Frontline Response to High Impact Domestic Violence in Hungary

The first part of the chapter describes the legalisation of domestic violence. The Criminal Code criminalises domestic violence, including several areas of domestic violence such as emotional, physical, economic, and sexual violence. Two main limitations are that the Criminal Code does not sanction verbal abuse, and the police are obliged to file a criminal complaint ex officio only if domestic violence involves serious physical injuries. In all other cases, it is upon the request of the victim to file a criminal complaint against the offender. The second part of the chapter describes the roles of the different front-line agencies in responding to domestic violence; the police, the Child Protection Perceiving and Reporting System, the Guardianship office, the family support and child welfare services and the different NGO's that operate crisis management and different helplines. The next part of the chapter introduces the work of the National Crisis Telephone Helpline as a good practice of cooperation between stakeholders that helps victims of domestic violence and human trafficking through a free of charge telephone line. The last part shows the main challenges and shortcomings characterising the handling of domestic violence in Hungary.

Who knows what and who has the rights to know it?: Knowledge and reality construction in interaction

<p>Knowledge has been at the centre of philosophical and scientific enquiry for centuries. It remains a topic of central importance in psychology. The current thesis examined how knowledge was managed and treated as relevant by speakers in social interaction in situ. Complaint calls to a dispute resolution telephone helpline service were studied using discursive psychology and conversation analysis as theoretical and methodological frameworks. The thesis focused on how knowledge was implicated in the accomplishment of the institutional task of jointly establishing the facts of the complaint. In particular, the research examined how the issues of ‘who knows what’ and ‘who has the rights to know it’ were demonstrably relevant for speakers in these interactions. The empirical work focused on two types of question-answer sequences. In cases where some requested information was not forthcoming or not immediately provided, callers’ conduct displayed their orientations to a normative expectation that they knew what was asked for and that they had an obligation to provide it. A second set of cases was a collection of declarative requests for confirmation. The different types of responses to such questions were described. It was proposed that the responses could be placed along a continuum, by the extent to which they asserted a caller’s epistemic rights to knowledge about the relevant information. The thesis contributed to existing research by drawing together recent conversation analytic work on epistemics as a domain of organization in social interaction, and more established discursive psychological work on reality construction. The thesis highlighted the practical nature of knowledge, as it was relevant for accomplishing a key institutional task, and other actions, in telephone-mediated dispute resolution.</p>

Who knows what and who has the rights to know it?: Knowledge and reality construction in interaction

<p>Knowledge has been at the centre of philosophical and scientific enquiry for centuries. It remains a topic of central importance in psychology. The current thesis examined how knowledge was managed and treated as relevant by speakers in social interaction in situ. Complaint calls to a dispute resolution telephone helpline service were studied using discursive psychology and conversation analysis as theoretical and methodological frameworks. The thesis focused on how knowledge was implicated in the accomplishment of the institutional task of jointly establishing the facts of the complaint. In particular, the research examined how the issues of ‘who knows what’ and ‘who has the rights to know it’ were demonstrably relevant for speakers in these interactions. The empirical work focused on two types of question-answer sequences. In cases where some requested information was not forthcoming or not immediately provided, callers’ conduct displayed their orientations to a normative expectation that they knew what was asked for and that they had an obligation to provide it. A second set of cases was a collection of declarative requests for confirmation. The different types of responses to such questions were described. It was proposed that the responses could be placed along a continuum, by the extent to which they asserted a caller’s epistemic rights to knowledge about the relevant information. The thesis contributed to existing research by drawing together recent conversation analytic work on epistemics as a domain of organization in social interaction, and more established discursive psychological work on reality construction. The thesis highlighted the practical nature of knowledge, as it was relevant for accomplishing a key institutional task, and other actions, in telephone-mediated dispute resolution.</p>

