Ethical Considerations and Relation Centered Design for mHealth Applications Kate Michi Ettinger
Ethical Considerations and Relation Centered Design for mHealth Applications presented in the Medical Devices Track: Strategies for Successful Implementation of mHealth in Low Resource Settings chaired by Walter Karlen, PhD, Grand Challenges Canada grantee and post-doc at University of British Columbia and Stellenbosch University.
Presented June 6, 2014, at UNESCO Technology for Development 2014, theme: What is Essential?, hosted by EPFL and CODEV in Lausanne, Switzerland. For more information: http://wiki.epfl.ch/opentech4dev
Please Message To Request Copy of this Presentation for Download
Abstract:
Currently, there is a convergence of three key factors in the global landscape that creates an opportunity for the research community to make fundamental contributions to improving the quality of life of every single citizen. Conversely, failure to recognize and act on this phenomenon may have disastrous effects on multiple levels. The first factor is the unprecedented focus and willingness to invest in the healthcare industry. The second factor is the fact that the prime directive of the healthcare sector, i.e. nothing interferes with the delivery of care, has ramifications on every aspect of information technology used in this domain. The final factor is the recognition that patient empowerment and buy-in will be critical for the advance of health information technology. These factors highlight the fact that there are inherent assumptions in the existing access models that render them ineffective and not applicable for long term use in the healthcare field.
This talk will highlight all these issues and challenge the research community to delve more the industry-specific constraints that require further innovation in the space; possibly necessitating a re-examination of the core assumptions in the field.
Bio:
Tyrone Grandison is currently the Program Manager for Core Healthcare Services in the Healthcare Transformation group of the IBM Services Research organization (Hawthorne, New York). His immediate interests are in developing innovative solutions for ensuring patient privacy protection and for integrating information from multiple sources to get more complete views of patients to enable better decision making. Prior to this, Tyrone led the Intelligent Information Systems (Quest) team in the Computer Science department at the IBM Almaden Research Center (San Jose, California). The team pioneered research in Relational Database Privacy, Disclosure-Compliant Query Processing for RFID and Mobile Data Networks, Security Exception Handling in Healthcare Information Systems and Large Scale Text Analysis of Online Data. Tyrone is a Distinguished Engineer of the Association of Computing Machinery (ACM), Senior Member of the Institute of Electrical and Electronics Engineers (IEEE) and has been further recognized by the IEEE (2010 Technical Achievement Award), the National Society of Black Engineers (i.e. Pioneer of the Year 2009) and the Black Engineer of the Year Award Board (i.e. Modern Day Technology Leader 2009, Minority in Science Trailblazer 2010). Tyrone received his B.Sc. and M.Sc. degrees from the University of the West Indies, Jamaica in 1997 and 1998, respectively, and a Ph.D. degree from the Imperial College of Science, Technology and Medicine in the United Kingdom.
Presented: June 9, 2010
The Entrepreneur's Guide to Hospital Partnerships by @Rock_HealthRock Health
A living document and initial guide for entrepreneurs as they navigate partnering with health providers, initially compiled after 22 interviews with entrepreneurs, hospital administrators, investors, lawyers, clinicians and researchers. Purchase the report here: https://gumroad.com/l/qgUT
Keynote given at the Nigerian National eHealth Summit, Dec 2015, on the conference theme of 'The Business of eHealth'. Dr Claudia Pagliari directs the Global eHealth masters programme at the University of Edinburgh, UK. www.health@ed.ac.uk
Rock Report: Smart Seating - Opportunities at the intersection of automotive ...Rock Health
This report explores existing and potential opportunities that can improve health by utilizing new advances in automotive technologies, including incorporation of biosensors. Purchase the report here: https://gumroad.com/l/YEXX
Ethical Considerations and Relation Centered Design for mHealth Applications Kate Michi Ettinger
Ethical Considerations and Relation Centered Design for mHealth Applications presented in the Medical Devices Track: Strategies for Successful Implementation of mHealth in Low Resource Settings chaired by Walter Karlen, PhD, Grand Challenges Canada grantee and post-doc at University of British Columbia and Stellenbosch University.
Presented June 6, 2014, at UNESCO Technology for Development 2014, theme: What is Essential?, hosted by EPFL and CODEV in Lausanne, Switzerland. For more information: http://wiki.epfl.ch/opentech4dev
Please Message To Request Copy of this Presentation for Download
Abstract:
Currently, there is a convergence of three key factors in the global landscape that creates an opportunity for the research community to make fundamental contributions to improving the quality of life of every single citizen. Conversely, failure to recognize and act on this phenomenon may have disastrous effects on multiple levels. The first factor is the unprecedented focus and willingness to invest in the healthcare industry. The second factor is the fact that the prime directive of the healthcare sector, i.e. nothing interferes with the delivery of care, has ramifications on every aspect of information technology used in this domain. The final factor is the recognition that patient empowerment and buy-in will be critical for the advance of health information technology. These factors highlight the fact that there are inherent assumptions in the existing access models that render them ineffective and not applicable for long term use in the healthcare field.
This talk will highlight all these issues and challenge the research community to delve more the industry-specific constraints that require further innovation in the space; possibly necessitating a re-examination of the core assumptions in the field.
Bio:
Tyrone Grandison is currently the Program Manager for Core Healthcare Services in the Healthcare Transformation group of the IBM Services Research organization (Hawthorne, New York). His immediate interests are in developing innovative solutions for ensuring patient privacy protection and for integrating information from multiple sources to get more complete views of patients to enable better decision making. Prior to this, Tyrone led the Intelligent Information Systems (Quest) team in the Computer Science department at the IBM Almaden Research Center (San Jose, California). The team pioneered research in Relational Database Privacy, Disclosure-Compliant Query Processing for RFID and Mobile Data Networks, Security Exception Handling in Healthcare Information Systems and Large Scale Text Analysis of Online Data. Tyrone is a Distinguished Engineer of the Association of Computing Machinery (ACM), Senior Member of the Institute of Electrical and Electronics Engineers (IEEE) and has been further recognized by the IEEE (2010 Technical Achievement Award), the National Society of Black Engineers (i.e. Pioneer of the Year 2009) and the Black Engineer of the Year Award Board (i.e. Modern Day Technology Leader 2009, Minority in Science Trailblazer 2010). Tyrone received his B.Sc. and M.Sc. degrees from the University of the West Indies, Jamaica in 1997 and 1998, respectively, and a Ph.D. degree from the Imperial College of Science, Technology and Medicine in the United Kingdom.
Presented: June 9, 2010
The Entrepreneur's Guide to Hospital Partnerships by @Rock_HealthRock Health
A living document and initial guide for entrepreneurs as they navigate partnering with health providers, initially compiled after 22 interviews with entrepreneurs, hospital administrators, investors, lawyers, clinicians and researchers. Purchase the report here: https://gumroad.com/l/qgUT
Keynote given at the Nigerian National eHealth Summit, Dec 2015, on the conference theme of 'The Business of eHealth'. Dr Claudia Pagliari directs the Global eHealth masters programme at the University of Edinburgh, UK. www.health@ed.ac.uk
Rock Report: Smart Seating - Opportunities at the intersection of automotive ...Rock Health
This report explores existing and potential opportunities that can improve health by utilizing new advances in automotive technologies, including incorporation of biosensors. Purchase the report here: https://gumroad.com/l/YEXX
Telehealth Failures & Secrets to Success Conference 2017 by VSee
Speaker: Prof. Yuki N. Karakawa
Director of IVeH (International Virtual E-Hospital)
More info here: vsee.com/conference
Karen Day, University of Auckland
Koray Atalag, University of Auckland
Denise Irvine, e3health
Bryan Houliston, Auckland University of Technology
(4/11/10, Illott, 1.45)
E health in Nigeria Current Realities and Future Perspectives. A User Centric...Ibukun Fowe
In this era of the digital revolution, innovative computer software programs and Information and communications technologies (ICTs) are disrupting different industries of most economies and the healthcare sector is one of the nascent and emerging opportunities for technology disruption and innovation. This is an “inevitable” welcome development as Global health innovation is at the forefront of embracing the use of technology solutions in various parts of the world to improve access to health services and medicines, and Nigeria is not to be an exception. This symposium is focused on asking the fundamental questions; how much impact are e-health applications making in the Nigerian health sector and how do we improve the level of impact and
effectiveness of these applications via a user-centric approach?
