Permanent Supportive Housing

Permanent Supportive Housing PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309477077
Category : Social Science
Languages : en
Pages : 227

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Book Description
Chronic homelessness is a highly complex social problem of national importance. The problem has elicited a variety of societal and public policy responses over the years, concomitant with fluctuations in the economy and changes in the demographics of and attitudes toward poor and disenfranchised citizens. In recent decades, federal agencies, nonprofit organizations, and the philanthropic community have worked hard to develop and implement programs to solve the challenges of homelessness, and progress has been made. However, much more remains to be done. Importantly, the results of various efforts, and especially the efforts to reduce homelessness among veterans in recent years, have shown that the problem of homelessness can be successfully addressed. Although a number of programs have been developed to meet the needs of persons experiencing homelessness, this report focuses on one particular type of intervention: permanent supportive housing (PSH). Permanent Supportive Housing focuses on the impact of PSH on health care outcomes and its cost-effectiveness. The report also addresses policy and program barriers that affect the ability to bring the PSH and other housing models to scale to address housing and health care needs.

Communities in Action

Communities in Action PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309452961
Category : Medical
Languages : en
Pages : 583

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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.

What If We Stopped Pretending?

What If We Stopped Pretending? PDF Author: Jonathan Franzen
Publisher: HarperCollins UK
ISBN: 0008434050
Category : Nature
Languages : en
Pages : 80

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Book Description
The climate change is coming. To prepare for it, we need to admit that we can’t prevent it.

Bridging Disciplines in the Brain, Behavioral, and Clinical Sciences

Bridging Disciplines in the Brain, Behavioral, and Clinical Sciences PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309070783
Category : Medical
Languages : en
Pages : 144

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Book Description
Interdisciplinary research is a cooperative effort by a team of investigators, each an expert in the use of different methods and concepts, who have joined in an organized program to attack a challenging problem. Each investigator is responsible for the research in their area of discipline that applies to the problem, but together the investigators are responsible for the final product. The need for interdisciplinary training activities has been detailed over the last 25 years in both public and private reports. The history of science and technology has even shown the important advances that arose from interdisciplinary research, including plate tectonics which brought together geologists, oceanographers, paleomagnetists, seismologists, and geophysicists to advance the ability to forecast earthquakes and volcanic eruptions. In recognition of this, the need to train scientists who can address the highly complex problems that challenge us today and fully use new knowledge and technology, and the fact that cooperative efforts have proved difficult, the National Institute of Mental Health (NIMH), the National Institutes of Health (NIH) Office of Behavioral and Social Sciences Research (OBSSR), the National Institute on Nursing Research (NINR), and the National Institute on Aging (NIA) requested that an Institute of Medicine (IOM) Committee be created to complete several tasks including: examining the needs and strategies for interdisciplinary training in the brain, behavioral, social, and clinical sciences, defining necessary components of true interdisciplinary training in these areas, and reviewing current educational and training programs to identify elements of model programs that best facilitate interdisciplinary training. Bridging Disciplines in the Brain, Behavioral, and Clinical Sciences provides the conclusions and recommendations of this committee. Due to evaluations of the success of interdisciplinary training programs are scarce, the committee could not specify the "necessary components" or identify the elements that "best facilitate" interdisciplinary training. However, after reviewing existing programs and consulting with experts, the committee identified approaches likely to be successful in providing direction for interdisciplinary endeavors at various career stages. This report also includes interviews, training programs, and workshop agendas used.

Re-imagining Government

Re-imagining Government PDF Author: Barry Quirk
Publisher: Bloomsbury Publishing
ISBN: 0230364284
Category : Political Science
Languages : en
Pages : 256

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Book Description
In an age of austerity, public leaders and managers face a range of external challenges - fiscal, social and political. Combining theoretical insight, empirical commentary and practical experience, this book examines how democratic political systems work and how public decisions are made - and how they could be made better.

Good Enough for Government Work

Good Enough for Government Work PDF Author: Amy E. Lerman
Publisher: University of Chicago Press
ISBN: 022663020X
Category : Political Science
Languages : en
Pages : 329

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Book Description
American government is in the midst of a reputation crisis. An overwhelming majority of citizens—Republicans and Democrats alike—hold negative perceptions of the government and believe it is wasteful, inefficient, and doing a generally poor job managing public programs and providing public services. When social problems arise, Americans are therefore skeptical that the government has the ability to respond effectively. It’s a serious problem, argues Amy E. Lerman, and it will not be a simple one to fix. With Good Enough for Government Work, Lerman uses surveys, experiments, and public opinion data to argue persuasively that the reputation of government is itself an impediment to government’s ability to achieve the common good. In addition to improving its efficiency and effectiveness, government therefore has an equally critical task: countering the belief that the public sector is mired in incompetence. Lerman takes readers through the main challenges. Negative perceptions are highly resistant to change, she shows, because we tend to perceive the world in a way that confirms our negative stereotypes of government—even in the face of new information. Those who hold particularly negative perceptions also begin to “opt out” in favor of private alternatives, such as sending their children to private schools, living in gated communities, and refusing to participate in public health insurance programs. When sufficient numbers of people opt out of public services, the result can be a decline in the objective quality of public provision. In this way, citizens’ beliefs about government can quickly become a self-fulfilling prophecy, with consequences for all. Lerman concludes with practical solutions for how the government might improve its reputation and roll back current efforts to eliminate or privatize even some of the most critical public services.

