In this article Alison Cameron of Dual Recovery Anonymous talks about the complexity of dual diagnosis and tells the story of her experiences as a service user and her own journey…
This article is supplied by Alison, a long‐time member of Dual Recovery Anonymous (DRA), about the aims and principles of their 12‐step programme. DRA's 12‐step programme helps…
Abstract
This article is supplied by Alison, a long‐time member of Dual Recovery Anonymous (DRA), about the aims and principles of their 12‐step programme. DRA's 12‐step programme helps members to recover from both a drug or alcohol dependency and emotional or psychiatric illness (dual diagnosis) by focusing on relapse prevention and actively improving the quality of their lives.
Details
Keywords
To examine the trend of “witness tours” that travel to the North American Arctic to experience, document, and then advocate on behalf of environmental issues in the North. These…
Abstract
To examine the trend of “witness tours” that travel to the North American Arctic to experience, document, and then advocate on behalf of environmental issues in the North. These tours are presented as part of a colonial legacy that has long witnessed the North as a space of potential investment from the South. Especially in their reliance upon suffering as a narrative practice to justify their experience, these tours repeat patterns that reduce the agency of Northern communities and peoples to address changes they are facing. The chapter also provides best practices for such excursions and compares their approach to Northern-based expeditions that also advocate for environmental conservation and protection.
In the first part of the chapter, the history of colonialism and exploration sets the foundation for understanding the recent trend in witness tours. These tours are then examined through a discourse analysis of their narratives to highlight their connection with colonial approaches to the North. The final section of the chapter presents three necessary steps to reduce the reliance upon colonial legacies for these tours.
The witness tours examined are heavily dependent upon using their resilience of the travels to travel through harsh landscapes to make their case for caring about these landscapes. Far from being an innocent narrative strategy, this reliance upon suffering provides a level of elitism to these narratives at the same time as it reproduces colonial patterns. The chapter suggests three steps to avoid these problems: (1) Recognize the stories of people who live in the North; (2) Do not present the Arctic as a timeless wilderness landscape; and (3) Understand our limited perspective on the North as outsiders.
The chapter suggests that witness tours need to be understood within the context of a history of colonial exploration in the Arctic as well as the agency of Northern peoples to address both environmental change and colonialism.
Details
Keywords
Alison Stevens Booth and Fiona Mary Cameron
Family participation in community events and festivals is framed by certain conditions related to their ability to enhance their quality of life (QOL) and family flourishing. For…
Abstract
Purpose
Family participation in community events and festivals is framed by certain conditions related to their ability to enhance their quality of life (QOL) and family flourishing. For communities to flourish, families must feel safe, secure, accepted and included. The research has the following aims: (1) to consider whether location is a determinant in family QOL and event participation, and (2) to identify how cultural identity and family issues may affect families' QOL and the role events play in their ability to flourish as a family.
Design/methodology/approach
An integrated mixed-methods design was used derived from quantitative and qualitative traditions, including surveys, interviews and secondary data. The survey component combined Jepson and Stadler's St Albans 2015 QOL study survey with research instruments used by the Rotorua Lakes Council (RLC). The Rotorua sample included 521 valid anonymous online surveys and 11 semi-structured interviews. The RLC's Arts and Culture team provided expert advice, strategic plans and reports; secondary data were gathered from media reports.
Findings
When comparing key Rotorua and St Albans data, the participants' responses were very similar. What appear significant are socio-economic and cultural differences and family-flourishing factors specific to Rotorua's location and population. The findings show that the biggest obstacles for families attending events are money, work commitments and family obligations. The events reflect the region's unique cultural profile and provide a distinctive identifier of place and people that create a unique small-city event portfolio.
Research limitations/implications
This study's findings have reinforced that for small-city events to succeed and attract high levels of patronage, council and community must work cooperatively towards common goals. Our findings indicate the importance, to our participants, of emotional attachment to Rotorua's natural landscape, built environment and unique cultural heritage. Additionally, arts and culture research focusing on new-migrant and multi-generational event participation is worth further consideration for preserving Rotorua's cultural history. Perceptions within the Rotorua community of their family experience at local events are central to our ongoing research and the further successful delivery of the RLC's event portfolio.
Originality/value
This research offers a case study that serves to build further areas of inquiry into the role events play in QOL, family flourishing and maintaining indigenous cultures. Study findings have reinforced that organisations, practitioners, festivals and events succeed in attracting high levels of patronage for a small city. This study provides insights for designing culturally inclusive event portfolios that include events and festivals that target family audiences.
Details
Keywords
Elena Ojea, Ranjan K. Ghosh, Bharat B. Agrawal and P.K. Joshi
The purpose of this paper is to present a framework for estimating the costs of adaptation to climate change impacts on ecosystems.
Abstract
Purpose
The purpose of this paper is to present a framework for estimating the costs of adaptation to climate change impacts on ecosystems.
Design/methodology/approach
While existing studies on costing adaptation base themselves on either the financial flows on conservation or the costs of specific adaptation measures at the global level, the methodology presented here takes into account the impacts on ecosystems, the identification of vulnerable areas, and adaptation options at a more regional level.
Findings
The framework is then applied to forest ecosystems in India. The authors find that the total adaptation costs for forest ecosystems in India until 2085 are in the range of $1.34‐2.32 billion.
Originality/value
The key contribution of this paper is the proposal that for any robust estimation of adaptation costs, people should take into account the regional level impacts and the multiple adaptation options linked to those impacts.
Details
Keywords
Bob Erens, Gerald Wistow, Sandra Mounier-Jack, Nick Douglas, Tommaso Manacorda, Mary Alison Durand and Nicholas Mays
Integrating health and social care is a priority in England, although there is little evidence that previous initiatives have reduced hospital admissions or costs. In total, 25…
Abstract
Purpose
Integrating health and social care is a priority in England, although there is little evidence that previous initiatives have reduced hospital admissions or costs. In total, 25 Integrated Care Pioneers have been established to drive change “at scale and pace”. The early phases of the evaluation (April 2014-June 2016) aimed to identify their objectives, plans and activities, and to assess the extent to which they have overcome barriers to integration. In the longer term, the authors will assess whether integrated care leads to improved outcomes and quality of care and at what cost. The paper aims to discuss these issues.
Design/methodology/approach
Mixed methods involving documentary analysis, qualitative interviews and an online key informant survey.
Findings
Over time, there was a narrowing of the integration agenda in most Pioneers. The predominant approach was to establish community-based multi-disciplinary teams focussed on (older) people with multiple long-term conditions with extensive needs. Moving from design to delivery proved difficult, as many barriers are outside the control of local actors. There was limited evidence of service change.
Research limitations/implications
Because the findings relate to the early stage of the 5+ years of the Pioneer programme (2014-2019), it is not yet possible to detect changes in services or in user experiences and outcomes.
Practical implications
The persistence of many barriers to integration highlights the need for greater national support to remove them.
Originality/value
The evaluation demonstrates that implementing integrated health and social care is not a short-term process and cannot be achieved without national support in tackling persistent barriers.