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An innovative, multi-perspective and international approach to the issues which normalisation entails. Carrying on from the concept of community care, normalisation or integration is about creating the conditions in the individual and society for leading as autonomous and acceptable a life as possible. Based on the right of people with disabilities to an ordinary life, it has extensive implications not just for professionals in the mental health field but for all of us.
Provides eyewitness accounts and personal stories demonstrating how nurses turn the awesome into the routine. Chambliss shows how patients-- many weak and helpless--too often become objects of the bureaucratic machinery of the health care system, and how ethics decisions--once the dilemmas of troubled individuals--become the setting for political turf battles between occupational interest groups. The result is a combination of realism with a theoretical argument about moral life in large organizations. --From publisher description.
Health care spending in the United States today is approaching 20 percent of GDP, yet levels of U.S. population health have been declining for decades relative to other wealthy and even some developing nations. How is it possible that the United States, which spends more than any other nation on health care and insurance, now has a population markedly less healthy than those of many other nations? Sociologist and public health expert James S. House analyzes this paradoxical crisis, offering surprising new explanations for how and why the United States has fallen into this trap. In Beyond Obamacare, House shows that health care reforms, including the Affordable Care Act, cannot resolve this crisis because they do not focus on the underlying causes for the nation’s poor health outcomes, which are largely social, economic, environmental, psychological, and behavioral. House demonstrates that the problems of our broken health care and insurance system are interconnected with our large and growing social disparities in education, income, and other conditions of life and work, and calls for a complete reorientation of how we think about health. He concludes that we need to move away from our misguided and almost exclusive focus on biomedical determinants of health, and to place more emphasis on addressing social, economic, and other inequalities. House’s review of the evidence suggests that the landmark Affordable Care Act of 2010, and even universal access to health care, are likely to yield only marginal improvements in population health or in reducing health care expenditures. In order to rein in spending and improve population health, we need to refocus health policy from the supply side—which makes more and presumably better health care available to more citizens—to the demand side—which would improve population health though means other than health care and insurance, thereby reducing need and spending for health care. House shows how policies that provide expanded educational opportunities, more and better jobs and income, reduced racial-ethnic discrimination and segregation, and improved neighborhood quality enhance population health and quality of life as well as help curb health spending. He recommends redirecting funds from inefficient supply-side health care measures toward broader social initiatives focused on education, income support, civil rights, housing and neighborhoods, and other reforms, which can be paid for from savings in expenditures for health care and insurance. A provocative reconceptualization of health in America, Beyond Obamacare looks past partisan debates to show how cost-efficient and effective health policies begin with more comprehensive social policy reforms.
Disobedience : doctor workers unite! / Howard Waitzkin -- Becoming employees : the deprofessionalization and emerging social class position of health professionals / Matt Anderson -- The degradation of medical labor and the meaning of quality in health care / Gordon Schiff and Sarah Winch -- The political economy of health reform / David Himmelstein and Steffie Woolhandler -- The transformation of the medical industrial complex : financialization, the corporate sector, and monopoly capital / Matt Anderson and Robb Burlage -- The pharmaceutical industry in the context of contemporary capitalism / Joel Lexchin -- Obamacare : the neoliberal model comes home to roost in the United States, if we let it / Howard Waitzkin and Ida Hellander -- Austerity and health / Adam Gaffney and Carles Muntaner -- Imperialism's health component / Howard Waitzkin and Rebeca Jasso-Aguilar -- U.S. philanthrocapitalism and the global health agenda : the Rockefeller and Gates foundations, past and present / Anne-Emanuelle Birn and Judith Richter -- Resisting the imperial order and building an alternative future in medicine and public health / Rebeca Jasso-Aguilar and Howard Waitzkin -- The failure of Obamacare and a revision of the single payer proposal after a quarter century of struggle / Adam Gaffney, David Himmelstein, and Steffie Woolhandler -- Overcoming pathological normalcy : mental health challenges in the coming transformation / Carl Ratner -- Confronting the social and environmental determinants of health / Carles Muntaner and Rob Wallace -- Conclusion : moving beyond capitalism for our health / Adam Gaffney and Howard Waitzkin
The U.S. healthcare system is now spending many millions of dollars to improve "patient safety" and "inter-professional practice." Nevertheless, an estimated 100,000 patients still succumb to preventable medical errors or infections every year. How can health care providers reduce the terrible financial and human toll of medical errors and injuries that harm rather than heal? Beyond the Checklist argues that lives could be saved and patient care enhanced by adapting the relevant lessons of aviation safety and teamwork. In response to a series of human-error caused crashes, the airline industry developed the system of job training and information sharing known as Crew Resource Management (CRM). Under the new industry-wide system of CRM, pilots, flight attendants, and ground crews now communicate and cooperate in ways that have greatly reduced the hazards of commercial air travel. The coauthors of this book sought out the aviation professionals who made this transformation possible. Beyond the Checklist gives us an inside look at CRM training and shows how airline staff interaction that once suffered from the same dysfunction that too often undermines real teamwork in health care today has dramatically improved. Drawing on the experience of doctors, nurses, medical educators, and administrators, this book demonstrates how CRM can be adapted, more widely and effectively, to health care delivery. The authors provide case studies of three institutions that have successfully incorporated CRM-like principles into the fabric of their clinical culture by embracing practices that promote common patient safety knowledge and skills.They infuse this study with their own diverse experience and collaborative spirit: Patrick Mendenhall is a commercial airline pilot who teaches CRM; Suzanne Gordon is a nationally known health care journalist, training consultant, and speaker on issues related to nursing; and Bonnie Blair O'Connor is an ethnographer and medical educator who has spent more than two decades observing medical training and teamwork from the inside.
