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Article
Publication date: 1 February 2022

Margaret Glogowska, Melissa Stepney, Stephen Rocks and Mina Fazel

As part of an evaluation of the nationally mandated Child and Adolescent Mental Health Services (CAMHS) “transformation” in one foundation NHS trust, the authors explored the…

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Abstract

Purpose

As part of an evaluation of the nationally mandated Child and Adolescent Mental Health Services (CAMHS) “transformation” in one foundation NHS trust, the authors explored the experiences of mental health staff involved in the transformation.

Design/methodology/approach

The authors employed a qualitative methodology and followed an ethnographic approach. This included observation of mental health staff involved in the transformation and informal interviews (80 h). The authors also undertook semi-structured interviews with key staff members (n = 16). Data were analysed thematically.

Findings

The findings fall into three thematic areas around the transformation, namely (1) rationale; (2) implementation; and (3) maintenance. Staff members were supportive of the rationale for the changes, but implementation was affected by perceived poor communication, resulting in experiences of unpreparedness and de-stabilisation. Staff members lacked time to set up the necessary processes, meaning that changes were not always implemented smoothly. Recruiting and retaining the right staff, a consistent challenge throughout the transformation, was crucial for maintaining the service changes.

Originality/value

There is little published on the perceptions and experiences of mental health workforces around the CAMHS transformations across the UK. This paper presents the perceptions of mental health staff, whose organisation underwent significant “transformational” change. Staff demonstrated considerable resilience in the change process, but better recognition of their needs might have improved retention and satisfaction. Time for planning and training would enable staff members to better develop the processes and resources necessary in the context of significant service change. Developing ways for services to compare changes they are implementing and sharing good practice around implementation with each other are also vital.

Details

Journal of Health Organization and Management, vol. 36 no. 9
Type: Research Article
ISSN: 1477-7266

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Article
Publication date: 10 October 2016

Fazel Ansari, Madjid Fathi and Ulrich Seidenberg

The purpose of this paper is to investigate the use of problem-solving approaches in maintenance cost management (MCM). In particular, the paper aims to examine characteristics of…

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Abstract

Purpose

The purpose of this paper is to investigate the use of problem-solving approaches in maintenance cost management (MCM). In particular, the paper aims to examine characteristics of MCM models and to identify patterns for classification of problem-solving approaches.

Design/methodology/approach

This paper reflects an extensive and detailed literature survey of 68 (quantitative or qualitative) cost models within the scope of MCM published in the period from 1969 to 2013. The reviewed papers have been critically examined and classified based on implementing a morphological analysis which employs eight criteria and associated expressions. In addition, the survey identified two main perspectives of problem solving: first, synoptic/incremental and second, heuristics/meta-heuristics.

Findings

The literature survey revealed the patterns for classification of the MCM models, especially the characteristics of the models for problem-solving in association with the type of modeling, focus of purpose, extent and scope of application, and reaction and dynamics of parameters. Majority of the surveyed approaches is mathematical, respectively, synoptic. Incremental approaches are much less and only few are combined (i.e. synoptic and incremental). A set of features is identified for proper classification, selection, and coexistence of the two approaches.

Research limitations/implications

This paper provides a basis for further study of heuristic and meta-heuristic approaches to problem-solving. Especially the coexistence of heuristic, synoptic, and incremental approaches needs to be further investigated.

Practical implications

The detected dominance of synoptic approaches in literature – especially in the case of specific application areas – contrasts to some extent to the needs of maintenance managers in practice. Hence the findings of this paper particularly address the need for further investigation on combining problem-solving approaches for improving planning, monitoring, and controlling phases of MCM. Continuous improvement of MCM, especially problem-solving and decision-making activities, is tailored to the use of maintenance knowledge assets. In particular, maintenance management systems and processes are knowledge driven. Thus, combining problem-solving approaches with knowledge management methods is of interest, especially for continuous learning from past experiences in MCM.

