Christine Phillips, Sally Hall, Nicholas Elmitt, Marianne Bookallil and Kirsty Douglas
Services for refugees and asylum seekers frequently experience gaps in delivery and access, poor coordination, and service stress. The purpose of this paper is to examine the…
Abstract
Purpose
Services for refugees and asylum seekers frequently experience gaps in delivery and access, poor coordination, and service stress. The purpose of this paper is to examine the approach to integrated care within Companion House (CH), a refugee primary care service, whose service mix includes counselling, medical care, community development, and advocacy. Like all Australian refugee and asylum seeker support services, CH operates within an uncertain policy environment, constantly adapting to funding challenges, and changing needs of patient populations.
Design/methodology/approach
Interviews with staff, social network analysis, group patient interviews, and service mapping.
Findings
CH has created fluid links between teams, and encouraged open dialogue with client populations. There is a high level of networking between staff, much of it informal. This is underpinned by horizontal management and staff commitment to a shared mission and an ethos of mutual respect. The clinical teams are collectively oriented towards patients but not necessarily towards each other.
Research limitations/implications
Part of the service’s resilience and ongoing service orientation is due to the fostering of an emergent self-organising form of integration through a complex adaptive systems approach. The outcome of this integration is characterised through the metaphors of “home” for patients, and “family” for staff. CH’s model of integration has relevance for other services for marginalised populations with complex service needs.
Originality/value
This study provides new evidence on the importance of both formal and informal communication, and that limited formal integration between clinical teams is no bar to integration as an outcome for patients.
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James C. Fowler, Robyn Catherine Price, Kirsty Burger, Alice Jennifer Mattei, Ashley Mary McCarthy, Fiona Lowe and Thuthirna Sathiyaseelan
The use of mental health treatment requirements (MHTRs) has not proven to be successful at meeting the mental health needs of the probation population in the UK, largely through…
Abstract
Purpose
The use of mental health treatment requirements (MHTRs) has not proven to be successful at meeting the mental health needs of the probation population in the UK, largely through underuse of the requirement or lack of available services. The paper aims to discuss this issue.
Design/methodology/approach
This paper investigates a method of meeting those needs without the use of MHTRs by embedding third sector services within the probation environment.
Findings
Results indicate a significant impact after a six-month follow-up in symptomology across measures of depression, anxiety, general distress and social functioning; also indicated is a significant result on recidivism, with 74 per cent of participants committing no further offences in the 12 months following treatment.
Originality/value
These results represent the only evaluation of embedded, third sector mental health services in a probation environment in the UK, and highlight a further need to embed specialist mental health services within the probation environment and generalise that practice to other forms of service structure and therapeutic methodology.
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Kirsty M. Taunton, Hannah R. Cook and Stacey Eyers
Risk assessment and risk management planning are integral to reducing risk of future violence in forensic settings. Over the past decade, emphasis has been placed on involving…
Abstract
Purpose
Risk assessment and risk management planning are integral to reducing risk of future violence in forensic settings. Over the past decade, emphasis has been placed on involving service users in this process. Nonetheless, service user knowledge of violence risk assessments such as the Historical-Clinical-Risk Management-20, Version 3 (HCR-20v3) and collaborative risk assessment is often limited. This service evaluation aimed to assess the effectiveness of a pilot Understanding Risk programme, on increasing knowledge of the HCR-20v3 and insight into risk of violence.
Design/methodology/approach
The methodology used was a within-subjects design, collecting quantitative data before and after intervention. Participants’ beliefs and attitudes supportive of violence, and perceptions of their recovery, were assessed using a semi-structured HCR-20v3 questionnaire, the Maudsley Violence Questionnaire and the Recovery Assessment Scale – Domains and Stages. An HCR-20v3 historical factor checklist was also completed. The final sample (n = 11) consisted of low and medium secure forensic inpatients.
Findings
The results of this study indicated that after intervention, participants had significantly greater knowledge of the HCR-20v3 and more positive perceptions of their functional and personal recovery. Significant changes were not observed on the Maudsley Violence Questionnaire total score; however, further analysis indicated significantly lower scores on the “acceptance of violence” subscale after intervention.
Practical implications
The Understanding Risk programme was associated with positive changes across treatment domains in a small sample of forensic inpatients. Specifically, improvements were observed for increased knowledge of the HCR-20v3, attitudes towards recovery and non-acceptance of violence. It would be of clinical benefit to replicate this study across different levels of security to increase the generalisability of findings. This study shows promise for the efficacy of the Understanding Risk programme among forensic inpatients.
Originality/value
This service evaluation provides preliminary support for the benefits of educating and involving service users in violence risk assessment.