Taking these proactive steps serve to ensure that we focus on the real needs of the Nigerian people and put in place quality and safety measures that will give users the confidence needed to use e-health applications and solutions adequately and appropriately. This symposium invites key-stakeholders in the e-health
ecosystem to share their views on the pains and gains of e-health as of today and how to shape the future of e-health in Nigeria (and similar countries). Some of the presentations and panelist sessions will include real field experience and user-centered qualitative research that will elicit the current level of impact and the real needs of e-health users in the southwest region of Nigeria.
Rock Report: Fitness Technology for Athletes by @Rock_HealthRock Health
Point of view on how apps and sensors are transforming fitness and athletics, from the perspective of experts, including Olympians, coaches and entrepreneurs. Purchase the report here: https://gumroad.com/l/BTnV
Digital Transformation in Health: The New Patient ParadigmVSee
Telehealth Failures & Secrets to Success Conference 2017 by VSee
Speaker: Paul Smolke
Senior Director of Productivity, Worldwide Health of Microsoft
More info here: vsee.com/conference
Healthcare, along with many other sectors, is facing increasing uncertainty driven by technology disruption and greater individual / patient empowerment. The barrier to entry into the sector is dropping fast enabling Asia entrepreneurs to significantly improve the Asia healthcare ecosystem
Will the next generation of doctors be ready for telehealth?VSee
Telehealth Failures & Secrets to Success Conference 2017 by VSee
Speaker: Homero Rivas
Director of Innovative Surgery of Stanford University School of Medicine
More info here: vsee.com/conference
9 Actionable Healthcare Tweets from HIMSS 2015Buddy Scalera
9 tweets and action items for healthcare marketers and content strategists, as developed by Marilyn Cox @MarilynECox (Oracle) and Buddy Scalera @MarketingBuddy.
Be sure to visit: http://www.slideshare.net/americanregistry
A review of the health sensor market estimated at 400M devices and worth $4B by 2014, including 36 companies offering devices across the wellness, chronic, diagnostic and monitoring markets. Purchase the report here: https://gumroad.com/l/Khrd
Social Responsibilities In The Us Health Care SystemYannig Roth
Are the actors of American health care socially responsible ?
A presentation held after watching the movie "Sicko", and about the American health care system... wicked problem !
How Wearables will transform the EHR (Electronic Disease Record), slide deck for presentation by David Doherty (@mHealth) at Wearables Europe, London, 28 May 2015.
Telehealth Failures & Secrets to Success Conference 2017 by VSee
Speaker: Prof. Yuki N. Karakawa
Director of IVeH (International Virtual E-Hospital)
More info here: vsee.com/conference
Karen Day, University of Auckland
Koray Atalag, University of Auckland
Denise Irvine, e3health
Bryan Houliston, Auckland University of Technology
(4/11/10, Illott, 1.45)
E health in Nigeria Current Realities and Future Perspectives. A User Centric...Ibukun Fowe
In this era of the digital revolution, innovative computer software programs and Information and communications technologies (ICTs) are disrupting different industries of most economies and the healthcare sector is one of the nascent and emerging opportunities for technology disruption and innovation. This is an “inevitable” welcome development as Global health innovation is at the forefront of embracing the use of technology solutions in various parts of the world to improve access to health services and medicines, and Nigeria is not to be an exception. This symposium is focused on asking the fundamental questions; how much impact are e-health applications making in the Nigerian health sector and how do we improve the level of impact and
effectiveness of these applications via a user-centric approach?
Taking these proactive steps serve to ensure that we focus on the real needs of the Nigerian people and put in place quality and safety measures that will give users the confidence needed to use e-health applications and solutions adequately and appropriately. This symposium invites key-stakeholders in the e-health
ecosystem to share their views on the pains and gains of e-health as of today and how to shape the future of e-health in Nigeria (and similar countries). Some of the presentations and panelist sessions will include real field experience and user-centered qualitative research that will elicit the current level of impact and the real needs of e-health users in the southwest region of Nigeria.
Rock Report: Fitness Technology for Athletes by @Rock_HealthRock Health
Point of view on how apps and sensors are transforming fitness and athletics, from the perspective of experts, including Olympians, coaches and entrepreneurs. Purchase the report here: https://gumroad.com/l/BTnV
Digital Transformation in Health: The New Patient ParadigmVSee
Telehealth Failures & Secrets to Success Conference 2017 by VSee
Speaker: Paul Smolke
Senior Director of Productivity, Worldwide Health of Microsoft
More info here: vsee.com/conference
Healthcare, along with many other sectors, is facing increasing uncertainty driven by technology disruption and greater individual / patient empowerment. The barrier to entry into the sector is dropping fast enabling Asia entrepreneurs to significantly improve the Asia healthcare ecosystem
Will the next generation of doctors be ready for telehealth?VSee
Telehealth Failures & Secrets to Success Conference 2017 by VSee
Speaker: Homero Rivas
Director of Innovative Surgery of Stanford University School of Medicine
More info here: vsee.com/conference
9 Actionable Healthcare Tweets from HIMSS 2015Buddy Scalera
9 tweets and action items for healthcare marketers and content strategists, as developed by Marilyn Cox @MarilynECox (Oracle) and Buddy Scalera @MarketingBuddy.
Be sure to visit: http://www.slideshare.net/americanregistry
A review of the health sensor market estimated at 400M devices and worth $4B by 2014, including 36 companies offering devices across the wellness, chronic, diagnostic and monitoring markets. Purchase the report here: https://gumroad.com/l/Khrd
Social Responsibilities In The Us Health Care SystemYannig Roth
Are the actors of American health care socially responsible ?
A presentation held after watching the movie "Sicko", and about the American health care system... wicked problem !
How Wearables will transform the EHR (Electronic Disease Record), slide deck for presentation by David Doherty (@mHealth) at Wearables Europe, London, 28 May 2015.
Action Research Inquiry CycleINQUIRY CYCLE PHASE 2Implem.docxnettletondevon
Action Research Inquiry Cycle
INQUIRY CYCLE PHASE 2
Implement actions
and measure results
INQUIRY CYCLE PHASE 1
Plan for research and
addressing the problem
INQUIRY CYCLE PHASE 3
Evaluate and reflect
on results of actions
Assess the
Core Issues
1
Review the
Literature
2
Design the Projected
Intervention
3
Implement the
Intervention
4
Collect and
Analyze Data
5
Communicate Results
6
Evaluate
Outcomes
7
9
Recommend or Decide on
Next Steps
Reflect on and
Dialogue about
Results
8
Action Research Inquiry Cycle
INQUIRY CYCLE PHASE 2
Implement actions
and measure results
INQUIRY CYCLE PHASE 1
Plan for research and
addressing the problem
INQUIRY CYCLE PHASE 3
Evaluate and reflect
on results of actions
Assess the
Core Issues
1
Review the
Literature
2
Design the Projected
Intervention
3
Implement the
Intervention
4
Collect and
Analyze Data
5
Communicate Results
6
Evaluate
Outcomes
7
9
Recommend or Decide on
Next Steps
Reflect on and
Dialogue about
Results
8
9. Minkler M, Wallerstein N., eds. Community-Based Participatory Research for Health. San Francisco: Jossey-Bass; 2003.
10. Cargo M, Mercer SL. The value and challenges of participatory research: strengthening its practice. Annual Review of Public Health.
