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Historically, atrocities against Black, Indigenous, and Women of Color's (BIWoC) reproductive rights have been committed and continue to take place in contemporary society. The atrocities against BIWoC have been fueled by White supremacy ideology of the "desirable race" and colonial views toward controlling poverty and population growth, particularly that of "undesirable" races and ethnicities. Grounded in Critical Race Theory, this paper aims to provide a critical analysis of historical and contemporary violations of BIWoC reproductive rights; discuss interventions based on empowerment and advocacy principles designed to promote women's reproductive justice; and discuss implications for future research, action, and policy from the lenses of Critical Race Theory and Community Psychology. This paper contributes to the special issue by critically analyzing historical and contemporary racism and colonialism against BIWoC, discussing implications for future research and practice, and making policy recommendations. Highlights: Historically, reproductive rights of Black, Indigenous, and Women of Color (BIWoC) have been violated and continue today.Atrocities against BIWoC have been fueled by White supremacy ideology of the "desirable race."Advocacy and empowerment interventions can support the reproductive rights of BIWoC. [ABSTRACT FROM AUTHOR]

Participation disparities among Black children with disabilities are widely documented in a variety of disciplines. Grounded in the Social Model of Disability and Disability Critical Race Theory, the purpose of this scoping review was to examine the extent to which occupational therapy has contributed to the study of participation outcomes among Black children with disabilities. Empirical studies published from 2010 to 2021 that reported participation outcome data published in nine frequently cited journals were included in this scoping review. Twenty studies were found to meet the criteria. Participation outcomes were reported for six occupations: play, social participation, activities of daily living (ADLs), education, sleep, and health management). The majority of studies reviewed recruited small samples of Black children with disabilities and provided limited to no description of the specific participation differences by racial/ethnic demographics. Occupational therapy has made few contributions to the growing literature on participation disparities for Black children with disabilities. Implications for practice are discussed. [ABSTRACT FROM AUTHOR]

People living with physical, sensory, intellectual, and/or developmental disabilities experience complex social, environmental, political, and cultural challenges along with stigma and marginalization in education, employment, and community life. These multiple and complex barriers often hinder their full and effective participation in society. In this reflection, we curated articles on physical, sensory, intellectual, and/or developmental disabilities published in the American Journal of Community Psychology from 1973 to 2022. We reviewed titles and abstracts to identify themes that grouped manuscripts in relevant community psychology core concepts and values. From our analysis, five themes emerged: (a) promoting empowerment and advocacy; (b) promoting organizations and settings that support people with disabilities; (c) including people with disabilities in knowledge production; (d) promoting social justice in disability research, and (e) promoting support networks of families of people with disabilities. We conclude this reflection with a discussion of recommendations for future research, practice, and a call to action. Highlights: Community psychologists have made important contributions to the study of disability.Disability research in AJCP has emphasized core community psychology perspectives and values.Future research needs to elevate the voices of people with disabilities, their lives, experiences, and perspectives. [ABSTRACT FROM AUTHOR]

Asset mapping is a participatory methodology that engages community members in identifying services and settings that promote health and well‐being. This study aimed to identify community assets from the perspective of Latinx immigrant families with youth with disabilities. Latinx immigrant families (n = 21) participated in the mapping, followed by a reflection session and an open forum (n = 30). The findings revealed that families identified faith‐based organizations and social service agencies as some of the main assets in their communities, while they identified mental health services as the most needed. The results also showed that participants preferred to utilize services and resources that are within walking distance of their homes, provide safe spaces, treat them well, offer bilingual services, do not require documentation, and are affordable. This study has important implications for community scholars and practitioners interested in implementing asset‐based methodologies that focus on participants as experts of their own realities and agents of change and that promote advocacy and empowerment actions. Highlights: Churches provide Latinx families with formal and informal services.Latinx immigrant families identifed the need for mental health services.Latinx families identifed services provided in Spanish as assets.Some community settings like local parks received mixed reviews from immigrant families. [ABSTRACT FROM AUTHOR]

Community‐based participatory research (CBPR) approaches to promoting justice focus on working from the ground up and giving a voice to marginalized communities regarding their concerns, potential solutions, and how to address social justice issues that matter to them. The pursuit of justice is often related to efforts to attain personal as well as collective well‐being. In this paper, we illustrate three exemplars of community psychologists' efforts to promote justice. Within each case study, we discuss the social and community context and examine how the researchers built partnerships and solidarity, developed ways of doing, and approached challenges and solutions. First, we present an example to promote economic justice through an entrepreneurship initiative developed in collaboration with young Black youth with disabilities in the United States. The second case illustrates an effort to promote reproductive justice in collaboration with Roma women and girls in Spain. The third exemplar depicts the use of life stories as a method to raise the voices of displaced, marginalized indigenous women in Peru. Based on these three case studies, we present a synthesis model of social justice. We also discuss implications for future studies emphasizing the importance of engaging community participants in research meaningful ways, developing sustainable partnerships, and decolonizing research. Highlights: Promoting justice requires ongoing reflective dialogue and deconstruction of a colonial approach.Acting on power imbalances, giving voice to people, and advocating for change promote social justice.Community‐based participatory research is the appropriate approach to elevate the voices of those affected by oppression. [ABSTRACT FROM AUTHOR]

