Challenging deprivation of liberty: advocating for your rights

2017 ◽  
Vol 11 (2) ◽  
pp. 47-53 ◽  
Author(s):  
Niall O’Kane ◽  
Ian Hall ◽  
Mo Eyeoyibo

Purpose The purpose of this paper is to review a case of a man with a mild learning disability and autistic spectrum disorder who successfully appealed against a Deprivation of Liberty Safeguards authorisation under English law. Design/methodology/approach The authors wanted to identify the factors contributing to the individual’s deprivation of liberty and subsequent successful appeal. The authors examined the accounts from the experts involved on each side of the case including different views on the person’s capacity to make certain decisions. The authors examined several of the individual’s psychological and psychiatric assessments. The authors interviewed the individual on two occasions: once during the appeals process, and following his successful appeal. Findings The authors identified several reasons as to why the individual was successful in appealing against the Deprivation of Liberty Safeguards. First, the individual was able to seek legal support to appeal independently. Second, experts involved on each side of the case had differing opinions regarding capacity to make certain decisions. Third, the indication for the Deprivation of Liberty Safeguards was subsequently declared not valid. Finally, the authors found that the quality of life and psychological well-being for the individual improved following removal of restrictions. Practical implications The authors highlight the wider issues relating to an individuals’ rights to challenge authorisations in the Court of Protection as well as to future considerations and directions of the Deprivation of Liberty Safeguards legislation in light of evolving case law. Social implications The authors highlight the importance of empowering patients in matters relating to their care and treatment, as well as protecting their human rights, dignity and autonomy. Originality/value The authors examine the barriers to challenging Deprivation of Liberty Safeguards authorisation and the ever-evolving Deprivation of Liberty Safeguards process.

2020 ◽  
Vol 34 (5) ◽  
pp. 697-715
Author(s):  
Justine Virlée ◽  
Allard C.R. van Riel ◽  
Wafa Hammedi

Purpose This study aims to develop a better understanding of how online health community (OHC) members with different health literacy (HL) levels benefit from their participation, through the analysis and comparison of their resource integration (RI) processes. It investigates through a RI lens how the vulnerability of community members – captured as their level of HL – affects the benefits they derive from participation. Design/methodology/approach Quantitative and qualitative methods were used to investigate the effects of healthcare service users’ vulnerability. Data were collected about their profiles and levels of HL. Furthermore, 15 in-depth interviews were conducted. Findings The study demonstrates how low levels of HL act as a barrier to the integration of available online health resources. Participation in OHCs appears less beneficial for vulnerable users. Three types of benefits were identified at the individual level, namely, psychological quality-of-life, physical quality-of-life and learning. Benefits identified at the community level were: content generation and participation in the development of the community. Originality/value This study has implications for the understanding of how service users’ activities affect their own outcomes and how the vulnerability of users could be anticipated and considered in the design of the community.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Nicholas Wise ◽  
Jelena Đurkin Badurina ◽  
Marko Perić

PurposeMore research is needed to consider residents’ perceptions prior to hosting large-scale events. This paper contributes new insight on residents’ perceptions of placemaking analysed by considering awareness, enthusiasm and participation prior to hosting a large-scale event. Placemaking is becoming increasingly important and this insight can help planners understand how locals perceive change and event planning preparations.Design/methodology/approach454 residents of Rijeka, Croatia completed a survey (seven-point Likert scale) of 17 placemaking principles, asked in three ways: (1) how you feel; (2) how you believe people near you feel and (3) if you feel that planning/preparing for ECoC 2020 has made a difference. The data analysis considers socio-demographics and the significance of awareness, enthusiasm and participation as factors affecting residents’ perceptions of placemaking.FindingsThe study found respondents originally from Rijeka expressed statistically significant higher level of agreement. Where statistically significant differences exist, female respondents expressed statistically significant higher levels of agreement. For six statements, the distribution of results was not similar for all age groups. Awareness and enthusiasm seems to influence placemaking principles to a greater extent than participation in this study, but all have proven to have statistically significant positive impacts on the placemaking principles assessed.Practical implicationsPlanners need to focus on effective promotional activities aimed at awareness and enhance enthusiasm to help increase perceptions of placemaking and increase local quality of life.Originality/valueexplores perceptions of “self” and “how others feel” by assessing principles of placemaking associated with the case of Rijeka. This allows researchers to explore understandings of how people perceive the attitudes of their fellow residents.


