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This paper presents an alternative approach to urban development which emphasizes broad based citizen participation in identifying neighbourhood needs and skills as the basis for neighbourhood based development. Process and results of a survey of 444 urban households in Schenectady, New York, affirm the role resident participation can play in identifying development strategies which support social connections, despite existing communication and institutional barriers.

Despite its now widespread use, the concept of sustainability remains ambiguous. Its varying definitions carry the marks of the disciplines defining it. Sustainability as defined in economics is commonly conceptualized as economic development constrained by considerations of environmental sustainability. This concept follows familiar notions of internalizing the externalities of economic activity into the framework of economics. In contrast to this common notion, this paper argues that sustainability cannot be achieved unless economics is internalized into the social and environmental context within which all economic activity takes place. Internalizing economics into contextual, material reality can also be described as the need to preserve three types of services: technological services; relational services; and ecosystem services. Much attention has been given to sustaining and expanding the first to the neglect and destruction of the latter two. This makes evident the fact that internalizing economics requires more than an awareness of physical context. It requires also an awareness of the ethical context which supports or undermines the sustaining of essential caring and ecosystems services. To illustrate this point the implications of utilitarian ethics for sustainability are contrasted with those of the ethics of care.

Economists have generally framed the question of welfare in terms of wealth creation and distribution. More recently this conception of welfare has been challenged by concerns for the unsustainability of expanding material wealth. Sustainability thus requires the expansions of welfare considerations to include the limits posed by the biophysical world within which all economic activity takes place. This paper pursues the question how the concept of ethics generally accepted and operative in mainline economics influences our understanding of sustainability. The question pursued is whether this concept of ethics can lead to sustainability or whether other ethical concepts are necessary to achieve a more compatible relationship between economic activity and sustainability? To pursue this question three ethical concepts are discussed: utilitarian ethic, discursive ethic, and the ethic of care. In each case the question is raised whether the ethical concept under consideration contributes to or undermines sustainability. The conclusion reached in this paper is that a utilitarian ethic leads to a perception of the links between economic activity and environmental context which is not likely to yield sustainable outcomes beyond an economically defined notion of sustainability. Discursive ethic and ethic of care have important contributions to make to redefining concept and implementation of broader sustainability goals.

The loss of bio‐diversity has received increasing attention as one of the most serious environmental threats we face. Yet not only biodiversity is being lost at staggering rates, socio‐diversity is being lost as well. Sociodiversity is defined as the various social and economic arrangements by which people organize their societies, particularly the underlying assumptions, goals, values and social behaviours guiding these arrangements. Just as the loss of bio‐diversity has focused attention on the interface between human socio‐economic and ecological systems, so too can the interaction between these systems give us insights into the reasons for the loss of diversity in socio‐economic systems. Examines the assumptions and valuation concepts underlying economic theory and the ways in which mainline economic theory contributes to the loss of socio‐economic diversity. The analysis draws on ecologically relevant concepts and proposes that the base for economic theory and valuation be expanded to include five categories identified as relevant to sustain bio‐diversity. These are: context, participation, place, limits and temporality. These categories point to the need to expand, diversify and make concrete economic theory and methodology.

Young people transitioning from child to adult mental health services are frequently also known to social services, but the role of such services in this study and their interplay with mental healthcare system lacks evidence in the European panorama. This study aims to gather information on the characteristics and the involvement of social services supporting young people approaching transition.

A survey of 16 European Union countries was conducted. Country respondents, representing social services’ point of view, completed an ad hoc questionnaire. Information sought included details on social service availability and the characteristics of their interplay with mental health services.

Service availability ranges from a low of 3/100,000 social workers working with young people of transition age in Spain to a high 500/100,000 social workers in Poland, with heterogeneous involvement in youth health care. Community-based residential facilities and services for youth under custodial measures were the most commonly type of social service involved. In 80% of the surveyed countries, youth protection from abuse/neglect is overall regulated by national protocols or written agreements between mental health and social services, with the exception of Czech Republic and Greece, where poor or no protocols apply. Lack of connection between child and adult mental health services has been identified as the major obstacles to transition (93.8%), together with insufficient involvement of stakeholders throughout the process.

Marked heterogeneity across countries may suggest weaknesses in youth mental health policy-making at the European level. Greater inclusion of relevant stakeholders is needed to inform the development and implementation of person-centered health-care models. Disconnection between child and adult mental health services is widely recognized in the social services arena as the major barrier faced by young service users in transition; this “outside” perspective provides further support for an urgent re-configuration of services and the need to address unaligned working practices and service cultures.

This is the first survey gathering information on social service provision at the time of mental health services transition at a European level; its findings may help to inform services to offer a better coordinated social health care for young people with mental health disorders.

This study aims to explore how young people in child and adolescent mental health services (CAMHS) in the UK, Ireland, The Netherlands and Croatia, experienced leaving CAMHS and identified a range of factors impeding optimal discharge or transition to adult mental health services (AMHS).

Interviews about discharge or transition planning, including what information was provided about their ongoing mental health needs, undertaken with 34 young people aged 17–24, all previous or current attendees of CAMHS. Some interviews included accounts by parents or carers. Data were thematically analysed.

A number of previously well-documented barriers to a well-delivered discharge or transition were noted. Two issues less frequently reported on were identified and further discussed; they are the provision of an adequately explained, timely and appropriately used diagnosis and post-CAMHS medication management. Overall, planning processes for discharging or transitioning young people from CAMHS are often sub-optimal. Practice with regard to how and when young people are given a diagnosis and arrangements for the continuation of prescribed medication appear to be areas requiring improvement.

Study participants came from a large cohort involving a wide range of different services and health systems in the first pan-European study exploring the CAMHS to adult service interface. Two novel and infrequently discussed issues in the literature about young people’s mental health transitions, diagnosis and medication management were identified in this cohort and worthy of further study.