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This chapter has been written from the stance of a patient and public contributor to mental health research. It examines the role of patient and public involvement in mental health research which has evolved since the mid 1960s and continues to do so. Examining the people, roles and research and providing a definition for the different stages of Patient and Public Involvement, the chapter looks at how these roles interact, the ethics and rationale for involvement, the power relations between the various parties, whether involvement is moving the research agenda closer to preventative health care, and the subject of equality, diversity and inclusion. The difficulties of working with people with serious mental health issues are addressed. Case studies are given to illustrate various points. Subjects such as training and language are included. The complex subject of evaluation and impact and how they can be resolved are raised. Finally, the chapter concludes by inviting the reader to consider what ‘good PPI’ is, and how it is done.
This textbook provides students with basic literacy on key issues related to Justice, Equity, Diversity, and Inclusion in the United States. Over twelve chapters, it employs critical race theory and intersectionality to promote critical thinking and civic engagement on issues such as American culture, gendered racism, and Black reparations. Each chapter employs interactive and engaging opportunities to learn, making it the ideal introductory resource for undergraduate students. The text is structured around real-world stories, which exemplify the humanity of each person and the complexity of these issues. Causadias presents questions for further discussion or to enhance comprehension, defines key concepts, debunks popular myths, summarizes evidence from trusted sources that challenge misinformation and disinformation, and proposes in-class exercises. Curated reading lists can be found at the end of every chapter for readers to expand their understanding of different topics. This book is also available as Open Access on Cambridge Core.
This Perspective article addresses the issue of recovery in mental health research, policy and practice from a service user/survivor perspective. In doing so, it brings to bear a fundamentally different viewpoint to that which has dominated psychiatric history, one based on lived experience rather than the ideological allegiances of its founders. The article addresses the modern history of Western mental health provision, its over dependence on medicalised individual understandings of wellbeing, the limitations this has imposed and the challenges it has been subjected to. The issue of recovery is examined in its historical context, exploring its strengths and weaknesses. The latter weaknesses have been magnified by the association of recovery by different governments, nationally and internationally, with pressing mental health service users and others experiencing distress into employment; this is often poor quality and unsupported employment. The article puts this in the broader context of a number of values and principles underpinning both the developing psychiatric system survivor movement and the emerging international interest in Mad Studies. In doing so, the article offers a basis for the radical reform of both understandings of madness and mental distress, recognition of their holistic relations and more helpful routes to offering support and engaging with the lived experience and experiential knowledge of mental health service users.
As the leading journal for studies of Roman Britain for over 50 years, Britannia has proved a successful publishing outlet for papers that have arisen from the UK developer-funded archaeology sector. This level of interest should encourage the sector to submit more papers to Britannia, but it could also encourage influential journals to improve inclusivity in the publishing traditions of the sector, which are discussed in terms of a widespread failure to acknowledge intellectual property and expertise and to encourage wider involvement in analysis and publishing. The authors use three case studies from their own areas of work to illustrate current problems surrounding authorship, leadership and gendered practice. We then propose ways in which these issues could be tackled.
The goal of this chapter is to introduce the concepts of Justice, Equity, Diversity, and Inclusion. It begins with a discussion of the American Dream, the notion that the US is a land of opportunity, equality, and the rule of law, and that anyone can be successful if they work hard. This notion of the American Dream is challenged by evidence and discussed from the perspective of Naima Coster, a Black Latina award-winning author. The chapter reviews some characteristics of minoritized communities in the US, how they experience discrimination and barriers to achieve the dream, and some popular myths about racial/gender progress. The chapter defines Justice, Equity, Diversity, and Inclusion, issues at the heart of demands to make the dream true. Justice, Equity, Diversity, and Inclusion represent a growing field of research, a set of initiatives, and social movements to rethink power asymmetries, how resources and opportunities are distributed, and why social hierarchies are maintained. The chapter includes a Food for Thought section on college student debt and the cycle of poverty. It ends with a discussion of Naima Coster, tokenism, and the need for structural change.
