Effects and side-effects of integrating care: the case of mental health care in the Netherlands

Contains fulltext : 56200.pdf ( ) (Open Access)Purpose: Description and analysis of the effects and side-effects of integrated mental health care in the Netherlands. Context of case: Due to a number of large-scale mergers, Dutch mental health care has become an illustration of integration and coherence of care services. This process of integration, however, has not only brought a better organisation of care but apparently has also resulted in a number of serious side-effects. This has raised the question whether integration is still the best way of reorganising mental health care. Data sources: Literature, data books, patients and professionals, the advice of the Dutch Commission for Mental Health Care, and policy papers. Case description: Despite its organisational and patient-centred integration, the problems in the Dutch mental health care system have not diminished: long waiting lists, insufficient fine tuning of care, public order problems with chronic psychiatric patients, etc. These problems are related to a sharp rise in the number of mental health care registrations in contrast with a decrease of registered patients in first-level services. This indicates that care for people with mental health problems has become solely a task for the mental health care services (monopolisation). At the same time, integrated institutions have developed in the direction of specialised medical care (homogenisation). Monopolisation and homogenisation together have put the integrated institutions into an impossible divided position. Conclusions and discussion: Integration of care within the institutions in the Netherlands has resulted in withdrawal of other care providers. These side-effects lead to a new discussion on the real nature and benefits of an integrated mental health care system. Integration requires also a broadly shared vision on good care for the various target groups. This would require a radicalisation of the distinction between care providers as well as a recognition of the different goals of mental health care.11 p

Parental Influence on Radicalization and De-radicalization according to the Lived Experiences of Former Extremists and their Families

EU member-states target families in order to prevent or counter radicalization. However, there is little empirical knowledge to confirm that parents influence the radicalization and de-radicalization process. Because there is little known about the role that parents play in radicalization and de-radicalization, this qualitative study explored the family dynamics in these processes together with 11 former radicals and their families. The study consists of 21 in-depth interviews with Dutch former radicals and their family members and it was found that formers and their families do not recognize a direct influence of parents on radicalization and de-radicalization. However, a more indirect influence seems to be in place: a (problematic) family situation may influence the radicalization process and family support can possibly play a role in de-radicalization. It is also stressed that parents have need for knowledge about the different ideologies and for tools on how to respond to their children’s radicalization. Family support programs could focus on these lacunas in order to help families counter radicalization

Parents’ Perspectives on Radicalization: A Qualitative Study

Abstract: Radicalization of young people might be influenced by the way parents react towards the development of political or religious ideals. However, these reactions have hardly been explored. This study aimed to discover how parents reacted to the development of extreme ideals, and why they responded in the way that they did. To gain knowledge about the influence of parents on adolescents who developed extreme ideals, 82 in-depth interviews were held with adolescents and young adults who held extreme ideals. Interviews were also held with the parents or siblings of each adolescent and young adult. In line with parenting style theory, it was found that parents react in four possible ways: (1) by rejecting, (2) applauding, (3) ignoring, or (4) discussing the (extreme) ideals of their children. Few parents discuss ideals and values with their child, and this paper tries to show why (e.g., powerlessness, disassociation, occupation with other problems, believing it to be a phase that will pass, or that their reaction would not help). Most parents struggle to cope with radicalization and do not know how to react. Support and control are potentially important tools for parents to use to combat the development of extreme ideology

О состоянии и проблемах автоматизации Фундаментальной библиотеки Академии наук Республики Узбекистан

Dit rapport heeft tot doel bijzondere aandacht te vragen van de Nederlandse regering, in het bijzonder de Minister van Buitenlandse Zaken, voor de praktijken van arrestatie, verhoor, detentie en berechting van Palestijnse kinderen door de Israëlische militaire autoriteiten op de Westelijke Jordaanoever. Hiermee beoogt het rapport de Minister ertoe aan te zetten om, in diens betrekkingen met de Israëlische and Palestijnse autoriteiten, en waar mogelijk in Europese Unie-verband, te bevorderen dat arrestatie, verhoor, detentie en ebrechting van Palestijnse kinderen door de Israëlische militaire autoriteiten uitsluitend plaats vindt in overeenstemming met de internationaal erkende rechten van het kind en de daarbij behorende standaarden

Partners in Parenting:An Overview of the Literature on Parents’ and Nonparental Adults’ Perspectives on Shared Responsibilities in Childrearing

The involvement of nonparental adults (NPAs) in the upbringing of children is widely considered to be important for the well-being of both children and parents. However, there has been no systematic overview of parental and nonparental perspectives toward this involvement. This study presents an overview of the international literature on sharing responsibility between parents and NPAs. A structured search resulted in the inclusion of 49 relevant publications. Limitations of the extant research notwithstanding, some generalizations about shared childrearing can be made. However, many issues relating the taboo of sharing childrearing responsibilities remain poorly understood. To break the taboo, future research should further explore the underlying sensitivities

Classical information deficit and monotonicity on local operations

We investigate classical information deficit: a candidate for measure of classical correlations emerging from thermodynamical approach initiated in [Phys. Rev. Lett 89, 180402]. It is defined as a difference between amount of information that can be concentrated by use of LOCC and the information contained in subsystems. We show nonintuitive fact, that one way version of this quantity can increase under local operation, hence it does not possess property required for a good measure of classical correlations. Recently it was shown by Igor Devetak, that regularised version of this quantity is monotonic under LO. In this context, our result implies that regularization plays a role of "monotoniser".Comment: 6 pages, revte