2008 April;29:325–50.
11. Devault M, Ingraham C. Metaphors of silence and voice in feminist thought. In: Devault M, ed. Liberating Method. Philadelphia, PA:
Temple University Press; 1999:175–86.
12. Bobo K, Kendall J, Max S. Organizing for Social Change. 3rd ed. Santa Ana, CA: Seven Locks Press; 2001.
13. Chambers E, Cowan MA. Roots for Radicals: Organizing for Power, Action, and Justice. New York: Continuum International Publishing
Group; 2003.
14. Lewin K. Resolving Social Conflicts and Field Theory in Social Science. Washington, DC: American Psychological Association; 1997.
15. Freire P. Pedagogy of the Oppressed. New York, NY: Continuum International; 1970.
16. Hacker K, Chu J, Leung C, Marra R, Pirie A, Brahimi M, English M, Beckmann J, Acevedo-Garcia D, Marlin RP. The impact of
Immigration and Customs Enforcement on immigrant health: perceptions of immigrants in Everett, Massachusetts, USA. Social Science &
Medicine. 2011 Aug;73(4):586–94.
17. Heller C, de Melo-Martin I. Clinical and translational science awards: can they increase the efficiency and speed of clinical and
translational research? Academic Medicine. 2009 Apr;84(4):424–32.
18. Minkler M. Linking science and policy through community-based participatory research to study and address health disparities. American
Journal of Public Health. 2010 Apr 1;100 Suppl 1:S81–87.
19. Hacker K, Collins J, Gross-Young L, Almeida S, Burke N. Coping with youth suicide and overdose: one community’s efforts to
investigate, intervene, and prevent suicide contagion. Crisis. 2008;29(2):86–95.
20. Wallerstein N, Duran B. Community-based participatory research contributions to intervention research: the intersection .
Running Head COMMUNITY STRATEGIC PLAN 1COMMUNITY STRATE.docxsusanschei
Running Head: COMMUNITY STRATEGIC PLAN
1
COMMUNITY STRATEGIC PLAN
6
Community Strategic Plan
Student’s Name
University Affiliation
Community Strategic Plan
Introduction
For care provision to be effective in the nursing field today, people are turning more towards the provision of community-based care (Lundy, Janes & Lundy, 2016). This requires one to clearly understand the specific care needs of the community to come up with programs to meet these needs. In the paper, we are going to identify a focus area I could work on in my community, the various health risks they can are vulnerable to and how to carry out a community assessment on my focus area.
Identify an area of focus in community health within your own community.
The health area that I would be highly interested in my community is lifestyle improvement. Lifestyle diseases have become a major health concern in my community since we have recording a great number of diseases such as child and adult obesity, diabetes and gout among many other lifestyle diseases. The main cause of this is making wrong lifestyle choices. My interest in this area is to help provide education to the community on lifestyle choices and what they ought to avoid and therefore help reduce the number of lifestyle diseases being recorded and also ensure that they are able to access healthy food choices.
Using Gordon’s Functional Health Patterns framework (p. 130 in your e-text), assess the health risks in your community.
· Health perception-health management pattern: Individuals in the community have not embraced primary care interventions. They often seek medical care when they have already contacted diseases or when a disease is already in its chronic stages making management harder.
· Nutritional-metabolic pattern: Individuals are at higher risk of lifestyle disease due to the pattern of fast food consumption. The presence of so many fast foods joints has encouraged this behavior especially for the children
· Elimination pattern: No Information
· Activity-exercise pattern: Individuals are actively involved in recreation activities but have very poor physical exercise patterns. This paired with the consumption of fast food such as burgers has led to increase in obesity rates.
· Sleep-rest pattern: The community can be commended for their good sleep patterns people are found resting or asleep early enough, and this enables them to get adequate hours of sleep.
· Cognitive-perceptual pattern: Individuals in the community have good Cognitive-perceptual patterns, and this is evident through proper language development as well as memory.
· Self-perception–self-concept pattern: The concept of self-esteem is slowly falling for individuals in the community. This is as a result of lifestyle diseases such as obesity which people are experiencing right from a young age. This leads to the formation of negative attitudes towards self.
· Roles-relationships pattern: The family relationships are ...
Dr. Mike Dahlstrom - Communicating Your Science: What’s It Really About?John Blue
Communicating Your Science: What’s It Really About? - Dr. Mike Dahlstrom, Associate Professor, Journalism and Mass Communication, Iowa State University, from the 2018 NIAA Antibiotic Symposium: New Science & Technology Tools for Antibiotic Stewardship, November 13-15, 2018, Overland Park, KS, USA.
More presentations at https://www.youtube.com/playlist?list=PL8ZKJKD9cmEffjOrjbBvQZeN2_SZB_Skc
2Defining the Community and Power RelationshipsReview.docxtamicawaysmith
2
Defining the Community and Power Relationships
“Reviews of the effectiveness of collaborations for improving community health indicate that they can be effective but that there are many
potential obstacles to realizing the benefits of a participatory approach in both public health research and programs. In particular, the
lack of an accepted definition of community can result in different collaborators forming contradictory or incompatible assumptions about
community and can undermine our ability to evaluate the contribution of community collaborations to achievement of public health
objectives.”1
In this chapter we will explore some important questions:
• What is community?
• Who represents community?
• What is a community advisory board?
• Who are the right stakeholders?
• What are the existing power relationships between academics and community partners?
• What are the rules of CBPR partnerships?
• What are strategies for assessing community readiness for research?
WHAT IS COMMUNITY?
When embarking on a CBPR project, one of the first challenges is to define the community of interest. Who is the
population of interest? What are the boundaries of their “community”? Is this a community that is geographically
bounded (city, neighborhood, county) or one that is nongeographically defined by a common culture (Latinos, African
Americans) or condition (parents of children with special needs) or other shared concern? Are you planning to work
with those directly impacted by the issue or with the organizations that represent or serve them? The CBPR approach is
often used to examine issues for underserved populations, to give voice to their concerns and help identify their
perspective on the problem. However one chooses to define “community,” it remains the conceptual underpinning of
CBPR, influencing who collaborates and participates, how sampling is conducted, where dissemination takes place,
and, most importantly, how relevant the work is to the community of interest.
Example 1: Everett Immigrant Health
A community coalition in Everett was interested in engaging a researcher to learn more about the health implications
of Immigration and Customs Enforcement (ICE) on immigrant health in their community. The coalition had a diverse
membership, including agency directors, school administrators, several teachers, and representatives from several
immigrant advocacy groups. Many were leaders in local Everett institutions (schools, community-based organizations).
They had come together previously around a multiplicity of health and social service issues and together had
successfully garnered resources for new programming. They shared common interests in wanting to make a difference
in their city. While they generally defined their “community” as geographic—that is, those who worked and lived in
Everett—they were particularly concerned with the most vulnerable populations (e.g., the poor, recent immigrants, and
youth). Thus, f ...
Example Of Essay About Education. Write a narrative essay about your first da...Danielle Torres
essay examples: importance of education essay. An Essay On Education - Analysis of Education System in India. What We .... School Essay: Argumentative essay about education is important. 008 Essay Example Importance Of Education ~ Thatsnotus. Teaching Essay Writing Help, Teaching Persuasive Essay, Teaching .... Essay websites: Need of education essay. College
The state in global health (focus on LICs/MICs)Albert Domingo
A report/presentation on the changing dynamics of the power of the state viz. external actors in formulating health policy, particularly in low income countries and middle income countries.
