Almost home Baranek, Patricia M; Deber, Raisa B; Williams, A. Paul
Almost home,
c2004, 20040930, 2004, 2014, 2004-01-01, 20040101
eBook
Almost Homeis a rich and comprehensive study of the policy questions underlying the shift in medical care from hospitals to homes and communities, a change that is reshaping Canadian health care ...policy and politics. Using document analysis, and interviews with government officials and other key stakeholders in the policy community, the authors analyze the policy content and process of five different attempts to reform home and community care in Ontario between 1985 and 1996, as introduced by governments from three different political parties.
As this study demonstrates, the ongoing shift from the Medicare 'mainstream' of physician and hospital care to the Medicare 'margins,' entails not only a shift in the site of care but an erosion of the post-war state's role in health care. While Medicare continues to resist political and ideological forces aimed at shrinking the state's role, cost constraints, demographic pressures and technological advancements are increasing pressure on home and community care.
The authors have made a significant contribution to research on policy development and change. Their rigorously analytical approach fills a major gap in book-length literature on long-term health care in Canada.
The ordering of justice Ericson, Richard V; Baranek, Patricia M
The ordering of justice,
c1982, 19890501, 1989, 1982, 1982-01-01, Volume:
6
eBook
The authors discuss prospects for changing the criminal process and conclude that the range of reforms that have been advocated, and sometimes implemented, does not lead to an alteration of the ...accused?s position within the ordering of justice because the system is not truly adversarial.
The authors discuss prospects for changing the criminal process and conclude that the range of reforms that have been advocated, and sometimes implemented, does not lead to an alteration of the ...accused?s position within the ordering of justice because the system is not truly adversarial.
: As Canada enters the twenty‐first century, its highly prized program, medicare, is undergoing radical transformation. With technological change and the restructuring of health systems, the locus of ...care is shifting from institutions to the home. As a result, care that was formerly publicly financed under the Canada Health Act is technically becoming de‐insured. This paper analyses the reform of community‐based long‐term care services in Ontario from 1985 to the present. During this period, three different parties, the Liberals, the ndp and the Progressive Conservatives, in turn, formed the government. Four different models were put forward before the current model was adopted by the current pc government. Each of these models is analysed with respect to design decisions that must be made in the policy dimensions of financing, delivery and allocation and evaluated in terms of equity, liberty, security and efficiency. Underlying the debate in Ontario was a fundamental disagreement about the role of government, reflected in views about the responsibilities of individuals and their families, and the appropriate place of for‐profit organizations within a publicly funded system. The reform of this sector has significance that goes beyond its boundaries, with wider implications and warnings for health care in general.
Sommaire: Au moment même où le Canada se trouve au seuil du vingtième siècle, son très populaire régime d'assurance‐maladie subit une transformation radicale. À cause de l'évolution technologique et de la restructuration du systéme de soins de santé, le fardeau de ces soins se déplace des institutions vers les foyers. Par conséuent, des soins auparavant financés par les deniers public en vertu de la Loi cana‐dienne sur la santé deviennent techniquement non‐assurés. Dans cet article, on analyse la réforme des services ontariens de soins à long terme axés sur la communauté, de 1985 áG ce jour. Pendant cette période, trois partis differents, les Libéraux, les Né‐démocrates et les Progressistes conservateurs ont formé le gouvernment à tour de rôle. Quatre modèles différents ont été préconisés avant l'adoption du modèle actuel par le gouvernement progressiste conservateur qui est aujourd'hui au pou‐voir. On y analyse chacun de ces modèles quant aux décisions conceptuelles á faire pour les politiques de financement, de prestation et d'allocation, et chaque modèle doit être évalué en termes d'équité, de liberté, de sécurité et d'efficacité. À l'arrièreplan du débat, en Ontario, il y avait un désaccord fondamental sur le rôle du gouvemement, que reflétaient les opinions concemant la responsabilité des citoyens et de leurs familles ainsi que sur la place appropriée des organismes à but lucratif à au sein d'un système financéà même les derniers publics. La réforme de ce secteur a des répercussions non seulement sur le secteur hi‐même mais aussi sur les soins de santé en général.
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BFBNIB, FZAB, GIS, IJS, KILJ, NLZOH, NUK, OILJ, SAZU, SBCE, SBMB, UL, UM, UPUK
Objectives
This study examines the feasibility and acceptability of a local adaptation of a mindfulness-based cognitive therapy (MBCT) program for Filipino school children, called Kamalayan, that was ...facilitated by trained public school teachers. It also presents preliminary evidence of program effects on the children’s depressive and anxiety symptoms and difficulties in emotion regulation.
Methods
We utilized a randomized controlled design with an active control condition. Filipino elementary and high school students aged 9 to 16 years old from low-resource schools were randomly assigned to the Kamalayan (
n
= 87) or the active control Handicrafts condition (
n
= 99). Changes in outcomes from baseline, immediate post-intervention, and 2-month follow-up were assessed using multilevel modeling.
Results
Participation in the Kamalayan program did not affect depression, anxiety, or emotion regulation. Impulse control difficulties increased for the Handicrafts group across post-intervention and follow-up but remained stable for Kamalayan participants. Depressive symptoms decreased over time for the Handicrafts group but remained stable for the Kamalayan condition. Implementation issues qualify the absence of program effects, such as the impracticability of delivering after-school sessions in the public school context, program content that may be discordant with cognitive-developmental and cultural considerations, and the inadequacy of the personal mindfulness practice of the paraprofessional facilitators.
Conclusions
The findings reaffirm the importance of using active control groups and considering the capacities of facilitators in evaluating the effects of mindfulness-based interventions. Testing mindfulness-based interventions in low-resource, non-Western school settings require deeper contextual adaptation and facilitator preparation.
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