The needs of males detained under the legal category of ‘psychopathic disorder’ in high security: Implications for policy and service development

2005 ◽  
Vol 16 (3) ◽  
pp. 523-537 ◽  
Author(s):  
M Dolan ◽  
SD Thomas ◽  
SL Thomas ◽  
G Thornicroft
Keyword(s):  
Service Development ◽  
High Security ◽  
Psychopathic Disorder

scholarly journals Trends in special (high-security) hospitals

2000 ◽  
Vol 176 (3) ◽  
pp. 253-259 ◽  
Author(s):  
Elizabeth Jamieson ◽  
Martin Butwell ◽  
Pamela Taylor ◽  
Morven Leese
Keyword(s):  
Regional Variation ◽  
Psychiatric Care ◽  
Mental Impairment ◽  
Admission Source ◽  
High Security ◽  
Hospital Beds ◽  
Special Hospitals ◽  
Male Prisoners ◽  
Psychopathic Disorder

BackgroundSpecial hospitals in England provide psychiatric care and treatment in high security. Their future is often questioned.AimsTo test for variation in demand for high-security psychiatric services over one 10-year period.MethodThis study was from the special hospitals' case registers and hospital records. The main measures were numbers and annual rates for referrals and beds offered; the Mental Health Act 1983 (MHA) classification of mental disorder; adjusted population rates by health region; admission episodes; legal category of detention; admission source and type of offence.ResultsReferrals to special hospitals showed no decrease during the 10 years; an apparent increase may reflect under-recording before 1992. Admissions fell by about 16% over the 10 years, but with regional variation. Women, civil cases, admissions under the MHA classifications of psychopathic disorder or mental impairment and directly from a court on a hospital order were most affected. There was an increase in admissions of pre-trial and sentenced male prisoners, and of transferred hospital order patients from other hospitals.ConclusionsThere is continuing demand from all parts of the country for high-security hospital beds. The smaller numbers admitted appear to include more demanding cases.

The Development of Speech-Language Pathology in Zambia: A Reflection on the Current Landscape and Two Contrasting Training Models

2017 ◽  
Vol 2 (17) ◽  
pp. 63-72
Author(s):  
Suzanna Bright ◽  
Chisomo Selemani
Keyword(s):  
Multidimensional Poverty ◽  
Capital City ◽  
Service Development ◽  
Speech Impairment ◽  
Implementation Challenges ◽  
Training Models ◽  
The Disabled ◽  
Disability Prevalence ◽  
Service Gap ◽  
Communication Disability

Functional approaches to disability measurement in Zambia reveals an overall disability prevalence rate of 13.4%, 4% of whom are recorded as having “speech impairment” (Zambia Federation of the Disabled [ZAFOD], 2006). Further, multidimensional poverty assessments indicate that 48.6% of Zambia's approximately 16 million citizens are impoverished. Currently, there are three internationally qualified speech-language pathologists (SLPs) providing services within Zambia's capital city, Lusaka. Given these statistics, it follows that a significant number of Zambian's, experiencing communication disability, are unable to access specialist assessment and support. Over the past decade, Zambia has seen two very different approaches to address this service gap—firstly, a larger scale top-down approach through the implementation of a formal master's degree program and more recently a smaller scale, bottom-up approach, building the capacity of existing professionals working in the field of communication disability. This article provides an overview of both programs and the context, unique to Zambia, in which they have developed. Authors describe the implementation challenges encountered and program successes leading to a discussion of the weakness and merits to both programs, in an attempt to draw lessons from which future efforts to support communication disability and SLP service development in Majority World contexts may benefit.

FPGA Implementation of MC-CDMA for High Security Applications

2013 ◽  
Vol 5 (1) ◽  
pp. 36-41
Author(s):  
R. Ganesh ◽  
◽  
Ch. Sandeep Reddy ◽  
Keyword(s):  
Fpga Implementation ◽  
Security Applications ◽  
High Security

Development of paediatric dentistry service in Volgograd Region (in memory of Litovkina L. S.)

2020 ◽  
Vol 20 (2) ◽  
pp. 154-155
Author(s):  
E. E. Maslak ◽  
I. V. Fomenko
Keyword(s):  
Educational Program ◽  
Pediatric Dentistry ◽  
Dental Service ◽  
Paediatric Dentistry ◽  
Service Development ◽  
Professional Activity ◽  
Health Improvement ◽  
Volgograd Region ◽  
Important Health

Relevance. The role of pediatric dentistry in younger generation health improvement is undeniable; therefore, developing pediatric dental service is an important health care issue.Purpose. To present the contribution of Lubov Sergeevna Litovkina to paediatric dental service development in connection with her death on December, 23, 2019.Materials and methods. Based on the analysis of professional activity and scientific works of L.S. Litovkina the achievements that have contributed to the development of pediatric dentistry service in Volgograd Region were identified.Results. Public, clinical and scientific activities of L.S. Litovkina were highlighted. Special attention was paid to such areas of her work as the organization of epidemiological dental examinations of children’s population, the implementation of milk fluoridation program for prevention of dental caries in preschool children, school dentistry improvement and applying the dental educational program for the elementary schoolchildren.Conclusions. The organizational and scientific activities of L.S. Litovkina contributed to the development of the paediatric dental service and oral health improvement of children’s population.

scholarly journals Migrants’ involvement in health policy, service development and research in the WHO European Region: policy and practice

2021 ◽  
Author(s):  
Anne MacFarlane ◽  
Mamobo Ogoro ◽  
Claudia de Freitas ◽  
Vikram Niranjan ◽  
Santino Severoni ◽  
...  
Keyword(s):  
Health Policy ◽  
European Region ◽  
Service Development ◽  
Policy And Practice

scholarly journals Behaviour change practices in exercise referral schemes: developing realist programme theory of implementation

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
John Downey ◽  
Katie Shearn ◽  
Nicola Brown ◽  
Ross Wadey ◽  
Jeff Breckon
Keyword(s):  
Behaviour Change ◽  
Theoretical Domains Framework ◽  
Developed Countries ◽  
Realist Evaluation ◽  
Service Planning ◽  
Service Development ◽  
Activity Levels ◽  
Programme Theory ◽  
Implementation Framework ◽  
Exercise Referral

Abstract Background Exercise Referral Schemes have been delivered worldwide in developed countries to augment physical activity levels in sedentary patients with a range of health issues, despite their utility being questioned. Understanding the implementation mechanisms of behaviour change practices is important to avoid inappropriate decommissioning and support future service planning. The aim of this study was to develop initial theories to understand what influences the behaviour change practices of Exercise Referral practitioners within the United Kingdom. Methods An eight-month focused ethnography was undertaken, to carry out the first phase of a realist evaluation, which included participant observation, interviews, document analysis, and reflexive journaling. A comprehensive implementation framework (Consolidated Framework for Implementation Research) was adopted providing an extensive menu of determinants. Mechanisms were categorised based on the Theoretical Domains Framework (within the Capability, Opportunity, Motivation, Behaviour model) providing an explanatory tool linking the levels of the framework. Results Three programme theories are proposed. Firstly, motivation and capability are influenced when behaviour change oriented planning and training are in place. Secondly, motivation is influenced if leadership is supportive of behaviour change practice. Lastly, integration between health professionals and practitioners will influence motivation and capability. The conditions necessary to influence motivation and capability include a person-centred climate, cognizant practitioners, and established communities of practice. Conclusions The findings are the first to articulate the necessary elements for the implementation of behaviour change practices in Exercise Referral services. These results outline emerging theories about the conditions, resources, and explanations of behaviour change implementation that can inform service development.

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