Governance, community participation and urban regeneration: a new role for third sector partners?

Partnership and participation are terms at the centre of current urban regeneration policy initiatives in the UK. The modernising local government agenda has seen a significant shift towards placing greater emphasis on the role of partnerships, and voluntary and community organisations (VCOs) (often referred to collectively as the third sector) are recognised as a key partner in this process. This research conceptualises the third sector within local governance by examining partnership working as a form of community governance. This involves exposing the power relations that underpin such a form of governance in the context of recent urban regeneration initiatives. The research examines two case studies of on-going exercises in community participation within Local Strategic Partnerships in London, the Haringey Community Empowerment Network and the Enfield Community Empowerment Network, in order to interpret how attempts to incorporate the VCO sector in urban regeneration policy in these two areas has unfolded. Through analysis of the policy implementation process as seen in the experience and judgements of key VCO actors involved, what is discovered is that VCOs are embedded in the process and exercise influence, but this influence is "selective" and "focussed", exerted at different levels in the structures and impacted upon by the capacities of VCOs. Findings also demonstrate that not all VCOs wish to be actively engaged in the same way and that new roles in service delivery for VCOs create operational difficulties for the sector. Local conditions relating to socioeconomic factors and local political subcultures play an important role in determining outcomes, which are in fact highly differentiated in the two adjacent areas. Local political conditions are seen to relate to ongoing "discourses" of local governance in terms of "agonistic" and "good bureaucracy" debates as well as theories of power

The FDF or LES/PDF method for turbulent two-phase flows

In this paper, a new formalism for the filtered density function (FDF) approach is developed for the treatment of turbulent polydispersed two-phase flows in LES simulations. Contrary to the FDF used for turbulent reactive single-phase flows, the present formalislm is based on Lagrangian quantities and, in particular, on the Lagrangian filtered mass density function (LFMDF) as the central concept. This framework allows modeling and simulation of particle flows for LES to be set in a rigorous context and various links with other approaches to be made. In particular, the relation between LES for particle simulations of single-phase flows and Smoothed Particle Hydrodynamics (SPH) is put forward. Then, the discussion and derivation of possible subgrid stochastic models used for Lagrangian models in two-phase flows can set in a clear probabilistic equivalence with the corresponding LFMDF.Comment: 11 pages, proceedings of the 13 europena turbulence conference, submitted to JPC

Exploring the processes of change facilitated by musical activities on mental wellness

While the benefits of music to people’s mental health have long been recognized, the process of how it works requires further investigation. This paper is based on the results of a community-based music project offered to a group of mental health service users by a Hong Kong social service centre. A six-dimensional framework, which contains emotional, psychological, social, cognitive, behavioural and spiritual dimensions, is constructed for understanding how musical activities may produce benefits for mental health service users. Through conducting 23 interview sessions for the participants (N = 47), who suffered from mental health problems, including schizophrenia and other psychotic disorders, mood disorders and anxiety disorders, of the music project, this study examines the processes of change within musical activities. Feedback was solicited from them by listening to their first-hand experiences as service users of the musical activities. Recorded interviews were transcribed and analysed to generate themes that correspond to the six dimensions the researchers proposed. This study shows that the clinical effects elicited by the musical activities described fit closely with the needs of mental health service users. Its findings suggest that community-based musical activities have clear potential for supporting mental health service users in recovery, which deserve further promotion

