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In this study we demonstrate how the Health of the Nation Outcomes Scales for secure and forensic service users (HoNOS‐secure) tracks risk and recovery in men with mental illness and men with learning disability in a secure care pathway. Total and individual HoNOS‐secure item ratings made by multi‐disciplinary teams across the course of a period of admission (mean 15 months) for 180 men were examined. There was significant positive change on the clinical and risk‐related scales of HoNOS‐secure for patients in the learning disability care pathway (N = 48) between initial and final ratings. In the mental health care pathway (N = 132 patients) an apparent lack of change masked a more complex picture, where initial decline in HoNOS‐secure ratings was succeeded by significant improvement. Results suggest that it is challenging to measure clinical and risk‐related medium‐term clinical outcomes objectively for these patients, particularly in relation to core issues of treatment of mental disorder, and reduction of both problem behaviour and risk to others. However, it is important that practitioners continue to strive to demonstrate the benefits of care and treatment through appropriate outcomes measures.

Little is known about complaints made by psychiatric patients. The aim of this study is to analyse complaints made by, or behalf of, inpatients at a large independent psychiatric hospital.

The hospital's complaints register was used to identify and study complaints made during 2006. A descriptive analysis was performed.

Of the 392 complaints, 39 per cent related to staff behaviour, 26 per cent to clinical matters, 18 per cent to the behaviour of other patients and the remaining 16 per cent to the physical environment and facilities. Action as a result of complaints was mainly taken at unit level but in 9 per cent of cases organisation‐wide improvements were made, for example to enrich patient treatment programmes, rectify staff shortages and improve the quality of meals.

The study took place in a specialist hospital and so the findings cannot be generalised to the wider NHS. Important differences exist between complaints made in psychiatric as opposed to general hospital settings.

Complaints are a valuable source of organisational learning for mental health services.

Given the paucity of literature on complaints in psychiatry, this study describes some in detail the nature of patients' complaints and one organisation's actions to improve patient services as a result of these complaints.

This paper aims to explore the parameters of Bulgarian cigarette advertising in the Cold War period. It contrasts the evolution of cigarette marketing in Bulgaria and the USA in the context of contrasting communist and capitalist notions of the “good life” versus the “common good”.

The paper is informed by a growing literature on advertising under communism, but also new work on consumption in the Soviet Union and Cold War Eastern Europe. It draws upon archival and printed Bulgarian, and some American, sources, and the memoir of a key player in the Bulgarian tobacco industry.

The paper concludes that marketing of cigarettes in communist Bulgaria gained momentum in the same period that cigarette advertising in the USA was severely curtailed. In Bulgaria, the notion that cigarettes were key to the promised “good life” and “building socialism”, out-weighed any notion of harm to the “common good”.

This study casts doubt on the common notion that there was no advertising under communism, by offering an in-depth study of an industry that was allowed to market and develop a quality product to an unusual degree. It undermines assumptions about “command” economy, industry behavior, contributing to a re-thinking of Eastern Bloc consumer culture. In addition, it sheds light on changes in the acceptability of cigarette advertising within the Cold War context, namely, how the process of advertising regulation in the West, and increased marketing in the East, fit into Cold War debates and interactions.

The concept of intelligent buildings has evolved as the use of information technology — electronic data handling — has grown. There are several strands to this concept Separating them will enable facilities managers to assess the relevance of the whole, and to make informed decisions on their organisation's need for intelligent buildings — and intelligence in buildings.

The supposedly radical development of artificial intelligence (AI) has raised questions regarding the moral responsibility of it. In the sphere of business, they are translated into questions about AI and business ethics (BE) and corporate social responsibility (CSR). The purpos of this study is to conceptually reformulate these questions from the point of view of two possible aspect-changes, namely, starting from corporate social irresponsibility (CSI) and starting not from AIs incapability for responsibility but from its ability to imitate human CSR without performing typical human CSI.

The author draws upon the literature and his previous works on the relationship between AI and human CSI. This comparison aims to remodel the understanding of human CSI and AIs inability to be CSI. The conceptual remodelling is offered by taking a negative view on the relation. If AI can be made not to perform human-like CSI, then AI is at least less CSI than humans. For this task, it is necessary to remodel human and AI CSR, but AI does not have to be CSR. It is sufficient that it can be less CSI than humans to be more CSR.

The previously suggested remodelling of basic concepts in question leads to the conclusion that it is not impossible for AI to act or operate more CSI then humans simply by not making typical human CSIs. Strictly speaking, AI is not CSR because it cannot be responsible as humans can. If it can perform actions with a significantly lesser amount of CSI in comparison to humans, it is certainly less CSI.

This paper is only a conceptual remodelling and a suggestion of a research hypothesis. As such, it implies particular morality, ethics and the concepts of CSI and AI.

How this remodelling could be done in practice is an issue of future research.

The author delivers the paper on comparison between human and AI CSI which is not much discussed in literature.

This chapter examines the developmental journey toward a sustainable healthcare system in the west of Skaraborg County in Sweden from 2000 to 2010. It tracks a stream of collaborative research projects within the context of the Swedish sustainability debate that were focused on achieving improved care quality, patient safety, efficiency, and efficacy. The case reports how a central government directive to integrate healthcare at the local level – the county – led to the establishment of a development coalition management group that designed and managed the transformation via broad participation and engagement mechanisms. The transformation process toward a more sustainable healthcare system raises theoretical and practical questions about sustainable effectiveness, the role of partizcipation and learning mechanisms such as democratic dialogue conferences in sustainable effectiveness, the tension between planned and emergent change processes, and the challenge of integration in the drive toward a sustainable healthcare system.