Search results

Mental health promotion is saturated with theoretical ambiguity and is ripe for sustained philosophical investigation. Unfortunately, most philosophical discussion in health promotion is commonplace rather than academic, and many health promotion theorists are unaware that there is a difference. In order to illustrate this intransigent problem, I discuss Glenn MacDonald's recent contribution to this journal (Vol. 1, Issue 2). In so doing I demonstrate four philosophical errors frequently made in health promotion theory, research and practice.

Discusses US use of drug testing in the workplace, screening employees for smoking, AIDS, genetic traits and reproductive hazards. Attributes this to the costs employers face in insurance, litigation and compensation. Points out that the purpose of drug testing is to circumvent management responsibility for: accidents in the workplace, stress, bad management practices, and disregarding health and safety initiatives. Acknowledges that the tests are harmful and indefensible. Reports that 81 per cent of members of the American Management Association in 1996 conducted drug testing. Claims that screening is the alternative to monitoring – that is screening out individuals who are seen as high risk in some way – yet that misses the point – the focus should be on making hazardous working conditions safe. Indicates that companies may use drug testing as a means of deterring drug users from gravitating towards their organization. Mentions that workplace‐induced stress can lead to substance abuse and that, therefore it is management driven, rather than being a problem the worker brings to the workplace. Quotes a number of company physicians who object to policing drug use. Indicates that drug testing has diverted attention away from health and safety issues and hazardous working conditions.

Dr. F. J. H. COUTTS'S report to the Local Government Board on an inquiry as to condensed milks, with special reference to their use as infants' foods, has been issued as No 56 of the new series of reports on public health and medical subjects.

Three articles in the inaugural issue of this Journal discuss the idea of mental health promotion. Here, each is discussed in terms of claims, assumptions and, in some cases, weaknesses such as an unreconstructed account of mental illness prevention, the mistake of relying on an arbitrary definition of mental health and problems with relying on ‘resilience’ as a central concept. It is argued that none of the papers pays enough attention to social experiences and processes, cultural values and norms on which all judgements about what promotes and demotes mental health are based. In response to this critique, the ten‐element map of mental health promotion and demotion is referred to as a more comprehensive, illuminating and, in the end, more philosophically sound account.

The purpose of this paper is to analyse the extent of throughcare provision for prisoners with problematic drug use. Effective throughcare services have been recognised as important because they help to ensure that any progress in treatment made in prison is continued on release. Previous research demonstrates that examples of good practice in throughcare provision for prisoners with problematic drug use exist in many parts of the world. However, evidence from recent work carried out in Europe indicates that the implementation of throughcare services for this group of prisoners is limited and ineffective in some EU member states. This paper aims to explore the reasons for such failure and to identify the barriers to implementing effective throughcare for this particular group of prisoners.

This paper is drawn from research carried out as part of a European project funded by the Directorate General Justice of the European Commission. The project involved six partners from a range of different member states. The research involved a literature review, followed by in‐depth interviews and focus groups with key stakeholders. Each partner carried out the qualitative research within their own country, in order to enable the team to capture local nuances.

The findings indicate that key barriers to implementation of effective throughcare are resources which impacts on the availability of support services, attitudes and training of staff and ultimately the continuity of care.

This paper adds to the body of knowledge regarding the provision of effective throughcare to those with problematic drug use.

This paper aims to conceptualise the residential and psychiatric hospital as a space where criminality and social harms can emerge. Because of recent media scandals over the past 10 years concerning privately-owned hospitals, this study examines the lived experiences of service users/survivors, family members and practitioners to examine historic and contemporary encounters of distress and violence in hospital settings.

The study consists of 16 biographical accounts exploring issues of dehumanising and harmful practices, such as practices of restraint and rituals of coercive violence. A biographical methodology has been used to analyse the life stories of service users/survivors (n = 9), family members (n = 3) and professional health-care employees (n = 4). Service users/survivors in this study have experienced over 40 years of short-term and long-term periods of hospitalisation.

