Andrew Healey, Alexandra Melaugh, Len Demetriou, Tracey Power, Nick Sevdalis, Megan Pritchard and Lucy Goulding
Many patients referred by their GP for an assessment by secondary mental health services are unlikely to ever meet eligibility thresholds for specialist treatment and support. A…
Abstract
Purpose
Many patients referred by their GP for an assessment by secondary mental health services are unlikely to ever meet eligibility thresholds for specialist treatment and support. A new service was developed to support people in primary care. “the authors evaluate” whether the phased introduction of the Lambeth Living Well Network (LWN) Hub to a population in south London led to: a reduction in the overall volume of patients referred from primary care for a secondary mental health care assessment; and an increase in the proportion of patients referred who met specialist service eligibility criteria, as indicated by the likelihood of being accepted in secondary care.
Design/methodology/approach
The evaluation applied a quasi-experimental interrupted time series design using electronic patient records data for a National Health Service (NHS) provider of secondary mental health services in south London.
Findings
Scale-up of the Hub to the whole of the population of Lambeth led to an average of 98 fewer secondary care assessments per month (95% CI −118 to −78) compared to an average of 203 assessments per month estimated in the absence of the Hub; and an absolute incremental increase in the probability of acceptance for specialist intervention of 0.20 (95% CI; 0.14 to 0.27) above an average probability of acceptance of 0.57 in the absence of the Hub.
Research limitations/implications
Mental health outcomes for people using the service and system wide-service impacts were not evaluated preventing a more holistic evaluation of the effectiveness and cost-effectiveness of the LWN Hub.
Practical implications
Providing general practitioners with access to service infrastructure designed to help people whose needs cannot be managed within specialist mental health services can prevent unnecessary referrals into secondary care assessment teams.
Social implications
Reducing unnecessary referrals through provision of a primary-care linked mental health service will reduce delay in access to professional support that can address specific mental-health related needs that could not be offered within the secondary care services and could prevent the escalation of problems.
Originality/value
The authors use NHS data to facilitate the novel application of a quasi-experimental methodology to deliver new evidence on whether an innovative primary care linked mental health service was effective in delivering on one of its key aims.
Details
Keywords
Christina Goulding and Michael Saren
The purpose of this paper is to suggest grounded theory as a potential methodology within the field of arts marketing and the creative industries in general, particularly if the…
Abstract
Purpose
The purpose of this paper is to suggest grounded theory as a potential methodology within the field of arts marketing and the creative industries in general, particularly if the research aims to gain insights into consumer experiences.
Design/methodology/approach
Grounded theory is a general, qualitative methodology that is concerned with social processes and interactions. The paper looks at the fundamental processes that grounded theory must follow and provides an example of applying grounded theory in the context of researching the Goths, an aesthetic subculture.
Research limitations/implications
The paper suggests that within the creative industries there is scope for the wider application of inductive, theory‐building methodologies that aim to provide deeper understanding of behavior.
Originality/value
The value of the paper lies in detailing a systematic methodology that scholars may apply across the spectrum of creative and cultural marketing from music festivals to museums.
Details
Keywords
This introductory chapter provides the context for this edited collection: Care and Coronavirus: Perspectives on Children, Youth and Families which aims to understand care in the…
Abstract
This introductory chapter provides the context for this edited collection: Care and Coronavirus: Perspectives on Children, Youth and Families which aims to understand care in the context of COVID-19, the practices, experiences and potential futures of it for children, young people and families. In this chapter, the authors begin by exploring COVID-19 and its implications for children, young people and families. This includes a consideration of how particular discourses of childhood and youth often led to the marginalisation of children in care policy and practice during the lockdown periods. The authors then discuss interdisciplinary literature on care to identify directions in policy, practice and research, drawing attention to the political nature of care and the need for scholars of childhood, youth and family to engage with these critical and political approaches to care. The authors argue that developments in the field of Childhood Studies can be brought into productive dialogue with care to forge new ways of thinking through care and childhood. The final part of the chapter provides an overview of the ensuing chapters and concludes with the implications of this work for future research, policy and practice. The authors argue that COVID-19 heightened the attention paid to care and the ways in which care is vital for the maintenance of ourselves and the world around us, while also cautioning about the inequalities and the commodification of care that was revealed in these times. The authors end with a call for reflection on the failures and successes of caring during the pandemic and in its aftermath so we might plan a more caring, hopeful future.
Details
Keywords
Judith Broady‐Preston and Lucy Steel
Reports a survey undertaken in 2001 which examined employee satisfaction and customer orientation in a sample of six public library authorities in London. It forms part of a…
Abstract
Reports a survey undertaken in 2001 which examined employee satisfaction and customer orientation in a sample of six public library authorities in London. It forms part of a larger investigation into the evolution of internal marketing within these organisations.
