Search results

The purpose of this paper is to describe the first 15 months of operation of an innovative specialist national public health observatory for intellectual disability.

The paper provides a narrative account of aims and achievements of the service.

In the first 15 months of operation the observatory has: made available to those involved in commissioning health and social care services, a wealth of information on the health needs of people with intellectual disabilities; identified specific improvements that could viably be made to increase the quality of future information; and begun working with local agencies to support them in making the best use of the available information.

People with intellectual disabilities experience significant health inequalities. This paper describes an innovative approach to helping local agencies make the best use of available information in order to commission services that may reduce these inequalities.

The purpose of this paper is to describe the role of the screening liaison nurses for adults with learning disabilities employed by Peninsula Community Health.

This paper reports on the national situation in regard to cancer screening for people with learning disabilities and explores the barriers which limit their participation in these screening programmes. It describes the screening liaison nurse role and presents case examples of the work they do.

The local screening rates for people with learning disabilities have increased since the creation of this role in 2011.

Increasing the uptake of cancer screening by people with learning disabilities is clearly in line with existing national priorities. To the author’s knowledge this is a unique role in this country and the authors propose that other areas would benefit from adopting this model of working.

This article aims to describe a joint collaboration between an occupational therapist and music therapist at the Royal Hospital for Neuro‐disability in Putney, London, UK. It outlines a series of sessions with a patient with hypoxic brain injury who was referred to the neuro‐behavioural unit for rehabilitation.

The joint work commenced due to a realisation that this particular patient responded well to sensory input and the music and occupational therapist wanted to offer the opportunity to explore this intervention further within a different framework of joint sessions. The article provides an overview of this input, which involved bi‐monthly hour long sessions exploring responses to and engagement with various stimuli within a frame of music, poems and storyline along the themes of the seasons. This ran in conjunction with other rehabilitation sessions on the unit.

The authors found that the patient responded to this format with the focus being on the creative framework and the interaction between the therapists and minimal pressure to achieve tasks. Of course there were still clear clinical goals and there was participation from the patient in order to improve functional abilities.

The overriding improvements in the patient from using this therapy approach were an increase in concentration span and attention and reduction in vocal distress and behavioural agitation. The authors surmise that there is a place for a package of sensorial input with suggestions for implementation which could be used for other patients in neuro‐rehabilitation in this setting or elsewhere.

This paper describes how one specialist learning disability health service has attempted to increase its focus on meeting the complex needs of people with profound learning disability (PLD) both with and without additional physical, sensory and medical impairment. Through individual assessment and intervention, carer consultation, training and supervision, research, and audit and advice to management, a multi‐disciplinary group has influenced the development of more proactive community teams for people with learning disability. This is in the context of both the publication of Signposts for Success (NHSE, 1998) and of a changing organisational culture which has embraced essential lifestyle planning, person‐centred teams, supported living and direct payments. The challenge remains of ring‐fencing sufficient resources (of time, skill and equipment), given the high‐profile and competing demands of people with milder learning disabilities but with complex mental health needs and/or challenging behaviour.

Assembly automation systems without parts tracking are rapidly becoming a rarity. Data requirements range from simple inprocess status (e.g. accept/reject, model) to full product traceability (detailed data for each part produced, referenced to serial number and production dates). Most fall somewhere between the two, such as management information (number of parts produced, downtime, number of rejects, etc.) or statistical quality control (sampled analog test data). Some use a combination of all these categories. Others requirements include implementation of cell control or CIM, tied to a plantwide computer network.

This article describes how effective public service leaders are choosing to lead in exceptionally challenging circumstances. It outlines the current crucible of demand for excellent services and significant cost reduction and radical organisational change. At its core, it shows how some public service leaders are making great progress by making five key choices ‐ demonstrating bold, engaging and collaborative leadership; majoring on the transformational not transactional elements of change; not letting the inevitable uncertainties get in the way of intense engagement of their people; making tough calls on priorities; and steering their leadership teams and broader leadership communities towards genuine collaboration and connectedness.The article also identifies six leadership frames that public service leaders are drawing on: confidence; safe uncertainty(Mason, 1983); employee engagement; trustworthy leadership; collective, mutually supportive leadership; and appreciative, transformational choices.

This study aims to explore the stories of two young refugee women, Sue Mar and Amora, and how their adolescent identities, experiences, and beliefs, partially shaped by their English teacher, helped pave their paths to higher education.

This study is guided by the lens of critical literacy as “a way of being and doing” (Vasquez et al., 2019). The authors chose portraiture, a participant-centered methodology, as a response to the historical marginalization of refugees, to bring their voices to the forefront (Lawrence-Lightfoot and Davis, 1997). They draw from interviews conducted with Sue Mar and Amora, document analysis, and an interview with the English teacher.

In Sue Mar and Amora’s portraits, aspiration and determination are seen as primary factors in their college-going. In addition, Sue Mar and Amora were propelled by their English teacher’s support through the cultivation of a loving relationship, high expectations, and critical pedagogical practices. Their family and community fostered beliefs about the power and potential of education, and other refugees served as important role models.

Researchers should explore refugee students’ experiences accessing higher education.

English educators should connect literature to the lived experiences of their students to show that they value their students’ knowledge and past experiences.

Policymakers should consider the role that community colleges play in the lives of refugee students and should support programs including tuition reduction for refugee students.

As only 6% of refugees currently attend college (UNHCR, 2023), it is essential to understand factors that contributed to students’ college-going.

The very headline of this presentation hints at least two things. First, what is meant is the history of American sociology, though it is some what awkward to say so outright. Second, the history of American sociology is accomplished, in an impor tant sense, but one should not say that so out‐right, either. In philosophy, as Wittgenstein advised, whereof we can not speak, thereof we must be silent. A different rule reigns in sociology: whereof we can hint at, thereof we must prove. My first task, there fore, is to prove that no matter how embarrassing it may seem one canspeak of a his tory of American sociology after all. My second task is to prove that it has already been on a course of development specifically characteristic of it. And, finally, my last point will be that this specific course is brought to its desired end. Every thing in its own time. Talking about the history of American sociology is extremely risky. But it is the risk that it makes it worth trying. Part of the risk stems from the issue if there is a history of sociology at all, as well as from the issue if there is American sociology in the proper sense of the word. Apart from this, there is the consideration that it may be the American nature proper of that sociology that makes it the least likely to have its own history. First things first.