Appendixpresentation6.6 by panniuniu

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									“You’ve got to move fast to keep up with the times
       For these days a man cannot dander
 There's a bylaw to say you must be on your way
      And another to say you can't wander”
      Ewan MacColl – ‘Thirty Foot Trailer’
 Ciara FitzGerald




 Suzanne Leclair
Hypotheses:
1. Do the Traveller Community experience social
   exclusion due to prejudices held against them
   because of their unique culture?
2. In comparison to members of the settled community,
   is the Traveller Community’s poorer health status
   linked with their high poverty and social exclusion?
3. Could Occupational Therapy make a difference in
   improving their health status?
 To gain insight into the current health/social status of
  members of the Traveller Community.
 To increase our awareness of the rich, unique culture
  of the Traveller Community and how this often
  misunderstood culture impacts negatively on their
  access to health services.
 To determine the accessibility of healthcare services to
  the Traveller Community, with a particular focus on
  Occupational Therapy Services.
 To discover what Occupational Therapy Services may
  benefit members of the Traveller Community.
 Traveller community means the community of people
  who are commonly called Travellers and who are
  identified (both by themselves and others) as people
  with a shared history, culture and tradition, including
  historically a nomadic way of life on the island of
  Ireland’. (Government of Ireland, 2002)




www.geocities.com/~Patrin/ireland.htm
 Irish traveller history is mostly undocumented
Many theories exist:
1. Descendents of peasants forced onto the roads due to the
   Great Famine of 1840

2.   ‘Culture of poverty’ (Gmelch, 1974)

3.   ‘Drop out’ theory

Irish culture should properly be seen as an outcome of a
    complex interaction between settled and nomadic ways
    of life.. (McVeigh et. al, 2003, p. 18)
 Traditionally Irish travellers were commercial rural
 based nomads selling a wide range of goods and
 services-‘Transient Trading’




 After the 2nd World War there was a decline in Irish
 Traveller economy forcing many Travellers to move
 from.....
This led to many illegal and unserviced
sites, especially around the Dublin area
A specific anti-Traveller racism developed
              from the 1960s onwards
 Image of Travellers as:

   Trespassers

   Alcoholic

   Criminal

   In Need of Rehabilitation



 Increased use of the Government Sanitary Services Act
  (1948) to contain Travellers mobility
      No traveller representation involved

 Did not represent the real lives or activities of
                     Travellers

 Travellers were portrayed as a social and moral
                     problem

      Report has been the cornerstone of
             government policy since
 Social welfare payments
 Housing (Miscellaneous Provisions) Act 2002
 Presence of boulders preventing camping around the
 country
 "Deasy suggests birth control to
limit traveller numbers"                      (Headline in Irish Times, Friday, June 14, 1996.)


 "Good relations knackered"
 The conflict is not between settled and Traveller. It's
 between decent people and ‘knackers'.
 (Sunday Independent 31 August 1996)


 "Killarney is literally infested by these people".
 (County Councillor quoted in Cork Examiner, 18th July, 1989)


 "The sooner the shotguns are at the ready and
 these travelling people are put out of our county
 the better. They are not our people, they aren't
 natives." Remarks of a Fianna Fail Councillor at a Waterford County Council
 meeting. (Sunday Independent, 14 April 1996)
 Side of the road with little or no   facilities




 Members of the Traveller community are more likely to
  live in standard or group housing accommodation
 Tinsmithing and horse dealing are no longer
  commercial enterprises but they still remain a big part
  of Traveller identity
 Disposing of the possessions of the dead-everything
  associated with the dead person is destroyed
•Large families




                  •Celebrations




                                  •The “Fair Fight”-
                                  fighting for honour
 Importance of family and kinship
 Importance of the extended family
 Travellers do not accumulate and therefore do not
  bequeath capital (Ní Shuinéar, 2005)
 Status measured through earning power and honour
 No hierarchy
 Scrap metal recycling

 Market trading




             Horse dealing

             Often keen dog breeders such as

              greyhounds or lurchers (Burke, 2007)
 “Travellers should have equality of access, equality of
  participation and equality of outcome in a fully inclusive
  education system that respects Traveller identity and
  culture…’’

  (Department of Education and Skills,
                          2006 )
 According to the recent “All-Ireland Traveller Health
  Study”(2010),
       In ROI , only 38.5% of 30-44 year old Traveller’s and 25.8% of
        45-64 year olds had primary education.


