Community-Based Health Interventions: An Ethical Approach to Bringing Healthcare to the Marginalized
| dc.contributor.advisor | Rocco, Providenza Loera | |
| dc.creator | Francois, Sonie-Lynn | |
| dc.date.accessioned | 2022-05-26T18:25:53Z | |
| dc.date.available | 2022-05-26T18:25:53Z | |
| dc.date.issued | 2022 | |
| dc.identifier.uri | http://hdl.handle.net/20.500.12613/7783 | |
| dc.description | Accompanied by 1 PDF file: Francois_temple_0225M_171/Step 2 Recall.pdf | |
| dc.description.abstract | Covid-19 shed a light on how disparities, influenced by institutional racism and social determinants of health, led to negative healthcare outcomes. This inspired community organizations such as the Black Doctor’s COVID-19 Consortium to take matters into their own hands and play their part in meeting the needs of the community. With evident gaps in healthcare for marginalized communities, I believe that community-based health interventions are an ethical approach to ensure care for marginalized communities. To ensure that a proper intervention is being crafted for these communities, it is important to define what community-based means. This paper explores four models for categorizing community-based: community as setting, target, resource, and agent. While traditional research focuses on the voice of the academic, using Community Based Participatory Research amplifies and recenters the voice of the community, while providing a means to increase their capacity, fostering agency, and promoting solidarity. This paper explores local community-based health interventions in North Philadelphia and emphasizes partnering with the community to determine their needs before creating an intervention. Using community-based interventions to increase access to healthcare for marginalized communities in tandem with existing models of healthcare, follows a utilitarian approach to ensure that the greatest number of individuals can benefit. Community-based health interventions are the most ethical approach to bringing healthcare to marginalized communities. | |
| dc.format.extent | 20 pages | |
| dc.language.iso | eng | |
| dc.publisher | Temple University. Libraries | |
| dc.relation.ispartof | Theses and Dissertations | |
| dc.rights | IN COPYRIGHT- This Rights Statement can be used for an Item that is in copyright. Using this statement implies that the organization making this Item available has determined that the Item is in copyright and either is the rights-holder, has obtained permission from the rights-holder(s) to make their Work(s) available, or makes the Item available under an exception or limitation to copyright (including Fair Use) that entitles it to make the Item available. | |
| dc.rights.uri | http://rightsstatements.org/vocab/InC/1.0/ | |
| dc.subject | Medical ethics | |
| dc.subject | Community based health care | |
| dc.subject | Community based interventions | |
| dc.subject | Community based participatory research | |
| dc.subject | Marginalized communities | |
| dc.subject | Urban bioethics | |
| dc.subject | Utilitarianism | |
| dc.title | Community-Based Health Interventions: An Ethical Approach to Bringing Healthcare to the Marginalized | |
| dc.type | Text | |
| dc.type.genre | Thesis/Dissertation | |
| dc.description.department | Urban Bioethics | |
| dc.relation.doi | http://dx.doi.org/10.34944/dspace/7755 | |
| dc.ada.note | For Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact scholarshare@temple.edu | |
| dc.description.degree | M.A. | |
| dc.identifier.proqst | 14904 | |
| dc.date.updated | 2022-05-11T16:12:18Z | |
| refterms.dateFOA | 2022-05-26T18:25:54Z | |
| dc.identifier.filename | Francois_temple_0225M_14904.pdf |
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Putting the Community back into Therapeutic Community: Examining the Role of the Treatment Group in Prison-Based Substance Abuse TreatmentThis dissertation conceptualized and evaluated the moderating effect of the treatment group on treatment responsiveness and recidivism among a sample of drug-involved offenders who received in-prison substance abuse treatment. Few studies of drug treatment simultaneously consider individual level variables and the context of group treatment. Those that have typically operationalize the treatment context with organizational indicators such as attributes of the staff, staff perceptions of the program, therapeutic orientation, and program accreditation. In contrast, the current work operationalized context from the perspective of the participant using as indicators client-based measures of treatment progress and satisfaction. 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This study takes an important first step in the direction of a more complete view of treatment experiences and outcomes that considers individuals nested within treatment groups.
