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1 – 10 of 14
Article
Publication date: 15 July 2019

Elizabeth Koschmann, James L. Abelson, Amy M. Kilbourne, Shawna N. Smith, Kate Fitzgerald and Anna Pasternak

Mood and anxiety disorders affect 20–30 percent of school-age children, contributing to academic failure, substance abuse, and adult psychopathology, with immense social and…

Abstract

Purpose

Mood and anxiety disorders affect 20–30 percent of school-age children, contributing to academic failure, substance abuse, and adult psychopathology, with immense social and economic impact. These disorders are treatable, but only a fraction of students in need have access to evidence-based treatment practices (EBPs). Access could be substantially increased if school professionals were trained to identify students at risk and deliver EBPs in the context of school-based support services. However, current training for school professionals is largely ineffective because it lacks follow-up supported practice, an essential element for producing lasting behavioral change. The paper aims to discuss these issues.

Design/methodology/approach

In this pilot feasibility study, the authors explored whether a coaching-based implementation strategy could be used to integrate common elements of evidence-based cognitive behavioral therapy (CBT) into schools. The strategy incorporated didactic training in CBT for school professionals followed by coaching from an expert during co-facilitation of CBT groups offered to students.

Findings

In total, 17 school professionals in nine high schools with significant cultural and socioe-conomic diversity participated, serving 105 students. School professionals were assessed for changes in confidence in CBT delivery, frequency of generalized use of CBT skills and attitudes about the utility of CBT for the school setting. Students were assessed for symptom improvement. The school professionals showed increased confidence in, utilization of, and attitudes toward CBT. Student participants showed significant reductions in depression and anxiety symptoms pre- to post-group.

Originality/value

These findings support the feasibility and potential impact of a coaching-based implementation strategy for school settings, as well as student symptom improvement associated with receipt of school-delivered CBT.

Details

The Journal of Mental Health Training, Education and Practice, vol. 14 no. 4
Type: Research Article
ISSN: 1755-6228

Keywords

Open Access
Book part
Publication date: 19 November 2020

Abstract

Details

The Impact of Global Drug Policy on Women: Shifting the Needle
Type: Book
ISBN: 978-1-83982-885-0

Book part
Publication date: 24 October 2022

Ashley N. Jackson

Using archival data from the American Civil Liberties Union of Eastern Missouri and current data from Fatal Encounters (FE), this study descriptively compared concentrated…

Abstract

Using archival data from the American Civil Liberties Union of Eastern Missouri and current data from Fatal Encounters (FE), this study descriptively compared concentrated incidents of fatal police shootings of civilians in St. Louis, Missouri at two points in time – 1970 to 1980 and 2000 to 2010. This study also explored connections to race and income by mapping the composition of Black residents and levels of concentrated economic disadvantage using 1980 and 2010 United States Census data. Geographic Information Systems (GISs) results revealed noticeable similarities in the sites of fatal police shootings of civilians across the two time periods. Specifically, most of the incidents occurred in the northern and southeastern sectors of St. Louis City in neighborhoods with a higher number of Black residents and impacted by economic disadvantage. All of the individuals shot and killed by the police were male, and a majority were 22 years old or younger, and armed during the incident. Results from police perceptions studies from the 1970s and early to mid oughts are also discussed to posit that a persistence of police violence historically and presently may help offer key insights into how legal estrangement may ensue.

Book part
Publication date: 24 September 2014

Deborah DiazGranados, Alan W. Dow, Shawna J. Perry and John A. Palesis

The purpose of this chapter is to highlight some of the critical multiteam system (MTS) issues that are faced in healthcare by utilizing case studies that illustrate the…

Abstract

Purpose

The purpose of this chapter is to highlight some of the critical multiteam system (MTS) issues that are faced in healthcare by utilizing case studies that illustrate the transition of a patient through the healthcare system and suggest a possible approach to studying these issues.

Design/methodology/approach

The approach taken by the authors is a case study approach, which is used to illustrate the transition of a patient through several venues in a healthcare system. This approach elucidates the MTS nature of healthcare. Moreover, a methodological explanation, social network analysis (SNA), for exploring the description and analysis of MTSs in healthcare is provided.

