Tsunami Decision Support Systems. TDSS-2015. Outcomes of the 6th JRC ECML Crisis Management Technology Workshop

The 6th JRC ECML Crisis Management Technology Workshop on Tsunami Decision Support Systems was held in the European Crisis Management Laboratory (ECML) of the Joint Research Centre in Ispra, Italy, from 2ndto 3rd July 2015. The workshop, co-organized with DRIVER (Driving Innovation in Crisis Management for European Resilience) Consortium Partners, brought together stakeholders in the design, development and use of ICT tools for decision support. 20 participants attended the event. A good mix of regional and national service providers was represented, along with European and non-European systems providers and users. The purpose of the workshop was to show the status of the technology in this field, the specific requirements and the benefits in the use of one or another solution. During the first day participants presented their tools, while during the second they had to carry out demonstration exercises on the basis of given scenarios. In the last part of the event, they were involved in a discussion which revolved around a set of questions focused on, inter alia, strengths, weaknesses and opportunities of each tool. The main aims of the discussion were to identify both new opportunities for collaboration and for tools integration and also to “bridge the gap” between the scientific and technical level and the operational dimension. The workshop was a very good opportunity for several research and operational teams to collaboratively discuss Decision Support Systems, lessons learned, ideas for improvements and opportunities for collaboration.JRC.G.2-Global security and crisis managemen

Good practices in inter-institutional collaboration in managing the migrant crisis

In 2021, Lithuania faced the challenge of managing the crisis of new type of migration across the Belarusian border, which threatened the security of the country and its citizens. A broad set of inter-institutional collaboration strategies and methods were used among the public institutions to address this crisis. Such inter-institutional collaboration has been a multifaceted and complex process, involving both known and new good practices. The aim of this article is to provide insights into good collaborative practices between the Lithuanian national defence and internal affairs systems in managing the migrant crisis. Following the expert interview results, the study identified three good practices of inter-institutional collaboration: (i) the creation of a single dissemination channel for the crisis response services, which ensured that all actors were in the same information field; (ii) the delegation of representatives of the institutions to teams at strategic, operational and tactical levels; and (iii) inter-institutional information sharing ensured good situational awareness at an early stage of emergency management. Lessons learned from the collaboration between the institutions of the national defence and internal affairs systems can be applied to improve inter-institutional collaboration in other areas. The results of the research can be used to enhance the process of such collaboration in addressing current emergency management issues and serve as a basis for effective and smooth emergency preparedness and response where inter-institutional synergy is needed

Participatory analysis for adaptation to climate change in Mediterranean agricultural systems: possible choices in process design (versão Pre Print)

There is an increasing call for local measures to adapt to climate change, based on foresight analyses in collaboration with actors. However, such analyses involve many challenges, particularly because the actors concerned may not consider climate change to be an urgent concern. This paper examines the methodological choices made by three research teams in the design and implementation of participatory foresight analyses to explore agricultural and water management options for adaptation to climate change. Case studies were conducted in coastal areas of France, Morocco, and Portugal where the groundwater is intensively used for irrigation, the aquifers are at risk or are currently overexploited, and a serious agricultural crisis is underway. When designing the participatory processes, the researchers had to address four main issues: whether to avoid or prepare dialogue between actors whose relations may be limited or tense; how to select participants and get them involved; how to facilitate discussion of issues that the actors may not initially consider to be of great concern; and finally, how to design and use scenarios. In each case, most of the invited actors responded and met to discuss and evaluate a series of scenarios. Strategies were discussed at different levels, from farming practices to aquifer management. It was shown that such participatory analyses can be implemented in situations which may initially appear to be unfavourable. This was made possible by the flexibility in the methodological choices, in particular the possibility of framing the climate change issue in a broader agenda for discussion with the actors

