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The purpose of this paper is to conduct a preliminary evaluation of a Violent Offender Treatment Program (VOTP) adapted for use in a medium secure unit (MSU). The patient population is adult male mentally disordered offenders.

Patient outcomes are explored using the Reliable Change Index and Clinical Significance Criterion. Outcomes are assessed using VOTP facilitators violence risk assessment (VRS), multi-disciplinary team violence risk assessment (HCR-20 and GAS-V), and patient self-report using two measures (FAVT and STAXI-2).

There was evidence of improved outcomes for some participants in some areas related to risk of violence.

Consideration is given to using varied risk assessments to evaluate outcomes of an adapted VOTP for a MSU.

There is limited development and evaluation of psychological treatment programmes that aim to reduce risk of violence for male offenders within MSUs. Outcomes of this evaluation could influence treatment delivery and evaluation in other services.

The purpose of this paper is to explore the experiences of both staff and patients in a medium-secure mental health unit of the self-harm and/or suicidal behaviour of others. Suicide and self-harm is highly prevalent in forensic settings and evidence suggests that experiencing other people’s self-harm and suicidal behaviour can lead to negative outcomes, both for staff and patients. This is particularly important in hospitals where patients are highly dependent on staff for support.

Semi-structured interviews were conducted with five staff members and six patients in a medium-secure male mental health unit in the North of England. Data were analysed following interpretative phenomenological analysis guidelines.

Three dominant themes were identified during analysis: the impact of suicide and self-harm; the role of others; and the importance of understanding and experience. Various impacts were discussed including desensitization, negative emotions and the desire to help. Other people played an important role in protecting against negative impacts, with shared experiences and peer support reported as the biggest benefits. Experiences of self-harm and suicide were found to increase understanding resulting in more positive attitudes. Additionally, the importance of training and education was highlighted.

This paper provides an insight into the experiences of staff and patients in medium-secure male mental health unit, which has benefits to practitioners when considering support mechanisms.

This essay employs a visual approach to explore some of the ways that spatial practices become markers of a globalising and glocalizing world. Images are offered that reflect some of the symbolic competition created by more and less recent migrants as they lay claim to ‘contested terrains’ by changing what they look like. Although often dismissed as mere “marking” of territory, such ordinary practices by migrants of symbolic home or community building are crucial to understanding global cities. One indicator of their importance is the, often hostile reactions by the dominant society to them. A brief review of some of the most important theoretical perspectives on these interrelated phenomena, such as those of Saskia Sassen, David Harvey, and Manuel Castells, isolates common expectations about the visibility of resulting competing spatial practices in shared multiethnic residential and commercial environments. It is argued that many of the contradictions created by the concentration of global capital can be seen in the neighborhood streetscapes of global cities. From Georg Simmel, through Henri Lefebvre, and Lyn H. Lofland, the visible, and the symbolic, have been central to urban analysis. Therefore, the ubiquitous aspects of what Jackson called ‘vernacular landscapes,’ such as commercial signs and graffiti in Berlin, Frankfurt am Main, London, New York, and Rome are addressed.

The following is an annotated list of materials dealing with orientation to library facilities and services, instruction in the use of information resources, and research and computer skills related to retrieving, using, and evaluating information. This review, the fifteenth to be published in Reference Services Review, includes items in English published in 1988. A few are not annotated because the compiler could not obtain copies of them for this review.

The purpose of this paper is to investigate patient perspectives on attending pulmonary rehabilitation (PR). This qualitative case study identifies the benefits and challenges to attending PR and presents areas of improvements as recommended by patients.

A qualitative case study of a UK case study based on a PR programme based on undertaking focus groups (n=3) and interviews (n=15) with current and former patients.

The findings report patient perspectives of the challenges and benefits of attending a PR programme along with recommendations on how the service could be improved.

The authors focussed solely on a UK PR programme, so the findings might not be applicable to other countries if PR is organised and provided in a unique way or setting.

This paper provides valuable insights to patient perspectives offrom patients attending PR programmes, which are useful to those running and designing these services.

The findings identify the benefits and challenges for patients attending PR programmes and suggest areas where improvements can be made.

AT THE instigation of Peter Labdon, who is County Librarian of Suffolk as well as a member of the executive committee of the National Book League (when his awesome editorial responsibilities at NLW allow him the time), the NBL is starting an exciting new development designed to create, it is hoped, a set of regional branches throughout the UK.

Hepatitis C virus (HCV) is highly prevalent in the United States, yet is largely culturally invisible. This study examines what people know about their illness, both before and after diagnosis, and the relationship to race. The data are from in-depth interviews in 2004 with 53 persons, mostly white or African American, with HCV in the southeastern United States. The respondents have varying educational backgrounds, family incomes, and possible modes of transmission of HCV. Regardless of whether the diagnosis of HCV came as a surprise, respondents had a range of reactions including fear, shock, sadness, and ambivalence. Knowledge of the disease postdiagnosis varies as some people have expert knowledge, moderate knowledge, or inaccurate to no knowledge of the disease. Minority respondents have less knowledge of HCV than whites. This racial disparity in knowledge has profound implications for people with HCV and the larger society.

This paper aims to update the chapter by Sutton and Murray in Support from the Start by providing an overview of: research linking the development and experiences of infants and toddlers with the risks of later antisocial behaviour; and evidence on effective interventions for children aged 0‐2 and their families.

The authors give a narrative review on the effects on mothers and their babies of postnatal depression.

The review examines the effects on mothers and their babies of postnatal depression, impaired bonding, insecure attachment as well as the impact of maltreatment in childhood. It considers a number of evidence‐based preventive interventions implemented in the UK to help children aged 0‐2 and their parents.

The paper provides an overview of recent evidence for the factors contributing to difficulties for parents of young children and identifies interventions demonstrated in high‐quality studies to prevent or address these problems.