This special issue highlights work that contributes to our understanding of health disparities and community‐based participatory research (CBPR) approaches to promoting health equity across diverse populations and issues that matter to communities. We take on a global perspective, and thus, various efforts across international contexts are illustrated. Articles elucidate a variety of CBPR approaches designed to empower and build capacity among individuals and communities in order to seek changes at the level of community practices, programs, and systems. These articles span across diverse populations—children, youth, and families; adults and older adults; immigrants; refugees; Black people; Latinx people; Native Americans/Indigenous people, the Roma community; Muslim women, and women with disabilities—experiencing inequities of interest to community psychologists and other researchers and practitioners. Highlights: CBPR approaches to addressing health disparities are promising.CBPR approaches to promoting health equity are illustrated in this special issue.Diverse populations across the world experience disparities. [ABSTRACT FROM AUTHOR]

Abstract Individuals migrate to improve their wellbeing and quality of life, and often experience adverse situations, both during the process of migration and once within the host country. The purpose of this paper is to unpack the barriers to and facilitators of community participation, among Latinx immigrants with disabilities in the United States and Latinx migrant workers in Canada, following the Social Ecological Model. The authors draw from an appraisal of existing literature and their own participatory research with Latinx immigrants. Based on this integrative literature review, Latinx experience individual issues such as language barriers and lack of knowledge of the services available to them. At the community level they experience discrimination, limited opportunities for community participation, and lack of opportunities for meaningful employment. At the systemic and policy level in the United States, the antimigrant political environment keeps Latinx immigrants with disabilities from participating in their communities due to fear of deportation. In Canada, Latinx workers experience the paradox of migration and discrimination. The discussion of barriers and facilitators is followed by recommendations for community research and action. [ABSTRACT FROM AUTHOR]

Walking is correlated with both improved physical and emotional health. However, walking behavior is often heavily influenced by environmental conditions. The goal of this study was to examine actual and perceived walkability safety and the relationship between perceived walkability safety and self-rated levels of walkability participation, defined as the number of places one walks within the community on a regular basis. Researchers used a mixed-methods approach, combining direct observations of traffic safety and in-person surveys within a specific Chicago neighborhood from 2015 to 2016 and from 2016 to 2017, respectively. We conducted behavioral assessments on 25 intersections and 48 sidewalks and surveyed 96 pedestrians on perceived walkability safety and walkability participation. Findings showed 68% and 81% of vehicles in 2015 and 2016, respectively did not obey street signs, placing pedestrians at significant risk. Pedestrians expressed concerns about the safety of walking in their neighborhood yet walked to a median of eight places weekly. The results indicated a marginally significant positive relationship between self-reported community participation and walking habits, as well as relationships between various factors of perceived walkability and age, gender, or language of survey completion. It is clear from the results of this study that walkability in this community is not a safe activity. However, walking habits may also be influenced by community satisfaction and SES factors. Communities need to engage in safe driving campaigns and educate walkers on how to protect themselves from distracted drivers. Local governments should implement policy initiatives such as police enforcement and drivers' education campaigns. [ABSTRACT FROM AUTHOR]

Highlights: CBPR strategies for meaningful engagement in researchNeed to address health disparities experienced by Latinx immigrants through meaningful engagement in researchPopulations experiencing marginalization as co‐creators of knowledge Community psychologists have contributed significantly to the body of literature on community‐based participatory research (CBPR) and its application in understanding and addressing health and community participation disparities. At the core of CBPR are mutually beneficial partnerships with communities, whereby community members' voices are heard and they become co‐researchers, helping guide the research process. In this article, I argue that for community psychologists to change the landscape of community participation, health, and well‐being disparities experienced by many vulnerable populations who often face multiple forms of oppression, CBPR needs to be transformative and emancipatory. Stakeholders must be meaningfully involved as co‐creators of knowledge and promoters of social justice embracing a human rights agenda. Drawing from work conducted with Latinx immigrant families with youth who have disabilities, I propose the following strategies moving forward: promoting meaningful participation of community members as co‐creators of knowledge; promoting meaningful conversations that matter to communities; promoting civic engagement, activism, and advocacy; promoting an assets‐ and strengths‐based approach to research; and promoting culturally relevant interventions. Community psychologists have the opportunity to make significant contributions to addressing disparities when community residents' knowledge is valued and recognized. [ABSTRACT FROM AUTHOR]

