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A quantitative observational study was conducted. The purpose of this study is to examine the continuing adherence to the stopping over-medication of people with intellectual disability and/or autism guidelines for a cohort of outpatients seen in the outpatients’ clinics in the two teams who participated in this study to review the trend of psychotropic prescribing with a prescription indication along with the utilisation of non-pharmacological interventions.

Data was retrospectively collected over a period of one year for patients sampled conveniently in the outpatient’s clinic. The data was collected from two sites from psychiatric letters to the general practitioners (GPs), with the focus being psychotropic prescription indication and their adherence to British National Formulary limits, inclusion of a wider multi-disciplinary team or MDT (including nurses, psychologists and health support workers), use of Clinical Global Impression (CGI) scale for assessing medication side effects and response to treatment.

Most of the patients had at least one review in the previous six months. Antipsychotics were the highest prescribed medications without an indication for their use (13.3%) followed by anxiolytics and other medications. CGI recording was suboptimal, with 26% of the patient population did not have medication side effects and effectiveness monitored through this method. In total, 41% of patients were open to community nurses followed by other disciplines.

To the best of the authors’ knowledge, this is an original article following the pilot study completed by the authors.

A region’s transforming care partnership identified that autistic adults without an intellectual disability (ID) may be falling through gaps in services when presenting with a significant emotional and/or behavioural need in the absence of a mental health diagnosis. The region’s intensive support teams (ISTs) for adults with ID therefore piloted a short-term “behavioural support service” for this population. The purpose of this paper is to evaluate this pilot.

This study represents a mixed-methods service evaluation over a four year pilot period. The quantitative component examined referral rates and demographic data of accepted and declined referrals; and length of referral episodes and Health of The Nation Outcomes Scores (HoNOS) for accepted referrals. The qualitative component used thematic analysis to identify key themes relating to reasons for referral, clinical/therapeutic needs, and the models of support that most informed assessments and interventions at individual and systems levels.

The ISTs accepted 30 referrals and declined 53. Most accepted referrals were male (83%), and under 24 years old (57%). Average HoNOS scores were above the thresholds generally associated with hospital admission. Key qualitative themes were: transitional support; sexual risks/vulnerabilities; physical aggression; domestic violence; and attachment, trauma and personality difficulties. Support mostly followed psychotherapeutic modalities couched in trauma, attachment and second- and third-wave cognitive behavioural therapies. Positive Behaviour Support (PBS) did not emerge as a model of preference for service users or professionals.

This project represents one of the first of this type for autistic adults without an ID in the UK. It provides recommendations for future service development and research, with implications for Transforming Care policy and guidance.

This study aims to identify the critical factors contributing to India-based non-governmental organizations (NGOs) capacity building and value creation for beneficiaries.

A total interpretive structural modeling technique has been used to develop a hierarchical model of critical factors and understand their direct and indirect interrelationships. The driving force and dependence force of these factors were determined by using cross-impact matrix multiplication applied to classification analysis.

This study identifies 12 critical factors influencing NGO capacity building in India’s intellectual disability sector across four dimensions. Internal organizational capabilities include infrastructure, staff qualifications, fundraising, vocational activities and technical resources. Second, coordination and stakeholder engagement highlight government and agency collaboration, dedicated board members and stakeholder involvement. Third, adaptability and responsiveness emphasize adjusting to external trends and seizing opportunities. Finally, impact and value creation emphasis on improving value for persons with disabilities (PWDs).

The findings of this study have practical implications for Indian NGOs working for PWDs. The study provides NGOs with a structural model for improving organizational capacity by identifying and categorizing critical factors into the strategic model.

There is a scarcity of literature on capacity building for disability-focused NGOs in India. This study seeks to identify critical factors and develop a hierarchical model of those factors to assist policymakers in India in building the capacity of NGOs.

The study aims to delve into the influence of tourism on the happiness of city residents, grounded in the overarching concept of livability. It posits that prioritizing residents’ happiness is crucial for effectively addressing cities’ challenges in balancing development and distinctiveness. The study pursues three primary objectives: first, establishing a potential correlation between city tourism and residents’ happiness; second, examining the contributing factors to this correlation and third, identifying potential mediators that influence the connection between tourism development and residents’ happiness.

