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There is a paucity of comparative literature on pathway to care among patients with co-occurring disorders and those with only substance use disorders. This paper aims to compare the pathways to care among patients with co-occurring disorder and those with only substance use disorders.

A cross-sectional observational study was carried out on male treatment seekers at a tertiary care substance use disorder treatment center in India. Participants were recruited in two groups, those with co-occurring psychiatric and substance use disorders and those with only substance use disorders. The two groups were matched for age and socio-economic status.

A total of 189 subjects with co-occurring psychiatric and substance use disorders and 197 subjects with substance use disorders only were recruited. Psychiatric services were the most common first point of care. However, a larger proportion of the subjects in the co-occurring disorder group received the first care from faith healers, while a greater proportion received first care from the therapeutic communities in substance use disorder only group. Initial care was sought mostly following suggestion from the family members in both the groups. The time to treatment for substance use disorders did not differ between the two groups, though the treatment seeking for substance use disorder was more delayed than that of psychiatric disorder in the co-occurring disorder group.

The findings shed light on the pathway of care followed in India and is a matter of further research.

Expansion of services and dissemination of information about psychiatric disorders and substance use disorders can provide timely care to patients with substance use disorders and co-occurring disorders.

The findings have a social implication as well. More awareness is needed currently in India for timely treatment of dual disorders.

The paper is an original research by the authors. The data were collected from the participants who reported to the dual diagnosis clinic. The findings are important as they tell us about the current understanding of dual diagnosis by the general public.

The global manufacturing industry is becoming more competitive. Munjal Showa, a shock absorber manufacturer in India, is using indigenous development of technology by incorporating concepts of lean manufacturing, total productive maintenance (TPM) and low cost automation techniques to increase their competitiveness. This new approach helps the company to reduce cost of manufacturing and to increase the productivity by reducing cycle time and down time. The aim of this paper is to offer an in depth study of the four phases of indigenous development of machines at Munjal Showa Ltd.

The paper offers an in depth study of the four phases of indigenous development of machines at Munjal Showa Ltd with the benefits and results.

Proper understanding of process requirements and tool designing in accordance with process requirement are the two major factors which help to down size the machine and to identify unnecessary parts. By applying these techniques on BC‐21 machine, Munjal Showa is able to reduce the space used by 68 percent, break downs by 93 percent, cycle time by 48 percent and an increase in productivity by 52 percent.

The paper is looking at only one company as an example which is a limitation and cannot be generalized for all industries.

Indigenous development enables company to reduce costs and service machines quickly as they themselves have developed the machines.

Physical fatigue of incumbents at the shop floor is considerably reduced by using concepts like cockpit layout and combining of processes on a single machine. Improves job satisfaction and productivity of shop floor employees.

In India, this is one of its kind initiatives taken up by the business excellence team at Munjal Showa Ltd.

Global competition has intensified pressure on small- and medium-sized enterprises (SMEs) to implement lean. Recently, the debate has converged to the role of lean implementation barriers (LIBs). The purpose of this paper is to contribute to this debate by exploring the LIBs in SMEs through three case studies.

A case study approach was employed followed by interpretive structural modelling (ISM) to model the interrelationship among the LIBs.

This study reveals that lack of management commitment, leadership and resources are the key barriers to lean implementation in SMEs in India. Furthermore, poor communication between different levels of the organisation and inadequate dissemination of the knowledge of lean benefits also creates hindrance in lean implementation. Managerial implications of the identified barriers for lean implementation in SMEs have been discussed.

The research regarding lean implementation in SMEs is scarce. This study is the first attempt of its kind to identify the lean barriers in a small industry setup through mathematical analysis.

Although lean thinking is deemed to be a gold standard of modern production management, a lot of scepticism still remains regarding its applicability in small- and medium-sized enterprises (SMEs). The purpose of this paper is to understand the perception of lean in SMEs and establish the relationship between lean adoption and operational performance.

With the help of a survey, data were collected from 425 SMEs in India and analyzed using structural equation modeling.

