Search results
1 – 10 of 251Jon Painter, Winola Chio, Liam Black and David Newman
This study aims to understand whether psychotropic prescribing practices for people with intellectual disabilities are in keeping with best practice guidelines.
Abstract
Purpose
This study aims to understand whether psychotropic prescribing practices for people with intellectual disabilities are in keeping with best practice guidelines.
Design/methodology/approach
This service evaluation project was a retrospective analysis of routinely collected data from the care records of all 36 people with intellectual disability discharged from an intellectual disability assessment and treatment unit during the first five years of the Stop Over medicating People with Intellectual Disabilities and/or autistic people (STOMP) initiative. Data were gathered at four time points (pre-admission, discharge, 6- and 12-month follow-up) before being analysed to understand whether psychotropic prescribing differed among people with different clinical characteristics/traits/diagnoses. Changes over time were also explored to ascertain whether and how prescribing altered from admission to discharge, and over the subsequent year of community living.
Findings
Most people with intellectual disabilities left the assessment and treatment unit on fewer regular psychotropic medications and at lower doses than at admission. These optimised regimes were still apparent 12 months post-discharge, suggesting effective discharge planning and community care packages. Inpatients with severe intellectual disabilities generally received more anxiolytics and hypnotics, at higher doses. Autistic people tended to receive more psychotropics in total and at higher cumulative doses, a pattern that persisted post discharge. A third of the sample were admitted on regular anti-psychotic medications despite having no corresponding psychotic diagnosis, a proportion that remained relatively stable through discharge and into the community.
Originality/value
This study highlights subsets of the intellectual disability population at particular risk of receiving high doses of psychotropics and a feasible template for providers intending to undertake STOMP-focused evaluations.
Details
Keywords
Natalie Claire Haynes and David Egan
The purpose of this paper is to explore how the continued interest in the concept of “miniaturism” has seen the micropub develop into the new format of the microbar and examines…
Abstract
Purpose
The purpose of this paper is to explore how the continued interest in the concept of “miniaturism” has seen the micropub develop into the new format of the microbar and examines the drivers of this trend. It then reflects on the possible implications of the rise of the microbar concept on the future of the urban tourism destination landscape.
Design/methodology/approach
This is a conceptual paper that is built on the natural curiosity of future studies to use an understanding of the present to predict what will happen next and what the implications of those developments will be.
Findings
The paper provides a clear definition of the microbar and identifies four distinctive drivers behind its conception, linked to changes in consumer behaviour. These cover the rise of the micro-break, the need for responsible urban regeneration, consumers desire for immediate and unique experiences and increasingly diverse populations. The paper predicts that these trends will drive an increase in microbars leading to greater tourist mobility in the urban tourism destination, more fragmentation and heterogeneity of products and services as well as an intensification in the need for authentic experiences and opportunity driven development giving rise to a hybrid form of guerrilla hospitality. Ultimately the authors predict that the venue will become more important than the specific location when consumers view the landscape of the urban tourism destination.
Originality/value
The focus of previous academic research has been on the historic development of the micropub and its impact on regeneration and communities, but very little literature has examined the rise of the microbar and the potential implications for the urban tourism destination.
Details
Keywords
David Littlewood and Zaheer Khan
This paper aims to contribute to better understanding of where and how network concepts, theories and perspectives, organisational networks, and networking practices, are being…
Abstract
Purpose
This paper aims to contribute to better understanding of where and how network concepts, theories and perspectives, organisational networks, and networking practices, are being studied and deployed in social enterprise research. This is done through a systematic review of social enterprise and networks literature in business and management journals. Key trends and developments in this literature, and gaps and limitations, are identified, culminating in discussion of what next for social enterprise and networks research. The papers in this special issue on “Social Enterprise and Networks” are introduced.
Design/methodology/approach
A systematic review was undertaken of social enterprise and networks literature in business and management journals. Journals sampled included all those in the Entrepreneurship and Small Business subject area of the Association of Business Schools (ABS) Academic Journal Guide 2018, the journals in the Financial Times 50 research ranking, and selected wider business and society, non-profit management and public administration journals.
Findings
Analysis of publishing patterns of social enterprise and networks research finds that such research is growing, and that varied network perspectives, concepts and theories are being deployed. Social enterprise and networks are also being studied globally, using different methodologies. Nevertheless, there remains scope for deeper theoretical engagement, and for a wider range of network theories to be used. More even geographic coverage is also needed, and further insights can be gained through use of alternative methodologies.
Research limitations/implications
Discussions in this paper have implications for research through outlining systematically the state of current scholarship on social enterprise and networks. In so doing, insight is provided on what is known about social enterprise and networks. But also on what is not known and where further enquiry is needed. Direction is thus provided for future social enterprise and networks scholarship.
Practical implications
In this paper, how, and the extent to which, social enterprise and networks scholarship offers implications for practice and policy is considered.
Originality/value
This paper makes a valuable contribution to social enterprise scholarship. It outlines the state of current knowledge and research on social enterprise and networks, identifying where and how relationships between social enterprise and networks have been studied, whilst also providing insights for what next in future social enterprise and networks research.
Details
Keywords
Abstract
Details
Keywords
Abstract
Details