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1 – 10 of over 78000
Article
Publication date: 13 January 2012

Fionnola Kelly and Roy McConkey

The move from congregated living arrangements to more homely, community‐based accommodation is a policy objective in many developed countries but its implementation is rarely…

457

Abstract

Purpose

The move from congregated living arrangements to more homely, community‐based accommodation is a policy objective in many developed countries but its implementation is rarely monitored. This paper aims to address this issue.

Design/methodology/approach

The National Intellectual Disability Database in Ireland provided the data to explore the changes in provision that occurred from 1999 to 2009 for nearly 8,000 adults resident in either congregated or community‐based accommodation.

Findings

Over the ten years, there was a marked rise in the numbers living in community group homes and by 2009 just under 50 per cent of persons resided in community settings. Although there was a reduction in the number of places in congregated options over the decade, this was not uniform in that increased numbers of persons were living in new forms of congregated provision designated as specialist units. Moreover, the estimated annual turnover of 2.4 per cent vacancies per annum meant that nearly half of the new admissions were to congregated settings. Over the ten years, a few people moved to a different type of accommodation although more people moved from congregated to community settings than vice versa. A few moved to more independent living arrangements. Despite unprecedented increased investment in services in this period, on average only 70 new places were created per annum – a 1 per cent increase on total places.

Research limitations/implications

Outmoded models of residential provision are likely to persist unless there is sustained investment in new forms of provision largely through a planned transfer of resources.

Originality/value

This national study illustrates how policy changes could be monitored in other countries.

Details

Tizard Learning Disability Review, vol. 17 no. 1
Type: Research Article
ISSN: 1359-5474

Keywords

Article
Publication date: 8 May 2023

Kelly Fenton, Katherine Kidd and Alex Lord

The purpose of this study is to assess if the new community-enhanced rehabilitation team reduced anxiety and readmissions in service users discharged from an inpatient…

Abstract

Purpose

The purpose of this study is to assess if the new community-enhanced rehabilitation team reduced anxiety and readmissions in service users discharged from an inpatient rehabilitation setting.

Design/methodology/approach

The study used both qualitative and quantitative methodology. Service user’s anxiety level was measured before being discharged and at the end of the Community Enhanced Rehabilitation Team (CERT) transition intervention. Six service users were interviewed to gain further understanding of their experiences of anxiety.

Findings

Findings showed the anxiety score was significantly lower (M = 1.5, 95% CI [0.051,2.99], t(20) = 2.159, p = 0.043) following the CERT intervention (M = 8.6, SD = 6.4) compared to before (M = 10.1, SD = 7.0). No service user receiving the CERT intervention was readmitted to hospital within 12 weeks of discharge from the inpatient setting, compared to three service users (15% of those discharged) who were discharged to other community services.

Research limitations/implications

Community rehabilitation pathways would benefit from having interventions to aid patient transitions from inpatient to the community. The National Health Service (NHS) trusts develop community rehabilitation teams as recommended by the National Institute for Health and Care Excellence (NICE), and they should consider including transitional support as part of their model.

Practical implications

It is recommended that as NHS trusts design and implement community mental health teams, they should consider including transition support as part of their model.

Social implications

People with severe and enduring mental health difficulties who have been in an inpatient rehabilitation setting would benefit from community transitional support. This study suggests that such support helps reduce anxiety and readmission.

Originality/value

Community rehabilitation teams are currently being developed across the NHS as part of the NHS long-term plan. These teams are new, and as such, there is a dearth of information regarding their effectiveness. To the best of the authors’ knowledge, this is one of the first studies to evaluate outcomes in these new teams.

Details

Mental Health Review Journal, vol. 28 no. 3
Type: Research Article
ISSN: 1361-9322

Keywords

Article
Publication date: 1 September 2005

Sibylle Heilbrunn

The purpose of this paper is to investigate the impact of organizational change upon entrepreneurship in communities such as the Israeli kibbutz, which underwent during the last…

2638

Abstract

Purpose

The purpose of this paper is to investigate the impact of organizational change upon entrepreneurship in communities such as the Israeli kibbutz, which underwent during the last two decades a process of crisis and change. Based on a theoretical model that identifies how cultural orientations of individualism versus collectivism affect the entrepreneurial process, attempt is made to analyze whether and how the move from organizational collectivism towards organizational individualism influences the volume and type of entrepreneurship in community settings.

