A delicate balance: intervention with mothers with dual diagnosis and their infants

2015 ◽  
Vol 8 (2) ◽  
pp. 78-89 ◽  
Author(s):  
Menka Tsantefski ◽  
Alun C. Jackson ◽  
Cathy Humphreys

Purpose – Women with mental illness, substance-dependence or dual diagnosis are at increased risk of losing care of their children which leads to poorer outcomes for mothers. The purpose of this paper is to explore the service response to substance-dependent mothers, many of whom had a dual diagnosis, and reports outcomes for their infants from the perinatal period to the end of each infant's first year. Design/methodology/approach – This was a longitudinal case study of 20 women substance-dependent women and their associated care. Semi-structured interviews were held with mothers recruited from a specialist alcohol and other drug obstetric service at infant age six weeks, six and 12 months. Structured interviews were also held with counsellors from the obstetric service at infant age six weeks. Child protection (CP) workers were interviewed at infant age six weeks, six and 12 months regarding mothers involved with the service. Findings – By 12-month follow-up, CP services had been involved with 14 mothers and eight had lost the legal care of their infant. Mothers who retained legal care were more likely to have addressed their drug use and less likely to be in a domestically violent relationship. Domestic violence, homelessness and maternal recidivism to crime tipped the scales in favour of protection of the infant through removal from maternal care, essentially leaving mothers with minimal support for reunification and reduced incentive for treatment. Research limitations/implications – Reliance on mothers’ self-reports was a limitation of the study. The small sample size restricts generalisability of findings. Practical implications – Key workers should engage women (and their partners) during the perinatal period to provide support, advocacy and case-management to enable substance-dependent mothers to safely parent. Originality/value – This is one of few studies to report long-term outcomes for mother/infant dyads when substance-dependence and/or mental health are present that allows women to speak for themselves. The prospective design provides a contemporaneous account of events as they unfolded in situ.

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Thi Kim Nhung Nguyen

PurposeThe paper aims to ascertain whether residents in Nguyen Du ward still sort their waste at source following the end of the 3R project that ended in 2009. Additionally, this paper aims to explore the relationship between waste separation practices and social bonds.Design/methodology/approachThe Travis Hirschi theory of social control was applied, together with the mixed method research design which included a structured questionnaire survey. Twelve semi-structured interviews were also conducted with residents and the data processed by SPSS software, using Chi-Square test, Independent-Samples t-test and Pearson's correlation analysis.FindingsA proportion of respondents has continued practicing waste separation since the 3R project ended. The study also indicated that the greater the involvement in family and neighborhood activities the more the participants were likely to practice waste separation.Research limitations/implicationsThe small sample size limits the extent to which the most influential factors can be determined and therefore the degree to which the findings can be generalized.Practical implicationsThe study includes implications for rerunning the waste separation programs for households as together with community campaigns to improve individuals' attachment and commitment and thus their participation in pro-environmental behaviors.Originality/valueTo the author’s knowledge, this is the first study to take a sociological approach to investigate factors affecting household waste separation, which has attracted little attention in previous studies. Useful information is also provided to local authorities for a policy-making process to implement effective domestic waste policies.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Juliana Hsuan ◽  
Marin Jovanovic ◽  
Diego Honorato Clemente

PurposeThis study shows various pathways manufacturers can take when embarking on digital servitization (DS) journeys. It builds on the DS and modularity literature to map the strategic trajectories of product–service–software (PSSw) configurations.Design/methodology/approachThe study is exploratory and based on the inductive theory building method. The empirical data were gathered through a workshop with focus groups of 15 servitization manufacturers (with 22 respondents), an on-site workshop (in-depth case study), semi-structured interviews, observations and document study of archival data.FindingsThe DS trajectories are idiosyncratic and dependent on design architectures of PSSw modules, balancing choices between standardization and innovation. The adoption of software systems depends on the maturity of the industry-specific digital ecosystem. Decomposition and integration of PSSw modules facilitate DS transition through business model modularity. Seven testable propositions are presented.Research limitations/implicationsWith the small sample size from different industries and one in-depth case study, generalizing the findings was not possible.Practical implicationsThe mapping exercise is powerful when top management from different functional departments can participate together to share their expertise and achieve consensus. It logs the “states” that the manufacturer undergoes over time.Originality/valueThe Digital Servitization Cube serves as a conceptual framework for manufacturers to systematically map and categorize their current and future PSSw strategies. It bridges the cross-disciplinary theoretical discussion in DS.


