Description and evaluation of a novel service for “difficult to manage” psychiatric in-patients

2015 ◽  
Vol 17 (1) ◽  
pp. 69-78
Author(s):  
Adrian J. Hayes ◽  
Daniel Pratt ◽  
Jenny Shaw
Keyword(s):  
Mental Illness ◽  
Serious Mental Illness ◽  
Transitional Care ◽  
Qualitative Interviews ◽  
Effective Management ◽  
Content Type ◽  
Direct Patient Contact ◽  
Transitional Service ◽  
Practical Implications ◽  
Successful Transfer

Purpose – A new service was developed to provide transitional care between acute and secure services for people with serious mental illness who are considered “difficult to manage”. The purpose of this paper is to evaluate the work of the service by examining referrals made, strategies employed for each referral, and patient outcomes, as well as investigating issues in the service's development and implementation. Design/methodology/approach – A retrospective descriptive study by review of 38 case notes, and qualitative interviews of 47 staff within the service and those referring to the service. Findings – In the first eight months, 38 patients were referred due to violence, aggression and management problems. Most interventions provided by the service involved working with referring staff, rather than direct patient contact. Subsequently, 16 per cent required referral to higher levels of security. Interviews showed the team's aims needed to be more clearly established, but that ward staff found the service to be a useful and productive resource. Research limitations/implications – The study is descriptive and retrospective, but showed that the service provided appropriate interventions for managing patients with serious mental illness and challenging behaviour. Practical implications – A transitional service may have value in keeping patients in the least restrictive setting. Careful planning is needed in designing novel interventions, ensuring clear aims and effective management. Originality/value – The service under study was novel, and may be useful in facilitating successful transfer from, or preventing admission to, secure services.

scholarly journals Perspectives of Patients and Providers in Using Shared Decision Making in Psychiatry

2021 ◽  
Author(s):  
Natalie J. Maples ◽  
Dawn I. Velligan ◽  
Eric C. Jones ◽  
Erin M. Espinosa ◽  
Robert O. Morgan ◽  
...  
Keyword(s):  
Decision Making ◽  
Mental Illness ◽  
Shared Decision Making ◽  
Serious Mental Illness ◽  
Transitional Care ◽  
Psychiatric Hospitalization ◽  
Qualitative Interviews ◽  
Shared Decision ◽  
Care Clinic ◽  
External Forces

AbstractThere is increased interest over the last decade in the use of Shared Decision Making with individuals with serious mental illness to improve engagement in treatment and clinical outcomes. We conducted semi-structured qualitative interviews with 15 individuals with serious mental illness treated in an outpatient transitional care clinic serving people immediately after discharge from a psychiatric hospitalization. Parallel interviews were conducted with a variety of clinical providers (n = 9). Using latent thematic analysis, six themes were identified including: (1) Differences in the Use of SDM, (2) Consideration of Past Experiences, (3) Decisional Power Preferences, (4) Use of SDM in Psychiatry Versus Other Areas of Medicine, (5) Dignity and Disengagement, and (6) External Forces Impacting SDM. Implications for clinical practice and research using a shared decision-making approach within this treatment setting are further discussed.

scholarly journals Skills-based intervention to enhance collaborative decision-making: systematic adaptation and open trial protocol for veterans with psychosis

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Emily B. H. Treichler ◽  
Borsika A. Rabin ◽  
William D. Spaulding ◽  
Michael L. Thomas ◽  
Michelle P. Salyers ◽  
...  
Keyword(s):  
Decision Making ◽  
Mental Illness ◽  
Service Delivery ◽  
Serious Mental Illness ◽  
Qualitative Interviews ◽  
Skills Training ◽  
Mental Illnesses ◽  
Open Trial ◽  
Collaborative Decision Making ◽  
Collaborative Decision

Abstract Background Collaborative decision-making is an innovative decision-making approach that assigns equal power and responsibility to patients and providers. Most veterans with serious mental illnesses like schizophrenia want a greater role in treatment decisions, but there are no interventions targeted for this population. A skills-based intervention is promising because it is well-aligned with the recovery model, uses similar mechanisms as other evidence-based interventions in this population, and generalizes across decisional contexts while empowering veterans to decide when to initiate collaborative decision-making. Collaborative Decision Skills Training (CDST) was developed in a civilian serious mental illness sample and may fill this gap but needs to undergo a systematic adaptation process to ensure fit for veterans. Methods In aim 1, the IM Adapt systematic process will be used to adapt CDST for veterans with serious mental illness. Veterans and Veteran’s Affairs (VA) staff will join an Adaptation Resource Team and complete qualitative interviews to identify how elements of CDST or service delivery may need to be adapted to optimize its effectiveness or viability for veterans and the VA context. During aim 2, an open trial will be conducted with veterans in a VA Psychosocial Rehabilitation and Recovery Center (PRRC) to assess additional adaptations, feasibility, and initial evidence of effectiveness. Discussion This study will be the first to evaluate a collaborative decision-making intervention among veterans with serious mental illness. It will also contribute to the field’s understanding of perceptions of collaborative decision-making among veterans with serious mental illness and VA clinicians, and result in a service delivery manual that may be used to understand adaptation needs generally in VA PRRCs. Trial registration ClinicalTrials.gov Identifier: NCT04324944

