This paper describes the evaluation of a mental health liaison (MHL) role in a rural community in Alberta, Canada. The role provides advocacy, education, indirect and direct client intervention, and follow up. It was developed to eliminate gaps in mental health care and build collaborative cultures between the local hospital, physicians' offices, mental health clinics, and community agencies. Obtaining stakeholder feedback was an important step in assessing initial service impact while providing directions for role refinement and future programme development. A total of 116 questionnaires were distributed to physicians, hospital staff, and community mental health assessing stakeholder perception relating to various functions of the MHL. A 50% (n = 58) response rate was achieved with broad representation from different partners, including 75% of local physicians. The majority of respondents positively perceived the roles, functions, and impact of the MHL, including relationship development across the hospital community, improved access to services, and perceived improved client outcomes. The results reinforced that the MHL service meets a previously unmet need in this rural setting. Findings are being used to refine roles, provide local learning and resource development, understand issues relating to programme development in other areas, and develop client level outcomes relating to the services delivered.
No abstract
Edge-of-fieldwater quality monitoring was conducted in cooperation with private landowners through the Mississippi River Basin Healthy Watershed Initiative, a landscape conservation program first offered through the USDA-NRCS in 2010. The study objective was to quantify effectiveness of individual conservation practice or practice combinations on water quality on corn (Zea mays L.)-soybean [Glycine max (L.) Merr.] watersheds. Water samples from northern Missouri farms were collected and analyzed by runoff event for sediment (total suspended solids [TSS]), N, and P to evaluate the effects of crop production, residue types, and conservation land treatment on runoff. The presence of living vegetation in the winter, whether established as a cover crop or cash crop, significantly reduced the sediment loads (p < .0001) and nutrient loads (p ≤ .0077). Additional benefits occurred on sites that produced higher residues, like corn or corn with winter wheat (Triticum aestivum L.). Significantly low TSS losses occurred during soybean years with corn and winter wheat residues. Sites that implemented full land treatment, having conservation practices that serve to avoid, control, and trap a pollutant, were more effective than those with fewer treatments, especially with respect to P loading. The mean rank for orthophosphates was 45% lower from sites with avoid, control, and trap practices instead of control practices only. Data support the conclusion that conservation structural and management practices are effective and can mitigate some negative impacts generated by agriculture. Although an intricate endeavor, edge-of-field water quality monitoring can serve to complement other forms of environmental analysis and inform landowners about efficient farming practices.
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