Dissertations / Theses on the topic 'Colorado. Public Board of Health'

England came to have a nation-wide administrative system for public health in the 1870s. It consisted of the local councils which were designated as sanitary authorities and the Local Government Board (LGB) as the central department. This thesis explores how public health reform was pursued under this administrative system, by tracing the career of Arthur Newsholme (1857-1943), who served as Medical Officer of Health (MOH) for Brighton, 1888-1908, and as Medical Officer to the LGB, 1908-19. The main aim of the thesis is to examine the activities in which Newsholme was involved and his views, in order to consider the development of public health activities, or state medicine, in relation to the traditional notions of government and society in England, that underlay the administrative system such as 'minimal government', , local self-government' or 'voluntarism'. The first half of the thesis deals with public health reform in Brighton during Newsholme's years of office as local MOH. Particular attention is paid to how the scope of public health administration was decided through interactions between the MOH and the local council as a representative body of the community, and to how voluntary efforts were involved in its extension. The second half deals with Newsholme's administrative ideas and activities in the process of, and after, becoming the country's leading health official. By the time of his assumption of office at the LGB, Newsholme envisaged a comprehensive state medical service as the ultimate medical ideal. The thesis examines how he tried to pursue this ideal by means of reconciling it with traditional ideas of government. Special attention is paid to Newsholme's difference from his fellow reformers such as the Webbs and George Newman, particularly in respect of their recognition of the framework of centralllocal relations that underlay the administrative system, and concerning how reforms should or could be proceeded with by means of central bureaucratic initiatives.

Mental illness is not only the leading cause of disability among adults, but there is also an emerging public health crisis in childhood mental illness. A majority of parents do not recognize symptoms of psychological disorder in their children, and current policies and programs for mental health service delivery are not sufficiently responsive to the early help-seeking dynamics of families. Using a concurrent mixed methods design, this study explored how parents in the Pikes Peak region of Colorado learned to recognize their child's mental illness. Phenomenological interviews, augmented by poetic inquiry and quantitative measurements, were used to discover factors that inhibited or enhanced five mothers' recognitions. These factors were then evaluated using a frequency distribution analysis and a rank-order correlation. The phenomenon of recognition was, for these mothers, a process of waiting to hear that â??normalâ?? had stopped, wherein they miscategorized symptoms as normal behaviors in a passing developmental phase. Prior experience with mental illness appeared to significantly decrease both the length of time and the level of distress necessary for recognition. Ultimately, recognition did not occur until someone in their social network validated their concerns and provided explicit confirmation, which galvanized them to seek treatment. Governance network collaborations can facilitate positive social change by standardizing guidance on how to differentiate symptoms of a disorder from normal childhood development. Public policies and programs such as universal mental health screening, mental health literacy, and more supportive and responsive school policies can foster dialogue for parental recognition in Colorado and throughout the country.

The relationship between mental health and public health has been debated for decades. But when services are delivered through publically funded mental health clinics, it clearly becomes a public health endeavor. One of the latest trends in mental health service delivery is the recovery concept. Developed in the 1990’s, the recovery concept represents a paradigm shift where successful treatment is defined by self-awareness, self-care, and self-fulfillment. Furthermore, patients are encouraged to assess their own progress in the recovery process. There are currently nine unique assessment tools to measure recovery progress, including the Mental Health Recovery Measure (MHRM), which was used in this study. The current study followed the implementation of the recovery model in the DeKalb Community Service Board (DeKalb CSB). DeKalb CSB has 12 locations that serve 10,000 patients with mental illness, substance abuse, and developmental disabilities each year. Only patients with primary diagnoses of mental health or substance abuse disorders were considered for this study. Implementation of the MHRM began in December 2008 and included all DeKalb CSB patients, however only new DeKalb CSB patients were considered for this study. During 13 months of data collection 960 clients completed 2 assessments and 196 completed 3 assessments. A new consumer is defined as someone who has just completed the intake process and has no record of previous service at DeKalb CSB. The current study examined trends in MHRM data in the DeKalb CSB population; and offered recommendations for future implementation.

