「異文化背景を持つ子ども」－変貌し続ける子どもの実態－

Community Navigator Feasibility Trial – Participant Consent Form. (DOCX 68 kb

A study of human resource competencies required to implement community rehabilitation in less resourced settings.

BACKGROUND: It is estimated that over one billion persons worldwide have some form of disability. However, there is lack of knowledge and prioritisation of how to serve the needs and provide opportunities for people with disabilities. The community-based rehabilitation (CBR) guidelines, with sufficient and sustained support, can assist in providing access to rehabilitation services, especially in less resourced settings with low resources for rehabilitation. In line with strengthening the implementation of the health-related CBR guidelines, this study aimed to determine what workforce characteristics at the community level enable quality rehabilitation services, with a focus primarily on less resourced settings. METHODOLOGY: This was a two-phase review study using (1) a relevant literature review informed by realist synthesis methodology and (2) Delphi survey of the opinions of relevant stakeholders regarding the findings of the review. It focused on individuals (health professionals, lay health workers, community rehabilitation workers) providing services for persons with disabilities in less resourced settings. RESULTS: Thirty-three articles were included in this review. Three Delphi iterations with 19 participants were completed. Taken together, these produced 33 recommendations for developing health-related rehabilitation services. Several general principles for configuring the community rehabilitation workforce emerged: community-based initiatives can allow services to reach more vulnerable populations; the need for supportive and structured supervision at the facility level; core skills likely include case management, social protection, monitoring and record keeping, counselling skills and mechanisms for referral; community ownership; training in CBR matrix and advocacy; a tiered/teamwork system of service delivery; and training should take a rights-based approach, include practical components, and involve persons with disabilities in the delivery and planning. CONCLUSION: This research can contribute to implementing the WHO guidelines on the interaction between the health sector and CBR, particularly in the context of the Framework for Action for Strengthening Health Systems, in which human resources is one of six components. Realist syntheses can provide policy makers with detailed and practical information regarding complex health interventions, which may be valuable when planning and implementing programmes

Additional file 1: of Associations between loneliness and perceived social support and outcomes of mental health problems: a systematic review

Search strategies (detailed search strategies used in Medline, PsycINFO, Embase, Web of Science, CINAHL and Cochrane Library). (PDF 323 kb

Sample socio-demographic and disability characteristics.

*<p>None of these variables had missing values for >1% of the sample.</p>**<p>p for difference <0.001.</p

Population attributable fraction for violence related to the independent effect of disability, and estimated number of victims arising from PAF in England and Wales in 2009¹.

1<p>Based on ONS mid-2009 population figures.</p>2<p>Based on (1) and our estimates of violence prevalence in the whole population.</p>3<p>Based on (1) and our estimates of prevalence of disability and prevalence of violence among the disabled.</p>4<p>Based on (3) and our PAF estimates among those with disability.</p

Prevalence and odds of violence subtypes in people aged 16 and above, by disability (interview measures of violence only).

<p>Prevalence and odds of violence subtypes in people aged 16 and above, by disability (interview measures of violence only).</p

Prevalence and odds of violence subtypes in people aged 16–59, by disability (interview and self-completion measures of violence).

<p>Prevalence and odds of violence subtypes in people aged 16–59, by disability (interview and self-completion measures of violence).</p

Impact of violent offences on heath, by disability.

1<p>These incidents were experienced by 1653 people without disability, 290 people with non-mental disability and 157 people with mental illness.</p

MOESM6 of Development of a peer-supported, self-management intervention for people following mental health crisis

Additional file 6: DS8. Pilot trial (stage 5)—main themes from participant interviews

La Charente

17 décembre 18891889/12/17 (A18,N7182)-1889/12/17.Appartient à l’ensemble documentaire : PoitouCh