Singing for mental health and wellbeing: findings from West Kent and Medway

Background: An earlier study in East Kent of weekly singing for people with enduring mental health issues revealed clinically important improvements in mental wellbeing over a period of ten months. The present study was designed to assess whether the model developed in East Kent could be transferred to West Kent and Medway with similarly positive results. Methods: Four community singing groups were established for people with experience of mental health issues, which ran weekly from November 2014 to the end of 2015. The groups were allowed to establish themselves to ensure stability of attendance before formal evaluation of the project took place over a six-month period from February-July 2015. Participants completed the short Clinical Outcomes in Routine Evaluation questionnaire, CORE10, a measure of mental distress, and the full Warwick Edinburgh Mental Wellbeing Scale (WEMWBS), a measure of mental wellbeing, at baseline, and then three months and six months later. Of 47 participants regularly involved in the groups in early 2015, 26 (55%) completed baseline questionnaires in February, and after six months in July. Qualitative feedback on participants’ experiences of the groups was also gathered through comments on the questionnaire and semi-structured interviews. Findings: Both the CORE10 and WEMWBS showed satisfactory reliabilities across the six-month period with significant negative correlations between the two scales. Scores on CORE10 significantly reduced over six months indicating reductions in reported mental distress. Scores on the WEMWBS significantly increased showing improved mental wellbeing. Significant improvements were found on the following CORE items, which signal reduction in specific problems affecting mental health: I have felt tense, anxious or nervous; I have had difficulty getting to sleep or staying asleep; I have felt unhappy, and Unwanted images or memories have been distressing me. Qualitative feedback from participants was strongly consistent with the quantitative findings and gives further insights into participants’ mental health challenges and how regular singing helped ameliorate them. Conclusions: The current study replicates the earlier findings from the East Kent project and shows that regular group singing is associated with reductions in mental distress and increased mental wellbeing

A systematic review of mental health and wellbeing outcomes of group singing for adults with a mental health condition

Background A growing body of research has found that participating in choir singing can increase positive emotions, reduce anxiety and enhance social bonding. Consequently, group singing has been proposed as a social intervention for people diagnosed with mental health problems. However, it is unclear if group singing is a suitable and effective adjunct to mental health treatment. The current paper systematically reviews the burgeoning empirical research on the efficacy of group singing as a mental health intervention. Methods The literature searched uncovered 709 articles that were screened. Thirteen articles representing data from 667 participants were identified which measured mental health and/or wellbeing outcomes of group singing for people living with a mental health condition in a community setting. Results The findings of seven longitudinal studies, showed that while people with mental health conditions participated in choir singing, their mental health and wellbeing significantly improved with moderate to large effect sizes. Moreover, six qualitative studies had converging themes, indicating that group singing can provide enjoyment, improve emotional states, develop a sense of belonging and enhance self-confidence in participants. Conclusion The current results indicate that group singing could be a promising social intervention for people with mental health conditions. However, these studies had moderate to high risk of bias. Therefore, these findings remain inconclusive and more rigorous research is needed

Singing and COPD: a pilot randomized controlled trial of wellbeing and respiratory outcomes

Aims/objectives To test whether a ten-week regular weekly group singing programme, with guided home practice, leads to improvement in COPD-specific health status, as assessed by the COPD Assessment Test (CAT, primary outcome). To test whether the programme results in changes to health-related quality of life, mental health, breathlessness, lung function, functional exercise performance and breathing patterns (secondary outcomes). Rationale A number of randomized controlled trials (RCTs) exist which suggest that there are potential benefits to health and wellbeing of regular singing for people with COPD (Chronic Obstructive Pulmonary Disease). However, most rely on small samples, and findings across the different outcome measures are inconsistent, while interview studies tend to report consistent positive physical and psychological outcomes. Further research is therefore needed. Approach A single-blind, randomized controlled trial compared a structured, weekly group singing programme plus home practice between sessions over ten weeks, with a usual COPD treatment control. The sample was drawn from a local NHS population of people with COPD. Following baseline assessments, participants were allocated to a 10 week singing programme or a control. Findings Twenty-four individuals completed to follow-up. Measures at 12 weeks showed no significant differences between singing and control groups except for one item on the health status questionnaire (SF-36) which suggested the singers were less limited in their activities of daily living post-singing. Final follow-up, planned for 6 months post intervention, was aborted due to the COVID-19 pandemic. Discussion and conclusion The study failed to recruit to target. There remains a recruitment problem in RCTs of singing for COPD, resulting in inconclusive findings, which conflict with the positive qualitative evidence. A wide variety of reseach methods, as well as RCTs, are suggested to enable a better understanding of the impact of singing on COPD. Trial registration number: ISRCTN42943709

The perceived effects of singing on the health and wellbeing of wives and partners of members of the British Armed Forces: a cross-sectional survey