Consumer Operated Service Providers (COSPs) are programs that are directed and administratively controlled by mental health consumers for their peers. As such, many mental health consumers have been placed in the position of serving on a COSP and often with unclear descriptions and no training. As a result, there is often a disconnect between the will of the board and the vision of the executive director, leading to tension and the possibility of failed mission. Using servant leadership as the guide, the goal of this case study was to explore the experiences of executive directors who operate Consumer Operated Service Providers (COSPs) in Texas that specialize in mental health recovery support services to better understand how they work with mental health consumers serving as their governing board members. Data were collected through semi-structured interviews with 7 executive directors of COSPs in Texas. Interview data were inductively coded, then subjected to a thematic analysis procedure. Findings revealed that the concept of servant leadership is commonly used to empower board members and create healthy working relationships between boards and executive directors, particularly around the area of motivating board members to engage with the organization. It was also revealed that the existence of COSPs, in conjunction with traditional governing boards, provides a good balance and perspective relative to strategic planning activities and fundraising. Positive social change implications include recommendations to executives of COSPs to more adequately mobilize and train consumer board members in order to achieve organizational goals that often include consumer focused care and treatment for a wide range of mental health issues.

Introduction: Adult obesity is a significant public health problem, increasing chronic disease and resulting in health and economic implications. The worksite environment provides a setting for comprehensive Worksite Health Promotion programs that can benefit employees and employers. However, the literature identifies barriers to implementation of WHP programs and achievement of positive outcomes. The purpose of this study was to determine if a DeKalb County Board of Health Employee Wellness Policy that provides work breaks during the workday for employees to engage in wellness activities has resulted in actual use of the break and employee perceived benefits. The study also examined barriers to use of the wellness break. Methods: In collaboration with the DeKalb County Board of Health, a cross-sectional study of 187 employees across eight locations was conducted. The survey instrument included both quantitative and qualitative questions and was administered electronically or in person via group administration. Results: Of survey respondents, 74% knew about the Employee Wellness Policy, 57% understood policy guidelines, and 41% had ever used wellness breaks. Respondents most often reported using wellness breaks for physical activity, most often for walking/jogging. A majority of employees using wellness breaks reported positive outcomes including: increased physical activity (64.4%), weight loss (65.2%), increased productivity (79.5%), improved work relationships (86%), increased work morale (64.4%), and increased overall positive outlook (69.9%). Barriers to utilization included: lack of time, lack of knowledge, lack of encouragement from management, and clinical setting. Management employees were significantly more likely to know about the policy and understand policy guidelines compared to non-management employees. Clinical employees were significantly less likely to ever use wellness breaks and less likely to feel their manager supports the policy. Conclusion: Sampled employees participating in wellness breaks perceive health and work-related benefits; however barriers have prevented some employees from utilizing the breaks. Quantitative and qualitative data may inform wellness policy changes for improved utilization and outcomes. Findings related to self-reported employee outcomes provide some support for a discretionary paid work break policy in the workplace.

A mix of economic interests, humanitarianism, and political concerns over future regional security and stability drove twentieth century attempts to counter indigenous morbidity and depopulation in the Pacific. However, chronic under-resourcing impeded colonial health developments. An opportunity for change came in 1913, when the International Health Board of the Rockefeller Foundation negotiated with the British Colonial Office for joint programmes to control hookworm disease in Britain's tropical dependencies. After surveying the health situation and potential for work in the Pacific region in 1916, a short-lived campaign followed in Fiji (1917-1918). The American philanthropy then focused on Australia, where co-operative hookworm programmes advanced the objectives of the Foundation and increased Federal involvement in public health while and also served the interests of "White Australia". Under Dr. Sylvester Lambert, work in the Island Pacific resumed in 1920, to promote the health and economic viability ofindigenous labour in the Australian territories of Papua and New Guinea. Plantation interests supported survey and treatment work in the British Solomon Island Protectorate, and in 1922 the Fiji campaign re-opened. Lambert expanded the International Health Board's involvement from initial hookworm survey and treatment programmes in the British and New Zealand dependencies in the South Pacific, into other aspects of public health and medical services: water supplies and latrines; a bacteriological laboratory in Suva; hospital expansion; and medical education. Integrating local initiatives, Lambert advocated a Unified Pacific Medical Service, in which key elements were centralisation., rationalisation and affordability. The most radical aspect of his plan was the development of a Central Medical School for the Pacific territories, to provide targeted professional training for indigenous medical practitioners who had a crucial (although still subservient) role in economic service delivery and the diffusion of biomedical understanding among local communities. Also controversial - and Jess successful - were attempts to improve the career opportunities and standard of European Medical Officers, by creating a single medical service for the British Pacific dependencies. Attempts to achieve these goals influenced the shape and outcome of health and medical services which developed in the different island communities by 1939, when Lambert's retirement signalled an end to active Rockefeller Foundation involvement. This thesis examrnes the ways in which colonial administrations, medical staff, the Rockefeller Foundation, labour and mission interests, and Pacific Islanders interacted in the introduction of the dramatically new medical concepts and practices of western science (and specifically tropical medicine) and their effect on indigenous populations.

