Home About us Contact
|
Home About us Contact | ||
|
|
||
Renewed Emphasis (renewed + emphasis)
Selected AbstractsConcordance with community mental health appointments: service users' reasons for discontinuationJOURNAL OF CLINICAL NURSING, Issue 7 2004Tony Hostick MSc Background., Quality issues are being given renewed emphasis through clinical governance and a drive to ensure service users' views underpin health service development. Aims., To establish service users' reasons for discontinuation of community based mental health appointments in one National Health Service Trust. Method., A two-phase survey of all non-completers over a year. Phase one using a structured postal questionnaire. Phase two using structured interviews with respondents to phase one by post, telephone and face to face. Results., A total of 243 discharges because of non-completion were identified by local services over the 12 months of the study and followed up by initial questionnaire. This represents 8.19% of all discharges (2967) within the same period. Forty-four users were engaged and followed up within phase two of the survey. Data were subject to both quantitative and qualitative analysis. Conclusions., Analysis of responses suggests that the main reasons for non-completion are because of dissatisfaction although the reasons are varied and the interplay between variables is complex. Whilst this user group are not apparently suffering from ,severe mental illness', there is clear, expressed need for a service. Relevance to clinical practice., Whoever provides such a service should be responsive to expressed need and a non-medical approach seems to be favoured. If these needs are appropriately met then users are more likely to be engaged and satisfaction is likely to be improved. Although this in itself does not necessarily mean improved clinical outcomes, users are more likely to stay in touch until an agreed discharge. Practical problems of applied health service research are discussed and recommendations are made for a review of referral systems, service delivery and organization with suggestions for further research. [source] Shifting Models of Welfare: Issues in Relocation from an Institution and the Organization of Community LivingJOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES, Issue 3 2006Christine Bigby Abstract, The closure of institutions and relocation of people with intellectual disabilities to community living has been the focus of many nations' intellectual disability policies in the past three decades. The author studied the relocation of 58 people from a large institution to 11 small group homes in several Australian communities. Organizational factors that contributed to a mismatch of expectations on such dimensions as individualized support and inclusion were examined. The author discusses these in a broader context of social policy developments, including the privatization and contracting-out of service provision that shifted the government's role to one of purchaser rather than provider of services; regulatory concerns in employment practices that impacted the flow of information about residents; and contract specifications that focused on individuals, leaving responsibility for tackling systemic issues uncertain. Recommendations that draw attention to the renewed emphasis on partnerships rather than business relationships and attend to broader community development strategies that have concurrently occurred in Australia are provided. [source] ASSESSING LAND USE IMPACTS ON WATER QUALITY USING MICROBIAL SOURCE TRACKING,JOURNAL OF THE AMERICAN WATER RESOURCES ASSOCIATION, Issue 6 2004Sharon C. Long ABSTRACT: A renewed emphasis on source water protection and watershed management has resulted from recent amendments and initiatives under the Safe Drinking Water Act and the Clean Water Act. Knowledge of the impact of land use choices on source water quality is critical for efforts to properly manage activities within a watershed. This study evaluated qualitative relationships between land use and source water quality and the quantitative impact of season and rainfall events on water quality parameters. High levels of specific conductance tended to be associated with dense residential development, while organic carbon was elevated at several forested sites. Turbidity was generally higher in more urbanized areas. Source tracking indicators were detected in samples where land use types would predict their presence. Coliform levels were statistically different at the 95 percent confidence levels for winter versus summer conditions and dry versus wet weather conditions. Other water quality parameters that varied with season were organic carbon, turbidity, dissolved oxygen, and specific conductance. These results indicate that land use management can be effective for mitigating impacts to a water body; however, year- round, comprehensive data are necessary to thoroughly evaluate the water quality at a particular site. [source] Questioning Cognitivism and Constructivism in IR Theory: Reflections on the Material Structure of IdeasPOLITICS, Issue 2 2001Andreas Bieler In recent years, it has been highlighted in international relations theory that mainstream approaches neglect the role of ideas in relation to the formation of interests and international co-operation. This article critically discusses the renewed emphasis on ideas. ,Cognitive' and ,constructivist' approaches are outlined as the two main strands in the debate and a neo-Gramscian position within it is sketched. Importantly, a neo-Gramscian position is able to conceptualise the material structure of ideas, thereby overcoming the separation between ideas and material structure from the very beginning. [source] Serving in College, Flourishing in Adulthood: Does Community Engagement During the College Years Predict Adult Well-Being?APPLIED PSYCHOLOGY: HEALTH AND WELL-BEING, Issue 1 2010Nicholas Bowman Colleges and universities are placing a renewed emphasis on the importance of service and community engagement. Although the short-term effects of these college experiences are fairly well understood, little is known about the long-term impact of college volunteering and participating in engaged forms of learning (e.g. service-learning). This longitudinal study examines 416 participants during their freshman year of college, their senior year, and 13 years after graduation. Results show that both college volunteering and service-learning have positive, indirect effects on several forms of well-being during adulthood, including personal growth, purpose in life, environmental mastery, and life satisfaction. Specifically, these college experiences are associated with subsequent behaviors (adult volunteering) and attitudes and values (prosocial orientation), which in turn are positively associated with well-being. Implications for research and practice are discussed. [source] | ||||||||||