Energy consultants calculating sustainability for residential buildings

Facilities ◽  
2019 ◽  
Vol 37 (11/12) ◽  
pp. 825-838 ◽  
Author(s):  
Roger Andre Søraa ◽  
Håkon Fyhn ◽  
Jøran Solli
Keyword(s):  
Design Process ◽  
Energy Efficient ◽  
Design Methodology ◽  
Residential Buildings ◽  
Qualitative Interviews ◽  
Implementation Process ◽  
Building Sector ◽  
Content Type ◽  
Practical Implications

PurposeThis paper aims to investigate the role of a particular energy calculator in enhancing the energy efficiency of existing homes by asking how this calculator was developed and how it is domesticated by craftspeople working as energy consultants.Design/methodology/approachThe study is based on qualitative interviews with users and producers of the energy calculator (n= 22), as well as participation in energy consultation training.FindingsThe paper finds that, in the energy calculator, there is a striking lack of connection between the domestication and script because of lack of energy consultants’ involvement in the design and implementation process.Practical implicationsThe enrolment of energy consultants as energy calculator users earlier in and throughout the design process could be valuable in making the transition to an energy-efficient and environmentally friendly building sector.Social implicationsThe paper argues for recognition of the role of energy consultants, especially craftspeople, as participants in the design process for tools of governance. This is a call to acknowledge the value of particular skills and experiences possessed by craftspeople doing home consultation.Originality/valueBy understanding the intricate developer–user synchronicity in tools developed for upgrading the building sector, energy mitigation can be made more effective.

International relationships and resilience of New Zealand SME exporters during COVID-19

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Benjamin Fath ◽  
Antje Fiedler ◽  
Noemi Sinkovics ◽  
Rudolf R. Sinkovics ◽  
Bridgette Sullivan-Taylor
Keyword(s):  
New Zealand ◽  
Model Transformation ◽  
Large Scale ◽  
Qualitative Interviews ◽  
Contingency Planning ◽  
Strong Ties ◽  
Content Type ◽  
Relationship Strength ◽  
Managerial Action ◽  
Practical Implications

Purpose This paper aims to empirically investigate how small- and medium-sized enterprise (SMEs) have engaged with international network partners during COVID-19 and how the crisis has changed network relationships and resilience depending on pre-COVID relationship strength and, secondarily, on opportunity outlook in a market. Design/methodology/approach This paper draws on 14 qualitative interviews with managers of New Zealand SMEs from diverse industries and four with industry experts. Rather than generalization, the aim of this exploratory paper is to identify contingency factors, which, under duress, strengthen or break business relationships. Findings Four main patterns emerge from the data, with respect to how SMEs engaged with network partners depending on the nature of their prepandemic relationships and the extent to which their markets had been affected by the pandemic. During crisis, weak ties either break or remain weak, forcing firms to create new, potentially opportunistic, relationships. Strong ties increase resilience, even under a negative outlook, as network partners support each other, including through the development of new ties. Strong ties can also accelerate business model transformation. Research limitations/implications Future large-scale research is needed to test the generalizability of the authors’ findings. Practical implications The findings of this paper indicate lessons for business continuation management and future preparedness for major disruptions. Specific insights may help stimulate managerial action to accelerate contingency planning and policy to support SMEs. Originality/value This paper is an early study on how weak and strong ties influence SME resilience during crisis.

Branding’s academic–practitioner gap: managers’ views

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Frank Alpert ◽  
Mark Brown ◽  
Elizabeth Ferrier ◽  
Claudia Fernanda Gonzalez-Arcos ◽  
Rico Piehler
Keyword(s):  
Brand Management ◽  
Qualitative Interviews ◽  
Academic Research ◽  
Third Party ◽  
Content Type ◽  
Building Relationships ◽  
Marketing Managers ◽  
Wide Range ◽  
Branding Strategies ◽  
Practical Implications

