Victoria Anne Hatton and Ming Xuan Lee
Autism spectrum condition (ASC) is a lifelong developmental condition. According to research, it is recommended that those diagnosed with ASC should be offered post-diagnosis…
Abstract
Purpose
Autism spectrum condition (ASC) is a lifelong developmental condition. According to research, it is recommended that those diagnosed with ASC should be offered post-diagnosis support to explore their diagnosis (Punshow, Skirrow and Murphy, 2009). The ASC Diagnostic Assessment Service at Gloucestershire Health Care (GHC) NHS Foundation Trust offers an assessment service to adults (18+) located within Gloucestershire. All those who receive a diagnosis are then invited to a 7-week post-diagnostic group facilitated by the multidisciplinary team. This service evaluation aimed to evaluate the aforementioned group so that it can be improved upon and thus provide a better service for future clients.
Design/methodology/approach
In total, 14 participants (6 males, 8 females) were interviewed for the purpose of this evaluation following their attendance at these groups.
Findings
The interview transcripts then underwent thematic analysis with four themes identified; “Autistic Community”, “Experience of Being Part of an Online Group”, “Opportunity for Consolidation”, and “Design Considerations and Improvements”. Further sub-themes were also identified. Overall, the service evaluation identified that the group provided a platform for sharing experiences and gaining a sense of belonging. It also highlighted that individuals have different preferences for whether groups should be facilitated online or face-to-face, and also different preferences for the duration of sessions. Further analysis also revealed the suggestion that the final session, for family and friends, should be optional so that those without a support network, do not need to attend as this caused unease in some. Further findings were also identified.
Originality/value
To the authors’ knowledge, existing articles have only focused on the evaluation of the availability of post-diagnostic provision and autistic individuals’ general impression of it rather than an in-depth evaluation of a specific type of support.
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Victoria Hatton and Geraldine Akerman
Rates of suicide in custodial settings continued to rise in the year 2013/2014. Consequently, the Division of Forensic Psychology funded training on “working with risk of suicide”…
Abstract
Purpose
Rates of suicide in custodial settings continued to rise in the year 2013/2014. Consequently, the Division of Forensic Psychology funded training on “working with risk of suicide” which was delivered by Dr Slade at HMP Grendon. Due to the increasing prevalence of suicide in custodial settings, a review of this training was considered important to enhance professionals’ awareness of self-harm and suicide. The paper aims to discuss these issues.
Design/methodology/approach
The review begins with an introduction to the concepts of self-harm and suicide, and an introduction to where the training was held; HMP Grendon, a therapeutic community prison. The four key topics delivered by Dr Slade are then explored with regards to their aims and content. These topics include; the link between self-harm and suicide, why offenders harm themselves, assessment of suicide and finally, care planning. Residents of HMP Grendon also discussed their views of self-harm and suicide during the training day, these are thus explored within this review. Strength and weaknesses of the training were also explored, in addition to future practice considerations.
Findings
This review highlights the comprehensiveness of the training and its ability to engage the audience through discussions and activities. The collaboration between professionals and HMP Grendon residents to understand self-harm and suicide was also particularly noted.
Originality/value
This paper offers insight into the staff-resident collaboration at HMP Grendon and how training on self-harm and suicide can be delivered.
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The purpose of this paper is to present a training package which was delivered to improve staff members’ knowledge and confidence of autism spectrum disorders (ASD) and…
Abstract
Purpose
The purpose of this paper is to present a training package which was delivered to improve staff members’ knowledge and confidence of autism spectrum disorders (ASD) and intellectual disabilities (ID).
Design/methodology/approach
The training was facilitated in a locked rehabilitation unit for adult males, many of whom had diagnoses of ASD and/or ID. With all staff receiving an invite, 25 attended which was the majority of the staff team. This included staff from housekeeping, nursing and catering.
Findings
To evaluate the effectiveness of the training, a survey and short assessment was administered before and after training. This revealed an improvement in both perceived knowledge and confidence of ASD and ID, as well as actual knowledge. Follow-up interviews also revealed some evidence of sustained learning and practice changes.
Research limitations/implications
Based on these findings, it is recommended that further face-to-face training is delivered at this locked rehabilitation unit to further improve professional practice.
Originality/value
This paper provides value to other inpatient settings as it highlights to practitioners how face-to-face training can significantly improve staff members knowledge and confidence of developmental disorders.
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Aarhus Kommunes Biblioteker (Teknisk Bibliotek), Ingerslevs Plads 7, Aarhus, Denmark. Representative: V. NEDERGAARD PEDERSEN (Librarian).
It has often been said that a great part of the strength of Aslib lies in the fact that it brings together those whose experience has been gained in many widely differing fields…
Abstract
It has often been said that a great part of the strength of Aslib lies in the fact that it brings together those whose experience has been gained in many widely differing fields but who have a common interest in the means by which information may be collected and disseminated to the greatest advantage. Lists of its members have, therefore, a more than ordinary value since they present, in miniature, a cross‐section of institutions and individuals who share this special interest.
Eric Emerson, Gyles Glover, Sue Turner, Rob Greig, Chris Hatton, Susannah Baines, Alison Copeland, Felicity Evison, Hazel Roberts, Janet Robertson and Victoria Welch
The purpose of this paper is to describe the first 15 months of operation of an innovative specialist national public health observatory for intellectual disability.
