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1 – 10 of 12Sarah Wills, Lorna Robbins, Tony Ward and Gary Christopher
The purpose of this paper is to explore significant events in psychotherapy with clients with intellectual disabilities (IDs).
Abstract
Purpose
The purpose of this paper is to explore significant events in psychotherapy with clients with intellectual disabilities (IDs).
Design/methodology/approach
Four therapy dyads, each consisting of one client and one therapist, were recruited. Following the brief structured recall procedure (Elliott and Shapiro, 1988), semi-structured interviews focused on helpful events in psychotherapy, using video of particular sessions as a stimulus to help prompt recall of that session.
Findings
Using interpretative phenomenological analysis, five super-ordinate themes were identified: “The Uniqueness of the Therapeutic Relationship”; “Using adaptations to Express Emotions”; “Client Behaviour/Therapist Behaviour”; “Hope and Paternalism”; and “Meaning-Making”. The results provide additional evidence that significant therapy events occur for clients with IDs. Furthermore, the research enabled insights to be gained about the process of therapy for this client group and for exploration of therapeutic factors that may be involved in facilitating a significant therapy event.
Research limitations/implications
This study highlights the need for therapists to work in such a way as to facilitate significant events in therapy. Whilst this study was a necessary first step, owing to the non-existence of research in this area, the sample size and qualitative design may limit any wider generalisation of the findings.
Originality/value
Significant events have not previously been explored in psychotherapy with clients with IDs. This research could therefore make an important contribution to our understanding of the process of psychotherapy for this client group.
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Laura Doyle, Lorna Montgomery, Sarah Donnelly, Kathryn Mackay and Bridget Penhale
Across the UK and Ireland, there are a range of processes and interventions offered to adults who, because of personal characteristics or life circumstances, require help to keep…
Abstract
Purpose
Across the UK and Ireland, there are a range of processes and interventions offered to adults who, because of personal characteristics or life circumstances, require help to keep themselves safe from potential harm or abuse. The ways in which the statutory and voluntary sectors have chosen to safeguard these adults varies. Different models of intervention and the utilisation of a range of assessment tools, frameworks and approaches have evolved, often in response to policy and practice wisdom. Empirical research in this area is limited. The primary research purpose of the project on which this paper is based is to gather information on the range of tools and frameworks that are used in adult safeguarding practice across the UK and Ireland. In so doing, this paper seeks to contribute and inform the future development of an evidence based adult safeguarding assessment framework.
Design/methodology/approach
A team of academics from England, Scotland, Northern Ireland and Ireland wanted to explore the possibility of adapting a pre-existing assessment framework currently in use in family and childcare social work to consider its utility in assessing carers involved in adult safeguarding referrals. This paper reports on a small pilot study which sought to inform the adaptation of this framework for use in adult safeguarding. This paper is based on a qualitative study involving 11 semi-structured telephone interviews with adult safeguarding social work managers and experienced practitioners. Two to four professionals from each region of England, Scotland, Northern Ireland and Ireland were interviewed to elicit their perceptions and experiences of engaging in adult safeguarding assessment processes and their views about models of assessment.
Findings
This study identified considerable variation in and between the nations under review, in terms of the assessment frameworks and tools used in adult safeguarding practice. To a large extent, the assessment frameworks and tools in use were not evidence based or accredited. Participants acknowledged the value of using assessment frameworks and tools whilst also identifying barriers in undertaking effective assessments.
Originality/value
There is limited evidence available in the literature regarding the utility of assessment frameworks and tools in adult safeguarding practice. This primary research identifies four themes derived from professional’s experiences of using such frameworks and identifies broader recommendations for policy and practice in this area.
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Miriam Catterall, Pauline Maclaran and Lorna Stevens
Critical marketing studies are currently on the margins of the discipline, and the ideas and challenges to conventional marketing thought posed by these critiques are rarely…
Abstract
Critical marketing studies are currently on the margins of the discipline, and the ideas and challenges to conventional marketing thought posed by these critiques are rarely examined in the marketing classroom. Drawing largely from debates in the management literature, discusses the problems and considers the possibilities of integrating critical reflection into the marketing curriculum.
