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The landscape of adult social care, and in particular of adult safeguarding, has shifted considerably over the last decade. Alongside policy changes in the responses to adult abuse, there have been shifts in professional and public understanding of what falls within the remit of this area of work. This results, arguably, in differing understandings of how adult safeguarding is constructed and understood. Given the increasing emphasis on multi-agency inter-professional collaboration, service user involvement and lay advocacy, it is important to consider and reflect on how both professionals and lay people understand this area of work. The paper aims to discuss these issues.

This study employed Augusto Boal’s model of Forum Theatre to explore how a variety of professional and lay groups understood, related to and engaged with how the Care Act 2014 defines and describes “adult safeguarding”.

Lay participants responded to the scenario in a variety of ways, upholding the construct validity of “adult safeguarding” and the authority of the social worker. Social care and health practitioners sought orderly, professionalised and sometimes ritualistic solutions to the “adult safeguarding” scenario presented, seeking carefully to structure and to manage lay involvement. Inter-professional collaboration was often problematic. The role of lay advocates was regarded ambiguously and ambivalently.

This paper offers a number of practice and research recommendations. Safeguarding practitioners could benefit from more effective and reflexive inter-professional collaboration. Both practitioners and service users could benefit from the more thoughtful deployment of the lay advocates encouraged within the Care Act 2014 and associated guidance.

This chapter explores the implications of patrimonial politics in the Dutch East India Company empire in the context of establishing a settlement at the Cape of Good Hope in southern Africa in the mid-seventeenth century. The Cape extended the reach of Company patrimonial networks with elite Company officials circulating throughout the Indian Ocean empire and consolidating their familial ties through marriage both within the colonies and in the United Provinces. These patrimonial networks extended to the Cape as elite Company officials created families locally or married Cape-born women. As the colony grew, the Company created a class of free-burghers some the wealthiest of whom were tied directly into elite Company patrimonial networks. But from the early eighteenth century onwards these elite Company networks came into conflict with the evolving free-burgher patrimonial networks with which they were in direct competition. This paper argues that local patrimonial networks can evolve in a settler colony that challenge the elite patrimonial networks of the imperial elite.

It is hard to imagine more thoughtful and stimulating responses to The Familial State (Adams, 2005a) than the four gathered in this symposium. Mounira Maya Charrad, Ivan Ermakoff, Edgar Kiser and Pavla Miller raise important challenges not only for me but for all those who tackle questions of large-scale comparative history. Rather than arguing about this or that point of specific interpretation – in fact I think that unlike some “Author Meets Critics” sessions, these commentators have the main arguments of the book nailed down – I will immediately turn to those issues. These include the relationship of the argument to today's patrimonial states; patriarchal power and internal family dynamics; the reasons for the decline of hegemonic powers; the microfoundations of collective action and the place of evolutionary biology in comparative historical explanation.

These details of British Patent Specifications are taken by permission from ‘Abridgments of Specifications—Patents for Inventions’. Copies of the full specifications are obtainable from the Patent Office, 25 Southampton Buildings, London, W.C.2, price 4s. 6d. each.

In Weberian scholarship, conventional wisdom views the corruption of the modern rational-legal bureaucratic state by local patrimonialisms as an endemic feature in non-Western postcolonial state formation. The resultant neopatrimonial state is often blamed for the social, political, and economic ills plaguing these societies. This essay challenges conventional wisdom and argues that neopatrimonialism is a process of hybrid state formation that has its origins in the cultural politics of colonial state building. This is achieved by drawing on a comparative study of British Malaya and the American Philippines, which offers contrastive trajectories of colonialism and state formation in Southeast Asia.

Because of the precariousness of state power due to local resistance and class conflicts, colonial state building involved the deepening of patron–client relations for political control and of rational-legal bureaucracy for social development. In the process, local political relations were marked and displaced as traditional patrimonialisms distinguished from the new modern center. Through native elite collaborators and paternal-populist discourses, new patron–client relations were institutionalized to connect the colonial state to the native periphery. However, colonial officials with different political beliefs and ethnographic world views in the center competed over native policy and generated cyclical crises between patron-clientelist excess and bureaucratic entrepreneurship.

Instead of the prevailing view that postcolonial states are condemned to their colonial design, and that authoritarian rule favors economic development, my study shows that non-Western state formation is non-linear and follows a cyclical pattern between predation and developmentalism, the excesses of which could be moderated.

The purpose of this paper is to inform the development of an evidence-based and effective rehabilitation programme to address substance use disorders in a population of patients with severe mental illness and mental disorders detained in a secure forensic psychiatric facility. A clinical review identified a high prevalence of substance use disorders in the patient population at a secure forensic facility in Sydney, Australia with only a limited number of patients being assessed and offered interventions for substance use problems.

A literature review was undertaken specifically looking at articles between 2009 and 2017 that considered models of care or approaches to substance use rehabilitation in patients with co-morbid psychiatric disorders. Articles were considered based on their relevance to the purpose and the environment of a secure forensic facility.

The literature review emphasised the need for a cohesive model of care integrating substance use rehabilitation with mental health care. Comprehensive assessment and individualised approaches that incorporated patient choice and stages of change were considered essential components to any dual diagnosis rehabilitation programme.

The literature regarding rehabilitation approaches for those with severe mental illness and co-morbid substance use disorders was reasonably consistent with the models of care used in relation to criminal offenders and mental illness generally. Integrated and individualised rehabilitation approaches for dual diagnosis patients could play a significant role in forensic settings.

Limited robust evidence for substance use rehabilitation has been published. The authors consider the existing evidence base and the underlying theory behind substance use rehabilitation to propose a model for rehabilitation in secure forensic settings. This is the first known review of substance use rehabilitation involving mentally ill offenders with dual diagnoses in secure forensic settings. This paper is the original work of the authors.

This paper provides a clinical practice overview of the challenges that can arise when working with dangerous and severe personality‐disordered patients in a high secure hospital. Poor engagement and treatment readiness, mistrust, paranoia and dominant interpersonal styles are all clinical features that affect treatment delivery. The paper discusses the impact of these features, and suggests how clinicians can engage effectively with individuals who have personality disorders in regard to therapy in general.

Scotland's smoke‐free legislation, introduced in March 2006, included an exemption for psychiatric hospitals. However, following the successful implementation of smoke‐free laws in almost all other workplaces in Scotland, important questions have been raised about why mental health facilities should be excluded. This study aimed to explore a move towards mental health settings becoming smoke‐free in Scotland by reviewing relevant literature, seeking the views of stakeholders and examining a number of case study hospitals who had recently or were in the process of going smoke‐free. The study found that stakeholders were overwhelmingly in favour of moving towards smoke‐free environments. Allowing smoking to continue in these settings when almost all other workplaces are smoke‐free was perceived as reinforcing the stigma attached to mental health, exacerbating inequalities in health, damaging the health of mental health professionals and potentially contributing to staff recruitment problems. Evidence from the international literature and from the case studies suggested that smoke‐free policies can be successfully implemented in mental health settings. This article discusses these findings and examines the factors that need to be considered if implementation is to be successful.