Community coalitions have had successful reductions in adolescent substance abuse, and the legalization of marijuana presents an opportunity for these coalitions to re-evaluate their current methods and messages for preventing adolescent marijuana usage. Using the theory of planned behavior, the purpose of this qualitative study was to determine how legalization of marijuana for recreational purposes affects the methods and messages of coalitions and how the coalition members perceive their efforts to reduce adolescent marijuana usage post-legalization in Colorado. Participants were obtained by recommendations from the executive director in each of four coalitions. A purposive sample of 12 coalition members was interviewed via telephone and recorded. Data from the transcripts were analyzed, coded, and repeated as necessary until themes arose. The major themes suggested that programs alone were inadequate to change adolescents' perception of marijuana, despite the current success of the methods and messages expressed by coalition members. Recommendations included continuing current programs despite legalization, partnering with marijuana retail shops, engaging youth through multiple tactics, developing relationships with youth, and improving parent education to help prevent adolescent marijuana usage. These themes could shape the development of programs that guide adolescents into making better choices, which could ultimately lead to positive social change.

The purpose of this study was to examine the behavior, attitudes, and knowledge regarding tobacco use of students enrolled in orientation courses in Tennessee community colleges. The six community colleges selected for the study were members of the Tennessee Board of Regents system that offered mandatory orientation courses. Data were collected by use of the College Tobacco Behavior, Attitude, and Knowledge Survey . A response rate of (72.5%) from 700 students was analyzed. Three research questions guided the study and 17 null hypotheses were formulated and tested at the.05 alpha level of significance. Data were analyzed by using t -tests, crosstabs, analysis of variance, Chi-square, and Pearson's r correlation coefficients. Results of the study revealed that, of those students who ever smoked regularly, differences in age and ethnicity were found and no differences were found between males and females. There was no difference between males and females and when they first started smoking cigarettes regularly; however, differences were found among students of varying ethnicities. There was no relationship between students' age and how many days they smoked; however, differences were found between males and females and ethnicities. There was no relationship regarding students' age and no difference between males and females and how many days they used smokeless tobacco. There were differences between smokers' and nonsmokers' attitudes pertaining to a smokefree campus, a designated smoking area indoors, and that a tobacco awareness program would be beneficial to college students. There was no relationship between knowledge score and age, and no difference between males and females, and smokers and nonsmokers regarding their knowledge score. However, differences in knowledge scores were found among students of different ethnicities.

Maternal depression during pregnancy can have a negative impact on the developing child. Numerous studies have focused on postpartum depression and the influences on infant outcomes; however, there are limited data on pregnancy-related depression. The problem addressed in this study was the inadequacy and insufficiency of depression screening during the pregnancy period and access to quality-related health services for women. The purpose of this quantitative retrospective study was to test social cognitive theory on low birth weight and prenatal care adherence to pregnancy-related depression in women residing in Colorado. This research measured an association between pregnancy-related depression and both low birth weight prevalence and prenatal care adherence. Secondary analysis of archived data included data from Colorado vital statistics and the 2016 Colorado Pregnancy Risk Assessment Monitoring System. Data were analyzed using Chi-square analysis and multiple logistic regression. The findings showed that pregnancy-related depression was statistically significant of very low birth weight. I reported a summary of findings on p. 68. Biopsychosocial variables were significant to pregnancy-related depression. Pregnancy-related depression was significant in prenatal and postpartum depression. The implications of these findings for social change include the potential to support improved depression screening strategies during pregnancy that may contribute to transformation within the community by promoting more efficient and accessible healthcare for women.