Although virtual reality (VR) programs are being developed by marginalized groups’, a systemic power imbalance still exists. Marginalized groups have a place in digital wellbeing and can lead initiatives to access resources that they desire. To better support these efforts and mobilize knowledge among marginalized stakeholders, we conducted a scoping review of the use of VR for wellbeing. Adopting an equity lens that considers the experiences of intersectional marginalization, our aim was to identify VR programs, their targets, outcomes and equity-related facilitators and barriers. In May 2023, we conducted a comprehensive literature search of MEDLINE, PsycINFO, Embase and Web of Science databases and grey literature for virtual reality and marginalized populations. Eligible research articles since the inception of the databases were those that met our predefined criteria of VR, marginalized populations and wellbeing. We included 38 studies and charted preregistered variables using narrative synthesis, descriptive statistics, and a logic model. The populations were often intersectionally marginalized--primarily individuals with disabilities, underrepresented sexualities and genders, and marginalized older individuals in high-income countries on Turtle Island (North America). The most common race categories were Black or African American (26%) and European or White (53%), but other sociodemographic characteristics were underreported. VR offered diverse support, including social, mental, physical and cultural. We report program outcomes for several subgroups; though heterogeneous, most studies reported improved wellbeing outcomes. VR’s flexibility created informal, flexible spaces, with peer support that contributed to mental and social wellbeing. Several factors could hinder marginalized groups’ ability to access and participate, such as the lack of free programs, data and program ownership, and intersectional data analyses. This topic reflects a growing literature, with half of the publications being in 2022 or 2023. Many of these studies have limitations like small sample sizes and a lack of mixed-methods or practical significance analyses. Moving forward, researchers should apply more open-access and inclusive practices in their designs and recruitment processes to widen equitable access to marginalized stakeholders. Nevertheless, many marginalized populations created VR programs and benefited from them, contributing to a rebalancing of power over wellbeing.
Who is particularly vulnerable to climate change, how do these vulnerabilities intersect, and what do they mean for climate litigation? For the European Convention on Human Rights, these questions have not yet been conclusively answered. Although recent climate rulings recognized the interdependence of human rights and climate change, the European Court of Human Rights has proven reluctant to engage with the fundamental inequity of climate change and the intersecting vulnerabilities that shape how groups and individuals experience its effects. The present article argues that the Court’s staunch refusal to think intersectionally led to its current, untenably high bar for individual victim status in climate cases. It engages critically with this refusal, arguing that the difficulty of issuing model judgments to face large-scale structural problems like climate change should not come at the cost of engaging with the intersecting vulnerabilities and inequalities at the core of such a case. In doing so, it invites a rethinking of vulnerability in the Court’s parlance.
The LGBTQIA+ community faces pervasive discrimination, including in healthcare settings. This discrimination can be particularly detrimental during hospice and palliative care, where patients are especially vulnerable and may have distinct needs related to their sexual orientation or gender identity.
Objectives
This study aimed to identify the barriers and enablers to accessing equitable and inclusive palliative care for LGBTQIA+ individuals.
Methods
A self-administered online survey was conducted in November 2023 among LGBTQIA+ adults residing in Portugal. Thematic analysis was applied to identify barriers and enablers, mapped using an adapted socioecological framework.
Results
Fifty-five respondents participated, primarily cisgender women (49.1%) identifying as homosexual (50.9%), with most aged 18–34 (76.4%). Barriers included caregiver homophobia, lack of LGBTQIA+-specific knowledge among professionals, fear among patients, misaligned care priorities, exclusion of partners from decision-making, and limited access to care. Enablers involved professional LGBTQIA+-specific training, psychological support, integration of partners or chosen families in care, workforce diversity, dissemination of palliative care information, community engagement, and inclusive societal values.
Significance of results
Inclusive and responsive palliative care is essential to addressing the unique needs of LGBTQIA+ individuals. The findings highlight the need for systemic reforms to advance equity in care. The study calls for mandatory LGBTQIA+-focused training for healthcare providers, recognition of chosen families in care decisions, and public health campaigns that promote inclusivity. Collaboration with LGBTQIA+ organizations to improve outreach and access is vital, along with legislative measures to ensure equitable and inclusive care.