2015 ◽  
Vol 1 (1) ◽  
pp. 41-46 ◽  
Author(s):  
Carol Povey

Purpose – The purpose of this paper is to examine the key components and approaches which contribute to good autism services. Design/methodology/approach – This paper reviews some of the literature around quality of life in autism services and describes the approach taken by The National Autistic Society. Findings – There is minimal research to enable service providers to shape their services according to what is most important for people with autism. The SPELL framework used by The National Autistic Society provides an approach which can be adapted to individual needs. Good autism services need to be based on a sound and practical understanding of autism. Practical implications – People on the autism spectrum should be involved in determining what outcomes are most important to them, and services should then be based around those needs. Services therefore need to be individualised and person centred, underpinned by an in-depth knowledge and understanding of autism. Originality/value – This review highlights the importance of people being involved in determining what is important to them and how services which support them should be shaped and delivered.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Zoe Hodges

Purpose This paper aims to reflect upon the usefulness of the word “acopia” as a diagnosis in relation to individuals in hospital. Design/methodology/approach A response to existing literature and consideration of application to practice with adults who may be vulnerable. Findings The term “acopia” is derived from medicine but has gained popularity throughout health and social care. It is a term that has no diagnostic tool or agreed characteristics. Practical implications Practitioners across a number of professional disciplines need to be aware of the individual circumstances, preferences and priorities of individuals to secure the most appropriate care and support for each person. Failure to acknowledge complexity of an individual’s presenting condition at hospital admission may have fatal consequences. Originality/value The importance of language used to refer to adults who are likely to be vulnerable may influence the quality of the care and treatment that they receive.


2019 ◽  
Vol 75 (1) ◽  
pp. 165-169 ◽  
Author(s):  
Alan Fyall ◽  
Brian Garrod

Purpose Destinations are focal points for tourist activity and thus for the study of tourism. They are, however, notoriously difficult to manage due to their complex systems of stakeholders. Such complexity implies that destinations are driven by a wide range of forces in their internal and external environments. The purpose of this paper is to highlight the diversity and depth of the challenges at play in destination management and, in doing so, review the primary contributions in the field. Design/methodology/approach This is a "perspective" paper (i.e. critical literature review). Findings The study of destinations remains an area of active research interest, with the many challenges that arise from within and external to destinations offering much food for thought with respect to their longevity as viable, sustainable and competitive places for tourists to visit. For the future, the need to view destinations as part of a wider system is paramount with them being inescapable from debates on urban planning, economic inequality, transportation and housing and the omnipresence of all things “smart”. Such debates need to incorporate both tourists and resident communities, as the well-being and quality of life of both groups is under threat in many destinations, particularly heritage and culturally rich city destinations around the world, where the term “overtourism” is increasingly heard. Research limitations/implications This study has implications for the integrated and more holistic management of tourist destinations. Practical implications This is a "perspective" paper, so it does not offer individual practical implications for destinations. Moreover, it offers a concise and precise summary of core studies in the field and provides a platform for a more future-looking critical debate on the sustainable management of tourist destinations. Social implications Looking ahead, destinations need to be considered as part of a wider system, one that is inclusive of urban planning, economic inequality, transportation and housing, and “smart” initiatives among others. Most importantly, the views of tourist and resident communities need to be considered and incorporated into future planning at the destination level with wellbeing and quality of life indicators being used to identify the real benefits of tourism to both communities. Originality/value Integrated and holistic forms of destination management is the way forward, with the exponential growth of technology, as well as the need to manage the exchange of knowledge and data at the destination level, critical to the sustainability of the competitive destination long into the future.


2020 ◽  
Vol 21 (2) ◽  
pp. 79-87
Author(s):  
Leah Hewer-Richards ◽  
Dawn Goodall

Purpose This paper aims to raise awareness of the ways in which faecal incontinence can impact the provision of dementia care by examining this through the lens of stigma. Design/methodology/approach This paper contains a scoping review of available literature relating to faecal incontinence, dementia and stigma. Findings Literature was organised into three themes: the origins of the stigma, the purpose of stigma and the care context. Research limitations/implications Limitations of this paper include the lack of literature discussing faecal incontinence and dementia in relation to stigma. Practical implications Stigma regarding faecal incontinence has the potential to impact quality of life of people with a dementia and contributes towards the invisible work of unqualified care workers. Originality/value Stigma and faecal incontinence have only a small amount of research around them in residential dementia care.


2019 ◽  
Vol 8 (4) ◽  
pp. 463-473
Author(s):  
Graeme Were

Purpose The purpose of this paper is to describe an exhibition that celebrated 30 years of reform in the Vietnamese National Museum of History, which opened in 2016. It contributes to anthropological understandings of the way exhibitions create new forms of cultural heritage, and so operate as a kind of technology of governance for legitimising state transformations that seek to celebrate neoliberal ideologies and the rise of the individual. Design/methodology/approach Using an ethnographic methodology, it explores some of the behind-the-scenes decisions involved in producing a narrative of national development since the Doi Moi reforms of 1986. Findings In analysing how imported memory approaches were innovatively employed alongside conventional historical facts, this paper reveals ways in which old revolutionary narratives make way for expansive and more acceptable concepts of development that embrace well-being and quality of life as well as national achievements. Originality/value This research is based on original ethnographic research conducted by the author and contributes to an emerging field of museum and heritage studies in East and South-East Asia.


