Scott Wilson, Julie Metcalfe and Stephen McLeod
The purpose of this paper is to compare NHS Greater Glasgow and Clyde (NHSGGC) Child and Adolescent Mental Health Service (CAMHS) activity data over a one-year period to the…
Abstract
Purpose
The purpose of this paper is to compare NHS Greater Glasgow and Clyde (NHSGGC) Child and Adolescent Mental Health Service (CAMHS) activity data over a one-year period to the Choice and Partnership Approach (CAPA) demand and capacity model assumptions, providing an evaluation of CAPA model implementation and its effects on actual demand and capacity of the service.
Design/methodology/approach
Three assumptions within the CAPA model are tested against activity data extracted from the patient management system. Analysis by patient record assesses the number of appointments the patients received and the patients’ journey from assessment to treatment. A combination of community CAMHS data are combined to compare actual activity against assumed capacity required to meet demand according to the CAPA model.
Findings
Tested against an audit of 2,896 patient records, CAMHS average 7.76 core appointments per patient compared to the CAPA assumption of 7.5 appointments at a 0 per cent DNA rate. The second CAPA assumption states that 66 per cent of assessments will result in treatment, compared to 73.55 per cent in NHSGGC CAMHS. Finally, the workforce model in CAMHS has clinical capacity to meet demand according to the CAPA assumption of weekly accepted referral rates not exceeding the number of clinical whole time equivalent.
Originality/value
The data allow for identification of inefficiencies within CAMHS and highlights how capacity can be increased, without increasing budgets, to meet a rising clinical demand. The results allow managers and clinicians to improve job planning to ensure more children and young people have quick access to services.
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The purpose of this paper is to examine the obstacles to women’s advancement in Saudi Arabia. The paper addresses the question “what are women’s experiences of becoming leaders…
Abstract
Purpose
The purpose of this paper is to examine the obstacles to women’s advancement in Saudi Arabia. The paper addresses the question “what are women’s experiences of becoming leaders and what influences their leadership practice?” It does this by drawing on gender and Middle Eastern literature, as well as empirical evidence of the perceptions, experience and challenges of women in Saudi.
Design/methodology/approach
The study contributes a consideration of the academic literature, supported by empirical findings from 25 interviews with professional women in Saudi Arabia. The data identify the perceptions, experiences and challenges of professional women in Saudi. It concludes by outlining the practical need for the review and promotion of policies to eradicate inequalities in the workplace.
Findings
The data show that the challenges faced by professional women in Saudi Arabia are social, religious, cultural and organizational. The findings reveal that women’s relationship to self, others, place and work are key influencers in how they perceive and experience leadership. The findings also indicate the need for a review and promotion of policies to eradicate inequalities which prevent women from becoming leaders.
Research limitations/implications
The research limitations are that it focuses on a small number of professional women in Saudi Arabia (n = 25). However, Saudi Arabia is a country where research access is difficult; therefore, this research has significant implications for beginning to understand women and their experience of leadership in Saudi. It also addresses a gap in the scant research which does exist in this area.
Practical implications
The study highlights that unless significant barriers are removed, women will not progress to higher leadership positions in organizations. The future role of women as leaders in Saudi Arabia will require society, organizations and women themselves to change the traditional role-expectations of women. The paper considers what can be done to create a more levelled platform for women to operate in organizations at senior levels.
Social implications
The findings and recommendations will prove useful in raising awareness among policymakers and practitioners regarding the experiences and the obstacles faced by women in Saudi Arabia because of the social, religious and culture context in which they live.
Originality/value
This study contributes to enriching the gender and leadership literature in a country that has been poorly addressed so far. Its originality lies in the context of Saudi Arabia. The research is significant in that, in examining women’s perceptions of the challenges and opportunities of leadership in the workplace, it provides an understanding of women’s experience of leadership in Saudi that has not previously been considered in the literature on women in the Middle East. This study therefore contributes to understanding the how and why of leadership by listening to the ways in which women learn and practise leadership.
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This paper seeks to identify, examine, and discuss the unique challenges for lesbians who serve in leadership positions in corporate America.
Abstract
Purpose
This paper seeks to identify, examine, and discuss the unique challenges for lesbians who serve in leadership positions in corporate America.
Design/methodology/approach
Drawing upon a multi‐disciplinary framework of management, diversity, feminist, and leadership literature, the paper critically examines the myriad of pressures exerted upon all women in leadership positions, and then identifies the pressures that are specific and unique for lesbians.
Findings
There are pressures that are unique for lesbian leaders. These pressures include negotiating the heterosexism of the organization; invisibility versus visibility, and gender expression and gender role expectations.
Originality/value
The paper provides implications for human resource development to assume a stronger and more active role in uncovering tacit issues embedded in leadership so that organizational workplaces become locations of greater equity, access, and fairness for all who aspire to leadership positions.
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Tayfun Kasapoglu and Anu Masso
Purpose: This study explores the perspectives of data experts (DXs) and refugees on the algorithms used by law enforcement officers and focuses on emerging insecurities. The…
Abstract
Purpose: This study explores the perspectives of data experts (DXs) and refugees on the algorithms used by law enforcement officers and focuses on emerging insecurities. The authors take police risk-scoring algorithms (PRSA) as a proxy to examine perceptions on algorithms that make/assist sensitive decisions affecting people’s lives.
Methodology/approach: In-depth interviews were conducted with DXs (24) in Estonia and refugees (19) in Estonia and Turkey. Using projective techniques, the interviewees were provided a simple definition of PRSA and a photo to encourage them to share their perspectives. The authors applied thematic analysis to the data combining manual and computer-aided techniques using the Maxqda software.
Findings: The study revealed that the perspectives on PRSA may change depending on the individual’s position relative to the double security paradox surrounding refugees. The use of algorithms for a sensitive matter such as security raises concerns about potential social outcomes, intentions of authorities and fairness of the algorithms. The algorithms are perceived to construct further social borders in society and justify extant ideas about marginalized groups.
Research limitations: The study made use of a small population sample and aimed at exploring perspectives of refugees and DXs by taking PRSA as the case without targeting representativeness.
Originality/value: The study is based on a double security paradox where refugees who escape their homelands due to security concerns are also considered to be national security threats. DXs, on the other hand, represent a group that takes an active role in decisions about who is at risk and who is risky. The study provides insights on two groups of people who are engaged with algorithms in different ways.