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A biopsychosocial case formulation is an important tool for understanding complexity and guiding treatment for people with intellectual disabilities. It has been suggested that formulation meetings develop staff understanding of individuals they support. This study aims to explore the change processes that occur as a result of professional team formulation meetings, and the mechanisms that facilitate and hinder these events.

Eight clinicians who took part in multi-disciplinary team-based formulations in an inpatient mental health service for adults with intellectual disabilities were interviewed. Interviews were examined using thematic analysis.

The key themes identified were: “gaining information”, “altered thoughts” and “focused goals”. These themes were supported by “collaborative working” and “time for reflection” and were hindered by “poor communication and interaction” and inconsistent “staff attendance”.

Multi-disciplinary team formulation meetings may have a number of change processes that affect staff knowledge and perception of the people that they support. The facilitation of these processes should be a focus for further development.

Research into culture within intellectual disability services, has predominantly focussed on small group homes in Australia. The current investigation aimed to explore the transferability of the dimensions of culture identified in the literature, to a residential Intellectual Disability service in the UK. The purpose of this study was to better understand the impact of informal culture upon the behaviour of direct care staff, particularly around managing behaviour that challenges.

Semi-structured interviews were conducted with direct care staff. Interview transcripts were analysed thematically using template analysis.

Themes regarding leadership, perceptions of managers, team functioning, and relationships between direct care staff and service users, were identified, corroborating the existing literature. Additional themes relating to being aware of the risks posed by service users, and the emotional impact of behaviour that challenges, also emerged.

To the best of the authors’ knowledge, this is the first qualitative study to explore informal culture within a community residential Intellectual Disability service in the UK.

The purpose of this paper is to analyse ratings data from the recently developed Learning Disability Needs Assessment Tool (LDNAT) to identify factors associated with specialist intellectual disability (ID) hospital admissions.

Ratings from 1,692 individuals were analysed and the LDNAT items differing significantly between inpatients and non-inpatients were identified. Statistical analyses on total scores derived from these items were used to calculate an optimal cut-off. This LDNAT inpatient index score was also confirmed via an alternative statistical technique.

On average, 18 of the 23 LDNAT item ratings were significantly higher in people with ID assessed as inpatients compared to those rated in community settings. Using the total of these items, the resulting LDNAT inpatient index was analysed. A cut-off score of 22.5 was calculated to be the optimal balance between sensitivity (0.833) and specificity (0.750). This was confirmed by calculating the Youden index (j=0.583). At this level 68 per cent of inpatients and 81 per cent of non-inpatient cases were correctly identified.

Currently there is a national (UK) programme to radically reduce the amount of specialist inpatient care for people ID. This will necessitate early identification of individuals most at risk of admission together with investment in improved, proactive community services if admissions to a diminishing bed-base are to remain manageable.

This study confirms the associations between mental health difficulties, challenging behaviour and specialist hospital admissions for people with ID, extending existing research by translating these findings into a clinically usable risk index.

The aim of this study was to provide a pilot evaluation of novel, brief formulation development workshops with direct care staff supporting people with intellectual disabilities who display significant psychosocial difficulties. A series of workshops were designed and delivered to a staff team supporting an individual who had been referred to specialist intellectual disabilities health services. The workshops used a psychosocial framework to facilitate development with care staff of a case formulation for the individual they were supporting. Following the workshops, there were decreases in problematic behaviours displayed by the individual and in the staff team's perception of the severity of these behaviours. The staff team felt that the workshops had had a beneficial impact on their practice. The pilot indicated that the workshops were feasible, positively received and associated with changes in the psychosocial difficulties displayed by the individuals staff were supporting.

With the present issue the British Food Journal attains its majority. For the last twenty‐one years the Journal has devoted its pages to matters directly or indirectly relating to the repression of adulteration and to the efficient and proper administration of the Sale of Food and Drugs Acts and the Public Health Acts. If the Journal has in any way contributed to the efficient and proper administration of these Acts, it has performed a real public service, the magnitude of which can best be appreciated by those whose daily work brings them in contact with these matters. The policy of the Journal remains the same to‐day as it was when the Journal was established. Correct and reliable reports of food adulteration cases and cases of fraudulent trading form one of the main features of the Journal, but it is not intended to be, and has never been, an organ solely concerned with the directly‐visible aspect of these matters as revealed by the reports of legal proceedings and by official reports submitted to the Authorities.

It is a widely held belief that labour market failure amongst young people is heavily influenced by formal educational attainments. Few British studies, however, have paid specific attention to the question of what particular level of academic achievement is valued most highly by the market within any period of time. This article queries the focus of earlier research – explicitly concerned with education and labour market fortune – which implicitly suggested that the Certificate of Secondary Education was of prime importance in securing employment for the youngest members of the labour force in recent years. Moreover, it is demonstrated that omitting controls for influences frequently held to be important determinants of educational attainment generates upward bias in the estimated returns to education and thereby inflates expectations as to the benefits likely to follow from even seemingly radical reforms to the formal schooling system.

At a recent meeting of the Glasgow Grocers' and Provision Merchants' Association, it was alleged that there are provision merchants in Glasgow who are doing a large business in selling margarine as butter at 1s. 2d. per pound. In commenting upon this statement The Grocer very properly urges that the officials of the Association referred to should take prompt steps to place the facts in their possession before the Glasgow authorities and their officers, and observes that in certain cities and towns—Birmingham, for example—the grocers' associations have co‐operated with the authorities in their efforts to suppress illegal trading, particularly in regard to the sale of margarine as butter. It appears that one of the members of the Glasgow Association expressed the opinion that the Margarine Act has been a failure and that shopkeepers who sell margarine as butter should be charged with obtaining money under false pretences.

According to a report just issued by Dr. ARTHUR NEWSHOLME, the Principal Medical Officer of the Local Government Board, it appears that a majority of the staff of the Medical Department of the Board have been engaged in assisting to establish as favourable sanitary conditions as possible at the training centres for the new troops so that the risks associated with the concentration and feeding of large numbers of men under temporary conditions should be reduced to a minimum.

The wastage that occurs owing to defective knowledge of the conditions affecting the quality of fruit carried in refrigerating chambers on board ship, and the attempts which are being made to solve the problems involved, formed the subject of a joint contribution to the Section of Engineering by Dr. Ezer Griffiths and Mr. Edgar A. Griffiths.

THIS issue of The Library World marks the commencement of a new volume, and we take the opportunity of thanking our many readers for their continued good feeling and support. It is a pleasure to us to record the fact that we are able to enlarge this initial number of the volume and that we feel the time has come when we shall make such enlargement a permanency, without any corresponding increase in the subscription price.