People in crisis services

Objectives The study aimed to explore which discourses staff in crisis services draw on when discussing people in crisis. Further questions were; how those with borderline personality disorder diagnosis are positioned by these discourses and what the subsequent consequences are for people in crisis. Design This study utilised a qualitative design. Individual interviews were conducted with participants to generate personal and reflective accounts. Method Twelve staff members from home treatment, day treatment or acute ward teams were interviewed. Questions related to their experiences of people in crisis. Foucauldian Discourse Analysis was used to highlight the discourses used when talking about those in crisis. Results Four main discourses were present in language used; ‘medical legal’, ‘personal responsibility’, ‘limited resources for the problem’, and ‘human experience and emotions’. People with a diagnosis of borderline personality disorder (BPD) were positioned differently to those with other diagnosis. Staff are positioned as experts needing to diagnose and cure distress. The discourse of human experience and emotions highlighted the emotional aspect of working with people in crisis, especially those with a BPD diagnosis. Conclusion The prevailing discourses within NHS crisis services remain those of the medical model, legitimising ideas of classic mental illness and practices of medication and control. This impacts the position of people with a BPD diagnosis. Further reflective spaces are required to highlight the flexibility of these discourses, practice, and the importance of emotions raised by those in distress

The Housing and Support Needs of Older People with Visual Impairment

Visual impairment is one of the most prevalent anddisabling conditions among older people, and yet verylittle research has been conducted that could inform thedevelopment of appropriate public services. In order toaddress this deficiency, Thomas Pocklington Trust fundedresearch to examine the housing and support needs of 400visually impaired people aged over 55.The study found that:? There is little professional recognition, or offers of help andadvice for the anxiety, depression, and sense of profoundloss that people experience with late onset of visualimpairment.? Both blind and partially sighted people need timely andholistic assessment, rehabilitation, affordable equipment andregular review.? People with sight loss do not wish to leave their homes.Home is the epicentre of a mental map that assistsorientation and continuity following sight loss.? Social isolation and lack of human contact are majorproblems for people with sight loss.? People with sight loss have poor knowledge of supportgroups, community services and/or specialist housingoptions for older people with visual impairment. Visual impairment is one of the most prevalent anddisabling conditions among older people, and yet verylittle research has been conducted that could inform thedevelopment of appropriate public services. In order toaddress this deficiency, Thomas Pocklington Trust fundedresearch to examine the housing and support needs of 400visually impaired people aged over 55.The study found that:? There is little professional recognition, or offers of help andadvice for the anxiety, depression, and sense of profoundloss that people experience with late onset of visualimpairment.? Both blind and partially sighted people need timely andholistic assessment, rehabilitation, affordable equipment andregular review.? People with sight loss do not wish to leave their homes.Home is the epicentre of a mental map that assistsorientation and continuity following sight loss.? Social isolation and lack of human contact are majorproblems for people with sight loss.? People with sight loss have poor knowledge of supportgroups, community services and/or specialist housingoptions for older people with visual impairment

Age constraints on the evolution of the Quetico belt, Superior Province, Ontario

Much attention has been focused on the nature of Archean tectonic processes and the extent to which they were different from modern rigid-plate tectonics. The Archean Superior Province has linear metavolcanic and metasediment-dominated subprovinces of similar scale to cenozoic island arc-trench systems of the western Pacific, suggesting an origin by accreting arcs. Models of the evolution of metavolcanic belts in parts of the Superior Province suggest an arc setting but the tectonic environment and evolution of the intervening metasedimentary belts are poorly understood. In addition to explaining the setting giving rise to a linear sedimentary basin, models must account for subsequent shortening and high-temperature, low-pressure metamorphism. Correlation of rock units and events in adjacent metavolcanic and metasedimentary belts is a first step toward understanding large-scale crustal interactions. To this end, zircon geochronology has been applied to metavolcanic belts of the western Superior Province; new age data for the Quetico metasedimentary belt is reported, permitting correlation with the adjacent Wabigoon and Wawa metavolcanic subprovinces

Quantum state diffusion with a moving basis: computing quantum-optical spectra

Quantum state diffusion (QSD) as a tool to solve quantum-optical master equations by stochastic simulation can be made several orders of magnitude more efficient if states in Hilbert space are represented in a moving basis of excited coherent states. The large savings in computer memory and time are due to the localization property of the QSD equation. We show how the method can be used to compute spectra and give an application to second harmonic generation.Comment: 8 pages in RevTeX, 1 uuencoded postscript figure, submitted to Phys. Rev.

The Square Root Depth Wave Equations

We introduce a set of coupled equations for multilayer water waves that removes the ill-posedness of the multilayer Green-Naghdi (MGN) equations in the presence of shear. The new well-posed equations are Hamiltonian and in the absence of imposed background shear they retain the same travelling wave solutions as MGN. We call the new model the Square Root Depth equations, from the modified form of their kinetic energy of vertical motion. Our numerical results show how the Square Root Depth equations model the effects of multilayer wave propagation and interaction, with and without shear.Comment: 10 pages, 5 figure

The challenge of public law law reform: reflections on a failed Law Commission project

This article reviews the history of the Law Commission project on administrative law and the citizen from 2003, a project which the Law Commission essentially substantively ended in 2010. The project provides lessons both about the initiation and design of law reform projects and on the prospect of law reform being institutionally capable of contributing to the development of core areas of public law

The barracks and military hospitals of the Cape Peninsula in 1825-1826

No Abstract