Alcohol brief interventions practice following training for multidisciplinary health and social care teams: a qualitative interview study

Introduction and Aims: Few studies of the implementation of alcohol brief interventions (ABI) have been conducted in community settings such as mental health, social work and criminal justice teams. This qualitative interview study sought to explore the impact of training on ABI delivery by staff from a variety of such teams. Design and Methods: Fifteen semi-structured telephone interviews were carried out with trained practitioners and with managers to explore the use of, perceived need for and approaches to ABI delivery and recording with clients, and compatibility of ABIs with current practice. Interviews were analysed thematically using an inductive approach. Results: Very few practitioners reported delivery of any ABIs following training primarily because they felt ABIs to be inappropriate for their clients. According to practitioners, this was either because they drank too much or too little to benefit. Practitioners reported a range of current activities relating to alcohol, and some felt that their knowledge and confidence were improved following training. One practitioner reported ABI delivery and was considered a training success, while expectations of ABIs did not fit with current practice including assessment procedures for the remainder. Discussion and Conclusions: Identified barriers to ABI delivery included issues relating to individual practitioners, their teams, current practice and the ABI model. They are likely to be best addressed by strategic team- and setting-specific approaches to implementation, of which training is only one part

Ion homeostasis in the Chloroplast

peer reviewedThe chloroplast is an organelle of high demand for macro- and micro-nutrient ions, which are required for the maintenance of the photosynthetic process. To avoid deficiency while preventing excess, homeostasis mechanisms must be tightly regulated. Here, we describe the needs for nutrient ions in the chloroplast and briefly highlight their functions in the chloroplastidial metabolism. We further discuss the impact of nutrient deficiency on chloroplasts and the acclimation mechanisms that evolved to preserve the photosynthetic apparatus. We finally present what is known about import and export mechanisms for these ions. Whenever possible, a comparison between cyanobacteria, algae and plants is provided to add an evolutionary perspective to the description of ion homeostasis mechanisms in photosynthesis

The impact of maternal mental health and child's behavioural difficulties on attributions about child behaviours

The effects of maternal mental health and child's behavioural difficulties upon mothers' attributions for negative child behaviour were examined. A community sample of 70 mothers of children aged about 9 years were interviewed in depth and the interviews transcribed. Transcripts were analysed for spontaneous attributions which were subsequently coded on the dimensions of internality, controllability, stability, universality and globality. Mothers with mental health problems made the same number of attributions about negative behaviours as normal mothers. However, more internal-to-self and global attributions were made by the group with mental health problems. This pattern was demonstrated regardless of the child's level of behavioural difficulties. The increase in negative attributions by mothers with mental health problems is not the result of the association between maternal mental health and child's behavioural difficulties. Mothers with mental health problems do not explain their child's negative behaviours in a way that is typical of normal mothers, and reasons for this are discussed