scholarly journals PROTOCOL: Improving access to health and social services for individuals experiencing, or at risk of experiencing, homelessness

2020 ◽  
Vol 16 (4) ◽  
Author(s):  
Sarah Miller ◽  
Ciara Keenan ◽  
Jennifer Hanratty ◽  
Jayne Hamilton ◽  
Christopher Coughlan ◽  
...  
Keyword(s):  
At Risk ◽  
Social Services ◽  
Health And Social Services ◽  
Access To Health

scholarly journals “It’s not like I’m more Indigenous there and I’m less Indigenous here.”: urban Métis women’s identity and access to health and social services in Toronto, Canada

2020 ◽  
Vol 16 (4) ◽  
pp. 323-331
Author(s):  
Renée Monchalin ◽  
Janet Smylie ◽  
Cheryllee Bourgeois
Keyword(s):  
Health Service ◽  
Qualitative Study ◽  
Social Services ◽  
Survival Strategies ◽  
Health And Social Services ◽  
Women's Identity ◽  
Access To Health ◽  
Learning Journey ◽  
One Step ◽  
Service Gap

Colonial policies and identity debates have resulted in major gaps in access to culturally safe health and social services for Métis Peoples living in Canada. To address the Métis health service gap, this qualitative study explores urban Métis women’s identity and their experiences with health and social services in Toronto, Canada. Métis women ( n = 11) understand Métis identity as having connection to community, intergenerational identity survival strategies, a learning journey, and connection to land. Building Métis community determined understandings of Métis identity into urban health and social services may be one step toward addressing existing culturally safe health service gaps.

scholarly journals Inter-agency adult support and protection practice

2019 ◽  
Vol 27 (1) ◽  
pp. 50-63 ◽  
Author(s):  
Sundari Joseph ◽  
Susan Klein ◽  
Samantha McCluskey ◽  
Penny Woolnough ◽  
Lesley Diack
Keyword(s):  
At Risk ◽  
Social Services ◽  
Information Exchange ◽  
Social Care ◽  
Realistic Evaluation ◽  
Content Type ◽  
Health And Social Services ◽  
Evaluation Approach ◽  
Health And Social Care ◽  
Adult Support

Purpose Collaborative inter-agency working is of paramount importance for the public protection agenda worldwide. The purpose of this paper is to disseminate the findings from a research study on the inter-agency working within adult support and protection (ASP) roles in the police, health and social care. Design/methodology/approach This realistic evaluation study with two inter-related phases was funded by the Scottish Institute for Policing Research. This paper reports on Phase 1 which identified existing gaps in the implementation of effective inter-agency practice by reviewing the “state of play” in inter-agency collaboration between the police and health and social care professionals. In total, 13 focus groups comprising representatives from Police Scotland (n=52), Social Care (n=31) and Health (n=18), engaged in single profession and mixed profession groups addressing issues including referral and information exchange. Findings On analysing context-mechanism-outcome (CMO), gaps in joint working were identified and attributed to the professionals’ own understanding of inter-agency working and the expectations of partner agencies. It recommended the need for further research and inter-agency training on public protection. Research limitations/implications This unique Scottish study successfully identified the inter-agency practices of health, social services and police. By means of a modified realistic evaluation approach, it provides an in-depth understanding of the challenges that professionals face on a day-to-day basis when safeguarding adults and informed strategic recommendations to overcome the barriers to good practices in organisational working. The methods used to determine CMO could benefit other researchers to develop studies exploring the complexities of multi-causal effects of cross-boundary working. The use of the same case study in each focus group helped to neutralise bias. However, the voluntary nature of participation could have resulted in biased perceptions. The limited numbers of health professionals may have resulted in less representation of health sector views. Practical implications This paper reports on a Scottish study that focused on the coordinated and integrated practices amongst the police, health and social services’ professionals who support and protect adult members of society at risk of harm and has implications for their practice. Social implications Whilst the focus of this study has been on ASP, the conclusions and recommendations are transferable to public protection issues in many other contexts. Originality/value Studies on the joint-working practices amongst police and health and social services’ professionals who support and protect adult members of society at risk of harm are uncommon. This study investigated professionals’ perceptions of gaps and concerns pertaining to integrated working by means of a realistic evaluation approach. It recommended the need for further research and inter-agency training on public protection.

Access to health and social services for IDU: The impact of a medically supervised injection facility

2009 ◽  
Vol 28 (4) ◽  
pp. 341-346 ◽  
Author(s):  
WILL SMALL ◽  
NATASHA VAN BOREK ◽  
NADIA FAIRBAIRN ◽  
EVAN WOOD ◽  
THOMAS KERR
Keyword(s):  
Social Services ◽  
Health And Social Services ◽  
Supervised Injection Facility ◽  
Access To Health ◽  
Supervised Injection ◽  
The Impact

Communication Access to Health and Social Services

2006 ◽  
Vol 26 (3) ◽  
pp. 189-198 ◽  
Author(s):  
Susie Parr ◽  
Carole Pound ◽  
Alan Hewitt
Keyword(s):  
Social Services ◽  
Health And Social Services ◽  
Access To Health

scholarly journals ‘No sanctuary’: Missed opportunities in health and social services for homeless people with dyslexia?

