scholarly journals Facilitating User Involvement in Activation Programmes: When Carers and Clerks Meet Pawns and Queens

2014 ◽  
Vol 44 (2) ◽  
pp. 235-254 ◽  
Author(s):  
ANNE BRITT DJUVE ◽  
HANNE C. KAVLI
Keyword(s):  
Human Factor ◽  
Service Providers ◽  
Qualitative Interviews ◽  
User Involvement ◽  
Individual Characteristics ◽  
Service Users ◽  
Ideal Types ◽  
Number Of Factors ◽  
User Influence ◽  
The Individual

AbstractUser involvement has become an explicit goal within social service provision. Even so, the term remains ambiguous, and its implementation troublesome. Implementation theory lists a number of factors influencing bureaucratic behaviour; in this paper we investigate the ‘human factor’. Our ambition is to provide a framework for analysis of user influence in activation programmes that includes the individual characteristics of both service users and service providers. Building on theoretical insights from the literature on activation and agency, we develop a framework that distinguishes between two ideal types of service users: Pawns and Queens, and two types of service providers: care-oriented Carers and rule-oriented Clerks. This framework is then applied to identify key challenges for the interaction between users and caseworkers in two challenging situations: when service users express little or no agency and when they express agency that is incompatible with the overall goals of the programme. We find that Carers show pronounced reluctance to overrule the choices made by service users even when they have conflicting views – and tend to postpone decisions when they interact with Pawns. Clerks tend to overrule the decisions of Queens when they have conflicting views, and to make decisions on behalf of Pawns. The analysis draws on data collected from 126 qualitative interviews with service providers and participants in the Norwegian Introductory Programme for immigrants and a survey of 320 caseworkers.

scholarly journals Treatment challenges for alcohol service users in Kampala, Uganda

2017 ◽  
Vol 6 (1) ◽  
pp. 27-35 ◽  
Author(s):  
David Kalema ◽  
Wouter Vanderplasschen ◽  
Sofie Vindevogel ◽  
Peter K Baguma ◽  
Ilse Derluyn
Keyword(s):  
Service Providers ◽  
Qualitative Interviews ◽  
Alcohol Treatment ◽  
Capital City ◽  
Treatment Center ◽  
Service Users ◽  
Individual Level ◽  
Treatment Participation ◽  
Sub Saharan ◽  
The Individual

Kalema, D., Vanderplasschen, W., Vindevogel, S., Baguma, P., & Derluyn, I. (2017). Treatment challenges for alcohol service users in Kampala, Uganda. The International Journal Of Alcohol And Drug Research, 6(1), 27-35. doi:http://dx.doi.org/10.7895/ijadr.v6i1.240Background and Aims: Enhancing treatment participation of persons with substance use disorders is a challenge worldwide. Obstacles keeping people from entering or continuing treatment are well documented in Western countries, but such knowledge is scarce in majority countries that face particular challenges when implementing alcohol policies. This study aimed at identifying factors challenging treatment participation in Uganda, a Sub-Saharan country with a considerable alcohol problem.Methods: Data were collected during 30 in-depth, qualitative interviews on treatment challenges with 20 service providers and 10 male service users, who were recruited at one public and one private alcohol treatment center in the Ugandan capital city, Kampala. Men comprise about 90% of the total number of service users in these centers. Interview data were analyzed thematically, using Nvivo software, and were categorized around three levels of treatment challenges: societal, institutional, and personal challenges.Findings: Interview findings showed several treatment challenges relating to institutional aspects like inadequate human resources, overall insufficiency of services, and the treatment philosophy of available services. Respondents identified stigma and cultural interference as important challenges at the societal level, while limited awareness about addiction and denial of problems can be situated at the individual level.Conclusions: Institutional, societal, and personal challenges keep persons with AUD from participating in alcohol treatment in public and private services in Uganda. Alcohol regulation, sensitization, and prevention are needed to raise awareness at the societal and individual level, while appropriate training and additional financial resources may help to overcome institutional challenges.

