An evaluation of the Stratford multiagency, multidisciplinary, assessment clinic

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Catherine Cooper ◽  
Hannah Liu ◽  
Tobias Rowland ◽  
Riddhi Prajapati ◽  
Tayla Hurlock ◽  
...  

Purpose This study aims to assess a novel clinic whereby new patients were discussed in a multi-agency, multi-disciplinary panel and given feedback on the same day. The objectives were to determine the impacts on time to commencing treatment, need for further assessment, discharges and staff and patient experiences. Design/methodology/approach Outcomes from the new assessment clinic were compared to previous individual assessments. Feedback questionnaires were given to patients, while a focus group was conducted with staff. Findings There was a significant reduction in the time to agreeing a treatment plan (34 days to <1 day), the need for further assessment (61%–23.2%) and a significant increase in the proportion discharged from secondary care (26.9%–49.8%). Clinician and patient feedback on the clinic was positive. Practical implications The model of a multi-agency, multi-disciplinary clinic could be used for assessing new referrals to community mental health teams. Originality/value The use of a multi-agency, multi-disciplinary clinic is a novel approach within community mental health teams which led to improvements in efficiency, while demonstrating positive patient and clinician feedback.

2016 ◽  
Vol 21 (1) ◽  
pp. 23-36 ◽  
Author(s):  
Silvia Roncalli ◽  
Michael Byrne

Purpose – The purpose of this paper is to examine the levels of job satisfaction (JS) and burnout among psychologists working in Irish community mental health teams (CMHTs), and the relationships between these factors and three relational predictors: teamwork, liaison with management/supervisor and relationships among co-workers. Associations with absenteeism and participants’ turnover potential were also explored. Design/methodology/approach – Participants were 77 psychologists currently working in CMHTs nationwide or who had left a CMHT in the previous three years. Findings – Liaison with management/supervisor and teamwork emerged as significant predictors of JS but not of burnout. Relationships among co-workers emerged as a significant predictor of two dimensions of burnout. JS and burnout levels had no overall significant association with absenteeism or turnover potential. Practical/implications – This study confirmed that well-known associations between relational aspects of one’s job and the levels of JS and burnout were also present in this sample of psychologists, highlighting the vulnerability of these professionals to the same risks that affect workers in positions requiring comparatively lower psychological-mindedness. Service providers need to consider this important factor in their efforts to enhance productivity and prevent turnover, and it can be addressed at no extra costs by optimising the use of existing resources. Originality/Value – This study is one of the first to focus on relational aspects of CMHTs considering a sample of psychologists. Furthermore, while the three relational factors considered have been examined before in their individual relationships to JS and burnout, this study investigates their interactions with each other.


2017 ◽  
Vol 22 (4) ◽  
pp. 297-304 ◽  
Author(s):  
Ming Jin ◽  
Nicole DeHoratius ◽  
Glen Schmidt

Purpose The popular “beer game” illustrates the bullwhip effect where a small perturbation in downstream demand can create wild swings in upstream product flows. The purpose of this paper is to present a methodical framework to measure the bullwhip effect and evaluate its impact. Design/methodology/approach This paper illustrates a framework using SKU-level data from an industry-leading manufacturer, its distributors, end-users and suppliers. Findings Firms benefit from tracking multiple intra-firm bullwhips and from tracking bullwhips pertinent to specific products, specific suppliers and specific customers. The framework presented in this paper enables managers to pinpoint bullwhip sources and mitigate bullwhip effects. Research limitations/implications This paper presents a framework for methodically measuring and tracking intra-firm and inter-firm bullwhips. Practical implications A disconnect exists between what is known and taught regarding the bullwhip effect and how it is actually tracked and managed in practice. This paper aims to reduce this gap. For the various products analyzed herein, the authors show how using this framework has the potential to reduce delivered product cost by 2 to 15 per cent. Social implications Properly managing the bullwhip leads to lower inventories and potentially lower product prices while simultaneously increasing firm profits. Originality/value This paper presents a novel approach to systematically tracking intra-firm bullwhips along with bullwhips specific to a given supplier or customer.


2017 ◽  
Vol 21 (2) ◽  
pp. 454-473 ◽  
Author(s):  
Arnon Sturm ◽  
Daniel Gross ◽  
Jian Wang ◽  
Eric Yu

