Assistive technology supports maintenance or improvement of an individual’s functioning and independence, though for people in need the access to assistive products is not always guaranteed. This paper presents a generic quality framework for assistive technology service delivery that can be used independent of the setting, context, legislative framework, or type of technology. Based on available literature and a series of discussions among the authors, a framework was developed. It consists of 7 general quality criteria and four indicators for each of these criteria. The criteria are: accessibility; competence; coordination; efficiency; flexibility; user centeredness, and infrastructure. This framework can be used at a micro level (processes around individual users), meso level (the service delivery scheme or programme) or at a macro level (the whole country). It aims to help identify in an easy way the main strengths and weaknesses of a system or process, and thus guide possible improvements. As a next step in the development of this quality framework the authors propose to organise a global consultancy process to obtain responses from stakeholders across the world and to plan a number of case studies in which the framework is applied to different service delivery systems and processes in different countries.
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Introduction: Nowadays the Western mental health system is in transformation to recovery-oriented and trauma informed care in which experiential knowledge becomes incorporated. An important development in this context is that traditional mental health professionals came to the fore with their lived experiences. From 2017 to 2021, a research project was conducted in the Netherlands in three mental health organizations, focussing on how service users perceive the professional use of experiential knowledge. Aims: This paper aims to explore service users’ perspectives regarding their healthcare professionals’ use of experiential knowledge and the users’ perceptions of how this contributes to their personal recovery. Methods: As part of the qualitative research, 22 service users were interviewed. A thematic analysis was employed to derive themes and patterns from the interview transcripts. Results: The use of experiential knowledge manifests in the quality of a compassionate user-professional relationship in which personal disclosures of the professional’s distress and resilience are embedded. This often stimulates users’ recovery process. Conclusions: Findings suggest that the use of experiential knowledge by mental health professionals like social workers, nurses and humanistic counselors, demonstrates an overall positive value as an additional (re)source.
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Frequent and targeted support to professionals is essential to control for quality delivery of services. In youth care settings, there is limited time and capability to implement all of the support systems that are suggested by program developers. With the pressure and responsibility to provide services with high quality and low costs, organizations strive to effectively and efficiently integrate different support systems. In this point of view we discuss the potential of integrating support systems around overlapping common, contextual and structural factors of interventions that are delivered in youth care setting.
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Urban open space has a huge impact on human health, well-being and urban ecosystems. One of the open spaces where the environmental and ecological challenges of cities manifest the most is the urban riverfront, often characterised by fragmented land use, lack of accessibility, heavy riverside vehicular traffic, and extreme degradation of river hydrology and ecology. More often than not, the current spatial design of the riverfront hinders rather than supports the delivery of ecosystem services and, in consequence, its potential to improve the health and well-being of urban inhabitants is diminished. Hence, the design of riverside open spaces is crucial. Urban and landscape design in those spaces requires instruments that can aid designers, planners, decision-makers and stakeholders in devising spatial interventions that integrate complex environmental and ecological goals in high quality public space design. By recognising the multiple environmental and ecological benefits of green space and water in the city, the project “I surf” applies a set of four design instruments, namely the Connector, the Sponge, the Integrator, and the Scaler. I surf is a three-phased project that tests, validates and updates these instruments through a design-driven research methodology involving two design workshops and expert meetings addressing three different riverside urban spaces in Amsterdam: in the Ij waterfront, along River Amstel, and on a site located on the canal network. The project concludes with an updated and transferrable instrument set available for urban and landscape design applications in Amsterdam and in other Dutch cities crossed by rivers.
