Since the introduction of Family Group Conferences (FGCs) in the Netherlands, there has been a steady growth in conferences being organised each year. Government policy emphasises the importance of empowering families to strengthen their ability to take responsibility for their own well-being. A recently adopted amendment in the Dutch Civil Code reflects this commitment and designates FGC as good practice. However, there is little knowledge on the application of FGCs in mental health care, let alone in a setting even more specific, such as public mental health care (PMHC). Clients in PMHC often have a limited network. The starting point of this study is the assumption that conferences promote involvement, expand and restore relationships and generate support. Over the next two years, we will research the applicability of FGCs in PMHC by evaluating forty case studies. The aim of our study is to provide an answer to the question of whether Family Group Conferencing is an effective tool to generate social support, to prevent coercion and to promote social integration in PMHC. Although making contact and gaining trust is a goal of PMHC, it is an aim to study whether FGCs can elevate or replace the work of professionals.
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From January 2011 until December 2012, forty Family Group Conferences (FGCs) will be studied in the public mental health care (PMHC) setting in the province of Groningen, the Netherlands. Research should yield an answer to whether FGCs are valuable for clients in PMHC as a means to generate social support, to prevent coercion and to elevate the work of professionals. The present study reports on two case studies in which shame and fear of rejection are designated as main causes for clients to avoid contact with their social network, resulting in isolated and marginalised living circumstances. Shame, on the other hand, is also a powerful engine in preventing clients from relapse into marginalised circumstances for which one needs to feel ashamed again. An FGC offers a forum where clients are able to discuss their shameful feelings with their social network; it generates support and helps breaking through vicious circles of marginalisation and social isolation. Findings of these case studies confirm an assumption from a previous study that a limited or broken social network is not a contraindication, but a reason for organising FGCs.
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What would you do if you were unable to pay your rent and you were threatened with home-eviction? Would you ask you family or close friends for help, or would you prefer the professional help of a social worker? Or maybe both? What kind of support can family, friends, neighbors, offer in a situation like this? This thesis tries to answer these questions. The research project focused on vulnerable people who were threatened with home-eviction. A Family Group Conference (FGC) was offered to them by social workers. An FGC is a meeting with a person and his/her social network, during which they make their own plan. Professionals merely give information but are not present during the decision-making process and they carry out their part of the plan as presented by the person and the social network. The experiences with nearly evicted persons were compared to FGC experiences with two other target groups. This way, conditions were identified for a successful implementation of the FGC method with people facing home-eviction.
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Background: A paradigm shift in health care from illness to wellbeing requires new assessment technologies and intervention strategies. Self-monitoring tools based on the Experience Sampling Method (ESM) might provide a solution. They enable patients to monitor both vulnerability and resilience in daily life. Although ESM solutions are extensively used in research, a translation from science into daily clinical practice is needed. Objective: To investigate the redesign process of an existing platform for ESM data collection for detailed functional analysis and disease management used by psychological assistants to the general practitioner (PAGPs) in family medicine. Methods: The experience-sampling platform was reconceptualized according to the design thinking framework in three phases. PAGPs were closely involved in co-creation sessions. In the ‘understand’ phase, knowledge about end-users’ characteristics and current eHealth use was collected (nominal group technique – 2 sessions with N = 15). In the ‘explore’ phase, the key needs concerning the platform content and functionalities were evaluated and prioritized (empathy mapping – 1 session with N = 5, moderated user testing – 1 session with N = 4). In the ‘materialize’ phase, the adjusted version of the platform was tested in daily clinical practice (4 months with N = 4). The whole process was extensively logged, analyzed using content analysis, and discussed with an interprofessional project group. Results: In the ‘understand’ phase, PAGPs emphasized the variability in symptoms reported by patients. Therefore, moment-to-moment assessment of mood and behavior in a daily life context could be valuable. In the ‘explore’ phase, (motivational) functionalities, technological performance and instructions turned out to be important user requirements and could be improved. In the ‘materialize’ phase, PAGPs encountered barriers to implement the experience-sampling platform. They were insufficiently facilitated by the regional primary care group and general practitioners. Conclusion: The redesign process in co-creation yielded meaningful insights into the needs, desires and daily routines in family medicine. Severe barriers were encountered related to the use and uptake of the experience-sampling platform in settings where health care professionals lack the time, knowledge and skills. Future research should focus on the applicability of this platform in family medicine and incorporate patient experiences.