Abstract
Purpose
The purpose of this paper is to describe the first 15 months of operation of an innovative specialist national public health observatory for intellectual disability.
Design/methodology/approach
The paper provides a narrative account of aims and achievements of the service.
Findings
In the first 15 months of operation the observatory has: made available to those involved in commissioning health and social care services, a wealth of information on the health needs of people with intellectual disabilities; identified specific improvements that could viably be made to increase the quality of future information; and begun working with local agencies to support them in making the best use of the available information.
Originality/value
People with intellectual disabilities experience significant health inequalities. This paper describes an innovative approach to helping local agencies make the best use of available information in order to commission services that may reduce these inequalities.
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Jacqueline McIntosh, Bruno Marques and Rosemary Mwipiko
Research has shown that Indigenous people suffer significant health inequalities in comparison to dominant colonising cultures. Evidence shows that these inequalities can be…
Abstract
Research has shown that Indigenous people suffer significant health inequalities in comparison to dominant colonising cultures. Evidence shows that these inequalities can be addressed by gaining a deeper understanding of the social and cultural determinants of health, applying Indigenous views of health and developing better definitions of the term wellbeing. The following chapter draws on research exploring the relationship between Indigenous culture, the landscape and the connection with health and wellbeing. In Aotearoa/New Zealand, consideration of Indigenous Māori is a national imperative, enshrined in the Te Tiriti o Waitangi (Treaty of Waitangi) which establishes it as a bicultural country. Exploring three Māori health models, the chapter examines the factors that play a significant role in shaping Māori people's health. It relates how landscape is a foundational therapeutic aspect of Māori wellbeing using the models to express the forces that impact both positively and negatively on this relationship. The chapter concludes that all three concepts, culture, health and landscape, are interconnected and must be balanced to reduce Māori health inequalities and to provide a more sustainable model for health and wellbeing for all New Zealanders.
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School development planning (SDP) is one outcome of education being managed by modes of management that originate in the corporate world of private enterprise. While the rhetoric…
Abstract
School development planning (SDP) is one outcome of education being managed by modes of management that originate in the corporate world of private enterprise. While the rhetoric indicates strongly that modes of management such as SDP are supportive of efficiency, effectiveness and public accountability, empirical evidence is slight. Provides a case study of SDP in a small rural disadvantaged primary school called Meiki in which SDP has proved to be a rewarding process for staff and has had a positive impact on student outcomes. However, it raises serious questions about the connection between SDP and claims for enhanced efficiency.
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Paul Jewell, Matthew Dent and Ruth Crocker
The purpose of this chapter is to examine the consequences of closing institutions for people with disabilities and accommodating them in Supported Residential Services. Issues…
Abstract
The purpose of this chapter is to examine the consequences of closing institutions for people with disabilities and accommodating them in Supported Residential Services. Issues that had been raised by an advocacy movement included shortcomings in privacy, dignity, control and meaningful activity in institutions, which led to their closure. The study applied a quality of life measurement which was commensurate with the ethical paradigms of welfare, autonomy and communitarianism to investigate whether community living in supported residences produced fulfilling lives and better outcomes than the institutions they replaced. Twenty-seven people with a disability and/or mental health issue in Supported Residential Services in Victoria, Australia were interviewed using the ‘Lehman Quality of Life Questionnaire’. An investigation into the Quality of Life of one group of de-institutionalised residents revealed that issues remain. People in the Supported Residences appear to be no better off than when they were in institutions. The study identified that it was common for a resident to have no phone, no friends outside the residence, little or no family contact, no disposable money and no job. However, since there was no research conducted before de-institutionalisation, the impact of the policy change is difficult to determine. Applying ethical measures, such as the Capabilities approach, reveals that issues remain. Practical implications from this study are first, that positive measures need to be added to de-institutionalisation to achieve satisfactory outcomes and second, that policy makers would be better informed and likely more effective if data were collected before and after significant changes.
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Melina Parker, Kerrie Bridson and Jody Evans
This study aims to understand buyer and supplier motives for developing direct relationships with their trade partners.
Abstract
Purpose
This study aims to understand buyer and supplier motives for developing direct relationships with their trade partners.
Design/methodology/approach
A total of 18 in‐depth interviews were conducted across Victoria and Tasmania (Australia); eight with retail buyers and ten with fresh produce suppliers. Both parties were involved in a direct relationship with their trade partner.
Findings
The research reveals a large variety of motivations that influence buyers and suppliers when deciding whether to operate in a direct or non‐direct relationship with their trade partner. Motivations for both parties are remarkably similar, with buyers and suppliers ultimately attempting to minimise the inherent risk associated with operating in a volatile environment.
Research limitations/implications
The study may be limited by the fact that buyers and suppliers of different commodities were included in the study. In addition, the varied nature of the respondents' role may have impacted their judgment. The inability to interview dyads in all cases also limits the research.
Practical implications
This research has implications for both researchers and practitioners already involved in, or considering becoming involved in, a direct trade relationship. Clarification of motivations for bypassing intermediaries shows how both trade partners can minimise external risk and strengthen competitive advantage by assuming a direct relationship.
Originality/value
Extant research within this literary field is largely quantitatively based with researchers focusing on distinct relationship constructs, the definition of relationship marketing and the process of relationship development. In response to these limitations, this research adopted a qualitative approach in examining the core motivations for developing a direct trade relationship within the fresh produce industry.