HMSC 健康管理與社會關懷 Health Management and Social Care

Structural issues：focus on social structures

Vulnerable groups

Examples	children, disabled, aged, ethnic minorities and poor families
Features	difficult to mobilize individual resources (including personal ability, financial asset and social network etc.) to deal with crisis more prone to having crisis comparing with the general public need timely and additional assistance

Economic crises

(1) Effects on communities, families and vulnerable groups

Communities	Change in the income of the general public will lead to a change in consumption pattern and dietary habits.
Families	Increases in working hours may lead to the increase in work pressure and tension between family life and work and thus the family relationship may deteriorate.
Vulnerable groups	Cut in public expenditure, esp. on social welfare which may affect the accessibility and the quality of services provided for the vulnerable groups.

(2) Effects on individual health and well-being

Physical	Psychosomatic disorders Not able to maintain basic standard of living
Mental	Triggers the feelings of depression
Social	People may withdraw from some social activities to reduce expenditure

Family changes and their effects

Family structure	A nuclear family – a couple living with their dependent children in the same residence An extended family – a nuclear or single-parent family living together with other relatives such as grandparents, aunts, uncles and cousins in the same household A stem family – a multiple family, living in the same household, in which the relationship between family members extends vertically; for example, a household consisting of a married couple, their children and the husband's elderly parents A reconstituted family / blended family – a couple with at least one partner who has divorced and remarried and which includes children from their previous relationship(s) A single-parent family – a parent, who may or may not have been married, lives with one or more of his/her children
Family disintegration	Mental aspect - traumatic events that have a profound and lasting psychological impact such as grief Social aspect – readjustment to new family relationships Physical aspect – possible care deprivation due to the change in family financial situation
Single parent households and the consequences	Role confusion e.g. children assume parent roles in the family Contradictory cultural values e.g. women take care of children / take up new career skills and seek a job after divorce

Displacement and migration

Population displacement	may result from natural disaster, human activities such as dam project, war, job, education, family reunion etc.
Impacts on health	Physical - Health risks due to the change in living environment and lifestyles Mental - Stressor / need for identity /self-image/ sense of belonging in the new community Social - Change in community bonds and support networks
Possible risks of displaced groups or migrants	Possible care deprivation in displaced population - lack of access to health care information and related services Readjustment to new environment: employment, study and social network

Community and Social Support Network

Social support	resources and encouragement received from social network, government and non-government organisations (NGOs)
Types of help	Emotional support Friendship Practical assistance Suggestions and information
Social Support Network	Tight Social Network Loose Social Network

Community Bond

Breakdown due to	technology advancement individualism long and irregular working hours high mobility of community
Possible negative consequences	lack of communication among people ignorance on their living communities and support crimes in community social disorder

Latest Update: October 2019

Power-point

Details

Assessing my learning

What are social changes?

How do social factors affect the health of a community?

What are the functions of the social support network?

Note-taking Tools

One Note
Docs

My Data Bank

One Drive
Google Drive

Collaboration Platform

Google Sites
schoology

Presentation Tools

Google Slides
Sway