This salient reference grounds readers in the theoretical basis and day-to-day practice of community-based health care programs, and their potential as a transformative force in public health. Centering around concepts of self-determination, empowerment, and inclusiveness, the book details the roles of physicians, research, and residents in the transition to self-directed initiatives and greater community control. Community-focused interventions and methods, starting with genuine dialogue between practitioners and residents, are discussed as keys to understanding local voice and worldview, and recognizing residents as active participants and not simply targets of service delivery. And coverage pays careful attention to training issues, including how clinicians can become involved in community-based care without neglecting individual patient needs. Among the topics covered are: Narrative medicine in the context of community-based practice. Qualitative and participatory action research. Health committees as a community-based strategy. Dialogue, world entry, and community-based intervention. Politics of knowledge in community-based work. Training physicians with communities. Dimensions of Community-Based Projects in Health Care challenges sociologists, social workers, and public health administrators to look beyond traditional biomedical concepts of care and naturalistic methods of research, and toward more democratic programs, planning, and policy. The partnerships described in these pages reflect a deep commitment to patients' lives, and to the future of public health.p>

This book looks at the symbolic side of globalization, development, and aging. Many of the dimensions that are discussed represent updates of past debates but some are entirely new. In particular, globalization is accompanied by subtle social imagery that profoundly shapes the way institutions and identities are imagined. The process of aging and persons sense of identity is no exception. The underlying assumptions that pervade globalization inform how critical dimensions of aging are discussed and institutionalized. The application of marketplace imagery, for example, may impact attempts for holism in how aging is studied and the prospects for human agency during the aging process. This book offers a special look into how temporality, technology, normativity, and empiricism structure the symbolic side of globalization and influence dominant images of the aging process. Current debates about globalization and aging are expanded by helping readers see the social imagery that is both subtly behind globalization and at the forefront of shaping the aging experience.

This unique account of English language acquisition by Latino elders shines intimate light on the increasingly complex concerns of aging immigrant minority populations. Rich qualitative findings detail sociocultural barriers to and social and emotive factors that promote second language acquisition in older age. The book's case study highlights diverse cognitive and social processes as elders establish a sense of self as learners and as part of a learning community, and a sense of place as newcomers navigating a challenging environment. And first-person comments from the group members deftly illustrate the intricacies of being an immigrant in a rapidly changing America as well as the myriad intersections of race/ethnicity, gender, culture, and country that shape immigrant life. Included in the coverage: Minority aging in an immigrant context. Late-life second language acquisition: cognitive and psycholinguistic changes, challenges, and opportunities. Building emotions for self-identity and learning. Practicing safe language socialization in private and public spaces. Language resocialization and gender allies. Aging, second language acquisition, and health. Aging in a Second Language gives clinical social workers, gerontologists, health and cross-cultural psychologists, sociologists, educators and other professionals deep insights into the lives of an emerging active elder population. It also pinpoints challenges and opportunities in research, literacy program design, pedagogy, clinical outreach, education policy, and service delivery to immigrant elders.

Community-Based Health Interventions in an Institutional Context examines challenges of "institutionalizing" community-based health care. While the community-based or localized model is growing in popularity and importance in the United States, in practice it must often be brought in to larger institutions in order to grow to scale. The typical goals of an institution-standardization, formalization, and control-may be seen as antithetical to those of a community-based healthcare provider, such as spontaneity, customization, and flexibility. The contributions to this work raise questions about how the community-based model can be scaled up through institutions, and how "institutionalization" can be rethought from a bottom-up approach. They provide not only an overview of community-based organizations, but also delve into practical topics such as establishing budgets, training workers, incorporating technology, as well as more theoretical topics like goal-setting, policy effects (like the ACA), and relationships between patient and community. This work will be of interest for researchers interested in exploring the community-based health care model, as well as practitioners in health care and health policy.

This unique account of English language acquisition by Latino elders shines intimate light on the increasingly complex concerns of aging immigrant minority populations. Rich qualitative findings detail sociocultural barriers to and social and emotive factors that promote second language acquisition in older age. The book's case study highlights diverse cognitive and social processes as elders establish a sense of self as learners and as part of a learning community, and a sense of place as newcomers navigating a challenging environment. And first-person comments from the group members deftly illustrate the intricacies of being an immigrant in a rapidly changing America as well as the myriad intersections of race/ethnicity, gender, culture, and country that shape immigrant life. Included in the coverage: Minority aging in an immigrant context. Late-life second language acquisition: cognitive and psycholinguistic changes, challenges, and opportunities. Building emotions for self-identity and learning. Practicing safe language socialization in private and public spaces. Language resocialization and gender allies. Aging, second language acquisition, and health. Aging in a Second Language gives clinical social workers, gerontologists, health and cross-cultural psychologists, sociologists, educators and other professionals deep insights into the lives of an emerging active elder population. It also pinpoints challenges and opportunities in research, literacy program design, pedagogy, clinical outreach, education policy, and service delivery to immigrant elders.

This book looks at the symbolic side of globalization, development, and aging. Many of the dimensions that are discussed represent updates of past debates but some are entirely new. In particular, globalization is accompanied by subtle social imagery that profoundly shapes the way institutions and identities are imagined. The process of aging and persons sense of identity is no exception. The underlying assumptions that pervade globalization inform how critical dimensions of aging are discussed and institutionalized. The application of marketplace imagery, for example, may impact attempts for holism in how aging is studied and the prospects for human agency during the aging process. This book offers a special look into how temporality, technology, normativity, and empiricism structure the symbolic side of globalization and influence dominant images of the aging process. Current debates about globalization and aging are expanded by helping readers see the social imagery that is both subtly behind globalization and at the forefront of shaping the aging experience.

Community-Based Health Interventions in an Institutional Context examines challenges of "institutionalizing" community-based health care. While the community-based or localized model is growing in popularity and importance in the United States, in practice it must often be brought in to larger institutions in order to grow to scale. The typical goals of an institution-standardization, formalization, and control-may be seen as antithetical to those of a community-based healthcare provider, such as spontaneity, customization, and flexibility. The contributions to this work raise questions about how the community-based model can be scaled up through institutions, and how "institutionalization" can be rethought from a bottom-up approach. They provide not only an overview of community-based organizations, but also delve into practical topics such as establishing budgets, training workers, incorporating technology, as well as more theoretical topics like goal-setting, policy effects (like the ACA), and relationships between patient and community. This work will be of interest for researchers interested in exploring the community-based health care model, as well as practitioners in health care and health policy.