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21 – 30 of over 2000Tony Ryan, Michael Clark and Nick Dixon
The aim of this paper is to describe the development of a suite of social inclusion outcome measures and how they are being applied in practice within Stockport.
Abstract
Purpose
The aim of this paper is to describe the development of a suite of social inclusion outcome measures and how they are being applied in practice within Stockport.
Design/methodology/approach
The paper gives a description of the development approach; the development of the measures and how the data collection systems have been established.
Findings
A suite of practical measures of social inclusion has been developed that are being used to inform local service delivery, commissioning and service redesign with the purpose of evidencing the effectiveness of provision in delivering social inclusion for people who have used mental health services in Stockport.
Research limitations/implications
The paper does not contain data. It is anticipated that the data will inform a business case for commissioning in new ways and which may be the subject of a further paper.
Practical implications
The paper describes the practical approaches that have led to the development of the measures.
Social implications
The measures will be able to demonstrate the social impact of services for people who use them.
Originality/value
Mental health services are striving to develop meaningful measures that are embedded in day‐to‐day practice and are meaningful to people who use services. These measures and the way they are being used in services will provide evidence to service commissioners of effectiveness and have been signed off as such by commissioners. The outcomes framework will have implications locally for the implementation of payment by results in mental health.
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The working assumption adopted was that information technology (IT)effectively managed, would prove to be a means of enabling more studentsto access the power of information…
Abstract
The working assumption adopted was that information technology (IT) effectively managed, would prove to be a means of enabling more students to access the power of information. Discusses a range of issues: resources, special projects, staff involvement and training. Three strategies have now been developed: response to expressed needs; playtime; and enlightened opportunism. IT qualifications are now being attained and the school is involved in pioneering work in virtual reality. Argues that, with appropriate resources, time and training, staff in schools can use IT to promote learning as a continuing and liberating process.
Mental health care in England has been subject to a great deal of scrutiny in recent years for its equality of access, experience and outcome. Five years of the Delivering Race…
Abstract
Mental health care in England has been subject to a great deal of scrutiny in recent years for its equality of access, experience and outcome. Five years of the Delivering Race Equality programme produced momentum, learning and improvements. It is clear, though, that efforts need to consider a continuous quality improvement approach and consciously use all new initiatives to further drive more equal services. A current initiative in England is the care clusters model for mental health, along with associated moves to commission services on a payment by results basis. This paper examines these developments and the possible implications for supporting greater equality in mental health care.
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Christopher C. Cole, Michael L. Clark and Carl Nemec
Cole, Milacron's vice president of machine tool products, and his co‐authors tell how Enterprisewide Information Planning was used to align information systems with reengineered…
Abstract
Cole, Milacron's vice president of machine tool products, and his co‐authors tell how Enterprisewide Information Planning was used to align information systems with reengineered processes at this $800 million global competitor.
Michael Clark, Tony Ryan and Nick Dixon
Commissioning has been a central plank of health and social care policy in England for many years now, yet there are still debates about how effective it is in delivering…
Abstract
Purpose
Commissioning has been a central plank of health and social care policy in England for many years now, yet there are still debates about how effective it is in delivering improvements in care and outcomes. Social inclusion of people with experience of mental health is one of the goals that commissioners would like to help services to improve but such a complex outcome for people can often be undermined by contractual arrangements that fragment service responses rather than deliver holistic support. The purpose of this paper is to discuss a form of commissioning, Alliance Contracting, and how it has been allied with a Social Inclusion Outcomes Framework (SIOF) in Stockport to begin to improve services and outcomes.
Design/methodology/approach
The paper is a conceptual discussion and case description of the use of Alliance Contracts to improve recovery services and social inclusion in mental health care in one locality.
Findings
The paper finds that the Alliance Contracting approach fits well with the SIOF and is beginning to deliver some promising results in terms of improving services.
Research limitations/implications
This is a case study of one area and, as such, it is hard to generalise beyond that.
Practical implications
The paper discusses a promising approach for commissioners to develop locally to guide service improvements and better social inclusion outcomes for people.
Social implications
Rather than developing good services but fractured pathways of care across providers and teams, the Alliance Contracting approach potentially delivers more holistic and flexible pathways that ought to better help individuals in their recovery journeys.
Originality/value
This is the first paper to set out the use of Alliance Contracting and social inclusion measures to help improve services and outcomes for people experiencing mental health problems.
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Michael Clark, Clare Hilton, Wendy Shiels, Carole Green, Christina Walters, Miranda Stead, Karen Batty, Ian Smyth and Joseph Flahive
With care clusters an established framework for mental health services it is timely to consider how to use them to deliver high quality, evidence based care that is socially…
Abstract
Purpose
With care clusters an established framework for mental health services it is timely to consider how to use them to deliver high quality, evidence based care that is socially inclusive and recovery oriented. This paper aims to describe conceptual thinking about these issues, specifically in relation to the challenges and balances inherent in the care packages approach. It seeks to describe work to develop an internet based, high‐level description of such packages for each care cluster.
Design/methodology/approach
The background to the project is described, along with a discussion of the conceptual and practice issues behind the work.
Findings
With mental health care now trying to make sense of local services in terms of care clusters the authors offer a high‐level framework to help people in this sensemaking. Coherent, socially inclusive and recovery oriented packages are set out on the website.
