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The programme – Stopping the over-medication of people with an intellectual disability, Autism or Both (STOMP) is a three-year programme supported by NHS England. Concern about the overuse of antipsychotic drugs has been a constant theme since the 1970s. However, despite a multitude of guidelines the practice continues. The report into the events at Winterbourne View not only raised concerns about the overuse of antipsychotic drugs but of antidepressants and multiple psychotropic drug use. The purpose of this paper is twofold: Part 1 is to present the history and background to the use of psychotropic drugs in intellectual disabilities, autism or both; and Part 2 presents the progress with the STOMP programme.

The review tracks the various concerns, guidelines and attempts to tackle the issue of over medication of people with intellectual disability autism or both.

The review identifies that despite the many studies and guidelines associated with the prescribing of psychotropic drugs for people with an intellectual disability, autism or both the practice is common. Programmes that minimise the use of psychotropic drugs involve a full use of the multidisciplinary team and an availability of alternative methods of managing challenging behaviours.

STOMP is part of an English national agenda – Transforming care. The English Government and leading organisations across the health and care system are committed to transforming care for people with intellectual disabilities, autism or both who have a mental illness or whose behaviour challenges services. This review identifies many studies, programmes and guidelines associated with psychotropic drug use for people with an intellectual disability, autism or both.

The STOMP programme – stopping the over-medication of people with an intellectual disability, autism or both is a three-year programme supported by NHS England. Concern about the overuse of antipsychotic drugs has been a constant theme since the 1970s. However, despite a multitude of guidelines the practice continues. The report into the events at Winterbourne View not only raised concerns about the overuse of antipsychotic drugs but of antidepressants. Part 1 presented the historical background to the use of psychotropic drugs for people with an intellectual disability, autism or both. The purpose of this paper (Part 2) is to present the approach adopted to reduce over-medication (the “Call to Action”) and the progress so far at the half way stage.

The “Call to Action” methodology is described in a Manchester University report – mobilising and organising for large-scale change in healthcare “The Right Prescription: A Call to Action on the use of antipsychotic drugs for people with dementia”. Their research suggested that a social mobilising and organising approach to change operates could provide a mechanism for bringing about change where other approaches had failed.

The adoption of the “Call to Action” methodology has resulted in widespread acknowledgement across intellectual disability practice that overuse of psychotropic medication and poor review was resulting in over-medication. Many individual local programmes are underway (some are described in this paper) however to what extent the overall use of psychotropic drugs has changed is yet to be evaluated.

STOMP is part of an English national agenda – transforming care. The government and leading organisations across the health and care system are committed to transforming care for people with intellectual disabilities autism or both who have a mental illness or whose behaviour challenges services. This paper describes a new approach to stopping the over-medication of people with an intellectual disability, autism or both.

Maggie III is an integrated system that supports a public access catalog, cataloging interface, bibliographic maintenance, circulation, electronic mail, and community information databases. Acquisitions and serials modules are under development. The system, available from the Eyring Research Institute, is based on software created for the Colorado Alliance of Research Libraries (CARL). Sidebars describe 1) the structure of the community information databases, 2) the planned use of the CARL software by other libraries in Colorado, and 3) the mounting and use of the non‐bibliographic database, “A Matter of Fact”, on the CARL system.

Presents an overview of two projects undertaken by CARL systems to provide on‐line indexing and self‐service document delivery for journals. Considers two major issues raised by indexing services: copyright and economic realignment. Summarises that UnCover2 is a transition project, one of the major challenges facing the profession being the accessibility of scholarly discourse to all.

The Technology Collaboration Agreement signed by SilverPlatter and CARL Corporation is symptomatic of the way boundaries between electronic delivery technologies are eroding. CDROM specialist SilverPlatter and CARL, a provider of integrated library systems and document delivery services, made the agreement to work together long term with the aim of cutting out duplication and complementing each other's strengths.

SINCE the year 1940, there have appeared two major reports on the Public Library system in Great Britain. The first, “The public library system of Great Britain: a report on its present condition, with proposals for post‐war re‐organisation” by Lionel R. McColvin, appeared in 1942. It suggested sweeping changes in the organisation of the public library system, more radical and far‐reaching than those embodied in the recent recommendations of the Library Association for local government reform. On library co‐operation, the report was equally radical, though certain similarities with the recommendations of the second report are apparent.

Thirty thousand people, using more than 450 active terminals, perform hundreds of thousands of searches daily on the Colorado Alliance of Research Libraries (CARL) Public Access Catalog (PAC). The Denver Public Library, the University of Colorado at Boulder, the University of Denver, the University of Northern Colorado, the Colorado School of Mines, and the Auraria Library are the six libraries of CARL; about 2.6 million bibliographic records are contained in the members' databases. An additional 200,000 MARC‐based bibliographic records representing local, regional, state, and federal documents are in a database shared by two or more members.

UnCover, a multidisciplinary article access database, was released in December 1988 to members of CARL (Colorado Alliance of Research Libraries). Since its release, access to UnCover has been acquired by additional libraries through a gateway connection. UnCover is made possible by the cooperation of eight of the CARL libraries, which presently send their journals to CARL Systems Inc., where they are checked in and their table of contents entered into the UnCover database (See Table 1). The journals are returned to their libraries within 24 hours. The diversity of the universities' academic programs and the many interests of the public library clients have resulted in the creation of this large database containing journal citations on virtually every subject (See Table 2). As of June 1990, UnCover contains nearly 10,000 journal titles and over 900,000 article titles.

In this chapter, we explore the impact of socioemotional and financial wealth on the resource management of family firms. We use MoDo, a Swedish pulp and paper firm, covering three generations of owner-managers from 1873 to 1991, to grasp the shifting emphases on socioemotional and financial wealth in the management of the company. Identifying four strategic issues of decisive importance for the development of MoDo, we analyze the organizational values that guided the management of these issues. We propose that financial and socioemotional wealth stand for two different rationalities that infuse organizational values. The MoDo case illustrates how these rationalities go hand in hand for extended periods of time, safeguarding both financial success and socioemotional endowments. However, in a situation where the rationalities are no longer in line with the development of the industry context, the conflict arising between the two rationalities may have fatal consequences for the firm in question.