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Article
Publication date: 30 March 2022

Elizabeth Welch, Karen Jones, Diane Fox and James Caiels

Integrated care continues to be a central aim within health and social care policy in England. Personal budgets and personal health budgets aim to place service users at the…

363

Abstract

Purpose

Integrated care continues to be a central aim within health and social care policy in England. Personal budgets and personal health budgets aim to place service users at the centre of decision-making and are part of a wider long-term initiative working towards personalised and integrated care. Personal budgets began in social care with the national pilot programme of individual budgets, which aimed to incorporate several funding streams into one budget, but in practice local authorities limited these to social care expenditure. Personal budgets then moved into the health care sector with the introduction of a three-year personal health budgets pilot programme that started in 2009. The purpose of the paper is to explore the post-pilot implementation of personal health budgets and explore their role in facilitating service integration. We examine this through the RE-AIM framework.

Design/methodology/approach

During 2015 and 2016, eight organisational representatives, 23 personal health budget holders and three service providers were interviewed, 42 personal health budget support plans were collected and 14 service providers completed an online survey.

Findings

Overall, personal health budgets continued to be viewed positively but progress in implementation was slower than expected. Effective leadership, clear communication and longer-term implementation were seen as vital ingredients in ensuring personal health budgets are fully embedded and contribute to wider service integration.

Originality/value

The paper highlights the importance of policy implementation over the longer-term, while illustrating how the venture of personal health budgets in England could be a mechanism for implementing service integration. The findings can serve to guide future policy initiatives on person-centred care and service integration.

Details

Journal of Integrated Care, vol. 30 no. 3
Type: Research Article
ISSN: 1476-9018

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Book part
Publication date: 16 May 2013

Diane E. Davis and Onesimo Flores Dewey

Using the case of a failed airport project in metropolitan Mexico City, this chapter explores the political and economic reasons for urban megaproject failure. It examines the…

Abstract

Using the case of a failed airport project in metropolitan Mexico City, this chapter explores the political and economic reasons for urban megaproject failure. It examines the nature of the oppositional alliances; the larger political, economic, institutional, and spatial conditions under which these alliances were forged; and how they forced project proponents to abandon a planned megaproject. In searching for the factors responsible for project failure, the study employs theories of political party competition, bureaucratic–institutional conflict, and social movements. It uses qualitative and historical analysis to focus attention on divisions within and between the political class and citizens driven by democratization, decentralization, and globalization. The case suggests that the historical and institutional legacies of urban and national development in Latin America have created bureaucratic ambiguities and tensions over who is most responsible for major infrastructure development in countries experiencing democratic transition. The failure to successfully build the Mexico City airport megaproject reflects a precarious transitional moment in the country's political and economic development as much as the validity of claims against the project itself. If planners can better situate megaproject development in the context of changing institutional relations between citizens and the state, they may be better able to find common ground.

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Article
Publication date: 1 February 1999

Dan Schiller

Espouses the Web with regard to the media and all its areas of relevance. Encourages and supports multinational forms of production as new but admits they may be no more…

1385

Abstract

Espouses the Web with regard to the media and all its areas of relevance. Encourages and supports multinational forms of production as new but admits they may be no more sympathetic to social need and democratic practice than previous commercial media. Charts the market and the Web’s changes for commercial business.

Details

info, vol. 1 no. 1
Type: Research Article
ISSN: 1463-6697

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Book part
Publication date: 16 September 1997

Sara R. Williams and Diane Lunde

Abstract

Details

Advances in Librarianship
Type: Book
ISBN: 978-0-12024-621-2

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Article
Publication date: 21 September 2015

Wei Zheng, Geoffrey Shen, Hao Wang and Patrizia Lombardi

Public housing in Hong Kong plays an essential role in accommodation supply to people of low income. Access to social resources and rent levels of nearby private residential…

713

Abstract

Purpose

Public housing in Hong Kong plays an essential role in accommodation supply to people of low income. Access to social resources and rent levels of nearby private residential housing are two critical issues impacting the well-being of residents living in public housing estates. However, previous research has rarely focused on the spatial distribution of public housing estates through exploring these two critical issues. On the other hand, Hong Kong is currently experiencing an urban renewal process. It would be beneficial to consider these critical issues for spatial allocation of public housing in urban renewal decision making. The purpose of this paper is to investigate these two critical issues in relation to the spatial distribution of public housing estates in Kowloon, Hong Kong.

Design/methodology/approach

Seven spatial variables were selected to reflect these critical issues. Spatial analysis in Geographic Information System was conducted to process the data required. Multiple logistic regression was employed to analyse the relationships between the spatial location of public housing estates and the seven selected variables.

Findings

Based on the analysis results, several problems as well as geographical advantages of the current location of public housing estates were discovered, which can be valuable references for decision making by government authorities for public housing development in the future.

Originality/value

This research is a pilot study on the spatial distribution of public housing estates and the critical influencing factors in Hong Kong, undertaken by applying both spatial analysis and statistical methods. It can help relevant decision makers deal with current problems of public housing location and make informed decisions on where to locate new housing projects in an urban renewal process, which can increase the equal distribution of social resources and improve the well-being of people living in public housing.

