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1 – 10 of 15Psychosocial interventions (PSI) have been recognised as an important and valuable treatment for individuals with a serious mental health problem and their families. Over the past…
Abstract
Psychosocial interventions (PSI) have been recognised as an important and valuable treatment for individuals with a serious mental health problem and their families. Over the past decade, PSI has gained national recognition through training courses such as the Thorn programme. However, despite NHS provider organisations investing time and money in the training of mental health practitioners in Thorn‐based PSI, implementing this training in practice has been inconsistent and difficult. Current literature focuses mainly on the efficacy of Thorn‐trained practitioners and on their attempts at transferring skills into practice. The aim of this study was to assess the effectiveness of a cross‐educational practice meeting in assisting Thorn graduates to implement PSI into clinical practice. Fifteen participants from a specialist mental health trust (including eight Thorn graduates) who participated in this type of meeting were interviewed. Six core themes were identified: framework for implementation; organisational drivers; Thorn graduates' position; service achievements; reforms to the process and threats to implementation. These themes indicate that a cross‐educational practice meeting can be a valuable framework for assisting Thorn graduates in implementing a range of PSI in clinical practice. This type of meeting can also make an impact on the culture of an organisation through facilitating change towards evidence‐based psychosocial practice.
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Chris Griffiths, Ksenija da Silva, Harmony Jiang, Kate Walker, David Smart, Azhar Zafar, Sarah Deeks, Sinead Galvin and Taz Shah
This study aims to evaluate the effect of Alpha-Stim Anxiety, Insomnia and Depression (AID) cranial electrotherapy stimulation (CES) on anxiety, depression and health-related…
Abstract
Purpose
This study aims to evaluate the effect of Alpha-Stim Anxiety, Insomnia and Depression (AID) cranial electrotherapy stimulation (CES) on anxiety, depression and health-related quality of life for primary care social prescribing service patients with anxiety symptoms.
Design/methodology/approach
Open-label patient cohort design with no control group. A total of 33 adult patients (average age 42 years) completed six weeks of Alpha-Stim AID use. Pre- and post-intervention assessment with participant self-report measures: Patient Health Questionnaire (PHQ-9), Generalised Anxiety Disorder (GAD-7) and European Quality of Life Five Dimension (EQ-5D-5L).
Findings
Reliable improvement and remission rates, respectively, were 53.39% and 33.3% for GAD-7; 46.7% and 29.5% for PHQ-9. There was a significant improvement in GAD-7 and PHQ-9 with large effect sizes. EQ-5D-5L results showed significant improvements in health-related quality of life. Perceived quality of life increased by 0.17 on the health index score, with the intervention adding 1.68 quality-adjusted life years (QALYs).
Practical implications
Alpha-Stim AID can be delivered through a primary health-care social prescribing service and most patients will use as prescribed and complete treatment course. Alpha-Stim AID CES may be an effective anxiety and depression treatment for people with anxiety symptoms. The widespread roll-out of Alpha-Stim AID in health-care systems should be considered.
Originality/value
To the best of the authors’ knowledge, this is the first study to respond to the UK’s National Institute for Health and Care (NICE) request for the collection of real-world data to understand better Alpha-Stim AID in relation to people’s treatment uptake, response rates and treatment completion rates (NICE, 2021).
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Through adoption of the psycho-emotional model of disability, this study aims to offer consumer research insight into how the marketplace internally oppresses and…
Abstract
Purpose
Through adoption of the psycho-emotional model of disability, this study aims to offer consumer research insight into how the marketplace internally oppresses and psycho-emotionally disables consumers living with impairment.
Design/methodology/approach
This paper draws insight from the interview data of a wider two-year interpretive research study investigating access barriers to marketplaces for consumers living with impairment.
Findings
The overarching contribution offers to consumer research insight into how the marketplace internally oppresses and psycho-emotionally disables consumers living with impairment. Further contributions offered by this paper: unearth the emotion of fear to be central to manifestations of psycho-emotional disability; reveal a broader understanding of the marketplace practices, and core perpetrators, that psycho-emotionally disable consumers living with impairment; and uncover psycho-emotional disability to extend beyond the context of impairment.
Research limitations/implications
This study adopts a UK-only perspective. However, findings uncovered that the model of psycho-emotional disability has wider theoretical value to marketing and consumer research beyond the context of impairment.
Practical implications
The insight offered into the precise marketplace practices that disable consumers living with impairment leads this paper to call for a revising of disability training within marketplace and service contexts.