 Quote from Traveller teenager:
   “Slow learners, like I got put into a room with the teacher fixing
     jigsaws and I got put into the slowest class in school. Slow
     learners every one used to call it. And I got put into that like
     automatically without even doing a test. And just putting me
     down like”.
 Road bowling
 Cycling
 Horse and carts -“Sulkys”
 Boxing
 Soccer
 Handball
 Horse Shoes
           A “Secret” Language
         1. Shelta, Cant, Gammon.

         2.            “Markers” (Hayes, 2006)




1.       Vfghf



(Bhreatnach, A. (1998). Travellers and the print media : words and Irish identity. Irish Studies

         Review, 6 (3), 285-290.)
What is health?

                  “Health is a state of complete
 physical, mental and social well-being and not
 merely the absence of disease or infirmity.” (W.H.O.,
 1948)
 “ All people need to be able or enabled to engage in
 the occupations of their need and choice , to grow
 through what they do , and to experience
 independence or interdependence , equality,
 participation , security ,   health , and well-
 being.”                 (Wilcock & Townshend ,
 2008, p.198).
                       Female Life Expectancy   11 Years Less

                   Male Life Expectancy is 15      years less
 Only 3.3% of the Traveller Community are over 65 years
  compared to 11% of the general population.

 Traveller men mortality rate   x4

 Traveller women mortality rate   x3

 Suicide Rate x6
 Most Travellers believe they experience poor health
 and attribute this to three main factors:

   1.   Lack of Appropriate Accommodation

   1.   Discrimination

   1.   Racism and poor health behaviours. (AITHS, 2010, pg.
        63)
 Differences occur at all levels from access to follow up
                     appointments
    50% of settled people used outpatient services
       compared with 11% of Traveller patients




71% of settled patients were referred to clinical services
        while only 18% of Travellers were referred
 Literature review-Major gap identified


 Qualitative Phenomenological Methodology


 Analyse participants’ experience of meaning


 Examine personal descriptions of lived experiences so
  these experiences can be better understood (Giorgi, 1985).

 Comprehend the holistic complexity of people’s lived
  experiences
 Subjects for the questionnaire and interview were
 located by contacting the Traveller Visibility Group in
 Cork City

 Issued questionnaires to 10 members of the Traveller
 Community

 Group Interview with three members of the Traveller
 Community, one who is a Health Development
 Worker. Also one non-Traveller who is also a Health
 Development Worker
Data Analysis
Very Good
Good
Average
Poor
Very Poor
Yes
No
7



6



5



4



3



2



1



0
    Yes   No
8


7


6


5


4


3


2


1


0

    Yes   No
    Conducted a Group
 Interview with 3 members
of the Traveller Community,
    One Who is a Health
  Development Worker and
  One Non-Traveller Health
    Development Worker
“Lack   of exercise, unhealthy lifestyle”



“Chesty coughs, colds...”



“Conditions are extremely tough in the
  sites....the outside bathroom is hard
  concrete, no heating.... spread of
  viruses....overcrowding”
“The men would have to be on
 their deathbeds before they’d
        go to the doctor”
“Some G.P.s won’t take on Travellers”

“People living in houses have better
          access to services”
“No outreach from health professions to the
           Traveller Community”




      “Trust Issues...A Trust Barrier”
 Evidence that the Traveller
 Community experience social
 exclusion due to prejudices held
 against them

 Both literary and qualitative reports
 of poor health status and low life
 expectancy
 Lack of awareness in the Traveller Community


 Services of interest:
             Behavioural management
             Health Promotion
             Rehabilitation Services
             Home Modification
             Mental Health Support
             Adaptive Equipment Provision
             Education Programmes
             Work Skills Training
             Communication and Social Skills Training
 Occupational therapy is a service which could benefit
  the Traveller Community in the above ways
 Promotion of Occupational Therapy and Occupational
  Therapy Services
 More Occupational Therapy Literature is needed
  which applies to the Traveller Community

Future Actions:
In conjunction with the Traveller Visibility group,
  develop a leaflet about Occupational Therapy that is
  Traveller oriented
 We would like to thank everyone working at the
 Traveller Visibility Group located in Cork City,
 Ireland for their support and invaluable
 information.

