The health benefits associated with regular physical activity are now widely recognized. This book examines how social determinants such as race, ethnicity, socioeconomic status, sexual orientation and disability can impact on physical activity and its associated health outcomes. It explores the social, cultural, political and environmental factors that influence engagement in physical activity in a range of diverse populations and presents evidence-based, culturally appropriate strategies for targeting and promoting physical activity participation. Each chapter considers how the social determinants that impact on health are formed by the environments in which people live, work, learn and play. Incorporating a series of original case studies, this book analyzes physical activity behaviors in groups such as: African Americans, Latinos, Asian Americans and Native Americans military veterans and physically disabled populations low-income populations rural populations LGBT populations. It also includes a variety of useful features such as key terms, summary points and critical thinking questions, as well as a chapter on international perspectives. Physical Activity in Diverse Populations: Evidence and Practice is vital reading for any course touching on social factors in physical activity behavior.

This title was first published in 2001. This original study of mental health care presents a conceptual approach to the nature of the industry's multiple outputs. It pays special attention to the economic role of government, and also uses conventional economic theory to analyze the fact that the needs and wants of people with mental illnesses and their care-givers are frequently neglected.

This title was first published in 2001. Addressing a range of key theoretical and practical issues, this volume is the latest in an important series proceeding from the Annual Conference on the Promotion of Mental Health. It will be essential reading for policy makers, researchers and practitioners in the field.

This title was first published in 2003. Logistics are the set of activities that move products through the supply chain to the ultimate customer, these are of vital importance to the success of health programmes in the developing world. This volume comprises the best practices learned and promoted by the Family Planning Logistics Management (FPLM) project, set up in 1986, run by John Snow, Inc., and funded by the U.S. Agency for International Development. The project covered approximately 40 countries in Africa, Asia, Latin America and the Caribbean, and collaborated with national family planning and health programmes and non-governmental organizations that were interested in improving their supply chains. Using a range of international case studies, the book highlights the importance of logistics and transportation in health and family planning programmes, and focuses on the approaches and tools that are most effective for their settings.

Bringing together experts in the field, this important book considers the underlying risk factors that create situations of psychosocial vulnerability and marginalisation for mothers, from their baby's conception up to a year after birth. Adopting a strengths-based approach, the book looks not only at the incidence and impact of disadvantageous circumstances on women but also explores protective factors at an individual, family, community and service level. It identifies promising evidence-based interventions and sources of resilience. With a distinctive focus on social and cultural diversity, Psychosocial Resilience and Risk in the Perinatal Period considers a wide range of personal circumstances and social groups, including women's experiences of traumatic birth, domestic and family violence, drug and alcohol use and mothering by indigenous, same-sex and disabled women. Throughout, case studies and service user experiences are used to illuminate the issues and illustrate exemplary care practice. International in scope, this book is particularly strong on the implications for care practices and health service delivery within Western models of maternity care. Its applied focus and evidence base makes it eminently suitable for study purposes and professional reference. Of relevance to midwives, health visitors and other health and social care practitioners, Psychosocial Resilience and Risk in the Perinatal Period's final chapters focus on developing resilience amongst professionals and multiprofessional and interagency working.

Mental health has long been perceived as a taboo subject in the UK, so much so that mental health services have been marginalised within health and social care. There is even more serious neglect of the specific issues faced by different ethnic minorities. This book uses the rich narratives of the recovery journeys of Chinese mental health service users in the UK - a perceived 'hard-to-reach group' and largely invisible in mental health literature - to illustrate the myriad ways that social inequalities such as class, ethnicity and gender contribute to service users' distress and mental ill-health, as well as shape their subsequent recovery journeys. Recovery, Mental Health and Inequality contributes to the debate about the implementation of 'recovery approach' in mental health services and demonstrates the importance of tackling structural inequalities in facilitating meaningful recovery. This timely book would benefit practitioners and students in various fields, such as nurses, social workers and mental health postgraduate trainees.

Later-Life Social Support and Service Provision in Diverse and Vulnerable Populations offers current, multidisciplinary perspectives on social support and service provision to older Americans. The chapters trace how our understanding of social support among older adults has developed over the past 40 years and explore current gerontological research in the area. They consider how informal care arrangements articulate with formal long-term care policies and programs to provide support to the diverse population of older Americans. They also emphasize heterogeneity in the composition of support networks, particularly in relation to gender, sexual orientation, race/ethnicity, and immigrant status. Collectively, the chapters provide insight into the complexity of older adult's social support networks that can be used to improve the services provided to caregivers and care recipients as well as the policies that promote high-quality support to people of all ages who are in need of assistance.