2015 ◽  
Vol 17 (3) ◽  
pp. 78-93 ◽  
Author(s):  
Stephen J Macdonald ◽  
Lesley Deacon
Keyword(s):  
Social Workers ◽  
Social Services ◽  
Health Professionals ◽  
Homeless People ◽  
Homeless Population ◽  
Missed Opportunities ◽  
Health And Social Services ◽  
The United Kingdom ◽  
Access To Health ◽  
The Uk

This paper examines the relationship between dyslexia, homelessness and access to health and social services. This is a quantitative study analysing data from the Multiple Exclusion Homelessness across the United Kingdom Survey. Data was collected from 443 participants who had experienced some form of homelessness in the UK. A comparison was made between people with dyslexia and those homeless people without this condition. The data findings in this paper appear to reveal that people with dyslexia are overrepresented within the survey’s homeless population. It may be expected that people with dyslexia might not come in contact with health professionals and social workers as support for this condition generally takes place within an educational environment. Yet this study seems to indicate that homeless people with dyslexia have greater contact with health professionals and social workers compared with non-dyslexic homeless people. This paper suggests that health and social services need to consider conditions like dyslexia in order to develop support for this particular group of people that have experienced homelessness.

“I would prefer to have my health care provided over a cup of tea any day”: recommendations by urban Métis women to improve access to health and social services in Toronto for the Métis community

2019 ◽  
Vol 15 (3) ◽  
pp. 217-225 ◽  
Author(s):  
Renée Monchalin ◽  
Janet Smylie ◽  
Cheryllee Bourgeois ◽  
Michelle Firestone
Keyword(s):  
Social Services ◽  
Interior Design ◽  
Service Providers ◽  
Health And Social Services ◽  
Culturally Informed ◽  
Access To Health ◽  
Positive Experiences ◽  
Front Desk ◽  
Improve Access ◽  
Practical Recommendations

This article reports on recommendations made by urban Métis women for improving access to health and social services in Toronto, Canada. By applying a conversational method, this research followed up with a subgroup of urban Métis women who participated in the Our Health Counts Toronto longitudinal cohort. Métis women ( n = 11) provided holistic and practical recommendations for improving access to health and social services. These recommendations include (a) Métis presence, (b) holistic interior design, (c) Métis specific or informed service space, (d) welcoming reception/front desk, and (e) culturally informed service providers. During the conversations, the women shared positive experiences with an Indigenous-informed midwifery practice called Seventh Generation Midwives Toronto. Examples from the women will be provided of Seventh Generation Midwives Toronto to illustrate how the recommendations may look in practice. This research illustrates that Métis women hold solutions for improving access to health and social services for the Métis community.

scholarly journals A vaccination campaign in a Roma community in Rome: an experience of the Local Health Autority Roma1

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Spadea ◽  
M Marino ◽  
F Valentini ◽  
G Furia ◽  
E M Frisicale ◽  
...  
Keyword(s):  
Social Services ◽  
Vaccination Campaign ◽  
Right To Health ◽  
Vaccination Status ◽  
Local Health ◽  
Health And Social Services ◽  
Access To Health ◽  
Important Challenge ◽  
The Right ◽  
Social Marginality

Abstract Issue/problem About 8,000 Roma and Sinti live in the city of Rome, distributed in 33 settlements. This population is particularly at risk of health problems, due to social marginality and reduced access to health and social services. An important challenge for public health is therefore to guarantee and improve the right to health and the availability of health care. In Italy, a new vaccination law was approved in July 2017 and 10 vaccinations became mandatory for minors attending schools. Description of the problem In 2018 the District 14 of the Local Health Authority Rome1 (LHA Rome1) organized a vaccination campaign for the Roma and Sinti community being in its area. The aim of the campaign was to analyse the vaccination status of children under-18 living in the camp, based on the local police census data, crossed with the web based regional vaccination registry, to offer free vaccination for those without a regular status, in order to allow school attendance. Results Among 109 children living in the targeted Roma and Sinti camp, only 6 (5.5%) had a regular vaccination status according to the Italian law. Two different vaccination opportunity were offered to the community during 2018: a dedicated vaccination session in the local vaccination center, during which 6 children were vaccinated; four vaccination days offered directly at the Roma camp (a total of 53 children were vaccinated). At the end of 2018, the new Police census identified 114 minors resident in the camp instead of 109; of these, 48 (42.1%) had reached a regular vaccination status. Lessons Addressing hard-to-reach communities in order to improve the access to health and social services is one of the LHA objectives. The intervention performed in the Roma camp was also an opportunity to promote the importance of vaccination and to inform the target community about various LHA services, in particular maternal and infant services, including those for Temporarily Present Foreigners. Key messages The interventions performed straight into communities living in unfavorable health and social conditions are useful to improve the access to health and social services. Vaccination of people living in a social marginality is an important challenge for public health in order to guarantee specific protection measures and promoting the right to health.

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