Chapter 4 ADVOCACY IN SOCIAL WORK Learning Objectives AWilheminaRossi174
Chapter 4: ADVOCACY IN SOCIAL WORK
Learning Objectives
After reading this chapter, you should be able to
1. Differentiate case advocacy and cause advocacy.
2. Summarize the ethical issues involved in advocacy.
3. Explain how advocacy is a signature aspect of social work practice.
4. Identify costs and benefits associated with advocacy.
5. Describe a cycle of advocacy.
6. List and describe four tenets of the dynamic advocacy model.
Nancy Advocates to Professionalize
Social Work in Her State
Nancy is a SSW-level social worker residing in a state that recognizes and provides licensure only
for MSW-level clinical social workers who have passed a national examination and completed at
least 2 years of supervised clinical experience. The license is what allows clinical social workers
to enter private practice with individuals and families, obtain reimbursement through insurance
companies and other third parties, and tap into public funding sources. In contrast, BSW and
nonclinical MSW social workers have been limited to obtaining state certifications in social work.
These certifications lack credibility with potential clients and funding sources.
In Nancy's state, human service organizations rarely require proof of certificat ion or of a
degree in social work for employment as a social worker in nonclinical settings. So by law,
just about anyone with at least a bachelor's degree can choose to be called a social worker.
People who have majored in psychology, sociology, criminal justice, history, and English routinely
obtain employment in human service and mental health agencies in her state. They often refer
to themselves as social workers, care managers, caseworkers, and intervention specialists. As
a result, the general public believes that the term social worker can be applied to nearly anyone
doing good for others.
Nancy worked hard for her BSW degree and wonders how nonprofessionals can effectively
do the work without the training she has received. It seems to her that the potential for doing
harm is high.
The important point here is that Nancy is thinking and acting as an advocate. To ensure that
clients receive quality services from competent social workers, Nancy works with her National
Association of Social Workers state chapter and local social work educators to promote
state legislation that will establish licensure and title protection for all social workers. As their
recommended changes in state laws are considered, social workers and some client groups
have also been talking with administrators of social work agencies about how important it is to
require that every "social worker" in a human service position have a social work degree and be
appropriately educated.
58 PART 1 Understanding Social Work
A Social workers can act as advocates for their clients by promoting legislation
that has a positive effect on the community.
T he element of social work that grea ...
The job is just to read each individual peer post that I put there.docxarmitageclaire49
The job is just to read each individual peer post that I put there and respond to them with a response of 3-4 sentences long
Peer #1
For the Research Assignment, I have chosen to focus on an area of Healthcare that rarely gets the
attention it deserves Mental health. I
chose this topic because I am personally effected by it and so are many millions of Americans. Mental illness is also one of the leading causes of
death in our nation and one life is lost as a result of suicide, abuse or incarceration every 17mins in the United States. Mental illness has been my
area of focus throughout this program and the advocacy and participatory philosophy will be useful for the final project because it suggests that “
that research inquiry needs to be intertwined with politics and a political agenda” (Creswell, p.9). I do believe that mental health has a specific
agenda for a study and that there has been constant aim for reform in healthcare and mental health. This social issue is definitely pertinent right
now and topics that address it such as “empowerment, inequality, oppression, domination, suppression, and alienation” (Creswell, p.9), and are
really the focus of the study. The goal of this project for me, is to provide a voice to participants and give them the ability address the concerns that
will lead to reform.
According to Kemmis and Wilkinson (1998) this philosophy offers four key features of the advocacy/participatory framework of inquiry:
1. Participatory actions are focused on bringing about change, and at the end of this type of study, researchers create an action agenda for change.
2. It is focused on freeing individuals from societal constraints, which is why the study begins with an important issue currently in society.
3. It aims to create a political debate so that change will occur.
4. Since advocacy/participatory researchers engage participants as active contributors to the research, it is a collaborative experience.
Research Problem Statement
My Vision is to Provide members of the community with the opportunities and education needed to prevent death due to suicide, acts of self-harm
and the traumatic impact of mental illness. By promoting resilience, the enhancement of community resources, conflict resolution and support for
individuals, families and the communities of those who suffer with mental disorders, illness or have a sudden mental health crisis. The target
population includes all individuals within Chatham County, with unmet mental health needs. These individuals are currently not being served by
traditional methods due to financial, structural, and personal barriers including access and stigma. Untreated mental health issues of these
individuals put them at risk for exacerbation of physical health problems, suicide attempts, premature moves to long-term care se.
Oprah Winfrey: A Leader in Media, Philanthropy, and Empowerment | CIO Women M...CIOWomenMagazine
This person is none other than Oprah Winfrey, a highly influential figure whose impact extends beyond television. This article will delve into the remarkable life and lasting legacy of Oprah. Her story serves as a reminder of the importance of perseverance, compassion, and firm determination.
Modern Database Management 12th Global Edition by Hoffer solution manual.docxssuserf63bd7
https://qidiantiku.com/solution-manual-for-modern-database-management-12th-global-edition-by-hoffer.shtml
name:Solution manual for Modern Database Management 12th Global Edition by Hoffer
Edition:12th Global Edition
author:by Hoffer
ISBN:ISBN 10: 0133544613 / ISBN 13: 9780133544619
type:solution manual
format:word/zip
All chapter include
Focusing on what leading database practitioners say are the most important aspects to database development, Modern Database Management presents sound pedagogy, and topics that are critical for the practical success of database professionals. The 12th Edition further facilitates learning with illustrations that clarify important concepts and new media resources that make some of the more challenging material more engaging. Also included are general updates and expanded material in the areas undergoing rapid change due to improved managerial practices, database design tools and methodologies, and database technology.
The Team Member and Guest Experience - Lead and Take Care of your restaurant team. They are the people closest to and delivering Hospitality to your paying Guests!
Make the call, and we can assist you.
408-784-7371
Foodservice Consulting + Design
Artificial intelligence (AI) offers new opportunities to radically reinvent the way we do business. This study explores how CEOs and top decision makers around the world are responding to the transformative potential of AI.
Mind the Gaps for Inclusive Innovation 2nd Edition
1. Mind the Gaps:
A Framework for
Inclusive Innovation
Kate Michi Etinger
Mural Institute
1st Ed 2008, 2nd Ed 2016
2. Mind the Gaps: A Framework for Inclusive Innovation 1
In 1994, the San Francisco Public Library launched a $34M capital campaign to build
a new main library in the midst of a major recession. It began as large capital campaigns
often do, chaired by San Francisco philanthropist Charlotte Maillard Swig; initial
contributions poured in from expected donors, but stalled, first at $9M, then at $11M, and
finally at $16M. With no more foundations and wealthy people to tap, it was a moment
of crisis. The library foundation and capital campaign committee regrouped. Then, they
did something unthinkable- unprecedented. They went to affinity groups that represented
different communities of San Francisco—the Chinese, Latino, Gay-Lesbian, Environmental
communities—as they sought input from these stakeholders about what each wanted in the
new main library, they also asked each community to raise money within their communities
for the new main library capital campaign. The affinity groups initiated fundraising within their
communities; each community approached fundraising in a way that was tailored to their
community’s giving style and interests. This unprecedented grassroots capital campaign
raised over $10M toward the $34M goal—as an overwhelming success, it became a model
for other cities. Importantly, it demonstrates the power of inclusive action.