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Falls among older people cause significant mortality and morbidity, thus presenting a serious issue for older people and health and social care professionals alike. The simple…
Abstract
Falls among older people cause significant mortality and morbidity, thus presenting a serious issue for older people and health and social care professionals alike. The simple occurrence of a fall conceals the range of physical, psychological, social and environmental factors, which can contribute to this event. Research advocates that professionals should engage with health promotion and develop individualised preventions in order to minimise risk of falling. In this study, a multi‐disciplinary, falls prevention initiative was developed with older people who had recently fallen. The initiative started with a common assessment but was followed by a variable, individualised programme of different interventions. The older people involved were assessed pre‐ and post‐intervention, using a questionnaire checklist, on several different dimensions associated with falling. Outcomes were assessed in terms of reduction in risk and the incidence of falls, both of which were found to be statistically significant in several of the identified dimensions post‐intervention. Consequently, it could be estimated that approximately 44 falls were prevented through this nine‐month initiative. This study would support the integration of this falls prevention initiative into routine community care practice through the existing over‐75 health check and the development of a specialised falls team. Further research would be beneficial to follow up whether the reduction in the incidence of falling is sustained over time. Enhanced participation of user, carer, voluntary and community partners is recommended as this would allow older people themselves to play an active role in improving their own well‐being and that of others.
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Lorna Ferguson and Jacek Koziarski
Missing person cases are a global issue impacting policing. Among these, those who abscond from hospitals are especially concerning because these reports require collaboration…
Abstract
Purpose
Missing person cases are a global issue impacting policing. Among these, those who abscond from hospitals are especially concerning because these reports require collaboration across services, often strain already limited police and hospital resources and present an elevated level of possible harm due to high prevalence of mental illness, disability and/or addiction. Despite this, to-date, there has been a lack of scholarly attention on this phenomenon from a policing perspective. The present study aims to fill this gap by exploring how far missing hospital patients travel and where they are commonly found.
Design/methodology/approach
Using a sample of 731 closed case files (2014–2018) from one police service, we identify spatial behaviour patterns specific to this group of missing persons.
Findings
Results suggest that most do not leave the hospital grounds or stay within a 5-km radius. Others were found close to the hospital, within city limits and/or returned of their own volition. By identifying these spatial behaviour patterns associated with missing hospital patients, police can refine probable search areas, allocate resources more efficiently, find the missing faster and develop better-informed responses and collaborative policies.
Originality/value
Our research represents the first empirical investigation into missing persons from hospital settings through a spatial perspective. Through descriptive statistical and spatial analyses, we determine the distance between the hospital a given individual was reported missing from and the location of where they were ultimately found.
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By no means a city‐lover, and indeed considerably more at home in the heart of the country, I thoroughly enjoyed the recent opportunity to visit Engelhard's Cinderford facility…
Abstract
By no means a city‐lover, and indeed considerably more at home in the heart of the country, I thoroughly enjoyed the recent opportunity to visit Engelhard's Cinderford facility and appreciated en route some of the luxuriantly leafy and verdant scenery of the Wye Valley and Forest of Dean. The village of Cinderford nestles at the foot of densely tree‐clad slopes; sheep graze calmly in the neighbourhood, even venturing among the industrial sites.
AT the very outset of this paper it is necessary to make clear that it is not an attempt to compile an exhaustive bibliography of literature relating to special librarianship…
Abstract
AT the very outset of this paper it is necessary to make clear that it is not an attempt to compile an exhaustive bibliography of literature relating to special librarianship. Neither space nor time permit this. In fact, the references given can only claim to be a sample of the wealth of material on the subject and this paper is submitted in the hope that it will stimulate others to more scholarly efforts. Reference numbers throughout this paper refer to items in the ‘Select list of references to the literature of special librarianship’, section 2 onwards.