Women's secure hospital services: national bed numbers and distribution.

A mapping exercise as part of a pathway study of women in secure psychiatric services in the England and Wales was conducted. It aimed to (i) establish the extent and range of secure service provision for women nationally and (ii) establish the present and future care needs and pathways of care of women mentally disordered offenders (MDO) currently in low, medium and enhanced medium secure care. The study identified 589 medium secure beds, 46 enhanced medium secure beds (WEMSS) and 990 low secure beds for women nationally. Of the 589 medium secure beds, the majority (309, 52%) are in the NHS and under half (280, 48%) are in the independent sector (IS). The distribution of low secure beds is in the opposite direction, the majority (745, 75%) being in the IS and 254 (25%) in the NHS. Medium secure provision for women has grown over the past decade, but comparative data for low secure provision are not available. Most women are now in single sex facilities although a small number of mixed sex units remain. The findings have implications for the future commissioning of secure services for women

Pathways into services for offenders with intellectual disabilities : childhood experience, diagnostic information and offence variables

The patterns and pathways into intellectual disability (ID) offender services were studied through case file review for 477 participants referred in one calendar year to community generic, community forensic, and low, medium, and maximum secure services. Data were gathered on referral source, demographic information, index behavior, prior problem behaviors, diagnostic information, and abuse or deprivation. Community referrers tended to refer to community services and secure service referrers to secure services. Physical and verbal violence were the most frequent index behaviors, whereas contact sexual offenses were more prominent in maximum security. Age at first incident varied with security, with the youngest in maximum secure services. Attention-deficit/hyperactivity disorder or conduct disorder was the most frequently recorded diagnosis, and severe deprivation was the most frequent adverse developmental experience. Fire starting, theft, and road traffic offenses did not feature prominently. Generic community services accepted a number of referrals with forensic-type behavior and had higher proportions of both women and people with moderate or severe ID

Health Care Evolves From Reactive to Proactive.

Decoding health and disease pathways drives healthcare evolution. Historically, therapeutic paradigms have relied on interventions that mitigate symptoms of established diseases. Increasingly, molecular insights into pathophysiology now provide unprecedented opportunities to offer curative solutions or even prevent disease and thereby secure longitudinal wellness. These opportunities extend past individual patients to entire populations and geographies. Moreover, they optimize prospective healthspan across lifespan. Linking discovery science and its translatable innovations beyond reactive disease intervention to proactive prevention will maximize society’s returns creating the greatest benefit for the greatest number of people globally

Education for offenders in prison

Prisoners are a group of people often forgotten or ignored by society as a whole. Yet recidivism (reoffending) is a serious drain on resources worldwide, and tackling it has been the subject of much research and policy development. Education in secure environments and beyond helps offenders, reduces recidivism and improves employability. Here, we address current and future pathways in offender education, involving Information Technology and offender-led learning. These issues have been studied in the Coates Review (2016), which should be an important breakthrough in improving education in prisons, and effecting culture change about prisoner education in and beyond prisons

A precipitation recycling network to assess freshwater vulnerability : challenging the watershed convention

Water resources and water scarcity are usually regarded as local aspects for which a watershed-based management appears adequate. However, precipitation, as a main source of freshwater, may depend on moisture supplied through land evaporation from outside the watershed. This notion of evaporation as a local "green water" supply to precipitation is typically not considered in hydrological water assessments. Here we propose the concept of a watershed precipitation recycling network, which establishes atmospheric pathways and links land surface evaporation as a moisture supply to precipitation, hence contributing to local but also remote freshwater resources. Our results show that up to 74% of summer precipitation over European watersheds depends on moisture supplied from other watersheds, which contradicts the conventional consideration of autarkic watersheds. The proposed network approach illustrates atmospheric pathways and enables the objective assessment of freshwater vulnerability and water scarcity risks under global change. The illustrated watershed interdependence emphasizes the need for global water governance to secure freshwater availability

Pathways to Attaining a Food Secure Philippines through a Competitive and Climate-Resilient Agri-Fisheries Sector

This document highlights the key messages drawn from climate adaptation efforts and events done with Philippines’ Department of Agriculture-Regional Field Offices (DA-RFOs) across the country. This brief, developed for the Climate Change Consciousness Week, offers DA a synthesis of lessons from the Adaptation and Mitigation Initiative in Agriculture (AMIA) village experience as a bankable model for establishing context specific, local adaptation platforms for developing and disseminating CRA technologies and processes. This brief also offers valuable policy insights for the Philippines’ National Adaptation Plan

The United Nations Sustainable Development Goals: Achieving the Vision of Global Health with Justice

We are resolved to free the human race from the tyranny of poverty and want and to heal and secure our planet” (UN General Assembly, 2015, September 25, preamble). So pronounces the 2030 Agenda, the United Nations declaration on the Sustainable Development Goals (SDGs), adopted on September 25, 2015, succeeding the Millennium Development Goals (MDGs). If achieved, the SDGs will secure an improved level of health, development, and global justice. However, if the international community fails to live up to its commitments, an untold number of people will likely perish prematurely, people’s opportunities to thrive will be cut off, social dynamics will continue to leave people behind, and unsustainable environmental pathways will create risks to the health and well-being of generations to come. Here, we systematically review the MDGs—specifically, their formation, achievements, and shortcomings. Next, we review the transition to the SDGs—how they differ from the MDGs, some of the critical challenges they present, and suggestions for a response to these challenges, using a human rights-based approach. Finally, we will offer early markers to assess whether states are sincere in their commitment to longer, healthier lives for all, and offer a next step to ensure that commitment: a global health treaty based on the right to health—embodying the vision of global health with justice

Making Education Work For Latinas in the U.S.

This study examines the existing knowledge base about promoting Latina educational success, defined as completing high school and then going on to secure a college degree. It also adds to existing research by examining two large data sets - one national, and one California-based for predictors of successful educational outcomes for representative samples of Latina youth who have recently been in high school and college. Finally, after identifying important predictors of success from the existing literature, and the examination of current data, the study incorporates case studies of seven young Latinas who illustrate pathways of women who are finding their way to educational success through high school, community college, and four year universities. Their stories provide a deeper understanding of the challenges that young Latinas encounter in our culture, as well as the promise they represent

Pathways to Resilience Workshop Promotes Leadership and Peer Support

Pathways to Resilience (P2R) created a unique leadership program to help landmine survivors promote resilience and create secure collegial relationships. This article provides background regarding the curriculum and training activities and recounts how P2R helped survivors experience posttraumatic growth after tragedy