Based on the increasing diversity of Swedish society, health professionals, like occupational therapists, find it challenging to provide culturally competent services to international clients. Consequently, cultural competence among professionals needs to be measured and improved using psychometrically tested instruments. This study examines the clinical relevance, construct validity, and reliability of the Swedish version of the Cultural Competence Assessment Instrument among Swedish occupational therapists. Material and Methods. A randomised sample of 312 Swedish occupational therapists answered a survey based on the Swedish version of the Cultural Competence Assessment Instrument with supplementary questions on the clinical relevance of the instrument. Descriptive statistics were used to examine the clinical relevance of the Swedish version of the Cultural Competence Assessment Instrument. Factor analyses, both exploratory and confirmatory, were run to examine the factor structure. Cronbach's alpha was performed to assess the internal consistency of the instrument. Results. The participants reported that the 24 items had high clinical relevance. The validation yielded a three-factor model: openness and awareness, workplace support, and interaction skills. All three of these factors showed high loadings. Conclusions. The study results indicated positive clinical relevance and psychometric properties for the Swedish version of the Cultural Competence Assessment Instrument and strong support to be utilised in Sweden. The implications of this study are important given the rapid growth in migration over the last few decades. A self-rating instrument measuring cultural competence could support occupational therapists' professional knowledge and development when they interact with international clients. As the tool was originally developed in English in the United States, the feedback from the Swedish version could potentially be useful for the instrument in modified form and for use by occupational therapists in English-speaking countries. [ABSTRACT FROM AUTHOR]

Objective To investigate the incidence of successful rehabilitation, defined as 90 successive days in employment, within individuals with disabilities receiving occupational/vocational training (OVT) service. Method The follow-up records between January 1, 2004 and December 31, 2012 of 5313 individuals aged 15-55 who obtained OVT in the vocational rehabilitation (VR) program of the State of Illinois were examined. Cox regression models were used to analyze the effect of study factors on VR outcomes. Results After controlling for the other factors, males (incidence ratio [IR] 1.11, 95% CI 1.03-1.20), individuals with learning disability (IR 1.14, 95% CI 1.03-1.26), had existing employment (IR 1.40, 95% CI 1.26-1.56), and persons who were referred from educational institutions (IR 1.17, 95% CI 1.01-1.36) or community agencies (IR 1.30, 95% CI 1.14-1.48) appeared to have a relatively high incidence of successful rehabilitation. In contrast, those who lived in densely populated areas (IR ranged from 0.56 to 0.89), had physical disability (IR 0.77, 95% CI 0.68-0.88), had disability of most significant degree (IR 0.85, 95% CI 0.79-0.93), and persons with Supplemental Security Income/Social Security Disability Insurance supports (IR 0.84, 95% CI 0.76-0.94), tended to have a lower incidence of rehabilitation than their counterparts. Conclusion The incidence of successful rehabilitation seems to be related to the demographic, disability, and pre-service characteristics, but not necessarily the provider factors. [ABSTRACT FROM AUTHOR]

Background/Aims: Community-based participatory research (CBPR) is an optimal approach that brings together community stakeholders, researchers and practitioners in an effort to understand and address social issues and health disparities experienced by vulnerable populations. Latino immigrant families in the United States with youth and young families with disabilities have experienced a number of barriers in gaining positive health outcomes. These families face challenges in maintaining a healthy lifestyle, placing them at high risk for obesity, diabetes, and other chronic health conditions. The purpose of this study was to develop a healthy lifestyles intervention in collaboration with Latino immigrant families with youth and young adults with disabilities using a CBPR approach, and to examine the impact of the intervention from participants' perspectives. Methods: Grounded in the principles of CBPR, we developed a partnership with community stakeholders to create a healthy lifestyles intervention aimed at meeting the needs of Latino families in the United States. During and following implementation of the intervention, we conducted focus groups with 12 intervention participants to examine the impact of the intervention. Results: Participants identified the intervention program as meeting a need in the community and reported specific positive aspects related to health behaviors, social learning, inclusion, community participation, and peer advocacy. Discussion: CBPR healthy lifestyle interventions are relevant to the needs of Latino immigrant families with youth and young adults with disabilities. Health professionals should involve community residents in the design of healthy lifestyles programming to ensure strategies for change are relevant and relatable. [ABSTRACT FROM AUTHOR]

This themed issue focuses on understanding and addressing several public health issues affecting communities today nationally and internationally. Health disparities, and global health in general, cover a large breadth of health concerns impossible to address in one issue. Here we provide a scope of some health disparities while focusing on health promotion and well-being of diverse populations, specifically within urban undeserved populations, rural communities in Peru, Roma minorities in Spain, and refugee communities. We focus on understanding contextual issue that affect health disparities as well as on examining the effectiveness of community-based interventions and community coalitions designed to address disparities. [ABSTRACT FROM AUTHOR]