Details

Smart and Sustainable Built Environment, vol. 4 no. 2
Type: Research Article
ISSN: 2046-6099

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Article
Publication date: 13 August 2024

Katie Bell, Helen Coulthard, Diane Wildbur and Iain Williamson

Self-disgust appears to be a prominent feature in anorexia nervosa (AN), which might help explain why AN is often such a persistent disorder. Little is known about how this…

32

Abstract

Purpose

Self-disgust appears to be a prominent feature in anorexia nervosa (AN), which might help explain why AN is often such a persistent disorder. Little is known about how this emotion can impact on recovering from this disorder. This study aims to develop our understanding of how people experience the emotion of self-disgust after physical recovery from AN.

Design/methodology/approach

Twelve female participants who reported previously having had a clinical diagnosis of AN but had physically recovered according to their EDE-Q scores took part in a semi-structured interview to explore their experiences of recovery and the role self-disgust played within this. Interpretative phenomenological analysis was used to explore the data.

Findings

Three themes were identified within the data to explain the experiences of self-disgust in those with AN: continued self-disgust following physical “Recovery”, multiple manifestations of self-disgust in recovery and increasing self-disgust in recovery as a driver for relapse.

Practical implications

Self-disgust was something each participant appeared to experience often, despite being physically recovered from AN. Disgust-based reactions to the self are enduring and highly resistant to change even whilst other aspects of the disorder become less potent. Self-disgust is multi-faceted and may trigger relapse as the signs of improvement and behaviours inherent in recovering were generally viewed as disgusting to the individuals.

Originality/value

Self-disgust is an emotion that continues to affect people with AN despite physical recovery. The recovery process itself is not linear and self-disgust is enduring and may cause those affected to relapse. Considering this emotion within therapeutic intervention may encourage those with AN to accept their recovered self.

Details

Mental Health Review Journal, vol. 29 no. 3
Type: Research Article
ISSN: 1361-9322

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Book part
Publication date: 19 September 2012

Larry W. Isaac, Daniel B. Cornfield, Dennis C. Dickerson, James M. Lawson and Jonathan S. Coley

While it is generally well known that nonviolent collective action was widely deployed in the US southern civil rights movement, there is still much that we do not know about how…

Abstract

While it is generally well known that nonviolent collective action was widely deployed in the US southern civil rights movement, there is still much that we do not know about how that came to be. Drawing on primary data that consist of detailed semistructured interviews with members of the Nashville nonviolent movement during the late 1950s and 1960s, we contribute unique insights about how the nonviolent repertoire was diffused into one movement current that became integral to moving the wider southern movement. Innovating with the concept of serially linked movement schools – locations where the deeply intense work took place, the didactic and dialogical labor of analyzing, experimenting, creatively translating, and resocializing human agents in preparation for dangerous performance – we follow the biographical paths of carriers of the nonviolent Gandhian repertoire as it was learned, debated, transformed, and carried from India to the Fellowship of Reconciliation (FOR) and Howard University to Nashville (TN) and then into multiple movement campaigns across the South. Members of the Nashville movement core cadre – products of the Nashville movement workshop schools – were especially important because they served as bridging leaders by serially linking schools and collective action campaigns. In this way, they played critical roles in bridging structural holes (places where the movement had yet to be successfully established) and were central to diffusing the movement throughout the South. Our theoretical and empirical approach contributes to the development of the dialogical perspective on movement diffusion generally and to knowledge about how the nonviolent repertoire became integral to the US civil rights movement in particular.

Details

Nonviolent Conflict and Civil Resistance
Type: Book
ISBN: 978-1-78190-346-9

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Article
Publication date: 18 October 2010

Daniel Briggs

Despite over two decades of crack use in the UK, there is little UK‐focused research and little understanding of the social context of crack use and health‐related risks. This is…

148

Abstract

Despite over two decades of crack use in the UK, there is little UK‐focused research and little understanding of the social context of crack use and health‐related risks. This is of concern because research in the UK suggests that service provision for crack users is inadequate. Research also suggests that there are high attrition rates of crack users in drug support services. Based on data collected in 2004/2005, this paper will examine how crack cocaine users start using crack, what happens over time, and where they end up as a consequence ‐ the crack scene. Many become mistrustful because of the manipulative and violent interactions that take place in these spaces. This is not helped when crack users reflect on past mistakes, which only results in increased crack use. As practical and health issues become too problematic, ways out, too, become more difficult. In addition, many find it difficult to place trust in welfare and drug support services because of negative past experiences, and feel ashamed about past failures in treatment. Taken together, I will also show how this is not helped by the configuration of drug support services.

Details

Safer Communities, vol. 9 no. 4
Type: Research Article
ISSN: 1757-8043

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Article
Publication date: 1 November 2000

Diane Crone‐Grant and Trudi Grant

Diane Crone‐Grant and Trudi Grant describe an evidence‐based programme designed to promote mental health through developing physical wellbeing.

156

Abstract

Diane Crone‐Grant and Trudi Grant describe an evidence‐based programme designed to promote mental health through developing physical wellbeing.

Details

A Life in the Day, vol. 4 no. 4
Type: Research Article
ISSN: 1366-6282

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Article
Publication date: 1 February 2005

Diane Crone, Daren Edwards, Laura Price, Emily Webber and Leon Meek

Diane Crone and colleagues describe a collaboration between a university sport and exercise science department and the local mental health trust that not only resulted in a number…

142

Abstract

Diane Crone and colleagues describe a collaboration between a university sport and exercise science department and the local mental health trust that not only resulted in a number of practice‐based research projects looking at the health benefits of physical activity, but also directly improved sports and other physical activity options for mental health service users. It has also provided final year degree students with vocational experiences, improving their career prospects.

Details

A Life in the Day, vol. 9 no. 1
Type: Research Article
ISSN: 1366-6282

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