Purpose The purpose of this paper is to report on research that aims to make knowledge, and in particular know-how, more easily accessible to both academic and industrial communities, as well as to the general public. The paper proposes a novel approach to map out know-how information, so all knowledge stakeholders are able to contribute to the knowledge and expertise accumulation, as well as using that knowledge for research and applying expertise to address problems. Design/methodology/approach This research followed a design science approach in which mapping of the know-how information was done by the research team and then tested with graduate students. During this research, the mapping approach was continuously evaluated and refined, and mapping guidelines and a prototype tool were developed. Findings Following an evaluation with graduate students, it was found that the know-how maps produced were easy to follow, allowed continuous evolution, facilitated easy modification through provided modularity capabilities, further supported reasoning about know-how and overall provided adequate expressiveness. Furthermore, we applied the approach with various domains and found that it was a good fit for its purpose across different knowledge domains. Practical implications This paper argues that mapping out know-how within research and industry communities can further improve resource (knowledge) utilization, reduce the phenomena of “re-inventing the wheel” and further create linkage across communities. Originality/value With the qualities mentioned above, know-how maps can both ease and support the increase of access to expert knowledge to various communities, and thus, promote re-use and expansion of knowledge for various purposes. Having an explicit representation of know-how further encourages innovation, as knowledge from various domains can be mapped, searched and reasoned, and gaps can be identified and filled.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Craig Steel ◽  
Zoe Travers ◽  
Lynette Meredith ◽  
Deborah Lee ◽  
Michael Conti ◽  
...  

PurposeThe purpose is to report on the mental health response to the Grenfell incident within the London Fire Brigade (LFB).Design/methodology/approachThe LFB implemented screening for the symptoms of posttraumatic stress disorder (PTSD) at 28 days, 3 months and 6 months for all personnel directly involved in the incident.FindingsThe prevalence of PTSD within frontline personnel was 13.4% at 28 days, falling to 7.6% at 6 months. The LFB's internal Counselling and Wellbeing Service offered treatment to those scoring above the cut-off for PTSD along with accepting self-referral and referrals from line managers and occupational health. There were 139 referrals within the 12-month period following the incident.Research limitations/implicationsThe outcomes for those who engaged in treatment are broadly in line with other studies evaluating post-disaster interventions. Issues for consideration within national guidelines are discussed.Practical implicationsThe screen and treat approach adopted by LFB was shown to be a feasible approach to use within such a scenario.Originality/valueThe current study reports on a screen and treat approach to one of the largest single incidents in the UK in recent years.


2019 ◽  
Vol 32 (4) ◽  
pp. 1675-1691
Author(s):  
Jane Hamilton Johnstone ◽  
Derek Bryce ◽  
Matthew J. Alexander

Purpose This paper aims to evaluate the possibilities associated with go-along technique and other mobile qualitative methods augmenting other qualitative methods as a novel approach to developing understanding of multifaceted organisations. Design/methodology/approach The study explores the challenges associated with “static” qualitative methods for understanding multifaceted organisations and evaluates how a range of mobile methods can achieve a greater depth of analysis when researching complex hospitality and tourism settings. The paper uses an illustrative empirical case where mobile methods are used as part of a multi-method qualitative study exploring ancestral tourism in a large, heterogeneous tourism organisation. Findings This research highlights how mobile methods can service to: broaden the scope of interviews through introducing enhanced meaning and spontaneity; afford opportunity to explore and verify interview findings in informal settings; and widen participation in the study through ongoing recruitment of participants. Practical implications The authors identify implications for researchers working within hospitality and tourism who can gain additional insight by augmenting qualitative studies with mobile methods. Originality/value This paper identifies challenges in using more static qualitative methods when seeking understanding of complex, multifaceted tourism organisations where work activities are mobile and spatially dispersed. This research highlights the value of mobile methods in combination with other qualitative methods, to gain greater understanding of these organisations.


2019 ◽  
Vol 92 (2) ◽  
pp. 229-236
Author(s):  
Svetoslav Zabunov ◽  
Roumen Nedkov

Purpose This paper aims to reveal the authors’ conceptual and experimental work on an innovative avionics paradigm for small unmanned aerial vehicles (UAVs). Design/methodology/approach This novel approach stipulates that, rather than being centralized at the autopilot, control of avionics devices is instead distributed among controllers – spread over the airframe span, in response to avionics devices’ natural location requirements. The latter controllers are herein referred to as edge controllers by the first author. Findings The edge controller manifests increased efficiency in a number of functions, some of which are unburdened from the autopilot. The edge controller establishes a new paradigm of structure and design of small UAVs avionics such that any functionality related to the periphery of the airframe is implemented in the controller. Research limitations/implications The research encompasses a workbench prototype testing on a breadboard, as the presented idea is a novel concept. Further, another test has been conducted with four controllers mounted on a quadcopter; results from the vertical attitude sustenance are disclosed herein. Practical implications The motivation behind developing this paradigm was the need to position certain avionics devices at different locations on the airframe. Due to their inherent functional requirements, most of these devices have hitherto been placed at the periphery of the aircraft construction. Originality/value The current paper describes the novel avionics paradigm, compares it to the standard approach and further reveals two experimental setups with testing results.