Originality/value

This paper provides a unique study of 68 problem-solving approaches in MCM, based on a morphological analysis. Hence suitable criteria and their expressions are provided. The paper reveals the opportunities for further interdisciplinary research in the maintenance cost life cycle.

Details

Journal of Quality in Maintenance Engineering, vol. 22 no. 4
Type: Research Article
ISSN: 1355-2511

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Article
Publication date: 23 October 2023

Caroline Heiniger, Joan-Carles Suris and Yara Barrense-Dias

Three years after the COVID epidemic and the measures put in place by governments, the authors still cannot measure the full impact of them on the well-being and mental health of…

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Abstract

Purpose

Three years after the COVID epidemic and the measures put in place by governments, the authors still cannot measure the full impact of them on the well-being and mental health of adolescents. This population was particularly impacted by this crisis, and some subgroups of young people, such as those from migration backgrounds, have been confronted with additional challenges. This paper aims to explore and describe the perspective and experience of migrant adolescents during the lockdown period

Design/methodology/approach

The authors performed 13 semi-structured interviews with migrant adolescents (nine females, median age 16) at the pediatric policlinic of Lausanne University Hospital in Switzerland between November 2020 and January 2021. Participants had been living in Switzerland for an average of 2.3 years. Three of them were staying in a refugee reception centre. A thematic content analysis was carried out to extract themes and topics.

Findings

Participants had difficulty understanding information about COVID-19 in general. Remote learning was described as stressful due to various factors and lockdown had an impact on their future plans, such as finding an apprenticeship. Some young people were already socially isolated, but families were generally supportive. They expressed particular concerns, such as the family’s financial situation and the difficulty of living in refugee reception centres.

Practical implications

In the event of further lockdown, special attention must be paid to these adolescents to ensure their proper development and integration. Comprehensive follow-up of this population during and after the pandemic is essential.

Originality/value

This study provides a better understanding of the pandemic experience of migrant adolescents and underlines their difficulties.

Details

International Journal of Migration, Health and Social Care, vol. 19 no. 3/4
Type: Research Article
ISSN: 1747-9894

Keywords

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Article
Publication date: 16 March 2015

Saeb F. Al Ganideh and Linda K Good

The Syrian civil war that forced hundreds of thousands of Syrian women and children into Jordan as refugees dramatically increased the number of child labourers in that country…

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Abstract

Purpose

The Syrian civil war that forced hundreds of thousands of Syrian women and children into Jordan as refugees dramatically increased the number of child labourers in that country. The current investigation aims to establish a body of knowledge on the issues surrounding child labour in Jordan by providing an exploratory diagnosis of the phenomenon. The purpose of this paper is to explore verbal and physical abusive practices towards working children and investigate whether there are differences between the treatment of domestic and Syrian refugee child labourers.

Design/methodology/approach

The research design is quantitative; however, we use a qualitative technique to support and expand the research findings. Data were collected from 124 Jordanian and Syrian working children over a seven-month period in 2013.

Findings

The results reveal that it is poverty that forces Jordanian children into work while Syrian children are driven by the need for asylum. Of the abusive practices directed towards working children, verbal abuse is the most common. Older children, children from unstable families and those who work long hours are more vulnerable to this form of abuse, while children from unstable family structures and who work long hours are more likely to experience physically abuse. The results reveal that Syrian children are paid much less, are less verbally abused, had better schooling and perceive working conditions more positively than do their Jordanian counterparts.

Research limitations/implications

Limitations of this research arise from the size the sample.

Social implications

The current study aims to raise awareness about the importance of preventing abusive practices towards local and refugee children working in Jordan.

Originality/value

To the best of the authors’ knowledge, very little is known about refugee child labour and how it might differ from domestic child labour.

Details

Journal of Children’s Services, vol. 10 no. 1
Type: Research Article
ISSN: 1746-6660

Keywords

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