Crisis intervention for people with severe mental illnesses

Background A particularly difficult challenge for community treatment of people with serious mental illnesses is the delivery of an acceptable level of care during the acute phases of severe mental illness. Crisis-intervention models of care were developed as a possible solution. Objectives To review the effects of crisis-intervention models for anyone with serious mental illness experiencing an acute episode compared to the standard care they would normally receive. If possible, to compare the effects of mobile crisis teams visiting patients' homes with crisis units based in home-like residential houses. Search methods We searched the Cochrane Schizophrenia Group’s Study-Based Register of Trials. There is no language, time, document type, or publication status limitations for inclusion of records in the register. This search was undertaken in 1998 and then updated 2003, 2006, 2010 and September 29, 2014. Selection criteria We included all randomised controlled trials of crisis-intervention models versus standard care for people with severe mental illnesses that met our inclusion criteria. Data collection and analysis We independently extracted data from these trials and we estimated risk ratios (RR) or mean differences (MD), with 95% confidence intervals (CI). We assessed risk of bias for included studies and used GRADE to create a 'Summary of findings' table. Main results The update search September 2014 found no further new studies for inclusion, the number of studies included in this review remains eight with a total of 1144 participants. Our main outcomes of interest are hospital use, global state, mental state, quality of life, participant satisfaction and family burden. With the exception of mental state, it was not possible to pool data for these outcomes. Crisis intervention may reduce repeat admissions to hospital (excluding index admissions) at six months (1 RCT, n = 369, RR 0.75 CI 0.50 to 1.13, high quality evidence), but does appear to reduce family burden (at six months: 1 RCT, n = 120, RR 0.34 CI 0.20 to 0.59, low quality evidence), improve mental state (Brief Psychiatric Rating Scale (BPRS) three months: 2 RCTs, n = 248, MD -4.03 CI -8.18 to 0.12, low quality evidence), and improve global state (Global Assessment Scale (GAS) 20 months; 1 RCT, n = 142, MD 5.70, -0.26 to 11.66, moderate quality evidence). Participants in the crisis-intervention group were more satisfied with their care 20 months after crisis (Client Satisfaction Questionnaire (CSQ-8): 1 RCT, n = 137, MD 5.40 CI 3.91 to 6.89, moderate quality evidence). However, quality of life scores at six months were similar between treatment groups (Manchester Short Assessment of quality of life (MANSA); 1 RCT, n = 226, MD -1.50 CI -5.15 to 2.15, low quality evidence). Favourable results for crisis intervention were also found for leaving the study early and family satisfaction. No differences in death rates were found. Some studies suggested crisis intervention to be more cost-effective than hospital care but all numerical data were either skewed or unusable. We identified no data on staff satisfaction, carer input, complications with medication or number of relapses. Authors' conclusions Care based on crisis-intervention principles, with or without an ongoing homecare package, appears to be a viable and acceptable way of treating people with serious mental illnesses. However only eight small studies with unclear blinding, reporting and attrition bias could be included and evidence for the main outcomes of interest is low to moderate quality. If this approach is to be widely implemented it would seem that more evaluative studies are still neede

Mobile Mental Health Crisis Intervention in the Western Health Region of Newfoundland and Labrador

The impetus for this research is Recommendation #15 of the 2003 Luther Inquiry into the deaths of Norman Reid and Darryl Power: “IT IS FURTHER RECOMMENDED that the Regional Health Boards establish mobile health units to respond to mentally ill persons in crisis where no criminal offence is alleged. Each unit would be developed locally and based on local needs.” Our stakeholder partners in the Western Regional Health Authority asked us to identify a range of mobile crisis intervention service models, some of which may be better suited to lower-density, rural populations and some of which may be better suited to higher-density areas like Corner Brook. Our partners expressed a particular interest in models that can be implemented with minimal additional human resources, but that involve local, face-to-face contact rather than telephone, electronic, or clinic-based models of service delivery. The term “crisis intervention” generally refers to any immediate, short-term therapeutic interventions or assistance provided to an individual or group of individuals who are in acute psychological distress or crisis. The term encompasses a number of after-the-fact interventions – such as rape counseling and critical incident stress debriefing – that would not be relevant to the kinds of situations described in the Luther Report. Given the project parameters specified by our partners at Western Health, we formulated a research question and a literature search strategy that would enable us to focus specifically on forms of crisis intervention that are designed to manage potentially dangerous mental health crises on-site rather than to mediate their impacts after the fact. Our research question is as follows: “What models of mobile– i.e., face-to-face – crisis intervention have proven effective in managing potentially violent mental health crises occurring outside the hospital setting?