– read more1
I. Engaging Change
Minding the gaps in our daily life and in our society enables us to create a just and inclusive society.2
This paper introduces Mind the Gaps, a framework to promote inclusive action, and demonstrates
how this framework can be applied to facilitate inclusive innovation.
1 http://www.pps.org/reference/a-librarys-appeal-affinity-groups-as-a-new-means-of-fund-raising/
2 This paper was originally submitted for the 2008 UNESCO Vesak Conference: Buddhist Contribution to Building a
Just, Democratic and Civil Society. Meditation and mindfulness facilitate developing the capacity to recognize gaps within
our daily life, to be present with these gaps to gain clarity, and to respond to these gaps with insight and wisdom.
Mind the Gaps: A Framework for Inclusive Innovation
“ ‘Mind the Gap’, a voice overhead calls out as the doors open for the Tube
in London. That is precisely the same thing we aspire to in meditation,
to mind the gap between where we are in this moment -- before we act to
get where we are going. If we can recognize that space, hold it open, we
then have a chance to transform our actions from blind habit to conscious
action.”
– Soto Zen Priest Ingen Breen
3. 2Mind the Gaps: A Framework for Inclusive Innovation
II. Mind the Gaps
The “Mind the Gaps” framework is applicable to a variety of issues—whether policy interventions,
health care delivery, product design or philanthropy/development work. Ideally, the framework would
be introduced early in the process of understanding a problem. Considering these gaps invites
participation of voices not historically engaged in the problem solving process. When impacted parties
have the opportunity to contribute their diverse perspectives and to engage in shaping a solution, it
strengthens the acceptability and feasibility of the proposed action.
Often experts develop interventions. In these cases, the four-part framework can serve as a checklist
to evaluate a proposed action before it is implemented.
To Mind the Gaps may seem intuitive, or it may feel new and uncomfortable. It is a practice; as we
become more familiar with identifying these gaps, it becomes easier to build better solutions. Let’s
explore how to Mind the Gaps with the following case study:
In December 2005, the Center for Disease Control (CDC) hosted a teleconference proposing
that local governments throughout the United States adopt “Community Legal Preparedness
for Public Health Emergency” that expands the public health authority for a possible serious
infectious disease outbreak. Public Health Authority is the discretionary power that government
has over the people to protect their health. The CDC’s proposed plan sought to broaden this
discretionary authority by eliminating legal restrictions that had been placed after historical
episodes of misuse of authority over certain vulnerable communities.
During the Questions & Answers, a participant inquired how this proposed scheme to broaden
authority would address the needs and protect the rights of people from diverse communities,
such as those who didn’t speak English. After a long pause, the presenter cited work done with
a Native American tribe. Given that the example was not responsive to the question and none
of the materials addressed these sub-communities, it prompted the question: What would an
inclusive preparedness plan look like?
This case study applies the Mind the Gaps framework to identify who could fall into gaps with
the CDC’s proposed preparedness plan and to determinate how the proposed plan could be
more inclusive of marginalized communities.
Gaps of Geo-Political Socio-Economics (GPSE)
Gaps of Culture
Gaps of Systems
Gaps of Power Perspective
Mind the Gaps Applied: Public Health Preparedness Case Study
4. Mind the Gaps: A Framework for Inclusive Innovation 3
To assess Gaps of Culture asks that we cultivate the awareness that we are a fish swimming in water.
We look to see the layers of assumptions that underpin the actions that we choose, the language that
we use, the approach to problem solving we select, and the values that we promote. We do not need
to challenge these assumptions; it is sufficient that we be aware of the assumptions. Then, we may
begin to consider where and how diverging perspectives may also exist.
While this inquiry may include traditional concepts of ‘culture’ related to one’s customs, values, beliefs
and identity. Gaps of Culture in this context may also prompt examining the assumptions implicit
within our professional disciplines—such as, selected strategies, preferred methodologies, and
presumed doctrines. To mind Gaps of Culture challenges us to look for unrecognized barriers based
upon disciplinary assumptions and to invite different approaches to understand and to address a
situation.
• How might the person/people I want to ‘help’ perceive my ‘help’?
• What are my assumptions about providing care?
• How does my health culture shape how I understand needs, service,
care and health?
• Do I see the whole person beyond their health care need?
Health Care &
Social Workers
• How does it feel for someone unfamiliar with this system to interact with
me?
• What are my assumptions about justice, fairness, power, conflict
resolution, peace?
• What do I assume about how respect is demonstrated and how
reconciliation is achieved?
Legal Professionals
& Mediators
• On what assumptions does the funding/program depend?
• Who participates in defining focus, in designing interventions, and in
determining how our impact assessments?
• What assumptions are embedded in our approach to impact?
• What are our assumptions of “doing good” and how might our good
intentions yield bad outcomes?
Funders, NPOs
& NGOs
Gaps of Culture
5. 4Mind the Gaps: A Framework for Inclusive Innovation
The first step is to identify the different cultures operating as the CDC developed its community
preparedness plan for dissemination to state departments of health. Cultures involved in
the plan’s development: the federal government, the CDC, infectious disease, public health.
Cultures involved in the plan’s adoption/execution: state government, health departments,
city government, public health authority/law, public health interventions, medicine/infectious
disease. Cultures involved in the implementation: health care, law enforcement, urban people,
suburban people, rural communities, the sick, the well, fear, the media, people with access to
care, people without access to care.
Questions that surface when looking at the situation from outside the culture of public
health and outside the culture of government may include:
• What if, during an emergency, the public health authority’s good intentions to protect the
public gets overrun by the politics of fear and discrimination?
• How does the public health authority intend to use their discretionary power?
• Is there guidance on how to use discretionary power in difficult situations?
• What if the public health authority is not as good as it presumes to be?
• What protections exist for the public if the government fails to use its power well?
• What if the public does not trust the public health authority and fails to respond to its
directives?
• What accountability and/or incentives ensure that the public health authority’s good
intentions are realized?
An inclusive perspective might prompt considerations, such as:
• Given the history of public health’s treatment of vulnerable populations3
during infectious
disease outbreaks, it is imperative to question whether the public health authority would be
able to fulfill its intention to protect vulnerable populations amidst the heavy political and
social pressures that often arise in the initial stages of a public health crisis--- when fear
looms and science lags.
• How might those who do not trust the public health authority, or government in general, be
affected during a public health emergency?
• What would be the implications for the public’s overall health if some sub-groups did not
follow public health directives? What would be the burden on those communities for not
adhering to the public health authority?
• Due to limited funding to support preventative or ongoing care for marginalized
communities, these communities are often hard to reach, because they are conditioned
not to have access to care. Who are these communities without access to care? How can
they be reached effectively?
• Given the collective interest in having everyone engage with the system during an
infectious disease outbreak, it should be a priority to fund inclusive policies that specifically
outreach to and support the needs and interests of marginalized communities.
3 Ettinger, K. A Critical Legal History of Public Health’s Treatment of Vulnerable Populations during a Public Health
Emergency. (Available from the author).
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Gaps of Culture Applied: Public Health Preparedness
6. Mind the Gaps: A Framework for Inclusive Innovation 5
To assess the Gaps of GPSE, we consider how contextual factors -- geography, political context, and
socio-economics -- impact communities differently, and as a result, how these factors might pose
barriers to inclusiveness of a proposed action.
Gaps of GPSE are already well recognized as critical factors in ongoing disparities. For example, the
public health term ‘social determinants of health’ recognizes how these factors strongly influence a
person’s health, well being and access to care. In the legal system, Gaps of GPSE represent known
barriers to accessing legal services and to receiving equitable remedies. Environmental justice
addresses how these GPSE factors are associated with exposure to environmental hazards.
