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Capacity for Delivering Culturally Competent Mental Health Services in New Mexico: Results of a Statewide Agency Survey

Semansky, Rafael M.; Altschul, Deborah; Sommerfeld, David; Hough, Richard; Willging, Cathleen E.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
45.6%
The Federal government has promoted National Standards for Culturally and Linguistically Appropriate Services (CLAS) to reduce mental health disparities among Hispanic and Native American populations. In 2005, the State of New Mexico embarked upon a comprehensive reform of its behavioral health system with an emphasis on improving cultural competency. Using survey methods, we examine which language access services (i.e., capacity for bilingual care, interpretation, and translated written materials) and organizational supports (i.e., training, self-assessments of cultural competency, and collection of cultural data) mental health agencies in New Mexico had at the onset of a public sector mental health reform (Office of Minority Health, 2001).

Knowledge in Action

Ozaltun, Eylem
Fonte: Harvard University Publicador: Harvard University
Tipo: Thesis or Dissertation
EN_US
Relevância na Pesquisa
45.64%
It is widely acknowledged that an agent is doing A intentionally only if she knows she is doing A. It has proved difficult, however, to reconcile two natural thoughts about this knowledge. On the one hand, the agent seems to know what she is doing immediately, simply by doing it. Her knowledge seems to rely upon no evidence, and indeed to rest upon no specifiable epistemic basis at all. On the other hand, the agent can be wrong about what she is doing; she is fallible. The difficulty is to see how an agent can be wrong about her action if her knowledge of it is immediate. My dissertation provides an account of the agent’s knowledge of her own actions that reconciles these natural, but apparently conflicting thoughts. In the face of this difficulty, many philosophers distinguish two objects of knowledge in action: the object of immediate knowledge, which is supposed to be something interior, and what the agent actually does, which is known only mediately. I argue that this two-factor framework is unacceptable, since it cannot account for the insight which motivated the study of intentional action via the agent’s knowledge of these actions: that it is in virtue of this specific way of knowing that the agent is the agent of her intentional actions. Instead...

Ghana - Building Local Capacity for Integrated Coastal Zone Management

Mohan, P. C.
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Relevância na Pesquisa
45.67%
During 1996 and 1997, a series of Bank-assisted workshops were held under the auspices of the Environmental Protection Agency, Ghana. They intended to: 1) raise awareness among coastal communities of the need for better management of the marine and coastal ecosystem; 2) identify the priority needs of coastal communities; 3) identify appropriate, cost-effective interventions for addressing these needs; 4) raise awareness of ongoing initiatives to support such interventions; and 5) assist coastal communities in the design of appropriate small-scale initiatives to address priority needs.

Building Capacity for Decentralization and Local Governance in Sub-Saharan Africa : The Municipal Development Program

Sevilla, M.
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Relevância na Pesquisa
45.71%
The Municipal Development Program (MDP) ws launched in 1991 with the World Bank as the executing agency and with the support of several donors to assist the governments in building local government capacity. The Program reflects the belief that since locally-elected officials are usually more in touch with the public than their central government counterparts, there is greater likelihood that the policies chosen will reflect the concerns of the committees and also be more accountable to them. The MDP is a facility that provides quick-disbursing grants to local executing authorities for policy development and capacity building. Support is made in the form of small grants and consultants, using action planning workshops and asissting in strategic planning aimed at providing management tools and adding key skills to selected staff. The MDP has been able to do this because of its design which allows for flexibility and easy access to funds, and its focus--local municipalities.

Sustainable Energy for All 2013-2014 : Global Tracking Framework

World Bank; International Energy Agency
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
EN_US
Relevância na Pesquisa
45.7%
In declaring 2012 the international year of sustainable energy for all, the United Nations (UN) general assembly (2011) established at the personal initiative of the UN secretary general- three global objectives to be accomplished by 2030. Those goals are to ensure universal access to modern energy services (including electricity and clean, modern cooking solutions), to double the global rate of improvement in energy efficiency, and to double the share of renewable energy in the global energy mix. Some 70 countries have formally embraced the Sustainable Energy for All (SE4ALL) initiative, while numerous corporations and agencies have pledged tens of billions of dollars to achieve its objectives. As 2012 drew to a close, the UN general assembly announced a decade of sustainable energy for all stretching from 2014 to 2024. Sustaining momentum for the achievement of the SE4ALL objectives will require a means of charting global progress over the years leading to 2030. Construction of the necessary framework has been coordinated by the World Bank and Energy Sector Management Assistance Program (ESMAP) and the International Energy Agency (IEA)...