Adolescents and young adults with disabilities experience several health inequalities and challenges in maintaining healthy lifestyles. As a group, individuals with disabilities experience higher rates of obesity compared to youth without disabilities. This study was designed to examine the types of challenges experienced by youth with disabilities and parents of youth with disabilities in maintaining a healthy lifestyle. Strong evidence indicates that having a healthy lifestyle and preventing obesity are not only the result of an individual’s behavior related to physical activity and consumption of healthy products but also several complex factors in the person’s environment. This study was designed to understand the perceptions of youth with disabilities and their parents about the challenges they experience in engaging in physical activity and consuming healthy products, and ideas and strategies for promoting healthy lifestyles. Overall, youth with disabilities lack access to opportunities for engaging in physical activity as well as access to affordable foods. Implications for systems and policy changes are discussed. [ABSTRACT FROM AUTHOR]

In this paper, the authors discussed the nexus between the Americans with Disabilities Act and the founding of the field of Community Psychology. Contributions of the latter and future areas of research are reviewed here in three areas of importance to both fields: Community living and participation, employment, and transition from high school. Community psychology can make potential contributions to advancing research in these three areas. Implications for future research are discussed. [ABSTRACT FROM AUTHOR]

Trends in policy, practice, and research point to the need for a community-engaged Scholarship of Practice (SOP) model that can be used to inform the development of occupational therapy practitioners, educators, and researchers. This article describes a community-engaged SOP model, the evidence justifying the need for such a model, and strategies to effectively create community-engaged practitioners, educators and career scientists within occupational therapy. We highlight several examples of community-based participatory research to further inform this model, and in turn, translate this knowledge back to communities for action and systems change that can affect the lives of people with disabilities and the communities in which they seek to live and participate long term. [ABSTRACT FROM AUTHOR]

Today, more than ever, occupational therapists are engaged in close partnerships with community organizations and community settings such as service agencies, refugee and immigrant enclaves, and faith-based organizations, to name a few, for the purpose of engaging in scholarship of practice. However, we know little about the views of community partners regarding the development and sustainability of university–community partnerships. The purpose of this article is twofold: First, we will describe a pilot study in which we gathered qualitative data from community partners engaged in scholarship of practice with faculty and students, regarding their views about benefits of partnerships, challenges, and characteristics of sustainable partnerships. Second, based on this pilot study and extensive experience of the authors, we propose a revised version of a partnerships model available in the literature. We illustrate the model through examples of the authors' collective experiences developing and sustaining successful university–community partnerships. [ABSTRACT FROM AUTHOR]

Compared to individuals without disabilities, those with disabilities experience inequalities in finding and sustaining employment that are more profound among women and minorities. The purpose of this study is to examine differences in employment outcomes for African American and white women with disabilities who received vocational rehabilitation (VR) services. The VR data that this study used included 18,602 women, 18-65 years old at entry into the VR system in a Midwestern state. Using logistic regression analyses, we found that, compared to white women, African American women had lower odds of employment. Middleaged women were more likely tofind jobs than were younger women, and women of both racial groups who received SSI/SSDI were less likely to be employed. Finally, VR services were significantly associated with employment for both races. We discuss the need to examine VR policies and practices to improve employment outcomes of African American women with disabilities. [ABSTRACT FROM AUTHOR]

An introduction is presented in which the editor discusses reports within the issue on topics including global partnerships in occupational therapy, the global transformative learning at various levels and contexts and the experience of scholars involved in global partnerships.

BACKGROUND: Community Rehabilitation Providers (CRPs) are not-for-profit organizations that provide employment services to individuals with disabilities as subcontracts to vocational rehabilitation (VR) offices. OBJECTIVE: The purpose of this study was to identify facilitators to successful employment among individuals with disabilities. METHODS: We analyzed 38 case files from individuals with disabilities served by CRPs that had been closed as being successfully employed. RESULTS: We found that clients who were placed in jobs lived with their families, had previous work experience, and had strong job interview skills. They also had detailed written goals and needs; VR counselors often served as advocates between CRPs and the client, and they understood the difficulties of the current job market. On the other hand, clients who had difficulties in securing and maintaining employment experienced health-related issues, lack of reliable transportation, and challenging family situations. CONCLUSIONS: Findings indicate that there is a greater need for certain services, such as career development, job coaching, and training. The implications for vocational rehabilitation research and practice are discussed. [ABSTRACT FROM AUTHOR]

