Predicting treatment outcomes in improving access to psychological therapy (IAPT) services

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Irini Verbist ◽  
Dale Huey ◽  
Hazel Bennett
Keyword(s):  
Treatment Outcomes ◽  
Prediction Models ◽  
Treatment Effectiveness ◽  
Psychological Therapy ◽  
Motivation To Change ◽  
Convenience Sample ◽  
Content Type ◽  
North West ◽  
The North ◽  
Quasi Experimental

Purpose Given the considerable variation in treatment effectiveness observed across Improving Access to Psychological Therapy (IAPT) services, the purpose of this study is to explore client- and service-related variables that predict successful treatment outcomes and clients’ dropout. Clinician-rated clients’ motivation to change was also explored as a potential predictor for both outcome variables. Design/methodology/approach A convenience sample of 1,135 (F = 752; Mage = 39.4) was collected from three IAPT services in the North West of England. The study adopts a quasi-experimental, observational design. The analysis involves the description of patients’ socio-demographic and clinical characteristics and the development of three outcome prediction models, using hierarchical logistic regression. Findings After adjusting for confounders, employment status and motivation to change as rated by clinicians were predictive of both recovery and reliable improvement. The higher number of IAPT re-referrals was negatively associated with recovery and positively with dropouts. Clients who indicated low motivation to change and received low intensity treatment at their last session presented a higher likelihood to dropout. Research limitations/implications Given that the evaluation of clients’ motivation to change was solely reliant on clinical judgement, as no validated measure was used, further robust research is recommended to draw sensible conclusions. Originality/value This is the first study evaluating clinician-rated motivation to change as a significant predictor of treatment outcomes and dropouts within the IAPT setting. Further research implications are discussed.

Social capital’s role in the development of volunteer-led cooperatives

2015 ◽  
Vol 11 (1) ◽  
pp. 4-23 ◽  
Author(s):  
Adam Richards ◽  
John Reed
Keyword(s):  
Social Capital ◽  
Qualitative Data ◽  
Third Sector ◽  
Economic Capital ◽  
Content Type ◽  
North West ◽  
Stakeholder Groups ◽  
The North ◽  
Third Sector Organisations ◽  
Capital Development

Purpose – The purpose of this study is to evaluate how social capital is developed in a third sector organisation based in the north-west of England, a small food cooperative run by volunteers. Social capital comprises the bonds, bridges and linkages that hold together societal members, and it can be considered to be a precursor of economic capital. Design/methodology/approach – Qualitative data were collected through interviews with key informants, observations and documents. Data were analysed using either a template or a thematic analysis to identify aspects of social capital development. Findings – A model of the interactions between and within the three main stakeholder groups involved in the cooperative is presented. This model shows how these interactions can develop social capital, and it discusses how potential deficits in social capital can occur. Research limitations/implications – The findings have practical and theoretical implications, in that they may better equip third-sector organisations to understand how social capital is developed. Originality/value – This is one of few practical studies of social capital development in a social enterprise and provides valuable insights into the processes by which this is done.

Nigeria's security chiefs may not ease north-east woes

2021 ◽  
Keyword(s):  
Displaced Persons ◽  
Content Type ◽  
North West ◽  
Border Regions ◽  
North East ◽  
The North ◽  
General Elections

Significance Although many recent jihadist attacks have occurred in border regions with Niger (to the north of Borno State) or Cameroon (to the east of Borno and neighbouring Adamawa State), the Maiduguri attack underscores that security in Borno’s major towns is tenuous. Impacts Already faltering efforts to resettle displaced persons could be further complicated if the security situation degrades in Maiduguri. The new service chiefs’ attention will be overstretched as they also attempt to respond to worsening insecurity in the north-west. With general elections in 2023, there is no immediate political outlet for public frustration with authorities’ poor handling of security.

scholarly journals Complete Genome Sequence of Escherichia coli O157:H7 Phage PhiG17

2019 ◽  
Vol 8 (3) ◽  
Author(s):  
Muyiwa A. Akindolire ◽  
Bukola R. Aremu ◽  
Collins N. Ateba
Keyword(s):  
Escherichia Coli ◽  
Genome Sequence ◽  
Complete Genome Sequence ◽  
Complete Genome ◽  
Whole Genome Sequence ◽  
Escherichia Coli O157 ◽  
Content Type ◽  
North West ◽  
The North ◽  
Genetic Features

