Society in Cariboo During the Gold Rush

"The discoverers of Cariboo were quickly followed by a gold-seeking throng, most of whom came by steamer from San Francisco to Victoria and Yale and then by rough trails into the mines from Quesnel.

PHYSICAL HEALTH ASSESSMENT AND MEDICINES RECONCILIATION ON ADMISSION TO AN ACUTE MENTAL HEALTH UNIT: A QUALITY IMPROVEMENT PROJECT

Individuals with mental health disorders are at greater risk of physical health problems. Medicines reconciliation reduces medication errors on admission. The aim of this project was to improve compliance with the completion of physical health assessments and medicines reconciliation forms by using a set standard stating that all patients must have the above completed at the point of admission to an acute mental health unit. The notes for all inpatients were reviewed for evidence of completed physical assessments and medicines reconciliation forms. This was done at three different time points: baseline, 2 months after the introduction of recommendations (1st intervention) and 2 months later when an online system of record keeping was trialled (2nd intervention). At baseline (n=33), 16 (49%) had a physical examination, 15 (46%) had an ECG, 17 (52%) had baseline bloods and 4 (12%) had a completed medicine reconciliation form. After the 2nd intervention (n=31), 25 (81%) had a physical examination, 25 (81%) had an ECG, 23 (74%) had baseline bloods and 23 (74%) had a completed medicine reconciliation form. Physical health assessments and medicines reconciliation are important aspects of patient care. The interventions introduced have improved the quality of practice at an acute mental health unit

Society in Cariboo During the Gold Rush

"The discoverers of Cariboo were quickly followed by a gold-seeking throng, most of whom came by steamer from San Francisco to Victoria and Yale and then by rough trails into the mines from Quesnel.

Step By Step Project Evaluation Report

The Step-by-Step Project (SBS) was co-designed to address a common need identified by partners from four European Countries. Men are at greater risk of poor physical and mental health because of social isolation, loneliness and unemployment. SBS delivered a model of community engagement to empower men to move from poor health and/or isolation to healthy social participation or active engagement in the labour market. To achieve this, the SBS Model adapted the Men’s Sheds concept by developing a new, third-generation Men’s Sheds Delivery Model. This incorporated peer champion (health and employment focused) training and deployment within the Sheds and their communities, outreach with their communities and other organisations, and use of health technology for assessment of health status. Information videos have been created, explaining the SBS Model in English, French, and Dutch. The evaluation adopts a mixed-method (qualitative and quantitative evidence gathered), multi-discipline (physical, social, psychological and economic indicators of change) multi-level (evidence gathered from Shedders, Leaders, Trainers, Partners) approach. The objective is to provide evidence of “who” the SBS Project has engaged with (reach), “what” changes have occurred (effectiveness), document “where” diversity in SBS Shed delivery is observed (adoption), “how” change was achieved (implementation) and “if” change is likely to lead to long-term economic benefit (maintenance). This approach is based on the RE-AIM evaluation framework (Glasgow, 1999, 2019). Between September 2017 and November 2021, 101 Sheds were established with a total membership of approximately 2000 individuals from Belgium, France, the Netherlands and the United Kingdom. Data collection for this evaluation started in May 2019 and ran until November 2021, and involved approximately 450 Shedders (Leaders, Champions and Members), 7 Champion trainers and 15 Project Partners. Economically, the SBS Model facilitated reduced expenditure on mental and physical healthcare, less public spending on welfare transfer payments and other support agencies, and up-skilling and greater self-esteem on reducing unemployment and enhanced productivity in the workplace

Step By Step Project Evaluation Report

The Step-by-Step Project (SBS) was co-designed to address a common need identified by partners from four European Countries. Men are at greater risk of poor physical and mental health because of social isolation, loneliness and unemployment. SBS delivered a model of community engagement to empower men to move from poor health and/or isolation to healthy social participation or active engagement in the labour market. To achieve this, the SBS Model adapted the Men’s Sheds concept by developing a new, third-generation Men’s Sheds Delivery Model. This incorporated peer champion (health and employment focused) training and deployment within the Sheds and their communities, outreach with their communities and other organisations, and use of health technology for assessment of health status. Information videos have been created, explaining the SBS Model in English, French, and Dutch. The evaluation adopts a mixed-method (qualitative and quantitative evidence gathered), multi-discipline (physical, social, psychological and economic indicators of change) multi-level (evidence gathered from Shedders, Leaders, Trainers, Partners) approach. The objective is to provide evidence of “who” the SBS Project has engaged with (reach), “what” changes have occurred (effectiveness), document “where” diversity in SBS Shed delivery is observed (adoption), “how” change was achieved (implementation) and “if” change is likely to lead to long-term economic benefit (maintenance). This approach is based on the RE-AIM evaluation framework (Glasgow, 1999, 2019). Between September 2017 and November 2021, 101 Sheds were established with a total membership of approximately 2000 individuals from Belgium, France, the Netherlands and the United Kingdom. Data collection for this evaluation started in May 2019 and ran until November 2021, and involved approximately 450 Shedders (Leaders, Champions and Members), 7 Champion trainers and 15 Project Partners. Economically, the SBS Model facilitated reduced expenditure on mental and physical healthcare, less public spending on welfare transfer payments and other support agencies, and up-skilling and greater self-esteem on reducing unemployment and enhanced productivity in the workplace

Under the Park. Recent geophysical surveys at Verulamium (St Albans, Hertfordshire, UK)

This paper presents the first results of the geophysical surveys – principally a large scale gradiometer survey – of Verulamium Park, St Albans, Hertfordshire, UK, under which lies approximately half of the Roman city. Verulamium was the third largest Roman city in the province of Britannia – covering some 81 ha – and the largest which is currently available for survey. Approximately 65 ha lies under parkland or pasture. The 30 ha available under the Park was the subject of a magnetometry survey in 2013–2014, along with smaller areas of ground penetrating radar (GPR), earth resistance and magnetic susceptibility. These surveys were undertaken as part of a community archaeology project funded by the Arts and Humanities Research Council (AHRC). The surveys have detected a wide variety of features including stone buildings of varying size and complexity, pottery kilns, roads, pits and ditches. The results so far suggest the town can be divided into an area of largely elite housing, an area characterised by smaller structures and industrial features, and a somewhat enigmatic magnetically quiet area. Challenges in the interpretation of the results are discussed, as are potential solutions and planned future work