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Article
Publication date: 13 September 2022

Anna Wark and Neil Gredecki

Following serious case review, the Transforming Care agenda (DH, 2015) highlights the need for adults with learning disabilities, autism, mental health issues or behaviors that…

Abstract

Purpose

Following serious case review, the Transforming Care agenda (DH, 2015) highlights the need for adults with learning disabilities, autism, mental health issues or behaviors that challenge to be supported within communities rather than hospitals. Poor or absent leadership has been identified as contributing to serious cases of abuse in health-care settings [Department of Health (DH), 2012]. This paper aims to focus on identifying the elements required for good leadership and service delivery in community forensic services (CFS).

Design/methodology/approach

The perspectives of 12 support workers working in CFS were obtained through semi-structured interviews.

Findings

Thematic analysis identified two predominant themes, namely, authentic leadership and effective team practice. A culture of trust and learning occurs when teams are well led. This culture leads to consistent practice which benefits services users and reduces risk of poor practice. Analysis suggests a framework for service delivery which is complimented by aspects of the Total Attachment model.

Research limitations/implications

The data set was collected from the same organisation and views may have been aligned to existing organisational policy. However, the sample was taken across different teams and geographical locations to collate more generalised experiences of team dynamics. The lead researcher works for the organisation and this dual role may have affected the candour with which individuals shared information during interviews.

Practical implications

Using a model to understand the functional dynamics of teams within CFS may support leaders and practitioners to improve service delivery.

Social implications

Improving service delivery within CFS may increase opportunity to meet the Transforming Care Agenda.

Originality/value

This paper examines staff perspectives and the application of theoretical frameworks to propose a unique service delivery model for supported living within CFS.

Article
Publication date: 9 June 2015

Karen Bamford and Carl Benton

Engaging with people with a learning disability to develop and enhance service provision is central to the ethos of personalisation and citizenship. Despite this there appears to…

Abstract

Purpose

Engaging with people with a learning disability to develop and enhance service provision is central to the ethos of personalisation and citizenship. Despite this there appears to be a lack of research to gather users’ views on how they feel the services meet their unique needs and how these could be improved. A service evaluation was developed to understand service user’s experience of accessing a community forensic service (CFS). The paper aims to discuss these issues.

Design/methodology/approach

The questionnaire was conducted by an independent third party experienced in facilitating complex communication, utilising a written format and Widget Rebus symbols. Questions were based on Trust Values, family and friends test and clinical forensic engagement. The samples were service users open to the CFS on 1 July 2014.

Findings

Data were gathered from 28 individuals, there was an even spread of ages 17-65. In all, 93 per cent understood what help they needed from the service, there was acknowledgement of who they would go to if they wanted to complain, 100 per cent were happy with how information had been provided, most felt the service was respectful, fair, friendly and they were listened to.

Practical implications

The findings suggest that more needs to be done around understanding and engagement in care planning. There are plans to gather information from direct carers and setting up focus groups to further understand some of the issues and ways forward.

Originality/value

Asking for feedback from people who have offended, some of whom now experience increased restrictions, is fraught with concern and approached with trepidation. However, the responses received contradict the natural instincts. The results showed promising appreciation of the support received in the context of everyday lives and positive risk taking.

Details

Journal of Intellectual Disabilities and Offending Behaviour, vol. 6 no. 2
Type: Research Article
ISSN: 2050-8824

Keywords

Content available
Article
Publication date: 9 June 2015

Amanda Kirby and Lisette Saunders

160

Abstract

Details

Journal of Intellectual Disabilities and Offending Behaviour, vol. 6 no. 2
Type: Research Article
ISSN: 2050-8824

Article
Publication date: 4 October 2019

Anna Leonie Wark

Legislative guidance stipulates that people with a learning disability have the right to receive local provision of personalised support within the least restrictive environment…

Abstract

Purpose

Legislative guidance stipulates that people with a learning disability have the right to receive local provision of personalised support within the least restrictive environment. On these bases there is a growing emphasis on the requirement for local authorities to develop appropriate services for people who are currently in a hospital setting. The purpose of this paper is to examine the literature addressing factors influencing the provision of effective community-based forensic services.

Design/methodology/approach

The six articles were analysed separately using the evaluation tool – Currency, Relevance, Authority, Accuracy, Purpose. The six articles used divergent sample groups and employed both qualitative and quantitative methods to collate data. The articles shared a purpose of examining forensic community service provision with an aim to improve services.

Findings

There were three themes that emerged consistently across the literature these included: balancing risk management vs individual autonomy; multi-disciplinary and multi-agency working; service improvement. There is a growing emphasis on the need to replace long-term hospital placements with specialist, community provision, employing least restrictive methods and positive responses to crisis situations. In this climate, it is crucial that multi-disciplinary agencies from local authority, health and the charitable and private sector continue to work collaboratively on the integration of service provision in order to bring about the development of effective and responsive community services.

Research limitations/implications

Research limited to peer reviewed and published research papers focusing on the subject of community forensic services with publications specifically made within the time frame of the Transforming Care Agenda.

Practical implications

This paper looks to examine the practical solutions to providing effective community forensic services for a person with an intellectual disability and makes recommendations for research into improving service specific training for support staff.

Social implications

Following the Winterbourne View Hospital scandal (BBC One, 2011) instigations were made to make legislative change under the Transforming Care Agenda. Despite a renewed conviction in the rights of people to be a part of their local community without segregation or discrimination, professionals in the field continue to report a failure to reduce numbers of people in long stay hospitals and secure settings. With commissioning under pressure to make these intentions a reality it is a really good time to reflect on practice and evaluate service models to establish the factors that bring about positive outcomes for individuals enabling inclusion within community settings.

