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Article
Publication date: 24 January 2019

Fiona Switzer, Sean Harper and David Peck

The purpose of this paper is to identify barriers for people with psychotic spectrum disorders accessing CBTp in NHS Lothian. Despite national guidelines recommending CBT for the…

1624

Abstract

Purpose

The purpose of this paper is to identify barriers for people with psychotic spectrum disorders accessing CBTp in NHS Lothian. Despite national guidelines recommending CBT for the treatment of schizophrenia (National Institute for Health and Care Excellence Guidelines 2014) and (Scottish Intercollegiate Guidelines Network Guidelines 2013), levels of access to CBTp remain low. The overall goal of the study is to uncover emergent themes regarding barriers to access to CBT for patients with psychosis. In addition, the influence of psychosocial skills intervention (PSI) training for psychosis (Brooker and Brabban, 2006) will be explored and if completion of this training effects referral behaviours and attitudes to CBTp.

Design/methodology/approach

This study is a quantitative service evaluation project which uses a questionnaire design to explore the factors that influence a clinician’s decision to refer a patient for CBTp. Three qualitative questions are included for thematic analysis to allow the respondents to elaborate on their views on potential barriers. All appropriate Community Mental Health Team (CMHT) staff in adult mental health in NHS Lothian were invited to participate in the study.

Findings

CMHT staff in NHS Lothian hold favourable views of CBTp and would support an increase in access for patients with psychosis. Key barriers to access for CBTp identified in this study comprise of, little or no access to CBTp, lack of integration of services and unclear referral pathways. Further themes emerging from the study also included, improving multi-disciplinary communication and increasing CMHT staff knowledge and confidence in CBTp. PSI training was shown to have a significant effect on referral rates. Further research would be warranted to explore the influence of PSI training on CMHT staff confidence and knowledge in CBTp.

Originality/value

This is the first paper of its kind to investigate the potential barriers to access to CBTp in Scotland. The paper has highlighted some key barriers and potential strategies to overcome the barriers identified will be discussed.

Details

Mental Health Review Journal, vol. 24 no. 1
Type: Research Article
ISSN: 1361-9322

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Article
Publication date: 1 June 2002

Pauline Gulliver, Edward Peck and David Towell

In April 1999, Somerset Health Authority and Somerset County Council launched the first fully integrated adult mental health service in England, made up of a joint commissioning…

51

Abstract

In April 1999, Somerset Health Authority and Somerset County Council launched the first fully integrated adult mental health service in England, made up of a joint commissioning board and an integrated services provider. Between January 1999 and June 2001, the authors evaluated the implementation of the integration by investigating the impact of this initiative on service users, their carers, staff members at the new trust, and senior managers and members from health and social services. In this, the second part of the presentation of the results from the evaluation, the main themes relevant to the pursuance of integration in other localities will be drawn out and discussed in light of the literature currently available.

Details

Journal of Integrated Care, vol. 10 no. 3
Type: Research Article
ISSN: 1476-9018

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Article
Publication date: 1 April 2002

Pauline Gulliver, Edward Peck and David Towell

In April 1999, Somerset Health Authority and Somerset County Council launched the first fully integrated mental health service in England. The authors have evaluated this…

66

Abstract

In April 1999, Somerset Health Authority and Somerset County Council launched the first fully integrated mental health service in England. The authors have evaluated this innovation and have already reported on progress on two occasions in this journal. This article gives data and conclusions for the final stage. In the next issue of MCC themes which will be important to the pursuance of integration in other localities will be drawn from the results presented and discussed in light of the available literature.

Details

Journal of Integrated Care, vol. 10 no. 2
Type: Research Article
ISSN: 1476-9018

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Article
Publication date: 25 April 2023

Lachlan McDonald-Kerr and Gordon Boyce

The purpose of this paper is to investigate public disclosures and accountability for government decision-making in the case of a major prison project delivered through a…

788

Abstract

Purpose

The purpose of this paper is to investigate public disclosures and accountability for government decision-making in the case of a major prison project delivered through a Public–Private Partnership (PPP) in the State of Victoria (Australia).