Established indicators of development suggest that, as a group, African countries lag behind their counterparts in other regions with respect to public health. Particularly noteworthy is the fact that the public health problems of these countries are rooted in preventable causes associated with hygiene and sanitation. It is customary to attribute the problems that ail Africa to the lack of financial resources. This book deviates from convention by suggesting non-financial factors as the source of sanitation problems on the continent, and argues the need to re-connect urban planning to public health. These two professions are consanguine relatives and emerged to combat the negative externalities of the industrial revolution and concomitant urbanization. However, with the passage of time, the professions drifted apart. Today, more than ever, there is a need for the two to be re-connected. This need is rooted in the increasing complexity of urban problems whose resolution requires interdisciplinary initiatives. To this end, there is hardly any question that urban public health initiatives are unlikely to succeed without the collaboration of both public health and urban planning experts. The book recognizes this truism, and stands as the first major academic work to demonstrate the inextricably intertwined nature of urban planning and urban public health in Africa.

The current value of global trade has reached a staggering annual figure of $6 trillion in merchandise crossing borders. Such prolific global trading has, at the same time, begun to raise fears of pandemics and concerns for global health. Yet, investment in public health infrastructure and disease control was never designed to cope with international trade of this volume and diversity. Indeed, most health systems lag far behind, especially in poor countries. This has created new vulnerabilities for global populations to the introduction and amplification of infection through trade. Public fears have been further heightened by frightening news reports of deadly diseases such as Mad Cow disease and E. Coli. Risky Trade: Infectious Disease in the Era of Global Trade provides a thorough examination of the actual risks posed by disease in the age of globalization. Drawing on the economics of international trade and epidemiology, the author explores the critical health issues arising from the enormous increase in global trade and travel. Issues covered include: c The scale of the problem with particular reference to the Sakai outbreak of E. Coli; c Risks from particular microbes - Enteric and viral infections; Highly infectious agents; Antimicrobial resistance; and, Stealth agents; c Global outbreaks as a result of human travel and trade; c Prevention, surveillance and control; c The future health of global trading. In addition to highlighting the problems, the book also addresses some of the potential benefits the same globalization can bring to epidemic control through surveillance, diagnostics, treatment and investigation. The empirical approach ties together existing descriptions and case studies of epidemics building a comprehensive framework for examining new events and considering historical experience with infectious outbreaks. The volume will be a valuable guide to students, academics, practitioners, and policy makers in the areas of international trade, health economics, epidemiology, international/public health and disease control.

Primary schoolchildren are frequently shielded from education on sexuality and sexually transmitted diseases in an effort to protect their innocence. In countries like South Africa, where AIDS is particularly widespread, it is especially important to address prevention with younger boys and girls as active social agents with the capacity to engage with AIDS as gendered and sexual beings. This volume addresses the question of children's understanding of AIDS, not simply in terms of their dependence but as active participants in the interpretation of their social worlds. The volume draws on an interview and ethnographic based study of young children in two socially diverse South African primary schools, as well as interviews conducted with teachers and mothers of young children. It shows how adults sustain the production of childhood sexual innocence, and the importance of scaling up programs in AIDS intervention, gender and sexuality. It makes significant contributions to the global debate around childhood sexualities, gender and AIDS education.

India ranks third in the number of people living with HIV/AIDS globally. The country has high levels of poverty and inequality, poor healthcare infrastructure, especially away from the metropolitan areas, and a legacy of colonialism that bequeathed laws criminalizing non-heteronormative sexualities. These factors mean that many minority groups do not receive adequate access to preventative and treatment programs. This book explores the HIV/AIDS epidemic in India. Based on research in Tamil Nadu, it presents experiences of those marginalized by their sexuality and/ or gender, their struggles and their triumphs. Based on interviews with male and female sex-workers, men who have sex with men, aravanis (male to female transgenders) and HIV positive women-groups usually not included in the policy-making by Indian government agencies, international donors and international NGOs-the author uses an interdisciplinary approach. The approach highlights the historical and cultural context, while providing contemporary narratives. The book thus presents a deeper, multi-dimensional, understanding of the context of the disease and comprehends the roots of the stigma and discrimination that exacerbate the epidemic. An important study of the global HIV/AIDS epidemic, this book will be of interest to researchers in the field of South Asian Studies, Sexuality and Gender Studies, Health Sciences and Public Health.

