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Wales Applied Risk Research Network (WARRN) is a formulation-based technique for the assessment and management of serious risk (e.g. violence to others, suicide, etc.) for users of mental health services. It has been gradually adopted as the risk evaluation and safety-planning technique for all seven health boards in Wales. The purpose of this paper is to examine the opinions of WARRN as used within these health boards.

An online survey was disseminated to NHS clinicians in secondary mental health services to evaluate their perceptions of the use and effectiveness of WARRN. Data from 486 clinicians were analysed with both quantitative and qualitative methods.

Results indicated that the overall impact of WARRN on secondary mental health care was very positive, with clinicians reporting increased skills in the domains of clinical risk formulation, safety-planning and communication, as well as increased confidence in their skills and abilities in these areas. Clinicians also reported that the “common-language” created by having all NHS health boards in Wales using the same risk assessment process facilitated the communication of safety-planning. Crucially, NHS staff believed that the safety of service users and of the general public had increased due to the adoption of WARRN in their health board and many believed that lives had been saved as a result.

WARRN is perceived to have improved clinical skills in risk assessment and safety-planning across Wales and saved lives.

The purpose of this study is to investigate the informal micro-level mechanisms through which caregivers maximize their health literacy and caregiving skill-set, particularly in cases of emergent, pervasive health disorders. Specifically, I investigate how important micro-level social factors, such as lay self-education and local community networks, mitigate extensive experiences of medical uncertainty that are associated with caring for a child with autism. This study theorizes a series of processes of becoming lay health care professionals (HCP), which serve as effective health care interventions and ways to secure vital resources for patients and their families.

This study uses qualitative research methods in the form of 50 individual intensive interviews with primary caregivers of at least one child under the age of 18 with an official autism diagnosis, as well as two years of participant-observation at two primary sites that are autism parent and caregiver resource meetings, both located in Northern California.

This study first demonstrates the major institutional limits and gaps involved in health-related caregiving for children with autism. Next, I define the processes through which caregivers challenge these institutional constraints and fight for life altering resources for their families, which include becoming a lay diagnostician and expert caregiver. Here, I demonstrate a sophisticated set of health literacy skills and key local community-based ties that caregivers develop and rely on, which affords families the tools to overcome diverse institutional obstacles in health-seeking and health care access.

The families in this study are predominantly white, middle-class, and reside in California. For future research, the scope of the study could be expanded by increasing the sample size and including greater geographic and demographic diversity.

This study contributes vital, yet missing, pieces to the autism puzzle, which currently focuses on prevention, the fight for a so-called “cure,” and the role of vaccines in disorder prevalence. In the meantime, families are living with autism each day and are struggling for understanding and knowledge, and to secure adequate support services. In doing so, this study sheds light on current institutional gaps and limits in health care and delivery for children with autism, and suggests specific effective health care interventions applicable to other cases of emergent illnesses and disorders.

This article introduces an emerging demographic trend, invisible residents, or retired persons who travel extensively seeking better climates during the winter. In this article, we articulate the costs and benefits these temporary residents could have on cities they visit in four areas: economic development, local government revenues, city service demands and indirect and intangible effects. We conclude that changes in city revenue structures may more closely align who uses and who pays for government services. However, the dearth of empirical evidence prohibits making strong conclusions about the relative attractiveness of this population to cities. Future research documenting this age-based phenomenon, currently estimated to include 10 million persons, is warranted as competition to attract these visitors heats up between Sunbelt cities.

Part of a larger multicase ethnographic research project, this case study examines the experience of transgender youth and their teachers at a school that uses restorative practices as an alternative to school suspension.

The current study focuses on interviews from one transgender student, her teachers, and her administrators.

Taken together, these interviews expose complex mechanisms through which transphobia undermines an ostensibly democratic discipline practice intended to promote social justice. The restorative concept of “accountability” framed staff’s efforts to create a more gender-inclusive school, but this frame inadvertently placed the burden of inclusion largely on the transgender student, as staff expected her to educate peers and teachers and enforce gender inclusive practices.

Restorative practice trainings should be integrated with trainings on inclusion of lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals.

Existing research examines the impact of zero tolerance policies on transgender students. This study demonstrates that even when alternatives to zero tolerance policies are in place, teachers and administrators easily slip holding transgender youth accountable for their own safety. A school-wide commitment to “inclusion” does not negate the need for educating staff and students about LGBTQ identities and inclusion.

Current research on millennials primarily focuses on their behavior within an academic or workplace setting. This study expands on previous analysis by exploring how millennials respond to community leadership efforts, particularly cohort leadership programs. Participant outcomes from University of Minnesota Extension’s County Bridging Leadership Program revealed that millennials—particularly those without a four-year degree—experienced significantly higher gains in several skill areas relevant to community development than non- millennials. Recruiting more millennials to participate in community leadership programs is critical not only to keep younger people in rural communities but also to strengthen future community vitality.