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Lorren Kirsty Haywood, Douglas Hartley Trotter, Kristy Faccer and Alan Colin Brent
The purpose of this paper is to investigate the diversity of the practice of corporate sustainability, in terms of its drivers, where it features in the organisation structure…
Abstract
Purpose
The purpose of this paper is to investigate the diversity of the practice of corporate sustainability, in terms of its drivers, where it features in the organisation structure, and how it is communicated. The authors suggest that what may be failing the global objective of sustainability is its diversification in meaning, purpose and practice.
Design/methodology/approach
Data was gathered through a semi‐structured interview process with 11 medium‐to‐large South African organisations. The organisations represented the financial services sector, the mining and industrial sector, and the food and beverage retail sector. The issues questioned included: perspectives on the sustainability concept, the drivers of sustainability actions, internal and external sustainability communications, profiles, and performance and strategies. The questions involved self‐ranking, but also provided for open‐ended and explanatory responses.
Findings
The results emphasise that corporate sustainability remains focussed on how organisations manage reputation risk, generate cost savings, and ensure long‐term profitability and competitive advantage. The results imply that corporate sustainability is merely a business agenda to protect organisation profits and economic growth in a manner that is seen to be environmentally and socially responsible.
Originality/value
The results lead to the conclusion that the diversification of corporate sustainability purposes and practices solidifies the self‐interest justification upon which it is based and its largely market‐oriented terms and conditions, leaving enormous potential for unsustainability.
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THE MAJOR CONTRIBUTION, though not the only one, has been made by Scottish authors, both by the well‐known ones, such as R. L. Stevenson and J. M. Barrie, in whose work their…
Abstract
THE MAJOR CONTRIBUTION, though not the only one, has been made by Scottish authors, both by the well‐known ones, such as R. L. Stevenson and J. M. Barrie, in whose work their Scottish origin has played its part, and by others, like Norman Macleod and Ian Maclaren, whose reputation scarcely extended outside their native country or has been since forgotten.
Jiju Antony, Vikas Swarnakar, Michael Sony, Olivia McDermott and Raja Jayaraman
This study aims to investigate how early and late adopters of Quality 4.0 (Q4.0) differ in terms of organizational performance.
Abstract
Purpose
This study aims to investigate how early and late adopters of Quality 4.0 (Q4.0) differ in terms of organizational performance.
Design/methodology/approach
The authors employed a grounded theory approach for interviewing 15 senior managers from diverse organizational contexts throughout the globe as part of their qualitative research methodology.
Findings
The research's findings were analyzed based on four types of performance: operational, financial, environmental and social. It was clear that early adopters of Q4.0 were sustaining superior performance in quality over time, even though their investment was significantly higher than that of late adopters. From a financial viewpoint, it was evident that early adopters had a competitive edge over their rivals compared to late adopters. Late adopters have utilized the notion of the circular economy (CE) more effectively than many early adopters in the context of environmental performance in order to establish a green economy and sustainable development.
Research limitations/implications
Although the results of the interview indicate that Q4.0 is having some positive effects on social performance, in the authors' view, it is still least understood from an empirical standpoint.
Originality/value
The study's findings assist organizations in comprehending the performance differences between Q4.0 early adopters and late adopters.
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Jagannath Mallick and Atsushi Fukumi
This study aims to explain the role of globalisation on the regional income growth disparities in the states of India and provinces in the People’s Republic of China (PRC).
Abstract
Purpose
This study aims to explain the role of globalisation on the regional income growth disparities in the states of India and provinces in the People’s Republic of China (PRC).
Design/methodology/approach
The authors use two approaches to analyse regional growth disparities: growth accounting and the panel spatial Durbin model.
Findings
The growth accounting shows that contributions of growth of capital intensity (GKI) and total factor productivity growth (TFPG) distinguish the high-income (HI) regions from medium-income (MI) and lower-income (LI) regions in India. In the PRC, the contributions of GKI and TFPG in MI regions are slightly higher than HI regions, but significantly higher than the LI regions. The empirical results find that foreign direct investment (FDI), domestic investment, human capital, and interaction of FDI and human capital explain income growth states/provinces in India and the PRC. A region’s income growth and FDI inflows spread the benefit to neighbourhoods in both countries.
Originality/value
The paper contributes by performing a comparative analysis of Indian states and the PRC’s provinces by capturing the neighbourhood effects of economic growth, FDI, investment and human capital and also the interaction effects of FDI with human capital and domestic investment. A comparison of the decomposition of income growth to the growth of factor inputs and efficiency in Indian states and the PRC’s provinces also adds to the existing literature.