Evaluation of EPIM III: Emerging Insights From the Evaluation So Far

This report sets out some emerging insights from the ongoing evaluation of the European Programme for Integration and Migration (EPIM) 2012-2015 programme. The activities of EPIM and this evaluation lie at the very heart of EPIM's efforts to strengthen the capacity of NGOs active in migration and integration issues, to engage with and influence decision-making at EU and Member state levels, and to do so by drawing on a rigorous evidence base, and through a pragmatic approach. Founded in 2005 as an activity of the Network of European Foundations (NEF) in a unique effort to fund European migration and integration organisations, EPIM's activities include strategic grant-making as well as networking, capacity-building, supporting advocacy and policy work. The Programme has now disbursed over 3m to more than 24 grantee organisations. Drawing on experience and learning from previous phases, EPIM's current three core areas of focus are asylum seekers, undocumented migrants, and equality, integration and social inclusion of vulnerable migrants. Recognising the importance of the role played by civil society, one of EPIM's key goals is to strengthen the advocacy capacities of NGOs at the European level. This goal reflects the fact that over the past decade the EU has become an important actor in the field of immigration and asylum, as well as that the majority of countries face some challenges in this area

Supporting Family Members of Youth in Mental Health Crisis

The Sibling Support Program: A Family-Centered Mental Health Initiative, developed at the E.K. Shriver Center of UMass Medical School, addresses the impact of a youth’s mental health challenges on typically-developing siblings and caregivers. The project is an IRB-approved research study at Cambridge Health Alliance, and the principles of the project have been implemented at three sites in Worcester that provide gradated levels of care, ranging from residential to community-based. Findings show that regardless of the severity of a child’s mental health challenges, as evidenced by the level of care the child receives, family members display a similar need for support. The three sites in Worcester are: Continuing Care Units (CCU) at Worcester Recovery Center & Hospital; the Center for Autism and Neurodevelopmental Disorders (CANDO) at UMass Medical School; and a community collaboration between the Massachusetts Child Psychiatry Access Program (McPAP), the Parent/Professional Advocacy League (PPAL), and the department of psychiatry at UMass Medical School. The project aims to increase resiliency and mitigate the trauma commonly experienced by siblings of youth with mental health needs; build skills, competency and confidence among parents; strengthen the family unit; and build capacity among psychiatry trainees. Interventions include psycho-educational groups for caregivers and sibling support groups for children growing up alongside the affected youth. Participants completed surveys following the intervention to report on knowledge learned, satisfaction level, and behavioral change anticipated by the participant. This innovative program utilizes parent mentors and trainees to deliver interventions, with high satisfaction scores among participants. Results suggest that a child’s mental health challenges can be traumatic for family members, and that sharing stories and being introduced to coping skills can help alleviate the stress and anxiety related to living with a child with mental health issues. The program serves as a training elective for psychiatry residents at UMMS

Sibling Support Program: A Family-Centered Mental Health Initiative

Sibling Support Program: A Family-Centered Mental Health Initiative was developed at the Eunice Kennedy Shriver Center of the University of Massachusetts Medical School. The project is currently implemented at Cambridge Health Alliance in Cambridge, Massachusetts as an IRB-approved research study, and at another Boston-based hospital as a Quality Improvement (QI) initiative. The program was also piloted at Boston Children\u27s Hospital in Boston, Massachusetts. The project explores the impact of mental illness on typically developing siblings and caregivers of children with psychiatric needs. Project goals: to increase resiliency and mitigate the trauma commonly experienced by siblings of children admitted for psychiatric hospitalization; to build skills, competency and confidence among parents; to help restore family stability post-discharge; to build capacity among medical practitioners. Interventions include psycho-educational groups for caregivers, and sibling support groups for children growing up alongside the patient. Participants complete surveys following the intervention to report on knowledge learned, satisfaction level, and behavioral change anticipated by the participant. Over 1,500 participants have participated in this innovative program that utilizes parent mentors and medical trainees to deliver interventions, with high satisfaction scores among participants. Results suggest that a child\u27s mental illness can be traumatic for family members, and that sharing stories can alleviate the stress and anxiety related to living in a home with a child with mental illness. The program serves as a training rotation for psychiatry residents through Harvard Medical School

Light availability controls in the benthic nearshore ecosystem of the Elwha River

The Elwha River Restoration Project was the largest US dam removal project to date, both in dam height and sediment released. During dam removal in 2011–2014, ~18 Mt of sediment washed downriver, and macroalgae virtually disappeared from the adjacent nearshore ecosystem. The link between current benthic light availability and sediment delivery and transport has been investigated in order to understand conditions during dam removal. Seven instrument platforms were deployed on the 10-m isobath along a 16 km transect centered on the river mouth for seven fortnightly periods in 2016 and 2017 to monitor near-bed photosynthetically available radiation (PAR), suspended sediment, wave climate, current velocity, temperature, and salinity. Water-column profiles, bed sediment, and water samples were collected during deployments. Seasonally variable chlorophyll-a and colored dissolved organic matter did not contribute substantially to light attenuation compared to suspended sediment. Along the 10-m isobath within 1.5 km of the river mouth, the greatest light attenuation occurred when wave events coincided with or followed periods of high river discharge. However, discharge events lasting attenuation; energetic tidal currents promote rapid sediment export out of the nearshore environment. In the buoyant plume, maximum light attenuation occurred within 1 m of the surface, reducing light through the rest of the water column. Benthic PAR varied more during spring tides when plume location was more variable. Alongshore 1.5 to 8 km from the river mouth, light availability was not directly coupled to river discharge. Light attenuation occurred throughout the water column, influenced by resuspension due to strong currents and wave events. This subsurface attenuation would not be captured by remote sensing. Predicting benthic light availability over event, tidal, and seasonal timescales will improve management strategies designed to limit ecosystem damage during other dam removals or sediment delivery events