 We would also like to thank all our lecturers in the
 Department of Occupational Science and
 Occupational Therapy in University College Cork,
 in particular our mentor Shelley Mack.
Traveller Visibility Group Logo
Members of the Traveller Visibility
             Group
   Adelaide and Meath Hospital incorporating the National Children’s Hospital (2005). Use of hospital facilities by the traveller
              community. Eastern Region: Traveller Health Unit.


   Bhreatnach, A. (1998). Travellers and the print media: Words and Irish identity. Irish Studies Review 6(3), pp. 285-90.


   Burke, M. (2007.) ‘Who are the Travellers?’, The Travellers: Ireland’s Ethnic Minority. Retrieved July 30, 2010 from
              http://www.qub.ac.uk/schools/SchoolofEnglish/imperial/ireland                  /travellers.htm


   Central Statistics Office (2006). Principal demographic results: Ethnic or cultural background, (Vol. 5). Cork: Central Statistics
               Office.


   Department of Education and Skills (2006). Report and recommendations for a traveller education strategy: Working with young
            travellers. Dublin: The Stationery Office.


   Gmelch, S.B. & Gmelch, G. (1974) The Itinerant Settlement Movement: Its Policies and Effects on Irish Travellers. Studies: An
              Irish Quarterly Review, 63, (249), pp. 1-16.
   McVeigh, R., Donahue, M., & M. Ward (2003). Misli, crush, misli: Irish travellers and nomadism. Retrieved
           September 7, 2010 from http://www.itmtrav.com/publications/MisliCrushMisli.html

   Ní Shúinéar S. (2005). Irish travellers: a culture of anti-hierarchy. Retrieved September 1, 2010 from
             ttp://www.history.ul.ie/heatravinit/documents/word/AntiHierary_final.doc

   Ní Shuinéar, S. (2004). Inventing Irish traveller history. History Ireland, Vol. 12, No. 4, (pp. 15-19).

   Preamble to the Constitution of the World Health Organization as adopted by the International Health
            Conference, New York, 19-22 June, 1946; signed on 22 July 1946 by the representatives of 61 States
            (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April
            1948.

   Silke, D. (2005), ‘Accommodating the Traveller Community’, in M. Norris and D. Redmond (eds), Housing
               Contemporary Ireland: Policy, Society and Shelter, Dublin: Institute of Public Administration

   University College Dublin School of Public Health and Population Science. (2010). All Ireland Traveller Health Study.

   Wilcock & Townshend, 2008, p.198. American Occupational Therapy Association (2008). Occupational
            Therapy Practice Framework, Domain and Process. (2nd ed.) American Journal of Occupational
            Therapy, 62, 625-683.
   Hayes, M. (2006).Indigenous Otherness: Some aspects of Irish Traveller Social History.
           Project MUSE: Scholarly journals online, 41(3&4), pp. 132-161.

   Hodgins, M., Barry, M. & Millar, M. (2006). ‘‘It’s all the same no matter how much fruit or
          vegetables or fresh air we get’’: Traveller women’s perceptions of illness causation
          and health inequalities. Social Science & Medicine, 62.

   Laughlin, J.(1998). The political geography of anti-Traveller racism in Ireland: the politics
           of exclusion and the geography of closure. Political Geography, 17, No. 4, pp. 117-
           435.

   Mac Laughlin, J. (1999). Nation building, social closure and anti-traveller racism in
          Ireland. Sociology, 33(1), pp. 129–151.

   Van Hout, M.C. (2010). Alcohol use and the traveller community in the west of Ireland.
          Drug and Alcohol Review, 29, pp. 59–63.

   Walker, M.R. (2008). Suicide among the Irish traveller community 2000-2006.Wicklow
           County Council.
  Thank you!

Any Questions?

								
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