Search results

The purpose of this paper is to explore and highlight the main elements of an autism spectrum disorder assessment in adults. It features significant challenges for the clinical teams responsible to undertake the assessment. This paper aims to explain the importance of the wider needs assessment in accordance to the Autism Act and Autism Strategy.

The paper describes the main symptom domains for an ASD diagnosis, according to the two basic diagnostic manuals. It provides compendious summary of the available diagnostic tools and the significant comorbidities people with ASD present with including other neurodevelopmental disorders, mental or physical health problems, challenging behaviour and risk issues.

The paper proposes that all National Health System professionals should be able to recognise possible signs of ASD and accordingly refer individuals for a comprehensive assessment to secondary services. It highlights the importance of a wider needs assessment as part of a broader approach to addressing the needs of those with suspected ASD.

The paper aims to improve the gaps which remain in the referral and diagnostic process of people affected by ASD.

Through a comprehensive assessment the paper aims to improve the educational, social and personal functioning of people with ASD as well as the quality of life of their parents and carers.

The paper assembles a wide range of relevant considerations in regards to potential ASD in one place, and can be used to inform a comprehensive understanding of the assessment/diagnosis process.

This paper aims to provide an overview of the recent National Institute for Health and Clinical Excellence (NICE) clinical guidance for diagnosis and treatment of adults with Autism Spectrum Disorder (ASD) and to discuss clinical and practical implications.

This is a summary and discussion of the NICE guidance for adults with autism. This includes discussion of relevant related guidance, the need for transition services for young people with ASD, education of professionals, applicability of the guidance to people with intellectual disabilities and challenges related to implementation of the guidance in a changing National Health Service.

The guidance provides an excellent overview of current and state-of-the-art strategies for diagnosis and treatment of ASD-related behaviours, and their level of evidence. In terms of diagnosis, the main recommendation for clinicians is to carry out a comprehensive assessment for adults with suspected autism, taking into account co-morbid mental health problems and potential unmet needs. In addition, NICE makes recommendations regarding pharmacological and psychological interventions and these are discussed. The guidance also makes specific recommendations regarding service design, for example the formation of Autism Strategy Groups. This will hopefully support the development of specialist adult autism services.

This paper provides new insights into the implications of the recently published NICE clinical guidance for autism in adults, relevant for health care professionals, service managers and service users.

Reporting to the police incidents of challenging behaviour displayed by inpatients with autism spectrum disorders (ASD) and learning disability (LD) represents an important but often controversial issue. The purpose of this paper is to contribute to this topic through a brief literature review and the presentation of a clinical case.

Case study and literature review.

The action of reporting to the police can be a useful tool within the therapeutic input provided to patients with ASD and LD who present with challenging behaviour. This can enable staff to feel legally supported, and can promote patients’ learning of social rules, in respect of their rights and duties. The clinical case highlighted that reporting to the police can be effective when it is part of a comprehensive, multi‐professional therapeutic process. This should aim at directing patients towards rehabilitation rather than incarceration. This should also entail the identification of clear pathways and ongoing involvement of patients and families.

Despite the relevance for clinical practice of the above debate, little has been published on this topic. This paper contributes to this discussion through the presentation of a clinical case and by describing how this issue was addressed within a secure inpatient setting.

THE effective little conference of the London and Home Counties Branch of the Library Association at Brighton gave clear proof of the value of and desire for such gatherings. This experience, we are confident, will be understood by our Council and a national conference should be possible in 1946. At Brighton, amongst many good things, from the public lecture by Charles Morgan to the excellent symposium by the Service members, there was the important statement by Mr. Goldsack, Chairman of the National Book League and a well‐known publisher, on the state of British stocks of books. A census made by publishers and booksellers had revealed that some 50,000 basic books, which are required continuously by libraries, schools and the general reading world, are out‐of‐print. It may be recalled that forty years ago James Duff Brown asserted “of real, living works of literary and human interest, there are perhaps not more than 20,000 in the English language,” and if more than twice that number of books are unavailable the condition would seem to be parlous. Of course the quotation we have made is not acceptable today nor is the statement unqualified in the Berwick Sayers' editions of Brown's Manual, but Mr. Goldsack's figures give us furiously to think. We are bound to keep in every town and county a representative collection of books of every age and we do know that there is the insistent demand for current books; for some readers, indeed, this means current fiction; lacking that we are labelled as “useless” by the most vocal part of the community of readers.