Operational performance of the firms was found to be positively related to lean implementation.

This study also furnishes practitioners with a better understanding of lean thinking in SMEs and its impact on performance.

The global manufacturing industry is becoming more competitive. Munjal Showa, a shock absorber manufacturer in India, is using indigenous development of lean machines by incorporating concepts of lean manufacturing and low-cost automation techniques to increase their competitiveness. This new approach has helped the company to reduce cost of manufacturing and to increase productivity by reducing cycle time and down time. The purpose of this paper is to offer an in depth study of how at Munjal Showa Ltd lean machines are being developed and manufactured. This paper explores how a cumbersome machine was transformed into a lean machine.

This paper explores how a cumbersome machine was transformed into a lean machine.

This new approach has helped the company to reduce cost of manufacturing and to increase productivity by reducing cycle time and down time.

The paper discusses the process of converting one cumbersome machine to a lean machine.

Creativity before capital. In lean, team brainstorming of ideas and solutions is emphasized instead of spending large sums of money on capital expenditures

The cockpit model eases pressure of incumbents on the shop floor.

The concepts espoused in the paper has increased productivity by 3.45 times and reduced costs.

Textile and Apparel (T&A) sector significantly influences socio-economic and environmental dimensions of the sustainability. The purpose of this paper is proposed to establish the interrelationship among the critical barriers to the sustainable development of T&A supply chains by using a multi-criteria decision-making approach and to obtain a ranking of the barriers.

In the present investigation through literature review and from expert opinions, 14 significant challenges to the sustainable growth of T&A sector have identified. For establishing the interrelationship and for developing a structural model of the identified challenges, interpretive structural modelling (ISM) methodology is employed.

The results of the investigation revealed that lack of effective governmental policies (B8), poor infrastructure (B4), lack of effective level of integration (B6), low foreign investment (B13) and demonetization (B12) are the top most significant challenges.

The model development based on the expert inputs from the industry and academia, these inputs could be biased influencing the accuracy of the model. Also, inclusion more factors for the analysis will improve the reliability of the model.

This research is intended to guide the policy and decision makers for improving overall the growth of the T&A supply chain.

After working through the case and assignment questions, students will be able to critically analyze a firm's international partnership strategies for its export market; assess international markets and a firm's entry strategies in them; identify various problems that a firm can face in international markets; and recommend strategies for growth in international markets.

Bajaj Auto's (BA) strategy to be a global motorcycle manufacturer had enabled it to hold its ground in the difficult times posed by the COVID-19 pandemic. For the first time, two-wheeler exports from India between January and May 2021 were equivalent to domestic sales showing increased exports and decreased domestic sales. This reinforced BA's belief in its global expansion strategies. Rakesh Sharma (Sharma), the Executive Director at BA, was increasingly buoyant of BA's ambitious plans to enter new markets in Latin America (LATAM) and South-East Asian (SEA) Market.Sharma knew very well that though the LATAM and SEA markets were up-and-coming and lucrative, there were innumerable challenging factors pertaining to Indian and foreign competitors, domestic and international economic and business environment, supply chain and logistical issues, as well as uncertainty brought by the COVID-19 pandemic that BA had to face before tasting success in these markets. Was BA moving in the right direction with its global business expansion strategies? Would Sharma be able to handle the challenges and successfully take BA toward its goal?

The case can be taught in advanced undergraduate, MBA or executive-level programs.

Teaching notes are available for educators only. Please contact your library to gain login details or email support@emeraldinsight.com to request teaching notes.

CSS 5: International Business.

After working through the case and assignment questions, students will be able to: understand how product markets in a given global region are to be analysed and assessed; assess various dimensions of consumer behaviour that would impact the strategies of a firm under consideration; identify how a firm can create its brand image and value proposition in a given international market; and evaluate and categorize various threat dimensions that a firm would experience in an international market.

Bajaj Auto (BA) was India’s largest two-wheeler exporter, with ongoing exports to more than 75 countries worldwide. Besides being in other regions of the world, BA’s foray into the African market had been very successful, and it was growing from strength to strength in this market. BA’s motorcycles, three-wheeler rickshaws and small commercial vehicles had been successfully plying the roads of many countries in Africa such as Egypt, Nigeria and Kenya.

