The Interaction Model Between Street-Level Bureaucrats and the Public in Health Service Provision at Puskesmas

2014 ◽  
Vol 21 (1) ◽  
Author(s):  
Abdul Mahsyar
Keyword(s):  
Health Service ◽  
Service Provision ◽  
Interaction Model ◽  
Health Service Provision ◽  
The Public ◽  
Street Level ◽  
Street Level Bureaucrats

School Settings

2018 ◽  
Author(s):  
Melissa K. Holt ◽  
Jennifer Greif Green ◽  
Javier Guzman
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Service Provision ◽  
Community Mental Health Service ◽  
Health Service Provision ◽  
School Settings ◽  
Mental Health Service Provision

Schools are a primary setting for mental health service provision to youth and are also main sources of referral to community mental health service providers. This chapter examines the school context and its key role in the child and adolescent mental health services system. The chapter first provides information about the association of emotional and behavioral disorders with school experiences, including academic performance. Next, the chapter presents a framework for mental health service provision and assessment in schools, including describing methods for identifying students who might need mental health services and tracking their progress. Further, several evidence-based interventions are highlighted as examples of effective practices in schools. The chapter concludes with recommendations for clinical practice in school settings.

scholarly journals Adapting harm reduction services during COVID-19: lessons from the supervised injecting facilities in Australia

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Amanda Roxburgh ◽  
Marianne Jauncey ◽  
Carolyn Day ◽  
Mark Bartlett ◽  
Shelley Cogger ◽  
...  
Keyword(s):  
Service Provision ◽  
People Who Inject Drugs ◽  
Health Service Provision ◽  
Loss Of Life ◽  
The Public ◽  
Individual Health ◽  
The North ◽  
Client Group ◽  
Supervised Injecting Facilities ◽  
Potential Risks

AbstractThe COVID-19 crisis has had profound impacts on health service provision, particularly those providing client facing services. Supervised injecting facilities and drug consumption rooms across the world have been particularly challenged during the pandemic, as have their client group—people who consume drugs. Several services across Europe and North America closed due to difficulties complying with physical distancing requirements. In contrast, the two supervised injecting facilities in Australia (the Uniting Medically Supervised Injecting Centre—MSIC—in Sydney and the North Richmond Community Health Medically Supervised Injecting Room—MSIR—in Melbourne) remained open (as at the time of writing—December 2020). Both services have implemented a comprehensive range of strategies to continue providing safer injecting spaces as well as communicating crucial health information and facilitating access to ancillary services (such as accommodation) and drug treatment for their clients. This paper documents these strategies and the challenges both services are facing during the pandemic. Remaining open poses potential risks relating to COVID-19 transmission for both staff and clients. However, given the harms associated with closing these services, which include the potential loss of life from injecting in unsafe/unsupervised environments, the public and individual health benefits of remaining open are greater. Both services are deemed ‘essential health services’, and their continued operation has important benefits for people who inject drugs in Sydney and Melbourne.

scholarly journals The impact of the Covid-19 pandemic on the performance of street level bureaucrats in Brazil

2021 ◽  
Author(s):  
Gabriela Spanghero Lotta ◽  
Giordano Morangueira Magri ◽  
Ana Carolina Nunes ◽  
Beatriz Soares Benedito ◽  
Claudio Aliberti ◽  
...  
Keyword(s):  
Justice System ◽  
The Public ◽  
Street Level ◽  
Care Access ◽  
Structural Problems ◽  
Health And Social Care ◽  
Decision Making Processes ◽  
Street Level Bureaucrats ◽  
The Impact ◽  
Government Level

Abstract: Dealing with the Covid-19 pandemic requires that the State make hard decisions that involve the action of bureaucrats who interact with the population through the implementation of public policy, the street-level bureaucracy (SLB). In this paper, based on a mixed- method exploratory study, we analyze how the daily performance of street-level bureaucrats in different policy areas- health and social care, access to the justice system, public security and education - has changed during the pandemic. We also explore the repercussions of those changes. Based on the analysis of the perceptions of bureaucrats, changes in their work and in their relationship with the public, we identify three categories that illustrate the dynamics of SLB work during the pandemic: the SLB who faces the crisis on the front lines; the SLB who suffers the effects of the pandemic, but whose work does not require her to face it directly; and the SLB who began to work remotely. We conclude that, during the pandemic, SLB suffered in varying degrees an aggravation of structural problems, such as their removal from decision-making processes - now restricted to the highest government level - and the exacerbation of already existing conflicts and ambiguities.

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