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1,469 result(s) for "Ryan, Meg"
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Implementing the ‘Integrated Model for Supervision’ for mental health and psychosocial support programming within humanitarian emergencies: A mixed-methods evaluation across six humanitarian contexts
The ‘Integrated Model for Supervision’ (IMS) offers important guidance for how to provide supportive supervision within mental health and psychosocial support (MHPSS) programming in humanitarian emergencies. The current study sought to (i) describe how the IMS was implemented following IMS training; (ii) assess whether delivery of the IMS training is associated with changes in a selection of theoretically supported quantitative outcomes; and (iii) elicit feedback on the IMS and its implementation process. Data was collected from a participant pool of n = 119 individuals from six different humanitarian organisations that had previously participated in an IMS training. For the first and third objectives, interviews at 6- and 12-months post-training were conducted and thematically analysed. For the second objective, timepoint comparison analytical techniques were used across five distinct timepoints. Quantitative findings showed significant increases in participant self-efficacy, supervision knowledge, and supervision confidence, alongside some evidence of reductions in participant burnout. Qualitatively, participants underscored the IMS's efficacy in creating supportive supervision structures within their organisations, identified barriers and facilitators to implementation and proposed strategies for sustainability. Additionally, they highlighted positive impacts of implementing the IMS on staff, organisational culture, and service quality. This study supports the effectiveness and acceptability of the IMS in enhancing the capacity of organisations to provide supportive supervision in humanitarian contexts, as key to promote the wellbeing of humanitarian MHPSS workers and the quality of the services they deliver. Challenges remain, however, to ensure sustainable implementation of the IMS, which guide ongoing efforts towards its improvement. [Display omitted] •Training on ‘Integrated Model for Supervision’ (IMS) benefits humanitarian workers.•Benefits of the IMS include better mental health and perceived improvement in service quality.•However, barriers exist towards IMS implementation within organisations.•Challenges include low organisational awareness of its importance and limited organisational resources.•Strategies include flexible implementation and refresher IMS training.
Gender considerations for supportive supervision in humanitarian contexts: A qualitative study
Supportive supervision has been shown to improve mental health outcomes and job retention for mental health and psychosocial support (MHPSS) workers in humanitarian contexts. However, the impact of gender on supervision practices has been poorly evaluated and documented in international guidelines to date. To address this gap, qualitative interviews were conducted with 12 MHPSS staff working in diverse humanitarian contexts to identify key gender considerations in supportive supervision. Results show that gender in supervision is influenced by the context of MHPSS work; with culture, religion and gender roles identified as key elements. Participants discuss recruitment mechanisms, highlighting the unequal gender distribution and inequitable opportunities within MHPSS programming. The importance of addressing power dynamics impacted by gender and of ensuring the safety of women within supervision is also highlighted. Finally, participants discuss the gender differences across the various supervisory formats. Altogether, results indicate that gender has the potential to influence supportive supervision within MHPSS, and it is recommended that international guidelines account for nuances of gender in supportive supervision within humanitarian contexts.
How to optimise creative art therapy to foster the mental health of refugee adolescents? A Delphi study protocol
This study aims to identify the most recommended components of creative art therapy (CAT) to improve the mental health of refugee adolescents. A three-round Delphi design is proposed. The first round will include semi-structured interviews with a panel of 12 CAT professionals worldwide and 12 refugee adolescents aged 10-24 in Jordan with a history of participating in creative arts interventions. The hybrid approach of coding and thematic analysis will be conducted to develop statements on recommended CAT components from the interview narratives. In the second round, the same and newly enrolled 24 professionals and 24 refugee adolescents will be asked to rate the statements according to their importance, propose new statements, and add comments. A similar procedure will be followed in the third round, where panellists will rate new and old statements after perusing the feedback from the second round. A statement will gain consensus and indicate essential components when rated 'essential' or 'very important' by > = 80% of panellists. Very important components are those with the same ratings by 60-79.9% of panellists. A list of essential and very important components, perspectives and suggestions will be provided to guide practice and intervention development.
How to optimise creative art therapy to foster the mental health of refugee adolescents? A Delphi study protocol
This study aims to identify the most recommended components of creative art therapy (CAT) to improve the mental health of refugee adolescents. A three-round Delphi design is proposed. The first round will include semi-structured interviews with a panel of 12 CAT professionals worldwide and 12 refugee adolescents aged 10-24 in Jordan with a history of participating in creative arts interventions. The hybrid approach of coding and thematic analysis will be conducted to develop statements on recommended CAT components from the interview narratives. In the second round, the same and newly enrolled 24 professionals and 24 refugee adolescents will be asked to rate the statements according to their importance, propose new statements, and add comments. A similar procedure will be followed in the third round, where panellists will rate new and old statements after perusing the feedback from the second round. A statement will gain consensus and indicate essential components when rated 'essential' or 'very important' by > = 80% of panellists. Very important components are those with the same ratings by 60-79.9% of panellists. A list of essential and very important components, perspectives and suggestions will be provided to guide practice and intervention development.
