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Children's participation in practice: comparing the views of managers and practitioners in an early intervention and prevention programme
- Authors:
- TIERNEY Edel, et al
- Journal article citation:
- Journal of Children's Services, 17(1), 2022, pp.73-93.
- Publisher:
- Emerald
Purpose: Participation is the active involvement of children and young people in decision-making regarding issues that affect their lives. It is crucial in the context of child protection and welfare systems and how they respond to the needs of children and young people. The purpose of this paper is to report on the evaluation of child and family participation in an early intervention and prevention programme implemented by the Irish Child and Family Agency. It provides an analysis of a comprehensive, "whole organization" approach to understand how participation is embedded in policy and practice. Design/methodology/approach: This paper reports on a comparative qualitative case study of the perspectives of managers and practitioners about participation practice, identifying the facilitators and barriers, as well as their perspectives of the sustainability of participation within the agency and its partners. The authors draw on two complementary, theoretically informed studies evaluating participatory practice within the Agency using qualitative interviews with participants. Findings: Overall, managers and practitioners had a positive attitude towards participation and identified examples of best practices. Facilitators included training, access to resources and the quality of relationships. Challenges for meaningful participation remain, such as the need to engage, hard to reach populations. Differences were identified regarding how embedded and sustainable participation was. Originality/value: This paper provides a critical understanding of participation in practice and how to embed a culture of participation in child protection and welfare. (Edited publisher abstract)
James' Place model: application of a novel clinical, community-based intervention for the prevention of suicide among men
- Authors:
- HANLON Claire Anne, et al
- Journal article citation:
- Journal of Public Mental Health, 21(1), 2022, pp.82-92.
- Publisher:
- Emerald
Purpose: High suicide rates among men presents a global challenge for commissioners and clinicians. Innovative approaches towards suicide prevention interventions designed for men are needed. The James' Place (JP) service opened in 2018, and its model of practice is a clinical, community-based intervention for men experiencing suicidal crisis. This paper aims to describe the implementation framework within which the JP model is applied. Design/methodology/approach: Fostering a public health case study approach, this paper provides a description of how the JP service operates, including the referral pathways, key components of this innovative model and its impact upon the men who receive the intervention. Illustrative case studies derived from semi-structured interviews from men and therapists are reported. Findings: The JP model is dynamic and flexible, allowing the tailoring of a suicidal crisis intervention to suit the needs and priorities of the individual and the wider local community. Clinical and practical implications, such as reduction in suicidality, are discussed. Originality/value: Rapidly accessible, effective community-based interventions for men experiencing suicidal crisis are required. Yet, while widely advocated in policy, there remains a dearth of evidence illustrating the real-world application and value of such services within a community-setting. To the best of the authors' knowledge, the JP model is the first of its kind in the UK and an example of an innovative clinical, community-based suicide prevention intervention offering support for men experiencing suicidal crisis. (Edited publisher abstract)
Self-inflicted. deliberate. death-intentioned. a critical policy analysis of UK suicide prevention policies 2009-2019
- Authors:
- MARZETTI Hazel, et al
- Journal article citation:
- Journal of Public Mental Health, 21(1), 2022, pp.4-14.
- Publisher:
- Emerald
Purpose: With encouragement from the World Health Organisation, national suicide prevention policies have come to be regarded as an essential component of the global effort to reduce suicide. However, despite their global significance, the construction, conceptualisation and proposed provisions offered in suicide prevention policies have, to date, been under researched; this study aims to address this gap. Design/methodology/approach: we critically analysed eight contemporary UK suicide prevention policy documents in use in all four nations of the UK between 2009 and 2019, using Bacchi and Goodwin's post-structural critical policy analysis. Findings: The authors argue that across this sample of suicide prevention policies, suicide is constructed as self-inflicted, deliberate and death-intentioned. Consequently, these supposedly neutral definitions of suicide have some significant and problematic effects, often individualising, pathologising and depoliticising suicide in ways that dislocate suicides from the emotional worlds in which they occur. Accordingly, although suicide prevention policies have the potential to think beyond the boundaries of clinical practice, and consider suicide prevention more holistically, the policies in this sample take a relatively narrow focus, often reducing suicide to a single momentary act and centring death prevention at the expense of considering ways to make individual lives more liveable. Originality/value: UK suicide prevention policies have not been subject to critical analysis; to the best of the authors' knowledge, this study represents the first attempt to examine the way in which suicide is constructed in UK suicide prevention policy documents. (Edited publisher abstract)
From prevention to peer support: a systematic review exploring the involvement of lived-experience in eating disorder interventions
- Authors:
- LEWIS Hannah Kate, FOYE Una
- Journal article citation:
- Mental Health Review Journal, 27(1), 2022, pp.1-17.