2020 ◽  
Vol 23 (1) ◽  
pp. 15-26
Author(s):  
Michael James Buckland ◽  
Anthea Tinker

Purpose The purpose of this paper is to explore and compare the motivations and expectations that older people have when choosing to move into either a private or housing association (HA) extra care housing (ECH) scheme, and any effects this had on its residents. Design/methodology/approach This qualitative study is based on findings from four HA schemes in Tower Hamlets, London, and one private scheme in Warwickshire. Eight semi-structured interviews were conducted with five women and three men of varying backgrounds, from schemes managed by different associations and companies. Interview transcripts were coded and analysed thematically. Findings All residents moved into ECH in response to deteriorating health. However, almost all residents had felt obliged to move by others, generally their children. Few residents had any expectations of ECH on arrival, but many developed high expectations of an increased sense of independence and security and of an improved social life. ECH appeared to be beneficial for residents’ health and well-being. Research limitations/implications The inability to recruit an equal number of people from HA and private scheme, alongside the small sample size, may compromise the external validity of any conclusions drawn from any comparisons. Practical implications This research identifies a lack of knowledge about ECH among the general population and offers insight into areas of poor management within ECH schemes which could be improved. Social implications Inadequacies in the ECH model could be attributed to failures in the current health and social care system. Differences between expectations and perceptions of HA vs private schemes should be acknowledged and responded to. Originality/value This is a rare example of research exploring the relationships between ECH residents’ motivations and expectations (Hillcoat-Nallétamby and Sardani, 2019), and between those in HA vs private schemes.


2014 ◽  
Vol 33 (7) ◽  
pp. 680-693 ◽  
Author(s):  
Yvonne Guerrier ◽  
Christopher Bond

Purpose – The purpose of this paper is to present a research from a study undertaken with Methodist circuit ministers in the UK and those that work closely with them. It considers in what way and to what extent ministers think of themselves as managers and to what extent and in what way they are expected to perform as managers by those they work with. Design/methodology/approach – The research that informs this paper was gathered through a qualitative study which involved in-depth semi-structured interviews with 22 participants both Methodist ministers and those who worked closely with them. Findings – The study shows that, whilst those who work with ministers typically do not problematize management and expect managers to be able to perform management tasks, the ministers themselves are ambiguous about or rejecting of the discourse of management. Research limitations/implications – The relatively small sample size limits generalizability. Practical implications – The study challenges trainers in this context and in other contexts where the “language” of management is contested or rejected to find a discourse of management which is acceptable. Originality/value – The study contributes to the small body of literature on management and the development of managers within religious organizations. It contributes to the literature on managerial identity and the importance of management language in becoming a manager by presenting an example where this language and identity is contested or rejected.


2020 ◽  
Vol 12 (4) ◽  
pp. 599-619
Author(s):  
Mahfuzur Rahman ◽  
Che Ruhana Isa ◽  
Ginanjar Dewandaru ◽  
Mohamed Hisham Hanifa ◽  
Nazreen T. Chowdhury ◽  
...  

