Health Promotion in International Documents: Strengths and Weaknesses from the Perspective of Community Empowerment

Informed by a community psychology perspective, which takes an integrated and systemic, or holistic view of health and health promotion, this study presents quali‐quantitative analysis of health documents, produced by the World Health Organization (WHO) over the last 30 years. Textual analysis facilitated the identification of the typical specificities of international WHO health promotion documents, highlighting the lexical contexts of health promotion, particularly in relation to responsibilities for health and the concept of community health. Further, this textual analysis demonstrated how these understandings of health and health promotion have evolved over the last 30 years. Drawing on theory from within the field of community psychology, the changes proposed throughout international WHO documentation in conceptualizations of health and health promotion and in defining strategies to achieve the stated goals of health promotion are discussed critically. Copyright © 2011 John Wiley & Sons, Ltd.     

Readiness, Functioning, and Perceived Effectiveness in Community Prevention Coalitions: A Study of Communities That Care

This paper examined whether community readiness, prevention knowledge, coalition functioning, and barriers are linked to perceived effectiveness of community prevention coalitions. Interviews were conducted with 203 key leaders in Communities That Care (CTC) prevention boards in 21 Pennsylvania communities. Community-level means for the reliable self-report measures were utilized separately and in combination with research staff ratings, state technical assistant staff ratings, and other data. The results indicated that the strong link between readiness and perceived effectiveness was mediated by internal coalition functioning. The extent of CTC linkage with outside community entities was not linked to perceived effectiveness. The study concludes that community readiness is an important condition for success of a prevention coalition, and exerts effects mainly through the quality of the coalition's internal functioning. Member turnover and infighting appear to be important factors related to internal functioning. Linkage with outside entities may be more important for coalition models where the coalition is more dependent on local institutions for resources.     

Continuity and Change in Role Definitions and Training Models of School Psychologists in Israel

Abstract

In accordance with one of the major challenges of psychology research and practice worldwide, school psychology in Israel has setas its aim the promotion of the emotional well-being of students. These aims are achieved through psychological evaluation and intervention, at the systemic and individual-student level. School psychology emerged in Israel in the 1930s, as a relatively narrow field, focused mainly on the placement of students in special education settings. Over the decades, major changes occurred in Israeli society, including waves of immigration, coping with security situations and additional socio-political challenges. In light of these transformations, the discipline grew and broadened, encompassing additional areas of professional practice. The training of school psychologists evolved in relation to these processes. From unsystematic training procedures, mostly embedded in child-clinical psychology and relying on on-the-job training, to a well-established system of graduate school programs producing dozens of school psychologists every year. Academic pre-service training is followed by a post-graduate internship in the public-school system. The developments in the field of school psychology brought about a host of challenges and dilemmas. These issues are discussed in relation to the broad aim of school psychology in Israel: the promotion of the emotional well-being of all students.     

Community Involvement in Adapting and Testing a Prevention Program for Preschoolers Living in Urban Communities: ParentCorps

We describe a university-community collaborative effort to tailor and deliver a prevention program for families of preschoolers living in low-income, urban communities. ParentCorps, which builds on efficacious interventions with parents and young children, aims to promote child social competence and prevent conduct problems by strengthening parenting skills, enhancing support for parents, and empowering parents to access resources in their communities. Active community engagement and collaboration were viewed as critical to the development of the program and its feasibility testing. We present an overview of community involvement in the development of ParentCorps and approaches taken to involve community members during a feasibility study. Areas of success and lessons learned are discussed.     

Promotion of social change: a conceptual framework

This paper argues for the need to advance promotion efforts and proposes a conceptual framework for promotion of social change. A brief review is presented of traditional frameworks for the prevention of mental and social disorders and the promotion of wellness and social competencies, with attention to the ways in which promotion of social change extends and departs from these frameworks. In a framework for promoting social change, we advocate for promoting dynamic processes within systems, rather than outcomes within individuals. Systems are viewed as flexible and capable of facilitating multiple adaptive pathways for individuals and groups. Promoting social change also involves careful attention to critical analysis, values, language, and contextual processes. Examples are discussed throughout to illustrate how these principles have been used in the past and can be implemented in future efforts to promote social change.     

Experimental Social Innovation and Dissemination: The Promise and Its Delivery

This paper describes the origin of the Experimental Social Innovation and Dissemination model and its contribution to and intersection with community psychology. It also discusses the challenges presented to ESID by community psychology's growing emphasis on cultural diversity and participatory approaches to research and intervention. It concludes with an overview of the papers presented in the special issue.     

