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For over 15 years, Mental Health First Aid™ (MHFA) has successfully been delivered in Wales, United Kingdom, with growing interest in the MHFA programme and increasing course attendees. Trainers, aware of the need for support, know the importance of MHFA being accessible for different communities and learner groups. MHFA has always focused on increasing mental health literacy. One marginalised group, with lower mental health literacy than the general population, is Deaf people, a group with increased risk of mental health problems. This paper aims to provide insights about why Deaf people are twice as likely as hearing people to experience mental health problems.

During this paper, the authors have used four focal points i) exploring situational contexts for Deaf people; ii) reasons why Deaf individuals are at greater risk of mental health problems; iii) the authors explore a project, “Hear Deaf”, and implementation of MHFA Wales by Deaf MHFA trainers; and iv) initiatives to influence and impact on policymakers.

During the project, nine MHFA courses were delivered to Deaf communities across different locations in Wales, often with information and advertisements circulated directly to Deaf communities through Deaf clubs, resulting in 120 Deaf people trained. The authors conclude with their own reflections as a researcher and an MHFA who work predominantly with Deaf communities.

This paper provides a discussion on the specific risks for Deaf people around mental health and the importance of mental health promotion programmes for Deaf communities. Further research is needed regarding the impact of MHFA on Deaf populations.

It has been identified that mental health literacy among the public is poor, with stigmatising attitudes persisting. The public frequently encounter people experiencing mental distress in the workplace, in their families and communities, and may be ill‐equipped to provide appropriate support. Mental Health First Aid is a 12‐hour mental health awareness programme that seeks to address this. The course aims to train the wider public, and staff in both statutory and nonstatutory sectors, in the knowledge and skills needed to engage with someone experiencing mental health problems. ‘Mental Health First Aid’, first developed in Australia, has now become an international training programme, and is currently being rolled out across the UK. This paper summarises the development and existing research of the programme, and its present position in the four UK regions.

The chapter tries to understand how nuclear tests and the radiation fallouts in their aftermath can lead to cancer. It seeks to explore how our diseased ecological systems have resulted in silencing the birdsong and the spreading of cancer in the Anthropocene with reference to Terry Tempest Williams' (An environmentalist and Utah naturalist) two memoirs – “‘Refuge: An Unnatural History of Family and Place” and “When Women Were Birds: Fifty-Four Variations on Voice.” It would also try to factor in connections between climate change, pandemics like the COVID-19, and the onslaught of other terminal illnesses like cancer, all a result of mankind's anthropocentric hubris and domination of nature.

Mine would be a qualitative approach wherein I will refer to the original two texts mentioned for primary material and other sources for secondary references and analyze them from an ecofeminist perspective.

We need to establish the health of the Environment through reduced usage of nuclear weapons and by developing a language and an environmental praxis that doesn't separate the subject and the object and only then we can usher in biological egalitarianism, and restore the song of the whistling thrush again. We also need to revere our Mother Earth and see to it that she maintains her ecological balance through homeostasis.

Strong leadership in primary care is necessary to coordinate an effective pandemic response; however, descriptions of leadership roles for family physicians are absent from previous pandemic plans. This study aims to describe the leadership roles and functions family physicians played during the COVID-19 pandemic in Canada and identify supports and barriers to formalizing these roles in future pandemic plans.

This study conducted semi-structured qualitative interviews with family physicians across four regions in Canada as part of a multiple case study. During the interviews, participants were asked about their roles during each pandemic stage and the facilitators and barriers they experienced. Interviews were transcribed and a thematic analysis approach was used to identify recurring themes.

Sixty-eight family physicians completed interviews. Three key functions of family physician leadership during the pandemic were identified: conveying knowledge, developing and adapting protocols for primary care practices and advocacy. Each function involved curating and synthesizing information, tailoring communications based on individual needs and building upon established relationships.

Findings demonstrate the need for future pandemic plans to incorporate formal family physician leadership appointments, as well as supports such as training, communication aides and compensation to allow family physicians to enact these key roles.

The COVID-19 pandemic presents a unique opportunity to examine the leadership roles of family physicians, which have been largely overlooked in past pandemic plans. This study’s findings highlight the importance of these roles toward delivering an effective and coordinated pandemic response with uninterrupted and safe access to primary care.

This chapter integrates organization design and sustainability concepts to describe an accelerated transformational change at the Fairview Medical Group (United States).

A case study of the transformation at Fairview Medical Group’s primary care clinics was developed from interviews and first-person accounts of the change. Objective data regarding outcomes was used to evaluate the effectiveness of the redesign process.

The Fairview Medical Group developed an innovation and change capability to transform 35 primary care clinics in six months. All of the clinics were certified by the state of Minnesota as complying with their healthcare standards. Clinical outcomes, costs, and employee and physician engagement also increased. All of the improved measures are sustained.

Healthcare reform in the United States struggles because the organization design challenges are great and the change difficulties even greater. Fairview’s experience provides important evidence and lessons that can help advance our understanding of effective healthcare and create more sustainable healthcare systems. This chapter provides healthcare system administrators evidence and alternatives in the pursuit of implementation.

In the planning and design processes, the urban territories frequently face problems related to the lack of cohesion, not only regarding the morphological fragmentation but also fragilities of social and economic dynamics. The proposed concept of urban cohesion involves these two dimensions – the physical form of the city and the city's socio-economic and socio-cultural dynamics. In introducing this concept our aim is to focus on the idea that public spaces play a fundamental role in those processes, understanding that they are organised in a systematic way. This means that public space is structured in a cohesive system on different territorial scales within the city, forming a "network of networks". Intending to contribute to the strengthening of urban cohesion, the study proposes a method capable of assessing public space networks in terms of their cohesion, not only within the urban structure of the neighbourhood, but also their links to the surrounding networks. This method assumes that the city is formed by diverse territories due to several reasons. Firstly, due to their specific history and genesis, secondly, due to their morphologic characteristics, and thirdly, because of their socio-economic and socio-cultural features. This leads to the key principle that the city is the place of diversity par excellence, and that it is this diversity that gives the city its own character and distinguishes it from other territories. Two cases in the city of Barcelona are analysed. The neighbourhood of Barceloneta, a historic quarter outside the city walls that is now part of its consolidated urban fabric, and the Baró de Viver neighbourhood, an area that can still be considered peripheral to the city.

Sayings like “Do what you love, and you’ll never work a day in your life” epitomize Western society’s emphasis on both the importance and assumed positive nature of passion for work. Although research has linked passion and increased well-being, growing anecdotal evidence suggests the potential for negative individual outcomes of work passion, including decreased well-being and increased stress and burnout. In the present chapter, the authors integrate the Dualistic Model of Passion (which consists of harmonious and obsessive passion), identity theory, and identity threat to describe the paradox of passion, in which individuals overidentify with the target of their passion (i.e., work), resulting in the “too much of a good thing” effect driven by excess passion of either type. The authors thus provide a novel theoretical lens through which to examine the different reactions that individuals may enact in response to threats to passion-related identities, including how these responses might differentially impact well-being, stress, and burnout. The authors conclude by offering future directions for research on the paradox of passion.