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Parents who grew up without digital monitoring have a plethora of parental monitoring opportunities at their disposal. While they can engage in surveillance practices to safeguard their children, they also have to balance freedom against control. This research is based on in-depth interviews with eleven early adolescents and eleven parents to investigate everyday negotiations of parental monitoring. Parental monitoring is presented as a form of lateral surveillance because it entails parents engaging in surveillance practices to monitor their children. The results indicate that some parents are motivated to use digital monitoring tools to safeguard and guide their children, while others refrain from surveillance practices to prioritise freedom and trust. The most common forms of surveillance are location tracking and the monitoring of digital behaviour and screen time. Moreover, we provide unique insights into the use of student tracking systems as an impactful form of control. Early adolescents negotiate these parental monitoring practices, with responses ranging from acceptance to active forms of resistance. Some children also monitor their parents, showcasing a reciprocal form of lateral surveillance. In all families, monitoring practices are negotiated in open conversations that also foster digital resilience. This study shows that the concepts of parental monitoring and lateral surveillance fall short in grasping the reciprocal character of monitoring and the power dynamics in parent-child relations. We therefore propose that monitoring practices in families can best be understood as family surveillance, providing a novel concept to understand how surveillance is embedded in contemporary media practices among interconnected family members.
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The Utrecht SBE16 Conference. From the introduction: "The conference is part of the Sustainable Built conference series and is as such considered to be part of the pre-eminent international conference series on sustainable building and construction endorsed by iiSBE, UNEP-SBO and FIDIC. The Utrecht SBE16 conference is hosted by the Centre of Expertise Smart Sustainable Cities of HU University of Applied Sciences Utrecht, in partnership with six Dutch Universities of Applied Sciences (Avans, Saxion, Rotterdam, The Hague, Zuyd, InHolland) and the Utrecht Sustainability Institute (USI). The Transition Zero conference provides us with a unique opportunity to meet transition professionals in urban sustainability from all over Europe and beyond and to learn about the latest developments and best (inter)national practices in urban sustainability. The rich interest in the conference, made it possible to offer research as well as practitioner-driven tracks on topics related to the conference title. The conference brought together excellent future-minded practitioners, researchers and thought leaders from the R&I community, specialists and professionals on zero energy homes and transition of the built environment."
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This project builds upon a collaboration which has been established since 15 years in the field of social work between teachers and lecturers of Zuyd University, HU University and Elte University. Another network joining this project was CARe Europe, an NGO aimed at improving community care throughout Europe. Before the start of the project already HU University, Tallinn Mental Health Centre and Kwintes were participating in this network. In the course of several international meetings (e.g. CARe Europe conference in Prague in 2005, ENSACT conferences in Dubrovnik in 2009, and Brussels in April 2011, ESN conference in Brussels in March 2011), and many local meetings, it became clear that professionals in the social sector have difficulties to change current practices. There is a great need to develop new methods, which professionals can use to create community care.
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From the traditional and pragmatic perspective on European cooperation shared by the Dutch political establishment, the French initiative for the Conference on the Future of Europe (CoFoE) was initially met with scepticism. Yet, during the experiment, the Dutch government and parliament translated their initial reluctance into assertive involvement. Rapporteurs from the bicameral parliament of the Netherlands became actively involved in CoFoE. They used it as an opportunity structure to pursue their political interests, which came down to watering down too-ambitious text proposals and stressing that the active participation of the citizens should be taken seriously. This chapter shows how both Houses used a wide range of parliamentary instruments – rapporteurs, delegations, plenary debates, committee hearings, questions, and a parliamentary citizens’ consultation – to debate, scrutinise and influence the CoFoE. Representatives and staff actively engaged in inter-parliamentary information exchange. In preparation for the plenaries, a sense of ‘esprit de corps’ developed between Dutch government representatives, members of parliament (MPs), Members of the European Parliament (MEPs), and supporting staff. This resulted in a remarkably coherent all-Dutch positioning up until the closure of the Conference and shared disappointment on the lack of a follow-up.
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In Nederland lijkt het poldermodel nu ook te reiken tot het onderwijs, dit is onder andere te zien in de toenemende belangstelling voor 'leercirkels'. Hierbij telt de stem van leerlingen echt en wordt de kracht van het 'gewone leven' benut om leerlingen optimaal te begeleiden. De leerlingen Layla en Alexander doen uitvoerig verslag van hun ervaringen.
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The Sport Empowers Disabled Youth 2 (SEDY2) project encourages inclusion and equal opportunities in sport for youth with a disability by raising their sports and exercise participation in inclusive settings. This SEDY2 Inclusive (Online) Focus Group Guidance aimed to develop an easy-to-use guidance document on how to deliver inclusive focus groups to attain the authentic views, wishes and feelings of children and youth with a disability about inclusion in sport in practice. This guidance document was produced in order to support other practitioners in conducting inclusive focus groups. The focus group guidance can easily be adapted to cover other topics and can also be used effectively with all (young) people.
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