“Robots cannot drink coffee or real ale”:the undeniable spark of face-to-face teaching moments in digital learning journeys

The purpose of this study is to evaluate student perceptions of a yearly workshop, held as part of the Master’s in Industrial Project Management programme at the University of Birmingham. This study employed action research methods to understand how the use of technology to deliver fully online and hybrid teaching during the COVID-19 pandemic (2020/21) and its immediate aftermath (2022) impacted on student experience. A mix of technological tools was used, most notably the virtual world environment Virbela, MS Teams, the digital collaboration platform Miro, and telepresence robots. The data indicates that students generally preferred the hybrid teaching mode, which combines face-to-face interactions with remote learning. While fully online teaching offered higher flexibility in a time of crisis, the hybrid approach optimised both digital resources and in-person engagement, leading to enhanced student satisfaction, particularly for the social aspects of learning and community building.<br/

“Robots cannot drink coffee or real ale”:the undeniable spark of face-to-face teaching moments in digital learning journeys

The purpose of this study is to evaluate student perceptions of a yearly workshop, held as part of the Master’s in Industrial Project Management programme at the University of Birmingham. This study employed action research methods to understand how the use of technology to deliver fully online and hybrid teaching during the COVID-19 pandemic (2020/21) and its immediate aftermath (2022) impacted on student experience. A mix of technological tools was used, most notably the virtual world environment Virbela, MS Teams, the digital collaboration platform Miro, and telepresence robots. The data indicates that students generally preferred the hybrid teaching mode, which combines face-to-face interactions with remote learning. While fully online teaching offered higher flexibility in a time of crisis, the hybrid approach optimised both digital resources and in-person engagement, leading to enhanced student satisfaction, particularly for the social aspects of learning and community building.<br/

Organisatie van geestelijke gezondheidszorg voor kinderen en jongeren : literatuurstudie en internationaal overzicht