Efforts to Prevent Railway Suicides in Denmark

Background: Reviews of camera surveillance systems have demonstrated ambivalent behaviors among people who die by railway suicide. Yet, only few preventive measures have been evaluated. Aims: We aimed to review incidents of suicidal behavior at a Danish railway station, install preventive measures, and monitor subsequent calls to a telephone helpline and reports of suicidal incidences. Method: Suicide incidents at Valby Station during 2012–2018 were reviewed to identify options for preventive measures. Based on these findings, signs encouraging help-seeking and other measures were implemented. Calls to the Danish helpline for suicide prevention and suicidal events at the station were subsequently monitored. Results: The review revealed locations where measures were meaningful and signs, physical barriers, and motion-sensitive lights were installed. Over the following 14 months, no suicide deaths occurred, and the signs were mentioned in 14 calls to the helpline, some of which were made by callers who were evaluated to be at high risk of suicide. Limitations: No direct link between implemented measures and observed outcomes could be established. Conclusion: Installing measures, including signs, at appropriate locations at railway platforms may encourage people in crisis to seek support.

Assessing the Information Communicatyion Technology (ICT) Knowledge Levels of the Moth Bean Growers in Churu District of Rajasthan, India

Now a days new technologies introducing in agriculture and it reduce the role of man power. Globally, in this informative era, information, communication and technology (ICT) play vital roles in creating awareness about new innovations in every field of life, especially in agriculture. ICTs can make agriculture more innovative, attractive and productive occupation through providing latest useful information. In this study, ICTs is operationalized as the use of communication tools like, WhatsApp group, SMS, Telephone helpline to reach farmers. It saves money, time and efforts and reduces dependency on so many factors in the chain of extension. In this present study, majority of respondents were had medium level of knowledge regarding ICT.

Eldercare helpline: connecting with older people to mitigate the effects of the Covid-19 crisis in Jaipur, India

Purpose The purpose of this study is to identify the needs and concerns of older people in Jaipur, Rajasthan, India during the lockdown phase of the Covid-19 crisis. The study also aims to present a viable model for extending needed support through a telephone helpline run by a team of young student volunteers. Design/methodology/approach The study uses a thematic analysis of the interaction between callers (service users) and volunteers. Findings The study shows that the main reasons that motivate the use of the helpline are to seek medical advice and to request medical services and medical supplies free of charge. However, the study also shows that other reasons for calling the helpline are feelings of loneliness and the need for psychological support, especially due to insufficient assistance from families. Practical implications The study shows the benefits of providing this type of service for older people during a time of national health crisis. The service is cost-effective and offers a one-stop assistance point. Social implications The service also constitutes an avenue for building intergenerational solidarity and empathy between younger and older people. This is especially important for citizens who feel socially isolated and disconnected from the rest of society. Originality/value The study offers a model for an easily created resource that could usefully be exported to other geographic settings.

