At the Crossroads


Book Description




Community Health at the Crossroads


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Arts Development in Community Health


Book Description

Arts in community health is a distinct area of activity that is characterised by the use of participatory arts to promote health. Based on the latest international research, this book considers how and why arts in community health has come about, the characteristics of its practice and the challenges it poses for evaluation. The rapid growth of this field of work in the UK from the mid-1990s has begun to impact on policy in the arts funding system, on multi-sector partnerships for health service delivery, and in local authority cultural strategies, yet the reasons for its emergence and the nature and diversity of the practice itself have gone largely unaccounted for. It encompasses work in primary care, community health and public health. Arts in community health has not evolved simply as a result of the successful advocacy of an arts sector keen to demonstrate its relevance to health, but rather through the wider recognition of a phenomenological connection between engagement in cultural activity and well-being. The pioneering viewpoints in this book promote an holistic approach to arts and public health, focusing on the development of the person and not just the sick or dysfunctional part of that person. Alongside the therapeutic benefits to patients, the book also considers environmental improvements to support staff, and using the arts to produce more creative kinds of health information. This fully referenced guide compares and contrasts the arts in different cultures and healthcare systems, how well it works, why it works, and the factors that determine its success. The case studies examined prove shared creativity aids public health and simultaneously identifies and addresses the local and specific health needs in a community. 'In the last decade health has become a recurrent topic in discussion of the role of the arts in society, fuelled by a growing body of research into connections between culture and well-being. This pioneering practice of arts in community health - began in the UK in the late 1980s through sporadic pilot projects placing local arts development in health promotion and primary care contexts. It has since grown and expanded to embrace community health on a broad front hooking up with multi-agency initiatives to address the social determinants of health through partnership working.' Mike White, in the Introduction







Healthcare Disparities at the Crossroads with Healthcare Reform


Book Description

Building upon the success of Dr. Williams's widely influential book Eliminating Healthcare Disparities in America: Beyond the IOM Report, this new volume takes a fresh and timely look at the state of healthcare reform and the progress and problems we face in the pursuit of healthcare equality. This book focuses on how the elimination of disparities can be accomplished through targeted efforts made within the context of reform. Comprising the combined efforts of the nation's best health policy analysts, researchers, key opinion leaders and clinicians, this book addresses both current and impending legislation and future movements in healthcare. With the knowledge that the problem of disparities extends beyond the present political arena into the larger scope of all aspects of healthcare delivery, the authors provide critical analysis of the causation of disparities, insightful examples of what has worked, and a striking call to action with implementable strategies for advancing equality.




Communities in Action


Book Description

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.




The New Public Health


Book Description

The New Public Health has established itself as a solid textbook throughout the world. Translated into 7 languages, this work distinguishes itself from other public health textbooks, which are either highly locally oriented or, if international, lack the specificity of local issues relevant to students' understanding of applied public health in their own setting. This 3e provides a unified approach to public health appropriate for all masters' level students and practitioners—specifically for courses in MPH programs, community health and preventive medicine programs, community health education programs, and community health nursing programs, as well as programs for other medical professionals such as pharmacy, physiotherapy, and other public health courses. Changes in infectious and chronic disease epidemiology including vaccines, health promotion, human resources for health and health technology Lessons from H1N1, pandemic threats, disease eradication, nutritional health Trends of health systems and reforms and consequences of current economic crisis for health Public health law, ethics, scientific d health technology advances and assessment Global Health environment, Millennium Development Goals and international NGOs







Building Community Food Webs


Book Description

Our current food system has decimated rural communities and confined the choices of urban consumers. Even while America continues to ramp up farm production to astounding levels, net farm income is now lower than at the onset of the Great Depression, and one out of every eight Americans faces hunger. But a healthier and more equitable food system is possible. In Building Community Food Webs, Ken Meter shows how grassroots food and farming leaders across the U.S. are tackling these challenges by constructing civic networks. Overturning extractive economic structures, these inspired leaders are engaging low-income residents, farmers, and local organizations in their quest to build stronger communities. Community food webs strive to build health, wealth, capacity, and connection. Their essential element is building greater respect and mutual trust, so community members can more effectively empower themselves and address local challenges. Farmers and researchers may convene to improve farming practices collaboratively. Health clinics help clients grow food for themselves and attain better health. Food banks engage their customers to challenge the root causes of poverty. Municipalities invest large sums to protect farmland from development. Developers forge links among local businesses to strengthen economic trade. Leaders in communities marginalized by our current food system are charting a new path forward. Building Community Food Webs captures the essence of these efforts, underway in diverse places including Montana, Hawai‘i, Vermont, Arizona, Colorado, Indiana, and Minnesota. Addressing challenges as well as opportunities, Meter offers pragmatic insights for community food leaders and other grassroots activists alike.




Mental Health at the Crossroads


Book Description

This book is a challenge to the enduring status and domination of bio-medical approaches in mental health services. Contributors from four continents argue that this domination, along with modernization and multidisciplinary work, will not improve people's lives unless social and psychological perspectives are appreciated and integrated. This implies new forms of relationships and social arrangements. Mental Health at the Crossroads: the Promise of the Psychosocial Approach is a timely analysis of the psychosocial approach as it resonates across the discipline divide, considering the past and future development. It is written from the perspectives of service users and carers, managers, practitioners, educators, researchers and policy makers, illustrated with case studies from Australia, Brazil, Italy, UK and the USA. This book presents an alternative approach to conventional thinking in mental health, providing a fascinating and valuable resource for those seeking new perspectives, grounded in theory with practice examples, in order to influence the current agenda and change practice.