Ethiopia : Second Urban Local Government Development Program as a Program-for-Results Operation

World Bank
Fonte: Washington, DC Publicador: Washington, DC
EN_US
Relevância na Pesquisa
35.89%
The second Urban Local Government Development Program (ULGDP II) will enhance the institutional performance of participating ULGs in developing and sustaining urban infrastructure and services, through provision of three interlinked and mutually strengthening tools: (i) Performance-based investment grants, (ii) objective and neutral annual performance assessments, linked to the size of allocations and (iii) comprehensive capacity building support to the cities and to the regions to enhance their capacity in supporting ULGs as well as support to the implementing agency. The Ministry of Urban Development, Housing and Construction (MUDHCo, the Ministry) will be the agency in charge of the Program, as under ULGDP. The Ministry will be supported in areas of capacity building framework for regions, monitoring, reporting and project management and the Program also encompass capacity building to the Ministry to perform its core role related with the Program objectives.

Are Disorders Sufficient for Reduced Responsibility?

Turner, Andrew John
Fonte: Springer Netherlands Publicador: Springer Netherlands
Tipo: Artigo de Revista Científica
Publicado em //2010 EN
Relevância na Pesquisa
45.72%
Reimer (Neuroethics 2008) believes that how we use language to characterize psychopathy may affect our judgments of moral responsibility. If we say a psychopath has a disorder we may reduce their responsibility for moral failure. If we say a psychopath is merely different, we may not reduce their responsibility. Vincent (Neuroethics 2008) argues that if this were the case, a diagnosis of disorder would be both necessary and sufficient to reduce the responsibility of some agent for moral failure. Vincent presents two examples to suggest that a disorder is neither necessary nor sufficient to exculpate an individual for moral failure: childhood and hypomania. Vincent suggests instead that our judgments of moral responsibility ought to be based on the individual’s capacity for moral agency. I will side with Vincent in this debate, but argue that the example she uses, hypomania, does not work. I will argue that a diagnosis of hypomania, part of Bipolar II Disorder, is sufficient to exculpate an individual for some moral failure. This is because there are responsibility-relevant capacities missing: the capacities for self-awareness and to control ones abilities. Without these capacities, the individual is not a responsible moral agent. Vincent will need to provide an alternative example to show that the presence of a disorder is not sufficient to exculpate an individual for moral failure. Whilst our use of language is important...

Honduras : Public Expenditure Management for Poverty Reduction and Fiscal Sustainability

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Economic & Sector Work :: Public Expenditure Review; Economic & Sector Work
ENGLISH; EN_US
Relevância na Pesquisa
45.65%
As a highly indebted poor country, Honduras faces a dual challenge of reducing poverty while ensuring medium-term sustainability of its public spending to avoid recurrence of over indebtedness. This Public Expenditure Review (PER) is intended to contribute to the government's overall poverty reduction efforts through efficient use of public resources and fiscally sustainable improvement in public services. It provides an assessment of Honduras' institutional capacity for good expenditure management and identifies key policy priorities in selected sector (health, education, and infrastructure). A good institutional arrangement of effective public expenditure management requires achieving the three inter-related objectives of aggregate fiscal discipline, allocation of resources to strategic priorities, and operational efficiency. One of the problems in Honduras' public expenditure management that can be tackled immediately is the need for improvement in the budget classification system for better fiscal transparency. Besides...

Good Practices for Construction Regulation and Enforcement Reform : Guidelines for Reformers

International Finance Corporation; World Bank; Multilateral Investment Guarantee Agency
Fonte: World Bank Group, Washington, DC Publicador: World Bank Group, Washington, DC
Tipo: Publications & Research :: Working Paper; Publications & Research
ENGLISH; EN_US
Relevância na Pesquisa
45.53%
The report's main objective is to provide policy makers, regulators, and the private sector, primarily in emerging economies and developing countries, with a tool for enforcing international best practice and for developing strategies for successful reforms in the area of construction regulation. This paper is divided into the following eight chapters: 1) the importance of construction regulation reform. The first chapter defines three overarching goals of construction-regulation reform and addresses why and how these efforts can pay off; 2) reforms as good regulation not deregulation. This chapter points out that deregulating is not the answer; 3) the distribution and focus of construction regulation reform. Leveraging eight years of data from the doing business reports, this chapter provides an overview of reforms initiated within the doing business scenario and the key regional trends; 4) eight key policies affecting process efficiency, transparency, regulatory outcomes, and costs. This chapter provides a concise description of eight priority policy areas; 5) initiating reform and addressing typical challenges. Based on international experience...

