Community awareness of a community mental health center and attitudes toward those who receive services from a community mental health center
AuthorScott, Reda Ruth
KeywordsCommunity mental health services -- Public opinion.
Community mental health services -- Utilization.
Psychotherapy patients -- Public opinion.
MetadataShow full item record
PublisherThe University of Arizona.
RightsCopyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
Degree GrantorUniversity of Arizona
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Protocol for LINKS (linking individual needs to community and clinical services): a prospective matched observational study of a community health worker community clinical linkage intervention on the U.S.-Mexico borderLohr, Abby M; Ingram, Maia; Carvajal, Scott C; Doubleday, Kevin; Aceves, Benjamin; Espinoza, Cynthia; Redondo, Floribella; Coronado, Gloria; David, Cassalyn; Bell, Melanie L; et al. (BMC, 2019-04-11)Background: Latinos are currently the largest and fastest growing racial/ethnic group in the United States and have the lowest rates nationally of regular sources of primary care. The changing demographics of Latino populations have significant implications for the future health of the nation, particularly with respect to chronic disease. Community-based agencies and clinics alike have a long history of engaging community health workers (CHWs) to provide a broad range of tangible and emotional support strategies for Latinos with chronic diseases. In this paper, we present the protocol for a community intervention designed to evaluate the impact of CHWs in a Community-Clinical Linkage model to address chronic disease through innovative utilization of electronic health records (EHRs) and application of mixed methodologies. Linking Individual Needs to Community and Clinical Services (LINKS) is a 3-year, prospective matched observational study designed to examine the feasibility and impact of CHW-led Community-Clinical Linkages in reducing chronic disease risk and promoting emotional well-being among Latinos living in three U.S.-Mexico border communities. Methods: The primary aim of LINKS is to create Community-Clinical Linkages between three community health centers and their respective county health departments in southern Arizona. Our primary analysis is to examine the impact of the intervention 6 to 12-months post program entry. We will assess chronic disease risk factors documented in the EHRs of participants versus matched non-participants. By using a prospective matched observational study design with EHRs, we have access to numerous potential comparators to evaluate the intervention effects. Secondary analyses include modeling within-group changes of extended research-collected measures. This approach enhances the overall evaluation with rich data on physical and emotional well-being and health behaviors of study participants that EHR systems do not collect in routine clinical practice. Discussion: The LINKS intervention has practical implications for the development of Community-Clinical Linkage models. The collaborative and participatory approach in LINKS illustrates an innovative evaluation framework utilizing EHRs and mixed methods research-generated data collection.
Metamorphosis: A master planned community renovation- from struggling golf course to vibrant desert communityVanDenBerg, Kelly A.; Livingston, Margaret; Blazquez, Oscar; Stoltz, Ron (The University of Arizona., 2013)As the popularity of golf grew in the 1990’s and real estate along golf courses brought in high property values, the building of golf courses in the Southwest boomed. However, supply of golf courses outgrew the demand (Downey, 2011). The National Golf Foundation predicts that 500-1,000 golf courses nationwide will close within the next 5 years (Schmidt, 2010). Cities and developers are facing a new problem: What to do with these defunct golf courses? These troubled golf courses provide opportunities for redesigning communities in order to make them more sustainable and resilient while preserving and enhancing much needed open space in urban areas. This project explores the redesign of a struggling golf course community in order to accommodate a larger variety of users. The design also rehabilitates the system of urban washes on site to functional ephemeral riparian areas that support wildlife habitat and provide amenities. Much of the disturbed areas covered with turf will be revegetated to resemble a more desert-like, native ecosystem. Furthermore, the design incorporates green infrastructure strategies to reduce and reuse water within the community and enhance the important riparian area along Tanque Verde wash. Methods for investigation included case reviews of existing associated projects. The design provides a conceptual framework for which this golf course or similar golf course repurposing projects may look in reference for viable ideas.
Visibility, Monumentality, and Community in the Chacoan Community at Kin Bineola, New MexicoMills, Barbara J; Dungan, Katherine Ann; Mills, Barbara J; Aldenderfer, Mark; Christopherson, Gary (The University of Arizona., 2009)Chacoan great houses have been described as providing "ritual" or "integrative" venues and as "monumental" in scale and in the amount of labor required for their construction. This study takes the approach that part of the function of community, monumental, or ritual structures is to transmit meaning and that an examination of visibility connections between these structures and small habitation sites in the surrounding community may provide information about the role of these messages in daily practice. Survey data from the Chacoan community at Kin Bineola, New Mexico is analyzed in a GIS environment using a model of visibility and distance developed for this project. The results show that, contrary to expectations, the great house is much less visible than a less monumental "Chacoan structure." Shrines, small structures interpreted as having a ritual function, are by far the most visible, suggesting a more complex relationship between monumentality and visibility.