Design/methodology/approach

The study explores a unique case to provide insights into public disclosures for PPPs in a jurisdiction that is a recognised leader in PPP policy and practice. The analysis is theoretically framed by an understanding of neoliberalism and New Public Management, and draws on data from case-specific reporting, media reporting and public policy, to examine interconnections between accounting, public discourse and accountability.

Findings

The analysis shows how publicly available information relating to key government decisions routinely lacked supporting evidence or explanation, even though areas of subjectivity were recognised in public policy. Accounting was deployed numerically and discursively to present potentially contestable decisions as being based on common-sense “facts”. The implied “truth” status of government reporting is problematised by media disclosure of key issues absent from government disclosures.

Social implications

Under neoliberalism, accountingisation can help depoliticise the public sphere and limit discourse by constructing ostensible “facts” in an inherently contestable arena. By contrast, democratic accountability requires public disclosures that infuse a critical dialogical public sphere.

Originality/value

The paper shows how neoliberalism can be embedded in public policies and institutional practices, and buttressed by the use of accounting. The analysis illuminates the persistence and “failing forward” character of neoliberalism, whereby crises are addressed through further neoliberalisation.

Details

Accounting, Auditing & Accountability Journal, vol. 37 no. 1
Type: Research Article
ISSN: 0951-3574

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Article
Publication date: 1 February 2001

Pauline Gulliver, Edward Peck and David Towell

This paper presents the second set of results from the evaluation of the implementation of joint commissioning and combined provision of mental health services in Somerset…

43

Abstract

This paper presents the second set of results from the evaluation of the implementation of joint commissioning and combined provision of mental health services in Somerset. Comparisons with baseline data are made and key emerging questions are identified.

Details

Journal of Integrated Care, vol. 9 no. 1
Type: Research Article
ISSN: 1476-9018

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Article
Publication date: 1 April 1992

Robert Kieft

The heady system of high‐pressure Continental air that drifted across the Atlantic and collided with the traditional cyclonic patterns of U.S. literary academe in the mid‐1960s…

158

Abstract

The heady system of high‐pressure Continental air that drifted across the Atlantic and collided with the traditional cyclonic patterns of U.S. literary academe in the mid‐1960s precipitated a “Theory Revolution” that has brought a couple of decades of stormy and stimulating weather to the campus. The collision has produced occasionally furious debate and resulted for higher education in the kind of public attention customarily reserved for athletic scandals; it has kept tenuring processes in turmoil and publish‐or‐perish mills working round the clock.

Details

Reference Services Review, vol. 20 no. 4
Type: Research Article
ISSN: 0090-7324

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Article
Publication date: 1 January 1996

J.G. Gallagher, J. Lauchlan and M Steven

Asil Nadir stands accused of fraud and theft. The sums involved are massive. He is openly accused of the misappropriation of about £371 million. In private, the figure is thought…

669

Abstract

Asil Nadir stands accused of fraud and theft. The sums involved are massive. He is openly accused of the misappropriation of about £371 million. In private, the figure is thought to be substantially greater. However, contradictory views are promoted to account for this situation and his ultimate downfall. For example, (i) the regulatory administrators allege that Nadir is a criminal who misappropriated company funds; (ii) Nadir's conspiracy theory counterclaims the accusations of fraud and theft with a claim of conspiracy based on the actions of the establishment (the Inland Revenue, the VAT Office, the Serious Fraud Squad, banks and pressure groups), which was bent on his downfall; and (iii) the alternative view is that Nadir was an accident waiting to happen. His cultural background, characteristics and traits are entrepreneurial in nature, but ultimately these proved dysfunctional given the structural development of his company.

Details

Journal of Small Business and Enterprise Development, vol. 3 no. 1
Type: Research Article
ISSN: 1462-6004

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Article
Publication date: 10 January 2024

António Carvalho, Luís Miguel Pacheco, Filipe Sardo and Zelia Serrasqueiro

The behavioural theory adds a new paradigm of analysis with the assumptions of the decision maker’s cognitive biases and their repercussions on financing decisions. The aim of the…

313

Abstract

Purpose

The behavioural theory adds a new paradigm of analysis with the assumptions of the decision maker’s cognitive biases and their repercussions on financing decisions. The aim of the study is to analyse the repercussions of these biases on the adjustment speed of firm’s capital structure toward the optimal level.

