Development of play profiles : influence of disability on children's play

Occupational therapists value play as a significant occupation in a child’s life and use play both as a means and as an end in itself to support development. This thesis explores the nature of play in children with developmental disabilities, seeking to determine whether there are consistent patterns of play specific to different disability categories. An extensive literature review of play and disability was completed, and Cooper’s (2000) model of play is used to organize the literature findings. This study investigated differences in play behaviour in 50 children diagnosed with Autistic Spectrum Disorder, Down syndrome, Developmental Delay and Physical impairments, aged 4 to 6 years 6 months who attended educational facilities in a regional centre in South East Queensland. Quantitative and qualitative play behaviour was assessed using two measures, Revised Knox Preschool Play Scale (Knox, 2008) and the Child Initiated Pretend Play Assessment (Stagnitti, 2007) with the Australian Developmental Screening Test (Burdon, 1993) used to determine developmental age to eliminate this as a potential confounding variable when statistically analyzing the results.
Cognitive, language and fine motor abilities were found to have a statistically significant impact on play ability rather than the different disability groupings. Children with Down syndrome had significantly more imitative play actions than any other disability grouping. Cooper’s (2000) model was found to be a useful tool to analyze differing play characteristics according to different disability groupings. Modifications to Cooper’s original model of play to more accurately depict play characteristics are proposed.

The Greek Diaspora of Melboure, Australia, through the eyes of the second generation Greek Australians

Melbourne has a large and dynamic Greek community that began to form in the 1950s with migration to Australia in the years following the Second World War and the Greek Civil War. The elders of this community, in particular, have tried to ensure that their culture and traditions are kept alive and are handed down from generation to generation. The long history and cultural richness of the Greek tradition is a great source of pride to its members, and this is a key characteristic of the Greek community of Australia. Young and old Greek Australians speak of their country of origin with great pride and passion, as it remains central to their perception of nationality and ethnicity. This importance placed on the retention of the language and culture of their nation of origin means that cultural transmission across generations is of great significance to the community and can provide valuable insight into their interpretation of their own experiences. This paper will present findings from a three generation study about health beliefs and practices of women in the Melbourne Greek community. The experience of granddaughters, who represent the second Australian generation, and how they see their grandmothers’ experience as migrants to Australia will be discussed. The impact of the Diaspora phenomenon and the creation of a Greek community in Melbourne will be considered in the context of health, memory, religion, Greek culture, food, and personal and group identity.

Characteristics of Mentally Disordered Youth Referred to a Forensic Satellite Clinic for Violence Risk Assessment: A Case Control Study

There is a lack of appropriate services to manage youth with comorbid mental health problems and violence risks. To address this gap, we implemented a forensic satellite clinic in a youth mental health service. This paper characterises offending histories among 45 young patients referred to the clinic, and compares them with matched clinical controls (n = 45). Levels of prior risk taking and aggression were prominent among referred patients. Forensic cases and controls did not differ on demographic and clinical variables, with the exception of psychiatric inpatient admissions, which were higher among referred patients. Group differences were observed for prior offending variables (e.g., physical aggression), which were significantly higher among referred patients than controls. Findings suggest that referrals were made to the clinic based on challenging and aggressive behaviour rather than specific clinical characteristics. The role of specialist assessment, treatment and management of violence risks in youth mental health services are discussed.

Northern Lights: the positive policy example of Sweden, Finland, Denmark and Norway

The nations of Scandinavia and Finland, or Nordic Europe, continue to provide living proof that economic prosperity can be combined with social equality and environmental responsibility. This book, written from an Australian perspective, explores previous outside policy interest in the Nordic nations and outlines some lessons which the English-speaking world, in particular, can learn now from the achievements of the four main Nordic European nations. In terms of income distribution these countries are still much more equal than Australia, Britain, New Zealand and Canada – and nearly twice as equal as the United States. Workforce participation rates are high in the Nordic nations but working hours remain within reasonable limits, enabling genuine work–life balance. Sweden has played a leading role in improving wellbeing, and lowering poverty, among children. Finland has achieved stunning success in schools since the 1990s. Denmark invests in comprehensive skills training as part of providing security, as well as flexibility, in people’s employment lives. Norway’s taxation approach and other measures ensure that its natural resources are used sustainably for the entire nation’s long-term wealth. All of these achievements are relevant to the policy choices for the future which Australia, and other English-speaking countries, can now make.