Findings

The case study approach provides concrete examples of the complex relationship between providers caring for a single patient. The case study describes the range of shared practice in healthcare, from collaborative care within each setting to the less obvious interdependence between teams across settings. This interdependence is necessary to deliver complex care but is also a source of potential errors during care. SNA is one tool to quantify these relationships, link them to outcomes, and establish areas for future research and quality improvement efforts.

Originality/value

This chapter offers a unique holistic view of the transition of a patient through a healthcare system and the interdependency of care necessary to deliver care. The authors show a methodology for assessing MTSs with a discussion of utilizing SNA. This foundation may offer promise to better understand care delivery and shape programs that can lead to improvement in care.

Details

Pushing the Boundaries: Multiteam Systems in Research and Practice
Type: Book
ISBN: 978-1-78350-313-1

Keywords

Abstract

This chapter explores the relationships between organisational type, rationales and the barriers that prevent community food projects from increasing the scale of their operations. From a broad survey of community food projects, organisations were divided according to their primary rationale (e.g. rural economic development and distribution), and then subdivided – by form – as a non-profit, private business, governmental agency or cooperative. Data from the interviews and surveys were coded using a qualitative grounded theory approach, to reveal the barriers experienced by each. Overall, access to long-term stable income is a recurrent theme across all types of projects. However, income sources dramatically change how these organisations prioritise barriers. Similarly, the organisation’s primary rationale and experiences influence the interpretation and approach to collaboration and education. Despite these differences, our results suggest a large degree of convergence that cuts across organisational forms and rationales, and offer a base for broader regional food system conversations.

Details

Alternative Agrifood Movements: Patterns of Convergence and Divergence
Type: Book
ISBN: 978-1-78441-089-6

Book part
Publication date: 6 December 2007

Rolf Färe, Shawna Grosskopf, Mats Lundström and Pontus Roos

The purpose of this chapter is to suggest a general framework for assessing the efficiency of health care in general, and health care interventions specifically. We begin with a…

Abstract

The purpose of this chapter is to suggest a general framework for assessing the efficiency of health care in general, and health care interventions specifically. We begin with a three-pronged overview of assessing performance in health care which begins with what we call the budget or cost side model relating budgets and costs to treatments. Next we proceed to describing an intermediate outputs specification which relates hospital resources to medical outcomes, and we conclude with a final outcomes model which relates the medical outcomes to patient health outcomes. The third model is illustrated with an application to data from Swedish cataract patients.

Details

Evaluating Hospital Policy and Performance: Contributions from Hospital Policy and Productivity Research
Type: Book
ISBN: 978-0-7623-1453-9

Article
Publication date: 1 April 1992

William L. Weber

Extends Mäler′s notion of weak complementarity between aprivate good and a public good to non‐homothetic demand functions whichcan be exactly aggregated. Aggregate demand…

Abstract

Extends Mäler′s notion of weak complementarity between a private good and a public good to non‐homothetic demand functions which can be exactly aggregated. Aggregate demand functions depending on private prices, public good quantities and income distribution statistics can then be used to recover the private individual demand functions which reveal an individual′s willingness to pay for public goods.

Details

Journal of Economic Studies, vol. 19 no. 4
Type: Research Article
ISSN: 0144-3585

Keywords

Open Access
Article
Publication date: 28 November 2019

Shawna Chan and Robert Bota

Noninvasive brain stimulation (NIBS) such a transcranial magnetic stimulation, intermittent theta burst stimulation, transcranial direct current stimulation and electroconvulsive…

Abstract

Purpose

Noninvasive brain stimulation (NIBS) such a transcranial magnetic stimulation, intermittent theta burst stimulation, transcranial direct current stimulation and electroconvulsive therapy have emerged as an efficacious and well-tolerated therapy for treatment-resistant psychiatric disorders. While novel NIBS techniques are an exciting addition to the current repertoire of neuropsychiatric therapies, their success is somewhat limited by the wide range of treatment responses seen among treated patients.

Design/methodology/approach

In this study, the authors will review the studies on relevant genetic polymorphisms and discuss the role of RNA genotyping in personalizing NIBS.

Findings

Genome studies have revealed several genetic polymorphisms that may contribute for the heterogeneity of treatment response to NIBS where the presence of certain single nucleotide polymorphisms (SNPs) are associated with responders versus nonresponders.