"In Beyond Welcome: Building Communities of Love, editor Linnea Nelson and contributors dream of a future Unitarian Universalism that upholds abundant love and universal justice within every community. The lived experiences of these hopeful Unitarian Universalists-ministers, religious professionals, and laypeople alike-illuminate the relevancy of liberation in each and every one of our communities. Examining both the joys of community and the responsibilities we have to one another, Beyond Welcome provides clarity about current structures and behaviors that create barriers to equity in our faith communities as a passageway to building foundational structures of love and liberation"--
Overcome the challenges facing social workers today with international guidance Social Work Approaches in Health and Mental Health from Around the Globe is a valuable stepping stone toward an understanding of the diversity of methods utilized in social work for community health services. This work stems from material gathered at the Third International Conference on Social Work in Health and Mental Health, held in Tampere, Finland. In this book, you will find new creative theoretical and practical orientations for designing, developing, and analyzing social work to help you produce policies and services in which clients can positively and productively invest. Social Work Approaches in Health and Mental Health from Around the Globe covers a long period in the history of social work in health issues, from theoretical treatises to empirical research and analyses of practices. The book provides you with research, case studies, and existing international and national literature from India, Botswana, Taiwan, Lithuania, the United Kingdom, Australia, and the United States. This resource explores the shared qualities of social work in health services throughout the world despite differences between countries in terms of culture, social system, and history. Although these experts come from different parts of the world, the book displays an emergence of similar issues and themes, including: the development of expertise for social workers in the health and mental health fields social work as an agent of change that crosses borders, operates on many levels, and across many dimensions of society community-based care—principles, perspectives, marginalized groups, and the role of the social worker dual divisions—becoming aware of and choosing a position in work practice
Answering the Cry of the Poor in a Million Villages The church is facing a strategic opportunity—85 percent of people living in extreme poverty around the world reside in villages. These villages are also home to the majority of the world’s least reached people. The church has historically played an active role in wholistic ministry and alleviating global poverty with a goal of encouraging sustainable community development. However, while these outreaches may succeed in “helping without hurting,” they still often focus on limited-scope projects that provide good solutions to a single community. In Beyond Poverty, Terry Dalrymple calls us to move beyond sustainable projects in a single village to transformational movements that multiply change from village to village and sweep the countryside. Through multiple case studies based on the actual experiences of more than 900 organizations in 135 different countries, this book tells the story of a large and growing network of ministries around the world using the strategy of Community Health Evangelism to change the life of the poor forever. The principles in this book are not just a theory, but proven strategy. The church is uniquely positioned to accelerate poverty alleviation worldwide. This book will help you understand the fundamentals of catalyzing transformational movements that make disciples among the poor while lifting whole communities out of cycles of poverty and disease. This is our moment! This is your opportunity to advance a global movement and answer the cry of the poor in a million villages.
Outstanding social entrepreneurs inspire students, transform communities, and ignite innovative approaches to solving social needs. This timely book has been inspired by the increasing interest around social entrepreneurship scholarship and the practice of delivering innovative solutions to social issues. The in-depth theoretical study of stakeholder engagement, financial options, leadership management and organizational challenges is complemented by compelling international case studies of real social enterprise success. The book will be essential reading for students, academics, practitioners and entrepreneurs to expand their knowledge, skills and passion and sustainably pursue their social missions to bring about real social change.
Modern society is increasingly preoccupied with fears for the future and the idea of preventing 'the worst'. The result is a focus on attempting to calculate the probabilities of adverse events occurring – in other words, on measuring risk. Since the 1990s, the idea of risk has come to dominate policy and practice in mental health across the USA, Australasia and Europe. In this timely new text, a group of international experts examines the ways in which the narrow focus on specific kinds of risk, such as violence towards others, perpetuates the social disadvantages experienced by mental health service users whilst, at the same time, ignoring the vast array of risks experienced by the service users themselves. Benefitting from the authors' extensive practice experience, the book considers how the dominance of the risk paradigm generates dilemmas for mental health organizations, as well as within leadership and direct practice roles, and offers practical resolutions to these dilemmas that both satisfy professional ethics and improve the experience of the service user. Combining examination of key theories and concepts with insights from front line practice, this latest addition to Palgrave's Beyond the Risk Paradigm series provides an important new dimension to debates on mental health provision.