Designing Accessible Mental Health Care in an Urban Community: Lived Experiences of Key Stakeholders Planning Emergent Community-Based Services

Disparities in mental health care between African Americans and Caucasians have increased significantly since the 1990s, and social determinants such as poverty, access to resources, education, institutionalization, and housing status can have an additional negative influence these disparities (Hunt et al., 2013; McGuire & Miranda, 2008; Primm, et al., 2010). This suggests that further research is needed to identify and examine the “malleable barriers,� that is, research that better explains the pervasive racial disparities in the current healthcare system. This community-driven phenomenology-oriented study employed a multi-method approach, primarily the consultative workshop method (Levers, 2003), a form of participant action research, to describe the lived experiences of urban key stakeholders’ experience of community trauma and barriers to healing and recovery. These exploratory research findings suggest five main contributing risk factors/themes that inform a better understanding of community trauma and the help-seeking process. The five factors/themes are stigma, chronic community violence, social determinants, racism, and transgenerational or historical trauma. The inquiry aimed to capture the lived experience of community trauma in an urban environment. In doing so, the investigation found that the collective and overt nature of multiple types of traumas, as experienced across the life span, can be understood more fully from a community context. This study proposes a new model for addressing the needs of a racial/ethnic trauma-informed community. Adding to the current trend of “integrated care� and “trauma-informed approaches,� the idea of community development was integrated into a trauma-informed approach. The trauma-informed community development strategy produced from this study suggests a paradigm shift from focusing behavior health interventions solely upon the individual, to focusing interventions on the environment, in order to mitigate the effects of community trauma and to build resilience

#GE2019 – Labour owns the Tories on Instagram, the latest digital battlefield

How did political parties make use of Instagram during the UK General Election of 2019

The alternate and influential world of the political parties’ Facebook feeds

How Facebook and social media gave us clues to the political earthquake that was underway in the UK general election of 2017

Examining Collaboration Within Child Welfare Multidisciplinary Teams: How Home-Based Therapists Respond to Conflict

Indiana University-Purdue University Indianapolis (IUPUI)When the child welfare system becomes involved with a family in need of services it does so with the goal of concluding its involvement by finding a safe and permanent placement for the children, ideally with their parents. This challenging and complicated work often has many issues that need to be addressed before a successful closure can occur. To achieve this goal, multiple service providers with various backgrounds, degrees, and professions are tasked with working with each other and the family through a collaborative team called a multidisciplinary team (MDT). However, collaboration is not always guaranteed, and conflict can emerge as the team attempts to best serve the family. This conflict may emerge among professionals and between professionals and the family. Although the underlying factors of collaboration and conflict have been documented and studied, research on the process of resolving conflict when it occurs in MDTs is severely lacking in the literature. Furthermore, MDTs specific to the child welfare system also lack the focus they deserve within the child welfare literature. This grounded theory study addresses the gap by focusing on child welfare MDTs and specifically on home-based therapists (N=20) to determine not only their perceptions of facilitators and barriers to collaboration but also the process that they and their fellow service providers engage in when addressing and resolving conflict. In conducting this qualitative study, this researcher used grounded theory to construct a theory outlining the processes that home-based therapists utilize to resolve conflict within MDTs, starting with the emergence of the conflict and detailing the decision making process through the team’s reaction and the ultimate decision or final result. In the future, these findings could be used to aid and train other MDT members as they face their own conflicts with the hope that a more efficient conflict resolution process will lead to a more effective MDT that keeps its focus on the family and provides the needed treatment and services in a timely manner

There now follows a party election broadcast

How the political parties used viral advertising on social media to circumvent broadcasting restrictions during the 2015 UK general election campaign

Petrology and Provenance of the Triassic Sugarloaf Arkose, Deerfield Basin, Massachusetts