In philanthropy and non profit work, recent promising trends reflect greater inclusion arising from
attention to Gaps of GPSE. Geographic: the focus and support for locally owned social businesses
that solve challenges within their own community. Political: the inclusion of impacted communities
in the problem definition and solution design process by methods such as human-centered design.
Socio-economic: the shift away from development as solely charitable with a concurrent focus on
solutions that enable financial empowerment and individual’s economic growth.
To take conscious, inclusive action, we reflect critically upon these GPSE factors and question who
is not in this conversation due to GPSE factors. Then, we assess whether our proposed action may
unintentionally exclude groups based on GPSE attributes.
• How might a patient’s socio-economic situation impact his/her ability to
manage a diagnosis or to access recommended treatment?
• How might a patient’s distance from the clinic affect her care?
• How might a patient’s political situation, e.g. documentation status,
impact his/her ability to access care?
Health Care &
Social Workers
• How might geography or socio-economic status constrain a person’s
ability to access and receive equitable justice?
• How might a person’s prior experience of justice influence whether s/he
accesses the justice system?
Legal Professionals
& Mediators
• How does our GPSE influence how we view whom to aid, how we
understand the problem, and what kind of programs/solutions we
choose to support?
• Does our understanding of a desirable solution match the view of the
people we seek to help?
• Does our approach cultivate more equity between us and those we
serve or does it maintain the GPSE difference between us?
Funders, NPOs
& NGOs
Gaps of Geo-Political Socio-Economics (GPSE)
7. 6Mind the Gaps: A Framework for Inclusive Innovation
To identify Gaps of GPSE for the CDC’s proposed plan begins with geography. In times of
crisis, the personnel of transportation systems, e.g. bus drivers, flight crews or train conductors,
become key players often overlooked. As well, considering the geographic needs to transport
people (and supplies) to and away from a crisis zone, it is also important to consider who might
go toward an outbreak. In addition to health professionals, the media and journalists represent
a group of people who need to be included in Preparedness Plans.
The political context may surface different concerns. In the US, one needs to consider that a
person’s legal residency and documentation status may adversely impact their willingness to
seek needed care or to respond to directives to report for vaccinations or treatment. As well, a
person’s experience historically with law enforcement and government authority may influence
his/her willingness to comply with government regulations. Communities more conditioned
to aggressive policing and brutality may react with mistrust to public health interventions,
particularly if law enforcement participate alongside public health officials.
A historical review of marginalized communities and analysis of scenarios from past outbreaks
yields identification of several groups at high risk of being overlooked in preparedness
strategies: homeless, poor, persons with disabilities, persons who are institutionalized (prisons,
nursing homes), children, elderly, undocumented people, recent immigrants (incl. people with
limited English proficiency). These groups often have lower socio-economic status and thus,
lack political power to advocate for their interests to be included in emergency preparedness
plans or to protect themselves from overreaching government authority in times of crisis.4
An inclusive plan might address considerations, such as:
• How might people from different GPSE be affected during each critical stage? (awareness,
prevention, screening, treatment, vaccination, quarantine)
• How will geography play a part in an epidemic – with regard to access to care, access to
treatment and the spread of disease?
• How will political status influence public health efforts? What happens to non-English
speakers or recent legal immigrants who are often scared to access public services in the
US? What happens to people who are not legal residents? What happens to prisoners?
• What social factors will influence the epidemic? What happens to the elderly? What about
the institutionalized elderly in nursing homes? What happens to a dependent child whose
single parent requires quarantine?
• How might economic status impact the public health plans? How will the homeless be
contacted? Will the narrow margins for the working poor (fear of job loss, need for money)
impact those who need to work rather than stay home under quarantine?
4 This does not indicate the state of affairs at present. The purpose of this project in June 2005 was to raise
awareness of the interests of marginalized communities in a time of a crisis and to promote inclusion of their interests
in preparedness planning. Hurricane Katrina in Sept 2005 underscored the need to develop inclusive preparedness
planning. The current situation varies by county and state.
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Gaps of GPSE Applied: Public Health Preparedness
8. Mind the Gaps: A Framework for Inclusive Innovation 7
Assessing Gaps of Systems asks that we consider the inclusiveness of the systems upon which
our proposed action depends and that we reflect critically upon the limitations of those systems.
For example, if we propose to communicate a message – upon what systems does our message
adepend? We must consider how we will reach people who do not speak our native language, who
cannot hear/read, and to what extent there may be communities who lack access to this chosen
media channel. Many young people no longer watch TV, etc.
Or, if we decide to locate a free mediation service at the court-house, we must consider whom
our legal system serves and whom it fails to serve and determine whether our efforts to provide
alternative methods for conflict resolution might be limited due to the legal system’s limitations in
providing access to justice. Given the institutionalized racism in some urban police departments
highlighted by the Black Lives Matter movement, it may be relevant to consider the implications for
including a police presence in certain situations and to understand how to invite that presence in a
way that does not alienate some communities.
Ultimately, Gaps of Systems challenge us to consider the systems that we rely on to implement
our solution and to evaluate whether those systems work equally for all people. Gaps of Systems
necessitate that we pay attention to the limitations of our existing systems, acknowledge where
institutionalize injustices exist, and imagine how we can create more inclusive systems to accomplish
our goals.
• If we rely on the existing system that delivers care to people, whom
might we miss in our outreach?
• How does the system differ for someone with employer-based insurance
differ from someone with individual payer insurance?
• How does systemic isolation impact the ability to have a voice in public
policy that affects health and health care delivery?
Health Care
Systems
• How do limitations of the justice systems impact our efforts to provide
access to justice?
• How might systemic issues limit a person’s ability to access and to
receive equitable justice?
• How does extensive legalese or lengthy arcane documents be a barrier
for people who have only high school education?
• How does the documentation we require encumber rather than serve
people who seek our services?
Justice Systems
• What systems do our funding/program strategies rely upon?
• If we seek to provide alternative educational programming and offer it at
the local college, whom do we exclude as a result?
• How do the people we aim to serve interact with system we want to
use?
Funders, NPOs
& NGOs
Gaps of Systems
9. 8Mind the Gaps: A Framework for Inclusive Innovation
Public health preparedness plans rely on three primary systems – public health authority/
government, the health care system, and the media.
For people who have historically poor relationships with government, it is important to
consider that they might ignore or be suspicious of government advisories. The government
and health care system systemically alienate certain communities, particularly the poor and
undocumented residents. Conditioned to fear that any contact with government will result in
deportation, undocumented people fear government in a way that may cause them to ignore
public health advisories to seek medical attention for surveillance at the first sign of symptoms.
In public health emergencies, people who remain in the community until symptoms are definite
may significantly increase the spread of the virus; thus, this historically adversarial relationship
may have significant implications to the overall health of the public if not handled well. Thus,
it is important to consider the manner and degree to which a community is alienated from the
health care system and society and what may be necessary to promote trust in and compliance
with public health directives. Other communities historically marginalized may react similarly—
from homeless, those who have suffered from or fear religious persecution for health beliefs,
communities unequally served by health/justice systems may be skeptical of interactions with
government.
Most public health announcements are made through media channels. Traditionally radio and
news, with the advent of the internet and other channels for rapid information dissemination,
this changes how outreach strategies can be most effective. It remains important to continue
to use traditional TV/radio outreach, especially to reach homebound older adults who may
be isolated and who may not use new technology. As well, to consider what would happen
to people who do not have media access. Homeless people who don’t have a radio/TV,
deaf people who don’t listen to the radio, illiterate people who can’t read a flyer, and/or
announcements made only in English would miss non-English speaking residents.