Social competence following pediatric stroke: contributions of brain insult and family environment

Limited information is available regarding predictors of psychosocial difficulties in children following stroke. This study aimed to (i) compare social competence of children with arterial ischemic stroke (AIS) to those with chronic illness and healthy controls and (ii) investigate the contribution of stroke pathology, neurological outcome and environment. Thirty-six children with AIS > 12 months prior to recruitment were compared with children with chronic illness (asthma) (n = 15) and healthy controls (n = 43). Children underwent intellectual assessment, and children and parents completed questionnaires to assess social competence. Children with AIS underwent MRI scan and neurological evaluation. Child AIS was associated with poorer social adjustment and participation, and children with AIS were rated as having more social problems than controls. Lesion volume was not associated with social outcome, but subcortical stroke was linked to reduced social participation and younger stroke onset predicted better social interaction and higher self-esteem. Family function was the sole predictor of social adjustment. Findings highlight the risk of social impairment following pediatric stroke, with both stroke and environmental factors influencing children's social competence in the chronic stages of recovery. They indicate the potential for intervention targeting support at the family level.

Interview with Dr Hadi Winarto

Dr. Hadi Winarto is an Indonesian who studied at the University of Sydney on two occasions; in 1965-1969, and in 1972-1979. He studied in Australia on a Colombo Plan scholarship, and was also awarded a Fellowship by the university which provided additional financial assistance and allowed his family to stay with him in Australia during his second period of study. He completed a Bachelor of Aeronautical Engineering during his first period of study, and went on to complete both a Masters degree and a PhD in the same field during his second period of study. The interview was conducted in Indonesian on 23 December 2013 by Dr. Ahmad Suaedy of the Abdurrahman Wahid Centre for Inter-faith Dialogue and Peace at Universitas Indonesia. This set comprises: an interview recording, a transcript of the interview, and a trancript of the interview translated into English.

Optimising leisure participation: a pilot intervention study for adolescents with physical impairments

Purpose: To assess the feasibility of an intervention to improve participation in leisure activities of adolescents with physical impairments by changing aspects of the activity or environment.

Methods: A pre-test/post-test pilot study of a multi-strategy intervention was used to explore the effectiveness of the strategies and to determine whether the intervention was practical to apply in a community setting. The intervention involved establishing adolescent and family focused goals, measuring and addressing environmental barriers and building activity performance skills. The Goal Attainment Scale (GAS) and the Canadian Occupational Performance Measure measured outcomes.

Results: Eight participants (aged 12–19 years; five males) with physical disabilities set participation goals using a structured approach. Analysis of personal and environmental barriers and facilitators for participation guided the choice of intervention strategies to support goal attainment. The natural environment, government policies and availability of transport were identified as the most frequent barriers to participation in leisure. Support to secure appropriate devices to enable participation was commonly required. As a group, attainment of 12 of 17 GAS goals, and progress on four more goals, was demonstrated.

Conclusions: The intervention model was applicable and practical to use in a community therapy setting and the majority of the participation goals set were achieved.