AB0909-HPR COVID 19 CRISIS: RAPID DEVELOPMENT OF REMOTE RHEUMATOLOGY MEDICATION CLINICS

Background:We used to initiate DMARD(s) and Biologic therapies via nurse-led shared medical appointments (Group clinics) and could see up to 30 patients per week, with a maximum of 6 patients per group. We did this to start patients on their medications efficiently and safely and to manage the increase in workload.However, with the onset of the COVID 19 pandemic, we had to stop these clinics immediately, but, we did not have capacity to start everyone on their medications in a timely manner by telephone. Telephoning each individual took > 9 hours per week, whereas previously it took 3-4 haours.Objectives:We wanted to start patients on their all rheumatology medications safely and efficiently (within 10 days).Methods:By April 2202, we had organised the filming of 10 short healthcare videos to give patients all the information they required to start a range of DMARDs and biologics.We developed a new protocol (fig 1); patients are asked to view the relevant video, contact our department to confirm they understand the safety monitoring, risks, potential side effects, dose increases etc. As soon as they confirm by email they are happy to start treatment, a prescription is generated and emailed to the hospital outpatient pharmacy, where it is dispensed and delivered to the patient’s home. We send a follow up reminder letter about blood test monitoring etc (copy to GP) and a ‘shared care agreement’ to GP. They are given the option to have a telephone clinic appointment with a specialist nurse if required.Figure 1.Results:Of those requiring DMARDs, 62% reviewed the video, completed the checklist and confirmed by email they were happy to start treatment, within 24-hours. 88% had completed within 7 days.Over half the patients (56%) were starting DMARDs for the first time, of those 8% requested a telephone consultation to discuss treatment further with the Rheumatology nurses. Of the 44% of patients already taking a DMARD and due to start a second medication 24% required a telephone clinic appointment.As this is a new service, we asked for feedback, receiving replies from 34%, all scoring between 9/10 and 10/10.We have released > 7 hours of specialist nurse time for telephone/helpline clinics.Conclusion:The development of digital / remote medication clinics has been a success and we will continue with this approach. We have limited face-to-face appointments, started patients on rheumatology medications more quickly and efficiently than previously (but maintained safety), allowed the nursing staff time to spend more time working in our telephone clinics and have had excellent patient feedback. Although, we are aware, this is at a cost of no peer-to-peer interaction, which has been of value in the past.Disclosure of Interests:Rian Penford: None declared, Elaine Wren: None declared, Kirsten Mackay Speakers bureau: I have been paid as a speaker for Roche within the last 12 months, Consultant of: I have worked as a paid consultant for Novartis, Janssen and Lilly within the last 12 moths, Grant/research support from: Novartis have assisted in the development of our Rheumatology App - Connect Plus - developed for rheumatology patients attending our department.

Improving mobility and participation of older people with vertigo, dizziness and balance disorders in primary care using a care pathway: feasibility study and process evaluation

Background Community-dwelling older people are frequently affected by vertigo, dizziness and balance disorders (VDB). We previously developed a care pathway (CPW) to improve their mobility and participation by offering standardized approaches for general practitioners (GPs) and physical therapists (PTs). We aimed to assess the feasibility of the intervention, its implementation strategy and the study procedures in preparation for the subsequent main trial. Methods This 12-week prospective cohort feasibility study was accompanied by a process evaluation designed according to the UK Medical Research Council’s Guidance for developing and evaluating complex interventions. Patients with VDB (≥65 years), GPs and PTs in primary care were included. The intervention consisted of a diagnostic screening checklist for GPs and a guide for PTs. The implementation strategy included specific educational trainings and a telephone helpline. Data for mixed-method process evaluation were collected via standardized questionnaires, field notes and qualitative interviews. Quantitative data were analysed using descriptive statistics, qualitative data using content analysis. Results A total of five GP practices (seven single GPs), 10 PT practices and 22 patients were included in the study. The recruitment of GPs and patients was challenging (response rates: GP practices: 28%, PT practices: 39%). Ninety-one percent of the patients and all health professionals completed the study. The health professionals responded well to the educational trainings; the utilization of the telephone helpline was low (one call each from GPs and PTs). Familiarisation with the routine of application of the intervention and positive attitudes were emphasized as facilitators of the implementation of the intervention, whereas a lack of time was mentioned as a barrier. Despite difficulties in the GPs’ adherence to the intervention protocol, the GPs, PTs and patients saw benefit in the intervention. The patients’ treatment adherence to physical therapy was good. There were minor issues in data collection, but no unintended consequences. Conclusion Although the process evaluation provided good support for the feasibility of study procedures, the intervention and its implementation strategy, we identified a need for improvement in recruitment of participants, the GP intervention part and the data collection procedures. The findings will inform the main trial to test the interventions effectiveness in a cluster RCT. Trial registration Projektdatenbank Versorgungsforschung Deutschland (German registry Health Services Research) VfD_MobilE-PHY_17_003910, date of registration: 30.11.2017; Deutsches Register Klinischer Studien (German Clinical Trials Register) DRKS00022918, date of registration: 03.09.2020 (retrospectively registered).