Paul Moores, Rebecca Fish and Helen Duperouzel
This article is written from the point of view of a service user who is involved in training staff about working with people who self‐injure in the secure learning disability…
Abstract
This article is written from the point of view of a service user who is involved in training staff about working with people who self‐injure in the secure learning disability service where he lives.• I am a service user living in a secure unit who talks to staff in training about self‐injury.• I do an hour each month answering questions and I get paid for it.• I enjoy training the staff and it has made me more confident.• I get some good feedback about my work from the staff.• I wanted to tell other people about this experience.• This report is made of parts of a recorded interview that I did with a member of staff and meetings with her to write this into an article.
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Deborah Hurst, Shelley MacDougall and Chris Pelham
While there is no definitive profile of the successful entrepreneur or prescribed pathway for success, research suggests that individuals who proactively accommodate factors that…
Abstract
Purpose
While there is no definitive profile of the successful entrepreneur or prescribed pathway for success, research suggests that individuals who proactively accommodate factors that push and pull them into entrepreneurship, align their personal and entrepreneurial visions, and to some extent, build emotional intelligence (EQ), are more likely to succeed. This paper aims to describe an entrepreneur counseling process developed and used by the Acadia Centre for Social and Business Entrepreneurship (ACSBE), located in Nova Scotia, Canada.
Design/methodology/approach
The authors propose an entrepreneur's success, negotiation of push and pull factors, and EQ are all linked, and the ACSBE counseling model draws on these. The case study method was used. ACSBE staffs were interviewed regarding the entrepreneur counseling process, counselor‐training sessions were observed and documents were reviewed. Two ACSBE clients, who together started a successful fair‐trade business, were interviewed for their insights regarding the ACSBE counseling model and their own experiences starting their business.
Findings
The responses of the ACSBE clients illustrate a successful application of the ACSBE Entrepreneurial Decision Making Cycle©. Their personal values, business strategies and performance were linked to promote success personally and for society. Both entrepreneurs were authentic, self‐aware and empathetic individuals who were able to hone their EQ and develop sound business acumen with assistance of the ACSBE counseling model.
Research limitations/implications
The analysis of the ACSBE counseling model and its success in this case leads to the question of whether the application of the ACSBE Entrepreneurial Decision Making Cycle can predict those more likely to succeed in an entrepreneurial venture. In order to address this, further research of the ACSBE decision tool is recommended.
Originality/value
The ACSBE Entrepreneurial Decision Making Cycle is unique. It should be of interest to entrepreneur counselors and researchers of entrepreneurship.
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Margaret Flynn and Vic Citarella
This paper concerns the fall‐out from a TV programme which exposed the arbitrariness of cruelty at a private hospital that purported to provide assessment, treatment and…
Abstract
Purpose
This paper concerns the fall‐out from a TV programme which exposed the arbitrariness of cruelty at a private hospital that purported to provide assessment, treatment and rehabilitation to adults with learning disabilities, autism and mental health problems. The paper seeks to address the issues involved.
Design/methodology/approach
It describes the principal findings of a Serious Case Review which was commissioned after the TV broadcast, and outlines some of the activities designed to reduce the likelihood of such abuses recurring.
Findings
From policy, commissioning, regulation, management, service design and practice perspectives, events at Winterbourne View Hospital highlight a gulf between professionals, professionals and their organisations, and leadership shortcomings.
Originality/value
The English government responded promptly and encouragingly to the wretched circumstances of patients at Winterbourne View Hospital with a “Timetable of Actions”. The Serious Case Review which was commissioned after the TV broadcast contributed to the growing scepticism of “out of sight, out of mind” placements. It covered wide‐ranging territory.
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Ashley Guinn, Sujeet Jaydeokar, Jane McCarthy, Ashok Roy and Angela Hassiotis
Community mental health services are of increasing importance for people with an intellectual disability (ID), as the government aims to reduce the number of people treated within…
Abstract
Purpose
Community mental health services are of increasing importance for people with an intellectual disability (ID), as the government aims to reduce the number of people treated within inpatient services. However, due to limited evidence base, it is unclear which service models are most effective for treating people with both ID and a mental health condition. Therefore, the purpose of this paper is to carry out a survey in order to gain a better understanding of the current state of ID community services.
Design/methodology/approach
The survey was e-mailed to 310 consultant psychiatrists based in England and whose main specialism was in ID. In total, 65 consultants responded to the survey with 53 complete data sets.
Findings
In total, 84 per cent of consultants identified themselves as working in a generic community ID team. The majority of services were not integrated with social care (71 per cent). Regional differences were found. In contrast to the rest of England, the majority of services in London were integrated with social care. The Health of the Nation Outcome Scale for people with Learning Disabilities (HoNOS-LD) was found to be the most common outcome measure used by services. A range of interventions are widely available across services including psychological therapies and specialist memory assessments. The survey also provides evidence for increased decommissioning of specialist inpatient units and a need for more robust community services.
Research limitations/implications
Findings limited by low return rate (21 per cent) and because responses could not be matched to specific services. The implications of this survey are that there is still a variable level of integration with social care and that lack of integration could affect the quality of service. While HoNOS-LD is used consistently across services, there may be a need to supplement it with other outcome measures. There is a need for larger scale and higher quality studies in this area to strengthen the evidence base and therefore demonstrate the benefits of integration and specialisation more convincingly to health professionals and commissioners.
Originality/value
This survey presents an overview of the current state of community services for adults with ID in England. This information can be harnessed to add to revised approaches to mental health service models for people with ID.