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This paper aims to investigate the role of aripiprazole once monthly as a maintenance treatment in a sample of patients with schizophrenia comorbid with alcohol and substance use disorder (AUD/SUD).

A sample of 24 Italian adult patients has been recruited and treated with aripiprazole once monthly after clinical stabilization with oral aripiprazole during May 2021 and June 2022. Clinical evaluations have been performed at the baseline (T0) and after 12 (T1) and 24 (T2) weeks.

During the study period, an improvement of both the clinical condition and general health from baseline was observed, as well as a reduction of craving for alcohol/substances. However, from T0, the number of patients who continued with this study decreased at T1 (n = 8) and then at T2 (n = 4). No serious adverse events were reported, including changes in weight, lipid/glucose metabolism, electrocardiogram and extra-pyramidal side effects.

Although limited by the high number of drop outs, this observational real-world study provided insights into the use of aripiprazole once monthly among a sample of patients with schizophrenia and comorbid SUD/AUD. Further studies of longer duration and on a larger sample are needed.

Student evaluation of the education they receive has long been an area of concern to academics and institutions. A recent paper identified more than 1300 articles and books dealing with research on student ratings of teaching [Cashin 1990]. Most tertiary institutions require it of their academic staff to evaluate their teaching. Most serious teachers have recognised evaluation's importance in being able to assess the quality of the product they deliver, to manage it, and to improve it. Yet there is certainly no standard approach to the evaluation of the education quality, and this would be particularly true of schools of management and business. Management teachers and also institutions, would probably admit to being frustrated at some time or another in their efforts to assess the quality of the education and related services they provide. In 1983 Lovelock identified part of the problem in service organisations as being related to inbreeding: “… Most hoteliers have grown up in the hotel industry. And most hospital and college administrators have remained within the confines of health care, or higher education, respectively” [Lovelock 1983]. Such relatively constrained exposure reduces the objectivity in determining service requirements and sensitivity to the external influences setting them. It is plausible that managers of institutions of higher management rationalise their attitudes towards the quality of service [as opposed to education the product] as follows: “MBAs expect things to be tough”; or, “Executives like to get ‘back to boarding school or residence’, it makes them feel young again/like real students again/like they're in a real learning environment.”

Neal M. Ashkanasy is a Professor of Management at the University of Queensland, Australia. His research interests lie in organizational and ethical behavior, leadership, culture, and emotions. He is Editor-in-Chief of the Journal of Organizational Behavior and the book series Research on Emotion in Organizations.