Orri - Community and clinical interventions Flashcards
When describing a community, what do social capital and social cohesion refer to?
Social capital: emotional and instrumental resources that come from the structure of relationships to others
Social cohesion: quality and strength of supportive relationships between members of a group
How can childcare ameliorate mental health outcomes of children, especially in socioeconomically deprived environments?
Giving time off from depressed mother
What is the difference between community-targeted interventions and community-based interventions?
Community-targeted interventions: community is both the setting and the target of interventions
Community-based interventions: community is the setting but individuals the target of interventions
What are the two broad approaches of community-based interventions?
Directly addressing exposure (e.g., reduce poverty)
Addressing modulators of exposure-outcome relationship
What is an example of community-based intervention directly addressing exposure?
Money injection to dampen effects of poverty
What is the Moving to Opportunity study (MTO)?
Community-based intervention study Large-scale randomized controlled trial
SE-deprived families in the US
Groups:
1) Voucher + moving to less SE-deprived neighbourhood
2) Voucher
3) Control
What results did the MTO study found regarding age of moving?
After adolescence moving has more traumatic effects
What is the Heckman curve proposing?
Early interventions may yield the greater return on investment.
What is an example of community-based intervention addressing relationship between exposure and outcome?
Improving parenting skills (e.g. social worker going in families and educate parents/play with children)
What type of intervention is the Reach Up program in Jamaica? What is the target?
Community-based intervention addressing relationship between exposure and outcome
Target are parents and their preschool children in this case ->ameliorate caregivers’ abilities to provide responsive care and activities that help children learn
How effective are interventions to reduce maternal depression?
Not very effective