- Publisher:
- Emerald
Purpose: The current policy landscape advocates for the involvement of people with lived experience in the co-production and co-delivery of mental health services. However, evidence on how to do this safely and effectively for people with eating disorders (EDs) is lacking. The purpose of this study was to explore and synthesis the implementation of ED interventions which involved lived-experience and to evaluate the associated benefits and risks to participants. Design/methodology/approach: This study will conduct a systematic review of ED interventions which involve people with lived experience of an ED. A total of seven databases and four subject-specific journals were searched using Boolean search terms. Findings: The search yielded ten eligible studies. Involvement procedures were extracted which highlighted variation with some roles being continuous and active and others being isolated and passive. Qualitative results were extracted and thematically analysed which demonstrated many benefits from involving people with lived experience, such as normalisation of experiences, inspiration to recover and the sharing of insight, as well as some risks such as disingenuity and exposure to triggering content. Practical implications: The implications of this review highlight the need for policy and guidance to minimise variation across procedures and implementation of co-production to ensure positive outcomes and benefits for participants, given the current landscape. More research in the benefits and risks for those involved in the delivery of the interventions is needed to ensure that co-production and peer support is delivered as safely and effectively as possible. Originality/value: This was the first systematic review since 2016 (Fogarty et al., 2016) to assess peer-mentorship programmes in ED treatments, whilst expanding the remit to include wider definitions of peer-support and peer-mentorships such as co-production and co-design in research. (Edited publisher abstract)
Early identification and intervention with individuals at risk of becoming involved in serious and organised crime (SOC)
- Authors:
- HURLEY Mick, BOULTON Laura Jane
- Journal article citation:
- Safer Communities, 20(2), 2021, pp.73-84.
- Publisher:
- Emerald
Purpose: This paper aims to examine the “engage” pilot project and related processes for identifying individuals vulnerable to becoming involved in serious and organised crime groups (OCGs). Design/methodology/approach: In this, a six-stage process developed in the five pilot sites to guide interventions is described. The project identified 18 individuals who have confirmed low level involvement in OCGs based in 5 areas of Greater Manchester by combining risk factors and the connecting of records held by law enforcement agencies. Findings: Key risk factors found to be associated with the 18 individuals identified are described in relation to literature and discussed in terms of future intervention possibilities. A brief description of the key findings of the evaluation of the pilot project is also included. Originality/value: Together these findings are discussed to explore the challenges of preventative interventions tailored towards young people already involved in criminality and offers recommendations for future programmes in this field. (Edited publisher abstract)
Nitrous oxide use among young people – new trends, policy challenges, and knowledge gaps
- Authors:
- FRANK Vibeke Asmussen, MacLEAN Sarah, HEROLD Maria Dich
- Journal article citation:
- Drugs and Alcohol Today, 20(4), 2020, pp.383-392.
- Publisher:
- Emerald
Purpose: Nitrous oxide (N2O) use for recreational purposes appears to have increased among young people in several countries, including Denmark, Australia, The Netherlands and the UK. This increase has prompted concern among health authorities and politicians. The purpose of this paper is to map out findings in the available literature about N2O use among young people to better understand current trends and contextualize the public concerns and the new policy responses to it. Design/methodology/approach: The authors draw here on a range of sources, including research literature, reports and policy documents in English and Danish. Given the broad aim, the authors used a scoping study approach (Arksey and O’Malley, 2005). Findings: The authors found literature on prevalence of use, health effects and policy regulations. The literature suggests that health harms associated with N2O use are generally associated with intensive and long-term use, and death is more likely where the means of administration entails a risk of suffocation. Overall, however, the analysis shows that substantial gaps exist in the available literature. The authors lack detailed knowledge on several issues, including comparable prevalence data of N2O use; the extent to which N2O is used with other drugs; how one can distinguish between harmful and non-harmful use in terms of both quantity inhaled and mode of administration; and on intended and unintended consequences of policy responses to this use. Originality/value: The current increase and trend in inhaling N2O for intoxication among young people is under researched. This general review maps out what kind of knowledge would be valuable to have for prevention, harm reduction and policy interventions. (Edited publisher abstract)
Suicide prevention across the UK criminal justice system: an overview of current provision and future directions
- Authors:
- ANTUNES Stefanie Oliveira, WAINWRIGHT Verity, GREDECKI Neil
- Journal article citation:
- Journal of Forensic Practice, 23(1), 2021, pp.53-62.
- Publisher:
- Emerald
Purpose: This paper aims to provide an overview of current suicide prevention across the UK criminal justice system (CJS). It considers shortcomings in current provision and how improvements could be made by drawing on international practice. Recommendations for practice going forward and suggestions for future research are made based on the literature. Design/methodology/approach: This paper provides an overview of suicide prevention research to date. Relevant literature was identified through a basic journal article search, including terms such as “probation”, “criminal justice system”, “suicide”, “suicide prevention”, “UK” and “suicide theory”. Findings: This paper highlights opportunities to improve practice based on the current evidence base, making several recommendations and suggestions for practice, including improving multi-agency cooperation through clearer distribution of responsibilities, simplifying data sharing and investing in trauma-focussed suicide training for staff. Practical implications: This paper considers how research and psychological theory has informed suicide prevention practice in the UK. Limitations and challenges in applying theory to practice are explored, in the context of research with frontline staff who use such policies. This review proposes potential improvements to suicide prevention implementation to reduce suicide across the wider CJS. Originality/value: This article represents an overview of the existing literature as well as possible future ideas for policy. It is therefore a piece that represents the viewpoint of all involved authors. (Edited publisher abstract)
Disseminating early years research: an illustrative case study
- Authors:
- O'CONNOR Siobhan, et al
- Journal article citation:
- Journal of Children's Services, 16(1), 2021, pp.56-73.
