Search results

Many patients referred by their GP for an assessment by secondary mental health services are unlikely to ever meet eligibility thresholds for specialist treatment and support. A new service was developed to support people in primary care. “the authors evaluate” whether the phased introduction of the Lambeth Living Well Network (LWN) Hub to a population in south London led to: a reduction in the overall volume of patients referred from primary care for a secondary mental health care assessment; and an increase in the proportion of patients referred who met specialist service eligibility criteria, as indicated by the likelihood of being accepted in secondary care.

The evaluation applied a quasi-experimental interrupted time series design using electronic patient records data for a National Health Service (NHS) provider of secondary mental health services in south London.

Scale-up of the Hub to the whole of the population of Lambeth led to an average of 98 fewer secondary care assessments per month (95% CI −118 to −78) compared to an average of 203 assessments per month estimated in the absence of the Hub; and an absolute incremental increase in the probability of acceptance for specialist intervention of 0.20 (95% CI; 0.14 to 0.27) above an average probability of acceptance of 0.57 in the absence of the Hub.

Mental health outcomes for people using the service and system wide-service impacts were not evaluated preventing a more holistic evaluation of the effectiveness and cost-effectiveness of the LWN Hub.

Providing general practitioners with access to service infrastructure designed to help people whose needs cannot be managed within specialist mental health services can prevent unnecessary referrals into secondary care assessment teams.

Reducing unnecessary referrals through provision of a primary-care linked mental health service will reduce delay in access to professional support that can address specific mental-health related needs that could not be offered within the secondary care services and could prevent the escalation of problems.

The authors use NHS data to facilitate the novel application of a quasi-experimental methodology to deliver new evidence on whether an innovative primary care linked mental health service was effective in delivering on one of its key aims.

There is a dearth of literature examining the impact of the COVID-19 pandemic on older people with dual diagnosis referred to mental health services. The purpose of this study was to compare dual diagnosis before and after lockdown in people aged between 55 and 74 with alcohol use.

Data were collected for people referred to mental health services using an anonymised database of de-identified records to identify people with both substance use disorder alone, or accompanied by co-existing mental disorders.

In total, 366 older people were assessed with the Alcohol Use Disorders Identification Test (AUDIT), 185 before and 181 after lockdown. People with dual diagnosis were more likely to be referred than those without, after compared to before lockdown (13 and 6%, respectively, p < 0.05). People with any substance use disorder with and without dual diagnosis showed an even greater likelihood of referral after, compared with before, lockdown (61 and 34%, respectively, p < 0.0001). Opioid use more than once a month was more likely to be reported after, compared with before, lockdown (66 and 36%, respectively, p < 0.005).

The finding of a higher likelihood of opioid use after compared with before lockdown during the COVID-19 pandemic warrants further exploration. There is also further scope for further studies that involve older non-drinkers.

A greater likelihood of both dual diagnosis and substance use disorder alone after, compared with before lockdown has implications for both mental health and addiction service provision during a pandemic.

In this chapter, we explore perceptions of exclusion and inclusion among students registered with the office of disability services at a large urban university in the United States. Our goal is to extend the current discourse on inclusion in higher education settings by drawing attention to social and cultural participation as an underemphasized aspect of educational inclusion and by bringing the perspectives of university students themselves into the discourse. While the general consensus among our interviewees seemed to be that schools and universities do a reasonably good job of developing classroom accommodations to meet their individual academic needs, stigma and social exclusion persist in damaging ways, in and outside of the classroom. A number of participants found solace and empowerment in interactions with other students with disabilities and suggested that until the forces of exclusion and stigmatization can be entirely eradicated, disability-friendly social and cultural activities and spaces designed by and for students with disabilities might provide an oasis of relief in a disabling world. Thus, we conclude that in addition to working towards the ultimate goal of making all aspects of university life disability-friendly, universities might better serve needs of current students by providing social spaces in which students with disabilities can socialize with each other and through which they might co-create and promote their own agendas for future institutional change.

Knowledge sharing is an important individual behavior that benefits teams and organizations. However, little is known about environments with both team and individual rewards. The purpose of this study is to investigate high-ability team members’ knowledge sharing in an environment with both team and individual rewards. The motivation, opportunity and ability framework was specifically applied to a work situation with face-to-face interaction and objective performance measures.

Survey data were gathered from college baseball players in varied regions of the USA.

Unexpectedly, individual ability was negatively related to individual knowledge sharing. However, as pro-sharing norms increased, all players reported higher knowledge sharing, especially the highest-ability players.

Limitations include that the sample is small and team members were not from the same teams, prohibiting aggregation to a higher level of analysis. The study is cross-sectional and self-reported, as well. The sample was homogeneous and young.

In work environments where rewards are both individual- and team-based, the high performers may ignore team knowledge sharing because they are more successful working as individuals.

In work environments where rewards are both individual- and team-based, the high performers may ignore team knowledge sharing because they are more successful working as individuals. Development of pro-sharing norms can be critical for encouraging these team members with the potential to have a strong impact on the lower-performing team members, as well as to inspire further knowledge sharing.