Originality/value

This review will focus on the literature evidencing positive intervention and outcome focussed methods of supporting people with a forensic history in the community. This is an entirely original piece of work analysing peer reviewed and published research.

Details

Journal of Intellectual Disabilities and Offending Behaviour, vol. 10 no. 3
Type: Research Article
ISSN: 2050-8824

Keywords

Article
Publication date: 10 May 2011

Simon Wesley Lane

The purpose of this paper is to analyse fraud investigative practice in London local authorities with reference to recognised best practice and two comparator organisations, the…

1319

Abstract

Purpose

The purpose of this paper is to analyse fraud investigative practice in London local authorities with reference to recognised best practice and two comparator organisations, the Department for Work and Pensions (DWP) and National Health Service (NHS).

Design/methodology/approach

Primary research was undertaken through questionnaires to all London Boroughs and interviews with key personnel in two comparator organisations.

Findings

Each London Borough has a specialist anti‐fraud response with professionally qualified investigators, demonstrates compliance with best practice and excels in areas such as case supervision and joint working. However, concerns remain, regarding a lack of agreed national standards and some failing to use the full range of investigative techniques, such as surveillance and computer forensic examination.

Research limitations/implications

The research was limited to London local government and further work is needed outside the capital.

Practical implications

Recommendations are made for: the introduction of national professional guidance to investigators; minimum competency standards for fraud investigation; research into the applicability of the National Intelligence Model to high volume fraud; and a less fragmented approach both within and across local authorities.

Originality/value

There has been no previous research of this type and it may be useful to government when considering how to deal with fraud, local authorities and those with an interest in public sector fraud.

Details

Journal of Financial Crime, vol. 18 no. 2
Type: Research Article
ISSN: 1359-0790

Keywords

Article
Publication date: 1 March 1996

Ellen G. Cohn

Examines the effect of weather and temporal factors on the total calls for service (CFS) at the Minneapolis Police Department. Aims at the eventual development of an instrument to…

791

Abstract

Examines the effect of weather and temporal factors on the total calls for service (CFS) at the Minneapolis Police Department. Aims at the eventual development of an instrument to predict short‐term variations in CFS over time ‐ a goal which at present is unique. Finds that CFS increase at times when individuals have less habitual routine activities, e.g. after dark; during vacation months. Suggests that temporal factors have much more impact than the weather. Points out some practical implications for the criminal justice system, e.g., future schedules can be adjusted for temporal variations, thus helping in the deployment of officers. Shows that accurate prediction of the overall number of CFS is possible when temporal and weather factors are used.

Details

American Journal of Police, vol. 15 no. 1
Type: Research Article
ISSN: 0735-8547

Keywords

Open Access
Article
Publication date: 21 July 2023

Mitra Khalafbeigi, Farzaneh Yazdani, Florence Genis, Ka Yan Hess and Samita Kirve

Female adults diagnosed with myalgia encephalomyelitis (ME) and chronic fatigue syndrome (CFS) often are marginalised because their condition is not fully recognised by medical…

Abstract

Purpose

Female adults diagnosed with myalgia encephalomyelitis (ME) and chronic fatigue syndrome (CFS) often are marginalised because their condition is not fully recognised by medical and health-care systems. The purpose of this small-scale study was to explore the lived experiences of adult females with ME/CFS in England in relation to contributing factors that impact their occupational participation.

Design/methodology/approach

A qualitative study design using semi-structured interviews was used with nine female adult participants who were selected using a purposive sampling method. A Thematic Networks tool was used to analyse data.

Findings

Four organising themes were identified: impairment-, person-, environment- and society-related factors. Two global themes, invisibility and diagnosis stigma, were identified as the overarching issues that female adults with ME/CFS face in occupational participation.

Originality/value

Many of the issues that contribute to lack of participation by this population are associated with environmental factors which are secondary to their illness.

Details

Irish Journal of Occupational Therapy, vol. 51 no. 2
Type: Research Article
ISSN: 2398-8819

Keywords

Abstract

Details

Policing: An International Journal, vol. 44 no. 2
Type: Research Article
ISSN: 1363-951X

Article
Publication date: 1 December 2002

Abstract

Details

Mental Health Review Journal, vol. 7 no. 4
Type: Research Article
ISSN: 1361-9322

Article
Publication date: 1 March 2004

Martin Jones and Carol O'Beney

The physical health benefits of exercise are well established but there is also growing research evidence of links between physical activity and mental health benefits, including…

Abstract

The physical health benefits of exercise are well established but there is also growing research evidence of links between physical activity and mental health benefits, including mood elevation, better cognitive functioning and improved self‐perception, self‐esteem and selfefficacy. Physical activity has also been shown to enhance the effectiveness of psychological therapies and to have a role in improving quality of life and symptom management for people with a wide range of mental health problems. Physical activity has a double benefit, since people with mental health problems are also at increased risk of a range of physical health problems, including cardiovascular disease, endocrine disorders and obesity. However referral to a physical activity specialist is rarely available in psychiatric settings. This paper gives two examples of how provision of physical activity facilities and programmes staffed by qualified specialists can contribute towards improving mental health and quality of life for people with mental health problems.

Details

Journal of Public Mental Health, vol. 3 no. 1
Type: Research Article
ISSN: 1746-5729

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