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In Canada, integrated care pilot projects are often implemented as a local reform strategy to improve the quality of patient care and system efficiencies. In the qualitative study reported here, the authors explored the experiences of healthcare professionals when first implementing integrated care pilot projects, bringing together physical and mental health services, in a community hospital setting.

Engaging a qualitative descriptive study design, semi-structured interviews were conducted with 24 healthcare professionals who discussed their experiences with implementing three integrated care pilot projects one year following project launch. The thematic analysis captured early implementation issues and was informed by an institutional logics framework.

Three themes highlight disruptions to established logics reported by healthcare professionals during the early implementation phase: (1) integrated care practices increased workload and impacted clinical workflows; (2) integrating mental and physical health services altered patient and healthcare provider relationships; and (3) the introduction of integrated care practices disrupted healthcare team relations.

Study findings highlight the importance of considering existing logics in healthcare settings when planning integrated care initiatives. While integrated care pilot projects can contribute to organizational, team and individual practice changes, the priorities of healthcare stakeholders, relational work required and limited project resources can create significant implementation barriers.

The contemporary city is a field with a myriad of problems that require deep reflection and the questioning of habitual ways of thinking and acting. This chapter examines some of these, while seeking a path – or perhaps a way out – in order to deal with the difficulties linked to the most pressing emergent phenomena: the multiplication of new citizens, the complicated mosaic of differences, the spread of voluntary communities and the requests for recognition in a socially diverse and multiple society.

The reflections brought together in this chapter leave behind mundane literary routines, imprisoned in the clichés of the discourse on post-modernity, to single out a ‘field of practices’ that is enigmatic but at the same time constitutes and generates a new idea of urbanity. DiverCity (Perrone, 2010) is the literary and evocative figuration that recounts this set of practices. The figuration uses a ‘play on words’ between diversity and city, in which the two concepts are understood as entities with a one-to-one correspondence, an ontological interconnection. DiverCity is the outcome of a process to produce and exchange multiple, plural, interactive (built up during the action), expert and experiential knowledge.

By comparing urban regeneration mechanisms implemented in two declining urban centers, this paper attempts to examine the usefulness of hybrid planning strategies over a more traditional statutory land-use plan, considering their respective effectiveness for introducing urban change. The paper compares the planning and implementation methods used to generate urban revitalization in Lev Ha-Ir (City Heart) in Tel Aviv and Hadar in Haifa. In reviewing these two case studies, the paper considers the role of the residents in each area and various bottom-up local initiatives. The paper examines how these initiatives were met and utilized by the planners and by the municipality, and how they acheived the goal of urban revitalization. The approch towards and the use of local assetes of each locality is considered, as well as the way they were implemented in the revitelazing plan. The paper draws attention to official enterprises and planning mechanisms that utilize and even encourage unofficial residents' actions and activities. The findings from the two case studies suggest the importance of mediating between bottom-up initiatives of individual residents, community organizations, and local institutions, and top-down institutional municipal systems, as early in the process as possible, in order to make both the statutory land-use plan and the hybrid planning strategies more effective.

Roskilde University was established in Denmark in 1972 as a critical reform university based on the principles of participant directed problem-oriented project learning (PPL). In 2009, the university launched a new master programme in Urban Planning (Planning Studies). This chapter presents experiences from student projects working with action research in facilitating citizen-driven urban development. Firstly, we outline the key theoretical foundations of the Planning Studies programme: planning as social learning, empowerment and social mobilization. Secondly, we describe the principles of the Roskilde University pedagogical model (PPL) rooted in the tradition of experiential and critical pedagogy of Oskar Negt, John Dewey, Paulo Freire and others. Thirdly, we present two cases of problem-oriented projects working with action research in bottom-up urban planning and sustainable transition in Copenhagen. The first case concerns the involvement of local residents in the redesign of a public square through a series of aesthetic experiments. The second case concerns an experiment with alternative transport solutions and sustainable street transition through reduction of private car use and the creation of new public spaces on former parking lots. The article concludes that action research in problem-oriented project work is promising way of involving students in community empowerment processes. Doing action research strengthens the students understanding of ‘the logic of practice’ and their ability to master practical and ethical judgements in complex real-world empowerment and learning processes. This both prepares them for professional practice and provides them with an embodied and pragmatically empowered understanding of how transformations towards a more sustainable and just society can be brought about.

The end of the twentieth century was filled with an ironic mix of panic and fatalism; together with optimism and hope. ‘Digital armageddon’ in the form of the Y2K bug was reportedly on the horizon (Vulliamy, 2000), but as we know, never transpired. If, however, Y2K had materialised and affected technology as predicted, the consequences would have had profound macro and micro impacts – economically, politically, socially and spatially. Cities – with their super-concentration of technological infrastructure, hardware and software – would arguably have endured the brunt of this catastrophe. Had this disaster occurred, its reach would have been well beyond the city, spiralling out from the CBD to the suburbs, rural settlements, jumping national boundaries, and ultimately bringing economic, transport and communication systems to a near halt, rendering day-to-day living experiences unbearable, if not virtually impossible.

This paper describes the development of a novel integrative self-directed treatment tool which uses cognitive behavioural therapy techniques to reduce anxiety symptoms in patients presenting to treatment for alcohol-related problems. More specifically, the purpose of this paper is to explore patient and health practitioner perceptions of the booklet, in order to determine its suitability and utility in the context of existing alcohol treatment services. The extent of cross-informant agreement between patient and health practitioner responses is also examined.

This research utilises a cross-sectional qualitative research design using semi-structured interview methods with patients presenting to hospital for alcohol-related diseases/illnesses/accidents/injuries (n=15) and practitioners (n=10) working at inpatient, outpatient and residential substance treatment facilities.

The present study found that the majority of patients (80 per cent) and practitioners (90 per cent) expressed a motivation to utilise the proposed booklet, agreeing that the booklet was a practical, achievable and educational resource for patients suffering from co-occurring anxiety symptoms in substance abuse facilities. Participants outlined limitations of the resource, suggesting that the booklet would be most suitable for patients with moderate to high cognitive ability, who also exhibit a motivation to change alcohol consumption and have access to additional support.

Findings from the present study suggest that the booklet may be most effective in improving treatment accessibility and patient treatment seeking behaviours; rather than reducing practitioner-patient contact.

This paper focuses on the development and utility of a novel resource suitable for substance abuse treatment facilities. The findings and feedback produced from the present study can assist with modifications of the intervention and in improving the effectiveness of future trials.