Originality/value

Historically, mental illnesses have been arguably some of the most challenging disorders to study and to treat because of the degree of biological variability across affected individuals, the role of genetic and epigenetic modifications, the diversity of clinical symptomatology and presentations and the interplay with environmental factors. In lieu of these challenges, there has been a push for personalized medicine in psychiatry that aims to optimize treatment response based on one’s unique characteristics.

Book part
Publication date: 3 December 2014

Douglas H. Constance, William H. Friedland, Marie-Christine Renard and Marta G. Rivera-Ferre

This introduction provides an overview of the discourse on alternative agrifood movements (AAMs) to (1) ascertain the degree of convergence and divergence around a common ethos of…

Abstract

This introduction provides an overview of the discourse on alternative agrifood movements (AAMs) to (1) ascertain the degree of convergence and divergence around a common ethos of alterity and (2) context the chapters of the book. AAMs have increased in recent years in response to the growing legitimation crisis of the conventional agrifood system. Some agrifood researchers argue that AAMs represent the vanguard movement of our time, a formidable counter movement to global capitalism. Other authors note a pattern of blunting of the transformative qualities of AAMs due to conventionalization and mainstreaming in the market. The literature on AAMs is organized following a Four Questions in Agrifood Studies (Constance, 2008) framework. The section for each Question ends with a case study to better illustrate the historical dynamics of an AAM. The literature review ends with a summary of the discourse applied to the research question of the book: Are AAMs the vanguard social movement of our time? The last section of this introduction provides a short description of each contributing chapter of the book, which is divided into five sections: Introduction; Theoretical and Conceptual Framings; Food Sovereignty Movements; Alternative Movements in the Global North; and Conclusions.

Details

Alternative Agrifood Movements: Patterns of Convergence and Divergence
Type: Book
ISBN: 978-1-78441-089-6

Article
Publication date: 29 October 2014

Robert Smith

The purpose of this study is to consider entrepreneurial imagery that sheds light on differing and emerging patterns of female entrepreneurial identity which illustrate shifts in…

Abstract

Purpose

The purpose of this study is to consider entrepreneurial imagery that sheds light on differing and emerging patterns of female entrepreneurial identity which illustrate shifts in the locus of power that challenge masculine hegemony and power structures. As a concept, power has an image component, and shifts in power are often conveyed by subtle changes in the cultural semiotic. Globally, images of female-entrepreneurship are socially constructed using stereotypes which are often pejorative. The semiotics of gendered identity as a complex issue is difficult to measure, assess and understand. Gender has its own semiotic codes, and, universally, images of female-entrepreneurship are socially constructed using pejorative stereotypes. Entrepreneurial imagery can shed light on differing and emerging patterns of female-entrepreneurial identity illustrating shifts in the locus of power that challenge masculine hegemony and power structures. Artefacts, images and semiotics construct alternative gendered social constructs of the entrepreneur to the heroic alpha-male. The imagery associated with the female-entrepreneur is either said to be invisible, or associated with “Pinkness” and the “Pink Ghetto”. Therefore, images, forms and presence associated with gendered entrepreneurial identities have been explored.

Design/methodology/approach

One hundred images of female-entrepreneurship were analysed semiotically using photo-montage techniques to identify common stereotypical representations, archetypes and themes. The resultant conceptual typology highlights the existence of near universal, archetypal gendered entrepreneurial stereotypes including the Business Woman; the Matriarch; the Diva; and the Pink-Ghetto Girl.

Findings

Although the results are subjective and open to interpretation, they illustrate that the contemporary female-entrepreneur, unlike their male counterparts, is not forced to adopt the persona of the “conforming non-conformist” because they have more options available to them to construct an entrepreneurial identity.

Research limitations/implications

This study extends research into entrepreneurial identity by considering visual imagery associated with socially constructed stereotypes. In looking beyond images associated with the “Pink-Ghetto” the author challenges stereotypical representations of the appearance of female-entrepreneurs, what they look like and how they are perceived.

Originality/value

This study widens knowledge about entrepreneurship as a socio-economic phenomenon via images forming part of enterprising identity, a physical manifestation of nebulas phenomena acting as “visual metaphors” shaping expected constructs.

Details

Gender in Management: An International Journal, vol. 29 no. 8
Type: Research Article
ISSN: 1754-2413

Keywords

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