Restraint use in psychiatric emergency services: Intentions of staff vs consumer experiences in Singapore

2020 ◽  
Author(s):  
Daniel Poremski ◽  
Josephine Tham ◽  
Peizhi Wang ◽  
Doris Koh ◽  
Jayaraman Hariram ◽  
...  
Keyword(s):  
Emergency Services ◽  
Service Providers ◽  
Qualitative Interviews ◽  
Phenomenological Approach ◽  
Psychiatric Emergency ◽  
Service Users ◽  
Physical Restraints ◽  
Psychiatric Emergency Services ◽  
Restraint Use ◽  
The Individual

AbstractBackground: Physical restraints applied at psychiatric emergency services are infrequent but concerning. Such measures are deleterious to the health of the individual and to the working alliance that exists between the individual and service providers. Aims: To juxtapose service users’ experiences of restraints at a psychiatric emergency service in Singapore with staff’s intention. Methods: Three qualitative interviews were conducted over a year with 44 frequent service users to query their experiences with services. The views of 26 emergency department staff were also obtained. We took a descriptive phenomenological approach to analyse the data.Results: Sixteen of 44 frequent service users report being restrained at emergency services. Service users’ experiences are incongruent with the staff’s meaning of restraints, which relates to safety. The experience of being restrained began with confusion, followed by fear and irritation, ending with embarrassment. Importantly, these emotions were unaddressed during debriefing, when service users were released. Conclusions: Staff must be mindful that their actions are not perceived as intended. Additional staff training may help staff better understand the way in which service users perceive the phenomenon of restraint. De-escalation must not be done in a way that introduces anger into situations where it had previously been absent.

Economic Abuse: A Subtle but Common Form of Power and Control

2020 ◽  
pp. 088626052091626
Author(s):  
Kameri Christy ◽  
Tanice Welter ◽  
Kelly Dundon ◽  
Valandra ◽  
Ambra Bruce
Keyword(s):  
Partner Violence ◽  
Service Providers ◽  
Qualitative Interviews ◽  
Police Training ◽  
Distinct Type ◽  
Service Users ◽  
Economic Abuse ◽  
Frontline Workers ◽  
Professional Responses ◽  
Study Participants

Awareness of and responses to intimate partner violence against women (IPV-W) have been increasing steadily since the early 1970s. However, one of the most frequently used and effective strategies by abusive partners, economic abuse (EA), has received much less attention than physical or sexual abuse. In-depth qualitative interviews were conducted with IPV-W service users ( n = 15) and providers ( n = 24) in England to expand the knowledge-base and provide support regarding the reality and impact of EA, the economic barriers and supports experienced when trying to obtain help, and recommendations for remediating EA. Grounded theory procedures of open, axial, and selective coding techniques were utilized for data analysis. Five themes, (a) definitions and prevalence of EA, (b) service users experiences of EA, ( c) continued impact of EA, ( d) barriers to obtaining help, and (e) goals regarding finances, emerged with both groups. The theme professional responses to EA also surfaced for service providers, and service users discussed the additional theme of service users’ support when experiencing EA. The study participants’ recommendations include (a) identifying EA as a distinct type of IPV-W, (b) updating legal guideline to allow offenders of EA to be prosecuted, (c) encouraging banks to do more to assist victims of EA, and (d) updating police training and frontline workers to include EA. The narratives of the study participants underscore the import of collaboration with and involvement of IPV-W service user and provider stakeholders when developing and implementing policies, programs, and practices to prevent further EA and meet the distinctive needs of women who experience EA as a part of IPV-W.

scholarly journals Experiences of Older Spousal Caregivers for Caring a Person with a Memory Disorder