An inclusive plan might address considerations, such as:
• Who is not adequately or disparately served by the current health care system? [Includes
homeless, poor, some religious communities with specific health beliefs (e.g. Jehovah
Witness, Christian Scientists, etc), undocumented residents, people with limited English
proficiency (LEP)] How might we reach these communities?
• Will undocumented residents fear deportation and other marginalized communities fear
participation of law enforcement alongside public health authorities, and thus be afraid to
come to the hospital when they have symptoms during a pandemic?
• Who will be overlooked if the strategy to promote awareness and prevention is through
traditional media? How will people who don’t speak English learn of this? people who
cannot read? people who are homeless? People without TV/Radio?
• Who will be overlooked if the strategy to promote awareness and prevention is through
new media channels?
• How do public systems, such as public transit, affect who may come into contact with an
infectious disease and how does it inform the way that disease may spread and how we
may need to approach containment strategies?
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Gaps of Systems Applied: Public Health Preparedness
10. Mind the Gaps: A Framework for Inclusive Innovation 9
By assessing Gaps of Perspective, we consider how our power, privilege, and position shape our
perspective on the proposed action. A power perspective unconsciously informs the strategies that we
employ and it takes deliberate effort to understand that others do not enjoy the same power, privilege,
and position. For example, some people may believe that exercising the right to peaceful protest is
the most effective way to show their perspective publicly. Yet for others whose personal or community
experience includes unequal justice, there may be hesitation to participate. These people may feel
less security in exercising their civil rights and less confidence in the justice system to render a fair
outcome if police get involved.
Many efforts to provide international aid failed due to a Gap of Perspective; the people who crafted
the solutions—to build playpumps, to provide more bednets or to have one laptop per child—did not
understand how their power, privilege and position shaped their view of the situation and acceptability
of the solution.
We must learn how our power, privilege, and position shape our perspective in order to use our power
perspective effectively. Cognitive dissonance and reactive devaluation impede people’s ability to
hear and act upon the words from people perceived as “other”; thus, one effective way to use one’s
power effectively is to address opportunities for inclusion with one’s peer group. If a peer says, let’s
pay attention to this issue, then others are more likely to get involved. Ultimately, inclusive action is
sharing our power and using our privilege and position well. Gaining a keen understanding of all three
is critical to promoting inclusive action.
• How does the imbalance in power in this provider-patient relationship
influence the interaction?
• What does my privileged position as a care provider afford in my
relationship with the patient and the system?
• How can I, as a care provider, use my power, privilege, and position to
benefit my patients and society?
Health Care
Providers
• How does my position as someone familiar with navigating the legal
system influence my view of the acceptability of this proposed program?
• How could this proposed program be more accessible to someone who
is unfamiliar with, fearful of and/or intimidated by the law?Legal Professionals
& Mediators
• How does my power and privilege as the funder/aid worker inform this
intervention?
• Would someone receiving this intervention find it appropriate and
desirable?
• How can I use my power perspective most effectively - in this situation,
is it optimal to ‘help’ others by intervening on their behalf or to invite
them to have a seat at the table as problem solvers and co-creators of
the solution?
Funders, NPOS
& NGOs
Gaps of Power Perspective
11. 10Mind the Gaps: A Framework for Inclusive Innovation
Gaps of Perspective in the preparedness plan arose from the power differential between the
people who drafted it and the people who will be impacted by it. The plan was drafted by
people who believe in the medical model, who trust in the government to “do the right thing”
when given broad authority, and who are confident in the ability to handle a crisis with a public
health approach. This view is the privilege of a particular kind of education, the privilege of
understanding how public health interventions work, and the privilege of position to trust in
broad government power. These privileges of perspective are to be expected— smart people
who are highly educated in medicine and public health, who hold positions of power in our
social hierarchy and who have good intentions to help people work at the CDC.
As the preparedness plan gets implemented, the broadened authority is exercised at
a different level—state or city—by a different set of people who have a different power
perspective. At this level, public health and government officials might be more sensitive
to the marginalized communities within their constituencies. Since the CDC’s plan did not
address these issues of inclusion, it was incumbent upon the local authorities to develop
their own strategies. However, in a crisis, there is little time to go through the process of
developing new oversight mechanisms or inclusion strategies because the focus is on the
disease—treatment, prevention and education. Thus, the opportunity for inclusion would be to
invite the identified groups into the problem solving process as the state department of health
adopts the CDC’s recommended plan and to develop preventative policies with the power
perspective of the impacted communities.
An effective way for the CDC to use its power would have been to include a directive for local
governments to designed inclusion policies to supplement their preparedness plan.
An inclusive plan might address considerations, such as:
• How might this proposed action reflect assumptions of power?
• What privileges informed the feasibility of the proposed action?
• What power perspective influences the acceptability of the proposed action?
• Where are there opportunities to share power in developing or implementing this
proposed action?
• How will the impacted communities experience this proposed action- their autonomy,
their sense of power, their position?
• Will everyone be impacted equally by this proposed action or will some communities
suffer greater burdens? If so, why and how can that be mitigated?
• Does the proposed action empower the impacted communities? If not, how can it be
altered or implemented in a way that maximizes empowerment?
• Where do I have power, privilege, and position in this situation and how can I use it most
effectively for inclusion?
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Gaps of Power Perspective Applied: Public Health Preparedness
12. Mind the Gaps: A Framework for Inclusive Innovation 11
III. Inclusive Action
To Mind the Gaps results in inclusive action. Inclusion changes the status quo. It disrupts current
imbalances of power, and it introduces new methods for doing things—an innovation.
The Emergency Preparedness case study illustrates how applying Mind the Gaps to evaluate
a proposed policy intervention identified opportunities for additional policies of inclusion. These
opportunities for inclusive policies were presented in a poster5
at the CDC’s Public Health Law
Conference in June 2005. Just three months later, Hurricane Katrina hit three months later, the
groups identified and the issues anticipated in the poster became a part of tragic history. Hurricane
Katrina underscored the devastating effects of neglecting marginalized communities by any level or
department of government. While that tragedy resulted in increased attention to improve inclusion of
diverse communities in policy development, there remains significant room for inclusive innovation.
This revision follows the recent Ebola crisis in West Africa. There disease spread due to many of
these gaps—gaps of privilege due to authorities belief in the medical model and the public’s differing
view about the illness, gaps of power arising from mistrust of the government, gaps of culture around
health/sickness and death/burial, gaps of GPSE related to the socio-economics of livelihood and
geographic distance to treatment centers. Many difficulties arose from the public’s response to
public health advisories, which underscores that inclusive frameworks, such as Mind the Gaps, are
applicable everywhere and remain important from global health to local public health initiatives.
