This essay intends to give a critical analysis of interagency working to promote the health of ethnic minority women suffering from domestic violence. The essay starts with a definition of health and then briefly looks at varying definitions of public health and how these definitions lend credence to need for interagency working in public health. The essay then looks at the social construct of community and minority communities (BME) in England and Wales, health inequalities and the geographical spread of inequalities across areas of deprivation and the spearhead authorities with a brief discussion on the social determinants of health. This will be followed by a definition of domestic violence and how the concept of culture, especially in minority communities impacts on domestic violence and how domestic violence among ethnic minority women relates to public health. There will be a discussion on two models of health that can be used to formulate interventions which are relevant to the needs of ethnic minority. The last part of the essay will discuss the role organisations can play to support victims of domestic violence and how the structure and culture of the organisation can influence positive outcomes and enhance better interagency working. Finally, a critical analysis of interagency working will be given suggesting how services can be improved.
Public Health
Health as defined by the world health organisation is “a state of complete physical, mental, and social wellbeing and not merely the absence of disease or infirmity (Bury 2005). According to the world health organization, “health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” (WHO, 1948). The term publi...
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.... The Journal of Law, Medicine & Ethics, 30: 144–149. doi: 10.1111/j.1748-720X.2002.tb00381.x
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Unlike cultural competence, Anti- racism and the Anti-oppression framework has a clear focus, to directly address oppressive practices, and privilege in large institutions. In the “ More than being against it: Anti– racism and Anti –oppression in mental health services “ the authors Simon Corneau and Vicky Stergiopouls, identify seven strategies of the anti-racism and anti-oppression that should be employed when practicing direct service with clients. These seven strategies are "empowerment, education, alliance building, language, alternative, healing strategies, advocacy, social justice/activism, and fostering reflexivity” (Corneau & Stergiopoulos, 2012). The goal of using these seven strategies with clients is to engage the client in the process of care by recognizing the strengths and knowledge that the client brings to the relationship and honoring the idea that there is a racial feature of oppression that is inherent in the dynamics of the client clinician relationships. For example, the use of this practice in my current job with the Family Drug Courts could have a profound effect on the outcomes for both parents and children involved in the program. One example is the case of a 28-year-old mother of three that was separated from her children because of her drug addiction. This parent had an extensive history of trauma,
Large disparities exist between minorities and the rest of Americans in major areas of health. Even though the overall health of the nation is improving, minorities suffer from certain diseases up to five times more than the rest of the nation. President Clinton has committed the nation to eliminating the disparities in six areas of health by the Year 2010, and the Department of Health and Human Services (HHS) will be jumping in on this huge battle. The six areas are: Infant Mortality, Cancer Screening and Management, Cardiovascular Disease, Diabetes, HIV Infection and AIDS, and Child and Adult Immunizations.
Although ethnic minorities have access to Health Care’s such as GP’s and Hospitals, it does not mean that they get equal care to the White British groups. Pilgrim and Rogers have noted “Black People have different perceptions of services from white users, whether one of mistrust or of cynicism about the quality of treatment they might receive” (Barry,A.M and Yuill, C: 2012) Afro- Caribbean group tend to not see GP’s or other healthcare professions, men tend to just let things health and women tend to use home remedies. In Donovan’s research with Black People’s Health, Men say they do not go to GP’s because they do not like doctors and because of the waiting times. Carlton “I don’t like waitin when I’m sick, I’d rather just go home, sleep it off” (Donovan, J: 1986) Black minorities having a high percentage in mental illnesses, Black people are both over represented in admissions to psychiatric hospitals (Bhui et al. 2003), more likely to be admitted compulsorily and placed in secure units, and more likely to have been in conflict with the police (Barry, A.M and Yuill, C: 2012) Because they are seen as threatening and aggressive. As a result, ethnic minorities not just Black Minorities make less use of psychiatric services than white people. (Donovan, J:
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Health is described as physical and mental well-being and freedom from disease, pain or defect. However, such descriptions only superficially define the actual meaning of health. There may be many occasions when individuals are not necessarily ill or in pain but may be overweight, stressed or emotionally unstable. Health is a quality of life involving dynamic interaction and interdependence among the individual’s physical state, their mental and emotional reactions, and the social context in which the individual exists. There are many factors that influence your health, but three major components contribute to general well-being: Self-awareness, a balanced diet and, regular physical activity.
In this essay I am going to investigate whether health is easily defined as the absence of disease or physical injury. According to Health psychology (2009) ‘World Health Organisation defined health as a complete state of physical, mental and social well-being and not merely the absence of disease or infirmity’. In order to achieve good physical a nutrition diet is needed, healthy BMI, rest and adequate physical exercise is needed.
BIBLIOGRAPHY Barron et. al. 1992 WAFE Evidence to the Home Affairs Select Committee Enquiry into Domestic Violence Bristol: WAFE Woman’s Aid Federation (England) Report 1992 Hague & Malos 1995 Against Domestic Violence: Inter Agency Initiatives Bristol SAUS Punching Judy BBC Television Programme 1989 Domestic Violence – Report of an Inter Agency Working Party 1992 Mooney J 1994 The Hidden Figures: Domestic Violence in North London London Islington Police & Crime Unit Inter-Agency Circular; Inter Agency Co-Ordination to Tackle Domestic Violence Home Office, 1995 Grace S 1995 Policing Domestic Violence in the 1990’s Home Office Research Study British Crime Survey 1996 The Home Office Dobash/Dobash/Cavanagh/Lewis 1996 Research Evaluation of Programmes for violent Men Scottish Office Central Research Unit Dobash/Dobash/Cavangh/Lewis 1996 Re-Education Programmes for Violent men – an Evaluation Home Office Research Findings No 46 Domestic Violence & Repeat Victimisation Home Office Police Research Briefing Note No 1/98 The Family Law Act Part IV 1996
...on, race, and political belief, economic or social condition. Improving the poor health of disadvantaged individuals and reducing health gaps is important but not enough to level up health through socioeconomic groups. The objective of tackling health inequalities can be changed to local needs and priorities of a community allowing wide-ranging partnerships of support to be organised. However it needs to be made clear that what can be done to help improve the life chances and health prospects of individuals living in poverty may not come close to bringing their health prospects closer to the average of the rest of the population or prevent the gap living on throughout the generations. Being clear about what is trying to be overcome and achieved needs upmost importance in the development and delivery of policies that will promote health equality across the population.
This also requires the person to be socially and economically productive in order to be seen as healthy. According to Mildred Blaxter (1990), there are different ways of defining health. Furthermore, disease can be seen as the presence of an abnormality in part of the body or where there is a harmful physical change in the body such as broken bones. So, illness is the physical state of disease, that is to say, the symptoms that a person feels because of the disease. However, there is some limitation of these definitions which is not merely an absence of disease but a state of physical, mental, spiritual and social wellbeing.
This essay reviews a selection of the literature on healthcare-related inequalities, with the aim of illuminating how we can differentiate between fair and unfair, and between avoidable and unavoidable, inequalities in health. This essay also reviews some of the more common methods used to measure healthcare inequalities and discusses their limitations. Some policy considerations are provided at the end.
- Organisation and Management of Health Care, April 2002, Version 2.0 , Main Contributor: Katie Enock, Public Health Specialist, Harrow Primary Care Trust www.healthknowledge.org.uk