Attitudes toward mental health services among homeless and matched housed youth

Homeless youth experience high rates of mental health problems yet they under-utilize mental health services. The present study surveyed 56 homeless youth and 97 matched at-risk housed youth on their attitudes toward mental health services, and investigated the link between social support and attitudes. Results showed groups shared similar neutral to positive attitudes. Higher levels of social support were associated with increased positive attitudes toward services. Further analyses found that lesbian/gay/bisexual/questioning youth held more positive attitudes compared to heterosexual youth. Implications of the current study can assist service providers with eliminating barriers and increasing mental health service use.     

Reformulation,fortification and functionalization: Big Food corporations’ nutritional engineering and marketing strategies

In response to health concerns arising from the consumption of highly processed foods, the world's largest food and beverage manufacturing corporations (i.e. ‘Big Food’) have responded by modifying their existing products and introducing new products with ‘improved’ nutrient profiles. Three distinct strategies used by food corporations to nutritionally engineer and market their products will be identified: the reformulation of foods to reduce levels of harmful food components, the micronutrient fortification of products to address micronutrient deficiencies, and the functionalization of products that claim to provide optimal nutrition and health benefits. These nutritional strategies gain scientific legitimacy by drawing upon the dominant nutritional ideology of ‘nutritionism’, which is characterized by a reductive focus on nutrients as a way of understanding a food's effects on dietary health. Food and beverage corporations promote these nutritional strategies as an important part of their corporate social responsibility agendas, and as evidence that they are addressing the health issues associated with both over-nutrition and under-nutrition. However, these corporations are also using these nutritional strategies to legitimize and grow the markets for their products in the global North and South.     

Roles of religious actors in the West African Ebola response

ABSTRACT

More than 11,000 people died during the 2014–15 Ebola epidemic. It devastated the communities concerned and set back progress in building health systems and socio-economic development more broadly. Concentrated in three poor West African countries, Guinea, Liberia, and Sierra Leone, the tremors reverberated worldwide, spurring mobilisation of vast human and financial resources. The epidemic highlighted contemporary challenges for public health, particularly in fragile states, with lessons extending far beyond health sectors. Religious actors played distinctive roles at various points and across different sectors. This article focuses on religious responses to the 2014 Ebola epidemic and implications for public health practitioners.     

Faith-based HIV response in post-Soviet Eastern Europe: the case of Channels of Hope in Russia,Romania, and Armenia

ABSTRACT

Most of the data available on faith-based HIV response focus on Africa, which is the heart of the pandemic. This article investigates faith-based community-level HIV responses within Eastern Europe, by studying the implementation of World Vision International’s “Channels of Hope” faith-based HIV intervention. The intervention approach was developed in a high HIV-prevalence setting (South Africa) and then implemented across sub-Saharan Africa and elsewhere – including three low HIV-prevalence Eastern European settings (Armenia, Romania, and Russia). Drawing from implementation and evaluation research, this article explores the nature, challenges, and potential of faith-based HIV response within low-prevalence, post-Soviet contexts.     

Views of public health leaders in English local authorities – changing perspectives following the transfer of responsibilities from the National Health Service to local government

This paper reports on the findings of a research project that examined the changes to the public health system in England introduced in 2013. Drawing on case study research and two national surveys the findings explore the impact of organisational change on the composition and role of public health teams. Views and experiences were obtained from public health leaders involved in the transfer of staff and functions from the National Health Service in England to local authorities. National surveys at two points in time aimed to compare and contrast views on the evolving changes. The new organisational and managerial arrangements had enabled public health professionals to widen their work and influence, and public health skills and budgets were welcomed by those in local government. Initially, in some areas, directors of public health were less certain of the benefits of the transfer to local government compared to high levels of confidence expressed by elected members, but perspectives changed over time and moved closer together. National headline figures were found to mask high levels of turbulence and churn being experienced by individual authorities identified in the case study research, and the trend of reducing capacity through cuts to staff, budget and services was a cause for serious concern.     

The public valuation of religion in global health governance: spiritual health and the faith factor

ABSTRACT

This article explores how the role of religion is evaluated in global health institutions, focusing on policy debates in the World Health Organization (WHO) and the World Bank. Drawing on Luc Boltanski and Laurent Thévenot’s pragmatist approach to justification, I suggest that religious values are creative and worldly performances. The public value of religion is established through a two-pronged justification process, combining generalizing arguments with particularizing empirical tests. To substantiate the claim that abstraction alone does not suffice to create religious values in global public health, I compare the futile attempts of the 1980s to add ‘spiritual health’ to the WHO’s mandate with the more recent creation of a ‘faith factor’ in public health. While the vague reference to some ‘Factor X’ inhibited the acceptance of spiritual health in the first case, in the second case, ‘compassion’ became a measurable and recognized religious value.     

The relationship between physical activity and mental health among adolescents in six middle-income countries: A cross-sectional study

Physical inactivity and poor mental health are emerging worldwide youth problems. Using the Global School-based Health Survey, this secondary data analysis study examined the link between physical activity and adolescent mental health among 23,372 adolescents between 11 and 17 years of age in six middle-income countries. The authors assessed physical activity by participation in (a) exercise for 60 min and (b) walking/biking in any day of a week in the past 7 days. The authors assessed mental health by the presence of (a) loneliness, (b) anxiety, (c) depression, (d) suicidal ideation, and (e) suicide attempts in the past 12 months. There was a low prevalence of physical activity among the participants. In general, there was a low prevalence of 12-month mental health problems among adolescents. Further research may incorporate physical activity to promote positive youth mental health for possible cost-effective interventions.     

One Strike to Second Chances: Using Criminal Backgrounds in Admission Decisions for Assisted Housing

The U.S. Department of Housing and Urban Development (HUD) has changed its position toward housing individuals with criminal records from strict one-strike policies in the 1980s to providing second chances to returning citizens. Many public housing authorities have not updated their admission policies for using criminal backgrounds and still adhere to the one-strike philosophy. In response to new guidance from HUD, housing agencies are trying to find a balance between screening practices to identify demonstrable risk but avoid discrimination and violation of the Fair Housing Act. This research examines several questions critical to assisting housing providers to address the new guidance from HUD. Findings provide direction for housing providers on understanding recidivism risk rates, using useful lookback periods, considering risk and harm across crime types, and verifying rehabilitation and other evidence to design informed policies and procedures for using criminal records in admission decisions for assisted housing.     

Community responses to vulnerable children in rural Zimbabwe: lessons from a partnership case study

This article explores a CBO–INGO partnership addressing vulnerable children’s needs in rural Zimbabwe. It engages with the global policy consensus that communities are crucial to addressing vulnerable children’s needs, alongside questions regarding community existence and definition among the poor. Inhabitants identified a community which was ascertained by a local and community framework. Partnership emerged as possible in the presence of interdependence and when power inequalities are acknowledged as chronically problematic. The INGO’s risk-taking, flexibility, and long-term perspective enabled it to go some way in implementing aspects of the partnership, and its emphasis on partner capacity building emerged as desirable.