Public-private partnerships are increasingly advocated to alleviate deficiencies in the public health system as well as to reduce economic stress on those who seek services from an expensive, burgeoning and unregulated private health sector. Focusing on India, this book examines how the private sector in developing countries is tapped to deliver health care services to poor and under-served sections of society through collaborative arrangements with the government. Having emerged as a key reform initiative, aspects of public-private partnership are examined such as the genesis of private sector partnerships, the ways in which the private sector is encouraged to deliver public health services, and the models and formats that make such partnerships possible. Based on in-depth case studies from different states of India and drawing on experiences in other countries, the authors analyse challenges, opportunities and benefits of implementing public-private partnerships and explore whether partnership with the private sector can be designed to deliver health care services to the poor as well as the consequences for beneficiaries. This book will be of interest to scholars of public policy and development administration, health policy and development economics as well as South Asian Studies.

The Handbook of the Sociology of Death, Grief, and Bereavement sets issues of death and dying in a broad and holistic social context. Its three parts explore classical sociology, developments in sociological thought, and the ways that sociological insights can be useful across a broad spectrum of grief-related topics and concerns. Guidance is given in each chapter to help spur readers to examine other topics in thanatology through a sociological lens. Scholars, students, and professionals will come away from the handbook with a nuanced understanding of the social context -cultural differences, power relations, the role of social processes and institutions, and various other sociological factors - that shape grief experiences.

The Handbook of the Sociology of Death, Grief, and Bereavement sets issues of death and dying in a broad and holistic social context. Its three parts explore classical sociology, developments in sociological thought, and the ways that sociological insights can be useful across a broad spectrum of grief-related topics and concerns. Guidance is given in each chapter to help spur readers to examine other topics in thanatology through a sociological lens. Scholars, students, and professionals will come away from the handbook with a nuanced understanding of the social context -cultural differences, power relations, the role of social processes and institutions, and various other sociological factors - that shape grief experiences.

The public health movement involved numerous individuals who made the case for change and put new practices into place. However despite a growing interest in how we understand history to inform current evidence-based practice, there is no book focusing on our progressive pioneers in public health and environmental health. This book seeks to fill that gap. It examines carefully selected public and environmental health pioneers who made a real difference to the UK's health, some with international influence. Many of these pioneers were criticised in their life-times, yet they had the strength of character to know what they were doing was fundamentally right and persevered, often against many odds. Including chapters on: Thomas Fresh John Snow Duncan of Liverpool Margaret McMillan George Cadbury Christopher Addison Margery Spring Rice and others. This book will help readers place pioneers in a wider context and to make more sense of their academic and practitioner work today; how evidence (and what was historically understood by it) underpins modern day practice; and how these visionary pioneers developed their ideas into practice, some not fully appreciated until after their own deaths. Pioneers in Public Health sets the tone for a renewed focus on research into evidence-based public and environmental health, which has become subject of growing international interest in recent years.

This step-by-step guide takes the reader logically through the process of undertaking a literature review, from determining when this methodology might be useful, through to publishing the findings. It is designed particularly for students undertaking a dissertation using literature review methodology. However, it also caters to practitioners who wish to review the existing evidence in order to develop practice. Key features of the text include: a chapter on what makes a good literature review, so that readers are clear and confident about what they're aiming for; discussion of the value of literature reviews, whether for fulfilling the requirements of a course or for developing practice; a chapter structure that reflects the structure of a typical dissertation by literature review, making the material intuitive and easy to navigate; case examples throughout to illustrate how methodological principles work in practice; a troubleshooting guide to provide support and advice on common problems when carrying out a literature review; advice on the dissemination of findings. Written by an established author with significant experience teaching and supervising students doing literature reviews, this invaluable text offers systematic and insightful advice on all aspects of literature review methodology, from problem identification to synthesizing information to forming conclusions. It is ideal for any student or practitioner in health and social care looking to undertake a literature review for study or practice purposes.

Empowering Mindfulness for Women is centred around a a 5-day intensive mindfulness course attended by eight women from different backgrounds. The reader is invited to imagine they are actively participating in the teaching and learning moments and turning points encountered in teaching and learning mindfulness around themes such as making space for mindfulness, safeguarding mindfulness for women, engendering mindfulness, mindfulness dreaming and a mandala of wisdoms. Evocative accounts of experience bring to life the women's growing awareness that mindfulness can be both a separate practice and a natural part of life and that it can help them to nurture what they have neglected in themselves by not tapping into the full spectrum of their experience. Each chapter provides useful follow-up activities and questions for individual or group reflection, journaling, sharing and conversation. Empowering Mindfulness for Women is aimed at those who teach mindfulness to women in educational, community or clinical settings and at women who want to learn mindfulness in a manner that positions them as experts in their own learning.