Purpose This study aims to explore the underlying issues related to the development of socially responsible investment (SRI) sukuk in Malaysia. It identifies factors attracting investors and issuers, as well as challenges for the development of SRI sukuk (Islamic bond) in Malaysia. Design/methodology/approach This study conducted semi-structured interviews to collect data from the institutional investors, SRI sukuk issuers and arrangers, as well as researchers. A total of 19 experts were approached in which 10 participated in the interview. The thematic analysis technique is used to report the findings. Findings This study uncovers that social contribution through business activities (i.e. investment in the education sector) is the key motivational drivers for the investors and issuers. Besides, investment risks, lack of performance measurement standards, high transaction costs, risks of return, shortage of enough Islamic bonds, investors’ confidence and lack of awareness are the major challenges for the development of SRI sukuk instruments. Research limitations/implications Due to the challenges in finding experts on this subject matter, this study was able to manage only 10 interviews from the participants, which is a small sample size. However, the findings of this study cannot be ignored. Future research should carry out with a large sample size (i.e. at least 30 interviews) to validate the current findings. Originality/value This study is among the pioneer in Malaysia, which explores the influencing factors of selecting Islamic bonds as an investment option. This paper provides some valuable implications for investors through discovering the challenges for the growth of SRI sukuk in Malaysia, which can also be applicable in a global setting.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Jordanna Hinton ◽  
Cooper Schouten ◽  
Kerrie Stimpson ◽  
David Lloyd

PurposeThis paper analyses financial support services (loans and grants) from the perspective of beekeepers in Fiji's Northern Division.Design/methodology/approachA mixed-method, case study approach was used with key informant interviews, focus groups, semi-structured interviews and questionnaires.FindingsFinancial support was found to be an appropriate intervention. While beekeepers have access to loans, matching grants or small business grants to assist the establishment and growth of their activities, the appropriateness of these services varies based on the experience and skill of beekeepers. Capacity building was an important shortcoming in all financial services. It is recommended beekeeping clients undertake outcome-based, practical and/or mentorship-styled training to ensure beekeepers have the appropriate skills to maintain a viable enterprise.Research limitations/implicationsThis study was limited by a small sample size. Further research is needed to understand long-term impacts of financial support services and the availability and appropriateness of these within and between regions.Social implicationsRecommendations are provided to encourage effective financial support for beekeepers to improve the productivity, profitability and sustainability of their activities. This can impact beekeepers' livelihoods by increasing household income and income security.Originality/valueThere is a paucity of literature on the effectiveness of financial interventions to support beekeeping enterprises. This is the first study to compare financial support services from the perspective of beekeepers in the Pacific region.


2016 ◽  
Vol 23 (2) ◽  
pp. 590-610 ◽  
Author(s):  
Jalleh Sharafizad ◽  
Alan Coetzer

Purpose – The purpose of this paper is to examine how women small business owners’ (SBOs) business start-up motivations influence their network content. Design/methodology/approach – Semi-structured interviews were conducted with 28 women SBOs who were recruited through purposeful sampling methods. Interview data on their start-up motivations were used to categorise them into three types: classic, forced and work-family. The interviews explored the network contents of the three categories of participants. Findings – There were many similarities between network contents of classic and forced SBOs, as both groups had started their business for financial reasons rather than family reasons. All the participants’ networks contained information and advice, economic transactions, intangible support and strong ties. However, the sources and types of network content were different for the classic and forced SBOs when compared to work-family SBOs. Research limitations/implications – This study has limitations that tend to be commonly found in exploratory studies, such as a small sample size. However, the findings lay the groundwork for future quantitative studies that examine associations between SBOs’ motivations for starting a business and their network contents. Originality/value – This research responds to calls for studies aimed at developing a more nuanced understanding of SBOs’ networking behaviour. The study provides empirical evidence of a relationship between the motivations for starting a business and the network content of SBOs. The findings can be used by businesswomen’s network organisations in their mentoring and training interventions.