Submitted by Maria Creuza Silva (mariakreuza@yahoo.com.br) on 2015-07-13T15:06:25Z No. of bitstreams: 1 Diss Final. Tarcio de Almeida Oliveira. 2015.pdf: 1234592 bytes, checksum: e78575a76c3bf36af0096fac66ce7524 (MD5)<br>Approved for entry into archive by Maria Creuza Silva (mariakreuza@yahoo.com.br) on 2015-07-13T15:07:16Z (GMT) No. of bitstreams: 1 Diss Final. Tarcio de Almeida Oliveira. 2015.pdf: 1234592 bytes, checksum: e78575a76c3bf36af0096fac66ce7524 (MD5)<br>Made available in DSpace on 2015-07-13T15:07:16Z (GMT). No. of bitstreams: 1 Diss Final. Tarcio de Almeida Oliveira. 2015.pdf: 1234592 bytes, checksum: e78575a76c3bf36af0096fac66ce7524 (MD5)<br>Trata-se de um estudo de caso que objetivou analisar a participação do Conselho Estadual de Saúde da Bahia (CES-BA), das III e IV Conferências Estaduais de Saúde Mental (CESM) e da Secretaria Estadual da Saúde do Estado da Bahia (SESAB) no processo de formulação e implementação da Política Estadual de Saúde Mental, entre 2001 e 2013. Para isso foi elaborado um modelo teórico, fundamentado na Teoria de Kingdon, que sugere uma sequência de três fluxos para a ascensão de uma questão ou problema à agenda governamental. O plano metodológico foi desenvolvido por meio da análise de conteúdo dos documentos (atas das reuniões do Conselho, propostas das Conferências e pelas ações implementadas pela SESAB); e das entrevistas com informantes-chaves (três conselheiros e quatro profissionais da Área Técnica de Saúde Mental da SESAB). Os resultados demonstram que as duas Conferências apresentaram propostas consonantes com a Reforma Psiquiátrica Brasileira e com a luta antimanicomial, no entanto, o Conselho não elaborou estratégias capazes de contribuir efetivamente para a consolidação dessas propostas. Desse modo, a SESAB conduziu o processo de formulação e implementação dessa Política sem a participação do CES-BA, priorizando a implantação de CAPS embora tenha mantido hospitais psiquiátricos em funcionamento. Conclui-se que o CES-BA não foi capaz de elaborar estratégias para a formulação da Política de Saúde Mental, muito menos interviu como instância de gestão no ciclo desta Política no âmbito do SUS estadual.

Based on the Migration Board's statistics report, the number of children that has gone missing within a time interval of 4 years (2010-2014) comprises 1331 children in total, of whom 146 are girls and 1185 are boys. A rising interest about what has happened to those children created a fundamental platform for this thesis. By reading Åkerman’s report from 2012, and the book De förlorade barnen: en rapport by Mikkelsen and Wagner (2013) the curiosity grew deeper. The research questions that were established were divided into three parts. Their aim is to examine which organization or public authority has the main responsibility for asylum seeking children that arrives to Sweden by themselves, if the quality of the reception has changed since the municipalities took over the responsibility, and what is/has been publicly done to strengthen the protection concerning the individual child. The aim of this study is to authentically answer the research questions, using a qualitative text analysis and an implement model. The qualitative textual analysis is primarily based on reports from Gunnarsson (2008), the Cabinet Office (2011), and a report from the National Swedish Board of Health and Welfare published in 2012. Further reports and books are used in order to authenticate the legitimacy of the arguments and facts that is accounted for in this thesis. The implementation model that is used is an implement problem shaped by Pressman and Willdawsky. The model is used in order to force the problems that solemnly appear in this thesis. The conclusion establishes that within the distinctive reports it exists different views, but also similarities. The various texts establish that despite a set of rules and regulations there has been a considerable ambiguity among the involved parties, in who holds the greatest responsibility for the asylum-seeking children. Åkerman claims that when the children arrive in Sweden they stand without any form of social safety net, whereas Gunnarsson (2008), the Cabinet Office report (2011) and the National Swedish Board report (2012) refer to the laws (LMA, SoL).

