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The introduction of clinical governance in the “new NHS” means that National Health Service (NHS) organisations are now accountable for the quality of the services they provide to their local communities. As part of the implementation of clinical governance in the NHS, Trusts and health authorities had to complete a baseline assessment of their capability and capacity by September 1999. Describes one Trust’s approach to developing and implementing its baseline assessment tool, based upon its existing use of the European Foundation for Quality Management (EFQM) Excellence Model. An initial review of the process suggests that the model provides an adaptable framework for the development of a comprehensive and practical assessment tool and that self‐assessment ensures ownership of action plans at service level.

This study was carried out as part of a larger study commissioned by the UK Department of Health to investigate the service pathways for offenders with learning disabilities (LD). The study covered three health regions in the UK and included 477 people with LD referred to services because of antisocial or offending behaviour during a 12‐month period. Data were collected concerning demographic, individual, offending behaviour and service characteristics. The findings of the study are broadly consistent with contemporary research concerning this population, particularly in relation to the nature and frequency of offending, history of offending, psychopathology, age and gender distribution. However, very few of those referred had any form of structured care plan, despite having significant offending histories, and this may have compromised early identification of their needs and communication between the health, social and other services involved.

Several studies have related diagnostic information and adversity in childhood to criminal careers and risk of recidivism. Notably, ADHD and conduct disorder in childhood, schizophrenia, sexual abuse and physical abuse have been associated with offences in adulthood. This study investigates these variables in relation to large cohorts of offenders with learning disabilities. A case note review was undertaken for 126 individuals referred but not accepted into forensic learning disability services and 197 individuals accepted for such services. Results are reported on diagnostic information and experience of adversity in childhood. ADHD/conduct disorder featured prominently in both groups. Autistic spectrum disorders were not particularly over‐represented. For adversity in childhood, general socioeconomic deprivation featured prominently in both groups. This also increased significantly for those accepted into services. Sexual abuse and non‐accidental injury were featured at around 13‐20% for both groups. These results are broadly consistent with the mainstream literature on offending, ADHD/conduct disorder and general deprivation featuring significantly in all groups and rising for those accepted into offender services. It is important to deal with these aspects during assessment and to provide appropriate psychotherapeutic services for these individuals.

The main objective of this work is to design a statistical multiple regression model that helps to empirically explain the impact of economic incentives, management style, emotional health and research activities on university professors in northern Mexico and their perception of happiness.

In this research, the authors analysed the correlation between happiness perception and four independent variables divided into two dimensions: 1. individual dimensions: emotional health and research activities and 2. organisational dimensions: economic incentives and management styles. A questionnaire was developed, tested and analysed for this matter. The authors applied this instrument to 384 university professors of both genders among 1301 in the region.

Using correlational analysis, the authors confirm a strong and statically significant relationship between all variables. It is also no evidence of multicollinearity. Finally, by applying multiple regression analysis, it was accepted that all independent variables have significance in explaining the emergence of personal happiness (R2 = 42%). Finally, the predictive equation presents possible results with values that confirm the effectiveness of the theoretical model. Results indicate that happiness perception is related to independent variables, with economic incentives being the most vital relationship.

This study's limitations are that the novel perspective of the explanatory variables of economic incentives, emotional health, management style and research activities needs additional confirmatory studies. Therefore, the authors need to perform studies with new explanatory perspectives. Another limitation of the study may be considering a cross-sectional and not a longitudinal model. This study considered it more appropriate to analyse the explanatory variables that influence and are the outcome of happiness perception for the data collected. Finally, it is essential to highlight that this research has been conducted in an underdeveloped country. Thus, it should consider conducting subsequent confirmatory studies in similar settings and other types of economies, such as in a developed country.

This paper explains the relevance of two-dimensional activities in the happiness perception of professors. As other studies mention, productivity is correlated to happiness, and production outcomes could be improved if the schools implement policies to promote this perception. Happiness could be a solid strategy to improve academic outcomes, and the results propose several actions to achieve this goal.

This paper addresses an important activity of professors from a perspective of happiness perception. Thus, putting the professor as the leading relevant agent in schools, the authors propose a multivariate analysis of the outcomes of professors' jobs. Both the schools and the professors have their own goals at their own levels. If policies are created based on persons, in this case, professors, to improve organizational goals, then it might profoundly impact social actions inside the schools.

