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Article
Publication date: 16 October 2023

Jessica Adlam and Gemma Powell

This rapid evidence assessment (REA) study aims to synthesise what is known about food refusal within male prison populations to aid a better understanding of why this occurs. By…

101

Abstract

Purpose

This rapid evidence assessment (REA) study aims to synthesise what is known about food refusal within male prison populations to aid a better understanding of why this occurs. By looking at the various functions of food refusal for this population, it is hoped that professionals can better support prisoners’ needs in this area.

Design/methodology/approach

A rapid review of available data within the published literature was completed. Searches were conducted on two databases (PsychInfo and MedLine), and a total of 328 articles were screened using a three-stage process. This resulted in 13 articles being identified for the final sample, which were reviewed and synthesised into themes by looking for commonalities.

Findings

Five themes were identified: “to protest”, “to achieve goals or demands”, “to manage interpersonal difficulties with prison/custodial staff”, “to end life” and “mental health and personality disorder”. The findings appear to suggest that food refusal in this context may be predominantly driven by a need to communicate or gain control.

Practical implications

To help prevent and cease food refusal, it will be beneficial for prison staff to use approaches that support prisoners feeling a sense of fairness, transparency, control and autonomy, as well as problem-solving skills and establishing a sense of purpose and motivation.

Originality/value

This REA confirmed there is a lack of good-quality research into the functions of food refusal among prisoners in the UK. Future research should involve contact with prisoners who have engaged in food refusal to understand motivations firsthand.

Details

The Journal of Forensic Practice, vol. 25 no. 4
Type: Research Article
ISSN: 2050-8794

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Article
Publication date: 8 June 2012

Christopher Scanlon and John Adlam

This paper aims to offer a critical analysis of the potentially traumatising nature of working with (dis)stressed and traumatised people with complex needs who are homeless. It…

682

Abstract

Purpose

This paper aims to offer a critical analysis of the potentially traumatising nature of working with (dis)stressed and traumatised people with complex needs who are homeless. It also seeks to provide a commentary on the contribution of Psychologically Informed Services: A Good Practice Guide in addressing the impact of these difficult dynamics upon workers, teams and organisations.

Design/methodology/approach

The paper is an invited piece and is based on the specialist experience and viewpoint of the authors working as psychotherapists with a background in therapeutic community work and of their experience of reflective practice and team development consultancy with teams working in homelessness services.

Findings

With increasing demand and more restricted funding for homelessness resettlement services, the authors raise issues in the complex interaction of institutional and social and interpersonal dilemmas for staff “stuck in the middle” between the (dis)stressing nature of clients' “unhoused” minds and the (dis)stressed response of the systems of care. A group‐analytic, systems psychodynamics approach is used to shed light upon the risks to workers when services do not make time to reflect upon these (dis)stressing and potentially traumatising dynamics. They also point towards some of the personal and professional characteristics required in consulting to staff teams and agencies working with such complex dynamics.

Originality/value

The new operational guidance is welcomed, however, the authors suggest that the successful implementation of Psychologically Informed Environments (PIEs) is reliant on the capacity of any given organisation to build effective cultures and structures to support the development of reflective practice and team development.

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Article
Publication date: 1 December 2006

Christopher Scanlon and John Adlam

We begin with a discussion of the psychosocial concepts of ‘personality disorder’ and ‘homelessness’, and then seek to re‐define and re‐locate both from the internal world of the…

761

Abstract

We begin with a discussion of the psychosocial concepts of ‘personality disorder’ and ‘homelessness’, and then seek to re‐define and re‐locate both from the internal world of the patient/client to the psychosocial ‘dis‐memberment’ associated with what we have called the ‘unhoused mind’. We then explore the complex reciprocal relationship between the ‘ordered’ and the ‘dis‐ordered’, the housed and the unhoused, and consider some possible implications for individual workers, staff teams and organisations tasked with attempting to house and/or to care for and support such people.

Details

Housing, Care and Support, vol. 9 no. 3
Type: Research Article
ISSN: 1460-8790

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Article
Publication date: 8 August 2018

Jessica C.M. Li, Jacky C.K. Cheung and Ivan Y. Sun

The purpose of this paper is to examine the effects of demands from three life domains: society, workplace and family and different resources at the individual, family and…

1992

Abstract

Purpose

The purpose of this paper is to examine the effects of demands from three life domains: society, workplace and family and different resources at the individual, family and supervisor levels on occupational stress and work engagement among Hong Kong police officers.

Design/methodology/approach

A survey based on a random sample of 514 male and female police officers was conducted, and multivariate regression was employed to assess the effects of demands and resources on work stress and work engagement.

Findings

Family–work conflicts, organizational and operational factors affected work stress and work engagement among police officers. Constructive coping was found to be positively related to work stress and negatively associated with work engagement.

Research limitations/implications

Survey data collected from a single Chinese city may not be generalized to officers in other parts of China or Chinese societies with different social and political contexts.

Originality/value

The present study filled the knowledge gap about factors influencing police stress and engagement. This study provides insights into how to establish relevant contextual measures to reduce police work stress. This study represents one of the first attempts to use a random sample of police officers for the investigation of police stress in Hong Kong.

Details

Policing: An International Journal, vol. 42 no. 2
Type: Research Article
ISSN: 1363-951X

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Article
Publication date: 14 December 2010

Andy Brooker

The author provides a personal perspective on personality disorder, based on his involvement with Borderline UK and Personality Plus. This is based on a presentation originally…

108

Abstract

The author provides a personal perspective on personality disorder, based on his involvement with Borderline UK and Personality Plus. This is based on a presentation originally made at the First National Personality Disorder Congress.

