Negotiating System Requirements to Secure Client Engagement – Therapist Strategies in Adolescent Psychotherapy Initiated by Others

Background: Many adolescent clients come to treatment reluctantly, at the initiative of others. Adolescents also quit therapy prematurely more often than adult clients do. This points to the value of finding good ways to engage adolescent clients in treatment and understanding more of what therapists do to achieve this task.Methods: We used focus group methodology to explore therapist strategies and behaviors to engage adolescent clients who come to therapy at the initiative of others. Ten focus group interviews with a total of 51 therapists were conducted with existing treatment teams from seven different clinics in community mental health care for children and youth. Reflexive thematic analysis was used as a framework to guide the analytical process.Findings: Navigating a position allowing the therapist and adolescent to meet and work toward a shared understanding of the situation and what could help was considered the main gateway to client engagement. To do this, therapists had to manage the pull between system requirements and their obligation to the individual adolescent client, represented by the theme Managing system requirements. The process of working with the adolescent to ensure engagement is represented by the four themes: Counteracting initial obstacles for client engagement – “You are not trapped here”; Sharing definitional power – “What does it look like to you?”; Practicing transparency – “I want you to know what I see”; and Tailoring as ideal – “I will design this therapy for you.”Implication and conclusion: Therapists want to understand their adolescent clients’ position better, and subsequently adjust the treatment goals and techniques to establish sufficient common ground to allow both the therapist and adolescent to find the therapeutic project worthwhile. However, system requirements and service organization were found to obstruct and influence these processes in several ways, pointing to the significance of exploring the interplay between system organization and therapeutic practice more thoroughly. There was also a variation between therapist behaviors described by different therapists within the same treatment teams, as well as systematic differences between treatment teams, pointing to the importance of future research differentiating wanted from unwanted variation in treatment.

Blood donors appointment booking and managing system using PC and mobile web browsers in current pandemic (COVID-19)

<span>Blood donation is the main source of blood resources in the blood banks which is required in the hospitals for everyday operations and blood compensation for the patients. In special cases, the patients require fresh blood for compensation such as in the case of major operations and similar situations. Moreover, plasma transfusions are vital in the current pandemic of coronavirus disease (COVID-19). In this paper, we have proposed a donation system that manages the appointments between the donors and the patient in the case of fresh blood donation is required. The website is designed using the Bootstrap technology to provide suitable access using the PC or the smart phones web browser. The website contains large database including information about the donors and their blood group, available time, and other personal information to facilitate the donation process. This system is designed with unlimited abilities to be used by any hospital, blood bank, or individuals to manage the donation process with no constrains.</span>

Application of Self-Managing System in Greenhouse with Wireless Sensor Network

It is well known that the Wireless Sensor Network (WSN) is a part of different fields of modern life (self-managing life). The automation of operating the WSN without any need for human efforts develops the technique used in this network in terms of power consumption, costs, and so on. In this paper, the WSN application that adopts the self-managing property is presented as well as applying this property in a greenhouse as a case study. It uses remote controlling technology for data exchanging in a multi-layer WSN. Different hardware and software equipment have been employed in the application based on self-managing techniques. Such hardware includes (NodeMCU ESP8266) as a microcontroller, Raspberry pi3 as a base station that captures the sensor reading from the node. Additionally, it was utilized two types of sensors (DS18B20, soil moisture) to sense the environmental parameters such as temperature and soil moisture and two actuators (LED1, LED2). The results show the proper performance of the presented WSN in terms of the self-managing side by checking the received data in real-time mode. These results are achieved for the threshold values of 25ᵒC temperature and 500 soil moisture as an upper level for operating the actuators. Index Terms—WSN, MQTT protocol, NodeMCU ESP8266, Raspberry pi3, sensors.