Purpose This study aims to investigate marketing managers’ views on the existence and nature of the academic–practitioner gap in the branding domain. Design/methodology/approach Using a purposive sampling method, the researchers conduct semi-structured qualitative interviews with 20 experienced marketing managers from a wide range of industries and organisations, whose roles are focussed on the planning, implementation and management of broad marketing and branding strategies. Findings Branding practitioners have little or no contact with academics and their theories-in-use with regard to brand management suggest they do not consider academic research relevant to their work. Research limitations/implications The process of describing and explaining the gap provides valuable insights into bridging the gap; it provides actionable branding strategies that include raising awareness, building relationships, improving the benefits offer and communicating more effectively. Practical implications This research has practical implications for branding academics. The interviewed practitioners confirm the gap, viewing it as academics’ (not practitioners’) problem and responsibility. They characterise it as a branding problem that academics can overcome using branding strategies, to establish themselves as credible sources of branding expertise for practitioners. Key areas for increasing collaboration stem from practitioners’ desire for independent, credible, ethical and timely third-party advice on branding issues; relevant, timely and shorter professional branding education across their organisations; and closer connections with universities to identify new branding talent and ideas. Originality/value To the best of the authors’ knowledge, this paper is the first to empirically examine and recommend solutions to the academic-practitioner gap in the branding domain by studying marketing professionals with branding responsibilities, using in-depth interviews.

scholarly journals Considering the legitimacy of homeless hostels as sites of discipline and regulation

2019 ◽  
Vol 39 (3/4) ◽  
pp. 250-263 ◽  
Author(s):  
Ian Mahoney
Keyword(s):  
Design Methodology ◽  
Qualitative Interviews ◽  
Homeless People ◽  
Original Data ◽  
Service Users ◽  
Contemporary Society ◽  
Content Type ◽  
Doctoral Research ◽  
Practical Implications

Purpose The purpose of this paper is to critique the role of homeless hostels in contemporary society, examining their role and legitimacy as sites of discipline and regulation of behaviors, ideas and aspirations. Design/methodology/approach The research draws upon in-depth qualitative interviews and supplementary observations undertaken in two homeless hostels in Stoke-on-Trent. Findings The research finds that even the most benign interventions enacted in homeless hostels are infused with disciplinary and regulatory techniques and suggests that the author needs to consider the legitimacy and efficacy of such approaches when seeking to understand the role of the hostel in assisting residents in (re)developing their autonomy. Research limitations/implications While there are legitimate reasons for the deployment of such techniques in some cases, legitimacy can be undermined where expectations go unmet or where developing residents’ and service user’s needs are not necessarily the main object of the interventions. Practical implications Hostel providers need to consider the ethicality and legitimacy of the interventions in place when seeking to help service users and residents to (re)develop their autonomy and ensure that efforts are focused in an effective and meaningful way. Social implications Homeless people are among the most vulnerable and excluded in society. The paper seeks to draw attention to the disciplinary and regulatory techniques to which they are subject in order to ensure that approaches employed to support homeless individuals have a clear, ethical and legitimate basis. Originality/value The research draws upon original data collected as part of a doctoral research project into wider experiences of unemployment.

Analysis of archives infrastructure in South Africa

2019 ◽  
Vol 69 (4/5) ◽  
pp. 221-239 ◽  
Author(s):  
Nkholedzeni Sidney Netshakhuma
Keyword(s):  
South Africa ◽  
Records Management ◽  
Effective Management ◽  
Building Capacity ◽  
Content Type ◽  
The Public ◽  
Legislative Policy ◽  
Document Review ◽  
Electronic Records Management ◽  
Practical Implications

Purpose The purpose of this study is to assess the extent to which the Mpumalanga Provincial Archives (MPA) complies with the Mpumalanga Archives Act, 2008 legislative/policy provisions of archives building, capacity building and electronic records management and to suggest recommendations for effective archives and records management (ARM) programme in South Africa. Design/methodology/approach This paper adopts a quantitative approach supplemented by qualitative data using document review to collect data and content analysis. Findings The results show that MPA enacted Mpumalanga Archives Act, 2008. However, the challenge is the implementation of such legislation. The findings of this paper would contribute towards the literature in archival legislation in South Africa and other parts of the world. Research limitations/implications Even though the paper was based in South Africa, it was limited to the MPA of South Africa. Practical implications The findings are expected to be instrumental in the implementation of Mpumalanga Archives Act, 2008. Social implications The findings and recommendations will help in guiding MPA on the implementation of an effective provincial archive and records to facilitate the effective management of records to determine those of archival value, to preserve them for posterity and to make them accessible to the public. Originality/value This is an original study using a document review to review the Mpumalanga Archives Act, 1998. The effective archives infrastructure will contribute to compliance with legislative components such as archives building, cooperation, ERMS, appraisal and disposal of records, archives advisory body and access to information.