Here, we announce the complete genome sequence of bacteriophage PhiG17, which is virulent to Escherichia coli O157:H7 strains and was isolated from cattle feces in the North West province of South Africa. This report presents the major genetic features of the phage PhiG17 based on its whole-genome sequence.

scholarly journals Draft Genome Sequences of Potentially Pathogenic Clostridium perfringens Strains from Environmental Surface Water in the North West Province of South Africa

2019 ◽  
Vol 8 (32) ◽  
Author(s):  
Johannes Cornelius Jacobus Fourie ◽  
Tomasz J. Sanko ◽  
Cornelius Carlos Bezuidenhout ◽  
Charlotte Mienie ◽  
Rasheed Adegbola Adeleke
Keyword(s):  
South Africa ◽  
Surface Water ◽  
Clostridium Perfringens ◽  
Draft Genome ◽  
Anthropogenic Factors ◽  
Genome Sequences ◽  
Content Type ◽  
North West ◽  
The North ◽  
North West Province

Surface water systems in South Africa are experiencing a major decline in quality due to various anthropogenic factors. This poses a possible health risk for humans. Here, we present the draft genome sequences of three Clostridium perfringens isolates obtained from a fecally polluted river system in the North West province of South Africa.

Algerian turmoil threatens the local motor industry

2019 ◽  
Keyword(s):  
Foreign Firms ◽  
Criminal Cases ◽  
State Support ◽  
Chief Executives ◽  
Content Type ◽  
North West ◽  
The North ◽  
Motor Industry ◽  
The Government ◽  
Local Motor

Subject Auto manufacturing and corruption. Significance The government on August 25 appointed judicial administrators to manage three major companies whose chief executives were detained as part of a wide-ranging anti-corruption drive, including the Tahkout Manufacturing Company, which produces cars. Local auto manufacturing -- a flagship industry under ousted President Abdelaziz Bouteflika -- has been badly affected by the anti-corruption campaign, with some companies struggling to pay staff and import parts. It is also threatened by concurrent new regulations introduced by the government. Impacts In the longer term, a re-evaluation of the programme of state support for the industry could threaten all manufacturers. Projects underway to build new Nissan and Peugeot plants by 2020 may be delayed or cancelled. Damage to the industry poses particular risks to the economy of the north-west, where most factories are located. Foreign firms in other sectors will be reluctant to invest in Algeria, fearing that local partners could be caught up in criminal cases.

scholarly journals HIV/AIDS Perceptions, attitudes and awareness of undergraduate students

2006 ◽  
Vol 2 (1) ◽  
Author(s):  
Christo Van Wyk
Keyword(s):  
Undergraduate Students ◽  
Tertiary Education ◽  
Future Research ◽  
Detailed Knowledge ◽  
Cross Sectional ◽  
Convenience Sample ◽  
North West ◽  
The North ◽  
Vaal Triangle ◽  
Hiv Aids

The central question to be examined revolves around the perceptions, attitudes and awareness regarding HIV/AIDS among undergraduate students at the North-West University (Vaal Triangle Campus). Therefore, the objective of this research was to assess these perceptions, attitudes and awareness regarding HIV/AIDS. A convenience sample of undergraduate students was used in a cross-sectional design (N = 290). A semi-standardised questionnaire as well as a biographical questionnaire was administered. The semi-standardised questionnaire was proven to be reliable. Cronbach’s alpha coefficient of between 0.65 and 0.71 was obtained. Descriptive statistics were used to analyse the data. Results indicated that students experienced and perceived differences with regards to their biographical variables in terms of their perceptions, attitudes and awareness regarding HIV/AIDS. Differences were also found between students in different study modules and study years. The findings revealed that the majority of the students were quite knowledgeable regarding HIV/AIDS. While some students had detailed knowledge of the disease and its prevention, others (the minority) were either completely ignorant about it or deny its existence. Recommendations were made for future research in the area of HIV/AIDS within the context of tertiary education.