How to optimise creative art therapy to foster the mental health of refugee adolescents? A Delphi study protocol
This study aims to identify the most recommended components of creative art therapy (CAT) to improve the mental health of refugee adolescents. A three-round Delphi design is proposed. The first round will include semi-structured interviews with a panel of 12 CAT professionals worldwide and 12 refugee adolescents aged 10-24 in Jordan with a history of participating in creative arts interventions. The hybrid approach of coding and thematic analysis will be conducted to develop statements on recommended CAT components from the interview narratives. In the second round, the same and newly enrolled 24 professionals and 24 refugee adolescents will be asked to rate the statements according to their importance, propose new statements, and add comments. A similar procedure will be followed in the third round, where panellists will rate new and old statements after perusing the feedback from the second round. A statement will gain consensus and indicate essential components when rated 'essential' or 'very important' by > = 80% of panellists. Very important components are those with the same ratings by 60-79.9% of panellists. A list of essential and very important components, perspectives and suggestions will be provided to guide practice and intervention development.
The distinction between withholding and withdrawing treatment in Rasouli: providing a solution to an ethical problem
In contrast to this broad \"health related purpose\" standard for requiring SDM consent or Board approval for withdrawal of treatment, \"medical benefit\" is the standard McLachlin C.J. says is applied when determining \"whether a given procedure should be offered to a patient\" 8, that is, whether a given procedure can be withheld. According to McLachlin c.J,'s reasoning, \"medical benefit\" is a narrower standard than \"health related purpose\". Medical benefit is \"a physician-made criterion for treatment\".9 The Chief Justice says \"this clinical term [medical benefit) has legal implications for the physician's standard of care\" .10 If a treatment could give the patient some medical benefit, then the physician's standard of care requires that such treatment should be offered to the patient. According to the Chief Justice, the decision whether to offer, or to withhold, treatment involves the professional judgment of the physician, who must take into account \"a contextual assessment of the patient's circumstances, including the patient's condition and prognosis, the expected result of treatment for that patient, and any risks of treatment for that patient\" .11 The SDM would not be involved in making this assessment. One possible exception to the distinction between withholding and withdrawing life-sustaining treatment in the HCCA can be found in the discussion of plans of treatment. According to the definition of \"plan of treatment\" in the HCCA, such a plan may \"provide for the withholding or withdrawal of treatment in light of the person's current health condition\" .14 The HCCA then states that health practitioners \"may\" obtain \"consent or refusal of consent\" from an SDM for a plan of treatment. 15 In this instance, withholding and withdrawal of treatment are equivalent. But their equivalence in this instance does not undermine the distinction between withholding and withdrawal found elsewhere in [Hassan Rasouli]. Though an SDM may refuse consent for a plan of treatment that contains a proposal to withhold some form of care, this does not mean that consent must be sought for withholding procedures that fall outside of a plan of treatment as described in the HCCA. The HCCA also does not require that a decision to withhold treatment must be part of a plan of care, or even that physicians must seek consent for plans of treatment. It only states that physicians \"may\" obtain consent for such plans. 16 Though we believe that the comments in Rasouli about the difference between \"medical benefit\" and \"health related purpose\" as found in the HCCA support a distinction between withdrawing and withholding treatment, this interpretation is admittedly speculative. In Rasouli the case was only about withdrawing treatment, so the ruling cannot be taken to have clarified the law on withholding treatment as found in the HCCA. If asked to rule on a case involving withholding potentially life sustaining treatment, the court might interpret withholding treatment as falling under the HCCA's definition of \"treatment\", as was the case for withdrawing treatment in Rasouli. That is, withholding potentially life-sustaining treatment might fall into the category of \"anything that is done for a therapeutic, preventive, palliative, diagnostic, cosmetic or other health-related purpose\".17 Insofar as withholding treatment involves a decision undertaken for one of the enumerated purposes, such a decision might be included in the HCCA's definition of treatment. Under such an interpretation, a physician who plans to withhold potentially life-sustaining treatment would face all the requirements for withdrawing such treatment as set out in Rasouli. The ethical concerns associated with making a distinction between withdrawing treatment and withholding treatment - as discussed in the following sections of this paper - would not be applicable in such a scenario.
THE DISTINCTION BETWEEN WITHHOLDING AND WITHDRAWING TREATMENT IN RASOULI: PROVIDING A SOLUTION TO AN ETHICAL PROBLEM
Following surgery to remove a brain tumor, Mr. Hassan Rasouli developed meningitis leading to severe brain injury. He was declared to be in a persistent vegetative state, and then later a minimally conscious state, which means there was minimal cortical activity and little evidence of a remaining conscious mind. Given this, Mr. Rasouli's doctors decided the best course of action would be to remove him from life support, including artificial nutrition and a ventilator. However, Mr. Rasouli's wife, acting as his Substitute Decision Maker ('SDM'), did not consent to this course of action. This challenge was presented before the courts in the case of Cutherbertson v. Rasouli ('Rasouli'), and was eventually ruled upon by the Supreme Court of Canada in October 2013.1. Adapted from the source document.
Off Center
According to the U.S. Census Bureau, Springfield, Missouri, is a city of about 160,000 about 100 miles southeast of the geographic center of the United States. Blackmon studied art education and photography at Southwest Missouri State University, then resumed life in her hometown as an artist, teacher, and mother of three kids.
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LSU College of Music and Dramatic Arts providing instruments to schools affected by flooding
The LSU College of Music & Dramatic Arts' Department of Bands is providing long-term assistance in the form of musical instruments to regional public and private high and middle school band programs impacted by August's flooding.
Stay a Spell
Another challenge of shooting long exposures-and an advantage of doing it in black and white-is making sense of the various light sources, since they vary in intensity and change in different ways over the course of a long exposure. [...]Pillsbury leaves very little to chance when it comes to gear.
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