The ~2 km-thick Late Triassic Sugarloaf Arkose is the basal unit of the half-graben Deerfield basin, Massachusetts. Valley-river, piedmont-river, and alluvial-fan depositional facies within the arkose are defined by paleocurrent data and style of sedimentation. The valley rivers flowed from northeast to southwest, and the facies is present from the bottom to the top of the formation. Piedmont rivers built a megafan eastward into the basin, beginning about in the middle of the arkose. The local alluvial fan built from east to west in the upper-third of the formation. The petrology of the medium sand and conglomerate was used to delineate the source areas for each facies. The medium sand in the valley rivers is mostly granite and granite gneiss fragments, coarsely-polycrystalline quartz grains, and twinned plagioclase. This assemblage is a mixture of granite from continental basement uplift, granite gneiss from a dissected magmatic arc, and phyllites and schist from a recycled collision orogen. The medium sand in the piedmont-river facies lacks granite fragments, and untwinned plagioclase is more abundant than twinned: the provenance is continental basement uplift and recycled collision orogen. The alluvial-fan provenance is similar to the valley rivers, combining recycled collision orogen and dissected magmatic arc. Unlike the valley rivers, granite gneiss and untwinned plagioclase in the alluvial fan are dominant over granite and twinned plagioclase. Quartz provenance in the three facies was granite, trending to granite gneiss in the piedmont-river and alluvial-fan facies. In all facies, plagioclase feldspar is more common than K-feldspar in the medium sand. The conglomerate pebbles, however, are dominated by K-feldspar, most likely due to erosion of pegmatites in the source terrane. Gray quartzite, white and translucent varieties of quartz, and pink granitoid pebbles are also common. The post-depositional diagenesis of the Sugarloaf Arkose affects provenance determination. Diagenetic events include: hematite grain coats, mechanical compaction, albitization of feldspars, albite and quartz overgrowths, authigenic hematite cement, carbonate cement, and illite replacement of feldspars. Within the dry-dominated monsoonal paleoclimate, each facies formed in response to tectonism. The initial appearance of each facies is used to determine the timing of tectonic events. The valley rivers flowed from the northeast in an early NNE-SSW-trending ‘sag’ basin, associated with minor normal faulting. The initial appearance of the east-flowing piedmont rivers about half way up the section implies an early, down to the west, basin-bounding normal fault, which formed perpendicular to N70E-S70E extension. This fault propagated, and, on reaching the northeast corner of the basin, the alluvial fan built to the west off the fault scarp. The Amherst block is a relay ramp between basin-bounding faults in the Deerfield and Hartford basins. Linkage of the two basin-bounding faults through the Amherst block created an integrated basin linking the Triassic strata in the early Hartford and Deerfield basins, and may have caused the unconformity present at the top of the arkose

A ZOOARCHAEOLOGICAL STUDY OF GENERATIONAL DECISION-MAKING: MODELING SUBSISTENCE AND DEMOGRAPHIC CHANGE IN LATE-HOLOCENE OCCUPATIONS OF HOUSEPIT 54 AT THE BRIDGE RIVER SITE (EeRl4), MID-FRASER, B.C.

The Bridge River site is a winter pithouse village near the confluence of the Bridge and Fraser Rivers in the Mid-Fraser Canyon that was occupied periodically from as early as 1800BP to the mid-19th century. Prentiss et al. (2008) divide the range of occupations into four Periods: Bridge River (BR) 1, c. 1800-1600BP, BR2, c. 1600-1300BP, a short-lived BR3, c. 1300-1100BP (by the end of this period the village appears to have been largely abandoned), and BR4, a late reoccupation of the site, c. ~500 to 100BP (Prentiss et al. 2008, 2011, 2012). During BR2 and into BR3, between 1500-1100BP, the village experienced punctuated population growth and then underwent dynamic and rapid population decline and abandonment at the end of BR3. This trend continued throughout the Middle Fraser region toward the end of BR3, as major village populations experienced rapid declines and abandonment events leading up to roughly 1000 BP