The Greek diaspora of Melbourne: Australia through the eyes of the second generation Greek Australian

form in the 1950s with migration to Australia in the years following the Second World War and the Greek Civil War. The elders of this community, in particular, have tried to ensure that their culture and traditions are kept alive and are handed down from generation to generation. The long history and cultural richness of the Greek tradition is a great source of pride to its members, and this is a key characteristic of the Greek community of Australia. Young and old Greek Australians speak of their country of origin with great pride and passion, as it remains central to their perception of nationality and ethnicity. This importance placed on the retention of the language and culture of their nation of origin means that cultural transmission across generations is of great significance to the community and can provide valuable insight into their interpretation of their own experiences. This paper will present findings from a three generation study about health beliefs and practices of women in the Melbourne Greek community. The experience of granddaughters, who represent the second Australian generation, and how they see their grandmothers’ experience as migrants to Australia will be discussed. The impact of the Diaspora phenomenon and the creation of a Greek community in Melbourne will be considered in the context of health, memory, religion, Greek culture, food, and personal and group identity.

Barriers and enablers to healthcare access and use among Arabic-speaking and Caucasian English-speaking patients with type 2 diabetes mellitus: a qualitative comparative study

OBJECTIVE: The objective of this study was to explore the decision-making processes and associated barriers and enablers that determine access and use of healthcare services in Arabic-speaking and English-speaking Caucasian patients with diabetes in Australia. STUDY SETTING AND DESIGN: Face-to-face semistructured individual interviews and group interviews were conducted at various healthcare settings-diabetes outpatient clinics in 2 tertiary referral hospitals, 6 primary care practices and 10 community centres in Melbourne, Australia. PARTICIPANTS: A total of 100 participants with type 2 diabetes mellitus were recruited into 2 groups: 60 Arabic-speaking and 40 English-speaking Caucasian. DATA COLLECTION: Interviews were audio-taped, translated into English when necessary, transcribed and coded thematically. Sociodemographic and clinical information was gathered using a self-completed questionnaire and medical records. PRINCIPAL FINDINGS: Only Arabic-speaking migrants intentionally delayed access to healthcare services when obvious signs of diabetes were experienced, missing opportunities to detect diabetes at an early stage. Four major barriers and enablers to healthcare access and use were identified: influence of significant other(s), unique sociocultural and religious beliefs, experiences with healthcare providers and lack of knowledge about healthcare services. Compared with Arabic-speaking migrants, English-speaking participants had no reluctance to access and use medical services when signs of ill-health appeared; their treatment-seeking behaviours were straightforward. CONCLUSIONS: Arabic-speaking migrants appear to intentionally delay access to medical services even when symptomatic. Four barriers to health services access have been identified. Tailored interventions must be developed for Arabic-speaking migrants to improve access to available health services, facilitate timely diagnosis of diabetes and ultimately to improve glycaemic control.

Transtornos de aprendizagem : aspectos neuropsicossociais de uma população encaminhada à Secretaria Municipal da Saúde da cidade de São Leopoldo

Foram estudados 125 pacientes em idade escolar que procuraram o Posto de Atendimento Médico Especializado (PAME) da cidade de São Leopoldo, Rio Grande do Sul, Brasil, nos anos de 2003 e 2004, encaminhados pela escola, pelo pediatra ou Conselho Tutelar, por estarem apresentando dificuldades na escolarização. Realizaram-se entrevistas com os pais ou responsáveis, exame neurológico tradicional, exame neurológico evolutivo, eletroencefalograma em sono e vigília em todas as crianças e tomografia cerebral e ressonância magnética, quando necessário. Foram estudados aspectos neuropsicossociais dos indivíduos e de suas respectivas famílias. Encontraram-se famílias comprometidas em sua história prévia e atual: 29,30% com dificuldades escolares, 27,20% com doenças psiquiátricas, 26,10% com epilepsia, 21,70% com alcoolismo e 10,90% com deficiência mental. As comorbidades tiveram um papel relevante no desempenho escolar: 50,50% com hiperatividade, 17,20% com distúrbio de conduta e 17,20% com problemas emocionais (listados como queixa principal por ocasião do encaminhamento para a triagem).