Background Evidence-based health promotion programs developed and tested in the general population typically exclude people with disabilities. To address this gap, a set of methods and criteria were created to adapt evidence-based health promotion programs for people with disabilities. In this first study, we describe a framework for adapting evidence-based obesity prevention strategies for people with disabilities. We illustrate how the framework has been used to adapt the U.S. Centers for Disease Control and Prevention's (CDC) obesity prevention strategies for individuals with physical and developmental disabilities. Methods The development of inclusion guidelines, recommendations and adaptations for obesity prevention (referred to as GRAIDs - Guidelines, Recommendations, Adaptations Including Disability) consists of five components: (i) a scoping review of the published and grey literature; (ii) an expert workgroup composed of nationally recognized leaders in disability and health promotion who review, discuss and modify the scoping review materials and develop the content into draft GRAIDs; (iii) focus groups with individuals with disabilities and their family members (conducted separately) who provide input on the potential applicability of the proposed GRAIDs in real world settings; (iv) a national consensus meeting with 21 expert panel members who review and vote on a final set of GRAIDs; and (v) an independent peer review of GRAIDs by national leaders from key disability organizations and professional groups through an online web portal. Results This is an ongoing project, and to date, the process has been used to develop 11 GRAIDs to coincide with 11 of the 24 CDC obesity prevention strategies. Conclusion A set of methods and criteria have been developed to allow researchers, practitioners and government agencies to promote inclusive health promotion guidelines, strategies and practices for people with disabilities. Evidence-based programs developed for people without disabilities can now be adapted for people with disabilities using the GRAIDs framework. [ABSTRACT FROM AUTHOR]

BACKGROUND: People with mental illness often experience major difficulties in finding and maintaining sustainable employment. African Americans with mental illness have additional challenges to secure a job, as reflected in their significantly lower employment rates compared to Whites.OBJECTIVE: To examine the factors that contribute to racial disparities in employment outcomes for African-American and White Vocational Rehabilitation (VR) consumers with mental illness. METHODS: This study used VR data from a Midwestern state that included 2,122 African American and 4,284 White participants who reported mental illness in their VR records. Logistic regression analyses were conducted. RESULTS: African Americans had significantly more closures after referral and were closed as non-rehabilitated more often than Whites. Logistic regressions indicated that African Americans are less likely to be employed compared to Whites. The regression also found differences by gender (females more likely to find jobs than males) and age (middle age consumers [36 to 50] were more likely to find jobs than younger consumers [18 to 35]). Case expenditures between $1,000 and $4,999 were significantly lower for African Americans. CONCLUSIONS: VR agencies need to remain vigilant of potential discrepancies in service delivery among consumers from various ethnic groups and work hard to assure as much equality as possible. [ABSTRACT FROM AUTHOR]

One factor contributing to the childhood obesity epidemic is easy access to foods with high fat content available in public schools. After several years of advocacy efforts conducted by a city-wide coalition, the public schools system in an urban Midwestern city introduced fresh salad bars for lunch in three schools. Researchers have argued, however, that the introduction of salad bars in schools, without nutrition education, is not enough to produce changes in eating patterns. In this study, researchers used a target and control school to evaluate the impact of a 5-month nutrition education program. The results indicated that once the nutrition education program was implemented, the number of children consuming salad entrees and salad items doubled and quadrupled respectively, and knowledge about fruits and vegetables increased. Implications for community researchers interested in addressing childhood obesity are discussed. [ABSTRACT FROM AUTHOR]

One factor contributing to the childhood obesity epidemic is easy access to foods with high fat content available in public schools. After several years of advocacy efforts conducted by a city-wide coalition, the public schools system in an urban Midwestern city introduced fresh salad bars for lunch in three schools. Researchers have argued, however, that the introduction of salad bars in schools, without nutrition education, is not enough to produce changes in eating patterns. In this study, researchers used a target and control school to evaluate the impact of a 5-month nutrition education program. The results indicated that once the nutrition education program was implemented, the number of children consuming salad entrees and salad items doubled and quadrupled respectively, and knowledge about fruits and vegetables increased. Implications for community researchers interested in addressing childhood obesity are discussed. [ABSTRACT FROM PUBLISHER]

A synthesis of the state of the literature is discussed in this section of the Evaluation Capacity Building (ECB) forum organized around four critical questions: (1) What is ECB? (2) How can we make it happen? (3) How do we know it is happening? and (4) What is its impact? The authors argue that to move the field of ECB forward we need to envision the science of ECB, not as the sole activity of creating new knowledge but in a close congruent and reciprocal relationship with practice. By adhering to a science-practice model, we conduct research that directly responds to and contributes to practice thus creating strong synergies between ECB practitioners and researchers. Research on ECB needs to be informed by real issues happening in practice, and practice of ECB needs to be informed by the new knowledge created. We must strengthen the science to refine our practice and strengthen the practice to refine the science. [ABSTRACT FROM AUTHOR]

This study describes the development and validation of the Evaluation Capacity Assessment Instrument (ECAI), a measure designed to assess evaluation capacity among staff of nonprofit organizations that is based on a synthesis model of evaluation capacity. One hundred and sixty-nine staff of nonprofit organizations completed the ECAI. The 68-item measure assessed participants’ perceptions of individual and organizational predictors of two evaluation capacity outcomes: mainstreaming and use of evaluation findings. Confirmatory Factor Analysis and internal consistency results support the inclusion of the items and factors measured by the ECAI. Moreover, structural equation modeling results support the synthesis model and its depiction of relationships among evaluation capacity predictors and outcomes. We discuss the implications of using a validated model and instrument in evaluation capacity building research and practice. [ABSTRACT FROM PUBLISHER]