Healthcare ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 95 ◽  
Author(s):  
Riitta Turjamaa ◽  
Johanna Salpakari ◽  
Liisa Koskinen
Keyword(s):  
Service Providers ◽  
Holistic Approach ◽  
Well Being ◽  
Spousal Caregivers ◽  
Health Concern ◽  
Memory Disorder ◽  
Number Of Factors ◽  
Memory Clinics ◽  
The Individual ◽  
The Impact

Memory disorders have become a major public, social, and health concern among the aging population, and many of those who are affected are cared for at home by their spouse. The aim of this qualitative study was to describe the individual experiences of 10 older caregivers who were looking after a spouse with a memory disorder in 2016. Data were collected from volunteers who were recruited from a memory clinic at a Finnish health center using the thematic interview method and processed using inductive content analysis. The participants were six female and four male caregivers who had been married for over 10 years. The results indicated that caring for a spouse with a memory disorder involved a number of factors. These included the impact of social networks and changes in their everyday life, collaboration with service providers, and the caregivers’ well-being. However, our study showed that caregivers felt that the formal multiprofessional services they received were fragmented, which means that they were less likely to provide a holistic approach to caregivers’ situations. Better multiprofessional cooperation is needed in the community, including services such as memory clinics, home care and practical services, day centers, and short-term respite in care homes.

Employment status, aspirations and perceptions of support amongst psychiatric service users in Pavia, Italy

2009 ◽  
Vol 18 (1) ◽  
pp. 40-47 ◽  
Author(s):  
Irene Cirillo ◽  
Pierluigi Politi ◽  
Elisa Rampi ◽  
Jenny Secker ◽  
Franca Brasia ◽  
...  
Keyword(s):  
Service User ◽  
Employment Status ◽  
Psychiatric Service ◽  
User Involvement ◽  
High Standard ◽  
Service Users ◽  
Face To Face ◽  
The Individual ◽  
The Uk ◽  
Further Development

SummaryAims – To describe the employment status of people using mental health service in Pavia, Italy; to explore their employment aspirations and perceptions of support to achieve these; and to test the feasibility of working with service users as researchers. Method – Face to face interviews carried out by two service user researchers with a consecutive sample of 200 service users attending the local psychiatric outpatient department using a translated version of a questionnaire developed for previous UK surveys. Results – A higher proportion of survey participants (42.5%) were in paid work compared to the UK, but 62.4% of those in work were dissatisfied with their employment. Amongst unemployed participants, 65.2% were interested in gaining employment but only 29.3% were receiving support to do so. Support was mainly limited to referral on to a generic disability organisation. The service user researchers carried out the survey to a high standard and reported benefits from undertaking the work. Conclusions – The results indicate a need in Pavia for specialist employment support using the Individual Placement and Support approach. Further development of service user involvement in research is indicated.

”When You’re in the Hospital, You’re in a Sort of Bubble.”

Crisis ◽  
2014 ◽  
Vol 35 (3) ◽  
pp. 154-160 ◽  
Author(s):  
Amanda Owen-Smith ◽  
Olive Bennewith ◽  
Jenny Donovan ◽  
Jonathan Evans ◽  
Keith Hawton ◽  
...  
Keyword(s):  
Lived Experience ◽  
Service Providers ◽  
Small Sample Size ◽  
Small Sample ◽  
Service Users ◽  
Number Of Factors ◽  
Increased Risk ◽  
Self Harm ◽  
The Uk ◽  
Depth Interviews

Background: Individuals are at a greatly increased risk of suicide and self-harm in the months following discharge from psychiatric hospital, yet little is known about the reasons for this. Aims: To investigate the lived experience of psychiatric discharge and explore service users’ experiences following discharge. Method: In-depth interviews were undertaken with recently discharged service users (n = 10) in the UK to explore attitudes to discharge and experiences since leaving hospital. Results: Informants had mixed attitudes to discharge, and those who had not felt adequately involved in discharge decisions, or disagreed with them, had experienced urges to self-harm since being discharged. Accounts revealed a number of factors that made the postdischarge period difficult; these included both the reemergence of stressors that existed prior to hospitalization and a number of stressors that were prompted or exacerbated by hospitalization. Conclusion: Although inferences that can be drawn from the study are limited by the small sample size, the results draw attention to a number of factors that could be investigated further to help explain the high risk of suicide and self-harm following psychiatric discharge. Findings emphasize the importance of adequate preparation for discharge and the maintenance of ongoing relationships with known service providers where possible.