2018 ◽  
Vol 26 (4) ◽  
pp. 614-629 ◽  
Author(s):  
Saju Jose ◽  
Nilesh Khare ◽  
F. Robert Buchanan

Purpose The purpose of this paper is to look at corporate social responsibility (CSR)-related actions to see whether they relate to clients’ perception of CSR. Design/methodology/approach Ninety-nine bank customers in Brisbane, Australia were surveyed by mail in a cross-sectional field study. Findings Not all CSR-related behaviors of the organizations were influential to perceptions of social responsibility. Big picture actions for the betterment of humanity were found to be influential to the perception of the firm’s CSR. However, respondents did not relate the firms’ profit and revenue initiatives to social responsibility, other than negativity toward false and misleading practices. Research limitations/implications Results are limited to one industry in Australia. Practical implications Actions for human betterment were found to be influential to the perception of the firm’s CSR. Also the uses of dishonest marketing schemes were seen as detrimental to CSR perceptions of the firm. However, respondents did not connect the firm’s business actions affecting profitability with customers, to their perceptions of its CSR. Thus, the authors conclude that altruism from a “big picture” standpoint has value in shaping CSR perception, but the organization may not always find it necessary to deprioritize profit, or to attempt to weave CSR actions into every aspect of their business. Originality/value The inquiry takes a novel approach to CSR, capturing an unexplored aspect of how CSR is perceived and valued by stakeholders.


2020 ◽  
Vol 24 (4) ◽  
pp. 197-205
Author(s):  
Andrew Voyce ◽  
Jerome Carson

Purpose The purpose of this paper is to provide an autoethnographic account of the stories of a mental health professional and a mental health survivor. Design/methodology/approach Using the autoethnographic approach, the authors provide summaries of their respective psychiatric careers in three parts. Findings The authors studied at the same University, Reading. Voyce failed his Politics finals and embarked on a trajectory as a mental patient. Carson graduated in Psychology and trained as a clinical psychologist. The recovery movement brought them together, and they have now established an educational and personal bond. Research limitations/implications These are of course only two accounts, yet both authors have played a role in developing the recovery model in Britain. The accounts and story show the benefits of adopting a partnership approach between professional and service user. Practical implications Both accounts are recovery journeys in their own way. Both highlight the value of education for recovery. Social implications There is no doubt that clinical psychologists are both highly valued and well paid for their expertise. However, the expertise gained through Andrew’s life experience is equally invaluable for today’s mental health professionals to learn from, but perhaps not as well remunerated. Originality/value Both accounts stretch back over 45 years and have covered the move from institutional to community care. This paper presents two contrasting perspectives on these changes and the lives of the two people involved.


2020 ◽  
Vol 12 (4) ◽  
pp. 417-433 ◽  
Author(s):  
Sławomir Wawak ◽  
Piotr Rogala ◽  
Su Mi Dahlgaard-Park

Purpose This study aims to demonstrate the suitability of text-mining toolset for the discovery of trends in quality management (QM) literature in 2000-2019. The hypothesis was formulated that as the field of study is mature, the most important trends are related to deepening and broadening of the knowledge. Design/methodology/approach A novel approach to trend discovery was proposed. The computer-aided analysis of full-texts of papers led to increased reliability and level of detail of the achieved results and helped significantly reduce researchers’ bias. Overall, 4,833 papers from 8 journal dedicated to QM were analysed. Findings Trends discovery led to the identification of 45 trends: 17 long-lasting trends, 4 declining trends, 11 emerging trends and 13 ephemeris trends. They were compared to the results of earlier studies. New trends and potential gaps were discussed. Practical implications The results highlight the trends that gain or lose popularity, thus they can be used to focus studies, as well as find new subjects, which are not so popular yet. The knowledge about emerging trends is also important for those quality managers who strive for improvement of their efficiency. Originality/value The research was designed to bypass the limitations of previous studies. The use of text mining methods and analysis of full texts of papers delivered more detailed and reliable data. Resignation from predefinition of classification criteria significantly reduced researchers’ bias and allowed the discovery of new trends, not identified in previous studies.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Kirk Heilbrun ◽  
Sarah Fishel ◽  
Claire Lankford ◽  
Mina Ratkalkar

Purpose The conviction of innocent individuals has emerged as an international concern, resulting in substantial attention to the legal needs that stem from exoneration. However, many other challenges can also arise in the aftermath of an exoneration, including financial, psychosocial and mental health needs. Relatively little has been written about the particular reentry needs of individuals who are exonerated of their charges, and even fewer studies have considered the effectiveness of various treatment approaches. The purpose of this paper is to reviews the available literature, identifies gaps and provides clinical recommendations for the development of treatment interventions for exonerees. Design/methodology/approach The research addressing the needs and challenges that arise in the aftermath of exoneration is reviewed and analysed for implications that can guide treatment-planning in this area. Findings This paper reviews key finds from the literature and provides recommendations for developing a semi-structured approach to treating exonerees. Practical implications Practical applications for the development of effective therapeutic interventions for exonerated individuals are identified and discussed. Originality/value Currently, there is very limited literature addressing the specific reentry needs and effective therapeutic interventions for exonerated individuals.


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