Mind the Gaps Applied: Public Health Preparedness Case Study
Proposed Inclusive Policies for Public Health Emergencies
5 Ettinger, KM. Vulnerable Populations During a Public Health Emergency, available at: www2a.cdc.gov/phlp/
conferencecd2005/docs/kettinger.pdf
Immigrants
• No request for immigration status during an intervention
• No reporting of immigration status will be made for anyone contacted by the
• public health service
• Community programs to educate immigrant communities about confidentiality during
public health interventions and about public health, its role, and its services during a crisis:
• Co-develop programs with community leaders
• Establish culturally appropriate & language accessible manner
• Develop communication strategies to reach immigrant communities in the event of crisis:
• Identify best possible means to disseminate information
• Establish strategy to promote participation in vaccination/ detection/ treatment
measures
Poor & Homeless
• Educate the public that no health insurance is necessary to receive screening and
treatment during intervention
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13. 12Mind the Gaps: A Framework for Inclusive Innovation
Poor & Homeless
• Develop appropriate communication strategies for:
• Homeless through helters
• Substance users through street networks
• People without access to traditional media (TV, radio, internet)
• Illiterate
• For working poor, policies that provide assurances that measures will not have adverse
economic consequences:
• No costs for screening and treatment
• During Quarantine:
• Minimum wage and/or deferral of bill payments
• Policy barring termination from employment/eviction
• Programs to support child care
Institutionalized
• Communication strategies to reach these isolated communities that depend on others for
their information:
• Information needs to be provided in an understandable manner:
• Acceptable and non threatening, if not understandable
• Develop advance policies for managing an outbreak within the institution
• Institutions need to proactively develop infection control and screening protocols to be
used during an emergency for:
• Staff
• Visitors
• People within the facilities
Persons with Disabilities
• Develop appropriate communication strategies for disabled communities:
• Sensory impaired
• Cognitively impaired
• Psychiatric disabilities
• Establish policies that ensure emergency measures are accessible to and practicable for
these communities:
• Physically accessible locations for the physically disabled
• Home-based/separate area screening for immune-compromised
• Procedures for surveillance and home management of disabled
• Considerations regarding additional needs of immune compromised and of
chronically ill during quarantine
• Layered confidentiality/privacy concerns for contact tracing
• Complications and side effects of treatment or vaccination programs with immune
compromised population
• Prevention of infection training for 1:1 caregivers
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Mind the Gaps Applied: Public Health Preparedness Case Study
Proposed Inclusive Policies for Public Health Emergencies
14. Mind the Gaps: A Framework for Inclusive Innovation 13
IV. Inclusive Innovation
Bringing consideration of these gaps into the process of designing a new product or developing a new
program will result inclusive innovation.
The appendix includes an example for how one might apply the Mind the Gaps framework for
inclusive innovation in leadership.
After reviewing a proposed action, it may be determined that the initial approach is preferable
even if it may not be fully inclusive. The process remains valuable because it facilitates deeper
understanding of potential barriers, which enables identifying smart strategies to mitigate the barriers
if/when they arise.
Applying the four-part framework diligently and consistently in personal and professional activities
raises awareness of gaps in daily life and promotes more inclusive action.
Acknowledgements
Visual design by Rosamond Dunn. Icons licensed under creative commons from the Noun Project.
‘Culture’ by Adam Heller, GPSE by James Zamyslianskyj, ‘systems’ by Creative Stall, ‘power’ by
Kristen Gee, ‘healthcare’ by To Uyen, ‘legal’ by Fraser Ferguson, ‘funders/NGOs’ by Thierry van
Brenten.
15. 14Mind the Gaps: A Framework for Inclusive Innovation
Apendix
Mind the Gaps Applied: Inclusive Leadership for School Administration
At a private elementary school in New York City6
, an 8th grade student and her best friend
gang up on a 5th grade student. They bind her hands with tape and plan to leave her in
an area where students are not supposed to go without supervision. The terrified younger
student complies with everything they say. Their plan is foiled when another 5th grade student
discovers them; the 5th grade students tell their teacher. The school administrators hear from
the two sets of girls and suspend the older students for two days and require them to write
an essay reflecting on their actions. A week later, the school sends a letter to the parents
indicating that two older girls had tied the hands of a younger student and then untied them
and that the school had managed the situation. The victim’s parents are extremely distressed
after hearing about this event from their daughter. As the principal of the private school where
a bullying incident occurred, Mr. M considers how a response to the situation might be most
inclusive.
Gaps of Culture: School Leadership
Mr. M questions how he might approach a parent meeting to discuss the bullying situation.
He considers how the discipline may appear to each set of parents. He decides to invite the
parents of the children directly involved in the incident to meet with him. He deems that this
approach fosters the kind of open dialogue that the school advocates and feels that he can
manage these parents without difficulty.
Mr. M is bounded by the culture of “administrators” and approaches handling this situation in
the delicate, political nature expected of someone in his position. However, to look beyond
one’s “culture” of handling difficulty in a top down way, here are three approaches to support
inclusive action in this conflict.
1. What is my disciplinary bias in how to approach conflict? Mr. M. does not consider whether
the parents may think that he has a conflict of interest for economic reasons (e.g. his job may
depend on parental donations to the school). If he considered these concerns, he might hire
a mediator to have a neutral facilitator of dialogue, to level the playing field and to facilitate
understanding. To be certain this strategy is acceptable, he would ask all sets of parents
whether they are comfortable with having a mediator present to facilitate the dialogue.
2. What are my assumptions about who is impacted? Mr. M has not considered that other
parents may have concerns about the situation, nor does he consider that other students not
directly affected may have residual concerns from this event. Rather than narrowing the focus
to whom he believes to be the impacted, Mr. M asks the community whether there are people
who have unaddressed concerns.
3. Who solves the problem? Rather than a top down approach, an inclusive strategy for
healing the community might be for Mr. M to invite the grades impacted 5th – 8th students and
their teachers to an assembly to address healing this incident. This approach would enable
students not directly involved but impacted an opportunity to express their concerns and needs
for safety, and it would allow the entire community an opportunity to participate in the solution.
6 This is a fictional narrative for teaching any resemblance to a true story is purely coincidental.
v
16. Mind the Gaps: A Framework for Inclusive Innovation 15
Gaps of GPSE: School Leadership
Mr. M does not see any geographic considerations in this case, but he recognizes political
and socio-economic concerns. Mr. M is aware that the parents of the instigator and the victim
have vastly different political outlooks, social status, and wealth. The instigator’s parents are
wealthy, prominent business people with a lengthy lineage of family who have graduated from
the school; the victim’s parents work in public health and government, and both are second
generation immigrants of comfortable means but limited wealth.
To level the playing field in a situation of imbalance, having a neutral 3rd party facilitator may
promote greater understanding of the differences and surface (mis)perceptions. For example,
these parents may have different experiences of justice based on their personal GPSE
histories, they may have different understandings of the event, and they may have different
perspectives on what constitutes a just remedy of the situation.
Gaps of Systems: School Leadership
Mr. M chose to use the school’s usual approach to handle this situation; critically considering
this strategy, he might recognize that some might mistrust the school’s commitment to
discipline justly arising from its dependence on parent financial contributions. To promote a
sense of confidence in the school’s commitment to neutrality and justice, Mr. M might chose
to use a mediator. If selecting a mediator, he would check with both parents to ensure they
agreed to this process, as well he might consider whether the mediator has experience with
multi-cultural conflicts and what qualifications the mediator might need to have to establish
legitimacy with the parents in this conflict.
To inspire confidence in the fairness of handling this type of situation should it arise in the
future, Mr. M might work with a coalition of teachers, parents, and students to identify and
develop a way to handle any future similar incidents. This would provide consistency and
transparency, while retaining flexibility and result from an inclusive problem solving team.
Gaps of Power Perspective: School Leadership
Mr. M reflects on his power in this situation and feels confident that he can manage these
parents based upon his authority at school. Yet, he does not have authority over the parents
and in many ways, he is accountable to them.
Mr. M did not consider that his position could be perceived differently between the two families.
While the instigator’s parents, wealthy patrons of the school, feel comfortable expressing
their perspective and needs, the victim’s parents who do not have a strong economic
relationship with the school do not feel equally entitled. He also did not consider that the
victim’s parents might be concerned that pursuing a just outcome for their daughter could
harm their relationship with the school. In contrast, the instigator’s parents are secure in their
relationship with the school and do not even consider that stating their thoughts would have
any implications for their daughter’s educational experience. These are differences arising
out of the parents’ different power positions and the perspective of their privileges. Mr. M,who
is not aware of his own privileged perspective, is insensitive to the ways that privilege shapes
actions.
Mind the Gaps Applied: Inclusive Leadership for School Administration