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Independent Living Centers: A Parallel Resource
Published in Raymond V. Smith, John H. Leslie, Rehabilitation Engineering, 2018
A variety of public information methods are used about various topics. Most ILCs send out newsletters, make presentations to community groups, and conduct sensitivity training in schools. Some help to produce programs for television or spots for radio. A few even use billboards. One ILC used a group to improve the way that the media portrayed persons with disabilities.9
Accountability for reasonableness and the Citizens Council
Published in Peter Littlejohns, Patients, the Public and Priorities in Healthcare, 2018
The best outcomes/fair chances problem, the priorities problem and the aggregation problem also arise when we are concerned with reducing health inequalities – although this is less noticed as an issue. Suppose we identify a health inequality that seems clearly unjust. An example might be race inequalities in health in the US – these are significant and arise at every socioeconomic status level. Some inequalities are the result of different ways a decision is employed – a number of studies have shown that different treatments are offered to black and white people with matched clinical conditions, suggesting some form of stereotyping or discrimination by providers. Suppose we try to reduce the inequality. We will bump into the distributive problems noted before. For example, a strategy of sensitivity training might target the inequality better but not improve the level of population health as much as a strategy aimed at training all providers in the use of clinical guidelines. In short, we can help those who are unjustly worse off more, but perhaps only at the expense of not producing as much health benefit in the population as a whole.3,4
Special problems of the homeless
Published in John A. Liebert, William J. Birnes, Psychiatric Criminology, 2016
John A. Liebert, William J. Birnes
To emphasize the politics of the homeless, Sandy was placed on administrative leave with full pay and allowed to carry his gun. He is now retired at standard retirement pay. The city attorney later stated that there would be no investigation, because she did not have powers of investigation and always had to take officers' statements at their word. The mayor recently made a statement denouncing the brutal neglect of a man's rights. That again is strange. This was cold-blooded murder. Training such police officers licensed to kill in psychiatry makes about as much sense as training them to tell the difference between an inner-city teen in a hoodie from an armed felon gangster. Is that a 6-hour sensitivity training course instead of 12–14 years higher education required to become a psychiatrist? In all the investigations, prosecutions, civil actions, and finally costs to bury homeless dead, the question is never asked, why are these people sleeping in the desert instead of the security of a hospital bed, as in Under the Red Roof, or a safe and humane halfway house under medical supervision? The answer has been clear for decades: institutional neglect, a new form of institutional violence, which is simply cheaper, although the damaging effects of 10 years in prison for schizophrenia are not considered a health-care cost in this era of criminalization of psychosis.
Impact of an LGBTQ Cultural Competence Training Program for Providers on Knowledge, Attitudes, Self-Efficacy, and Intensions
Published in Journal of Homosexuality, 2022
Bethany Rhoten, Jack E. Burkhalter, Rej Joo, Imran Mujawar, Daniel Bruner, NFN Scout, Liz Margolies
Before designing the curriculum, the National LGBT Cancer Network staff spent a year researching the concepts, theories and limited studies on the effectiveness of LGBTQ cultural competence training. The Cancer Network staff began by examining the multiple definitions of cultural competence in use. The term has been used interchangeably with diversity education, cultural sensitivity training and multi-cultural workshops. According to the Joint Commission, “Cultural competence requires organizations and their personnel to do the following: (1) value diversity, (2) assess themselves, (3) manage the dynamics of difference, (4) acquire and institutionalize cultural knowledge, and (5) adapt to diversity and the cultural contexts of individuals and communities served (Joint Commission, 2011).” As the new curriculum was to be focused more on individual level change, vs. systemic change, the staff decided to define cultural competency not as an end goal but as a commitment to an ongoing engagement with LGBTQ-affirming behaviors, knowledge, attitudes and policies. LGBTQ cultural competency presentations and trainings are understood to be a beginning and important step in learning to work more effectively with LGBT clients/patients, but they are not the only required step. Profound change also requires time, practice and self-reflection. In addition, the staff researched best practices in slide design, methods for training groups with multiple learning styles (visual, auditory, kinesthetic), and evaluation tools.
A Trauma-Informed Exploration of the Mental Health and Community Support Experiences of Transgender and Gender-Expansive Adults
Published in Journal of Homosexuality, 2021
Seventy F. Hall, Maur J. DeLaney
Outside of the therapeutic context, participants faced challenges across a wide range of institutional settings, including the health care system and the workplace, where “‘business casual’ … sometimes requires women to wear blouses and feminine shoes.” Another participant said the following about their experiences with health professionals and society as a whole: There must be comprehensive sensitivity training in all workplaces and especially in healthcare professions. I have been misgendered, disrespected, or dismissed by many health care providers … and have been made to practically beg for care that would support my transition. All people must be educated on transgender and gender-expansive experience because it’s a life or death issue.
Hospital rehabilitation for patients with obesity: a scoping review
Published in Disability and Rehabilitation, 2018
Jennifer C. Seida, Arya M. Sharma, Jeffrey A. Johnson, Mary Forhan
Although our review found no evidence by which to define best practice for rehabilitation patients who have obesity, concepts and principles known to promote quality care have been identified. Patient-centered care provides an opportunity to better understand the day-to-day challenges of living with obesity that impact performance in the activities of everyday living and enhances participation in health care services.[59,60] Sensitivity training including education about the causes and consequences of obesity and how to talk with patients about their obesity is known to reduce weight bias among health care professionals and improve patient satisfaction with services.[61] Therefore integrating such professional development opportunities in rehabilitation settings is warranted. Finally, access to and knowledge about equipment used in rehabilitation settings with patients including mobility and transfer equipment is necessary to promote patient and health care provider safety.