Design/methodology/approach

A comprehensive questionnaire has been administered to a sample of 60 kibbutzim in 1997 and in 2004. The questionnaire includes issues of organizational culture, structure and business orientation, as well as reports on the ventures initiated during the relevant years. The data received by means of the questionnaire are analyzed by quantitative statistical methods. In‐depth interviews with office holders in a small number of kibbutzim add understanding of the underlying ongoing processes of change.

Findings

The results of the study show that after processes of organizational change, resource leverage is still characterized by induced strategic behavior, but venture policy is no longer one of nurturing. Market criteria such as profitability and competition at the organizational level promote individualistic‐oriented motivation and economic behavior of entrepreneurs within the community setting.

Research limitations/implications

Using a model of corporate entrepreneurship is the inherent limitation of the design of this study. Future research should consider alternative theoretical models for the analysis of entrepreneurship in community settings, focusing on independent variables such as human and social capital of the community entrepreneur.

Originality/value

The paper provides an investigation into the influence of organizational change upon the volume of entrepreneurship in a community setting.

Details

Journal of Small Business and Enterprise Development, vol. 12 no. 3
Type: Research Article
ISSN: 1462-6004

Keywords

Article
Publication date: 6 December 2017

Shihui Feng, Liaquat Hossain and Douglas Paton

Disaster education is considered as a newly emerging area of research and practice, which promotes community-based educational approaches for building resilience. Given the…

1332

Abstract

Purpose

Disaster education is considered as a newly emerging area of research and practice, which promotes community-based educational approaches for building resilience. Given the atypical nature of these disturbances, people and communities need to develop the knowledge required to anticipate and understand what they could have to contend with and proactively develop strategies that can minimize their risk and afford ways to cope with and adapt to adverse situations in an effective manner. The purpose of this paper is to suggest that informal education resulting from daily activities related to work, family life, or leisure can be harnessed to develop disaster resilience within community settings.

Design/methodology/approach

This conceptual paper provides the discussion and synthesis of literature covering community resilience, disaster risk reduction (DRR) and informal education. In doing so, this study proposes a conceptual framework and implementation strategies for harnessing informal education in building community resilience.

Findings

To harness informal disaster education for community resilience, the authors suggest a conceptual framework and four implementation strategies with the corresponding implications: cultivate social environment for conversations, discussions, reflections and learning; design social activities for promoting and encouraging informal learning; appropriate interventions by informal educators in social activities; and transparent resources and channels for information and social supports. A compilation of a number of community-based DRR practices involving civil society organizations has been incorporated in the proposed framework for exemplifying informal disaster education for community resilience.

Originality/value

Promoting informal education in community settings is aimed at building community resilience in a collective way, which is especially important in disaster-prone areas. Informal education for community resilience not only educates individuals how to deal with disasters, but also connects individuals together to be more resilient in their ability to cope or bounce back from adverse events in their life.

Details

Disaster Prevention and Management, vol. 27 no. 1
Type: Research Article
ISSN: 0965-3562

Keywords

Article
Publication date: 1 March 2006

Anne S. De Groot, Madeline Dilorenzo, Mary Sylla and Joseph Bick

At least 20% of individuals living with HIV pass through prison and jail doors every year, in any nation, worldwide. Therefore, interventions that improve access to HIV testing…

Abstract

At least 20% of individuals living with HIV pass through prison and jail doors every year, in any nation, worldwide. Therefore, interventions that improve access to HIV testing, HIV care, and education can have a broad impact on public health in every country. The benefits of these interventions in correctional settings have already been well documented. For example, improved access to HIV testing, treatment by an HIV specialist, preventive vaccinations and prophylactic medications, screening for concomitant infections such as HCV, and pre‐release planning services have been shown to decrease HIV‐related mortality and morbidity, to reduce the risk of HIV transmission and to decrease recidivism. Education of at‐risk individuals has also been shown to reduce HIV risk behaviors. Safe distribution of condoms and needle‐exchange programs have also been demonstrated to be safe and effective, although few such programs have been implemented in the United States. While all the available evidence has demonstrated that these public health‐oriented interventions can be and are successful in correctional settings, implementation on a national and international level lags far behind the evidence. The time has come to take an evidence‐based approach to improving HIV management in correctional settings. Implementations of the HIV management interventions described in this article make good medical sense and will have a positive impact on the health of inmates and the communities to which inmates return.

