28 research outputs found

    Ethically-speaking, what is the most reasonable way of evaluating housing outcomes?

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    This paper addresses one of the most fundamental, but least considered, questions in housing research: how should we ultimately evaluate housing outcomes? Rejecting the fact vs value dichotomy so dominant in the social sciences, this paper draws on the work of Amartya Sen and Hilary Putnam to critically assess the ethical assumptions behind three commonly adopted “informational spaces” for evaluating housing outcomes: economic, subjective and “objective” metrics. It argues that all three fail to account for the plurality of goods that individuals have reason to value and the fallibility of human judgement. As an alternative, it proposes that housing outcomes should be ultimately evaluated in terms of people’s “housing capabilities” - the effective freedoms that people have in their homes and neighbourhoods to do and feel the things they have reason to value – which should generally be determined through a bottom-up process of democratic deliberation involving critical and expert perspectives

    Why have the volume housebuilders been so profitable? The power of volume housebuilders and what this tells us about housing supply, the land and the state.

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    Over the last decade the largest housebuilders, and particularly the “big-three”, have consistently reported supernormal levels of profitability. Through comprehensive analysis of earnings call transcripts, annual reports and policy documents, this study explores the drivers of this profitability, and what it tells us about the nature of the housebuilding industry, the development land market and the relationship between volume housebuilders and the state

    'Beyond places of safety' - a qualitative study exploring the implementation of mental health crisis care innovations across England

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    BACKGROUND: Mental health acute and crisis care consumes a large share of mental health budgets internationally but is often experienced as unsatisfactory and difficult to access. As a result, there is an increasing move towards developing innovative community crisis services, to improve patient experience and relieve pressure on inpatient and emergency services. This study aims to understand what helps and hinders the implementation of innovative mental health crisis care projects in England. METHODS: Using a qualitative approach, 18 interviews were conducted with crisis care service managers exploring their experiences and views of the development and implementation of their service developed with support from an English national capital funding programme. A framework analysis was conducted informed by implementation science. RESULTS: Key facilitators to implementation of innovative crisis services included bottom-up development, service user involvement, strong collaborative working, and leadership and management buy-in. Key barriers that affected the projects implementation included the complexities of crisis care, workforce challenges and resourcing issues. CONCLUSION: There is a recognised need to improve, update, and innovate current crisis care offers. Results from this study suggest that a range of models can help address the heterogenous needs of local populations and that new approaches can be implemented where they utilise a whole-systems approach, involving service users and relevant professional stakeholders beyond mental health services in planning and developing the service

    Investigating the association between characteristics of local crisis care systems and service use in an English national survey

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    BACKGROUND: In England, a range of mental health crisis care models and approaches to organising crisis care systems have been implemented, but characteristics associated with their effectiveness are poorly understood. AIMS: To (a) develop a typology of catchment area mental health crisis care systems and (b) investigate how crisis care service models and system characteristics relate to psychiatric hospital admissions and detentions. METHOD: Crisis systems data were obtained from a 2019 English national survey. Latent class analyses were conducted to identify discernible typologies, and mixed-effects negative binomial regression models were fitted to explore associations between crisis care models and admissions and detention rates, obtained from nationally reported data. RESULTS: No clear typology of catchment area crisis care systems emerged. Regression models suggested that provision of a crisis telephone service within the local crisis system was associated with a 11.6% lower admissions rate and 15.3% lower detention rate. Provision of a crisis cafe was associated with a 7.8% lower admission rates. The provision of a crisis assessment team separate from the crisis resolution and home treatment service was associated with a 12.8% higher admission rate. CONCLUSIONS: The configuration of crisis care systems varies considerably in England, but we could not derive a typology that convincingly categorised crisis care systems. Our results suggest that a crisis phone line and a crisis cafe may be associated with lower admission rates. However, our findings suggest crisis assessment teams, separate from home treatment teams, may not be associated with reductions in admission and detentions
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