First published in 1990, this book was the first informed study to focus on care within the voluntary sector. Written with the child in mind, it is a sensitive work which explores the administration, strategy, and problems facing carers in children's homes, at that time. Centring on small, community-based facilities, the authors discuss the processes involved in setting up and running such facilities. They examine the difficulties of evaluating progressive services that are influenced by the philosophy of normalisation, and highlight the lessons from which other providers of services are able to learn. Written by experienced researchers with contributions from service managers, Normalisation in Practice offers pragmatic advice on managing innovation efficiently without neglecting the needs of the child. Detailed interviews are combined with theoretical insight to provide an important guide for students and practitioners and a model for academics undertaking evaluative research. Although written at the start of the 1990s, this book contains discussions and material that are still very relevant to the subject today.

First published in 1985, this book considers the financial consequences of parents and other relatives caring for severely disabled children at home. At the time of publication little reliable information was available on the costs incurred by 'informal carers', which this book set to rectify. The volume interweaves hard statistical material about money with the detailed personal responses of parents. It examines the claim that disablement in a child reduces parents' earnings while simultaneously creating an extra expense. The author compares the incomes and expenditure patterns of more than 500 families with disabled children and 700 control families of the time showing that the financial effects of disablement in a child can be far-reaching and pervasive. This book discusses contemporary policy implications of these findings in a chapter dealing with the rational for compensating families with disabled children, and in the final chapter. Although the book was original published in 1985, it references issues that are still important today and, whilst its main concern is families with disabled children, it will also be useful to anyone caring for other kinds of dependent people, such as the elderly.

First published in 1986, this study explores the increased public concern with policies of 'community care' and their effects on informal carers, at that time. It looks at the widespread evidence that one particular group of informal carers- parents looking after their severely disabled child- lack information, advice and a co-ordinated pattern of supporting services. The author, who carried out research on disabled children and their families for a number of years, describes in detail a low-cost experimental project in which specialist social workers set out to remedy these shortcomings. Drawing on the results of this particular study, the author argues strongly for widespread assignment of 'key' social workers to this and other groups of informal carers. Despite being written in the mid-1980s, this book discusses topic that will still be of interest and use today.

Examines regulatory and other strategies for improving chemical risk management in small enterprises in the European Union. This book considers what supports are necessary to secure the implementation of these strategies and is particularly concerned with the role of chemical product supply as envisaged by REACH.

Rapid changes in healthcare and public health offer tremendous opportunities to focus on process improvement. Public health departments and agencies increasingly work collaboratively with hospitals and other community partners to promote knowledge and improve collective impact through public and private sector coalitions. Solving Population Health Problems through Collaboration brings together population health experts and leaders to examine evidence-based intervention strategies, case studies in health departments and hospitals, health equity issues, core competencies, public health campaigns, step-by-step collaboration advice, and much more. Each chapter is written by a population health leader shaped by his or her experience implementing change in a community's health, to demonstrate innovative methods and tools for building and leading sustainable community coalitions to effect real change. Designed to prepare population health workers in public health and healthcare settings to develop strategies for improved population health, this book is required reading for public health managers and health administrators as well as students enrolled in population health courses.

When Therapists Cry addresses one of the most authentic and singularly human experiences a therapist can have in therapy: crying. While therapist crying in therapy is the explicit focus of this book, it is used as a springboard for understanding the various ways in which therapists' emotions come alive-and become visible-in the therapy room. In depth clinical examples and conceptualizations from expert contributors illustrate what the experience of therapist crying looks and feels like: why therapists cry, how crying impacts the therapist and the treatment, what therapists feel about their tears, and the many ways in which therapists may engage with their own tears in order to facilitate therapeutic progress, ensure appropriate professional conduct, and deepen their clinical work.

When Therapists Cry addresses one of the most authentic and singularly human experiences a therapist can have in therapy: crying. While therapist crying in therapy is the explicit focus of this book, it is used as a springboard for understanding the various ways in which therapists' emotions come alive-and become visible-in the therapy room. In depth clinical examples and conceptualizations from expert contributors illustrate what the experience of therapist crying looks and feels like: why therapists cry, how crying impacts the therapist and the treatment, what therapists feel about their tears, and the many ways in which therapists may engage with their own tears in order to facilitate therapeutic progress, ensure appropriate professional conduct, and deepen their clinical work.