Responsabilidade social sob a ótica do assédio moral: o caso furnas

The objectives of this research were to identify and to determine the mam elements presents in actions developed by the company classified as corporate social responsibility as well as the company's speech and relation with their employees1 in Fumas' productive units. In the base theoretician-empiricist, were analyzed the aspects concerning to the social management considering the postindustrial societal model, as to the social responsibility and the moral siege aspect present in the internaI company' s relations. The method that characterizes this research is the case study of a mixing economy company considered as prominence in the industrial scene of the country, from the verification of its organizational climate. The data had been gotten by direct comment and by semistructuralized interviews, carried through with workers belonging to diverse hierarchic organization's studied leveIs, involved with social practices and their organization, having relationship to the employees. The analysis was description-qualitative formo The collected data disclose to the existence of accords and dissonances between the social responsibility practical, the moral siege and the speech presented by this company. The main objective of the study was to extend the agreement concerning to the social responsibility, as well as the moral siege practiced by the company, having as reference their integrant's perceptions, considering both the current economic and social rationalities that establish a new mo dei of relationship between State, companies under its protection and the civil society.

Responsabilidade social empresarial no mercado de seguros brasileiro: influências culturais e implicações relacionais

The Brazilian insurance market is the ambience in which this research study takes place in search for a better understanding of how cultural characteristics are related with organizational signs, practices and expectations on social responsibility. The concepts of social responsibility as well as the concept of culture are presented and discussed from different points of view, in accordance with different authors and trough several methodological approaches, in order to establish a coherent theoretical basis for qualitative data analysis. The phenomenological attitude assumed by the researcher in especial dialogues situations during the field research phase added new possibilities of apprehension or emergence of each studied organization self orientation in terms of pre-occupation with social issues intimately related with their insurance activities in the market place. Final reflections show the complexity of the insurance cultural context in the studied Brazilian segment, in which cultural and subcultural national and organizational singularities appear. However leaving space for common values and coherent orientation toward the peculiar understanding of social responsibility as inherent to any insurance company activities, themselves. Last comments point out that future research studies may give additional contribution for the continuity of the discussions initiated in this dissertation, expecting that some changes in the organizational posture and practices may happen, especially those related with risk taking and broad processes of communication with clients and society as a whole.

Rede social: uma proposta de promoção de intercâmbio e cooperação cultural - uma avaliação da Rede Latitudes

Este trabalho se propõe a analisar o fenômeno das organizações em Rede, dando ênfase às Redes Sociais baseando-se no conceito de que são formadas por laços de solidariedade, com valores coletivos. Redes são sistemas organizacionais que concentram indivíduos e instituições, de forma democrática e participativa, em tomo de objetivos afins. As redes se caracterizam pelas relações horizontais, de ações dinâmicas e que visam ao trabalho integrado. Os tipos de redes variam no que tange a autonomia dos atores e a interdependência que os mesmos estabelecem entre si, mas em comum este estilo de gestão busca uma maior participação e compromisso dos atores envolvidos. O trabalho está dividido em quatro capítulos: O primeiro pretende introduzir o leitor ao tema em que a pesquisa está inserida: redes sociais e intercâmbio cultural. O segundo capitulo apresenta o cenário em que o tema está inserido. O terceiro capítulo apresenta a pesquisa empírica, na qual é utilizado o método de estudo de caso, com a finalidade de investigar o processo de implementação de uma organização em rede - Rede Latitudes - cujo objetivo é o de promover o intercâmbio e a cooperação cultural nestes países. E finalmente, no quarto e último capítulo pretende-se averiguar até que ponto a teoria se aplica na prática. Como se dá o processo de implementação de uma rede com característica social.