Rakesh Sharma (Sharma), the Executive Director of BA, knew very well that Africa was a high-risk-high-gain market for BA. Intense competition from Indian and international two-wheeler and three-wheeler manufacturers, global supply chain and logistics issues, various economic and legal challenges, and the threat of losing African consumer patronage were the challenging issues that Sharma was facing in this market. Would Sharma be able to effectively assess the market environment and consumer behaviour prevalent in the African countries? Would he be able to recognize BA’s brand and value-propositions and identify the international marketing challenges threatening BA’s smooth ride in this market?

The case can be taught in advanced undergraduate, MBA or executive-level programs.

Teaching notes are available for educators only.

CSS 5: International Business.

While it is essential to further research the growing diversity in western metropolitan cities, little is currently known about how the members of various ethnic communities acculturate to multicultural societies. The purpose of this paper is to explore immigrants’ cosmopolitanism and acculturation strategies through an analysis of the food consumption behaviour of ethnic consumers in multicultural London.

The study was set within the socio-cultural context of London. A number of qualitative methods such as in-depth interviews, observation and photographs were used to assess consumers’ acculturation strategies in a multicultural environment and how that is influenced by consumer cosmopolitanism.

Ethnic consumers’ food consumption behaviour reflects their acculturation strategies, which can be classified into four groups: rebellion, rarefaction, resonance and refrainment. This classification demonstrates ethnic consumers’ multi-directional acculturation strategies, which are also determined by their level of cosmopolitanism.

The taxonomy presented in this paper advances current acculturation scholarship by suggesting a multi-directional model for acculturation strategies as opposed to the existing uni-directional and bi-directional perspectives and explicates the role of consumer cosmopolitanism in consumer acculturation. The paper did not engage host communities and there is hence a need for future research on how and to what extent host communities are acculturated to the multicultural environment.

The findings have direct implications for the choice of standardisation vs adaptation as a marketing strategy within multicultural cities. Whilst the rebellion group are more likely to respond to standardisation, increasing adaptation of goods and service can ideally target members of the resistance and resonance groups and more fusion products should be exclusively earmarked for the resonance group.

The paper makes original contribution by introducing a multi-directional perspective to acculturation by delineating four-group taxonomy (rebellion, rarefaction, resonance and refrainment). This paper also presents a dynamic model that captures how consumer cosmopolitanism impinges upon the process and outcome of multi-directional acculturation strategies.

This paper provides a thematic analysis of an IUCN Red-Listed bird, the houbara bustard, which Pakistan uses as a fungible resource to appease its wealthy Arab benefactors.

Thematic analysis of relevant media reports and government ministry and NGO websites comprise the study's data. Media reports were located using Dow Jones' Factiva database.

Pakistan's Ministry of Foreign Affairs issues wealthy Arabs special permits for hunting the houbara bustard as a “soft” foreign diplomacy strategy aimed at propping up the country's fragile economy. Although illegal under international and Pakistan's own wildlife laws, resource dependence theory helps explain how various country-specific issues (e.g. dysfunctional political and judicial systems) enable Pakistan's unlawful exchange of hunting permits for Arab oil and short-term financing. Surrogate accountability and agencement are examined as two means for arresting the bird's trajectory toward extinction.

Media reports comprise the primary data. Pakistani government officials were approached for interviews, but failed to reply. Although unfortunate, the pervasive corruption and mistrust that characterise Pakistan's culture would have likely tainted the responses. For this reason, media reports were always the primary data sought.

The present study extends prior literature by exploring how country context can subvert the transferability of social and political approaches used in developed countries to address environmental accounting issues and challenges. As this study shows, a developing country's economic vulnerability, combined with its dysfunctional political systems, impotent judiciary and feckless regulatory mechanisms, can undermine legislation meant to protect the country's natural environment, in general, and a threatened bird's existence, in particular.