The baseball team member sample is unique because of the team and individual performance aspects that include objective ability measures.

Quality has been widely recognised as an important source of competitive edge in the tourism industry. Much of the focus of research to date has been on the individual firm. However, there has been a shift from interfirm competition to interdestination competition, resulting in a lacuna in the research and a need for more attention to be afforded to management of quality at the destination level. Given the fragmented and diverse nature of the tourism destination, many researchers have underlined the need for co-operation in any effort to improve quality at the destination. However, there is often a reluctance among tourism businesses, particularly small- and medium-sized tourism enterprises (SMTEs) to cooperate. This paper sheds light on the impact of training on interfirm dynamics within a destination quality management network. The findings revealed that training of network members influenced the development of a referral system, which in turn helped to create a tourism quality value chain for the visitor.

The purpose of this paper is to suggest move beyond examining the impact of the library from the library's perspective but rather to collaborate with university‐wide assessment efforts to determine the impact of the library from the student's perspective, the instructor's perspective, or the researcher's perspective.

A limited number of studies have been conducted in an attempt to determine the impact of the use of the library's physical or electronic resources, reference services, and the library as place. Considerably more studies have been prepared that have examined library instruction programs and information literacy programs although the results paint a very mixed picture. A majority of the evaluation efforts for information literacy programs have used opinion surveys, skills testing, and observed actual behavior using rubrics and other methods. A consistent criticism of such studies has been the small sample size and the lack of replication of such studies. Clearly an approach that collaborates with the university's assessment efforts and allows the library to determine the correlation levels between use of a library collection or service and a desired university outcome will be welcome by all academic libraries.

The suggested approach is to combine library usage data with university data. In the best of worlds the library data would be combined with both indirect measures of learning (such as student persistence, graduation rates) as well as direct measures of student learning such as the Collegiate Learning Assessment, Collegiate Assessment of Academic Proficiency, and the Measure of Academic Proficiency and Progress. If university libraries were to embark on a coordinated program of data analysis then the results would have greater credibility and impact within the university.

The paper provides a set of recommendations for combining library data (where the identification of each user is preserved) with institutional performance and demographic data for each user (after which the unique identification information can be eliminated so as to preserve the privacy and confidentiality rights of the user). The resulting large data set can be then used to explore possible relationships between use of library services and important outcomes – student success, student retention, graduation rates, and so forth that is necessary in order to demonstrate the value of the academic library.

Once libraries have a better understanding of the impacts of specific library services in the lives of their students, faculty and researchers, libraries can enhance services that produce positive results and drop services that have marginal or no value. The end result will be that academic libraries will better serve the needs of their customers.

This paper offers a new broad perspective that will encourage libraries to undertake a collaborative effort with others on campus in order to better assess the impact of the academic library.

Specifically feminist perspectives are largely absent from the developing discourse of elder abuse in the United Kingdom. This paper describes how focus groups were used to gather older women's understandings and experiences of elder abuse. A perspective on elder abuse that prioritises relationships, rather than action or behaviour, is proposed as central to assessing the relations of abuse in later life.

The purpose of this paper is to provide a selected bibliography of recent resources on library instruction and information literacy.

The paper introduces and annotates periodical articles, monographs, and audiovisual material examining library instruction and information literacy.

Information about each source is provided. The paper discusses the characteristics of current scholarship, and describes sources that contain unique scholarly contributions and quality reproductions.

The information in the paper may be used by librarians and interested parties as a quick reference to literature on library instruction and information literacy.

This research paper aims to explore Airbnb’s online experience initiative, which has sparked a new wave of virtual tourism to improvise a large assortment of experiential activities through cyberspace. It works to answer questions pertinent to the type of virtual experiences tourists seek and how these experiences could fulfill tourist needs, thereby rendering favorable socio-mental outcomes through experiences encountered.

Drawing on travel experience and transformative tourism theoretical tenets, this qualitative inquiry used data collected from social media posts from virtual tourists.

Results reveal four major themes of online experiences – hedonism, attention restoration, social relatedness and self-exaltation – that encompass 12 experiential categories. They further underscore four types of transformative mechanisms pinpointing hedonic well-being, environmental-mastery well-being, social well-being and eudaimonic well-being.

Research findings demonstrate how Airbnb exercised marketing agility during severe environmental plight; while expediting strategic initiatives that offer tourists and residents alike a means to reengage in leisure and travel activities at home. They also salvage the peer-to-peer community by turning accommodation hosts into online experience ambassadors.

The contribution of this inquiry lies in assessing virtual experiences and reconnecting how different cyber experiences can meet an array of tourist needs. This study further highlights the transformative virtual experience paradigm to lay the necessary theoretical foundation for future research on virtual transformative tourism. This research goes beyond the common understanding of transformative tourism that relies merely on corporeal encounters. From a practical point of view, this study brings light to a novel concept – sharing experience economy – that incorporates the nuances between sharing economy and experience economy.