This chapter reads scenes of judging and judgment in Samuel Richardson’s Sir Charles Grandison (1753–54) in the context of debates about the nature and scope of equity as well as the value and limits of the laws regulating familial relations. Through Sir Charles’s and Harriet’s interventions in disputes concerning marriage, custody, and inheritance, the novel affirms the value of equity as the basis for judgments in the Court of Chancery while showing the need to apply equitable principles to everyday life. The central principle underlying Richardson’s equitable jurisprudence is impartiality. Sir Charles’s and Harriet’s ability to assume other perspectives allows them to mediate conflicts in fair and flexible ways without issuing arbitrary or subjective decisions. Richardson’s commitment to equity shapes his experiments with epistolary form, prompting readers to examine conflicts from multiple points of view. Through his accounts of domestic disputes and his formal experiments, Richardson shows the need to extend the era’s equity jurisprudence to rectify injustices enshrined in and fostered by English common and statutory law.
Directors’ duties can be classified into two themes: duties in relation to care and skill, and duties in relation to loyalty and good faith. This chapter is the first of two chapters addressing the duties of loyalty and good faith. These duties fall into two categories: those concerned with the way in which directors exercise the powers and discretions vested in them, and those concerned with the standard of conduct expected from directors. This chapter will focus on the first category, which includes the duty to act bona fide in the best interests of the company and for proper purposes, its counterpart in s 181 of the Corporations Act, and the limitations on directors not to fetter the future exercise of their discretions.
This chapter starts with a discussion of the general law in relation to the duty to act bona fide in the best interests of the company and for proper purposes. The discussion examines how the law developed historically and how it exists today. It then considers s 181 of the Corporations Act, before moving to consider alternative approaches to this area of law, which demonstrate a development of the stakeholder approach to corporate theory.
This editorial introduces the special issue dedicated to commemorating the life and scholarly achievements of Professor Joan Rovira Forns, a distinguished health economist whose pioneering work continues to influence global health policy and research. We discuss why Professor Rovira was a prominent figure in the field and summarise some of his key contributions. Next, we highlight the collection of papers featured in this issue, explaining how they connect to his work and contribute to his lasting legacy by celebrating his interdisciplinary approach and dedication to societal impact.
In this chapter and the next, we will be switching gears to transition to less-technical but more social and governance related issues where satellite remote sensing of water can play a positive role. So far, we have learned up to chapter 10 are technical aspects of satellite remote sensing of water and their applications in water management. In this chapter, we will explore the potential of satellite remote sensing for social justice in water management.
Daily life in cities is often about balance and compromise. Urban densities facilitate things being in close proximity and provide convenience for residents, but they also create an opportunity for traffic congestion and increased social and environmental inequity, and the possibility of lower-density suburban sprawl. To promote urban sustainability, a careful balance of economic development, ecology, and equity is required. In this chapter, four examples of urban sustainability crises and the dramatic response to them are examined. The cases include Miami, US; Oslo, Norway; St. Georges, Grenada; and Shenzhen, China. In each situation, the sustainability crisis emerges from a deeply set awareness of diminishing environmental quality of life and a feeling that the residents’ sense of place is under threat. The drivers of this threat are deeply embedded in social and economic factors. In each city, the policy switch to enhanced sustainability results from an aggressive, multi-scalar effort to alter and redirect the pattern of urban spatial development.
Prospective consent in neonatal research poses significant challenges, particularly during urgent, time-sensitive clinical windows of study enrollment. This is especially true at referral centers for large geographic regions. A partial waiver of consent offers a potential translational science approach to enhance access to research participation in critically ill neonates. We compared enrollment rates in a study evaluating pulse oximetry accuracy across neonates with varying skin pigmentation before and after implementing a partial waiver of consent. Overall enrollment increased significantly without creating a racial disparity in enrollment, thereby improving generalizability and efficiency in neonatal clinical research.
As part of a larger campaign to end diversity, equity, and inclusion, President Donald Trump’s recent Executive Order 14173 eliminated EO 11246 “Equal Employment Opportunity.” In this brief, we provided background on the often-misunderstood EO 11246 and discuss the potential implications of its reversal considering previous state legislation banning affirmative action and the current political context.
