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Article
Publication date: 17 November 2011

Nicole K. Lee, Jacqui Cameron, Angela Harney and Sandra Roeg

Dissemination of good practice information to practitioners is one of the great challenges of the substance abuse treatment sector. The authors' understanding of the…

Abstract

Purpose

Dissemination of good practice information to practitioners is one of the great challenges of the substance abuse treatment sector. The authors' understanding of the process by which research is translated is limited, but a whole of workforce approach is considered best practice. This paper aims to examine organisational change as a result of a workforce capacity‐building program over six months.

Design/methodology/approach

A total of 195 staff (nine service managers, 39 supervisors and 147 clinicians) in 13 alcohol and other drug (AOD) services across Australia participated in mental health screening and brief intervention training using PsyCheck. PsyCheck is designed to detect and address common mental health symptoms among drug treatment clients. The Dual Diagnosis Capability in Addiction Treatment (DDCAT) index was used to measure capacity before and after training.

Findings

There was no significant difference between baseline and follow‐up DDCAT scores; however, the level of PsyCheck implementation indicated improvement in DDCAT scores.

Practical implications

The results show that where organisations implement the program successfully, capacity improves; where the program is not well implemented, capacity reduces. Successful implementers report a number of common elements: the screening tool was implemented into routine assessment; there was a single onsite “champion” supporting the implementation; and they worked with the staff and persisted with the implementation even where there was initial worker resistance.

Originality/value

This paper provides the opportunity to assess workforce capacity building and the feasibility of utilising the DCCAT to measure co‐occurring mental health and substance use disorders in Australian AOD services.

Details

Advances in Dual Diagnosis, vol. 4 no. 4
Type: Research Article
ISSN: 1757-0972

Keywords

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Article
Publication date: 18 November 2013

Linda Jenner, Jacqui Cameron, Nicole K. Lee and Suzanne Nielsen

– The purpose of this paper is to examine test-retest reliability of the PsyCheck screening tool.

Abstract

Purpose

The purpose of this paper is to examine test-retest reliability of the PsyCheck screening tool.

Design/methodology/approach

In all, 50 drug users in their first three months of treatment were given the Self Reporting Questionnaire (SRQ; PsyCheck version) at two time points between five and nine days apart to examine reliability of the screen over time.

Findings

Results suggest that the SRQ (PsyCheck version) has good test-retest reliability. ICC=0.841 (p=0.000) showed strong agreement between time 1 and time 2.

Practical implications

The study confirms that the SRQ (PsyCheck) is a stable and reliable instrument for use within drug treatment settings. The implications of the use of screening tools not validated within alcohol and drug treatment setting are discussed.

Originality/value

Mental health problems, particularly anxiety and mood disorders, are common among clients of alcohol and drug treatment services and alcohol and drug workers often undertake symptom management of high prevalence disorders. The originality of this study is that the PsyCheck screening tool was designed for use by non-mental health specialists to detect common mental health problems.

Details

Advances in Dual Diagnosis, vol. 6 no. 4
Type: Research Article
ISSN: 1757-0972

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Article
Publication date: 16 November 2012

Jacqui Cameron, Nicole K. Lee, Heidi Strickland and Michael Livingston

The aim of this study is to assess the feasibility of introducing clinical case management into a youth alcohol and other drug treatment setting.

Abstract

Purpose

The aim of this study is to assess the feasibility of introducing clinical case management into a youth alcohol and other drug treatment setting.

Design/methodology/approach

Case management as usual (CMAU), the current brokerage model operating as a control group was compared to clinical case management (CCM). Individual client outcomes were compared with the site as the grouping variable.

Findings

Although alcohol and drug outcomes were similar, arguably slightly favouring the intervention group, results suggest that young people receiving clinical case management showed potentially greater improvement across a range of other health outcomes including mental health, treatment utilisation and social outcomes than the CMAU brokerage model.

Practical implications

The study examined the feasibility of training clinicians in a youth alcohol and drug treatment agency in a clinical case management model and examined whether this more intensive case management approach could improve substance use and mental health outcomes for young people.

