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This study examines the perspectives of adjunct (short-term contract) faculty teaching at offshore branch campuses in Dubai, United Arab Emirates. The rise of the global adjunct labor class and the expansion of universities to overseas markets in the form of branch campuses are just two examples of the extension of neoliberal and consumerist ideology to higher education. While the problems of implementing corporate-style practice and policy in higher education is much critiqued in the literature, this research centers on the intersection of the two issues just mentioned. The primary motivations for undertaking this study were to explore a) branch campus adjuncts’ perceptions of being connected to their university community, and b) the possible impact of their labor conditions on pedagogical conditions. Five adjuncts from four separate branch campuses were interviewed, and the semi-structured interviews analyzed using a critical discourse analysis approach. The findings revealed that the adjuncts often felt isolated from their branch campus and considered themselves to be carrying out the educational mission of the home campus despite having no contractual relationship with the home campus. I argue that the working conditions of the adjuncts have a negative impact on teaching experience and, to a degree, on pedagogy. A more formalized employment relationship between branch campus adjuncts and the home campus is recommended, as well as the provision of professional development and research engagement opportunities for adjuncts.

ﺗﺑﺣ ث ھذه اﻟ د ر ا ﺳ ﺔ ﻓ ﻲ وﺟ ﮭﺎ ت ﻧ ظ ر اﻟ ﻣد ر ﺳ ﯾ ن اﻟ ﻣﻠ ﺣ ﻘﯾ ن ﻓ ﻲ ﻓ ر وع اﻟ ﺟ ﺎ ﻣﻌﺎ ت ﻓ ﻲ دﺑﻲ ، اﻹﻣﺎ را ت اﻟ ﻌرﺑﯾﺔ اﻟ ﻣﺗ ﺣدة. إ ن ﺻ ﻌود اﻟ طﺑﻘﺔ اﻟﻌﺎ ﻣﻠ ﺔ اﻟﻌﺎﻟ ﻣﯾ ﺔ اﻟﻣﻠ ﺣ ﻘﺔ و ﺗ و ﺳ ﻊ اﻟﺟ ﺎ ﻣﻌﺎ ت إﻟﻰ ا ﻷ ﺳ و ا ق اﻟﺧ ﺎ ر ﺟ ﯾ ﺔ ﻓ ﻲ ﺷ ﻛ ل ﻓ ر و ع ﺟ ﺎ ﻣﻌﯾ ﺔ ﻟﯾ ﺳ ت ﺳ و ى ﻣﺛﺎﻟﯾ ن ﻋ ﻠ ﻰ ا ﻣﺗدا د ا ﻹ ﯾدﯾ و ﻟ و ﺟ ﯾ ﺔ اﻟ ﻧﯾ و ﻟﯾﺑ ر اﻟﯾ ﺔ و ا ﻻ ﺳ ﺗ ﮭ ﻼ ﻛﯾ ﺔ إﻟ ﻰ اﻟﺗ ﻌﻠﯾم اﻟ ﻌﺎﻟ ﻲ. ﻋﻠ ﻰ اﻟ رﻏم ﻣ ن أ ن ﻣ ﺷﻛﻠ ﺔ ﺗ طﺑﯾ ق ﻣﻣﺎ رﺳﺎ ت وﺳﯾﺎ ﺳﺎ ت اﻟﻧ ﻣ ط اﻟﺗ ﺟﺎ ر ي ﻓ ﻲ اﻟﺗ ﻌﻠﯾم اﻟ ﻌﺎﻟ ﻲ ﻗد ﺗ ﻌر ﺿ ت ﻟﻧﻘد ﻛﺑﯾ ر ﻓ ﻲ اﻷدﺑﯾﺎ ت، ﻓﺈن ھذا اﻟﺑ ﺣ ث ﯾ رﻛز ﻋ ﻠ ﻰ ﺗﻘﺎط ﻊ اﻟ ﻣﺛﺎﻟﯾ ن اﻟ ﻣو ﺻ وﻓﯾ ن . ﻛﺎﻧ ت اﻟ دواﻓ ﻊ اﻟ رﺋﯾ ﺳ ﯾ ﺔ ﻹ ﺟ را ء ھذه اﻟد ر ا ﺳ ﺔ ھ ﻲ ا ﺳ ﺗ ﻛ ﺷ ﺎ ف 1 ( ﻣﻔﺎ ھﯾم ﻣﻠ ﺣﻘ ﻲ ﻓ روع اﻟﺟ ﺎ ﻣﻌﺎ ت ﻟ ﻛوﻧﮭم ﻣرﺗ ﺑ طﯾ ن ﺑ ﻣ ﺟﺗ ﻣﻊ اﻟﺟ ﺎ ﻣﻌﺔ؛ 2 ( ﻣﺎ ﺗﺄﺛﯾ ر ظرو ف ﻋﻣﻠ ﮭم ﻋﻠ ﻰ اﻟظ ر و ف اﻟ ﺗ ر ﺑ و ﯾ ﺔ. ﻟ ﺟ ﻣﻊ اﻟ ﺑﯾﺎﻧﺎ ت ، أﺟرﯾ ت ﻣﻘﺎﺑ ﻼت ﻣﻊ ﺧﻣ ﺳﺔ ﻣدرﺳﯾ ن ﻣﻠ ﺣﻘﯾ ن ﻣ ن أ رﺑ ﻌﺔ ﻓ روع ﺟﺎ ﻣﻌﯾ ﺔ ﻣﻧﻔ ﺻ ﻠ ﺔ. ﺗم ﺗ ﺣﻠﯾ ل اﻟ ﻣﻘﺎﺑ ﻼ ت ﺷﺑ ﮫ اﻟ ﻣﻧ ظﻣﺔ ﺑﺎﺳﺗ ﺧدام ﻣﻧﮭ ﺞ ﺗ ﺣﻠﯾ ل اﻟ ﺧطﺎ ب اﻟﻧﻘد ي. وﻛ ﺷﻔ ت اﻟﻧﺗﺎﺋ ﺞ أ ن اﻟ ﻣﻠ ﺣﻘﯾ ن ﻏﺎ ﻟ ﺑًﺎ ﻣ ﺎ ﺷ ﻌ ر و ا ﺑ ﺎ ﻟ ﻌ ز ﻟ ﺔ ﻋ ن ﺣ ر ﻣ ﮭ م ا ﻟ ﺟ ﺎ ﻣ ﻌ ﻲ وا ﻋﺗﺑ روا أﻧﻔ ﺳﮭم ﯾﻧﻔذون اﻟ ﻣﮭﻣﺔ اﻟﺗ ﻌﻠﯾ ﻣﯾ ﺔ ﻟﻠ ﺣرم اﻟ ﺟﺎ ﻣﻌ ﻲ اﻟ ﻣ ﺣﻠ ﻲ رﻏم ﻋدم وﺟود ﻋﻼﻗﺔ ﺗ ﻌﺎﻗدﯾ ﺔ ﻟ ﮭم دا ﺧل اﻟ ﺣرم اﻟ ﺟﺎ ﻣﻌ ﻲ. أﻧﺎ أ زﻋم أن ظرو ف ﻋﻣ ل اﻟ ﻣﻠ ﺣﻘﯾ ن ﻟ ﮭﺎ ﺗﺄﺛﯾ ر ﺳﻠﺑ ﻲ ﻋﻠ ﻰ ﻣﻣﺎ رﺳﺔ اﻟﺗد رﯾ س . ﺗ و ﺻ ﻲ اﻟ د را ﺳﺔ ﺑ ﺧﻠ ق ﻋﻼﻗﺔ ﺗ و ظﯾ ف أ ﻛﺛ ر رﺳﻣﯾﺔ ﺑﯾ ن اﻟ ﻣﻠ ﺣﻘﯾ ن ﻓ ﻲ اﻟﺣ ر م اﻟﺟ ﺎ ﻣﻌ ﻲ اﻟﻔ ر ﻋ ﻲ و اﻟﺣ ر م اﻟ ﺟ ﺎ ﻣﻌ ﻲ اﻟدا ﺧ ﻠ ﻲ ، ﺑﺎﻹ ﺿ ﺎﻓﺔ إﻟ ﻰ ﺗ وﻓﯾ ر ﻓ ر ص اﻟﺗ ط وﯾ ر اﻟ ﻣﮭﻧ ﻲ واﻟﺑ ﺣ ث ﻟﻠ ﻣ ﺷ ﺎ ر ﻛﺔ ﻟﻠ ﻣد ر ﺳ ﯾ ن اﻟ ﻣﻠ ﺣ ﻘﯾ ن .

The aim of this paper is to describe and detail a new workforce initiative developed by a third sector organisation: the Multi-Modality Practitioner (MMP) approach, in the provision of support for individuals and families presenting in the community with multiple and varied needs.

This paper presents a case study on a third sector organisation’s pioneering workforce initiative – the MMP approach.

The MMP approach has been developed as an alternative to existing approaches designed to address “single issues”, providing those working in the fields of health and social care and beyond, with a range of technically eclectic interventions from different modalities and approaches, to enable them to appropriately meet the needs of individuals and families presenting with multiple needs.

This case study is limited to providing a rationale for the development of the MMP approach and a description. It does not include any formal analysis as a future evaluative paper will report on an independent theory-based examination of the MMP approach via Theory of Change and Contribution Analysis methodologies.

This case study describes the innovative role that the MMP approach as a workforce innovation plays in meeting multiple needs in the community when deployed as either a stand-alone approach, or one that can be integrated with existing community-based services including, but not limited to, mental health, employability, addiction, housing, homelessness, public health and child and family services.

