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Article
Publication date: 23 August 2021

Catherine Cooper, Hannah Liu, Tobias Rowland, Riddhi Prajapati, Tayla Hurlock and Andy Owen

This study aims to assess a novel clinic whereby new patients were discussed in a multi-agency, multi-disciplinary panel and given feedback on the same day. The objectives were to…

124

Abstract

Purpose

This study aims to assess a novel clinic whereby new patients were discussed in a multi-agency, multi-disciplinary panel and given feedback on the same day. The objectives were to determine the impacts on time to commencing treatment, need for further assessment, discharges and staff and patient experiences.

Design/methodology/approach

Outcomes from the new assessment clinic were compared to previous individual assessments. Feedback questionnaires were given to patients, while a focus group was conducted with staff.

Findings

There was a significant reduction in the time to agreeing a treatment plan (34 days to <1 day), the need for further assessment (61%–23.2%) and a significant increase in the proportion discharged from secondary care (26.9%–49.8%). Clinician and patient feedback on the clinic was positive.

Practical implications

The model of a multi-agency, multi-disciplinary clinic could be used for assessing new referrals to community mental health teams.

Originality/value

The use of a multi-agency, multi-disciplinary clinic is a novel approach within community mental health teams which led to improvements in efficiency, while demonstrating positive patient and clinician feedback.

Details

Mental Health Review Journal, vol. 26 no. 4
Type: Research Article
ISSN: 1361-9322

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Book part
Publication date: 14 October 2022

Petra Nordqvist and Leah Gilman

Free Access. Free Access

Abstract

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Donors
Type: Book
ISBN: 978-1-80043-564-3

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Article
Publication date: 23 September 2009

Dimitrios Paschos, Michael Mwim, Virginia Essam and Jane McCarthy

We report a case of a person with Down's syndrome presenting with symptoms of depression and symptoms of an atypical eating disorder. Significant challenges and dilemmas were…

411

Abstract

We report a case of a person with Down's syndrome presenting with symptoms of depression and symptoms of an atypical eating disorder. Significant challenges and dilemmas were encountered during his assessment and treatment. Twenty years ago he had presented in a similar way and his lengthy but successful treatment was published. We will present his case in two parts. The first will cover his clinical presentation and assessment and the second will focus solely on his treatment. During the time of his assessment and management the Mental Capacity Act 2005 had just been introduced in England and Wales and the implications of this new legislation in the management of such cases will also be discussed.

Details

Advances in Mental Health and Learning Disabilities, vol. 3 no. 3
Type: Research Article
ISSN: 1753-0180

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Publication date: 22 February 2017

Garth Stahl

In terms of education attainment in the United Kingdom, the white working class remains the lowest performing ethnic group, and their academic underperformance has ominous…

Abstract

In terms of education attainment in the United Kingdom, the white working class remains the lowest performing ethnic group, and their academic underperformance has ominous implications for their long-term life chances. This chapter investigates how white working-class boys experience pathologization and deficit discourses in their schooling as they negotiate the discipline structures in three educational sites in South London (two state comprehensive schools and one Pupil Referral Unit). Drawing upon empirical data from an in-depth sociological study of 23 white working-class boys (Stahl, 2015), this chapter makes theoretical connections between how pathologization – both within the school and wider society – contributes to how these young men become constructed with and through deficit discourses contributing significantly toward low academic achievement. Where whiteness often equates to power and entitlement, in the schooling contexts of this study whiteness was often socially constructed as undesirable and equated with low aspirations, stagnation, and antieducational stances.

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The School to Prison Pipeline: The Role of Culture and Discipline in School
Type: Book
ISBN: 978-1-78560-128-6

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Article
Publication date: 6 August 2018

Eduardo K. Yamakawa, Thayla T. Sousa-Zomer, Paulo A. Cauchick-Miguel and Catherine P. Killen

Project portfolio management (PPM) has been recognized as critical for the productivity of research and development (R&D) investments, but empirical research on PPM use and…

469

Abstract

Purpose

Project portfolio management (PPM) has been recognized as critical for the productivity of research and development (R&D) investments, but empirical research on PPM use and outcomes in non-commercial R&D environments is limited. The purpose of this paper is to investigate PPM processes and outcomes in a unique R&D context within Brazilian electric power utilities.

Design/methodology/approach

An exploratory best practice survey was used to collect data on PPM processes, methods and performance results in the power sector. Analysis of the data employs descriptive statistics and comparative analysis in the light of the literature.

Findings

The findings emphasize the importance of strategic value and the need for PPM to be customized for the specific context. The results also demonstrate the importance of adopting selection criteria and measures in accordance with the organizations strategic goals.

Practical implications

The findings may help organizations better understand how PPM can be tailored for the environment. PPM managers in utilities and other non-commercial R&D environments may find guidance in tailoring and improving their PPM approaches.

Originality/value

The contributions of this paper are twofold. First, it provides empirical findings to support PPM concepts on strategic alignment and the importance of context by demonstrating how PPM works to deliver strategy in a unique environment. Second, it contributes to the management of R&D projects and portfolios in power utilities, providing an example and analysis that may offer guidance. The contributions from this study may also offer insights that are valuable for R&D management in other utilities, or for R&D management in general.

