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The purpose of this paper is to explore some of the critical areas of work in any long-term strategy to develop integrated occupational therapy services across health and social care for adults who are frail and elderly and living in their local communities. It explores the success that has been experienced in Aneurin Bevan University Health Board over the past eight years or more and proposes “keeping the faith” as a helpful personal strategy in avoiding disillusionment and disengagement in the process when setbacks occur along the way.

The paper is a combination of personal reflection and experience, with reference to the literature and what has been written about others’ professional experiences at bringing services and professional groups together.

Developing integrated occupational therapy services is not easy. However there are several critical factors, which once understood for their role in the overall process, add weight to the “right thing to do” argument. These “critical factors” provide a continued focus for the work when the challenges inherent in developing integrated services are in danger of outweighing the successes and the pressure is strong to revert to the default position of single agency service delivery.

This paper makes an effort to pursue integrated occupational services to serve as an example of wider attempts to pursue collaboration and integration, highlighting the need for remaining doggedly determined on the final objective – better services for people.

Mae’r erthygl hon yn archwilio rhai o’r meysydd gwaith hanfodol mewn unrhyw strategaeth hirdymor i ddatblygu gwasanaethau therapi galwedigaethol integredig ar draws iechyd a gofal cymdeithasol. Mae’n nodi ‘cadw’r ffydd’ fel strategaeth bersonol ddefnyddiol yn osgoi dadrithio a datgysylltu yn y broses pan fydd rhwystrau yn digwydd ar hyd y ffordd. Mae’r papur yn dadlau bod yr hyn yr ydym yn ei wneud a’r buddion i ddefnyddwyr y gwasanaeth pan fyddwn yn gwneud pethau’n iawn gymaint yn well, fel na ddylai cyflenwi unrhyw beth arall fod yn opsiwn. Mae’n cynnig mai integreiddio yw’r peth iawn i’w wneud hyd yn oed pan na ellir meintioli a mesur canlyniadau’n hawdd, oherwydd cymhlethdod y broses dros gyfnodau hir. Er bod y ffocws ar wasanaethau therapi galwedigaethol, diben ychwanegol y papur yw dangos sut y mae gwasanaethau ac asiantaethau eraill yn debygol o wynebu’r un brwydrau ac yn gallu dysgu o’r profiad hwn.

Mae’r papur yn gyfuniad o adlewyrchu a phrofiad personol, wedi ei gyfuno â chymariaethau o’r llenyddiaeth a phrofiadau proffesiynol pobl eraill yn dod â gwasanaethau a grwpiau proffesiynol gyda’i gilydd. Mae’n ystyried y gofyniad i ailddylunio’r gweithlu fel ffactor allweddol a phwysigrwydd cadw’r person/claf/defnyddiwr y gwasanaeth yn ganolog i’r holl ystyriaethau yn ymwneud ag ymarfer, proses a pholisi.

Gellir priodoli’r llwyddiant yn datblygu gwasanaethau therapi galwedigaethol integredig yn ardal Bwrdd Iechyd Prifysgol Aneurin Bevan dros yr 8 mlynedd neu fwy (ac sy’n dal yn waith sy’n mynd rhagddo) i sawl ffactor sydd, unwaith y cânt eu deall am eu rôl yn y broses gyffredinol, yn ychwanegu pwysau at y ddadl ‘y peth iawn i’w wneud’. Mae’r ‘aml’ ffactorau hyn yn rhoi ffocws parhaus i’r gwaith pan fydd yr heriau mewn perygl o wrthbwyso’r llwyddiannau ac mae’r pwysau yn gryf i ddychwelyd i sefyllfa ddiofyn o gyflenwi gwasanaeth gan un asiantaeth.

Mae’r papur hwn yn gwneud ymdrech i fynd ar drywydd gwasanaethau galwedigaethol integredig i wasanaethu fel enghraifft o ymdrechion ehangach i fynd ar drywydd cydweithredu ac integreiddio, gan dynnu sylw at yr angen am weddill ei benderfynu doggedly ar yr amcan terfynol – gwell gwasanaethau i bobl.

This study examines the consequences of stigmatization that occurred during a tuberculosis outbreak concentrated among Puerto Rican clients enrolled in a Chicago drug treatment center. Using ethnographic methods, I examine three factors that contributed to the stigmatization of those with TB. One factor concerns the fear elicited by the deadly disease that aroused reactions among Puerto Rican community members that were derived from earlier experiences. A second factor involves traditional public health measures enacted in response to the outbreak that facilitating labeling of those with TB, further fueling stigmatization. A third factor concerns the re‐articulation of group boundaries occurring among drug program inhabitants, whereby TB‐impacted persons were marginalized in order to reaffirmed the status of others whose identity had been compromised by the epidemic. The study’s implications for public health are discussed and suggestions are offered for developing innovative intervention approaches.

This paper analyzes the impact of economic downturns on the revenue and expense sides of city financing for the period 2003 to 2009 using a convenience sample of the audited end of year financial reports for thirty midsized US cities. The analysis focuses on whether and how quickly and how extensively revenue and spending directions from past years are altered by recessions. A seven year series of Comprehensive Annual Financial Report (CAFR) data serves to explore whether citiesʼ revenues and spending, especially the traditional property tax and core functions such as public safety and infrastructure withstood the brief 2001 and the persistent 2007 recessions? The findings point to consumption (spending) over stability (revenue minus expense) for the recession of 2007, particularly in 2008 and 2009.

This chapter analyses the pilot episode of the ABC TV series Charlie's Angels (Spelling & Goldberg, 1976–1981) and the latest film of this media franchise, Charlie's Angels (Banks, 2019). The chapter undertakes an analysis of the three main characters in the series pilot and the three starring roles in the film, applying methodologies proposed by the cinematic poetic formalism (Bordwell & Thompson, 2006) and observing specifically the roles and motivations of these six women from a feminist perspective. On the one hand, the TV pilot engages with several of the main premises of the second-wave feminism that was in full swing at the time the series was released. On the other hand, the 2019 film was launched in the contemporary era of post-feminism, reflecting a number of the concerns that shape the post-feminist agenda. However, the main argument of this chapter is that both the series pilot released in 1976 and the 2019 film construct ambivalent feminist narratives. The analysis reveals that the Charlie's Angels franchise fluctuates between characteristics that can be labelled as feminist discourses, but also as replicators of a patriarchal model. Forty-six years later, while a few things have changed for the Angels, we argue that the characters and franchise have not lived up to its potential as a transformative feminist text.

Can Universities advertise on their institutional Web site? What forms can advertising take? What are the dangers associated with advertising? This article addresses these issues.