Details

International Journal of Prisoner Health, vol. 2 no. 3
Type: Research Article
ISSN: 1744-9200

Keywords

Article
Publication date: 20 February 2017

Angela Roth, Martin Dumbach, Barbara Schliffka and Kathrin M. Möslein

Increasing demographic diversity within societies and workforces causes challenges with regard to the innovation performance of companies. By definition, innovation communities…

1318

Abstract

Purpose

Increasing demographic diversity within societies and workforces causes challenges with regard to the innovation performance of companies. By definition, innovation communities nowadays are composed of members with diverse function background and age diversity. The challenging question is how to manage diverse corporate innovation communities. The purpose of this paper is to find out which factors determine the success of corporate innovation communities in times of demographic shifts.

Design/methodology/approach

The empirical field to answer the research question are three corporate innovation communities in companies of different industries and size. Multiple case study methodology is applied to gather and analyse the data.

Findings

The study presents an empirically derived framework to structure success factors of diverse corporate innovation communities chronologically in the three phases of preparation, execution and finalization of a community work process. The success factors are described in detail and finally a time sequential guideline for those who are responsible for community management in demographic change is provided.

Research limitations/implications

It is contributed to the literature on innovation communities and it is shown that innovation communities are not only an instrument to solve innovation tasks but are also a promising means to tackle other challenges of recent demographic changes. As limitation must be considered, that the analysed innovation communities only received corporate support for a short period of time and the supporting organizations operate in manufacturing industries in Germany only.

Practical implications

The paper highlights that managers need to be aware that diversity in corporate innovation communities per se does not lead to success. Furthermore, a guideline of success factors for managers of diverse corporate innovation communities is presented which highlights important aspects that managers need to consider during the community work process.

Social implications

Due to demographic shifts in Germany and other European countries, societies in general and workforces in particular have modified. Most pervasive shifts take place with regard to age structures and diversity. Implications how manager could handle diversity successfully are therefore of high relevance for societies.

Originality/value

This study provides a theoretical understanding of the implications of organizational and age diversity on corporate innovation community management. Extant authors have already focussed on success factors in innovation communities and diverse settings isolated, but have not merged these issues.

Details

Journal of Strategy and Management, vol. 10 no. 1
Type: Research Article
ISSN: 1755-425X

Keywords

Article
Publication date: 5 June 2018

Anne W. Snowdon and Deborah Tallarigo

The purpose of this paper is to examine the opportunity for supply chain processes and infrastructure to reduce the risk of medical error and create traceability of adverse events…

Abstract

Purpose

The purpose of this paper is to examine the opportunity for supply chain processes and infrastructure to reduce the risk of medical error and create traceability of adverse events in community care settings. Patient safety has become an important area of focus over the past few decades, with medical error now accounting for the third most common cause of death in Canada and the USA. The majority of patient safety studies to date have focused specifically on safety in hospital settings; however, deaths and harm experienced by patients in the community (home care, long-term care, complex care and rehabilitation settings) are not well understood.

Design/methodology/approach

This paper discusses the evidence that adverse events occur at similar, if not more, frequent rates in community care settings.

Findings

The authors propose that above and beyond current efforts to increase awareness and promote a “safety culture” in health-care settings, system infrastructure should be designed in a way that enables clinicians to provide the safest care possible. There is currently no line of sight across the health-care continuum. The authors suggest that improving system infrastructure would reduce the occurrence of adverse events.

Originality/value

Such visibility across the continuum of care holds the potential to transform health-care in Canada from a fragmented system, where information is inadequately captured and transferred from provider to provider, to a system that provides complete, accurate and up-to-date information regarding patient care, procedures, medications and outcomes so as to provide the best and safest care possible. System visibility achieves quality and safe care, which is transparent and accountable and achieves value for patients.

