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A major difficulty identified many years ago in psychiatric care is the shortage of appropriate instruments with which to carry out valid and reliable therapeutic assessments which are behaviourally based and therefore appropriate for use in a variety of contexts. The aim of this project was to ascertain the utility of a forensic nursing risk assessment tool - Behavioural Status Index (BEST-Index). The paper aims to discuss these issues.

A multi-site cross-sectional survey was undertaken using mixed method design. Quantitative data was generated using BEST-Index to allow comparisons across three different levels of security (high, medium and low) in Scotland and Ireland. Qualitative data were gathered from patients and multi-disciplinary team (MDT) members using semi-structured interviews and questionnaire.

Measured over an 18-month period, there was a statistically significant improvement in behaviour, when comparing patients in high and medium secure hospitals. Two key themes emerged from patient and staff perspectives: “acceptance of the process” and “production and delivery of information”, respectively. The wider MDT acknowledge the value of nursing risk assessment, but require adequate information to enable them to interpret findings. Collaborating with patients to undertake risk assessments can enhance future care planning.

Studies using cross-section can only provide information at fixed points in time.

The BEST-Index assessment tool is well established in clinical practice and has demonstrated good utility.

This project has served to highlight the unique contribution of BEST-Index to both staff and patients alike and confirm its robustness and versatility across differing levels of security in Scottish and Irish forensic mental health services.

Substance misuse that is co‐morbid with mental disorder may increase the risk of crime, particularly of a violent nature. It is therefore essential that dual‐diagnosis patients in forensic services receive adequate intervention and treatment to minimise future substance use and potential for criminal behaviour. One such intervention is the Relapse Prevention Programme (Saying No; Coping and Social Skills Programme) developed in a high secure forensic hospital. An evaluation of the programme was conducted, with pre‐ and post‐ intervention using four measures, the Drug Taking Confidence Questionnaire (DTCQ), the Multidimensional Locus of Control Questionnaire, the Stages of Change Questionnaire and the Rosenberg Self‐Esteem Scale, with 83 male participants who had completed the programme. Results indicate that there was significant change in the DTCQ post‐treatment while no other measures yielded a statistically significant result. Possible reasons, implication for practice and limitations of the current study are discussed.

Empirical evidence suggests that a complex relationship exists between substance misuse, mental illness and violence in forensic populations. Therefore, effective treatment and intervention is essential in order for this population to live a life free from substance use and offending behaviour. This paper discusses the literature related to interventions for dual diagnosis and how this may be related to mentally disordered offenders. The paper also highlights paucities in the literature where further research is needed to inform practice, and concludes with current recommendations for best practice.

This study explores dual‐diagnosis patients' perspectives on a relapse prevention programme in a special hospital. Few qualitative studies have been conducted to explore the views and lived experience of dual‐diagnosis patients, and none has used qualitative methodology to investigate their subjective experience of a treatment programme. Interpretative phenomenological analysis (IPA) was employed to gain a perspective on the patients' experience of the programme. Five previous members of the relapse prevention programme were randomly selected for interview. Transcripts were analysed using IPA and revealed four master themes: ‘former self’, ‘increasing self‐knowledge/awareness’, ‘group as a mediator’ and ‘future self’. The findings show that the subjective experience of group members emphasises the importance of interpersonal relationships, developing a supportive therapeutic alliance, and the learning and development of social and coping skills. The implications for amending and updating the current programme syllabus are discussed, along with the limitations of the current study.

Highlights the increasing pressure that British higher education institutions (HEIs) are coming under to provide basic training in tertiary‐level teaching for their academic staff as a result of recommendations made in recent major reports. Identifies some of the (often conflicting) demands and constraints that HEIs are generally confronted with in developing and running such programmes, e.g. striking a balance between competence‐based training and academic education, avoiding making unreasonable time demands on either trainees or trainers, and reconciling the internal requirements of the institution with external pressures and constraints. Examines these various issues in some detail, and shows how they have been resolved within Scotland’s Robert Gordon University, which has been running a highly successful postgraduate course in tertiary‐level teaching for its staff since 1989.

What hope is there for a young, unemployed man with learning disabilities and a lifetime of drug and alcohol problems? For many like this, services can prove reluctant or unhelpful due to a lack of motivation and complex needs. In this unique case study we explore the potential of a psycho‐educational approach to help Mr A increase knowledge and motivation in order to begin to regain control and confidence in his life.

The purpose of this paper is to identify and synthesize major streams of research on quality of student experience in higher education, to present an agenda for future research.

The paper presents a systematic review of research published in high-quality journals during the period 2000 to 2014 in the areas of quality of student experience and higher education.

Findings highlight current research trends on the quality of student experience in higher education. Results show five prevailing research streams: exploration of learning experience; exploration of student experience; gender differences in assessment of higher education experience; improvement in quality of student experience; and student satisfaction with higher education experience.

The identification of the five research streams provides the basis for a synthesis of key issues identified within each research stream. In addition, the identification of purposes and limitations in existing research supports attempts to address issues of the quality of student experiences in higher education.

Literature currently portrays the quality of student experience as a student-centric idea. Together with the purposes and limitations identified in existing research, the paper proposes an agenda for future research that increases the variety of research streams to provide a deeper understanding of the student experience and to enhance the delivery of quality in higher education.

The findings contribute to the research scene by providing important insights in terms of the current trends and focus of existing research in the area of quality of student experiences in higher education.

Luxury tourism is an emerging area of research and deserves consideration for its implications for tourism and hospitality management and policy development. This chapter reviews the phenomena of luxury tourism in the academic literature and in particular, its links to the concepts of high yield, sustainability and tourist experiences. The global hiatus caused by the COVID-19 pandemic has presented an opportunity for tourism policymakers and industry stakeholders to reconsider how luxury tourism can contribute to optimal economic, social and environmental outcomes with desired yield and sustainability aspirations. A renewed understanding of luxury tourism in terms of its production and consumption processes, as well as the associated value, emotion and narrative, is therefore of critical importance. The value of this chapter lies in synthesising a number of strands of inquiry across disparate bodies of literature to identify a research agenda. Areas that are proposed for further research include the conceptualisation of luxury tourism, the evolving nature of luxury experiences; value co-creation across all stages of luxury tourism; and the nexus between luxury tourism and destination image. Managerial implications of luxury tourism are also discussed, including the necessary conditions for cultivating luxury tourism; the need to measure the social and environmental impact of luxury tourism; and the important relationships between luxury tourism, innovation and market leadership.

This chapter offers an experience-based report about the development of the first Scandinavian PhD program in tourism studies at Mid-Sweden University. This process is documented through a framework which, rather than having the coherence of a single clearly bounded discipline, focuses on tourism as a study area encompassing multiple disciplines. Tourism knowledge is derived through a synthesis of fact-oriented positivist methodologies and critical theory. The theoretical framework employed to develop the graduate program in tourism studies is presented by critically discussing its multidisciplinary base and briefly outlining future veins of further development.