Design/methodology/approach

Based on a partial adjustment model, the study uses the Dynamic Panel Fractional estimator to analyse panel data from 4,990 Portuguese entrepreneurial firms.

Findings

The results show that the cognitive overconfidence bias impacts the entrepreneurial firm’s capital structure. In fact, the firms run by overconfident managers adjust more slowly than their counterparts. Furthermore, the findings suggest that entrepreneurial firms make relatively fast adjustments toward the optimal debt level and follow a hierarchical financing order in the funding process.

Practical implications

The results of this paper are not only interesting to the academia, but also contain practical implications for corporate, institutional and business policy and governance. First, the paper introduces a new measure of cognitive bias in optimistic managers, which is useful for current and future academic research. Also, in practical terms, the findings of the paper reveal that when a company is contemplating hiring a manager, it should consider whether they need an optimistic or non-optimistic manager based on the company's present life cycle or situation.

Originality/value

The current analysis extends the existing literature. The study suggests that financial classical and behavioural paradigms should not be separated, which can provide evidence to help narrow the gap between these two major perspectives.

Details

Journal of Small Business and Enterprise Development, vol. 31 no. 1
Type: Research Article
ISSN: 1462-6004

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Article
Publication date: 1 June 2000

Pauline Gulliver, Edward Peck and David Towell

This paper is the first of two discussing the evaluation of the implementation of joint commissioning and integrated provision of mental health services in Somerset. The paper…

42

Abstract

This paper is the first of two discussing the evaluation of the implementation of joint commissioning and integrated provision of mental health services in Somerset. The paper presents the methods of evaluation, and explores the potential limitations and environmental factors impacting on the effectiveness of data‐collection methods.

Details

Journal of Integrated Care, vol. 8 no. 3
Type: Research Article
ISSN: 1476-9018

Available. Open Access. Open Access
Article
Publication date: 12 June 2017

Santiago Valcacer Rodrigues, Heber José de Moura, David Ferreira Lopes Santos and Vinicius Amorim Sobreiro

This paper aims to analyse the capital structure determining factors of Latin American and US corporations after the crisis of 2008, as a means of comparing theoretical…

2372

Abstract

Purpose

This paper aims to analyse the capital structure determining factors of Latin American and US corporations after the crisis of 2008, as a means of comparing theoretical assumptions and empirical results in markets of different efficiency levels.

Design/methodology/approach

The study sample comprises 1,091 companies belonging to the six largest economies in Latin America plus the USA, in the years 2009 to 2013. The authors performed a regression with data from a balanced overview, which were obtained by using the criterion of minimum weighted square.

Findings

The results demonstrated differences in determining factors of capital structure between companies from Latin America and from the USA. The pecking order theory was mostly observed in Latin American companies and the trade-off theory greater was closely aligned with US firms.

Originality/value

This research brings new contributions to the issue, once the differences and determinative of the debt profile in companies from different economic contexts are compared.

Propósito

Este artículo analiza los factores determinantes de la estructura de capital de las corporaciones latinoamericanas y estadounidenses después de la crisis de 2008, para comparar los supuestos teóricos y los resultados empíricos en mercados de diferentes niveles de eficiencia.

Diseño/metodología/enfoque

La muestra del estudio comprende 1.091 empresas pertenecientes a las seis mayores economías de América Latina y Estados Unidos, entre los años 2009 y 2013. Se realizó una regresión con datos de una visión general equilibrada, que se obtuvo utilizando el criterio de cuadrado mínimo ponderado.

Hallazgos

Los resultados muestran diferencias en los factores determinantes de la estructura de capital entre empresas de América Latina y de Estados Unidos. La Teoría de la selección jerárquica se observó principalmente en las empresas latinoamericanas y la Teoría del intercambio más cercana estaba estrechamente alineada con las firmas estadounidenses.

Originalidad/valor

Esta investigación aporta nuevas contribuciones al tema, una vez que comparamos las diferencias y determinantes del perfil de la deuda en empresas de diferentes contextos económicos.

Palabras clave

Endeudamiento, Intercambio, Asimetría de información, Selección jerárquica, Regresión agrupada

Tipo de artículo

Artículo de investigación

Details

Journal of Economics, Finance and Administrative Science, vol. 22 no. 42
Type: Research Article
ISSN: 2077-1886

Keywords

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