1,721,035 research outputs found
Equitable access to mental health support for LGBTQ+ young people: an intersectional youth rights approach
No full textThe global burden of young people’s poor mental health has stimulated increased attention on improving access to mental health services. However, young people are reluctant to seek help for mental health problems, and this is most often framed as an individual deficit. The power relations that disadvantage youth, such as age, gender, sexual orientation, race/ethnicity, and poverty, are rarely included in research. Our U.K. study made power central through a feminist intersectional youth-rights approach to improving accessibility for LGBTQ+ youth to mental health support. Using a case-study theory-driven evaluation methodology across 12 mental health support sites, data were collected via (a) interviews with LGBTQ+ youth, parents, and staff; (b) documentary review; and (c) nonparticipant observation. Data analysis involved a multiphase “explanation-building” analytical technique. We found that to improve access, power must be addressed across four domains: (a) structurally through provision of well resourced, legitimated services; (b) culturally by building cultural safety for LGBTQ+ identities; (c) disciplinary by designing services that not burden youth; and (d) interpersonal through open relationships that provide comfortable engagement. Equitable access requires policy and practice to take a feminist intersectional youth-rights approach that tackle the multiple power relations that make LGBTQ+ youth hesitant about help-seeking
Early mental health intervention and supported self-care for LGBTQ+ young people in the UK: a mixed-methods study
No full textBackground: lesbian, gay, bisexual, trans, queer/questioning, plus young people have a higher risk of poor mental health in comparison to cisgendered heterosexual young people, and they underutilise mental health services and support. In addition, there is a paucity of research conducted in United Kingdom examining mental health early intervention provision for lesbian, gay, bisexual, trans, queer/questioning, plus young people.Objectives: to produce a model of what works for early intervention mental health support for lesbian, gay, bisexual, trans, queer/questioning, plus young people and increase understanding of lesbian, gay, bisexual, trans, queer/questioning, plus young people’s access to, navigation of, and engagement with mental health support.Method: this was a multi-methods theory-led case study evaluation with three distinct stages: (1) a meta-narrative review of existing literature to develop a theoretical framework to explain effective mental health support for lesbian, gay, bisexual, trans, queer/questioning, plus young people; (2) an online and offline service mapping exercise to locate current mental health early intervention support for lesbian, gay, bisexual, trans, queer/questioning, plus young people in the United Kingdom in order to produce a service typology; and (3) a theory-led case study evaluation of 12 case study sites selected from the service typology produced in stage 2, to establish the components of appropriate quality, early intervention mental health support for lesbian, gay, bisexual, trans, queer/questioning, plus young people.Results: Stage 1 produced an interdisciplinary theoretical framework indicating that early intervention mental health support for lesbian, gay, bisexual, trans, queer/questioning, plus youth must prioritise addressing normative environments that marginalise youth, lesbian, gay, bisexual, trans, queer/questioning, plus identities and mental health problems.Stage 2 mapping found 111 services, the majority in urban settings in England. There was an absence of mainstream National Health Service support that specifically addressed the needs of lesbian, gay, bisexual, trans, queer/questioning, plus young people. The majority of lesbian, gay, bisexual, trans, queer/questioning, plus youth mental health support was provided by voluntary/community organisations.Stage 3 case study evaluation found that an intersectional, youth-rights approach is the most appropriate way to deliver early intervention mental health support for lesbian, gay, bisexual, trans, queer/questioning, plus young people. Youth rights should underpin mental health support to address the multiple marginalisation, isolation and stigmatisation that lesbian, gay, bisexual, trans, queer/questioning, plus young people may experience and to enable them to make informed independent decisions about their own bodies and lives, and for the right to freedom of safe self-expression to be upheld. The model that we have produced contains 13 principles that are necessary to the provision of mental health support, and to improve access to, engagement with, and navigation of mental health services.Conclusions: in the United Kingdom, a rights-based approach to mental health service provision is not prominent. In addition, at the time of writing, lesbian, gay, bisexual, trans, queer/questioning, plus young people are facing active legislative and policy attacks on their human rights. This study provides the first large-scale theory-led evaluation of early intervention mental health support for lesbian, gay, bisexual, trans, queer/questioning, plus young people with common mental health problems. The resulting intersectional, youth-rights approach provides evidence on ways of improving lesbian, gay, bisexual, trans, queer/questioning, plus young people’s mental health.Further research on the implementation of an intersectional, youth-rights approach to early intervention mental health support for lesbian, gay, bisexual, trans, queer/questioning, plus young people with mental health problems is required.Study registrationThis study is registered as PROSPERO CRD42019135722.FundingThis award was funded by the National Institute for Health and Care Research (NIHR) Health and Social Care Delivery Research programme (NIHR award ref: 17/09/04) and is published in full in Health and Social Care Delivery Research; Vol. 12, No. 47. See the NIHR Funding and Awards website for further award information
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Full text linkWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Health Policies
No full textThis chapter analyses the core characteristics of labour market governance in Portugal in a comparative perspective, analysing the interplay between public and private regulation within the context of wages and employment conditions. This chapter describes the main characteristics of the Portuguese employment model within the European context and how it differs from other Southern European countries, notably when it comes to female and low-skilled employment. It argues that the power relationships that emerged from the transition to democracy favoured a more liberal employment regime than in Spain, resulting in a lower threshold of unemployment but also in higher income inequalities and lower wage protections. The models have tended to converge in recent years, and income inequality in Portugal has diminished. This chapter highlights the high level of female employment since the 1960s, a characteristic that is significantly different from other Southern European countries. This can be explained by specific contextual factors, notably the legacy of the colonial war and high rates of emigration
Segurança Sanitária, Saúde e Democracia
No full textA pandemia COVID-19 veio colocar a Segurança Sanitária no centro da agenda política dos Estados e das Organizações Internacionais. As políticas de prevenção, deteção e resposta a este tipo de risco, têm sido objeto de debate e controvérsia. Neste IDN Brief convidámos diferentes especialistas a refletir sobre as implicações da pandemia em termos da segurança sanitária, da gestão e governação do sistema de saúde pública global, do seu nexo com a defesa nacional e da sua articulação com outras dimensões da segurança
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