Building Subnational Debt Markets in Developing and Transition Economies : A Framework for Analysis, Policy Reform, and Assistance Strategy

Noel, Michel
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Policy Research Working Paper; Publications & Research
ENGLISH; EN_US
Relevância na Pesquisa
45.79%
Subnational debt markets can be a powerful force in a country's development. Through delegated monitoring by financial intermediaries and through debt placed directly with investors, subnational debt markets account for about 5 percent of GDP in Argentina and Brazil. But they remain embryonic in most developing and transition economies. To resolve a potential clash between the increased financing needs of subnational entities and the limited development of domestic subnational debt markets, it is critical to support the orderly, efficient emergence of such debt markets. As a framework for policy reform, the following steps (mirroring typical weaknesses) are prerequisites for developing a country's subnational debt market: reducing moral hazard, improving market transparency, strengthening market governance, establishing a level playing field, and developing local capacity for accounting, budgeting, and financial management. In countries where the government shows a clear commitment to market development...

Breeding Latin American Tigers : Operational Principles for Rehabilitating Industrial Policies

Devlin, Robert; Moguillansky, Graciela
Fonte: Santiago, Chile: United Nations Economic Commission for Latin America and the Caribbean and Washington, DC: World Bank Publicador: Santiago, Chile: United Nations Economic Commission for Latin America and the Caribbean and Washington, DC: World Bank
Tipo: Publications & Research :: Publication; Publications & Research :: Publication
ENGLISH
Relevância na Pesquisa
45.53%
The specific structure of the book is as follows: chapter one reviews the current situation of Latin America, which historically has been a laggard in economic performance. Chapter two introduces the first principle: the urgency of developing a medium- to long-term strategy for productive transformation based on industrial policies. Chapter three focuses on the principle that strategies for productive transformation with modern industrial policies should rest on effective, locally grown public-private alliances. Chapter four introduces and illustrates principles 3-6, which focus on the 'how' of public sector leadership in the public-private alliance and the formulation and execution of strategies. Chapter five presents and illustrates principles 7-11, which are concerned with the public sector management of support programs and incentives. Chapter six shifts the focus to Latin America. It reviews the past and current nature of development strategies in the region, pointing to their strengths and weaknesses as tools for guiding productive transformation. In chapter seven...

Connecting East Asia : A New Framework for Infrastructure

Asian Development Bank; World Bank; Japan Bank for International Cooperation
Fonte: Washington, DC: World Bank Publicador: Washington, DC: World Bank
Tipo: Publications & Research :: Publication; Publications & Research :: Publication
ENGLISH
Relevância na Pesquisa
45.65%
Infrastructure development has made a major contribution to East Asia's enviable record on growth and poverty reduction. However, substantial new investments in infrastructure and service delivery improvements will be required to sustain progress in the future, and to address new challenges posed by urbanization, decentralization, and regional integration. At the same time, questions have often been raised about the impact of infrastructure on the environment and local communities, about waste through corruption in public spending and private contracts, and about the appropriate roles of the public and private sectors in infrastructure financing, ownership, and management. These questions are the motivation for this study by the Asian Development Bank, the Japan Bank for International Cooperation, and the World Bank. The three agencies support infrastructure development through project financing and guarantees, as well as by assisting governments to put in place policies to improve public sector performance...

Collective Action and Women's Agency : A Background Paper

Evans, Alison; Nambiar, Divya
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Working Paper
ENGLISH; EN_US
Relevância na Pesquisa
35.86%
Following the findings and policy messages of the World Development Report (WDR) on gender equality and development 2012, the World Bankapos;s gender and development group are seeking to deepen the evidence base on promoting womenapos;s agency as a basis for enhanced action on gender equality. A component of this work is a review of evidence on the relationship between collective action and womenapos;s agency: whether and how different forms of collective action enhance womenapos;s ability to exercise agency in key domains and the operational implications for Bank policies and programs. The paper seeks to clarify the conceptual terrain of collective action; identify the links with womenapos;s agency; and draw lessons from the evidence on what works and what does not for boosting development and gender-equality outcomes. It draws attention on the somewhat smaller body of empirical research examining the mechanics of collective action and its links with economic and social wellbeing, particularly within developing societies. The findings are complex...