Using a quantitative single-case design and partial least square analysis, the study underscores the intricate nature of various tourism development components. It specifically explores the roles of cognitive flexibility and social comparison in shaping the relationship between city tourism and happiness.

The findings make a distinctive contribution by revealing that not all tourism domains contribute positively to happiness. Furthermore, it sheds light on how tourism development impacts the emotional and cognitive dimensions of happiness, emphasizing the adverse effects of inequality and feelings of insecurity.

The study acknowledges certain constraints, including its employment of a cross-sectional design, the issue of generalizability, potential sampling bias and the reliance on subjective measurements when evaluating constructs like happiness and satisfaction with life. Using self-reported data introduces susceptibility to social desirability bias and individual perceptual differences, potentially resulting in measurement inaccuracies. Nevertheless, despite these limitations, the study’s findings offer valuable insights that contribute to both theoretical advancement and the realm of urban management.

The findings elucidated through the mediation analyses conducted for hypotheses three to seven shed light on the significant roles played by mental adaptation and social comparison mechanisms in shaping individuals’ happiness. These insights substantially enhance our understanding of this field. Particularly, the dimensions of social and environmental impact within tourism appear to counterbalance the positive effects stemming from the economic and cultural aspects. This suggests a scenario where an excessive focus on tourism development could potentially undermine the overall livability of the city. These outcomes further indicate the necessity for proactive interventions by destination managers. Their efforts should be directed toward enhancing the environmental and social domains, aiming to reinvigorate the sense of community among residents, which appears to be gradually waning.

The outcomes of this study emphasize the utmost significance of prioritizing residents’ happiness above mere considerations of economic growth when formulating efficacious strategies for tourism. By concentrating on the happiness of the local population, a harmonious resonance is established with Sustainable Development Goal 11, which advocates for the creation of habitable cities founded upon the principle that “a city that is not good for its citizens is not good for tourists.” This alignment underscores the interconnected nature of residents’ happiness and the sustainable development of tourism. Moreover, residents’ happiness plays a pivotal role in addressing the challenge that cities face in harmonizing growth and their uniqueness, ensuring competitiveness and sustainability.

The research underscores the need for a people-oriented perspective in urban planning and tourism development initiatives. The study identifies diverse factors impacting residents’ happiness in city tourism, highlighting the complex interplay of environmental, cultural and socioeconomic elements. It emphasizes income’s role but underscores nonmaterial factors and individual preferences. Overall, the study offers timely and valuable insights into the intricate connection between tourism development, residents’ happiness, living conditions and human perception, guiding urban planners and stakeholders.

This study aims to determine the prevalence and predictors of postpartum depression (PPD) among nursing mothers in Nsukka, Nigeria.

This study was a descriptive cross-sectional survey among nursing mothers in three hospitals in Nsukka, Nigeria. Data was collected using a self-administered Edinburgh Postpartum Depression Scale (EPDS) and sociodemographic form. The data obtained were analyzed using descriptive statistics, chi-square test and binary logistic regression.

A total of 270 nursing mothers participated in this survey, giving a response rate of 94.4%. The prevalence of PPD among the study group was 20.0%. However, women who did not have complications during childbirth were about two times (AOR = 0.417, 95% CI = 0.204, 0.852, P = 0.016) less likely to develop symptoms of PPD than women who experienced birth complications. In addition, women who had poor relationships with their partners have approximately seven times (AOR = 6.994, 95% CI = 1.110, 44.059, P = 0.038) higher odds of developing PPD compared with those women who had excellent relationships with their partners.

The sample size was small, hence, might limit the generalizability of its findings beyond the study group. Health-care practitioners should provide appropriate interventions to women at a higher risk of developing PPD on the need to maintain a healthy and supportive relationship with their partners.

This study provides unique insight into PPD among nursing mothers and its determinants from a different regional, socioeconomic, societal expectations, social support system, access to health care and cultural context.