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This paper contributes to discourse about complex disasters by applying cultural lenses to the study of coastal infrastructure (such as seawalls and dikes), thus departing from studies that focus on characterising, assessing, and predicting the physical resilience of hard structural forms that dominate knowledge about coastal infrastructure.

This ethnographic study nuances Philippine coastal infrastructure through examining the material registers of a seawall bordering an island inhabited by artisanal fisherfolk. By “material registers”, this research refers to the socially informed ways of regarding and constructing material configurations and how the latter are enacted and resisted. Data collection was accomplished through focus groups with community leaders, on-site and remote interviews with homeowners, and archival research to further understand the spatial and policy context of the structure.

The discussion focuses on the seawall’s three material registers (protection, fragility, and misrecognition) and reveals how infrastructure built for an island community of fisherfolk simultaneously fulfils, fails, and complicates the promise of disaster resilience.

This research demonstrates the potential of “material registers”, a term previously used to analyse architecture and housing, to understand the technopolitics of infrastructure and how materially informed tensions between homeowners' and state notions of infrastructure contribute to protracted experiences of disaster and coastal maladaptation.

This research signposts the need for disaster risk reduction, climate adaptation, and sustainable development policies that legitimize the construction of infrastructure to recognize the latter's relationship and impact on multiple sphere of coastal life, including housing and citizenship implications.

This research highlights how infrastructure for coastal disaster risk management implicates geographically informed power relations within a community fisherfolk and between their “small” island community and more politically and economically dominant groups.

Whereas studies of coastal infrastructure are focused on quantitative and predictive research regarding hard structural forms in megacities, this study apprehends disaster complexity through examining the cultural and contested nature of infrastructure for coastal flood management in an island community of fisherfolk.

The development and implementation of a provider collaborative (PC) represents an ambitious and complex piece of work to be delivered across a geographical area for a vulnerable patient cohort. The UK East Midlands Children and Adolescent Mental Health Services (CAMHS) PC was established in April 2021, and the current study aimed to explore the views of a variety of staff members about its functioning over the first twelve months. Specifically, it explored whether the intended aims has been achieved and identified the challenges that it faced during its introduction.

Feedback was collected through in-depth qualitative interviews and surveys with frontline (n = 20) and senior staff (n = 19) that were conducted to explore the experiences of a variety of stakeholders within the collaborative.

Two main themes were identified – the achievement of the key aims and the barriers to success. A thematic analysis has shown that whilst the aim of the PC is well intentioned and is generally welcomed by the multiple stakeholders across the geographical region, it is clear that changes are required in order to ensure the inception of an efficient care service that is able to achieve the ultimate goal of providing the ultimate goal of “right care at the right time”.

This is the first study, to the authors' knowledge, to explore collaborative working in CAMHs services. The study involved staff feedback from Phases 1 and 2 of a 4-years-long evaluation. The findings demonstrate the overall aims are being met as well as identifying areas of concern; this, in turn, allows the authors to develop a series of recommendations to implement and improve collaborative working before assessing their impact in the subsequent phase.

The emergence of residential aged care facilities (RACFs) within the Ghanaian health-care system has raised eyebrows because, hitherto, the concept of nursing homes had largely been perceived as an anomaly. The purpose of this study is to understand this emerging phenomenon and the activities of care provided within two facilities in the nation’s capital, Accra.

The study draws on participant observations and in-depth interviews with purposively sampled 15 residents in the two facilities and eight caregivers. The data were analysed using thematic approach.

The study found that the daily forms of care mostly performed for the elderly were intimate and non-intimate physical, medical, emotional and spiritual and end-of-life care. The bulk of activities of care were performed in the morning.

The study reveals that the changing landscape of health-care facilities in Ghana to include RACFs indicates RACFs have come to stay to provide different forms of care to older persons who otherwise were cared for by the family.