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Abstract Background Safety-net clinics are an important source of low-cost or free mental healthcare to those with limited financial resources. Such clinics are often staffed by trainees in early stages of their career. Only limited data exist on best practices in treatment-implementation and on clinical outcomes attained in such clinics. The primary purpose of this article is to describe the design of an outpatient psychiatry student-run free clinic (SRFC) serving uninsured individuals in New York City’s East Harlem neighborhood and to analyze the quality of services provided and the clinical outcomes attained. Methods The authors conducted a retrospective chart review of n = 69 patients treated in the EHHOP Mental Health Clinic (E-MHC) to describe the demographic and clinical characteristics of the study population. Utilizing Health Effectiveness Data and Information Set metrics, they estimated the likelihoods of patients meeting metric quality criteria compared to those in other New York State (NYS) insurance groups. The authors derived linear mixed effect and logistic regression models to ascertain factors associated with clinical outcomes. Finally, the authors collected patient feedback on the clinical services received using a customized survey. Results Almost all patients were of Hispanic ethnicity, and about half of patients had more than one psychiatric disorder. The clinical service performance of the E-MHC was non-inferior on most measures examined. Factors associated with symptom improvement were the number of treatment sessions and certain demographic and clinical variables. Patients provided highly positive feedback on the mental healthcare services they received. Conclusions SRFCs can provide quality care to vulnerable patients that leads to clinically meaningful reductions in psychiatric symptoms and is well-received by patients.

Pulla, V., Bhattacharyya, R., & Bhatt, S. (eds). Discrimination, Challenge and Response-People of North East India, Palgrave Macmillan, 2020, 203 pp., ISBN 978-3-030-46250-5, eBook:£87.50; Hardcover: £109.99

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In this study occupational risk assessment in Readymade Garments (RMG), Textile and Ship Breaking Industries of Bangladesh was carried out utilizing accident database of Department of Inspection for Factories and Establishments (DIFE), Ministry of Labour and Employment. The study focused on the workplace incidents reported to DIFE from 2016-2018 in RMG, Textile and Ship Breaking industries of Bangladesh. The risk analysis was conducted based on severity and likelihood of events, the latter comprising: frequency of exposure to the hazard, duration of exposure to the hazard, probability of occurrence of a hazardous event, and technical and human possibility of avoiding or limiting the harm. To carry out the assessment, survey data including working time, accident frequency, cause of accident, nature of injury, use of personal protective equipment (PPE), health safety policy, first aid facility etc. were collected from DIFE. The risk scores and economic losses due to accidents in different years for each industry were estimated. The overall risk scores estimated for RMG and Textile industry were found to be higher than that for Ship Breaking industry. However, in Ship Breaking industry 41.3% of total incidents are of very high-risk, which is much higher than the percentage of such incidents in RMG or Textile industry. It was also found that the total compensation provided to the workers as reported to DIFE is 58.5% less of the estimated cost based on the fatality and type of injuries. [ABSTRACT FROM AUTHOR]

The situation of rights of children of tea garden workers in Bangladesh is bad, giving the children relatively vulnerable and disadvantageous social position compared to their counterparts in the mainstream community. Children in the tea gardens are found to be deprived of their rights as human being due to multifarious reasons underlying the socio-economic conditions of the family, limited human right facilities in terms of available education, health, hygiene and nutrition, work, and social services provided for the promotion of their lives. Moreover, some structural factors associated to the management system of the tea companies are largely considered responsible for the deprivation of basic rights of children in the garden. Social work is a professional practice that particularly works for ensuring human rights and social justice in the society. Therefore, this paper comes up with some policy recommendations for protection of child rights from social work perspective. [ABSTRACT FROM AUTHOR]