ON ESTIMATION OF THE INFLUENCE OF THE HUMAN FACTOR ON DETECTION OF DEFECTS IN ULTRASONIC FLAW DETECTION AND DEFECTOMETRY

2021 ◽  
pp. 4-10
Author(s):  
V. G. Badalyan
Keyword(s):  
Human Factor ◽  
Flaw Detection ◽  
Individual Characteristics ◽  
Correction Coefficient ◽  
Detection Techniques ◽  
Average Value ◽  
Ultrasonic Flaw ◽  
Significant Difference ◽  
The Difference ◽  
The Individual

Based on the analysis of the results of ultrasonic testing, a quantitative assessment of the influence of the human factor on the PoD curves built for independent inspectors, several (different) flaw detection techniques was obtained. It is shown that the average value of the change in the probability of detecting flaws, which determines the value of the correction coefficient equal to 0.015 for flaws with a height of 4 to 12 mm (for the defectometry technique) and 0.18 for flaws with a height of 5 to 12 mm (for flaw detection techniques). For flaws less, than 4 mm in height, the average value of the change in the probability of detecting flaws for individual inspectors depends significantly on the height of the flaw. A significant difference in the average value of the change in the probability of detecting flaws and the standard deviation during inspection by flaw detection and defectometry techniques is associated with the difference in the amount of information provided by the inspection techniques and the individual characteristics of the inspectors.

User/consumer involvement in mental health service delivery

2005 ◽  
Vol 14 (1) ◽  
pp. 10-14 ◽  
Author(s):  
Judi Chamberlin
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Service Delivery ◽  
Professional Training ◽  
Service Providers ◽  
User Involvement ◽  
Health Service Delivery ◽  
Consumer Involvement ◽  
Service Users

SummaryThe involvement of mental health service users in service delivery is a new and growing phenomenon. Such involvement is complex, given the history of paternalism in the mental health system, the power differential between service providers and service users, and the very differing views each group holds on multiple issues. Unless such differences are addressed, there can be no meaningful involvement. Service user involvement needs to apply to all aspects of the service delivery system, including professional training, service design, delivery, evaluation, and research. User/survivors, and their organizations, have developed a body of experience and knowledge that needs to be recognized and respected. Unless there are multiple opportunities for ongoing and open dialogue on these many difficult issues, real user involvement will not occur.Declaration of Interest: the author has received no financial support that presents a conflict of interest.

Beyond formalized plans: User involvement in support in daily living – users’ and support workers’ experiences

2019 ◽  
Vol 66 (2) ◽  
pp. 156-162 ◽  
Author(s):  
David Matscheck ◽  
Amanda Ljungberg ◽  
Alain Topor
Keyword(s):  
Social Support ◽  
Living Arrangements ◽  
Daily Living ◽  
Qualitative Interviews ◽  
User Involvement ◽  
Individual Level ◽  
Self Confidence ◽  
Formal Framework ◽  
The Individual ◽  
Small Things