国内城市社区健康教育和健康促进研究

分析了我国城市化加速发展过程中出现的城市社区健康问题及其影响因素。在对社区健康教育与健康促进的作用和意义进行探讨的基础上,提出解决这些城市健康问题的根本途径是城市社区健康教育与健康促进策略,并针对我国城市社区健康教育与健康促进的研究和发展现状提出对策建议。     

Parallel lives: Community psychology in Latin America and the United States

Comparing the history of community psychology as it developed in the U.S. during the 1960s with the community psychology that developed 10 years later in Latin America, one is reminded of the title of Plutarch’s masterpice,Parallel Lives. Although there was very little contact or communication between the first community psychologists in these regions, very similar principles and orientations evolved. These similarities are particularly striking given the many ways in which the U.S. and Latin American contexts and histories differ. Since most readers are expected to be familiar with the history of community psychology as it developed in the U.S., this paper focuses primarily on the development of community psychology in Latin America in order to highlight areas of convergence as well as divergence from the U.S. experience. This paper is based on an address presented at the Fourth Biennial Conference, Society for Community Research and Action, Division 27 of the American Psychological Association, William and Mary College, Williamsburg, Virginia, 1993. The author acknowledges the valuable help received from J. R. Newbrough and from the referees in the revision of this paper.     

我国城镇社区医疗单位如何进行哮喘防控

哮喘防控工作是一项长期而艰巨的任务,城镇社区医疗单位在工作中应推广以"哮喘临床控制"为核心的哮喘治疗循环模式,即评估患者的哮喘控制水平、治疗并达到哮喘控制、监测并维持哮喘控制。当患者出现哮喘急性发作时,应遵循哮喘急性发作的治疗流程规范处理,尽快有效控制患者的症状。     

Community science: bridging the gap between science and practice with community-centered models

A major goal of community science is to improve the quality of life in our communities by improving the quality of the practice of treatment, prevention, health promotion, and education. Community science is an interdisciplinary field, which develops and researches community-centered models that enable communities to use evidence-based interventions more effectively and efficiently. In this article, the gap between science and practice and the need to bridge the gap with new models serve as an entry point and guide to the development of a community science. Therefore, the article describes (1) the prevention science model of bringing science to practice, (2) why this model is necessary but not sufficient for influencing the quality of interventions in our everyday world, (3) the gap between science and practice and the need to integrate prevention science models with community-centered models in order to bridge the gap, and (4) features of community science.     

Developing coherence in community and clinical psychology: the integration of idealism and pragmatism

Illustrations of how ideas from community psychology may be integrated with clinical psychological thinking and practice are described from the perspective of a clinical psychologist working in the NHS. The intentions are to consider socially relevant conceptualizations of the causes of people's well-being and distress, and to develop ways of helping individuals and communities to clarify and address these causes. Incorporating an analysis of social power also necessitates a critical awareness of the limited potency of psychological interventions. © 1998 John Wiley & Sons, Ltd.     

In-Session Stuck Points and Pitfalls of Community Clinicians Learning CBT: Qualitative Investigation

Given the preponderance of evidence supporting the efficacy of cognitive behavior therapy (CBT), there has been an increased emphasis on dissemination to community mental health systems (CMH). Trainers from two large-scale dissemination initiatives (n = 27) were surveyed regarding the common pitfalls and difficulties encountered by CMH clinicians learning CBT. Common pitfalls were organized according to the items of the Cognitive Therapy Rating Scale (CTRS; Young & Beck, 1980) and reviewed. Guided discovery was reported to be the most challenging CBT competency to learn. Qualitative methods were used to construct a grounded theory; trainer responses indicated they viewed the practice of CBT as not only a set of discrete skills, but also a way of thinking. Efforts may be needed to provide support, assistance, and resources to these CMH clinicians as they continue to build CBT competency.     

Participating in social enquiry and action

This paper describes the collaborative endeavours of residents and a wide range of professional workers in a particular area of Nottingham, with reference to a community psychology approach to addressing sources of psychological distress. The activities include a survey of people's views about living in the area and the factors they identify as affecting their health; and initiatives in community participation and action. One hundred and twenty three people were interviewed by members of the Sneinton and Bakersfield Community Forum. Harmful influences upon health and causes of stress were revealed as litter, dog dirt, air and traffic pollution, feeling unsafe to go out at night and lifestyle-related issues such as smoking and diet. Public meetings, the local press and short written reports were used to publicize these results and encourage further involvement. Many local residents and professionals are now active in a network of groups which address social and environmental concerns.     