2017 ◽  
Vol 45 (3) ◽  
pp. 382-397 ◽  
Author(s):  
Margaret Burnette

Purpose This study aims to explore the nature of tacit knowledge (TK) sharing among library colleagues, with a focus on the characteristics of TK and contextual factors such as organizational culture or the mentor/mentee relationship. Design/methodology/approach Using a critical incident approach, participants self-selected based on pre-established criteria to report knowledge sharing incidents between colleagues at either an in-person or virtual reference desk. Subsequent semi-structured interviews were transcribed from recordings and coded for thematic elements. Findings Three thematic areas emerged. First are the influence of organizational culture and the importance of trust on knowledge sharing behavior. Second, the value of teamwork and the significance of mentor/mentee roles surface as significant drivers of TK exchange. Last but not least is a better understanding of the nature of TK, as it relates to types of knowledge and characterizations of experience and expertise. Research limitations/implications The relatively small sample size nevertheless revealed some important findings that contribute to the understanding of the role of TK sharing in libraries. Originality/value The value of knowledge sharing in libraries is not well understood. This study demonstrates the value on several levels, including the influence of culture and trust, and the power of mentoring to harness TK held by experts. The proposed Tacit Knowledge Alignment Framework contributes to the understanding of the nature of TK in libraries. These findings begin to fill a research gap by furthering our understanding of TK and informing future retention efforts that are lacking in many libraries.


2017 ◽  
Vol 22 (2) ◽  
pp. 184-199 ◽  
Author(s):  
Ahmed Al-Asfour ◽  
Hayfaa A. Tlaiss ◽  
Sami A. Khan ◽  
James Rajasekar

Purpose Few studies have explored the work challenges and career barriers faced by women in the Kingdom of Saudi Arabia (KSA). Drawing on Institutional Theory, the purpose of this paper is to explore the experiences of employed Saudi women through in-depth interviews. Design/methodology/approach The paper employs a phenomenological qualitative approach drawing on 12 in-depth semi-structured interviews with Saudi women. Findings The findings reveal a significant number of prominent societal and organizational structural and attitudinal barriers to the advancement of Saudi women in paid employment. Among others, these barriers include a lack of mobility; the salience of gender stereotypes; gender discrimination in the workplace; limited opportunities for growth, development, and career advancement; excessive workload caused by a lack of family-work balance; and gender-based challenges related to dealing with pregnancy. Research limitations/implications Despite the contributions of this study, it also has limitations, particularly the convenience sampling approach and the focus on the KSA. The small sample size means that the findings cannot be generalized to all women employed in Saudi Arabia and should be generalized within Saudi Arabia and other Arab societies only with caution. Originality/value The paper contributes to the understanding of work challenges and barriers of Saudi women in the workforce. It provides fresh insights to the issues surrounding women in Saudi Arabia and the need to address them in order to provide support for their career advancement.


2015 ◽  
Vol 14 (1) ◽  
pp. 37-46 ◽  
Author(s):  
Lucie Elizabeth Shuker

Purpose – The purpose of this paper is to report on an evaluation of a pilot of specialist foster care for children at risk, or victims, of child sexual exploitation (CSE) and/or trafficking. Design/methodology/approach – The research adopted a multi-case study approach, gathering placement documentation, interviews and weekly monitoring logs throughout the duration of the 13 placements. Findings – This evaluation found that safety for those at risk, or victims, of CSE within the in-care population has both a physical and a relational element. The most successful placements were able to deploy restrictive safety measures effectively by tipping the balance of care and control towards demonstrations of compassion and acceptance. Good relationships in these foster homes unlocked other positive outcomes, including reduced missing incidences and increased awareness of exploitation. Research limitations/implications – The small sample size within this pilot project suggests the need for further research to test the applicability of the notion of multi-dimensional safety to young people’s welfare more generally. Practical implications – The findings confirm previous research that highlights the importance of stable relationships in child protection. They have implications for current tendencies to commission short-term CSE interventions that are unlikely to create the relational security that can improve community safety for young people. Originality/value – This is the first published evaluation of specialist accommodation for those affected by CSE in the UK, and its findings will therefore be of most value to commissioners and providers of care to looked after young people. The concept of multi-dimensional safety will be relevant to those with responsibility for child welfare/safeguarding.


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