Educação e transformação social : formas alternativas de educação em país descolonizado

Neste trabalho é analisada a adequação entre o projeto de desenvolvimento sócio-econômico da Guiné~Bissau e seu projeto de educação. O país em estudo é urna ex-col~ nia portuguesa da África que após a independência optou pe la via "autônoma" de desenvolvimento, o que caracteriza a situação de "transformação social". Procura-se verificar se o atual sistema de ensino e os planos oficiais auxiliam a ruptura com a condição ánterior de dependência. O estudo se inicia por urna visão geral da África pré-colonial e da educação difusa que vigorava naquela épo ca. Em seguida, urna descrição da África colonizada por países europeus e as modalidades de educação implantadas pelos colonizadores. Examina-se após isso a África do período das lutas pela independência (década de 60) até os dias atuais, com as diversas opções sócio-econômicas, poli ticas e, particularmente, educacionais adotadas pelos países administrativamente libertos do domínio colonial. ~os demais capítulos analisa-se a Guiné-Bissauern cada período histórico, apresentando-se as ligações entre os interesses sócio-econômicos dominantes e as formas ofi ciais de educação dos africanos: no segundo capítulo, a Guiné pré-colonial, as várias etapas da colonização por tu guesa (a fase mercantilista, durante a monarquia liberal portuguesa, a primeira fase da república na metrópole, a ditadura salazarista anterior e posteriormente ao movimento guineense pela independência) e a luta contra os colonizadores até a libertação total do território (1974) • No terceiro capítulo, os dias Rtuais (fase de "reconstrução nacional") até 1979. são ressaltados diversos aspectos do ensino para comparação entre a fase colonial e o projeto do país inde-pendente: ligação com a atividade produtiva, com as tare·- fas sociais e vida comunitária; prioridades da escolariza ção; escola urbana e rural; gestão escolar; formação de professores; métodos pedagógicos, currículos e disciplinas. A abordagem metodológica e histórico-estrutural. Constata-se a existência de muitos obstáculos ma teriais para a realização do projeto autônomo guineense. Mas apesar das características coloniais persistentes, no ensino são experimentadas soluções criativas que favorecem a independência, baseadas nas prioridades de atendimento das necessidades da população, de gestão democrática das escolas, integração com o trabalho produtivo e "africaniza ção" das disciplinas. -

Inserção de pessoas com deficiência intelectual: um estudo em empresas situadas na região metropolitana de São Paulo

Esta dissertação teve origem no questionamento sobre as reais possibilidades de inclusão das pessoas com deficiência intelectual (PCDI), cada vez mais frequentemente inseridas nas organizações brasileiras. O objetivo principal é analisar a maneira como tem acontecido a inserção de PCDI em cinco grandes empresas situadas na região metropolitana de São Paulo, a partir das perspectivas das pessoas diretamente envolvidas. Isso implica, primeiramente, em uma contextualização das políticas de inserção adotadas pelas organizações participantes. Além disso, a partir da análise dos temas mais abordados pelas pessoas entrevistadas, pretende-se identificar os significados da inserção das pessoas com deficiência intelectual e suas implicações mais relevantes para as pessoas envolvidas: os sujeitos com deficiência intelectual, seus chefes, pares hierárquicos de convivência direta, profissionais de gestão de pessoas e pessoas vinculadas a organizações externas, mas que de alguma forma influenciam ou interferem nas atividades de inserção e inclusão no ambiente organizacional. Como arcabouço teórico foram abordados os conceitos de inclusão, inserção e diversidade nas organizações; preconceito, estigma e demais barreiras atitudinais à inclusão; questões familiares e educacionais; as concepções de deficiência ao longo da história, além de aspectos demográficos e regulatórios relacionados ao tema. A pesquisa foi realizada por meio de entrevistas com baixo grau de estruturação e as transcrições analisadas conforme a abordagem de análise de conteúdo proposta por Bardin (1977), a partir dos pressupostos do interacionismo simbólico estrutural (STRYKER, 2006). A partir da discussão dos temas que emergiram da análise de conteúdo e da contextualização e comparação das políticas de inserção adotadas pelas organizações, pôde-se concluir que é possível incluir as pessoas com deficiência intelectual, tendo em vista as fronteiras organizacionais em que elas se inserem.