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1 – 10 of over 2000A high and possibly increasing prevalence of mental disorders in prisoners has been demonstrated in recent surveys. Psychiatric care of prisoners is subject to wide regional…
Abstract
A high and possibly increasing prevalence of mental disorders in prisoners has been demonstrated in recent surveys. Psychiatric care of prisoners is subject to wide regional variations in Germany, especially regarding inpatient treatment. Although hospitalized psychiatric patients in prison closely resemble those in forensic psychiatric secure hospitals with regard to socio‐demographic (percentage of women, age peak) and forensic characteristics (delinquency, prison experience), marked discrepancies in the diagnostic spectrum necessitate very different treatment planning based on general clinical psychiatry when considering the approach and especially the treatment duration. In Berlin, we try to develop a care structure within the prison system, which addresses inmate‐specific problems and circumstances as well as the possibility of inpatient and outpatient treatment and semihospitalization according to the principle of “equivalence”.
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Andrea M. Sevene, John E. Edlund and Caroline J. Easton
The purpose of this paper is to address a possible interaction of cognitive distortions associated with substance dependency and intimate partner violence (IPV), and the effects…
Abstract
Purpose
The purpose of this paper is to address a possible interaction of cognitive distortions associated with substance dependency and intimate partner violence (IPV), and the effects on subsequent behavior. The primary focus was to investigate the relationship between offender perception (i.e. perception of family problems (FP) and perception of need for treatment for family problems (FPTx)) and treatment outcome (i.e. substance use and violence), among a unique sample of substance dependent male offenders of IPV. An additional investigation included the change in perception from baseline to the end of treatment.
Design/methodology/approach
In total, 63 participants were randomly assigned to one of two treatment conditions and assessed across 12 weeks of treatment.
Findings
Participants in the (FP+) (i.e. those who perceived family problems at baseline) and (FPTx+) (i.e. those who perceived a need for treatment for family problems at baseline) conditions reported a significantly greater change in the number of days of violence from baseline to the end of treatment, compared to participants in the (FP−) (i.e. those who did not perceive family problems at baseline) and (FPTx−) (i.e. participants who perceived no need for treatment at baseline) conditions. (FP+) and (FPTx+) participants had significant decreases in any violent behavior from pre- to post-treatment.
Originality/value
The results of this study highlight the importance of techniques aimed at improving clients’ ability to recognize and admit to problem behaviors, a critical component of cognitive-behavioral therapy, in an effort to increase their motivation for treatment, thus leading to greater treatment success.
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Various indicators of income inequality and social welfare can be obtained simply by using the Gini index and the mean income of the population. This paper reviews existing…
Abstract
Various indicators of income inequality and social welfare can be obtained simply by using the Gini index and the mean income of the population. This paper reviews existing indicators and presents several new indicators of this kind. While contemporary researchers seem to be preoccupied with relative inequality, this paper advocates for using intermediate inequality views and supplementing inequality rankings of countries with rankings based on social welfare. Empirical analysis, performed for 36 European countries, demonstrates such an approach’s advantages.
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Mohd Ramadan Ab Hamid, Mastura Mohd Isamudin, Siti Sabariah Buhari and Emmy Hainida Khairul Ikram
The purpose of this paper is to assess the value of websites accessible to patients looking for Web-based information regarding hypertension management.
Abstract
Purpose
The purpose of this paper is to assess the value of websites accessible to patients looking for Web-based information regarding hypertension management.
Design/methodology/approach
A cross-sectional research was carried out by finding out Malay and English language websites about hypertension. For this purpose, the keywords “hypertension and treatment” were entered on the Yahoo, Google, Ask.com, Bing and DuckDuckGo search engines, and the first five pages of the results obtained were inspected. The DISCERN tool was deployed for evaluating the quality of information. The actionability and understandability were assessed through the Patient Education Materials Assessment Tool (PEMAT). Eight assessors were asked to assess and grade the involved websites.
Findings
Of the 216 websites, eight (4.0%) conformed to the inclusion norms. All websites were classified into private, 4 (50%); government, 2 (25%) and personal, 2 (25%). The general rating of the eight websites was good (mean 51.6 ± 8.2 on a 75-point scale); however, half of the websites were rated as fair (mean 45.3 ± 3.1 on a 75-point scale). All websites conformed to the standard score of ≥70% for understandability (mean 76.1 ± 11.4), but none for actionability (mean 52.8 ± 13.9). Analysis of variance indicated there was no statistical difference with regards to quality (p = 0.525), understandability (p = 0.484) and actionability (p = 0.188) among the three website sets.
Originality/value
Considering the surplus of websites dedicated to information on hypertension, an independent assessment of the quality of these websites will be advantageous. Patients should be rendered high understandability, quality and actionability to evade deceptive online information.
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Gary Ritter and Rebecca Maynard
Academically focused tutoring programmes for young children have been promoted widely in the US in various forms as promising strategies for improving academic performance…
Abstract
Academically focused tutoring programmes for young children have been promoted widely in the US in various forms as promising strategies for improving academic performance, particularly in reading and mathematics. A body of evidence shows the benefits of tutoring provided by certified, paid professionals; however, the evidence is less clear for tutoring programmes staffed by adult volunteers or college students. In this article, we describe a relatively large‐scale university‐based programme that creates tutoring partnerships between college‐aged volunteers and students from surrounding elementary schools. We used a randomised trial to evaluate the effectiveness of this programme for 196 students from 11 elementary schools over one school year, focusing on academic grades and standardised test scores, confidence in academic ability, motivation and school attendance. We discuss the null findings in order to inform the conditions under which student support programmes can be successful.