Online trolling is a detrimental behavior for consumers and service businesses. Although online trolling research is steadily increasing, service research has yet to thoroughly explore how this behavior impacts businesses. Further, the role of bystanders, consumers who witness a victim (business) being trolled, remains largely unexplored. The purpose of this paper is thus to introduce online trolling to the service literature and begin to identify when (types of online troll content) and why (empathy and psychological reactance) bystanders are likely to intervene and support a service business being trolled by posting positive eWOM.

This research uses a two-study (Study 1 n = 313; Study 2 n = 472) experimental design with scenarios of a service business experiencing online trolling (moral versus sadistic). Participants' responses as bystanders were collected via an online survey.

Results reveal bystanders are more likely to post positive eWOM to support a service organization experiencing sadistic trolling. Psychological reactance is shown to mediate the relationship between trolling type and positive eWOM. Further, spotlight analysis demonstrates that bystanders with higher levels of empathy are more likely to post positive eWOM, whereas bystanders with low levels of empathy are likely to have a significantly higher level of psychological reactance.

This research is among the first in the service literature to specifically explore the consumer misbehavior of online trolling. Further, it provides new perspectives to online trolling by probing the role of bystanders and when and why they are likely to support service organizations being trolled.

Many pregnant and post-natal women do not meet physical activity (PA) guidelines. One barrier to PA for these women is finding suitable sports bras because of the numerous changes the breasts undergo. This study aims to assess current maternity/nursing sports bras in terms of purchasing activity, likes and limitations of products and determine the essential characteristics and features required for future product developments.

A mixed-methods deductive sequential approach was taken using an online questionnaire and in-person focus group interviews. A total of 308 participants who were pregnant, had given birth within the last 12 months or were nursing at the time of data collection completed the questionnaire, and 13 participants also took part in focus group interviews.

Only 15% of maternity/nursing sports bra purchasers found exactly what they wanted with most problems relating to support, design and fit. Support and comfort were the most important characteristics with 94% and 98% of participants rating them as very important or absolutely essential. Easy nursing access, adjustability, product longevity and value and availability, in terms of where products can be purchased and sizing range, must also be considered for future products to meet user groups’ needs and reduce barriers to PA.

This study investigates the requirements and preferences of maternity/nursing sports bras for both pregnant and post-natal women, including an assessment of a range of commercially available products. These findings provide important implications for future product developments.

The purpose of this paper is to examine the role of organizational culture as a company migrates through a four-stage model for designing a performance measurement system (PMS) focused on customer profitability.

This is a single-site phenomenological case study, at Growth Spurt Marine Accessories (Growth Spurt), a manufacturing organization headquartered in the USA. Data were collected over a two-year period through interviews with accounting staff, internal company documents and recording observational notes.

The paper identifies three major factors that prevented Growth Spurt from transitioning its customer profitability analysis (CPA) reporting package through Kaplan and Cooper’s four-stage model of PMS design: executives exerting their power and spending political capital to prevent implementation without providing rationale, executives believing that the allocation methods were too subjective and executives relying on their own intuition in analyzing customer profitability rather than relying on data. These factors suggest that organizational culture plays an important role in migrating a customer-focused profitability PMS through Kaplan and Cooper’s four-stage model of PMS system design.

The findings suggest that a PMS focused on customer profitability that does not advance beyond Stage II (financial reporting-driven) may still suit the needs of an organization. Additionally, managers should advocate for a multidisciplinary PMS design and implementation team to minimize potentially adverse effects of organizational culture.

This paper is unique because it applies Kaplan and Cooper’s four-stage model for PMS design to CPA and it uses a phenomenological case approach to explore impediments to a comprehensive CPA implementation.

Managing special events which utilise volunteer labour presents unique challenges due to the time-bound and infrequent nature of events, coupled with the non-traditional employment contractual basis associated with volunteers. Having committed, well-trained volunteers can sometimes be the difference between success and failure for an event. This paper explores factors shaping event managers' decision-making in relation to allocating organisational resources towards training for event volunteers.

Utilising qualitative methods, a sample of senior event managers practicing within Australia were invited to participate in semi-structured interviews. Their attitudes towards, and factors shaping, their decision-making in relation to allocating organisational resources towards training for event volunteers were analysed and discussed through an interpretive lens.

Six intervening variables which shaped event managers' decisions to resource volunteer training were identified. These six variables both shaped and constrained event managers' decisions to resource and implement volunteer training.

The study highlights factors that need to be considered when considering attaining festival attendance satisfaction with volunteers’ service provision through training. This work also contributes to future discussions about the value of volunteer training to event success.