2020 ◽  
Vol 28 (2) ◽  
pp. 119-133
Author(s):  
Nicola Davies ◽  
Teresa Burdett

PurposeIntegrated healthcare is a central tenant of the NHS Long Term Plan (NHS, 2019). NICE in 2019 published guidelines; advising the integration of multidisciplinary professionals which may lead to an improvement in conservative treatment methods of pelvic organ prolapse. Therefore, current literature on the conservative treatments for pelvic organ prolapse needs to be reviewed to ascertain if an integrated approach would improve the symptoms and quality of life for women.Design/methodology/approachA systematic review of the literature between 2013 and 2018 was implemented. Papers included were written in English, peer-reviewed and consisted of treatments of pelvic organ prolapse in women. Papers containing surgical interventions, postpartum participants, reviews, evaluations, guidelines, follow-up studies, focusing on cost effectiveness, sexual function were excluded.FindingsSeven studies in total were included, and two overarching themes were identified: quality of life after treatment and the effect of conservative treatment on pelvic organ prolapse symptoms. The literature suggested that integrating care had a more positive outcome on pelvic organ symptoms and quality of life.Research limitations/implicationsTo develop a robust enhanced model of care for conservative treatment of pelvic organ prolapse through more mixed method or qualitative research, that incorporates integrative treatment methods with collaboration from multidisciplinary professionals.Practical implicationsThe practical implications of integrating the conservative management of pelvic organ prolapse is the communication between the multidisciplinary team must be exceptional to ensure everyone understands and agrees the treatment that is being provided to patient. Also, effective teamwork is important to ensure the patient receives the best care with input from the correct disciplines. The multi-professional team will need to have regular meetings to discuss and implement care plans for patients that might prove difficult to schedule due to differing commitments and priorities. This must be overcome to insure a successful and effective integrated approach to pelvic organ prolapse is delivered.Social implicationsThe social implications of integrating the professional approach to women's care of pelvic organ prolapse involves reducing the severity of the symptoms therefore, increasing the quality of life. This may result in the reduction of surgical intervention due to the patient being satisfied with the conservative management. Through integrating the management of the prolapse the patient will receive an accessible individualised care plan pathway that focuses on treating or reducing the impact of the symptoms that are bothersome to the patient whilst managing patient expectations. Patients will also, be reassured by the number of multi-disciplinary professionals involved in their care.Originality/valueGlobal integration of conservative treatments and multidisciplinary-professionals specialising in pelvic organ prolapse and pelvic floor dysfunction is needed.


2014 ◽  
Vol 23 (2) ◽  
pp. 114-120 ◽  
Author(s):  
Anne Rindell ◽  
Tore Strandvik ◽  
Kristoffer Wilén

Purpose – The purpose of this paper is to explore ethical consumers' brand avoidance. The study contributes to brand-avoidance research by exploring what role consumers' ethical concerns play in their brand avoidance. Design/methodology/approach – A qualitative approach is adopted by interviewing 15 active members of organizations that represent ethical concerns for the well-being of animals, the environment and humans. Findings – The study indicates that consumers with a strong value-based perspective on consumption (such as ethical consumers) may reject brands in two different but interrelated ways. In essence, the study reveals characteristics of brand avoidance that have not been discussed in earlier research, in terms of two dimensions: persistency (persistent vs temporary) and explicitness (explicit vs latent). Practical implications – The study shows the importance of considering the phenomenon of brand avoidance, as it may reveal fundamental challenges in the market. These challenges may relate to consumer values that have not been regarded as important or that have been thought of as relating only to a specific group of consumers. Originality/value – The ethical consumers' views represent new insights into understanding brand avoidance.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Monica Consolandi

Purpose Seniors are nowadays at the core of important reflections to understand both how to ensure them a proper quality of life and better recognize their social role, providing them services and proper health care to value them as persons and resources. This paper aims to find a through definition about who is a senior, in the author’s opinion the starting point to help them flourishing. Design/methodology/approach As an example of definitions, an online dictionary and two geriatric text-books are quoted, highlighting qualities and rights referred to seniors especially in the delicate context of the health-care system. Findings The lack of a commonly shared perspective on this delicate kind of patient entails the difficulty to reach a coherent and satisfying definition about who a senior is. Originality/value The lack of a commonly shared definition leads to inevitable misunderstandings and could explain the arduousness of considering seniors in all their aspects. Further investigations are suggested.


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