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The relationship between accessing indecent images online and the perpetration of contact child sex offences remains unclear. The purpose of this paper is to provide a better understanding of the offence process of offenders who have both such convictions.

A total of eight semi-structured interviews were conducted with older adult males who had downloaded indecent images and also had a history of contact sex offences against children. Data analysis involved thematic coding based on guidelines suggested by Braun and Clarke (2006).

Themes which emerged suggest some similarities (offence process behaviours), but also some differences (developmental factors) between the eight offenders. Data relevant to developmental factors formed two primary themes: childhood attachment difficulties and experiences of childhood abuse, both of which appeared to influence the offence process. Escalating factors generated a further three themes: adult relationships, personality problems and substance use. Five main categories also emerged with regard to offence behaviours: sexually deviant interests, lack of self-control, opportunity, the role of the internet (availability, easy access and anonymity), and cognitive distortions (justifications: interest in challenge and sexual frustration; denial: accidental access and denial of a victim, normalisation; blame: blame on the victim, new technologies and authorities and blame on other factors; and minimisation).

A better understanding of the offence process would inform clinical practice with such offenders and aid in the process of prevention.

This is the first research to date which explores the rationale provided for their behaviour by those convicted of both internet and contact child sex offences.

This paper describes a survey of mental health and well‐being in the adult population served by Wandsworth Primary Care Trust. The survey was designed as a pilot to obtain benchmark data on public mental health. The findings support the argument that absence of mental ill health does not equate with mental health. More than 12% of the sample were found to have symptoms of mental illness yet reported good mental health, while just over 10% had no symptoms but reported poor mental health. Looking at predictors, the most vulnerable to mental ill health were younger, divorced or separated adults who were unemployed and had a long‐term illness or disability. Older couples in good health were among those least likely to have mental health problems. The authors conclude that more sensitive and reliable public mental health indicators are needed to demonstrate clear evidence of improved mental health and to inform future work to improve the mental health and well‐being of the local population.

Online aggression represents a serious, and regularly occurring, social problem. In this piece the authors consider derogatory, harmful messages on the social media platform, Twitter, that target one of three groups of women, Asians, Blacks, and Latinx. The research focuses on messages that include one of the most common female slurs, “b!tch.” The findings of this chapter reveal that aggressive messages oriented toward women of color can be vicious and easily accessible (located in fewer than 30 seconds). Using an intersectional approach, the authors note the distinctive experiences of online harassment for women of color. The findings highlight the manner in which detrimental stereotypes are reinforced, including that of the “eroticized and obedient Asian woman,” the “angry Black woman,” and the “poor Latinx woman.” In some exceptions, women use the term “b!tch” in a positive and empowering manner, likely in an attempt to “reclaim” one of the common words used to attack females. Applying a social network perspective, we illustrate the tendency of typically hostile tweets to develop into interactive network conversations, where the original message spreads beyond the victim, and in the case of public individuals, quite widely. This research contributes to a deeper understanding of the processes that lead to online harassment, including the fortification of typical norms and social dominance. Finally, the authors find that messages that use the word “b!tch” to insult Asian, Black, and Latinx women are particularly damaging in that they reinforce traditional stereotypes of women and ethno-racial minorities, and these messages possess the ability to extend to wider audiences.

Most comparative education research has included investigation of dimensions of educational reform but not all research in the field has focused concertedly on reform in relation to the realities in practice. In the latter half of the 20th century comparativists underscored the need to investigate implementation issues, not just reform policies, as had often been the case in earlier comparative research, since time had shown that political processes did not always equate with educational outcomes. Reforms can be thwarted altogether, significantly modified or mediated in practice, embraced with qualification, or differentially implemented across regions or levels within a given country. Reform implementation might produce intended and unintended change (for better or for worse); or no change at all might be the outcome; or change might occur ahead of reform. Some of the most fascinating findings in comparative research are dichotomous considerations of change such as policy versus practice, ideal versus real, de facto change versus de jure change, intended and unintended outcomes of reform, grass-roots (bottom–up) versus centralized (top–down) reforms, and de facto change legitimized-after-the-fact through reform or new policy.