Details
Keywords
Rose Jane Wilson, Tracey Chantler, Shelley Lees, Pauline Paterson and Heidi Larson
Relational autonomy proposes that persons are socially embedded, with decisions being made within social relationships. Through this theoretical lens, this article explores how…
Abstract
Relational autonomy proposes that persons are socially embedded, with decisions being made within social relationships. Through this theoretical lens, this article explores how the healthcare professional–patient relationship can affect pregnant women’s decisions to accept pertussis and influenza vaccines.
Hackney was chosen as the study site as it has very low vaccine uptake rates. In-depth interviews were conducted with 40 pregnant and recently pregnant women, as well as 10 healthcare professionals. Interviews explored experiences of the UK's National Health Service (NHS) health care and views towards vaccination in pregnancy. An observation of a consultation between a pregnant patient and her General Practitioners (GPs) was also conducted in order to understand how the vaccination discussion takes place.
The findings of this study indicate that advice from friends and family can greatly influence a pregnant woman’s vaccination decisions. The patient’s social context, including influences on her decisions, must be understood by healthcare professionals, so that discussions about concerns can take place. If close relationships with patients are formed, healthcare professional advice is more likely to be trusted. With support from healthcare professionals, patients feel competent, empowered to make the right decision for them, and are more likely to vaccinate.
This research will help to inform contextualised policies aimed at increasing vaccination acceptance and reducing inequality in access to vaccination during pregnancy in Hackney.
To the author’s knowledge, this chapter is the first to apply the theory of relational autonomy to views towards maternal vaccination and decision making. It provides valuable insights into how healthcare professionals’ interactions with their pregnant patients can influence vaccination acceptance. The chapter contains advice on how both healthcare professionals and policy-makers can include mothers in vaccine decision-making processes in more personalised ways, by adopting a dialogue that appreciates and understands the social processes around vaccination concerns.
Details
Keywords
Life studies are a rich source for further research on the role of the Afro‐American woman in society. They are especially useful to gain a better understanding of the…
Abstract
Life studies are a rich source for further research on the role of the Afro‐American woman in society. They are especially useful to gain a better understanding of the Afro‐American experience and to show the joys, sorrows, needs, and ideals of the Afro‐American woman as she struggles from day to day.
THE time is come when the Library Association and the Library Assistants' Association should combine to draw up a scale of reasonable salaries for properly qualified service in…
Abstract
THE time is come when the Library Association and the Library Assistants' Association should combine to draw up a scale of reasonable salaries for properly qualified service in libraries for use (a) in advising authorities seeking information upon the point, and (b) as a gauge if they should decide to make a united protest against the low remuneration which authorities sometimes disgrace themselves by offering to librarians.
Current issues of Publishers' Weekly are reporting serious shortages of paper, binders board, cloth, and other essential book manufacturing materials. Let us assure you these…
Abstract
Current issues of Publishers' Weekly are reporting serious shortages of paper, binders board, cloth, and other essential book manufacturing materials. Let us assure you these shortages are very real and quite severe.
The purpose of this paper is to investigate which types of service employees provide their customers with social support and to understand why they do so.
Abstract
Purpose
The purpose of this paper is to investigate which types of service employees provide their customers with social support and to understand why they do so.
Design/methodology/approach
The article employs a network‐based inventory method to evaluate a customer's commercial‐based social support network and grounded theory to develop a framework illustrating the interdependence between service providers and their customers regarding the exchange of intrinsic support and extrinsic financial incentives and gifts.
Findings
Indirect service employees who do not directly receive tips from customers emerge as key providers of social support. Also, commercial friendships are not marketplace niceties. Service providers and customers engage in a mutually beneficial exchange of social support, gifts, and tips under the guise of commercial friendships.
Research limitations/implications
The article is based upon service provider and customer relationships in an American diner. Researchers may want to apply the offered model to other contexts and locals. Also, researchers may want to reconsider the idea that service providers willingly provide social support to their customers.
Practical implications
The hiring and training of service employees, such as cashiers, hostesses, and “bus boys,” should be taken into consideration as they may be key providers of social support. Service providers should realize the extrinsic and intrinsic benefits or providing support.
Originality/value
The paper empirically investigates the role of indirect service employees in providing customers with social support. Also, it demonstrates that commercial friendships are mutually beneficial relationships where service providers and customers realize extrinsic and/or intrinsic benefits from these relationships.
Details
Keywords
Dennis Pepple and Nkem Adeleye
At the end of this chapter, learners should be able to:
- Understand the meaning of grievance and disciplinary.
- Understand the procedure for grievance and disciplinary.
- Appreciate the…
Abstract
Learning Objectives
At the end of this chapter, learners should be able to:
Understand the meaning of grievance and disciplinary.
Understand the procedure for grievance and disciplinary.
Appreciate the critical role of the Advisory, Conciliation and Arbitration Service.
Understand the step by step guide for the analysis involved in basic award computation
Understand the meaning of grievance and disciplinary.
Understand the procedure for grievance and disciplinary.
Appreciate the critical role of the Advisory, Conciliation and Arbitration Service.
Understand the step by step guide for the analysis involved in basic award computation