Den här uppsatsen undersöker hur Folkhälsomyndigheten, Socialstyrelsen och Myndigheten för samhällsskydd och beredskap (MSB) konstruerar identiteter och gemenskaper med de inledande anförandena under de myndighetsgemensamma pressträffarna om covid-19. Materialet utgörs av 40 transkriberade anföranden från perioden mars 2020 till januari 2021 som analyseras i tre steg. I det första identifieras samtliga personliga pronomen i subjektsposition, och VI- och MAN-omtalens klusivitet kategoriseras. I det andra bestäms vilka processtyper som talarna realiserar med omtalen utifrån systemisk-funktionell grammatik. Därefter grupperas omtalen i tre gemenskaper: Myndigheten, Situationen och Allmänheten. I det sista steget analyseras graden av dialogicitet i gemenskaperna utifrån appraisalteorin. Därtill identifieras ett urval samhörighetsmarkörer. Resultatet visar att de tre myndigheterna använder sex typer av VI och fyra typer av MAN. De föredrar att tala om Myndigheten och framställa den som handlingskraftig och kunnig, en karakterisering de också förutsätter att lyssnaren delar. Situationen som gemenskap präglas av beskrivningar och tolkningar, medan Allmänheten formas med uppmaningar och instruktioner. På vilket sätt myndigheterna omtalar gemenskaperna, och i vilken utsträckning de öppnar för andra perspektiv, varierar. Skillnaderna i de språkliga valen kan till viss del förklaras av myndigheternas skilda uppdrag och målgrupper. Men det utbredda användandet av mottagarinkluderande VI bör studeras vidare för att fastställa om inkluderandet är ett uttryck för en tillfällig närhetsskapande kriskommunikationsstrategi eller en indikation på en ytterligare informalisering av myndighetsspråket.<br>This thesis investigates how three Swedish public authorities – the Public Health Agency of Sweden, the National Board of Health and Welfare, and the Swedish Civil Contingencies Agency – establish identities and alliances in their initial statements during the joint press conferences on covid-19. The material consists of 40 statements made between March 2020 and January 2021. The transcribed statements are analysed in three steps. First, each personal pronoun in the subject position is identified, and the clusivity of first-person plural VI (we) and generic MAN (one) are categorized. Second, the process associated with these pronouns is determined using the systemic functional grammar framework. The categories are then grouped into three speaker-included alliances: The Authority, The Situation, and The General public. In the third step, based on the Appraisal framework these alliances are analysed by the level of engagement stated by the speaker. A selection of lexical indicators of belongingness is also identified. The result shows that the three authorities use six types of first-person plural VI and four types of generic pronoun MAN. They prefer to talk about The Authority and portray it as vigorous and knowledgeable, a characterization they expect the listener to share. The Situation is characterized by descriptions and interpretations, while The General public is established with exhortations and instructions. How the authorities define the alliances and to what extent they are open to other perspectives varies. The differences in linguistic choices can, to a certain degree, be explained by the authorities’ different responsibilities and target audiences. However, the wide dispersive use of a first-person plural VI which includes the public should be further studied to determine if it expresses a crisis communications strategy to temporarily achieve proximity to the citizens or indicates a continuing informalization of the official language.