Educators within contemporary Australian educational settings are increasingly being called on to enact their pedagogy in multicultural classrooms, yet pedagogies remain oriented towards a narrow learner cohort. Meaningful inclusion of culturally and religiously diverse learners not only focuses on what is being taught or what knowledge is privileged, but is concerned with how it is taught and from whose perspective. Importantly, it prioritises what learners bring to educational settings – their diverse knowledge(s), languages, values and beliefs; all of which are embedded in their ways of knowing, being and doing informed by their cultural and religious traditions. This chapter aims to support educators in enacting culturally responsive pedagogy, including consideration of learners’ world views, knowledge(s) and ways of knowing, as well as respect for identities and backgrounds as meaningful sources for optimal learning, while simultaneously holding high expectations of them all. Educators will be challenged to examine epistemological and pedagogical diversity in HASS teaching and learning, to further develop learners’ knowledge, values and beliefs towards engaged and informed citizenship.
Recent executive orders (EOs) issued by the federal government, including EO 14148, EO 14151, EO 14168, and EO 14173, have significantly altered policies related to diversity, equity, inclusion, and accessibility (DEIA) in research and graduate training within industrial-organizational (I-O) psychology. These orders reverse longstanding federal commitments to DEIA initiatives, modifying research funding criteria, restructuring legal protections, and eliminating diversity-driven hiring mandates. This policy shift introduces substantial challenges for I-O psychology, particularly in securing funding for DEIA-related research, maintaining inclusive graduate training programs, and fostering diverse representation in academia and the workforce. To assess the impact of these policies, I examine the historical context of DEIA policies before these executive actions, outline key modifications introduced by the new EOs, and assess their potential implications for research, graduate education, and workforce development in I-O psychology. These policy changes may constrain academic freedom, reduce opportunities for underrepresented scholars, and disrupt progress in workplace diversity research, ultimately reshaping the field’s capacity to contribute to evidence-based DEIA initiatives.
This chapter includes a systematic review of 111 peer-reviewed articles that were identified through ERIC via EBSCO Host with keywords related to student learning, student achievement, school–university partnerships, and professional development schools. Despite the keyword indicators focused on student outcomes, only twenty articles actually included student learning data, while 36 included data on teachers, teacher candidates, or administrators related to partnerships hoping to improve learning, and 65 articles were descriptive and included no data sources at all. We use a case from our own partnership work to provide a potential framework for future research in School–University partnerships and elaborate on implications for consideration for scholars hoping to link partnerships and their influence on student learning outcomes.
According to the research, white teacher candidates may have negative attitudes towards urban students and schools (Bazemore-Bertrand & Porcher, 2020; Hampton et al., 2008). However, research also finds that carefully designed experiences outside of university classrooms can heighten learning and have a significant impact on preparing teacher candidates to teach in urban school settings (Bazemore-Bertrand & Handsfield, 2019; Porcher et al., 2020; Porcher, 2021). Partnerships between universities and urban schools offer chances to expose teacher candidates to teaching practices that are rooted in diversity, equity, and antiracism which in return prepares them to effectively teach not just in urban schools, but in all schools. In this chapter, the author shares the results of a School–University partnership (SUP) that centered around preparing teacher candidates to teach in urban schools. Specifically, the author described the benefits and challenges regarding designing a SUP with urban schools that center equity and antiracism.
The previous chapters have explored the teaching methodologies and concepts related to different forms of the Arts, as well as methodologies for integration and organisation. However, in addition to being able to teach the Arts, we need to have in place a system for evaluating the teaching process to ensure the outcomes and goals we wish to achieve are met for the learners. There has been a great deal of research to identify specific teaching practices that can improve children’s outcomes. This chapter does not intend to analyse the validity or otherwise of these outcomes, as these are mandated by the various examination and education boards. In part, this is because it is difficult to isolate any specific technique or learning skill that works for individuals because all children have unique and individual learning styles. For these reasons, the focus of recent research has been to isolate general characteristics. This chapter looks at the application of reflective learning tools to enhance teaching of the Arts, as well as inclusion and diversity in the classroom (specifically disability). Its focus, therefore, is to separate teaching from subjective assessment of teachers.