Water Supply and Sanitation in Rwanda : Turning Finance into Services for 2015 and Beyond

World Bank
Fonte: World Bank, Nairobi Publicador: World Bank, Nairobi
Tipo: Economic & Sector Work :: Other Infrastructure Study; Economic & Sector Work
ENGLISH; EN_US
Relevância na Pesquisa
45.69%
Rwanda has made good progress in extending water supply and sanitation coverage during the past few years, under clear political commitment to three complementary sets of targets: the economic development and poverty reduction strategy (2012), millennium development goals (2015), and vision 2020. The report aims to help countries assess their own service delivery pathways for turning finance into water supply and sanitation services in each of four subsectors: rural and urban water supply, and rural and urban sanitation and hygiene. Rwanda is closing the gap on its targets, but is unlikely to attain the required coverage levels by 2015 without an increase in financing. The coverage trend over the past 10 years for rural water supply demonstrates the country's capacity for developing new projects; while for sanitation the enabling environment and capacity for service development will need to be strengthened further in the medium term. Households' capacity for sharing the costs of water supply capital investments is limited...

Building Results Frameworks for Safety Nets Projects

Rubio, Gloria M.
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Working Paper; Publications & Research
ENGLISH; EN_US
Relevância na Pesquisa
45.6%
Results chains are useful tools to clarify safety nets programs' objectives, verify the program internal logic, and guide the selection of indicators. Although the recent trend has been to focus mostly on outcome indicators, indicators are needed at all levels of the results chain to better understand program performance. Ideally, safety nets performance monitoring systems should build upon reliable program records and be complemented with a combination of tailor?made data sources and national surveys. The latter should be considered not only for monitoring purposes but within a program evaluation agenda. In any case, it is very important that adequate resources and technical assistance are channeled to strengthen institutional capacity for safety nets results-based management.

Jean Vanier and The Transformational Model of Rehabilitation: Principles of Care for Concerned Professionals

Forster, Donna Marie
Fonte: Quens University Publicador: Quens University
Tipo: Tese de Doutorado Formato: 926037 bytes; application/pdf
EN; EN
Relevância na Pesquisa
45.52%
Abstract The focus of this thesis is stress in rehabilitation professionals. Within the thesis, burnout encompasses compassion fatigue and moral stress. Therefore, burnout is the emotional and ethical fatigue which is produced through organizational and clinical expectations present when working with individuals who live with disabilities. This thesis argues that current rehabilitation service delivery models exacerbate burnout through their neglect of emotional and ethical needs in professionals. The goal of this thesis is to develop an alternative model of service delivery which addresses burnout in rehabilitation professionals. The thesis answers the following question. How does Jean Vanier's thinking about relationships between individuals, living with and without disabilities, contribute to the field of rehabilitation therapy and, more specifically, to reducing stress currently experienced by rehabilitation professionals? To answer this question and meet the thesis goal, the research is situated within a constructivist paradigm and uses a single, interpretive case study design. This research has produced the transformational model of service delivery. This model states rehabilitation is a transformational process. Whereas traditional rehabilitation views the client as the focus of the change process...

Addressing the Risk, Reading the Landscape: The role of agency in regulation

Haines, Fiona
Fonte: Wiley-Blackwell Publicador: Wiley-Blackwell
Tipo: Artigo de Revista Científica
Relevância na Pesquisa
45.73%
The literature pertinent to regulation presents disparate views of the role of human agency in regulatory compliance. Some authors assume regulators' and regulatees' capacity for agency to be self-evident; others show that human agency may be constrained