In 2006 the Brooklands' Adapted Sex Offender Treatment Programme (ASOTP) was adopted by Calderstones Partnership NHS Foundation Trust. To date, two groups of men (n = 10) have completed the programme and one group (n = 6) is currently in progress. This treatment model uses a cognitive behavioural framework and is a nurse‐led initiative, utilising trained ward staff. This paper discusses experiences of initiating and delivering the ASOTP programme. Several issues were encountered, including staff retention, clients discontinuing the group, the length of the group, the length of wait for clients to commence their treatment and high levels of administration. As a result of these, and developments to the Brooklands' model, several changes were made before the commencement of the second wave in 2008.The paper discusses how the ASOTP were able to overcome some, but not all, of the initial difficulties and highlights potential pitfalls for future groups.

Advance notice of Aslib's 50th anniversary conference in Cambridge this September outlines four main sessions on these topics: Publication today and tomorrow—national and international publishing in relation to the dissemination of information in all disciplines: compiling and presenting information for maximum impact: access to information, resources of the uk: access to information—international co‐operation for foreign resources. This is a most welcome continuation of the policy set at Bath last year, whereby every delegate can find interest in the academic content of the conference. Jargon should be at a minimum.

This index covers all issues between February 2005 (Volume 9, Issue 1) and November 2008 (Volume 12, Issue 4). Numbers in bold refer to yolume, numbers in brackets refer to issue, with subsequent numbers to pages.

The present study aims to investigate the mediating role of work–family conflict (WFC) and family–work conflict (FWC) on the effects of workload and the generic and specific work–family social support in job stress.

Using AMOS 20 through bootstrap analysis for indirect effect, the study assessed the abovementioned relationships based on data collected from 258 respondents in the hospitality industry in Quebec.

The findings indicate that workload increases job stress via WFC and FWC. Both generic and specific work–family social support decrease job stress through WFC and FWC. Organizational support for reconciling work and family life is more significant than generic supervisor support. Family support reduces job stress via WFC but not via FWC.

In future studies, it would be interesting to explore the effects of variables such as gender, marital status, hotel category and the job category, as well as cultural origin.

The results of this research should alert employers in the hospitality industry to engage in family-friendly policies that include not only practices such as working time arrangements, family leave and onsite child care services, but also to be committed to create a family-friendly culture and to adopt the best forms of supportive policies at work.

By emphasizing cross-domain effects, the present research contributes to the existing knowledge by testing the mediating role of WFC and FWC in the effects of workload and various resources of social support on job stress.

This paper aims to highlight the importance of leadership development for all physicians within a competency-based medical education (CBME) framework. It describes the importance of timely international collaboration as a key strategy in promoting physician leadership development.

The paper explores published and Grey literature around physician leadership development and proposes that international collaboration will meet the expanding call for development of leadership competencies in postgraduate medical learners. Two grounding frameworks were used: complexity science supports adding physician leadership training to the current momentum of CBME adoption, and relational cultural theory supports the engagement of diverse stakeholders in multiple jurisdictions around the world to ensure inclusivity in leadership education development.

An international collaborative identified key insights regarding the need to frame physician leadership education within a competency-based model.

International collaboration can be a vehicle for developing a globally relevant, generalizable physician leadership curriculum. This model can be expanded to encourage innovation, scholarship and program evaluation.

A competency-based leadership development curriculum is being designed by an international collaborative. The curriculum is based on established leadership and education frameworks. The international collaboration model provides opportunities for ongoing sharing, networking and diversification.

The purpose of this paper is to examine the effects of an integration programme on service users from users’ own perspective.

Multi-method approach was used. Both quantitative and qualitative data collection and analysis were employed to uncover and examine service users’ views of the impact of the integration programme.

An improvement in the physical functioning of one in three occupational equipment users; a rise in the level of satisfaction of 85 per cent of occupational health and 82 per cent of physiotherapy users; older people with complex problems and high-level needs were able to be helped to live at home; and waiting times for both assessment and for services within two weeks and four weeks were below the national achievement and ministerial targets. The impact of the integration programme on users was complex. Positive outcomes were achieved for some user groups and individuals but not for others. A lack of change outcomes in social care, and service users’ low level of satisfaction with social care services appears to be associated with the impact of agency work and the predominant aim in social work of achieving maintenance and prevention outcomes.

This paper contributes to knowledge on what and how the total integration in Cambridgeshire has benefited users.