Details

Benchmarking: An International Journal, vol. 25 no. 6
Type: Research Article
ISSN: 1463-5771

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Article
Publication date: 1 August 2003

103

Abstract

Details

Anti-Corrosion Methods and Materials, vol. 50 no. 4
Type: Research Article
ISSN: 0003-5599

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Article
Publication date: 11 January 2008

Catherine P. Killen, Robert A. Hunt and Elko J. Kleinschmidt

The purpose of this paper is to create a benchmark and identify best practices for Project Portfolio Management (PPM) for both tangible product‐based and service product‐based…

8930

Abstract

Purpose

The purpose of this paper is to create a benchmark and identify best practices for Project Portfolio Management (PPM) for both tangible product‐based and service product‐based development project portfolios.

Design/methodology/approach

A questionnaire was developed to gather data to compare the PPM methods used, PPM performance, PPM challenges, and resulting new product success measures in 60 Australian organisations in a diverse range of service and manufacturing industries.

Findings

The paper finds that PPM practices are shown to be very similar for service product development project portfolios and tangible product development project portfolios. New product success rates show strong correlation with measures of PPM performance and the use of some PPM methods is correlated with specific PPM performance outcomes.

Research limitations/implications

The findings in this paper are based on a survey of a diverse sample of 60 Australian organisations. The results are strengthened by comparisons with similar North American research; however, they may not be representative of all environments. Research in other regions would further qualify the findings. As each organisation's PPM process is unique, case study methods are recommended for future studies to capture more of the complexity in the environment.

Practical implications

The paper shows that PPM practitioners and executives who make decisions about the development of tangible products and/or service products will benefit from the findings.

Originality/value

This paper extends the existing understanding of PPM practices to include service development project portfolios as well as tangible product development project portfolios and strengthens the links between PPM practices and outcomes.

Details

International Journal of Quality & Reliability Management, vol. 25 no. 1
Type: Research Article
ISSN: 0265-671X

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Article
Publication date: 2 October 2017

Elniee Melson, Christopher Bridle and Wolfgang Markham

The purpose of this paper is to report the process evaluation of a pilot randomised control trial of an anti-smoking intervention for Malaysian 13-14-year olds, conducted in…

390

Abstract

Purpose

The purpose of this paper is to report the process evaluation of a pilot randomised control trial of an anti-smoking intervention for Malaysian 13-14-year olds, conducted in 2011/2012. It was hypothesised that trained peer supporters would promote non-smoking among classmates through informal conversations.

Design/methodology/approach

Smoking-related baseline and follow-up questionnaires were administered, seven months apart, to Form 1 students (n=2,118) attending eight schools across two districts in Sabah (Kota Kinabalu; Keningau). Concealed stratified randomisation assigned two schools per district to the control and intervention arms. Control schools received usual care. Intervention schools received usual care and the peer supporter intervention. Peer supporters completed smoking-related knowledge and attitudes questionnaires before and after peer supporter training and peer supporter training evaluation questionnaires. They also discussed the peer supporter training and role in focus groups immediately following training (n=4) and three months later (n=3), and additionally, recorded post-training anti-smoking activity in diaries.

Findings

The pilot trial found that student recruitment was high (baseline students matched at follow-up n=1,681 (79 per cent of class-registered students). More boys (n=38) than girls (n=35) attended peer supporter training. Post-training, most peer supporters had improved smoking-related knowledge (n=55; 75 per cent) and attitudes (n=57; 78 per cent) and returned diaries (n=49; 67 per cent). Some focus group boys reported they were reluctant peer supporters and/or found resisting smoking difficult.

Practical implications

Future trials would benefit from outlined modifications to peer supporter selection, recruitment and training and additionally, assessments of context and intervention acceptability and reach.

Originality/value

Trials of complex public health interventions are scarce in economically developing countries.

Details

Health Education, vol. 117 no. 6
Type: Research Article
ISSN: 0965-4283

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Article
Publication date: 8 May 2017

Robert J. Chandler, Andrew Newman and Catherine Butler

The purpose of this paper is to examine the levels of clinician burnout in a community forensic personality disorder (PD) service, and explores how burnout may arise and be…

586

Abstract

Purpose

The purpose of this paper is to examine the levels of clinician burnout in a community forensic personality disorder (PD) service, and explores how burnout may arise and be minimised within a service of this nature.

Design/methodology/approach

A mixed methods approach was utilised, assessing levels of burnout and making comparisons with a comparable previous study. Focus group data regarding burnout and suggestions for reducing the risk of burnout were analysed using thematic analysis.

Findings

Levels of burnout were generally found to be higher in the current sample when compared with the generic PD services. Qualitative data suggest that working in a forensic PD setting may pose a range of additional and complex challenges; these are explored in detail. Minimising burnout might be achieved by developing resilience, utilising humour, team coherence and ensuring that breaks are taken, and developing one’s own strategies for “releasing pressure”.

Practical implications

The risk for burnout in clinicians working with offenders with PD may be higher than other groups of mental health clinicians. Despite this, attempts to minimise burnout can be made through a range of practical strategies at the individual, team and organisational level.

Originality/value

This is the first project to assess levels of burnout specifically in a team of clinicians working with offenders with PD, and offers an exploration of how burnout may manifest and how it can be managed in this unique area of mental health.

Details

Journal of Forensic Practice, vol. 19 no. 2
Type: Research Article
ISSN: 2050-8794

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Article
Publication date: 1 January 2000

Bob Duckett

56

Abstract

Details

Reference Reviews, vol. 14 no. 1
Type: Research Article
ISSN: 0950-4125

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