews with 39 service providers. Data were analysed using the framework approach. Interventions were identified using a modified intervention mapping approach. Phase 3: 51 Travellers and 25 service providers attended workshops and produced a prioritised list of potentially acceptable and feasible interventions. Results: There were many common accounts of barriers and facilitators across communities, particularly across the English-speaking communities. Scottish Showpeople were the most similar to the general population. Roma communities experienced additional barriers of language and being in a new country. Men, women and service providers described similar barriers and facilitators. There was widespread acceptance of childhood and adult immunisation, with current parents perceived as more positive than their elders. A minority of English-speaking Travellers worried about multiple/combined childhood vaccines, adult flu and whooping cough. Cultural concerns about vaccines offered during pregnancy and about human papillomavirus were most evident in the Bristol English Gypsy/Irish Traveller community. Language, literacy, discrimination, poor school attendance, poverty and housing were identified by Travellers and service providers as barriers for some. Trustful relationships with health professionals were important and continuity of care was valued. A few English-speaking Travellers described problems of booking and attending for immunisation. Service providers tailored their approach to Travellers, particularly the Roma. Funding cuts, NHS reforms and poor monitoring challenged their work. Five âtop-priorityâ interventions were agreed across communities and service providers to improve the immunisation among Travellers who are housed or settled on an authorised site: (1) cultural competence training for health professionals and frontline staff; (2) identification of Travellers in health records to tailor support and monitor uptake; (3) provision of a named frontline person in general practitioner practices to provide respectful and supportive service; (4) flexible and diverse systems for booking appointments, recall and reminders; and (5) protected funding for health visitors specialising in Traveller health, including immunisation. Limitations: No Travellers living on the roadside or on unofficial encampments were interviewed. We should exert caution in generalising to these groups. Future work: To include development, implementation and evaluation of a national policy plan (and practice guidance plan) to promote the uptake of immunisation among Traveller communities
The exercise of human rights and citizenship by older adults with an intellectual disability in Ireland
Two sides of the coin: patient and provider perceptions of health care delivery to patients from culturally and linguistically diverse backgrounds
Planning estimates for the provision of core mental health services in Queensland 2007 to 2017
Objective: To derive planning estimates for the provision of public mental health services in Queensland 2007-2017
Is the Irish (Republic of) Comprehensive Employment Strategy Fit for Purpose in Promoting the Employment of People with Intellectual Disabilities in the Open Labor Market? A Discussion Using Evidence from the National Intellectual Disability Database
Thinking disability orientation : practicing affirmation
Introduction: Occupational therapyâs theoretical base is
informed by beliefs in empowerment, partnership, choice and
hope â all key components in client-centred practice (Sumsion
and Law 2006). In order to be client-centred, it is important
to appreciate an individualâs perception of their own disability,
known as their disability orientation.
Disability orientation, as described by Darling and Heckert
(2010), includes three aspects: disability identity; adherence to
a particular model of disability, and involvement in disability
rights activism. Each type of disability orientation will affect the
disabled personâs beliefs and feelings about themselves, their
impaired bodies and their disabled lives. This, in turn, is likely to
influence their expectations of and satisfaction with occupational
therapy services. Therefore, occupational therapists aiming to
work within a client-centred approach should be cognisant of
this concept and consider its possible impact on their therapeutic
approach.
This seminar will:
â Explore the concept of disability orientation and discuss
examples of different orientations;
â Examine the affirmative disability orientation as it relates to
occupational therapy;
â Enable participants to analyse and understand their clientsâ
disability orientation;
â Discuss strategies to provide intervention informed by a clientâs
disability orientation.
Case studies will be used to promote discussion and explore
practical ways to ascertain an individualâs disability orientation.
The affirmative disability orientation will be discussed in
particular.
Impact on service users: Understanding disability orientation
could lead to enhanced client-centred and culturally sensitive
practice.
Implications for occupational therapy: Contribution to the
improvement of practice through the development of culturally
sensitive therapeutic strategies