Details

Mental Health Review Journal, vol. 15 no. 4
Type: Research Article
ISSN: 1361-9322

Keywords

Available. Content available

Abstract

Details

Arts and the Market, vol. 14 no. 1
Type: Research Article
ISSN: 2056-4945

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Article
Publication date: 12 October 2023

Alexandra Oancă, Franco Bianchini, Juliet Simpson, Enrico Tommarchi and David Wright

510

Abstract

Details

Arts and the Market, vol. 13 no. 3
Type: Research Article
ISSN: 2056-4945

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Article
Publication date: 15 May 2019

Clare Watson, Lizette Nolte and Rachel Brown

Trusting and empathic relationships between project workers and people experiencing homelessness (PEH) form the cornerstone for their needs to be met. However, under the UK…

469

Abstract

Purpose

Trusting and empathic relationships between project workers and people experiencing homelessness (PEH) form the cornerstone for their needs to be met. However, under the UK austerity agenda project workers practice in a context of increasing pressure and limited resources; with relationships often characterised by conditionality and disconnection. The purpose of this paper is to report on a study investigating project workers’ experiences of building relationships with PEH living in supported housing projects.

Design/methodology/approach

A qualitative design was employed in which focus groups were carried out in six projects, using an opportunity sample of 22 project workers. Data were analysed using thematic analysis, within a social constructionist epistemology.

Findings

Three main themes were identified: “Working hard to build connection”, “Supporting each other within an unsupportive context” and “Draining but sustaining”. Project workers acted out of strong value systems in building relationships with residents against a backdrop of systemic disconnection.

Originality/value

Clear clinical implications are put forward with in a Psychologically Informed Environment framework. Services supporting PEH need to be psychologically informed and organisations need to embed reflection within their policies and every day practice. In developing services for PEH interdependence not in/dependence needs to be the aim. Finally, the responsibility for improving the lives of PEH should be placed back on society to provide a context in which PEH can thrive.

Details

Housing, Care and Support, vol. 22 no. 2
Type: Research Article
ISSN: 1460-8790

Keywords

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Article
Publication date: 19 October 2015

Michael Clark, Michelle Cornes, Jill Manthorpe, Catherine Hennessy and Sarah Anderson

The purpose of this paper is to discuss “system transformation” in the context of different workforces and organisations seeking to support people experiencing multiple exclusion…

263

Abstract

Purpose

The purpose of this paper is to discuss “system transformation” in the context of different workforces and organisations seeking to support people experiencing multiple exclusion homelessness (MEH). From a relational and integrated care perspective it aims to identify barriers to achieving more effective ways of working in the prevailing context of “managerial domination”. Communities of practice (COPs) are evaluated to identify their potential to overcome some of these barriers.

Design/methodology/approach

The paper presents a theoretical and conceptual discussion of a project in which a number of COPs were established and evaluated to ascertain their value in developing more relational ways of working in the context of MEH. Case studies of COPs operating in the context of MEH are explored and discussed.

Findings

It is concluded that COPs have the potential to deliver small-scale changes (“little miracles”) which are characteristically more subversive than transformative. Nevertheless, the authors still see these small gains as significant when compared to the inertia that is often found in local systems of care where more traditional management techniques (such as “payment by results”) prevail. The authors also draw attention to the scope for much improved service quality which flows from moving beyond the “tick box” and into the realms of what it really takes to tackle homelessness and multiple exclusion. In other words, although often requiring considerable amounts of “craft and graft” to deliver seemingly very small amounts of change, these “little miracles” may actually be more conducive in the long run to delivering the kind of tangible “real” change that is often aspired to by both workers and service users and their carers.

Research limitations/implications

The COPs project was limited in terms of time and scale and, hence, further research would be needed to, for example, ascertain their longer-term potential.

Practical implications

There is merit in the theoretical perspectives discussed and, from these, of understanding how best to establish and operate COPs as a vehicle for achieving better outcomes through integrated or collaborative working.

Social implications

There is much scope for better integrated or more collaborative working in the context of MEH and this paper draws attention to how COPs could be one means of achieving better outcomes for people experiencing MEH.

Originality/value

This is the first paper to set out the theoretical analysis of COPs as a means of achieving better integrated or collaborative working.

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Article
Publication date: 2 December 2020

Stephen Martineau

The paper examines three English research papers on self-neglect, from 1957, 1966 and 1975, discussing them in the context of more recent thinking and the statutory framework in…

465

Abstract

Purpose

The paper examines three English research papers on self-neglect, from 1957, 1966 and 1975, discussing them in the context of more recent thinking and the statutory framework in England.

Design/methodology/approach

In reviewing the three research papers, developments and points of continuity in the field of self-neglect were identified and are discussed in this paper.

Findings

In light of the findings of the three articles, the present paper traces some of the classificatory refinements in this field that have taken place since the papers were published, notably in respect of hoarding and severe domestic squalor. Some of the difficulties in making judgements about behaviour thought to breach societal norms are described, and the challenges practitioners face in intervening in cases, particularly where the person concerned is refusing assistance, are examined.

Originality/value

By drawing on the historical research context, the paper contributes to our current understanding of the field of self-neglect.

Details

The Journal of Adult Protection, vol. 23 no. 1
Type: Research Article
ISSN: 1466-8203

Keywords

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