The MMP approach constitutes a disruptive, pionneering, client-centred, workplace innovation that is trauma-informed, relational, strengths-based and continuity of care focused, capable of supporting individuals and families with multiple needs, negating onward referral and with potential to reduce demand on public services. It also provides those working in a range of health and social care roles with the opportunity to expand their therapeutic repertoire through high-quality, multi-skilled training in evidence-based and societally important, technically eclectic interventions drawn from a range of modalities.

Pluralistic practice and multimodal theories have been in existence for over two decades, the MMP approach however, whilst sharing some of these concepts and philosophies, differs in that it provides those trained in the approach with a ‘toolkit’ of interventions that are technically eclectic, drawn from a range of modalities and approaches and aimed at meeting multiple needs in a pragmatic and accessible manner. Furthermore, the Diploma in Multi-Modality Practice is the first training course of its kind available at postgraduate level.

This paper aims to explore the learning needs of general practitioners (GPs) involved in commissioning mental health provision in England, and offer an evaluation of a leadership and commissioning skills development programme for Mental Health Commissioners.

Retrospective mixed method, including online mixed method survey, rating participants’ knowledge, skills, abilities, semi-structured telephone interviews and third-party questionnaires were used. Results were analysed for significant differences using the Wilcoxon Signed Ranks test. Open-ended responses and interview transcripts were analysed thematically.

Indicative results showed that participants perceived significant impacts in ability across eight key question groups evaluated. Differences were found between the perceived and observed impact in relation to technical areas covered within the programme which were perceived as the highest scoring impacts by participants.

The indicative results show a positive impact on practice has been both perceived and observed. Findings illustrate the value of this development programme on both the personal development of GP Mental Health Commissioners and commissioning practice. Although the findings of this evaluation increase understanding in relation to an important and topical area, larger scale, prospective evaluations are required. Impact evaluations could be embedded within future programmes to encourage higher participant and third-party engagement. Future evaluations would benefit from collection and analysis of attendance data. Further research could involve patient, service user and carer perspectives on mental health commissioning.

Results of this evaluation could inform the development of future learning programmes for mental health commissioners as part of a national approach to improve mental health provision.

The quality of voluntary sector-led community health programmes is an important concern for service users, providers and commissioners. Research on the fidelity of programme implementation offers a basis for assessing and further enhancing practice. The purpose of this paper is to report on the fidelity assessment of Living Well Taking Control (LWTC) – a voluntary sector-led, community-based education programme in England focussing on the prevention and management of type 2 diabetes.

This fidelity of implementation (FoI) study was conducted with the Devon-based LWTC programme. A fidelity checklist was developed to analyse audio records of group-based lifestyle education sessions – implementation was rated in terms of adherence to protocol and competence in delivery; the influence of wider contextual factors was also assessed. Kappa statistics (κ) were used to test for inter-rater agreement. Course satisfaction data were used as a supplementary indicator of facilitator competence.

Analysis of 28 sessions, from five diabetes prevention and two diabetes management groups (total participants, n=49), yielded an overall implementation fidelity score of 77.3 per cent for adherence (moderate inter-rater agreement, κ=0.60) and 95.1 per cent for competence (good inter-rater agreement, κ=0.71). The diabetes prevention groups consistently achieved higher adherence scores than the diabetes management groups. Facilitator competence was supported by high participant satisfaction ratings.

An appropriate level of implementation fidelity was delivered for the LWTC group-based education programme, which provides some confidence that outcomes from the programme reflected intervention effectiveness. This study demonstrates the viability of assessing the FoI in a voluntary sector-led public health initiative and the potential of this method for assuring quality and informing service development.

This qualitative study explores how trailing spouses form their relationships before and after a crisis such as the COVID-19 pandemic and what patterns can be observed. It explores their significant relationships with friends and extended family, focusing on dynamics and change.

The authors conducted semi-structured interviews with seven trailing spouses in Malaysia: before the pandemic, in the beginning and at the end of the first year of the pandemic. The authors used longitudinal interpretative phenomenological analysis (LIPA).

Being aware of the limits of resources emerged as a key factor in how trailing spouses develop and maintain relationships with friends and extended family. The fact that the pandemic changed the dynamics of their social networks illuminates how crucial these relationships or their absence are in their adjustment and readjustment process. Children play a significant role in these relationships.

Comparative research into the friendships and relationships of different groups of trailing spouses in various locations could capture more specificity of the relationship dynamics.

The explored patterns can promote a better understanding of the relationship dynamics of trailing spouses' networks, which can, in turn, support and facilitate both adjustment and repatriation processes. They can help explain how and what kind of social networks best support trailing spouse transition during a time of crisis or adjustment. These findings could be incorporated into intercultural training programs.

No current study that the authors know of has explored trailing spouses' relationship dynamics in a longitudinal study before and during a crisis.