This paper aims to explore the transition from addiction to recovery. It is the third in a series of recovery stories that examine candid accounts of addiction and recovery…
Abstract
Purpose
This paper aims to explore the transition from addiction to recovery. It is the third in a series of recovery stories that examine candid accounts of addiction and recovery. Shared components of recovery are considered, along with the change and growth needed to support the transition.
Design/methodology/approach
The connectedness, hope, identity, meaning in life and empowerment (CHIME) framework comprises five elements important to recovery (connectedness, hope, identity, meaning in life and empowerment). It provides a standard to qualitatively study mental health recovery, having also been applied to addiction recovery. In this paper, an element for growth is included in the model (G-CHIME), to consider both recovery and sustained recovery. A first-hand account of addiction recovery is presented, followed by a semi-structured e-interview with the author of the account. This is structured on the G-CHIME model.
Findings
This paper shows that addiction recovery is a remarkable process that can be effectually explained using the G-CHIME model. The significance of each element in the model is apparent from the biography and e-interview presented.
Originality/value
Each account of recovery in this series is unique, and as yet, untold.
Details
Keywords
Thorn model psychosocial interventions (PSI) assist clients and their carer systems to manage the effects of psychotic symptoms. PSI has a broad menu of possible interventions…
Abstract
Thorn model psychosocial interventions (PSI) assist clients and their carer systems to manage the effects of psychotic symptoms. PSI has a broad menu of possible interventions from which a client and their therapist choose the most efficacious. In this process, assessment of the client's lived experience is crucial to choosing the most appropriate interventions. However, there are difficulties in adapting interventions designed for the ‘normal’ population for those with learning disabilities. This case study will explore conducting a Thorn model semi‐structured interview with a man with a diagnosis of Asperger's syndrome and mental health problems, highlighting both challenges and the approach used to address them.
Details
Keywords
Chad J.R. Walker, Mary Beth Doucette, Sarah Rotz, Diana Lewis, Hannah Tait Neufeld and Heather Castleden
This research considers the potential for renewable energy partnerships to contribute to Canada's efforts to overcome its colonial past and present by developing an understanding…
Abstract
Purpose
This research considers the potential for renewable energy partnerships to contribute to Canada's efforts to overcome its colonial past and present by developing an understanding of how non-Indigenous peoples working in the sector relate to their Indigenous partners.
Design/methodology/approach
This study is part of a larger research program focused on decolonization and reconciliation in the renewable energy sector. This exploratory research is framed by energy justice and decolonial reconciliation literatures relevant to the topic of Indigenous-led renewable energy. The authors used content and discourse analysis to identify themes arising from 10 semi-structured interviews with non-Indigenous corporate and governmental partners.
Findings
Interviewees’ lack of prior exposure to Indigenous histories, cultures and acknowledgement of settler colonialism had a profound impact on their engagement with reconciliation frameworks. Partners' perspectives on what it means to partner with Indigenous peoples varied; most dismissed the need to further develop understandings of reconciliation and instead focused on increasing community capacity to allow Indigenous groups to participate in the renewable energy transition.
Research limitations/implications
In this study, the authors intentionally spoke with non-Indigenous peoples working in the renewable energy sector. Recruitment was a challenge and the sample is small. The authors encourage researchers to extend their questions to other organizations in the renewable energy sector, across industries and with Indigenous peoples given this is an under-researched field.
Originality/value
This paper is an early look at the way non-Indigenous “partners” working in renewable energy understand and relate to topics of reconciliation, Indigenous rights and self-determination. It highlights potential barriers to reconciliation that are naïvely occurring at organizational and institutional levels, while anchored in colonial power structures.
Details
Keywords
In the US minimum wages were initially enacted by individual states, beginning with the Commonwealth of Massachusetts in 1912. These laws were modeled on legislation enacted over…
Abstract
In the US minimum wages were initially enacted by individual states, beginning with the Commonwealth of Massachusetts in 1912. These laws were modeled on legislation enacted over the previous two decades in Australia, New Zealand, and England (Fisher, 1926, chap. 8; Hammond, 1915, 1913; Hobson, 1915; Hart, 1994, chaps. 2 & 3; Morris, 1986). From 1912 to 1923, the legislatures of 16 states, Puerto Rico, and the District of Columbia passed minimum wage legislation, although not all of them were operational by the end of this period (Brandeis, 1935, p. 501; Clark, 1921; Millis & Montgomery, 1938, chap. 6; Morris, 1930, chap. 1).
A new tier of intermediate care services for older people is being introduced in England and one function of these services will be district general hospital (DGH) admission…
Abstract
A new tier of intermediate care services for older people is being introduced in England and one function of these services will be district general hospital (DGH) admission avoidance. Concern has been expressed that this situation might compromise a prompt medical assessment. Reports recent experience with the medical assessment of directly admitted patients to a community hospital. The records of 81 of 87 patients admitted directly to the community hospital were available. The expected contributions to the medical assessment were not achieved by general practitioners in 27 patients (33 per cent); by hospital practitioners in 56 patients (69 per cent); and by consultants in 18 patients (22 per cent). Eight patients (10 per cent) had illnesses of greater complexity than initially considered and required transfer to the DGH. Concludes that, it can be difficult to ensure a timely medical assessment for patients admitted directly to an intermediate care service and critical incident reporting of patients who require transfer to a DGH should become a routine clinical governance activity for these services.
Details
Keywords
Niki Edwards, Chris Bain, Allyson Mutch, Julie Dean and Nicholas Lennox
Simple linear accounts of prescribing do not adequately address reasons “why” doctors prescribe psychotropic medication to people with intellectual disability (ID). Greater…
Abstract
Purpose
Simple linear accounts of prescribing do not adequately address reasons “why” doctors prescribe psychotropic medication to people with intellectual disability (ID). Greater understanding of the complex array of factors that influence decisions to prescribe is needed.
Design/methodology/approach
After consideration of a number of conceptual frameworks that have potential to better understand prescribing of psychotropic medication to adults with ID, an ecological model of prescribing was developed. A case study is used to outline how the model can provide greater understanding of prescribing processes.
Findings
The model presented aims to consider the complexity and multi-dimensional nature of community-based psychotropic prescribing to adults with ID. The utility of the model is illustrated through a consideration of the case study.
Research limitations/implications
The model presented is conceptual and is as yet untested.
Practical implications
The model presented aims to capture the complexity and multi-dimensional nature of community-based psychotropic prescribing to adults with ID. The model may provide utility for clinicians and researchers as they seek clarification of prescribing decisions.
Originality/value
The paper adds valuable insight into factors influencing psychotropic prescribing to adults with ID. The ecological model of prescribing extends traditional analysis that focuses on patient characteristics and introduces multi-level perspectives that may provide utility for clinicians and researchers.
Details
Keywords
A strategy focused on quality is the best way companies can respond to competition. And surprisingly, an emphasis on quality is one of the most effective ways to control costs.
THE PRESIDENT of the Library Association for 1929–30 will be Lord Balneil, the son of the Earl of Crawford, and it is difficult to think of a better choice. Lord Balneil has an…
Abstract
THE PRESIDENT of the Library Association for 1929–30 will be Lord Balneil, the son of the Earl of Crawford, and it is difficult to think of a better choice. Lord Balneil has an admirable bibliographical ancestry—if we may so put it—seeing that his grandfather, the 26th Earl of Crawford, was President in 1898; and the Haigh Hall Library at the family seat is one of the noble private libraries of England. Lord Balneil is the Chairman of the Appeal Committee for the endowment of the School of Librarianship and so has already identified himself in a practical manner with the cause of libraries.