Originality/value

Although widely used, much less is known about the efficacy of case management within substance use treatment settings, where case management tends to be loosely defined and encompasses a broad range of activities. The originality of this study is that little is known about the effectiveness of case management in youth services, where it tends to be the primary service offered.

Details

Advances in Dual Diagnosis, vol. 5 no. 4
Type: Research Article
ISSN: 1757-0972

Keywords

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Article
Publication date: 2 December 2014

Nicole K. Lee, Ann Roche, Vinita Duraisingam, Jane A. Fischer and Jacqui Cameron

– The purpose of this paper is to identify mental health interventions within male-dominated industries.

Abstract

Purpose

The purpose of this paper is to identify mental health interventions within male-dominated industries.

Design/methodology/approach

A systematic literature review was undertaken, examining mental health interventions within male-dominated industries. Major electronic databases, grey literature and reference lists for English language studies published January 1990-June 2012 were searched. Independent extraction of the studies was completed by two reviewers using predefined data fields including study quality measures.

Findings

Five studies met inclusion criteria. The available evidence suggests that effective interventions to address anxiety and depression in male-dominated industries include: improving mental health literacy and knowledge, increasing social support, improving access to treatment, providing education for managers and addressing workload issues.

Practical implications

Working conditions and the workplace can have a significant impact on a worker's mental health. Work-related factors including working conditions, job demands and social support in the workplace are particularly important for the mental health workers. Indeed, poor work conditions have been associated with poorer mental health outcomes in particular anxiety and depression, however, little work has been conducted on mental health interventions in the workplace and further the impact on male-dominated industries.

Originality/value

Overall, the body of evidence supporting effective interventions for mental health problems among workers in male-dominated industries is limited. Nonetheless, the evidence does suggest that mental health interventions in male-dominated industries is logistically feasible and can have some positive impact on the mental health of workers, particularly for high prevalence low severity disorders such as anxiety and depression.

Details

Mental Health Review Journal, vol. 19 no. 4
Type: Research Article
ISSN: 1361-9322

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Article
Publication date: 17 February 2012

Nicole K. Lee, Angela M. Harney and Amy E. Pennay

The aim of this paper is to examine the temporal sequencing of methamphetamine use and the onset of mental health problems among a sample of dependent methamphetamine users.

Abstract

Purpose

The aim of this paper is to examine the temporal sequencing of methamphetamine use and the onset of mental health problems among a sample of dependent methamphetamine users.

Design/methodology/approach

The study used a self‐reported timeline method to examine the sequencing of first use, regular use and problematic use of methamphetamine and mental health issues among 126 users with lifetime dependence.

Findings

The majority of the sample (69 per cent) reported previous mental health diagnosis or treatment. Of this sample, 22 per cent reported mental health problems prior to their first use of methamphetamine and 72 per cent reported mental health problems after first use of methamphetamine (with the rest around the same time or unsure). On the timeline, mental health symptoms were first indicated around a year after first regular use of methamphetamine and around the same time as problematic use. Respondents identified a lag time of five years between first problematic use of methamphetamine and seeking treatment for methamphetamine‐related problems, but those that received mental health treatment engaged in methamphetamine treatment earlier.

Practical implications

Among this sample, mental health problems coincided with problematic methamphetamine use (rather than any use) suggesting prevention efforts may be better directed at preventing transition to heavy use or use of potent forms or injecting, rather than directed at prevention of uptake. On this basis, stepped care might be appropriate for methamphetamine users.

Originality/value

Despite a substantial research literature establishing the link between methamphetamine use and mental health problems, little is known about the order of onset and the implications of this for treatment. This is one of the few studies specifically investigating the temporal sequencing of methamphetamine use, mental health symptoms and treatment seeking among a sample of dependent methamphetamine users.

Details

Advances in Dual Diagnosis, vol. 5 no. 1
Type: Research Article
ISSN: 1757-0972

Keywords

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Article
Publication date: 12 June 2017

Jing Gao

This study aims to explore Asian American students’ identities and their perceptions about who they are within the Midwestern American high school setting.

Abstract

Purpose

This study aims to explore Asian American students’ identities and their perceptions about who they are within the Midwestern American high school setting.