Research limitations/implications
The work discussed in the article is highly innovative, being the first systematic attempt to provide evidence‐based, high‐level care packages for the care clusters model. Hence, a limitation is the challenge remaining to operationalise the work to real world care contexts.
Practical implications
The website sets out a framework to help local services and commissioners plan and organise their services, drawing on the best guidance and evidence and developing care packages on the basis of the right ethos of care.
Social implications
In moving to services fully commissioned and organised around the care clusters model, there remain major conceptual and practice challenges to address including operationalising evidence‐based care packages and means of flexibly delivering individual care.
Originality/value
This is the first view of socially inclusive packages for each of the care clusters that also draw together the best of guidance and standards of care.
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Sally Denham‐Vaughan and Michael Clark
This paper aims to critically examine the care clusters descriptors now being introduced in mental health care in England and to discuss them in the context of trying to further…
Abstract
Purpose
This paper aims to critically examine the care clusters descriptors now being introduced in mental health care in England and to discuss them in the context of trying to further approaches to co‐production (and related concepts), and social inclusion and recovery. The paper seeks to introduce a revised set of cluster descriptors that are more lay friendly and that, hence, would be likely to encourage more service user engagement in care.
Design/methodology/approach
The care cluster descriptors are critically examined within the context of desires to engage service users in care and encourage staff to explicitly consider individual strengths as well as needs, i.e. co‐production of care between active service users and providers.
Findings
The implementation of care clusters and the development of new organisations of care based on these present opportunities to further develop in progressive ways how care is planned and developed. The cluster descriptors, however, are not an ideal basis for this. Being designed for one purpose the descriptors do not encourage thinking about individual strengths nor are they very lay friendly. They are not seen as an ideal basis for more actively engaging individuals in the planning and organisation of their care packages. Hence, revised descriptors felt to be more suited to this are presented.
Practical implications
Furthering more recovery oriented and socially inclusive practice in mental health care requires that each part of the system encourages all individuals involved to think in these ways. As the starting point for thinking about care, it is essential that cluster descriptors also work in this way. Services need to consider how the existing cluster descriptors impact on how individual care is thought of and delivered and consider using revised ones for some purposes, especially for engaging individuals in their care.
Originality/value
The care clusters being introduced in mental health care in England need to support progressive developments in care. This is the first time the cluster descriptors have been critiqued from the perspectives of recovery orientation and co‐production.
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Michael Levine‐Clark and Margaret M. Jobe
In order to better understand how collections are used, this study aims to present a large‐scale analysis of usage patterns for non‐core monographs in the collections of fourteen…
Abstract
Purpose
In order to better understand how collections are used, this study aims to present a large‐scale analysis of usage patterns for non‐core monographs in the collections of fourteen general academic libraries of varying sizes.
Design/methodology/approach
Using Spectra Dimension, a collection analysis tool, this study compares use data from multiple academic libraries.
Findings
It appears that general academic libraries are overinvesting in legal materials and perhaps underinvesting in medical materials.
Research limitations/implications
This study suggests that analysis of use data from multiple libraries may help individual libraries better understand their own collecting needs. Local issues may, however, override the broad patterns identified here.
Practical implications
In lean budgetary times, understanding collection use is key to making informed decisions about resource allocation for collection development. Libraries may be able to use these data to better manage their own materials budgets and collecting practices.
Originality/value
Though there have been a number of large‐scale analyses of collections, most have relied on sampling or have compared small portions of collections, and few have compared use across libraries. This study analyzes collection use across many institutions at a level of detail not possible before the introduction of multi‐library collection analysis tools.
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To identify levels of awareness and patterns of usage of electronic books by scholars in the humanities.
Abstract
Purpose
To identify levels of awareness and patterns of usage of electronic books by scholars in the humanities.
Design/methodology/approach
A survey of the University of Denver community assessed knowledge about and usage of electronic books. The results for humanists are presented here.
Findings
Scholars in the humanities have a higher level of awareness of e‐books than their colleagues across campus but use e‐books at the same rate. Their patterns of use are different, with humanists using less of the e‐book than do other groups. Humanists still prefer printed books to electronic texts at a higher rate than do other groups and care less about added features, such as searchability, than they do about content.
Originality/value
Humanists conduct research differently than do most other scholars, using the library catalog and browsing as primary means of finding information, and valuing the book more than other resources. No previous research has assessed whether humanists have similarly unique patterns of usage for electronic books.
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Anthony Lavers and Alistair MacFarquhar
Explores judicial attitudes in professional negligence casesaffecting liability for property investment advice. Focuses on thestandard of work required to discharge the legal duty…
Abstract
Explores judicial attitudes in professional negligence cases affecting liability for property investment advice. Focuses on the standard of work required to discharge the legal duty of care and on apparent contradictions in approach by the courts. Reviews a series of cases which are taken to exhibit traditional attitudes to professional liability and studies modern cases which are irreconcilable with those attitudes. Includes liability to third party mortgagors and to third party mortgagees in an analysis of the duty of care, and considers the implications of the perceived expansion of the advisor′s professional duties, which include potential conflicts of interest and the dichotomy between the standards current among professionally qualified and unqualified practitioners. Suggests that judicial attitudes are influential in shaping the practice of property investment advice, but that this intervention is fraught with difficulties as it creates uncertainty among professional advisors about the nature of the tasks undertaken.
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