Five years ago, an academic department in the United States and the Ann Sullivan Center of Peru (CASP) initiated an international partnership to foster research collaborations and reciprocal consultation, and to create an advanced clinical placement for occupational therapy doctoral students. CASP is a globally recognized hub for community-based research, demonstration and training for people with disabilities (most of whom are from low-income families). CASP has provided occupational therapy students and faculty with a rich cultural environment in which to learn and collaborate as well as opportunities for developing research collaborations. The purpose of this manuscript is to discuss an innovative model of international collaboration highlighting specific areas of exchange and reciprocal learning. First, we will describe the collaboration and CASP's rich learning opportunities. Second, we will discuss a model of collaboration that includes three main phases: planning and preparation, developing and sustaining the partnership, and evaluating and celebrating outcomes and benefits. We illustrate the partnership with a case example and describe exchanges between CASP and a local community agency with whom faculty have collaborated for 20 years. Finally, we discuss implications of our innovative model towards developing and sustaining global partnerships. Copyright © 2013 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

While obesity impacts all ethnic groups in the United States, African Americans and Latinos are particularly at high risk for obesity. The purpose of this paper is to provide an analysis of the literature on evidence-based culturally competent strategies for addressing and preventing obesity and discuss roles for occupational therapists working with populations at risk for obesity in the school or therapeutic clinical environment. A review was conducted of over 80 research articles describing successful interventions conducted in schools and communities targeting African Americans and Latino children. Although unique single strategies are highlighted in this paper, obesity interventions are complex and involved a number of multilevel strategies. The results of the analysis of the literature are presented according to strategies that promote healthy eating, physical activity, and overall healthy lifestyles. Along with the cultural competent strategies, we recommend specific roles for occupational therapists in order to promote the implementation of each particular strategy. Lastly, implications for occupational therapy are discussed. [ABSTRACT FROM AUTHOR]

A review of vocational rehabilitation (VR) data from a Midwestern state was conducted to identify predictors of rehabilitation outcomes for African American consumers. The database included 37,404 African Americans who were referred or self-referred over a period of five years. Logistic regression analysis indicated that except for age and disability type, none of the other demographic variables were significant predictors of vocational rehabilitation for the individuals in the sample. However, as the amount of money spent on a case increased, the probability of gaining employment increased. Recommendations for VR practice with minority consumers are suggested. [ABSTRACT FROM AUTHOR]

A review of vocational rehabilitation (VR) data from a Midwestern state was conducted to identify predictors of rehabilitation outcomes for African American consumers. The database included 37,404 African Americans who were referred or self-referred over a period of five years. Logistic regression analysis indicated that except for age and disability type, none of the other demographic variables were significant predictors of vocational rehabilitation for the individuals in the sample. However, as the amount of money spent on a case increased, the probability of gaining employment increased. Recommendations for VR practice with minority consumers are suggested. [ABSTRACT FROM AUTHOR]

Latino immigrant families with children with disabilities experience multiple sources of oppression during their settlement process in the United States. Unfair social structures and dominant cultural values and norms and the way they influence the immigrants' personal life stories generate a cycle of oppression very difficult to break. This paper presents a case study of how a group of Latino parents carried out a process of liberation fueled by the generation of empowering community narratives (critical awareness leading to transformative action) that resulted from a community-university partnership. Participants initiated a process that led them to discover their own stories of oppression and create new stories; to deconstruct the dominant cultural narratives and modify existing ones; and to understand contexts for power sharing. This joint reflection and increased awareness propelled group members to take action by founding a grassroots organization to redress some of the injustices that were partly responsible for their oppression, thus generating shifts at the personal, relational, and collective levels. In light of the theory of liberation, we discuss the participants' development of critical awareness that led them to take action to address their unmet needs. [ABSTRACT FROM AUTHOR]

Evaluation capacity building (ECB) has become a popular approach for helping community-based organizations (CBOs) to meet their funders’ demands for accountability. This case study reports the ECB process with one staff member using a catalyst-for-change approach. The authors analyzed the role of the catalyst in diffusing evaluation knowledge and skills and in promoting evaluation mainstreaming and use within the CBO; and the outcomes achieved as a result of the catalyst’s role in the process of building evaluation capacity. Implications based on the study findings are discussed. [ABSTRACT FROM PUBLISHER]

Ciclovias create temporary spaces for physical activity by closing off streets to motorized traffic for short periods of time-typically a day at a time. In Chicago, these health promotion events are called 'Open Streets' and follow a route through five diverse communities. We report findings for evaluation of 2008-2009 Open Streets events. The evaluation creates a framework for examining Ciclovia outcomes and tracks attendance, participant characteristics, participant feedback, and community development outcomes. Evaluation data include attendance counts, participant surveys and semi-structured interviews with event organizers. Data analysis includes quantitative and qualitative methods.We use a capacity building conceptual model for interpreting community development outcomes. Contact with neighbors and exposure to new communities was a primary benefitof participation in Open Streets. These 'exposures' contribute to the strengthening of social networks among Open Streets communities. Moreover, we found that planning for Open Streets has contributed to participating communities' and organizations' capacities to engage in further health promotion and community development work both across and within communities. We find that Open Street events have been successful in promoting inter-community organizational partnerships, community organizing and resident interaction-all contributors to increased community capacity for engaging in successful health promotion activities. [ABSTRACT FROM AUTHOR]