La universidad española, sus desafíos y su capacidad de agencia

Rué, Joan
Fonte: Universidade Autônoma de Barcelona Publicador: Universidade Autônoma de Barcelona
Tipo: Artigo de Revista Científica Formato: application/pdf
Publicado em //2014 SPA
Relevância na Pesquisa
65.72%
A partir de estudios e informes de referencia contrastados con referentes internacionales, se abordan algunos de los rasgos más relevantes del sistema universitario español, con el fin de ofrecer una interpretación determinada de la situación de la universidad ante los retos de un futuro relativamente inmediato. Una idea transversal en el texto es la de reforzar la capacidad de agencia universitaria a partir de las preocupaciones siguientes: ¿cómo afrontar el cambio de paradigma socioproductivo desde el sistema universitario?; ¿En qué medida hay una preocupación práctica por la eficiencia y la calidad? ¿Cómo replantearnos la generación de oportunidades y de capital humano (formación) para capas más extensas y diversas de la población (equidad) y ser más eficientes en este cometido? ¿En qué medida nuestra universidad se halla alineada con las de los países integrantes del Espacio Europeo de Educación Superior?; A partir d’estudis i d’informes de referència contrastats amb dades internacionals, el text aborda els trets considerats més rellevants del sistema universitari espanyol, per tal d’oferir una interpretació determinada de la situació de la universitat davant els reptes d’un futur relativament immediat. Una idea transversal a tot el text és la de reforçar la capacitat d’agència de la universitat a partir de les preocupacions següents: com cal afrontar el canvi de paradigma socioproductiu des del sistema universitari? En quina mesura hi ha una preocupació pràctica per l’eficiència i la qualitat? Com ens podem replantejar la generació d’oportunitats i de capital humà (formació) per a capes més extenses i diverses de la població (equitat) i ser més eficients en aquesta tasca? En quina mesura la nostra universitat es troba ben alineada amb les dels països integrants de l’Espai Europeu d’Educació Superior?; This paper deals with some of the most relevant features of the Spanish university system in order to provide specific insight into the current situation of the university in facing challenges in the near future. The analysis was conducted using key national and international reports. One main concern the paper addresses is how to strengthen universities’ capacity for agency with regard to the following issues: how to deal with the changing socio-productive model from within the higher education system...

A Questão da Agência em Redes Acadêmicas de Pesquisa : Centralidade, Produtividade e Escolha

Rossoni, Luciano; Guarido Filho, Edson Ronaldo; Machado-da-Silva, Clóvis L.
Fonte: Universidade Autônoma de Barcelona Publicador: Universidade Autônoma de Barcelona
Tipo: Artigo de Revista Científica Formato: application/pdf; text/html
Publicado em //2010 POR
Relevância na Pesquisa
35.83%
No presente artigo, investigamos o papel da agência na construção do conhecimento científico com base em pressupostos do estruturacionismo. Para tanto, a noção de agência foi empiricamente tratada a partir da análise de redes sociais, tendo como indicadores a centralidade, produtividade e escolha preferencial de pesquisadores do campo da pesquisa na área dos estudos organizacionais e da estratégia em organizações no Brasil. Foram considerados 2.332 artigos entre os anos de 1997 e 2005, por meio dos quais analisamos 2.072 pesquisadores. Destacamos o papel de alguns deles, classificados como continuantes, para avaliar mais detalhadamente indicadores estruturais, além da trajetória de sua produção acadêmica. Nossos achados permitem afirmar que não somente a estrutura social apresenta dualidade, condicionando e habilitando a ação, mas também a própria capacidade de agência. Vista correntemente na literatura como potencialmente transformadora, ela também condiciona a ação dos agentes, pois suas capacidades projetivas tendem a ser guiadas por condutas do passado, no sentido de vincular suas ações à trajetória social e intelectual vivida no campo, podendo acarretar maior conformidade e habitualidade na pesquisa. Denominamos esse fenômeno como paradoxo da capacidade de agência...

The Mutualities of Conscience: Satire, Community, and Individual Agency in Late Medieval and Early Modern England

Revere, William F.
Fonte: Universidade Duke Publicador: Universidade Duke
Tipo: Dissertação
Publicado em //2014
Relevância na Pesquisa
45.64%

This study examines the representation of "conscience" in English literature, theology, and political theory from the late fourteenth century to the late seventeenth. In doing so it links up some prominent conceptual history of the term, from Aquinas to Hobbes, with its imaginative life in English narrative. In particular, beginning with William Langland's Piers Plowman and moving through texts in the "Piers Plowman tradition" and on to John Bunyan's allegories and polemics, I explore what I call the "satiric" dimensions of conscience in an allegorical tradition that spans a long and varied period of reform in England, medieval and early modern. As I argue, conscience in this tradition is linked up with the jolts of irony as with the solidarities of mutual recognition. Indeed, the ironies of conscience depend precisely on settled dispositions, shared practices, common moral sources and intellectual traditions, and relationships across time. As such, far from simply being a form of individualist self-assurance, conscience presupposes and advocates a social body, a vision of communal life. Accordingly, this study tracks continuities and transformations in the imagined communities in which the judgment that is conscience is articulated...