This brief overview highlights the global crisis of perinatal psychiatric illness(PPI).PPI is a major contributor to many adverse pregnancy,childbirth,and childhood development outcomes.It contributes to billions of d...This brief overview highlights the global crisis of perinatal psychiatric illness(PPI).PPI is a major contributor to many adverse pregnancy,childbirth,and childhood development outcomes.It contributes to billions of dollars in spending worldwide each year and has a significant impact on the individual,their family,and their community.It is also highly preventable.Current recommendations for intervention and management of PPI are limited and vary considerably from country to country.Furthermore,there are several significant challenges associated with implementation of these recommendations.These challenges are magnified in number and consequence among women of color and/or minority populations,who experience persistent and negative health disparities during pregnancy and the postpartum period.This paper aims to provide a broad overview of the current state of recommendations and implementation challenges for PPI and layout a framework for overcoming these challenges.An equityinformed model of care that provides universal intervention for pregnant women may be one solution to address the preventable consequences of PPI on child and maternal health.Uniquely,this model emphasizes the importance of managing and eliminating known barriers to traditional health care models.Culturally and contextually specific challenges must be overcome to fully realize the impact of improved management of PPI.展开更多
This paper explores the persistence of educational inequality in the United States through a structural and policyoriented lens.Based on empirical research,it analyzes how academic disparities are caused by the inters...This paper explores the persistence of educational inequality in the United States through a structural and policyoriented lens.Based on empirical research,it analyzes how academic disparities are caused by the intersection of family economic status,racial bias,inter-district financial disparities,and governance fragmentation.The article combs through the evolution of federal education policies from ESEA to NCLB and ESSA,pointing out that performance-oriented reforms and market-oriented strategies that fail to address structural inequality(e.g.,school choice policies),however,may instead exacerbate the concentration of resources and educational stratification.In response to existing limitations,the study proposes equityoriented policy pathways,including student-weighted grants,federally supported teacher development programs in high-poverty districts,and institutional mechanisms for community engagement.These initiatives aim to embed the concept of“responsiveness to difference”in the entire process of policy design and implementation.The study ultimately concludes that the realization of educational equity requires not only the redistribution of resources,but also the promotion of systemic changes at the level of governance structures and social participation,so that education can truly become an institutional support for social mobility and democratic inclusion.展开更多
文摘This brief overview highlights the global crisis of perinatal psychiatric illness(PPI).PPI is a major contributor to many adverse pregnancy,childbirth,and childhood development outcomes.It contributes to billions of dollars in spending worldwide each year and has a significant impact on the individual,their family,and their community.It is also highly preventable.Current recommendations for intervention and management of PPI are limited and vary considerably from country to country.Furthermore,there are several significant challenges associated with implementation of these recommendations.These challenges are magnified in number and consequence among women of color and/or minority populations,who experience persistent and negative health disparities during pregnancy and the postpartum period.This paper aims to provide a broad overview of the current state of recommendations and implementation challenges for PPI and layout a framework for overcoming these challenges.An equityinformed model of care that provides universal intervention for pregnant women may be one solution to address the preventable consequences of PPI on child and maternal health.Uniquely,this model emphasizes the importance of managing and eliminating known barriers to traditional health care models.Culturally and contextually specific challenges must be overcome to fully realize the impact of improved management of PPI.
文摘This paper explores the persistence of educational inequality in the United States through a structural and policyoriented lens.Based on empirical research,it analyzes how academic disparities are caused by the intersection of family economic status,racial bias,inter-district financial disparities,and governance fragmentation.The article combs through the evolution of federal education policies from ESEA to NCLB and ESSA,pointing out that performance-oriented reforms and market-oriented strategies that fail to address structural inequality(e.g.,school choice policies),however,may instead exacerbate the concentration of resources and educational stratification.In response to existing limitations,the study proposes equityoriented policy pathways,including student-weighted grants,federally supported teacher development programs in high-poverty districts,and institutional mechanisms for community engagement.These initiatives aim to embed the concept of“responsiveness to difference”in the entire process of policy design and implementation.The study ultimately concludes that the realization of educational equity requires not only the redistribution of resources,but also the promotion of systemic changes at the level of governance structures and social participation,so that education can truly become an institutional support for social mobility and democratic inclusion.