“We'll go back to a system you really do not like!” Organizational norms and structural violence in a British foodbank

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Amanda Elizabeth Bruck ◽  
Kayleigh Garthwaite
Keyword(s):  
Structural Violence ◽  
Third Sector ◽  
Organizational Structures ◽  
Content Type ◽  
North West ◽  
The North ◽  
Social Welfare Programs ◽  
Organizational Norms ◽  
Organizational Rules ◽  
The Impact

PurposeWe explore how neoliberal logic has led to an erosion of social-welfare programs and pervades organizational structures and functions of a third-sector organization. Based upon fieldwork in a foodbank in the North-West of England, we discuss the impact of economic cuts upon organizational norms of the foodbank, and the intersection with the provision of charity support and personal relationships between the staff, volunteers and visitors.Design/methodology/approachThis article analyses pervasiveness of neoliberalism on a foodbank and the impact this has on organizational norms and relationships found within the organization. It integrates themes of structural violence, neoliberal discourse in the charity sector, notions of (un)deservingness and appropriate of time.FindingsOur research finds how a hostile environment transpires in a third-sector organization under increased economic and bureaucratic pressures and from this, organizational rules emerge that ignore the lived experiences of the people it serves. Herein, visitors must learn the organization's norms and garner relationships to be able to navigate the organization to successfully access essential resources.Originality/valueThe findings in this article will be of interest to academics researching poverty and organizational norms, professionals in the charity-sector and policy makers. Rules originating from economic and bureaucratic pressures can establish barriers to accessing essential material resources. It informs the pressures felt in balancing access to support services with personal timetables, and the need to include visitors' voices in establishing norms.

US gas pipeline shortage may drive energy diversity

2015 ◽  
Keyword(s):  
Natural Gas ◽  
Gulf Coast ◽  
Gas Production ◽  
Gas Pipeline ◽  
South Texas ◽  
Content Type ◽  
North West ◽  
Natural Gas Pipeline ◽  
North East ◽  
The North

Subject The effects of natural gas pipeline supply constraints in the US North-east. Significance The shale 'revolution' has caused a sharp rise in US natural gas production, but it has been located in areas without gas infrastructure. Production has been concentrated along the Gulf Coast, and the pipeline network is oriented from that region to the North-east and Pacific North-west. Newer areas of energy production, such as Bakken in North Dakota, Eagle Ford in South Texas, and Marcellus in Appalachia, have poor connections to major markets, and constraints have led to pricing spikes in the North-east. Impacts The majority of proposed pipelines for the next several years target areas in the upper Midwest, Mid-Atlantic, and South-east markets. Manufacturers in the North-east will face competitive disadvantage from paying the highest energy costs in North America. Pipeline constraints will not dampen enthusiasm for liquefied natural gas (LNG) exports, especially out of West Coast ports.

Nigeria's north-west violence will intensify further

2020 ◽  
Keyword(s):  
Political Will ◽  
Content Type ◽  
North West ◽  
Economic Distress ◽  
The North ◽  
Travel Restrictions ◽  
The Will ◽  
Group Involvement

Significance Still largely driven by a combination of criminal banditry and 'farmer-herder' conflicts but with hints of growing jihadist group involvement, the scope of insecurity has surpassed any hope of a military-led pacification campaign. Meanwhile, the pandemic and various pressing political challenges have sapped the will of President Muhammadu Buhari’s government to find political solutions to the underlying drivers. Impacts A lack of political will, insufficient local intelligence and limited manpower will impede Operation Sahel Sanity’s effectiveness. Pervasive violence and displacement across the north-west will hamper regional anti-COVID efforts and create widespread economic distress. Eased domestic travel restrictions may lead to a surge in criminal attacks and kidnappings.

Iraq will be reluctant to address crop burning threat

2019 ◽  
Keyword(s):  
Armed Conflict ◽  
Growing Season ◽  
Negative Effects ◽  
Full Inclusion ◽  
Environmental Challenges ◽  
Agricultural Output ◽  
Content Type ◽  
North West ◽  
The North ◽  
Growing Conditions

Significance That comes despite widespread instances of crop destruction in recent months, especially in the north-west, and is largely attributable to excellent weather during the growing season. Aside from crop burning, successive bouts of armed conflict and population displacements have often affected parts of the country that are important for agricultural output. Impacts Investment in agriculture will remain minimal. Environmental challenges facing agriculture in Iraq will struggle to gain attention. Strong 2019 output will disincentivise addressing intentional crop destruction despite negative effects in many communities. Repeated instances of crop burning will pose a much greater danger during years with poor growing conditions. Harvest figures in 2019 also show a significant improvement thanks to the full inclusion of Anbar, Nineveh and Salah al-Din.

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