Community-based advocacy training: applying asset-based community development in resident education.
ABSTRACT Communities and Physicians Together (CPT) at University of California, Davis Health System provides a novel approach to teaching residents to be effective community advocates. Founded in 1999, CPT is a partnership between a pediatric residency program, five community collaboratives located in diverse neighborhoods, and a grassroots child advocacy organization. Using the principles of Asset-Based Community Development, the program emphasizes establishing partnerships with community members and organizations to improve child health and identifies community assets and building capacity. Community members function as the primary faculty for CPT.The authors describe the CPT curriculum, which teaches residents to build partnerships with their assigned community. Residents have three, two-week blocks each year for CPT activities and maintain a longitudinal relationship with their community. In the first year, collaborative coordinators from each community orient residents to their community. Residents identify community assets and perform activities designed to provide them with a community member's perspective. In the second and third years, residents partner with community members and organizations to implement a project to improve the health of children in that community. CPT also provides faculty development to community partners including a workshop on medical culture and resident life. A qualitative evaluation demonstrated residents' attitudes of their role as pediatricians in the community changed with CPT.CPT is unique because it provides a model of service learning that emphasizes identifying and utilizing strengths and building capacity. This approach differs from the traditional medical model, which emphasizes deficits and needs.
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ABSTRACT: Personalisation was a key element in reform to the Adult Social Care system in England, exploring long-term funding options in response to demographic change where people are increasingly living longer with complex conditions and needs (Department of Health, 2007). Self-directed support is central to this reform to enable recipients of social care to choose and commission their own services. Reform was not expected to require structural reorganisation but local authority leadership was anticipated to promote genuine partnerships between social care providers, users and their carers as well as the wider community. However, there is potential for a shift in power to service users which goes beyond collaboration, especially where there is scope to build long-term relationships around long-term needs. This study is based on one local authority partner’s innovative development of local communities’ social capital around personal budgets for vulnerable adults, which set out to grasp the potential that personalisation offered in enabling different ways of service delivery that were nearer to what service users and their carers wanted. Although now being addressed, there has been less research into the impact of personalisation on the crucial role of carers than on any other group, which is fundamental to the personalisation agenda reaching its real objectives. The study considers the role played by the local authority in this agenda in the light of claims that reforms are increasingly shrinking the role of the state. Taking an asset-based approach to informal care via social networks, this local authority partner was able to empower a community-run organisation in one of its most deprived and diverse wards by brokering support for vulnerable residents and embracing a neighbourhood perspective to examine collective as well as individual solutions. Conclusions reflect on the importance of the role of the state in achieving community capital.People Place and Policy Online 12/2013; 7(3):153-167. DOI:10.3351/ppp.0007.0003.0004
Conference Paper: Modeling marine impacts of ocean incineration of PCB waste[Show abstract] [Hide abstract]
ABSTRACT: A four level atmospheric - ocean - sediments transport model has been coupled to an ecosystem model to estimate the magnitude of effects of ocean-based incineration of PCB wastes. The atmospheric (top) layer of the model has a seasonally variable thickness, a reflecting boundary at the top, and an absorbing boundary at the air-water interface. Upper and lower layers of the oceanic water column constitute the second and third layers of the transport model, while the fourth layer represents the sediments on the seafloor. The ecosystem model focuses on linkages among major trophic compartments, and includes predation, metabolic, and pollutant assimilation and depuration components. Simulation results suggest that, for destruction and removal efficiencies on the order of 0.9999 (four nines), measurable bioaccumulation effects may occur in the benthos over a 50 year policy horizon.OCEANS '85 - Ocean Engineering and the Environment; 12/1985
- Monatsschrift Kinderheilkunde 04/2010; 158(4):326-337.