Ariel - Volume 9 Number 3

Executive Editor Emily Wofford Business Manager Fredric Jay Matlin University News John Patrick Welch World News George Robert Coar Editorials Editor Steve Levine Features Mark Rubin Brad Feldstein Photo Rick Spaide Circulation Victor Onufreiczuk Lee Wugofski Graphics and Art Steve Hulkower Commons Editor Brenda Peterso

Self-reported Adherence with the Use of a Device in a Clinical Trial as Validated by Electronic Monitors: the VIBES Study

Background: Adherences to treatments that require a behavioral action often rely on self-reported recall, yet it is vital to determine whether real time self reporting of adherence using a simple logbook accurately captures adherence. The purpose of this study was to determine whether real time self-reported adherence is an accurate measurement of device usage during a clinical trial by comparing it to electronic recording. Methods: Using data collected from older adult men and women (N=135, mean age 82.3 yrs; range 66 to 98 yrs) participating in a clinical trial evaluating a vibrating platform for the treatment of osteoporosis, daily adherence to platform treatment was monitored using both self-reported written logs and electronically recorded radio-frequency identification card usage, enabling a direct comparison of the two methods over one year. Agreement between methods was also evaluated after stratification by age, gender, time in study, and cognition status. Results: The two methods were in high agreement (overall intraclass correlation coefficient = 0.96). The agreement between the two methods did not differ between age groups, sex, time in study and cognitive function. Conclusions: Using a log book to report adherence to a daily intervention requiring a behavioral action in older adults is an accurate and simple approach to use in clinical trials, as evidenced by the high degree of concordance with an electronic monitor

Diet and Nutrition in Inflammatory Bowel Disease: A Review of the Literature

Diet is thought to contribute to the development of inflammatory bowel disease (IBD) and may act as a mediator of inflammation in patients with IBD. Patients commonly associate their diet with symptoms and inquire about dietary modifications to manage their IBD. Without clinical guidelines and well-established nutritional data, healthcare providers managing patients with IBD may find it difficult to provide recommendations. Strong evidence for enteral nutrition, particularly in the pediatric population, has been established in Crohn\u27s disease (CD) as a therapeutic option. Enteral nutrition may also serve as an adjunct to an exclusion diet. Recent studies such as the randomized trial comparing the Specific Carbohydrate Diet to a Mediterranean Diet in CD patients provide additional insights in forming dietary plans. A low-fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAP) diet in quiescent IBD and an anti-inflammatory diet have also been explored as adjunctive therapies. In this review, we discuss the latest evidence for the role of diet in IBD both as a therapeutic modality and as an opportunity to provide patient-centered care

Experiential education and outreach based on nearshore monitoring of the Elwha River restoration project

Nearshore monitoring of benthic habitats and the coastal environment following the Elwha River Restoration project has engaged students and citizens with coastal science and management issues. In the post-dam-removal period, the lessons learned will continue to be disseminated via a UW undergraduate course and an interactive digital map, both designed to engage students and communities in restoration science. The research-focused course developed at the UW Friday Harbor Labs has allowed us to engage diverse undergraduate students (and graduate teaching assistants) in the research process. The course integrates interdisciplinary lectures and workshops on data analysis and laboratory methods, with the research process; from proposal to oceanographic data collection to analysis to publication. The course provides opportunities for student creativity and leadership. Outcome tracking indicates that these undergraduate (and post-bac) students are generally attending graduate school at a high rate, and launching careers in education, coastal management, and other STEM fields. To engage a broader segment of the community and to support decision-making about large-scale coastal restoration projects, we have developed an interactive digital map that will be available on-line, and will also be piloted as a physical interpretive display at the Feiro Marine Life Center in Port Angeles, WA. The interactive digital map is designed to effectively tell the story of the Elwha restoration in the coastal environment through the compilation and display of multiple data sets, some of which have never before been publicly available. Ultimately, the result of long-term monitoring of the Elwha nearshore system will provide a better understanding of the effects of restoration activities, such as dam removal on benthic habitats, and this knowledge will be passed to future managers and citizens through educational and outreach activities that captivate and inspire a broad audience

Women’s empowerment in agriculture: Lessons from qualitative research

There is growing recognition of the importance of women’s empowerment in its own right and for a range of development outcomes, but less understanding of what empowerment means to rural women and men. The challenge of measuring empowerment, particularly across cultures and contexts, is also garnering attention. This paper synthesizes qualitative research conducted conjointly with quantitative surveys, working with eight agricultural development projects in eight countries, to develop a project-level Women’s Empowerment in Agriculture Index (pro-WEAI). The qualitative research sought to identify emic meanings of “empowerment,” validate the domains and indicators of the quantitative index, provide greater understanding of the context of each project and of strategies for facilitating empowerment, and test a methodology for integrating emic perspectives of empowerment with standardized etic measures that allow for comparability across contexts