The current study was conducted to identify challenges in engaging consumers with disabilities from diverse ethnic and cultural backgrounds and effective strategies to overcome these challenges in the Vocational Rehabilitation (VR) system. Twenty one VR counselors from a large Midwestern state were nominated by their supervisors to participate in semi-structured qualitative interviews because of exemplary work over more than five years. Interviews were transcribed verbatim and subjected to qualitative analysis. Counselors identified the following challenges for some of their multicultural consumers: (1) lack of knowledge about their responsibilities and role within the VR system; (2) lack of a vision and plan for their future success; and (3) lack of a sense of efficacy about their ability to be successful. These challenges are related to experiences of oppression. Effective strategies were related to processes of empowerment within the context of the therapeutic relationship. Study findings have implications for the VR system related to providing support and training to VR counselors and VR counseling students on how to work effectively with consumers with disabilities from diverse ethnic backgrounds. [ABSTRACT FROM AUTHOR]

Child mortality has been a problem in developing countries for many years. This article summarizes the factors that were identified as contributing to the sustainability of a community-based growth-monitoring program for the prevention of child mortality in Honduras. The program used community volunteers to measure children's growth from birth until they reached two years of age. Honduras received support from the USAID to implement the program. The authors conducted an evaluation of the program that included responses from 32 health care workers, 45 weight monitors, 96 participating mothers and 32 non-participating mothers. Individual, community, environmental and institutional factors that contribute to the sustainability of the program are summarized. The implications for program replication are discussed. [ABSTRACT FROM AUTHOR]

Europe is in the process of building a more participative, just, and inclusive European Union. The European Social Fund, which is an initiative developed to actively promote multinational partnerships that address pressing social issues, is a good example of the European transformation. This article describes the steps taken to develop and evaluate the activities of an international network promoting collaborative capacity among regional partners involved in the prevention of labor discrimination toward immigrants in three European countries—Spain, Belgium, and Italy. An international team of community psychologists proposed an empowering approach to assess the collaborative capacity of the network. This approach consisted of three steps: (1) establishing a collaborative relationship among partners, (2) building collaborative capacity, and (3) evaluating the collaborative capacity of the network. We conclude with lessons learned from the process and provide recommendations for addressing the challenges inherent in international collaboration processes. [ABSTRACT FROM AUTHOR]

This article describes a participatory needs assessment process in which Colombian immigrants in Chicago collaborated with university researchers to identify their common concerns and implement self-help efforts to address some of their most pressing needs. A total of 261 Colombians completed a needs assessment survey, and 46 attended a public forum in which the issues were discussed and groups of volunteers were organized to coordinate and plan actions to address identified needs. Groups of volunteers conducted the research and developed a guide to health care and a guide to social services in the state of Illinois, which were widely distributed in the community. The participatory methodology appears to have effectively mobilized individuals who volunteered their time to help others-particularly newcomers who often find themselves at a loss to maneuver and understand a complex array of systems and services that are completely unfamiliar. Implications for future research are discussed. [ABSTRACT FROM AUTHOR]

This article describes the cultural competence training approach used by the Center for Capacity Building on Minorities with Disabilities Research with agencies that serve people with disabilities from different cultural backgrounds. The outcomes of the training on participants' individual levels of cultural knowledge, physical environment, attitudes, values and communication styles are presented. Data on the agencies' ability to set, pursue and attain organizational goals related to cultural competence is also presented. A total of 287 staff members representing 84 organizations completed individual-level assessment instruments. In addition, 43 organizations elected to receive follow-along support related to organizational cultural competence goals. Results indicated that participants experienced significant post-training improvements in cultural knowledge, physical environments, and values, attitudes and communication styles. In addition, after 6 months of follow-along support, participants were actively pursuing with progress or had achieved the majority of the cultural competence goals they set during training. The potential benefits and challenges of providing cultural competence training to staff that serve ethnic minority individuals with disabilities are discussed. [ABSTRACT FROM AUTHOR]

A major public health crisis facing America’s society is the increase in child and youth obesity, which has seen a fourfold increase in the last four decades. Major concerns include what children eat for school lunch and what other foods are available in schools. This paper illustrates efforts towards systems change in the luncheon program and food vending machines in the Chicago Public Schools. We discuss the different factors that lead to such changes using the framework of the social ecological model and the soft systems methodology, and we analyze how the resulting innovation was implemented and evaluated. First, we present a theoretical perspective to explain factors that influence children’s eating patterns from a systems approach. Second, we discuss the antecedent factors that lead to systems change. Finally, we examine challenges to systems change, such as resistance to change, different stakeholder priorities, lack of resources, institutional bureaucracy, and unrealistic funder expectations. [ABSTRACT FROM AUTHOR]