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Jane Leaman, Anna Amelia Richards, Lynn Emslie and Eamonn Joseph O’Moore
The purpose of this paper is to understand the components of a high-quality prison healthcare system and the impact, ten-years on, of the transfer of accountability in England…
Abstract
Purpose
The purpose of this paper is to understand the components of a high-quality prison healthcare system and the impact, ten-years on, of the transfer of accountability in England, from a justice ministry to a health ministry.
Design/methodology/approach
A rapid evidence review was undertaken, which included a review of 82 papers and qualitative interviews with key informants. The concepts and themes identified were summarised and analysed through a framework analysis, designed to improve population outcomes and address health inequalities. The use of a rapid evidence assessment, rather than a systematic review methodology, the use of abstracts (rather than full-text articles) to extract the data, and limiting the search strategy to articles published in the English language only might mean that some relevant research papers and themes were not identified. The need for the evidence to be produced within a limited time frame and with limited resources determined these pragmatic approaches.
Findings
The review found that English prison healthcare has undergone “transformation” during this period, leading to increased quality of care through organisational engagement, professionalisation of the healthcare workforce, transparency, use of evidence-based guidance and responsiveness of services. The review also highlighted that there is still room for improvement, for example, relating to the prison regime and the lack of focus on early/preventive interventions, as well as specific challenges from limited resources.
Research limitations/implications
Time and resource constraints meant a rapid evidence review of papers in the English language was undertaken, rather than a systematic review. This might mean relevant papers have been missed. The review also only covered a small number of countries, which may limit the transferability of findings. The lack of quantitative data necessitated the use of qualitative data gathered from key informants. However, this enabled a good understanding of current practice.
Practical implications
The review findings support the World Health Organisation position on the value of integrated prison and public health systems in improving quality of healthcare. It also recommends future policy needs to take account of the “whole prison approach” recognising that healthcare in prisons cannot operate in isolation from the prison regime or the community.
Originality/value
This is unique research which has great value in supporting prison reform in England. It will also be of interest internationally due to the paucity of data in the published peer-reviewed literature on the impact of commissioning models on healthcare or health outcomes.
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Janeen E. Olsen, Linda Nowak and T.K. Clarke
This article investigates whether a negative country of origin bias facing imported wine can be offset when it is distributed in marketing channels alongside already accepted…
Abstract
This article investigates whether a negative country of origin bias facing imported wine can be offset when it is distributed in marketing channels alongside already accepted complimentary products. Specifically we consider the case of Mexican wine being introduced to consumers in a Mexican restaurant versus a more general themed contemporary restaurant. An experimental design was employed to investigate consumers' perceptions and future purchase intentions after tasting Mexican wine in a proposed restaurant with one of the two themes. Findings suggest that the best method for introducing Mexican wine to US consumers may be through Mexican restaurants although adoption of the wine for consumption at home may be slow.
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Maddalena Colombo and Mariagrazia Santagati
Integration is a fundamental mandate of schooling in democratic and differentiated societies. This chapter analyzes the consequences generated by an increase in number of students…
Abstract
Integration is a fundamental mandate of schooling in democratic and differentiated societies. This chapter analyzes the consequences generated by an increase in number of students without Italian citizenship in Italian schools, and the development of multiethnic classrooms. When non-Italian pupils comprise >25–50% of the pupils in classrooms, it’s worth questioning: Are these classrooms segregated? Which factors affect school integration and for whom? The chapter presents the results of the first survey on classrooms with a “high density” of students with an immigrant background carried out in Italy. This study is based on a sample of 1,040 students enrolled in lower secondary education in Lombardy. We use statistical indicators related to two dimensions of integration: (a) the institutional dimension (school access and achievement), and (b) the relational dimension (well-being and absence of conflicts among peers). Data analysis included indexes and a correlation matrix between indexes, regression analysis, and cluster analysis. Results demonstrate a positive correlation between the rate of non-native students in the classroom and low degree of integration, but also the complexity of factors at stake such as gender imbalance and the high concentration of students whose families have a low Socio-Economic Status (SES), independently from citizenship. These results enabled us to de-construct the concept of school integration, identifying a plurality of integrative factors and providing suggestions for intervention.
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The collapse of Barings Bank in February this year provided a stark illustration of the need for adequate systems and controls in managing trading risks. This paper reviews the…
Abstract
The collapse of Barings Bank in February this year provided a stark illustration of the need for adequate systems and controls in managing trading risks. This paper reviews the current advice on best practice from regulators, industry groups and government agencies. It emphasises the importance of strong corporate governance, the need for a strong risk management infrastructure, and suggests ways in which the incentives for excessive risk‐taking generated by existing systems of bonus payments might be corrected. The paper also recommends each firm perform an annual risk control assessment under the direction of its audit committee. It concludes by arguing that enhanced public disclosure has an essential role to play in providing an additional discipline on the board and senior management to ensure the adequacy of systems and controls.