Social Anxiety Disorder

Social Anxiety Disorder PDF Author: National Collaborating Centre for Mental Health (Great Britain)
Publisher:
ISBN: 9781909726031
Category : Medical
Languages : en
Pages : 323

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Book Description
Social anxiety disorder is persistent fear of (or anxiety about) one or more social situations that is out of proportion to the actual threat posed by the situation and can be severely detrimental to quality of life. Only a minority of people with social anxiety disorder receive help. Effective treatments do exist and this book aims to increase identification and assessment to encourage more people to access interventions. Covers adults, children and young people and compares the effects of pharmacological and psychological interventions. Commissioned by the National Institute for Health and Clinical Excellence (NICE). The CD-ROM contains all of the evidence on which the recommendations are based, presented as profile tables (that analyse quality of data) and forest plots (plus, info on using/interpreting forest plots). This material is not available in print anywhere else.

The SAGE Handbook of Public Administration

The SAGE Handbook of Public Administration PDF Author: B Guy Peters
Publisher: SAGE
ISBN: 1473971136
Category : Political Science
Languages : en
Pages : 818

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Book Description
The original Handbook of Public Administration was a landmark publication, the first to provide a comprehensive and authoritative survey of the discipline. The eagerly-awaited new edition of this seminal international handbook continues to provide a complete review and guide to past and present knowledge in this essential field of inquiry. Assembling an outstanding team of scholars from around the world, the second edition explores the current state-of-the-art in academic thinking and the current structures and processes for the administration of public policy. The second edition has been fully revised and updated, with new chapters that reflect emerging issues and changes within the public sector: - Identifying the Antecedents in Public Performance - Bureaucratic Politics - Strategy Structure and Policy Dynamics - Comparative Administrative Reform - Administrative Ethics - Accountability through Market and Social Instruments - Federalism and intergovernmental coordination. A dominant theme throughout the handbook is a critical reflection on the utility of scholarly theory and the extent to which government practices inform the development of this theory. To this end it serves as an essential guide for both the practice of public administration today and its on-going development as an academic discipline. The SAGE Handbook of Public Administration remains indispensable to the teaching, study and practice of public administration for students, academics and professionals everywhere.

Leaning into Politics

Leaning into Politics PDF Author: Abraham Goldberg
Publisher: IAP
ISBN:
Category : Education
Languages : en
Pages : 379

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Book Description
Democratic decline in the United States and globally, a lack of confidence in political institutions and an increasingly violent and divisive political climate raise many questions for the state of political learning and civic engagement. A decade ago, a task force commissioned by the United States Department of Education called on colleges and universities to affirm their missions to educate for democracy. Relatively few have made the investment, though dozens of higher education associations and organizations have publicly committed their support to prepare students to address the persistent public issues they are inheriting. While there has been a recent upward spike in rote civic knowledge and historically high youth voting rates, the United States has seen a decline in political rights and civil liberties and has been listed as a backsliding democracy. Since 2010, state legislatures have passed laws making it harder to vote, with access to the ballot increasingly dependent on which party controls the state legislature. Meanwhile, substantial dysfunction and hyperpartisanship in Congress, concerns over the impartiality of the judiciary and limited accountability and oversight of the executive branch have contributed to the loss of institutional capacity to address public problems and to declining public confidence in political institutions. These trends coincide with problematic rhetoric and growing scrutiny from public officials on how colleges and universities educate students on public issues, particularly those centered on class, race, ethnicity and social justice. Issues of free speech and expression have been further nationalized following a high-profile hearing of the House Committee on Education and the Workforce that questioned the presidents of Harvard, Massachusetts Institute of Technology and University of Pennsylvania about antisemitism on their campuses and as campus protests regarding the Israeli-Palestinian conflict have been met with heavy-handed responses. These episodes serve as loud warning shots to colleges and universities across the country. Academic freedom and freedom of speech - core tenets of a liberal education - are at risk. Can higher education step up and meet the moment? Collectively, contributors to this volume - who come from a broad range of institutions, experiences and perspectives - provide critical research and analyses, as well as innovative approaches for how higher education can fulfill its public role and contribute to building the democratic societies we need.

Ending Discrimination Against People with Mental and Substance Use Disorders

Ending Discrimination Against People with Mental and Substance Use Disorders PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309439124
Category : Social Science
Languages : en
Pages : 171

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Book Description
Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.