Interdisciplinary partnerships foster innovation to address pressing social problems. This paper describes an interdisciplinary partnership called the Chicago Food System Collaborative (CFSC) composed of a team of partners from four academic institutions and three community-based organizations representing a total of eight disciplines that included: community development and community organizing, community psychology, geography, nursing, nutrition, public health, sociology, and urban planning and policy. Partners came together to address the issue of access to healthy foods and nutrition in a working class African American neighborhood. We analyze and discuss the core principles that guided the partnership and its impact across three dimensions: understanding through interdisciplinary action research, building capacity, and facilitating innovations in practices and policies. Despite the challenges of interdisciplinary partnerships, the potential benefits and impact of such efforts reflect their value as a comprehensive approach to addressing complex social problems. [ABSTRACT FROM AUTHOR]

Community psychologists often conduct research in collaboration with marginalized communities in which safety is an issue. However, we rarely talk about what specific safety issues we experience and how we deal with them. Our story describes the realities and myths of neighborhood safety that were experienced in a low-income African American neighborhood of Chicago, while collaborating on a project designed to increase access to the Internet to obtain health information. We examine both the challenges experienced and our responses in the context of a community intervention planned, implemented, and evaluated by a partnership team composed of various stakeholders. Critical lessons such as the importance of building on community strengths and the need to be aware of our own biases are discussed. [ABSTRACT FROM AUTHOR]

We analyzed the role that psychosocial empowerment and social support factors play in the employment status of immigrants who participate in jobreadiness programs financed by the European Social Funds and the Welfare Services of Andalusia, a region in the south of Spain. The goal of these programs is to find new ways to improve immigrants' social–labor participation and community integration. By means of a logistical regression analysis applied to data obtained in interviews with 188 participants, a predictor model of psychosocial factors associated with employment status was obtained. Significant psychological empowerment factors included having a positive professional self-concept, having an internal attribution of causality of employment, and having an active job search. Ability to depend on both compatriots and members of the host country in one's support network and the advice and information received from them was a significant factor in social support. Suggestions for future program development include increasing the use of psychosocial resources in interventions designed to improve immigrants' employment status. © 2005 Wiley Periodicals, Inc. J Comm Psychol 33: 673–690, 2005. [ABSTRACT FROM AUTHOR]

Community-based organizations have experienced an increased demand for new and expanded programs, as well as pressure from private and public sources of funding to document the impact of their services and programs. This article highlights the importance of a participatory and empowerment approach to evaluating a community health intervention. A five-phase approach to implementing an empowerment and participatory evaluation process is described using a research study. The five phases included developing a partnership and planning the evaluation, developing a logic model, identifying the methodology and data collection, interpreting and reporting findings, and monitoring and utilizing evaluation findings. In this research study, a WebTV community intervention was implemented to assist community residents in accessing health information and resources through the project's home web page and the Internet. A group of citizen leaders was provided with a WebTV unit, training, and ongoing support and assistance. Citizen leaders used the unit as a tool to obtain health information and resources and to advocate and support community action. Implications of empowerment and participatory evaluation of this type of community intervention are discussed for community occupational therapy, including occupational therapists as agents of change and facilitators of skills building and organizational capacity. [ABSTRACT FROM AUTHOR]

Community-based organizations have experienced an increased demand for new and expanded programs, as well as pressure from private and public sources of funding to document the impact of their services and programs. This article highlights the importance of a participatory and empowerment approach to evaluating a community health intervention. A five-phase approach to implementing an empowerment and participatory evaluation process is described using a research study. The five phases included developing a partnership and planning the evaluation, developing a logic model, identifying the methodology and data collection, interpreting and reporting findings, and monitoring and utilizing evaluation findings. In this research study, a WebTV community intervention was implemented to assist community residents in accessing health information and resources through the project's home web page and the Internet. A group of citizen leaders was provided with a WebTV unit, training, and ongoing support and assistance. Citizen leaders used the unit as a tool to obtain health information and resources and to advocate and support community action. Implications of empowerment and participatory evaluation of this type of community intervention are discussed for community occupational therapy, including occupational therapists as agents of change and facilitators of skills building and organizational capacity. [ABSTRACT FROM AUTHOR]

Focuses on a participatory Internet initiative in an African American neighborhood. Evident use of technology in American society; Access to and use of Internet; Frustrations on searching information in the Internet.

The article examines an interactive and contextual model of community-university collaborations for research and action. The section proposes an interactive and contextual model for developing and sustaining community-university partnerships. The study explores on gaining entry into the community, developing and sustaining a mutual collaboration, and recognizing the benefits and outcomes of partnership work. It also offers the probable challenges that might threaten the partnership, such as resource inequality and time commitment.