Details

Leadership in Health Services, vol. 31 no. 3
Type: Research Article
ISSN: 1751-1879

Keywords

Article
Publication date: 1 June 2006

Sally Jacobs, Jane Hughes, David Challis, Karen Stewart and Kate Weiner

Care management has developed in a variety of forms. This diary study explores differences in the approach taken to care management in three distinct social service settings…

Abstract

Care management has developed in a variety of forms. This diary study explores differences in the approach taken to care management in three distinct social service settings: community‐based older people's teams, hospital social work teams also for older people and community‐based teams for adults with mental health problems. Conclusions are drawn both for social care and for health services developing case management for people with long‐term conditions.

Details

Journal of Integrated Care, vol. 14 no. 3
Type: Research Article
ISSN: 1476-9018

Keywords

Article
Publication date: 19 February 2018

Elise Catherine Davis, Elizabeth T. Arana, John S. Creel, Stephanie C. Ibarra, Jesus Lechuga, Rachel A. Norman, Hannah R. Parks, Ali Qasim, David Y. Watkins and Bita A. Kash

The purpose of this article is to provide a general review of the health-care needs in Kenya which focuses on the role of community engagement in facilitating access and…

Abstract

Purpose

The purpose of this article is to provide a general review of the health-care needs in Kenya which focuses on the role of community engagement in facilitating access and diminishing barriers to quality care services. Health-care concerns throughout Kenya and the culture of Kenyan’s health-care practices care are considered.

Design/methodology/approach

A comprehensive review covered studies of community engagement from 2000 till present. Studies are collected using Google Scholar, PubMed, EBSCOhost and JSTOR and from government and nongovernment agency websites. The approach focuses on why various populations seek health care and how they seek health care, and on some current health-care delivery models.

Findings

Suggestions for community engagement, including defining the community, are proposed. A model for improved health-care delivery introduces community health workers (CHWs), mHealth technologies and the use of mobile clinics to engage the community and improve health and quality of care in low-income settings.

Practical implications

The results emphasize the importance of community engagement in building a sustainable health-care delivery model. This model highlights the importance of defining the community, setting goals for the community and integrating CHWs and mobile clinics to improve health status and decrease long-term health-care costs. The implementation of these strategies contributes to an environment that promotes health and wellness for all.

Originality/value

This paper evaluates health-care quality and access issues in Kenya and provides sustainable solutions that are linked to effective community engagement. In addition, this paper adds to the limited number of studies that explore health-care quality and access alongside community engagement in low-income settings.

Details

European Journal of Training and Development, vol. 42 no. 1/2
Type: Research Article
ISSN: 2046-9012

Keywords

Article
Publication date: 4 March 2014

Christofer Pihl

By using the concept of style, the purpose of this paper is to elaborate on the notion of brand community. More specifically, it seeks to explore how style can function as a…

12663

Abstract

Purpose

By using the concept of style, the purpose of this paper is to elaborate on the notion of brand community. More specifically, it seeks to explore how style can function as a linking value in forms of communities centred on brands that emerge within the empirical context of fashion and social media.

Design/methodology/approach

A netnography of the content produced by 18 fashion bloggers in Sweden was conducted. Content analysis of this material was used to map how consumption objects, in terms of fashion brands, were integrated in activities taking place on blogs, and through these processes, acted as a linking value for community members.

Findings

– This paper demonstrates how fashion bloggers, together with their readers, constitute a form of community centred on style. It also shows how fashion bloggers, by combining and assembling fashion brands and products, articulate and express different style sets, and how they, together with their followers, engage in activities connected to these style ideals.

Research limitations/implications

– As this study has been empirically limited to a Swedish setting, future research would benefit from findings of international expressions of communities of style.

Practical implications

Based on this study, strategies for managing communities of style is suggested to represent a potential source of competitive advantage for fashion firms.

Originality/value

In the context of the conceptual discussion about what brings members of communities together, this study provides evidence of how style can function as a linking value in the setting of consumer communities that emerge within the boundaries of fashion and social media.

Details

Journal of Fashion Marketing and Management, vol. 18 no. 1
Type: Research Article
ISSN: 1361-2026

Keywords

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