{"id":194311,"date":"2017-01-19T11:25:00","date_gmt":"2017-01-19T03:25:00","guid":{"rendered":"https:\/\/www.um.edu.mo\/sem-categoria\/2017\/01\/40641-pt_pt\/"},"modified":"2017-01-19T11:25:00","modified_gmt":"2017-01-19T03:25:00","slug":"40641","status":"publish","type":"post","link":"https:\/\/www.um.edu.mo\/pt-pt\/news-and-press-releases\/press-release\/detail\/40641\/","title":{"rendered":"\u2018Open to Others\u2019\u2013Pathways for Social Harmony"},"content":{"rendered":"Source: <a style=\"font-style: italic;\" href=\"http:\/\/www.umac.mo\/umagazine\/issue15\/pdf\/umagazine15.pdf\">umagazine<\/a><p><\/p><div><p>In an era of rapid globalisation, Macao has been home to\nculturally diverse groups and it continues to grow as the economy prospers.\nHowever, certain populations are prone to higher risks of mental and physical\nhealth problems due to their deteriorating living and workplace conditions. As\na clinical psychologist, an epidemiologist, and an expert on global public\nhealth, Dr Brain Hall, assistant professor from the Department of Psychology,\nFaculty of Soical Sciences, is particularly interested in understanding the\nsocial determinants of population health. In collaboration with various local\nand international non-governmental organisations, Dr Hall and his research\ngroup are currently developing health intervention programmes for marginalised\ncommunities in Macao.<\/p>\n\n<p>&nbsp;<\/p>\n\n<p><b>Challenges Beyond\nData Analysis <\/b><\/p>\n\n<p>Before coming to Macao, Dr Hall travelled to Africa, where\nhe worked with various peoples in Ethiopia and the Democratic Republic of the\nCongo to collect research data and train community health workers to carry out\ninterventions. But he was unable to stay in Africa for long periods of time,\nand had to frequently travel between Africa and the United States; this left\nhim feeling dissatisfied with this way of conducting research. \u2018I didn\u2019t\nactually spend enough time in the community to make a long-term difference,\u2019 he\nsays. \u2018As an engaged public health researcher, I want to provide sustainable\nbenefit for people in need, rather than just harvesting the collected data for\nacademic publication.\u2019 Dr Hall believes in a science of consequence.<\/p>\n\n<p>Subsequently, Dr Hall travelled to China and began to study\nmental health disorders in relation to internal migration. When he made his\nfirst visit to Macao in 2012, Dr Hall not only enjoyed his stay but also\ndiscovered that the field of mental health was a relatively underdeveloped area\nand that Macao was in need of a more complete mental health system and\nevidence-based psychotherapy methods. \u2018I felt like some of my expertise and\nskills could be applied here,\u2019 he says. And thus, he began a new chapter in his\nlife and embarked on new research projects in Macao.<\/p>\n\n<p>The data that Dr Hall and his team have collected from local\nMacao people and migrant workers can be used for further study by all local\nstakeholders in Macao. For example, Dr Hall\u2019s research team conducted the first\nepidemiological study of depression in Macao and the first studies of Macao\u2019s\ndomestic workers. \u2018Not only could the government refer to the data but also\nother entities such as local NGOs, consulates and priests in favour of\nimproving the health of Macao people. These data concerning the circumstances\nof workers and the attitudes of employers are potential pathways for\nimprovements to critical health disparities. The objective is to influence\npolicy making, the community, or even the individuals through our research,\u2019 he\nsays.<\/p>\n\n<p><br\/><\/p>\n\n<p><b>Care for Labourers on\nthe Periphery <\/b><\/p>\n\n<p>Apart from articulating the unfulfilled demand for local\npublic mental health services, Dr Hall also emphasises the health issues faced\nby domestic workers living in Macao. He explains that, in terms of protection\nand rights, domestic helpers are at the lower end of the migration or\nglobalisation continuum; and they are therefore considered a marginalised\ncommunity in Macao.<\/p>\n\n<p>As with many other professions, domestic workers sometimes\nexperience significant stress at work, which may lead to serious mental and\nphysical health problems if it is not properly treated in a timely manner \u2013 the\ndifference is that domestic workers are typically excluded from local social\nwelfare and health schemes, and may lack sufficient legal protection from the\nworkplace conditions that create health problems, Dr Hall notes.<\/p>\n\n<p>\u2018Domestic helpers might be challenged by daily expenses.\nMost of them usually opt to eat MSG food products as they are much cheaper.\nTheir poor eating habits would increase their risk of diabetes and cardiovascular\nhealth problems as a consequence; what\u2019s more, they might also suffer from\nconflicts with family members living far away, and experience daily stressors\nand discrimination in Macao. When these stressors become chronic, it can be\noverwhelming,\u2019 Dr Hall says.<\/p>\n\n<p>Like many other occupations, domestic helpers require much\nenergy and presence of mind \u2013 such mental and physical wellness is the key for\nwork efficiency. \u2018If you create a selfish argument, as an employer, I want the\npeople who work for me to be healthy and productive. So selfishly, if achieving\neffectiveness means I need to increase their wage or I help them in other\ninstrumental ways, like providing health insurance, then I\u2019ll do it,\u2019 he says.\nThat sort of mentality is another research project that Dr Hall is currently\nworking on \u2013 understanding what local people think about the health and\nwellbeing of the domestic workers they employ. \u2018A city should recognise the\nsignificance of contributions of all people to society. Migrant workers do make\na great contribution to Macao.