INTRODUCTIE: In de laatste decennia van de vorige eeuw werden er in de Westerse landen belangrijke hervormingen ingezet in de sector van de geestelijke gezondheidszorg (GGZ). In de GGZ voor volwassenen kwam er geleidelijk een model van “balanced care” (“gebalanceerde zorg”) op de voorgrond: een diversiteit aan diensten biedt de zorg zo kort mogelijk bij de eigen leefwereld van de patiënt aan, en enkel indien nodig in een instelling. Tegelijkertijd moet men ook een vlotte en naadloze overgang van de ene dienst naar de andere garanderen. Geestelijke gezondheidsproblemen bij kinderen en jongeren zijn niet onfrequent. De WGO (Wereldgezondheidsorganisatie) schat de prevalentie in Westerse landen op ongeveer 20%. Ongeveer 5% zou een klinische tussenkomst nodig hebben. De sector van GGZ voor kinderen en jongeren is pas veel later ontstaan dan deze van de volwassenen, en kent een andere zorgstructuur. Toch dringen de hierboven geschetste hervormingsprincipes ook hier door. Bovendien dient zorg voor kinderen en jongeren vaak over de grenzen van de GGZ sector heen te gebeuren, bijvoorbeeld door de huisarts of kinderarts, en komen veel problemen bij kinderen en jongeren voor het eerst aan het licht buiten de zorgsector, zoals op school. GGZ voor kinderen en jongeren dient dan ook deze zogenaamde “belendende sectoren” mee te betrekken: welzijnswerk, justitie, gehandicaptenzorg, onderwijs. DOELSTELLING: De doelstelling van dit rapport is om kennis bijeen te brengen over organisatorische en financieringsaspecten van GGZ voor kinderen en jongeren, en dit in het licht van de hierboven geschetste context. De specifieke therapie-inhoud blijft buiten beschouwing. Het rapport bestaat uit twee delen: een overzicht van de literatuur en van de organisatie van GGZ voor kinderen en jongeren in België en drie andere landen. Dit rapport formuleert nog geen voorstellen voor de zorgorganisatie in België. Voor dit proces zullen Belgische stakeholders betrokken worden. Het resultaat hiervan zal beschreven worden in een afzonderlijk rapport. METHODE: Zowel voor het literatuuronderzoek als voor het internationale overzicht werd gezocht in databases met peer-reviewed publicaties en in de grijze literatuur. In het literatuuronderzoek werden naast vergelijkend onderzoek ook descriptieve studies en kwalitatief onderzoek geïncludeerd. Voor het internationaal overzicht werd de beschikbare literatuur aangevuld met gegevens van lokale informanten. MODELLEN VAN ZORGORGANISATIE: Dit rapport legt de focus op de meest geciteerde modellen, en die modellen waarvoor er vergelijkend onderzoek gebeurde. De twee meest geciteerde modellen in de literatuur zijn het WGO-model en het Systems of care model. Beide zijn vrij algemeen en vragen verdere uitwerking door het land of de regio die GGZ voor kinderen en jongeren wil implementeren. De meeste vergelijkende studies zijn wel gekenmerkt door talrijke methodologische beperkingen zoals onduidelijke inclusiecriteria, onduidelijke uitkomstmaten of kleine steekproeven. INTERNATIONAAL OVERZICHT: Om redenen van haalbaarheid werd gekozen om dit deel te beperken tot België, Nederland, Canada (British Columbia) en Engeland. De selectie vertrok van een long-list waarop vervolgens een aantal selectiecriteria werden toegepast. CONCLUSIE: Het belang van een nationaal/regionaal beleid voor kinder- en jeugd GGZ, geconcretiseerd in een duidelijk plan, is al langer bekend. Toch is de literatuur over organisatiemodellen binnen kinder- en jeugd GGZ weinig richtinggevend voor beleidsmakers. De twee belangrijkste modellen die in de literatuur aangetroffen werden geven enkel grote beleidslijnen van algemene aard aan. Bovendien zijn de wetenschappelijke studies in dit domein van beperkte kwaliteit en blijft een groot deel van de beleidsvraagstukken niet of onvoldoende onderzocht. Wel kan men uit het onderzoek ivm. het Systems of care besluiten dat de overheid niet enkel een betere zorgorganisatie en –coordinatie dient te stimuleren. Zij dient ook het ontwikkelen en verspreiden van doelmatige therapeutische concepten te bevorderen. Het onderzoek ivm. preventie en behandeling van angststoornissen via scholen toont aan dat men moet durven zoeken naar oplossingen in samenwerking met andere sectoren buiten de gezondheidszorg. In de bestudeerde landen gaan de hervormingen uit van theoretische denkkaders die gebaseerd zijn op belangrijke ethische principes en waarden; deze overlappen in belangrijke mate tussen de verschillende landen. Echter, bij het praktisch realiseren van dit denkkader ondervindt men talrijke moeilijkheden, en in een aantal gevallen mislukt men in de vooropgestelde doelstellingen. Over het daadwerkelijke resultaat van de gevoerde hervormingen zijn er meestal weinig harde gegevens. Wellicht kan men pas tot een positief resultaat komen als zowel klinische, organisatorische, als financiële aspecten alle tegelijk aangepakt worden; en als ook de eigenheid van elk van de betrokken sectoren daarbij niet uit het oog verloren wordt. In de volgende faze van deze studie zullen samen met de Belgische stakeholders voorstellen voor hervormingen geformuleerd worden. De resultaten hiervan worden afzonderlijk gepubliceerd

Assessing New York City's Youth Gun Violence Crisis: Crews - Volume III - Responding to the Problem: Coordinating a Continuum of Services

The success or failure of community strategies to address the youth gun violence crisis is often attributed in part to how well the problem is understood and diagnosed. With support from The New York Community Trust, the Crime Commission has undertaken an analysis of youth gun violence and crew activity -- violent turf rivalries among less-organized, smaller and normally younger groups than traditional gangs -- in select New York City communities. Our initial findings from available data, existing research and interviews with stakeholders are presented in a series of papers titled, Assessing New York City's Youth Gun Violence Crisis: Crews

Working Report #4: Range of Services (Service Provider Perspectives)

This working report examines the differences in range of services across central, integrated, and school/community based sites including referrals to other services, direct support, advocacy, and collaborative efforts to provide services to families. Which models provide the most service options for families? How do service providers view the service options available to them in their work with families? How helpful are services to families? The range of services available within agency based settings seemed the narrowest in comparison to other types of service delivery settings. Integrated service models appeared to increase the range and access to many formal services. Community and school based programs seemed to increase the range of services available to families by broadening the scope of service options, using formal and informal partnerships and linkages, and participating in some preventative and community development approaches