Design/methodology/approach

A naturalistic inquiry (Lincoln and Guba, 1985) is employed in this qualitative study. Naturalistic inquiry assumes that reality is constructed by individuals, and there exist multiple realities as diverse people experience teaching and learning (Glesne, 1999). It is characterized by natural settings (the schools), natural language (language actually used by students and teachers), responsiveness to concerns and issues of stakeholders (what is important to students and teachers) and collaborative checks on trustworthiness.

Findings

The study finds that the participants all identify themselves as students, while they perceive differently on their racial/ethnic and cultural identity. They have employed a variety of strategies to negotiate with their dynamic, multiple and sometimes contradictory identities when confronted with challenges and opportunities within different social contexts.

Research limitations/implications

The limitations of my study lie first in a small number of participants. Eight Asian American students do not represent the heterogeneous Asian American groups in the USA. More students would provide different perspectives and experiences in the study. The time for conducting this study is another limitation. Longer period on the research sites would provide thicker descriptions.

Practical implications

There are implications for educational practice and future research to help understand the diversity among Asian American students and to find ways to integrate accurate and comprehensive information related to Asian Americans into the curricular with critical reflection upon the issues of race, ethnicity, culture and identity.

Originality/value

This study will enrich the current literature on Asian American education because there is currently limited research in this area. It will give voices to Asian American students and contribute to a better understanding of how both students and teachers are responding to the challenges faced in many schools as demographics change. It will also have implications for teacher education and encourage awareness in this field that might affect future educational practices and policies.

Details

Journal for Multicultural Education, vol. 11 no. 2
Type: Research Article
ISSN: 2053-535X

Keywords

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Book part
Publication date: 28 April 2021

Vivianna Fang He and Gregor Krähenmann

The pursuit of entrepreneurial opportunities is not always successful. On the one hand, entrepreneurial failure offers an invaluable opportunity for entrepreneurs to learn…

Abstract

The pursuit of entrepreneurial opportunities is not always successful. On the one hand, entrepreneurial failure offers an invaluable opportunity for entrepreneurs to learn about their ventures and themselves. On the other hand, entrepreneurial failure is associated with substantial financial, psychological, and social costs. When entrepreneurs fail to learn from failure, the potential value of this experience is not fully utilized and these costs will have been incurred in vain. In this chapter, the authors investigate how the stigma of failure exacerbates the various costs of failure, thereby making learning from failure much more difficult. The authors combine an analysis of interviews of 20 entrepreneurs (who had, at the time of interview, experienced failure) with an examination of archival data reflecting the legal and cultural environment around their ventures. The authors find that stigma worsens the entrepreneurs’ experience of failure, hinders their transformation of failure experience, and eventually prevents them from utilizing the lessons learnt from failure in their future entrepreneurial activities. The authors discuss the implications of the findings for the entrepreneurship research and economic policies.

Details

Work Life After Failure?: How Employees Bounce Back, Learn, and Recover from Work-Related Setbacks
Type: Book
ISBN: 978-1-83867-519-6

Keywords

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Article
Publication date: 25 May 2018

Nicole Lee and Trent Seltzer

The purpose of this paper is to explore how online interaction with an organization impacts not only those users participating in the exchange, but also those that witness…

Abstract

Purpose

The purpose of this paper is to explore how online interaction with an organization impacts not only those users participating in the exchange, but also those that witness the interaction and are influenced as suggested by social cognitive theory.

Design/methodology/approach

This study utilized a mixed methodological approach. First, 20 interviews with social media users were conducted to explore their perceptions of observed two-way communication between organizations and other users within social media spaces. An experiment then compared the effects of interacting with an organization via social media vs simply observing organizations interacting with other users.

Findings

The findings from both studies support the assertion that publics do not have to actively participate in two-way communication with an organization for an observed exchange to have an impact. When an organization has a conversation with one follower, others see that interaction and are affected by it.

Practical implications

This study has implications for the practice of online communication by organizations. Practitioners must consider how interactions impact those publics who are observing rather than only the few who are engaging. In the social media realm, priority should be given to followers posting legitimate questions or concerns. Responding to positive comments can also improve perceptions of the organization but is seen as going above and beyond.