Objectives A survey to explore the extent to which a choir programme associated with the British Armed Forces provides benefits of wives and partners and families of military personnel. Study design A cross-sectional survey. Method Online self-completion questionnaires to survey 464 choir members and 173 committee members who were also participants in the choirs. Results Large majorities of participants report personal and social benefits from their engagement in choirs, as well as benefits for their health and wellbeing. Challenges facing choirs were also identified associated with performance demands and inter-personal relationships within choirs. Conclusions Group singing generates a range of personal, social and health benefits for wives and partners of armed services personnel. The study reveals some challenges arising in all female choirs in military settings and suggests potential areas for further research

Phase 1 Research Report on the IMPRESS Health 2 (Interreg IVA Channel Programme) Project 4282: Understanding the factors behind the late testing and diagnosis of HIV

This report outlines Phase 1 data from an EU Interreg IVA Channel Programme funded research project (Number 4282) conducted to understand factors behind the late testing and diagnosis of HIV in Kent and Medway (UK). The views of patients or service users (n=37) and health care professionals (n=16) on the barriers to early HIV testing and diagnosis were elicited in a series of semi-structured interviews across three organisations providing HIV testing in Kent and Medway between January and March 2014. A retrospective analysis of all patients diagnosed with HIV between January 2008 and December 2013 (n=242) in those centres was also conducted to identify the proportion of early and late presenters in each organisation and identify any correlating factors which may have impacted upon an individual's likelihood of being diagnosed late (i.e. with a CD4 count <350). Chief among the recommendations for a Phase 2 intervention study were the need for improved education and training of healthcare staff (particularly in primary care) to elicit individual's concerns about HIV risk and address stereotypical ideas that it is a condition which predominantly affects men who have sex with men or particular immigrant populations. The data showed that white heterosexuals, and in particular, white women were at particular risk of having their HIV diagnosed late in the region. The second recommendation for immediate action was the need for a concerted social media and public health campaign aimed at 'atypical' HIV patient groups in order to raise awareness of HIV transmission risk and the benefits of early testing and diagnosis

Further evidence that singing fosters mental health and wellbeing: The West Kent and Medway project

Purpose Clift and Morrison (2011) report that weekly singing over eight months for people with enduring mental health issues led to clinically important reductions in mental distress. The present study tested the robustness of the earlier findings. Design Four community singing groups for people with mental health issues ran weekly from November 2014 to the end of 2015. Evaluation place over a six-month period using two validated questionnaires: the short Clinical Outcomes in Routine Evaluation questionnaire (CORE-10), and the Warwick Edinburgh Mental Wellbeing Scale (WEMWBS). Findings Twenty-six participants completed baseline and follow-up questionnaires. CORE-10 scores were significantly reduced, and WEMWBS scores significantly increased. Comparisons with the earlier study found a similar pattern of improvements on CORE items that are part of the 'problems' sub-scale in the full CORE questionnaire. There was also evidence from both studies of participants showing clinically important improvements in CORE-10 scores. Research limitations The main limitations of the study are a small sample size, and the lack of a randomised control group. Originality No attempts have been made previously to directly test the transferability of a singing for health model to a new geographical area and evaluate outcomes using the same validated measure

Tawney and the third way

From the 1920s to the 1950s R. H. Tawney was the most influential socialist thinker in Britain. He articulated an ethical socialism at odds with powerful statist and mechanistic traditions in British socialist thinking. Tawney's work is thus an important antecedent to third way thinking. Tawney's religiously-based critique of the morality of capitalism was combined with a concern for detailed institutional reform, challenging simple dichotomies between public and private ownership. He began a debate about democratizing the enterprise and corporate governance though his efforts fell on stony ground. Conversely, Tawney's moralism informed a whole-hearted condemnation of market forces in tension with both his concern with institutional reform and modern third way thought. Unfortunately, he refused to engage seriously with emergent welfare economics which for many social democrats promised a more nuanced understanding of the limits of market forces. Tawney's legacy is a complex one, whose various elements form a vital part of the intellectual background to current third way thinking