Background: User involvement, based on respect and carried out through dialogue, has been shown to lead to increased self-respect, self-confidence and positive identity. In Sweden, the Social Service Act requires that interventions be designed and implemented together with the individual concerned. The basic criterion for social support is prolonged severe mental illness (usually at least 6 months), with no criteria for specific diagnosis or institutional history. The most common form of social support is ‘support in daily living’, a community care intervention for people aged 18 years or older who have their own homes and living arrangements. Aim: This article aims to deepen our understanding of user involvement at the individual level in the provision of an ongoing social work intervention. What elements of user involvement can be found in users’ and support workers’ descriptions of helpful support in daily living? Method: Qualitative interviews were conducted with 18 users, who had experienced support in daily living as helpful, and 16 interviews with the users’ support workers. Results: Three major, interconnected themes emerged: Constant dialogue; Framing the flexibility, in relation to formalized intervention plans and regulations; The importance of ‘small things’, decisions concerning daily life. Conclusion: Both users and support workers described user involvement at the individual, micro-level to be an integral part of helpful support in daily living. It was possible to create a space for dialogue and co-creation in which users were involved in formulating and deciding the contents of their support at an informal level, to influence their own everyday lives. While a formal framework of rules, restrictions and plans surrounds meetings between users and professionals, a facilitating factor may be the absence of too detailed plans and regulations, leaving trust to users and professionals and their capacity to manage most of the choices they have to make.

scholarly journals ANALISIS ATP-WTP PENUMPANG KERETA REL LISTRIK LINTAS BOGOR-JAKARTA KOTA

2021 ◽  
Vol 4 (1) ◽  
pp. 65
Author(s):  
Jeffry Nathanael ◽  
Dewi Linggasari ◽  
Hokbyan Angkat
Keyword(s):  
Willingness To Pay ◽  
Research Data ◽  
Individual Characteristics ◽  
Service Users ◽  
Ability To Pay ◽  
The Individual

The determination of Kereta Rel Listrik (KRL) rates needs to consider the value of Ability to Pay (ATP) and Willingness to Pay (WTP) of service users to spend a certain amount of money for the services they get. The purpose of this research was to determine the value of the Ability to Pay (ATP) and Willingness to Pay (WTP) of KRL service users across Bogor-Jakarta Kota. The method of collecting research data online is by giving questionnaires to respondents who use KRL cross Bogor-Jakarta Kota. The research data obtained were then analyzed and information was obtained about the individual characteristics of the respondent, the characteristics of the respondent's trip, the amount of ATP value, and the amount of the WTP value. Based on the analysis results on the existing tariff of Rp. 3,000, - obtained the value of ATP and WTP is Rp. 3,770, - and Rp. 3,974, -. This shows that the tariff is smaller than ATP, smaller than WTP, so that the current rate is still affordable for users. The 100% condition for ATP and WTP sensitivity is a condition where the increased tariff is proportional to the service received. ABSTRAKPenetapan tarif Kereta Rel Listrik (KRL) perlu mempertimbangkan antara nilai Ability to Pay (ATP) dan Willingness to Pay (WTP) pengguna jasa untuk mengeluarkan sejumlah uang demi pelayanan jasa yang didapatkannya. Tujuan dari penelitian ini adalah mengetahui besaran nilai Ability to Pay (ATP) dan Willingness to Pay (WTP) pengguna jasa KRL lintas Bogor-Jakarta Kota. Metode pengumpulan data penelitian secara online dengan cara memberikan kuesioner kepada responden yang menggunakan KRL lintas Bogor-Jakarta Kota. Data penelitian yang diperoleh kemudian dianalisis dan didapatkan informasi mengenai karakteristik individu responden, karakteristik perjalanan responden, besaran nilai ATP, dan besaran nilai WTP. Berdasarkan hasil analisis pada tarif eksisting sebesar Rp. 3.000,- didapat besaran nilai ATP dan WTP adalah Rp. 3.770,- dan Rp. 3.974,-. Hal ini menunjukkan bahwa tarif tersebut lebih kecil dari ATP lebih kecil dari WTP sehingga tarif yang diberikan saat ini masih dapat terjangkau bagi pengguna. Kondisi 100% pada sensitivitas ATP dan WTP merupakan kondisi dimana tarif yang ditingkatkan sebanding dengan pelayanan yang diterima.

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