Originality/value

This paper introduces the concept of vicarious interaction – a phenomenon warranting further investigation by strategic communication scholars. Distinguishing between the effects of “vicarious interaction” and direct interaction could have significant consequences for the study of relational or symmetrical approaches to social media.

Details

Journal of Communication Management, vol. 22 no. 3
Type: Research Article
ISSN: 1363-254X

Keywords

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Article
Publication date: 31 October 2017

Miriam Stewart, Denise L. Spitzer, Kaysi E. Kushner, Edward Shizha, Nicole Letourneau, Edward Makwarimba, Cindy-Lee Dennis, Michael Kariwo, Knox Makumbe and Jocelyn Edey

The purpose of this paper is to develop and test an accessible and culturally appropriate social support intervention designed to meet the support needs and preferences…

Abstract

Purpose

The purpose of this paper is to develop and test an accessible and culturally appropriate social support intervention designed to meet the support needs and preferences identified by African refugee parents of young children.

Design/methodology/approach

The study was built on the research team’s preceding study assessing social support needs and intervention preferences of Sudanese and Zimbabwean refugee parents of young children. Face-to-face support groups led by peer and professional mentors were conducted bi-weekly over seven months. Qualitative data collection methods were employed through group and individual interviews.

Findings

In total, 85 refugee parents (48 Sudanese, 37 Zimbabwean; 47 male, 38 female) in two Canadian provinces participated in the social support intervention. Results demonstrated that this intervention increased participants’ social support by: providing information, enhancing spousal relationships, and expanding engagement with their ethnic community. This pilot intervention decreased refugee new parents’ loneliness and isolation, enhanced coping, improved their capacity to attain education and employment, and increased their parenting competence.

Practical implications

Peer mentors who were refugee parents of young children were key to facilitating the support intervention and to enhancing confidence of group members to raise their children in Canada. They acted as role models as they had faced similar challenges. Success of this intervention can also be attributed to its flexibility and participant-centered focus.

Originality/value

This is the first reported study to design and test the impacts of support interventions for African refugee parents of young children.

Details

International Journal of Migration, Health and Social Care, vol. 14 no. 1
Type: Research Article
ISSN: 1747-9894

Keywords

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Article
Publication date: 30 September 2019

Shannon Wagner, Nicole White, Lynda R. Matthews, Christine Randall, Cheryl Regehr, Marc White, Lynn E. Alden, Nicholas Buys, Mary G. Carey, Wayne Corneil, Trina Fyfe, Elyssa Krutop, Alex Fraess-Phillips and Matthew H. Fleischmann

The purpose of this systematic review is to evaluate the extant literature on depression and anxiety disorders in police using a multinational data set to determine…

Abstract

Purpose

The purpose of this systematic review is to evaluate the extant literature on depression and anxiety disorders in police using a multinational data set to determine whether the prevalence of these trauma-related disorders (TRMDs) is elevated in comparison to the general population.

Design/methodology/approach

Systematic review was employed in combination with best-evidence narrative synthesis to evaluate these hypotheses.

Findings

Despite wide variability in prevalence outcomes across the literature, strong evidence supports the hypothesis that the prevalence of depression is elevated in police, whereas moderate evidence supports the same hypothesis regarding anxiety. Preliminary evaluation of commonly examined predictive factors for each disorder demonstrated weak and inconsistent associations between these TRMDs and sociodemographic factors. No studies evaluated the relationship between incident-related factors (e.g. severity or frequency of exposure) and TRMDs, thus, at present, the literature on police is almost entirely unable to address the question of whether the prevalence of these disorders in police is influenced by exposure to work-related trauma.

Research limitations/implications

The findings highlight a critical need for future work to address incident-related factors in predicting symptoms of depression and anxiety in police samples to determine whether these disorders bear a unique relationship to work-related traumatic exposure. Such work will significantly benefit the design and implementation of successful prevention and intervention strategies in the workplace.

Originality/value

The present review provides a comprehensive synthesis of a highly variable literature, highlighting critical gaps in our current knowledge of TRMDs in police and suggesting numerous avenues for future study.

Details

Policing: An International Journal, vol. 43 no. 3
Type: Research Article
ISSN: 1363-951X

Keywords

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