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This study aims to understand the impacts of the Minor Works Control System (MWCS) on the performance of minor works contractors following its implementation in 2011, and specifically the initiatives adopted by minor works contractors in response to the new building control regime. Suggestions are made for the further improvement of the MWCS. Like many Western countries and Asian counterparts, Hong Kong has recently implemented a new building control system (the MWCS), which aims to restructure the building proposal approval process and shift the responsibility for building control from the public to the private sector. The effectiveness of the MWCS has been strongly questioned by the industry and the public.

A mixed method including a questionnaire survey (quantitative) and focus group discussions (qualitative) was adopted to provide an initial evaluation of the impact of the MWCS on practitioners and the industry.

The results suggest that implementation of the new control system has helped increase safety awareness and the technical capacity of minor works contractors. Despite these benefits, registered contractors are encountering challenges under the MWCS, such as manpower arrangement problems and higher business operating costs. Initiatives that include maintaining a sound financial background, an adequate in-house supervisory staff and a safe working environment are considered critical by practitioners to maintain their competitive edge under the new control regime.

This study is one of the first studies in Hong Kong to evaluate the impact of the new building control system. The feedback and suggestions provided by the practitioners and experts during the research provide valuable insights for the government on how to provide support to practitioners under the MWCS to achieve a better built environment in Hong Kong.

The experience of the individual patient can be an important driver in improving care. This paper seeks to outline the way the Mental Welfare Commission for Scotland (MWCS) uses individual cases to influence policy makers and service providers.

Through visiting people, monitoring the use of mental health legislation, giving advice and conducting investigations, the MWCS has concrete examples of influencing significant change. Specific examples demonstrate how this has been achieved.

With regard to visits: findings from individual visits have resulted in action to improve services and preserve individual rights; in monitoring: services have used monitoring data to change service provision in order to comply with legislation; in investigations: high profile investigations into abuse have resulted in new protective legislation; with regard to advice: collection of advice on difficult legal/ethical/treatment dilemmas have resulted in improved practice guidance.

Individual case examples are not necessarily indicative of general populations. Many factors result in improvement. Actions by the MWCS are not necessarily the only factor.

An organisation that focuses on safeguarding individuals can use its influence to effect service improvement.

Bringing individual matters to the attention of policy makers has resulted in legislative and policy change.

Other jurisdictions may wish to consider the value of the Scottish model that is highlighted in the paper.

This study aims to establish the perspectives of community providers on challenges and enablers in developing child mental health capacity in disadvantaged communities in South Africa.

The authors involved 29 community providers operating in a large urban-deprived area in the Gauteng Province, east of Johannesburg. Community providers had educational, social and health care backgrounds. Their perspectives were captured through three focus groups, two participatory workshops and reflective diaries. Data were integrated and subjected to inductive thematic analysis.

Three interlinked themes were identified. Community mobilization was viewed as pre-requisite through mental health awareness and strategies to engage children, youth and parents. Service provision should take into consideration contextual factors, predominantly inequalities, lack of basic needs and gender-based issues (domestic violence, teenage pregnancy and single motherhood). Participants referred to severe mental health needs, and related to physical health conditions, disabilities and impairments, rather than to common mental health problems or wellbeing. They proposed that capacity building should tap into existing resources and integrate with support systems through collaborative working.

Child mental health policy and service design in Majority World Countries (MWCs), should involve all informal and structural support systems and stakeholders. Contextual factors require consideration, especially in disadvantaged communities and low-resource settings, and should be addressed through joined up working.

Children’s mental health needs are largely unmet in MWC-disadvantaged communities. These findings capture the experiences and perspectives of various community providers on how to enhance mental health provision by mobilizing communities and resources.

This paper aims to investigate the use of Part VI of the Criminal Procedure (Scotland) Act 1995 (CPSA) for people with Learning Disability (LD) and/or Autism. This is in the context of a recent review commissioned by the Scottish Government into whether the provisions in the Mental Health (Care and Treatment) (Scotland) Act 2003 (MHA) meet the needs of these groups which would also affect associated legislation such as CPSA.

All CPSA orders active on the 3 January 2018 were identified and analysed for a number of variables including diagnoses, detention length, level of hospital security and medication use.

Of the 580 people on CPSA orders, 69 (11.9%) had LD and 27 (4.7%) had possible/definite Autism. Most people with LD (56.5%) did not have a mental illness or personality disorder. Most (81.2%) had mild LD. There were two patients whose only diagnosis was Autism. Mean duration of detention was longer for those with LD than for those without. Most patients with LD alone were prescribed medication (61.5%) and, if in hospital, were managed in low secure units (59%).

The results indicate that people with LD or Autism are differently affected by the application of the CPSA from other people with mental disorders, and that this is potentially discriminatory, if it is not objectively justified . It supports the stance from the recent review that to reduce the potential for discrimination, substantial changes to MHA and CPSA should be considered in the wider review of the MHA in Scotland.