Case management helps prevent criminal justice recidivism for people with serious mental illness

2017 ◽  
Vol 13 (3/4) ◽  
pp. 168-172 ◽  
Author(s):  
Heather Leutwyler ◽  
Erin Hubbard ◽  
Elaine Zahnd
Keyword(s):  
Mental Illness ◽  
Criminal Justice ◽  
Case Management ◽  
Criminal Justice System ◽  
Serious Mental Illness ◽  
Justice System ◽  
Secondary Analysis ◽  
Formerly Incarcerated ◽  
Community Reentry ◽  
Content Type

Purpose The purpose of this paper is to discuss how case management can decrease recidivism for people with serious mental illness (SMI) because people with SMI are at high risk for incarceration and recidivism. Design/methodology/approach Examples of successful case management models for formerly incarcerated individuals with SMI found through a secondary analysis of qualitative data and an analysis of the literature are presented. Findings Currently, no international, national, or statewide guidelines exist to ensure that formerly incarcerated individuals with SMI receive case management upon community reentry despite evidence that such services can prevent further criminal justice involvement. Recommendations include establishment of and evaluation of best practices for case management. In addition, the authors recommend additional funding for case management with the goal of greatly increasing the number of individuals with SMI leaving the criminal justice system in their ability to access adequate case management. Originality/value Providing effective case management tailored to the needs of formerly incarcerated people with SMI improves their quality of life and reduces their involvement in the criminal justice system with clear positive outcomes for public safety and public health.

Expecting “the Arab world”: imaginative geographies as dominant diversity frames

2017 ◽  
Vol 36 (6) ◽  
pp. 533-550
Author(s):  
Jasmin Mahadevan ◽  
Katharina Kilian-Yasin ◽  
Iuliana Ancuţa Ilie ◽  
Franziska Müller
Keyword(s):  
Design Methodology ◽  
Arab World ◽  
Qualitative Interviews ◽  
Theory And Practice ◽  
The West ◽  
Content Type ◽  
Imaginative Geographies ◽  
Muslim Minorities ◽  
Practical Implications ◽  
Negative Difference

Purpose The purpose of this paper is to highlight the dangers of Orientalist framing. Orientalism (Said, 1979/2003) shows how “the West” actually creates “the Orient” as an inferior opposite to affirm itself, for instance by using imaginative geographical frames such as “East” and “West” (Said, 1993). Design/methodology/approach Qualitative interviews were conducted with the members of a German-Tunisian project team in research engineering. The interview purpose was to let individuals reflect upon their experiences of difference and to find out whether these experiences are preframed by imaginative geographical categories. Findings Tunisian researchers were subjected to the dominant imaginative geographical frame “the Arab world.” This frame involves ascribed religiousness, gender stereotyping and ascriptions of backwardness. Research limitations/implications Research needs to investigate Orientalist thought and imaginative geographies in specific organizational and interpersonal interactions lest they overshadow managerial theory and practice. Practical implications Practitioners need to challenge dominant frames and Orientalist thought in their own practice and organizational surroundings to devise a truly inclusive managerial practice, for instance, regarding Muslim minorities. Social implications In times of Islamophobia and anti-Muslim sentiment in “the West,” this paper highlights the frames from which such sentiments might originate, and the need to reflect upon them. Originality/value The theoretical value lies in introducing a critical framing approach and the concept of imaginative geographies to perceived differences at work. For practice, it highlights how certain individuals are constructed as “Muslim others” and subjected to ascriptions of negative difference. By this mechanism, their inclusion is obstructed.

Contesting competence

2016 ◽  
Vol 34 (2) ◽  
pp. 188-202 ◽  
Author(s):  
Timothy Marjoribanks ◽  
Karen Farquharson
Keyword(s):  
Qualitative Methodology ◽  
Qualitative Interviews ◽  
Chief Executive ◽  
Technical Skills ◽  
Leadership And Management ◽  
Content Type ◽  
Australian Football League ◽  
Australian Football ◽  
Practical Implications

Purpose – The purpose of this paper is to contribute to the debate around conceptualising competence in sport organisations by analysing club leadership and management in the Australian Football League (AFL) at a time of professionalisation. The paper asks: what were considered appropriate activities for newly professionalised AFL clubs, and how was the role of the Chief Executive Officer (CEO) as a competent leader in delivering these activities conceptualised in the clubs? Design/methodology/approach – Semi-structured in-depth qualitative interviews were conducted with 38 senior club managers in the AFL. A thematic analysis was undertaken. Findings – The paper finds that perceptions of core activities of clubs expanded with professionalisation, and that the role of the CEO emerged as the outcome of internal organisational contests. CEO competence is not only a set of technical skills, but is social, relational and “essentially contested” (Good, 1998, p. 205). Research limitations/implications – The qualitative methodology adopted means findings cannot be generalised to other sporting leagues, however, because all clubs participated they do reflect conceptualisations in the AFL at the time. The findings are suggestive of issues that may be relevant to other sporting competitions. Practical implications – The paper provides evidence that CEOs in sporting organisations should not be appointed only on the basis of technical skills. Social and relational skills are critical to organisational success. Originality/value – This paper enriches understandings of AFL clubs and of CEOs as leaders in sport organisations, and contributes to theoretical debates around the organisational construction of competence.

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