This paper increases the literature on happiness perception studies and proposes the examination of the relationship between perceived personal happiness and dimensions that influence this perception; these are from two kinds: 1. individual dimensions: emotional health and research activities and 2. organisational dimensions: economic incentives and management styles, which is an original approach and open discussion to further new approaches to this study.

Reflection upon a field study of a corporate transformation provides insights into the application and integration of organizational learning theory and frameworks with local, corporate knowledge. In the corporate transformation studied this local knowledge came from consumer psychology, marketing campaigns and the use of media. When these ideas were applied and integrated with transformation efforts they provided scale and continuity to organizational learning efforts. The improved performance and success resulting from this corporate transformation provides lessons for all learning and improvement initiatives. Utilizing learning approaches that are modified and complemented by local knowledge improves the application of these concepts in the immediate setting and creates innovations that serve as examples for what can be applied elsewhere.

This chapter focuses on the learning arising from an Economic and Social Research Council (ESRC) knowledge exchange secondment undertaken by a university researcher for a full academic year within a charity in a socio-economically deprived area of the North East of England. The charity worked alongside schools and other organisations to co-ordinate out-of-school learning activities, but there was a concern with the low levels of engagement by girls with the provision. A usual approach by the charity to finding out why the girls were not engaging with the activities provided might have involved asking the girls what provision they would like. Instead, we developed a participatory process where we – the researchers – worked with a group of young women to co-create a piece of research about their lives. As part of the process, we participated in a residential trip with them and their group leaders which provided a space – both physically and methodologically – for authentic dialogue and relationships of trust to develop. In this chapter, we outline the practical, methodological and ethical challenges (and opportunities) of engaging in this way in the context of a residential setting and conclude that this way of engaging with the girls led us to different kinds of insights that may not have been achieved with adopting more conventional research approaches.

The purpose of this paper is to consider the issue of types of assessment offered by services for people with learning disabilities from the research study “A Comparison of Dementia Assessment Services for People with Intellectual Disabilities”.

The commentary is based on a review of the associated literature.

Assessment for possible dementia is a complex activity. The gold standard is to ensure that the assessment process is comprehensive including both direct assessments with the person and gathering information from key informants. The issues in not adopting this methodology are considered, as are issues in what services and assessments are called.

The commentary considers the studies presented from a practitioner perspective.

This article looks at how people with learning disabilities, including people with learning disabilities who develop dementia, make the transition to old age. It identifies key issues in understanding the transition to old age for people with learning disabilities, including how the ageing process may be different for this group, lack of agreement as to what constitutes old age for people with learning disabilities, the heterogeneity of this population and the inadequacy of service responses to their changing needs. It advocates a number of clinical and service responses that might help make the transition easier for people.

This paper aims to discuss how sex and relationship education (SRE) could benefit from considering current levels of young women's empowerment in (hetero)sexual relationships and challenge popular notions of twenty‐first century young women “having it all” and occupying powerful relational and sexual positions.

This study employed a qualitative research design. Young women were interviewed in focus group and follow‐up single interview discussion. The generated talk was then transcribed and critical discourse analytical techniques were employed to analyse the dialogues of the more sexually experienced young women to explore their narratives.

In contrast with popular images of sexually experienced young women enjoying promiscuity and caring little about the consequences of their sexual actions, this paper displays how some young women continue to struggle with their (hetero)sexual relationships, and particularly their first experiences of sexual intercourse. The young women in the study did not necessarily experience “empowered” love and sexual relationships, rather their talk about their relational and sexual experiences revealed uncertainties, dissatisfactions and compromises.

This study explores eight discourses from the sexually experienced, six of whom were young mothers, and two discourses of whom were not mothers at the time of interviewing. Accordingly, the discussed perspectives and experiences originated from the sexually experienced, and predominantly from young mothers, and the conclusions drawn are specific to this research context. Future studies could explore the extent to which the discussed findings may also be relevant to other groups of young women.

This paper contributes towards considerations of the inter‐relationships between current public health and wider social, cultural and educational issues. By taking young women's own concerns seriously and organising the content of educational classes around young people's interests and concerns, SRE can increase its potential to impact on the quality of young people's love and sexual relationships over and above reducing teenage pregnancies and sexually transmitted infections (STIs).