- Publisher:
- Emerald
Purpose: This paper aims to outline a knowledge translation (KT) case study undertaken as part of a multi-component research programme aimed at evaluating new parenting supports in the earliest years. The study aimed to: explore the influencing factors relating to research use in an early years context; and to use the findings, at least in part, to execute an integrated KT plan – to promote stakeholder engagement, greater research visibility and to enhance the understanding of findings emerging from the research programme. Design/methodology/approach: A mixed-methods study was embedded within a large-scale, longitudinal research programme. In the present study, a national survey (n = 162) was administered to stakeholders working with children and families throughout Ireland. A series of one-to-one interviews were also undertaken (n = 37) to amplify the survey findings. Also, one focus group was carried out with parents (n = 8) and one with members of the research team (n = 3). Several dissemination strategies were concurrently developed, executed and evaluated, based partly on survey and interview findings and guided by the knowledge translation planning template (Barwick, 2008; 2013; 2019). Findings: The main factors influencing the dissemination of evidence, as identified by the stakeholders – were: a lack of resources; an under-developed understanding of research use and dissemination; insufficient collaboration and communication; and conflicting stakeholder priorities. Despite these challenges, the research programme was found to benefit from a multi-component KT plan to achieve the outlined dissemination goals. Practical implications: The KT planning process allowed the research team to be more accountable, introspective and to work more efficiently. This helped increase the likelihood of more targeted and successful dissemination of the research findings, delivering a better return on research investment. Originality/value: This is the first study of its kind (to our knowledge) to provide important insights for stakeholders in Ireland and elsewhere about how to improve the dissemination process. Effective KT planning can ultimately help to bridge the research-policy-practice gap and enable the effective translation of high-quality evidence in the early years’ sector to enhance outcomes for families in the shorter and longer-term. (Edited publisher abstract)
Implementing an integrated acute response service: professional perceptions of intermediate care
- Authors:
- MACINNES Julie, et al
- Journal article citation:
- Journal of Integrated Care, 29(1), 2021, pp.48-60.
- Publisher:
- Emerald
Purpose: The purpose of this study is to examine the implementation, care processes and sustainability of an integrated, intermediate Acute Response Team (ART) service. The primary aims of the service are to enhance the level of health and social care integration across a range of organisations, to ensure a timelier and appropriate service for people in the community at risk of admission to hospital. Design/methodology/approach: A qualitative methodology was employed in order to gain a deep understanding of the experiences of staff members within the ART service and external stakeholders. Twenty-one professionals took part in a focus group or one-to-one interviews. Data were analysed thematically. Findings: The key to successful implementation was that the service was co-created from the “ground-up” with support from local provider organisations. The inclusion of general practitioners (GPs) as part of the team was instrumental in setting up and maintaining the service and seems to be unique in intermediate care settings. Referrals into the ART service were dependent on awareness of the service at the interface with mainstream services. Transitions out were sometimes delayed due lack of availability of social care packages. To ensure sustainability of the ART and other integrated intermediate care services, continued resources, especially skilled staff members, are necessary. Originality/value: This study adds to the intermediate care and acute response service literature by offering insights into “what works” from a professional perspective in terms of service implementation, care processes and sustainability, in an integrated care system. (Edited publisher abstract)
Promoting the welfare, protection and care of victims of child trafficking during the coronavirus (COVID-19) pandemic
- Author:
- RAFFERTY Yvonne
- Journal article citation:
- Journal of Children's Services, 15(4), 2020, pp.191-200.
- Publisher:
- Emerald
Purpose: This paper aims to focus on the impact of Coronavirus (COVID-19) on victims of child trafficking. It highlights findings from research on other pandemics and outbreaks, the impact of child trafficking on children, the impact of COVID-19 on children and the impact of COVID-19 on victims of child trafficking. Design/methodology/approach: This paper focuses on the global impact of COVID-19 on victims of child trafficking. It highlights findings from research on other pandemics, the impact of child trafficking on children, the impact of COVID-19 on children and the impact of COVID-19 on victims of child trafficking. The findings provide a useful framework to guide the development of social policies to address this global crisis and to empower social workers and allied professionals to implement effective service responses. This is a crucial time for the entire world to diminish the impact of COVID-19, address this unprecedented crisis and uphold the human rights of all children. Findings: These findings provide a useful framework to guide the development of social policies to address this global pandemic and to support social workers and allied professionals to implement effective service responses. Originality/value: The author proposes three basic action items: commit to the promises made in international and regional mandates and guidelines; address the risk and vulnerability factors that have been identified; and implement the promising prevention activities described in the literature. (Edited publisher abstract)