\u2019<\/p>\n\n<p>&nbsp;<\/p>\n\n<p><b>Macao-based Mobile\nHealth Intervention <\/b><\/p>\n\n<p>As the prevalence of mental illnesses like depression and\nanxiety continues to grow, many clinicians have turned to mobile applications\nas tools for treatment. Such mobile health intervention is one of the projects\nthat Dr Hall\u2019s research team is currently addressing: mHealth or eMental\nHealth, an electronic intervention programme that makes therapy more\naccessible, efficient, and portable.<\/p>\n\n<p>According to Dr Hall, this programme will adapt the\nprinciples of evidence-based psychotherapy into a mobile platform. mHealth can\nbe especially helpful for teenagers and young adults, such as domestic workers,\nsuffering from mental illness due to their reliance on technology to\ncommunicate. The end users will be exposed to various practical skills which\nare derived from a particular therapy programme, and this training will also be\ncombined with weekly supportive phone calls to monitor their progress.<\/p>\n\n<p>\u2018The apps can be helpful as a way to engage people who may\nbe unwilling or unable to attend face-to-face therapy, and they can also\nprovide support in between sessions. It will also help lessen the burden of\nclinicians attempting to work with a substantial number of people in need,\u2019\nsays Dr Hall. The mHealth app also messages users to remind them to stick to\ntheir medication schedules. It can be of significant help to people with health\nproblems such as diabetes or HIV.<\/p>\n\n<p>Certainly, challenges such as cultural differences and\nlanguage barriers have to be taken into consideration whilst developing\nmHealth, because Dr Hall also aims to adapt the programme to meet the needs of\nspecific cultures or ethnic groups. According to Dr Hall, the programme has to\ngo through many formative research processes, for instance, consultation with\nlocal experts to discuss mental health and treatments as well as collaboration\nwith target populations, in order to establish cultural appropriateness and\nsensitivity.<\/p>\n\n<p>\u2018By doing so, mHealth will morph from a generic platform\ninto a dynamic hub with a particular focus on certain populations,\u2019 says Dr\nHall. \u2018We have to get to a point where everything is consistent and the app is\nsomething that people will want to use.\u2019 Therefore, the goal of this ambitious\nresearch programme is not only to serve the local community but to also reach\nthe ethnically diverse populations of Macao. Dr Hall expects that such an\neMental health programme will be developed as an effective tool within three\nyears\u2019 time.<\/p>\n\n<p>&nbsp;<\/p>\n\n<p><b>Bringing Light to\nCommunity with Students <\/b><\/p>\n\n<p>Living in a world on the move, Dr Hall often encourages his\nstudents to empower communities composed of people with culturally and\nlinguistically diverse backgrounds. Instead of sitting in an ivory tower,\ndivorced from the lives of ordinary people, Dr Hall engages with the community,\nand works together with the students from his classes and research team to\nestablish relationships with local NGOs and cultural groups.&nbsp;<\/p>\n\n<p>\u2018Showing your face is the very first step to building up\nmutual trust and respect,\u2019 Dr Hall says. \u2018We want to do our best and help,\nmaking an impact \u2013 it\u2019s not just about collecting the data. Research should be\nused to inform policy makers and the broader community about the critical\ncommunity needs, and develop pathways to improve population health.\u2019 That is\nwhy he urges his students to work and volunteer in various NGOs as part of\ntheir training. The students can also propose their own projects or initiatives\nthat strive to build a more inclusive Macao. This will hopefully grant them a\nbroader perspective about the diverse groups of people we live with and\nencounter daily in the territory.<\/p>\n\n<p>Dr Hall describes his students as initially shy, but says\nthat they warm up quickly when they join cultural activities such as food\nfestivals or social gatherings. He also reports the positive experiences that\nthe students relay to him. \u2018By doing so, they gain a better understanding of\nthe unique experiences of migrant workers and the rich cultural diversity of\npeople from across Asia, on a more personal level.\u2019<\/p>\n\n<p>\u2018Students are then prompted to get real world experience\ninstead of simply being in the classroom and learning about the world from a\ntextbook,\u2019 Dr Hall says. By engaging students in the learning process through\noutreach services, he observes that the wealth of potential that the younger\ngenerations possess can contribute to the community and society. This\nexemplifies the University of Macau\u2019s unique 4-in-1 educational model. \u2018It\u2019s\nessential to prepare our students to be global citizens and recognise our world\nas an increasingly complex web of connections among diverse peoples,\u2019 he\nconcludes.<\/p><\/div>","protected":false},"excerpt":{"rendered":"<p>Source: umagazineIn an era of rapid globalisation, Macao has been home to culturally diverse groups and it continues to grow as the economy prospers. However, certain populations are prone to&#8230;<\/p>\n","protected":false},"author":1,"featured_media":126536,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[60],"tags":[],"class_list":["post-194311","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-press-release"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u2018Open to Others\u2019\u2013Pathways for Social Harmony | Universidade de Macau<\/title>\n<meta name=\"description\" content=\"Universidade de Macau: Uma universidade abrangente p\u00fablica de n\u00edvel internacional fundada em 1981\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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