Search results

1 – 5 of 5
Article
Publication date: 28 May 2021

Jennifer Seddon, Sarah Wadd, Lawrie Elliott and Iolo Madoc-Jones

No studies have evaluated the relationship between cognitive impairment and alcohol treatment outcomes amongst older drinkers. This study aims to explore the extent of cognitive…

Abstract

Purpose

No studies have evaluated the relationship between cognitive impairment and alcohol treatment outcomes amongst older drinkers. This study aims to explore the extent of cognitive impairment amongst older adults seeking alcohol treatment and examine the relationship between cognitive impairment, treatment retention and alcohol use following treatment.

Design/methodology/approach

The study used data from the Drink Wise Age Well programme; an alcohol intervention service for older adults (aged 50+). The Montreal Cognitive Assessment was used to screen for cognitive impairment; alcohol use was assessed using the alcohol use disorders identification test.

Findings

In total, 531 participants completed the assessment at treatment entry. Over half the sample were male (57%), with a mean age of 60 years (Standard deviation: 7.09). Almost half (48.4%) had cognitive impairment at the entry to treatment: 51.6% had a normal cognitive function, 41.4% had mild cognitive impairment, 5.8% had moderate cognitive impairment and 1.1% had severe cognitive impairment. Cognitive impairment was not associated with increased treatment drop-out and was not predictive of alcohol use following treatment. Alcohol treatment was associated with a significant improvement in cognitive functioning.

Originality/value

This study suggests there may be a significant amount of unidentified cognitive impairment amongst older adults attending alcohol treatment. Assessment and routine screening for cognitive impairment in drug and alcohol services may help in care planning and setting treatment goals; in the absence of routine screening opportunities for treatment planning and intervention may be missed.

Details

Advances in Dual Diagnosis, vol. 14 no. 2
Type: Research Article
ISSN: 1757-0972

Keywords

Article
Publication date: 12 June 2017

Caroline Hughes, Iolo Madoc-Jones, Odette Parry and Sarah Dubberley

Notwithstanding heightened awareness of the issues faced by homeless people, the notion that homelessness is the result of individual failings and weaknesses persists. The purpose…

Abstract

Purpose

Notwithstanding heightened awareness of the issues faced by homeless people, the notion that homelessness is the result of individual failings and weaknesses persists. The purpose of this paper is to challenge that perception by giving voice to this marginalised group and exploring the mechanisms through which they made and remade as homeless and may be protected.

Design/methodology/approach

Semi-structured interviews (n=23) were carried out with a sample of homeless people who had accessed a range of homelessness services in the study area.

Findings

It is argued that largely deprived of the private sphere, which arguably renders them in most need of public space, homeless people find themselves most subject to scrutiny, surveillance, social disapprobation and exclusion.

Research limitations/implications

The authors reiterate that rather than simply being associated with rooflessness, homelessness is as a function of ongoing geographical marginalisation and social alienation.

Practical implications

The authors suggest that dedicated spaces for homeless people to occupy during the day continue to be in need of development because, whilst not unproblematic, they can disrupt processes associated with homelessness.

Social implications

Further resources should be directed towards homelessness and the issues that arise during daytime for homeless people.

Originality/value

The paper supports the literature which highlights the spatial practices by which stigmatised groups come to be separated from mainstream society.

Details

The Journal of Adult Protection, vol. 19 no. 3
Type: Research Article
ISSN: 1466-8203

Keywords

Article
Publication date: 15 June 2015

Iolo Madoc-Jones, Dawn Jones, Odette Parry and Sarah Dubberley

Drawing on the approach of Bourdieu (1977, 1986), and using language as an exemplar, the purpose of this paper is to engage in a “dangerous conversation” to explore how and why…

Abstract

Purpose

Drawing on the approach of Bourdieu (1977, 1986), and using language as an exemplar, the purpose of this paper is to engage in a “dangerous conversation” to explore how and why issues of diversity were mobilised, ignored and leveraged in one particular service context.

Design/methodology/approach

Qualitative research exploring the language choices of 25 service users who had been processed through the criminal Justice System in Wales in the last five years.

Findings

The argument is made that in some service contexts, a habitus obtains that renders reflexivity about diversity issues problematic and predicates against the critical reflection necessary to promote anti-oppressive practice.

Research limitations/implications

Small sample size, not generalisable.

Practical implications

The authors intend the paper to encourage greater reflection on instances when diversity issues are raised and to render simplistic any attempt to invalidate claims of discrimination.

Social implications

Encourage dialogue about claims of discrimination and greater reflection by service providers about the legitimacy of such claims.

Originality/value

Anti-oppressive theorising has, for the most part, constructed minority group members as passive victims within hierarchical power relationships. While acknowledging how power is unequally distributed, the paper challenges hierarchical models which designate minority group members as bereft of power.

Details

Equality, Diversity and Inclusion: An International Journal, vol. 34 no. 5
Type: Research Article
ISSN: 2040-7149

Keywords

Article
Publication date: 10 August 2015

Iolo Madoc-Jones, Caroline Hughes and Keith Humphries

At a time when funding arrangements are under review, the purpose of this paper is to come to a better understanding of victim needs and to inform future developments of services…

Abstract

Purpose

At a time when funding arrangements are under review, the purpose of this paper is to come to a better understanding of victim needs and to inform future developments of services in England and Wales.

Design/methodology/approach

This paper is based on qualitative data gathered from a series of interviews with 33 individuals working with victims of crime in one police area in England and Wales.

Findings

Better practice and outcomes were associated in respondent’s accounts with the multi-agency working and end to end case management of needs associated with some victims of rape and domestic abuse assessed as high risk of harm.

Research limitations/implications

Small-scale qualitative study.

Practical implications

It is argued Police and Crime Commissioners (PCCs) should explore mechanisms for extending such services to more victims of crime and ensuring better co-ordination of service delivery.

Originality/value

From October 2014 onwards PCCs are set to take over responsibility for funding victim services in England and Wales. Though not an uncontroversial development, this sets the context for practice with victims to be considered afresh and accordingly this paper explores the needs of victims and how they are met in one police and crime area.

Details

The Journal of Adult Protection, vol. 17 no. 4
Type: Research Article
ISSN: 1466-8203

Keywords

Article
Publication date: 12 March 2014

Jan Nordoff and Iolo Madoc-Jones

Children who enter the care system in England and Wales are among some of the most vulnerable children in society, often presenting with high levels of need. Ensuring that the…

Abstract

Purpose

Children who enter the care system in England and Wales are among some of the most vulnerable children in society, often presenting with high levels of need. Ensuring that the children's workforce has the skills and knowledge to meet the challenges of caring for this group of children has been at the forefront of policy agendas over the past two decades. This paper aims to report on an educational initiative to develop the capacity of residential childcare staff to work therapeutically with children.

Design/methodology/approach

The paper describes the origins and nature of the Foundation Degree in Therapeutic Childcare and documents the reflections of tutors responsible for delivering the programme on their experiences. Comments from a small student sample are included to highlight the student perspective in studying for the Foundation Degree.

Findings

The paper concludes that while some barriers exist in delivering the Foundation Degree to residential child care workers, programmes designed to develop knowledge and understanding of working therapeutically with children should be promoted.

Originality/value

The paper highlights some of the issues and challenges associated with educating the children's workforce and reports back on one of the first Foundation Degrees in the UK focusing on residential and foster care workers.

Details

Journal of Children's Services, vol. 9 no. 1
Type: Research Article
ISSN: 1746-6660

Keywords

Access

Year

Content type

Article (5)
1 – 5 of 5