疫情防控“成功悖论”的伦理解析

疫情防控会造成个人与社会之间的“成功悖论”：虽然疫情防控给社会带来了整体利益,但具体的参与者个人却似乎没有得到什么实际的利益;于是,当疫情防控成功一段时间之后,一些强制性防控措施就会日益受到质疑,越来越多的人会选择逃避防控的“免费搭车”行为,直到再次暴发疫情。“成功悖论”反映出疫情防控中个人权利与公共健康之间的冲突：为了社会整体健康而限制个人权利是否能够得到伦理辩护？悖论的根源在于自由主义价值观导致了个人与社会的割裂,而强调人类命运共同体与人类卫生健康共同体的社会主义价值理念有助于克服这一悖论。

     

Academic on a mission: Run and run and run

Challenges the distinctions we make between research/scholarship and practice. Recognizes and values the complimentarity of teaching, research, practice, and public policy. Tells how I have tried to approach creating opportunities to integrate those activities in my role as a community psychologist in an academic setting. Describes some of the lessons I have learned from my two decades of practice. This article is a very close approximation to my Distinguished Contribution to Practice in Community Psychology award address at APA in Toronto, August 1996. That talk included numerous overheads, which reason demands I omit. I thank Jim Sorenson and George Albee who, each in their own way, showed me that university professors can be passionate about their work and extend their reach beyond the perimeters of the campus. I thank Heather Barton, Krista Hopkins, Jennifer Heigel, and Anne Salassi for being such good ambassadors and for my most meaningful source of professional satisfaction: turning students on to careers as community psychologists and preventionists. I thank the Virginia prevention community for two decades of working together toward a common mission and the College of William and Mary for supporting my life’s work. Finally I thank John Morgan for his friendship and his affirming introduction, State Michaels for her help with the original talk, and Beverly Peterson for always being there. I am deeply honored.     

加强我国农民工职业病防治工作的思考

我国现有两亿多农民工,且遭受不同程度的职业病危害,以致近年新发现的职业病人几乎是农民工,但他们却没享受法律规定的平等待遇,为此中央领导多次批示,要求制定有利于《职业病防治法》贯彻落实和职业病防治工作的制本之策。结合广西开展农民工职业病防治工作的实践,指出其6个方面的主要原因和防治对策。     

2001 DIVISION 27 PRESIDENTIAL ADDRESS: Emotional Intelligence and the Good Community

Suggests various ways in which the concept of emotional intelligence (EI) can inform community research and action. Begins by defining EI and reviewing the growing body of research on its contribution to educational, health, and occupational outcomes. Next distinguishes between EI and the related concept of emotional and social competence. Then considers the connection between EI and several topics of interest to community action researchers including prevention and wellness promotion, implementation and dissemination of innovative programs, community development, and the value of diversity. Concludes by suggesting that the ecological perspective can help inform research and practice relating to EI.     

Mobilizing Communities and Building Capacity for Youth Violence Prevention: The National Academic Centers of Excellence for Youth Violence Prevention

Violence, including its occurrence among youth, results in considerable physical, emotional, social, and economic consequences in the US. Youth violence prevention work at the Division of Violence Prevention (DVP) at the Centers for Disease Control and Prevention (CDC) emphasizes preventing youth violence-related behaviors, injuries, and deaths by collaborating with academic and community partners and stakeholders. In 2000 and 2005, DVP funded the National Academic Centers of Excellence (ACE) for Youth Violence Prevention. Most ACE Centers focus on building community capacity and competence so that evidence-based programs for youth violence prevention can be successfully implemented through effective and supportive research-community partnerships. This commentary provides historical information about the ACE Program, including the development, goals, accomplishments of the Centers, and the utilization of a community-based participatory research approach to prevent youth violence.     

Community‐Based Learning and Critical Community Psychology Practice: Conducive and Corrosive Aspects

Community‐based learning (CBL) has been more recently introduced into some psychology programmes in the UK than in the USA, where it has existed for a number of decades in the form of ‘service learning’. CBL holds promise as a means of promoting and developing critical community psychology practice, but there are risks involved in its acritical adoption in the psychology curriculum. If associated power dynamics are not considered, CBL has the capacity to serve neoliberal interests and perpetuate, rather than challenge, oppressive social relations. This article examines ways in which CBL can be both conducive and corrosive to critical community psychology practice. Drawing on interdisciplinary literature, it explores ways in which students participating in CBL can be vulnerable to exploitation—both as victims and perpetrators—through collusion and cultural voyeurism. Consideration is given to ways of resisting institutional and other pressures to comply uncritically with the demands of the ‘employability agenda’. These include the importance of facilitated reflective processes in associated modules, to consider aspects of the interactions of people and systems. The article concludes that whilst CBL is inherently risky and involves discomfort for students, this enables development of a more informed consciousness where truly participatory work evolves towards greater social justice. Copyright © 2016 John Wiley & Sons, Ltd.