The study discovered that institutional forms of violence had changed after the deinstitutionalisation of care. Practitioners recalled comprehensive experiences of violence within historic mental hospitals, although violence that may be considered criminal appeared to disappear from hospitals after the Mental Health Act (1983). These reports of criminal violence and coercive abuse appeared to be replaced with dehumanising and harmful procedures, such as practices of restraint.

The data findings offer a unique interpretation, both historical and contemporary, of dehumanising psychiatric rituals experienced by service users/survivors, which are relevant to criminology and MAD studies. The study concludes by challenging oppressive psychiatric “harms” to promote social justice for service users/survivors currently being “treated” within the contemporary psychiatric system. The study intends to conceptualise residential and psychiatric hospitals as a space where criminality and social harms can emerge. The three aims of the study examined risk factors concerning criminality and social harms, oppressive and harmful practices within hospitals and evidence that violence occurs within these institutionalised settings. The study discovered that institutional forms of violence had changed after the deinstitutionalisation of care. These reports of violence include dehumanising attitudes, practices of restraint and coercive abuse.

This article examines the history of social work research within the UK from a perspective of evidence‐based practice, as originally advocated in the 1990s. It reviews the progress made to date in relation to the use of experimental studies in the field of children and families, and the reasons why this remains limited. It sets this in the broader context of evidence‐based practice and the education and training of qualifying and post‐qualifying social workers, including postgraduate training.

Given the premise of de facto universal standards for FM, this paper aims to investigate development of facilities management (FM) at an Albanian and a Norwegian university hospital through examination of two hypotheses: the university hospital has recognised FM and established a designated FM organisation (H1) and the university hospital provides adequate food and catering services at ward kitchens and buffets (H2).

This is an exploratory and descriptive comparative case study based on a diverse cases’ designs.

There is limited and strong support for H1 at the Albanian and Norwegian university hospitals, respectively. Both the Albanian and the Norwegian university hospitals rely on in-house production of facilities services, but the Albanian university hospital has outsourced food and catering services. FM and provision of facilities services are deeply integrated within the Norwegian university hospital’s core activities. There is also limited and strong support for H2 at the Albanian and Norwegian university hospitals, respectively. Hence, the Albanian Ministry of Health and the Albanian university hospital’s top management have a comprehensive, but not impossible, task, if the aim is to catch up with the Norwegian university hospital concerning FM.

This is an exploratory and descriptive comparative case study. Large N studies should be carried out both in Albania and Norway and preferably also in other countries to corroborate and develop the findings.

This is the first comparative study of FM at an Albanian and a Norwegian university hospital.

HEAR what Mr. Les Huckfield has to say. Why? Because he is the Parliamentary Under Secretary of State, Department of Industry. “Britain's potential for becoming a very great industrial nation exists; we have the ideas, the men and women to put them into practice; all we need is the will to succeed.”

The purpose of this paper is to gain insight into managers' decision‐making practices when challenged by inappropriate information quality, and to test frameworks developed from research to see whether they apply to these managers.

This exploratory, multiple case study used the critical incident technique in 19 semi‐structured interviews. Responses were analyzed using framework analysis, a matrix‐based content analysis technique, and then considered with respect to the research literature on information overload, information poverty and satisficing.

The managers in this study tended to satisfice (terminate the search process and make a good enough decision, while recognizing that information gaps remain). Those challenged by too little information appear to fit descriptions of information poverty, while others described aspects of information overload.

A shortage of information behavior research on managers makes it difficult to conclude whether these results are typical of managers in general or of healthcare services managers specifically. Further research is needed to confirm initial findings and address questions suggested by this paper.

This paper suggests that existing definitions for the concepts of information poverty and information overload can be used to describe managers' experiences.

This paper contributes to what is known about information behavior in managers in general and healthcare services managers specifically. It may serve as an example of how to consider new research findings within existing frameworks.