Communications regarding this column should be addressed to Mrs. Cheney, Peabody Library School, Nashville, Term. 37203. Mrs. Cheney does not sell the books listed here. They are available through normal trade sources. Mrs. Cheney, being a member of the editorial board of Pierian Press, will not review Pierian Press reference books in this column. Descriptions of Pierian Press reference books will be included elsewhere in this publication.

Crime as a force in globalisation has largely escaped analysis. Even crime as a natural product of modernisation and social development is concealed or ignored in both the literature of development studies and criminology. In order to understand globalisation fully, and its paradoxical progress, crime provides an interesting and dynamic insight as a force within world cultural transition.

IN December, 1964, Messrs. A. G. Sheppard Fidler and Associates, of Epsom, were commissioned by the Epsom and Ewell Borough Council to prepare a project design for a new building on a six‐acre site in Ewell, to house:—

There is a general agreement that the potential of shared learning is great in terms of interprofessional working and client care. Despite the fact that interprofessional education has been a key area of professional education and practice policies for the last decade there is a dearth of evidence of its successful implementation in maternity care. Doctors and midwives are often educated in separate faculties within universities and rarely given the opportunity for shared learning activities, particularly at postgraduate level. Barriers to implementing interprofessional learning are identified within the literature and these include a difference in perception of the status each profession holds and different ways of working and learning which impedes the development of interprofessional relationships. It is argued that through interprofessional education, doctors and midwives should be enabled to develop skills of collaborative working, thus making referrals between professionals more effective. The exploration of the differences of professional cultures in a shared learning environment will enable professionals to formulate agreement on best practice in the clinical areas, based on current best evidence. Thus, interprofessional education aims to dispel the stereotypes and prejudice which often act as a barrier to effective collaborative working. The implications of interprofessional education on three main areas of practice are explored using a review of the literature: professional roles; conflict and collaboration between professions; and the sharing of knowledge and skills. Recommendations are made for the development of post‐registration shared learning that address these key areas.

The purpose of this paper is to define co-exploitation, co-exploration, and alliance ambidexterity from the perspective of organizational learning; to analyze how knowledge bases, structural arrangements, and control mechanisms of R&D alliances influence co-exploitation and co-exploration; and to discuss how to achieve alliance ambidexterity by managing paradoxes around knowledge bases, structural arrangements, and control mechanisms.

This is a conceptual paper focussing on how to balance exploitation and exploration at the alliance level through managing three paradoxes of cooperation: similarity vs complementarity, integration vs modularity, and contracts vs trust.

While technological similarity, structural integration, and contracts are more likely to promote co-exploitation, technological complementarity, structural modularity, and trust are more likely to facilitate co-exploration. Alliance ambidexterity, which is beneficial for alliance performance, derives from either the combination of technological complementarity, structural integration, and contracts, or the combination of technological similarity, structural modularity, and trust temporally.

Researchers should analyze the possibility of building alliance ambidexterity in other types of interorganizational relationships, and find other possible antecedents of interorganizational learning.

Managers should not simply treat R&D alliances as one of exploratory interorganizational relationships, but pay equal attention to co-exploitation and co-exploration. To achieve this balance, practitioners should combine technological complementarity with structural integration and contracts, or integrate technological similarity with structural modularity and trust.

This paper is one of the first contributions that analyze how an R&D alliance could gain its ambidexterity through the management of nested cooperation paradoxes.

THIS is the time of the year when, with the strong opening of the Spring publishing season, librarians take a review of matters which definitely concern books. There is a cant saying amongst certain eager librarians that their colleagues are too concerned with technical matters and too little, if at all, concerned with books. There may have been isolated cases of this kind, but it is merely untrue to say that the average librarian is not concerned, deeply and continuously, with the literary activity of his day. It is well that men should live in their own time and be thoroughly interested in the work of new writers. There is danger that exclusive occupation with them may lead to an unbalanced view of the book world. If one judged from the criticisms that occasionally appear in our contemporaries, one would suppose that the only books that mattered were the authentic fiction of the day, and by authentic is meant the books which go beyond average contemporary thought and conventions. Librarianship, however, is concerned with all books of all subjects and of all time. This note is merely a prelude to a number of THE LIBRARY WORLD which deals mainly with literature and with reading. Here we return again to the perennial fiction question.