Originality/value
Extending current consumer research and consumer vulnerability research on disability, the empirical adoption of the psycho-emotional model of disability is a fruitful framework for extrapolating insight into marketplace practices that internally oppress and psycho-emotionally disable consumers living with impairment.
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WHEN THE GOVERNMENT set up the National Libraries Committee in 1967, they were not asking for advice on how to organise a national library service, but on whether, in the…
Abstract
WHEN THE GOVERNMENT set up the National Libraries Committee in 1967, they were not asking for advice on how to organise a national library service, but on whether, in the interests of efficiency and economy, the facilities provided by certain named libraries should be brought into a unified framework. Therefore, the new White Paper announces a plan for national libraries, not a national plan for libraries.
Patricia A. London and Daniele D. Flannery
The purpose of the qualitative study was to understand how social factors might help or hinder the training transfer process. Specifically, this qualitative research looked at the…
Abstract
The purpose of the qualitative study was to understand how social factors might help or hinder the training transfer process. Specifically, this qualitative research looked at the meanings a group of women attached to social factors that might influence their practice of breast self‐exam. Implications for transfer of training are suggested.
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Ashley Molloy, Ashley O'Donoghue and Na Fu
Generation A, the number of people with autism spectrum disorder (ASD) entering the workforce in the next decade is expected to increase. However, the employment rate of people…
Abstract
Generation A, the number of people with autism spectrum disorder (ASD) entering the workforce in the next decade is expected to increase. However, the employment rate of people with ASD is still very low, and the access to services and support for them is inadequate globally. The research is very limited on understanding neurodiversity-based employment and its success factors. This study aims to fill this important gap via exploring the current inclusive human resource practices being adopted by neurodiversity champion companies. Interviews were conducted with six Irish organizations to identify their neurodiversity and autism practices.
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Many corporations fail to find the Holy Grail of globalization because they have not paid “enough” ongoing attention to the process. Without greater attentional effectiveness in…
Abstract
Many corporations fail to find the Holy Grail of globalization because they have not paid “enough” ongoing attention to the process. Without greater attentional effectiveness in their efforts to globalize, firms waste precious executive resources or decide to standardize their operations to limit the complexity of their international strategies. Neither of these reactions is desirable. While companies can deploy a range of helpful tools in increasing overall levels of global attention, these tools are costly and not every company is in a position to achieve and sustain high levels of global attention effectively. In this article, the authors discuss three dimensions of management attention: aversion/attraction, captive/voluntary, and front‐of‐mind/back‐of‐mind. Each of these dimensions provides an array of tools to focus management attention. By maximizing each of these dimensions, attention effectiveness is increased. In an international business world with abundant information, managers need to focus on their most scarce resource – management attention.
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Katie Chadd, Sophie Chalmers, Kate Harrall, Amelia Heelan, Amit Kulkarni, Sarah Lambert, Kathryn Moyse and Gemma Clunie
Globally “non-urgent” health care services were ceased in response to the 2020 outbreak of COVID-19, until 2021, when restrictions were lifted. In the UK, this included speech and…
Abstract
Purpose
Globally “non-urgent” health care services were ceased in response to the 2020 outbreak of COVID-19, until 2021, when restrictions were lifted. In the UK, this included speech and language therapy services. The implications of COVID-19 restrictions have not been explored. This study aimed to examine the impact of the UK’s COVID-19 response on speech and language therapy services.
Design/methodology/approach
An online survey of the practice of speech and language therapists (SLTs) in the UK was undertaken. This explored SLTs’ perceptions of the demand for their services at a time when COVID-19 restrictions had been lifted, compared with before the onset of the pandemic. The analysis was completed using descriptive statistics and content analysis.
Findings
Respondents were mostly employed by the UK’s National Health Service (NHS) or the private sector. Many participants reported that demands on their service had increased compared with before the onset of the pandemic. The need to address the backlog of cases arising from shutdowns was the main reason for this. Contributing factors included staffing issues and redeployment. Service users were consequently waiting longer for NHS therapy. Private therapy providers reported increased demand, which they directly attributed to these NHS challenges.
Originality/value
This presents the only focused account of the impact of the national response to COVID-19 on speech and language therapy services in the UK. It has been identified that services continue to face significant challenges, which indicate a two-tier system is emerging. Healthcare system leaders must work with service managers and clinicians to create solutions and prevent the system from being overwhelmed.
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