Made available in DSpace on 2016-03-15T19:35:22Z (GMT). No. of bitstreams: 0 Previous issue date: 2014-02-14<br>The theses is about the control of production, commerce, use and publicity of tobacco by the State, in three ways of performance (state control), according to Federal Constitution of 1988, the Framework Convention on Tobacco Control and the internal Legislation. It is due to the Legislative Power, to elaborate the restritive rules of the using of tobacco; it is due to the Executive Power the planning and the execution of public politics concerning to the prevention of tobacco use; and to Judiciary, to judge the compensation procedure by the healthy damage caused by tobacco use. Because it involves the fundamental right to the health of the smoking and non-smoking citizen (second hand smoking), this work analyses the collision of fundamental rights and the acting of the tobacco industry, for misinformation from the 1920 decade in XX century. At last, it stablishes a comparison between hard cases to judge, taking into account the relationship between right and reality, specially the conclusions of science concerning to the diseases caused by cigarette smoking which can lead to death.<br>A tese aborda o controle pelo Estado da produção, comercialização, consumo e publicidade do tabaco, numa tríplice esfera de atuação, denominada de dirigismo estatal, de acordo com a Constituição Federal de 1988, a Convenção-Quadro de Controle do Tabaco e a legislação infraconstitucional no Brasil. Cabe ao Poder Legislativo, notadamente, a elaboração de normas restritivas à utilização do tabaco; cabe ao Executivo o planejamento e a execução de políticas públicas voltadas à prevenção do tabagismo; e, ao Judiciário, o julgamento das ações de indenização pelos danos causados à saúde pelo consumo de cigarro. Em razão de envolver direito fundamental à saúde do cidadão fumante e não fumante (fumante passivo), este trabalho analisa a colisão de direitos fundamentais e a conduta da indústria de tabaco, por defeito de informação perpetrado desde a década de 1920, do século XX. Por fim, estabelece um parâmetro de julgamento de casos difíceis, levando-se em conta a relação direito e realidade, especialmente as conclusões da ciência no tocante às doenças causadas pelo cigarro, que podem levar à morte.

Les récents progrès en neuroimagerie ont permis, au cours des dernières années, de faire avancer les connaissances sur les maladies neurologiques et psychiatriques en offrant la possibilité de mieux comprendre l’évolution des maladies neurodégénératives et la nature du comportement, des émotions, de la personnalité, et de la cognition. Plusieurs défis éthiques ont émergés suite à l’utilisation de ces nouvelles technologies d’imagerie cérébrale. La perspective des chercheurs concernant les pratiques d’évaluation des protocoles de recherche en neuroimagerie ainsi que les défis éthiques, sociaux et légaux auxquels font face les chercheurs n'ont pas encore été étudiés, même s’ils constituent des acteurs clés. Nous avons entrepris une étude empirique sur les perspectives des chercheurs quant au processus d'évaluation par les comités d’éthique de la recherche (CÉR) afin d’examiner les enjeux éthiques, légaux et sociaux liés à la pratique de la neuroimagerie au Canada. Pour ce faire, nous avons expédié un questionnaire en ligne et réalisé des entrevues semi-structurées avec des chercheurs en neuroimagerie et des présidents des CÉR. Les entrevues ont été transcrites et analysées à l'aide du logiciel d'analyse qualitative Nvivo. Nos résultats ont mis en lumière plusieurs aspects éthiques légaux et sociaux suscitant une attention particulière afin de remédier aux défis actuels dans la recherche en neuroimagerie ainsi qu’au processus d’évaluation de la recherche par les CÉR. Nos données comportent également des recommandations provenant des chercheurs eux-mêmes afin d'améliorer le processus d'évaluation. Finalement, notre propre expérience avec cette étude multicentrique nous a permis de constater plusieurs des défis mentionnés par les chercheurs.<br>Over the past years, advances in neuroimaging have allowed for a better understanding of neurologic and psychiatric disorders and yielded insights into behavior, emotion, personality, and cognition as well as allowed for a deeper understanding of neurodegenerative diseases. In light of the uses of these new imaging technologies, several ethical issues have emerged. The perspectives of researchers on current ethics review of neuroimaging protocols and ethical, legal and social issues present in neuroimaging have not been investigated, even though they are key stakeholders. We undertook an empirical study of researcher perspectives regarding the REB review process to examine ethical, legal and social issues associated with the practice of neuroimaging in Canada. We conveyed an online questionnaire survey and conducted semi-structured interviews with neuroimaging researchers and REB chairs. Interviews were transcribed and analyzed using the NVivo qualitative analysis software. Our results put into perspective emerging ethical, social and legal issues which are important challenges to address in the field of neuroimaging as well as practical challenges in the REB process. Our data also contain recommendations, coming from the neuroimagers themselves, in order to improve the evaluation process. Finally, our experience conducting this research has allowed us to confirm the challenges and stakeholders faced by neuroimagers.