Abstract This article looks at the benefits of and obstacles to using a whole systems approach to plan and deliver personality disorder services. It does so using the example of…
Abstract
Abstract This article looks at the benefits of and obstacles to using a whole systems approach to plan and deliver personality disorder services. It does so using the example of the Leeds Managed Clinical Network, a community pilot service that employs whole system working to support people with personality disorder.
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Closure of a Hospital in an area with a high percentage of elderly people created a need for good‐quality, cost‐effective rehabilitation services. The paper describes the setting…
Abstract
Closure of a Hospital in an area with a high percentage of elderly people created a need for good‐quality, cost‐effective rehabilitation services. The paper describes the setting up of a rehabilitation team and centre, and the benefits that it has provided.
Dieu Hack-Polay and Paul Agu Igwe
Integration is a complex, contested and multidimensional concept. This paper aims to examine the impact of small voluntary agencies (SVA) in the integration of refugees into…
Abstract
Purpose
Integration is a complex, contested and multidimensional concept. This paper aims to examine the impact of small voluntary agencies (SVA) in the integration of refugees into social, economic and citizenship structures in the UK.
Design/methodology/approach
This study is rooted in in-depth interviews with 20 participants and a case study (ethnography research) that focuses on a refugee-assisting organisation in Southeast England.
Findings
The findings reveal cases of exemplary leadership in actions and social solidarity exhibited by SVA through innovative actions aimed at helping individuals and communities which may be particularly disadvantaged. It revealed the mixed embeddedness that these agencies create that enable refugees to pursue a new life, employment and citizenship.
Research limitations/implications
One of the limitations of the study is the focus on one case study. However, this provided an opportunity to conduct in-depth interviews and examination of the research objectives.
Practical implications
With the ever-decreasing government revenues, there is evidence of the tremendous achievement of the voluntary sector in many endeavours in the community. This provides an opportunity for a more strategic partnership between public and private actors.
Social implications
The activities of the SVA are the catalyst to refugees’ integration as policies that enable regaining self-esteem, seeking employment or starting a business.
Originality/value
This study provides the opportunity to explore the relatively under-research and under-publicized role of SVA in the migrants and refugee literature.
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Bridget Harris and Delanie Woodlock
Technology increasingly features in intimate relationships and is used by domestic violence perpetrators to enact harm. In this chapter, we propose a theoretical and practical…
Abstract
Technology increasingly features in intimate relationships and is used by domestic violence perpetrators to enact harm. In this chapter, we propose a theoretical and practical framework for technology-facilitated harms in heterosexual relationships which we characterize as digital coercive control. Here, we include behaviors which can be classified as abuse and stalking and also individualized tactics which are less easy to categorize, but evoke fear and restrict the freedoms of a particular woman. Drawing on their knowledge of a victim/survivor's experiences and, in the context of patterns and dynamics of abuse, digital coercive control strategies are personalized by perpetrators and extend and exacerbate “real-world” violence.
Digital coercive control is unique because of its spacelessness and the ease, speed, and identity-shielding which technology affords. Victim/survivors describe how perpetrator use of technology creates a sense of omnipresence and omnipotence which can deter women from exiting violent relationships and weakens the (already tenuous) notion that abuse can be “escaped.” We contend that the ways that digital coercive control shifts temporal and geographic boundaries warrant attention. However, spatiality more broadly cannot be overlooked. The place and shape in which victim/survivors and perpetrators reside will shape both experiences of and response to violence. In this chapter, we explore these ideas, reporting on findings from a study on digital coercive control in regional, rural, and remote Australia. We adopt a feminist research methodology in regard to our ethos, research processes, analysis, and the outputs and outcomes of our project. Women's voices are foreground in this approach and the emphasis is on how research can be used to inform, guide, and develop responses to domestic violence.
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Emma Ferguson-Coleman and Alys Young
Deaf people, who are British Sign Language (BSL) users, are, at times, carers for their parent or spouse when they have dementia. This can be a challenging role for the wider…
Abstract
Purpose
Deaf people, who are British Sign Language (BSL) users, are, at times, carers for their parent or spouse when they have dementia. This can be a challenging role for the wider population, but if the common language in service provision is not one you share, then this care can be impacted by the lack of formal structures that support the Deaf caring role. This study aims to explore the experiences of Deaf carers supporting people with dementia, in an unpaid role, during the COVID-19 pandemic to understand more about their potential support preferences.
Design/methodology/approach
Online interviews with seven Deaf carers sharing their experiences of supporting their family member with dementia happened during the first year of the COVID-19 pandemic. Interpretive phenomenological analysis was used to qualitatively examine each Deaf carers’ stories.
Findings
Findings included Deaf carers’ lack of access to information, surrendering their autonomy to hearing family members to communicate with health-care professionals, with overarching isolation within local communities and online. Findings show a widespread infrastructural failure to meet the linguistic and specific support needs of this minority population.
Research limitations/implications
Seven Deaf carers took part in this study. This means the findings may not be generalisable.
Practical implications
Health-care professionals and social care structures need to develop robust clear communication pathways for Deaf carers to receive the support needed to provide effective care.
Social implications
If health-care professionals undertake training about Deaf people and BSL, that will mean Deaf carers will receive effective support to be able to care for a person living with dementia. This means that their Deaf identity will be recognised within the mainstream and the care provided will be much more effective for the person with dementia.
Originality/value
To the best of the authors’ knowledge, these are the first interviews undertaken with Deaf carers of people with dementia during the COVID-19 pandemic and its subsequent lockdowns. Understanding everyday barriers and social care limitations in terms of language access will enable Deaf carers to assert their rights and for care professionals to adapt their communication to match the individuals involved in the care package.