Contribution of the voluntary sector to mental health crisis care in England: protocol for a multimethod study.

Introduction - Timely access to the right kind of support for people experiencing a mental health crisis can be problematic. The voluntary sector (VS) plays a key role in providing support and enabling access, but there is a knowledge gap concerning its contribution and interface with public services in mental health crisis care. Methods and analysis - This study aims to address this. The study has three empirical elements: (1) a national survey of voluntary sector organisations (VSOs) in England and national stakeholder interviews to develop a typology of organisations and interventions provided by VSOs; (2) detailed mapping of VS services in two regions through interviews and extending the national survey; (3) four case studies, identified from the regional mapping, of VS mental health crisis services and their interface with National Health Service (NHS) and local authority services, at both a system and individual level. Data collection will involve interviews with commissioners; VSO and NHS or local authority providers; and focus groups with people who have experience of VSO crisis support, both service users and carers; and mapping the crisis trajectory of 10 service users in each study site through narrative interviews with service users and informal carers to understand the experience of VSO crisis care and its impact. Ethics and dissemination - The University of Birmingham Humanities and Social Sciences Ethical Review Committee granted ethical approval (reference ERN_16-1183) for the national and regional elements of the study. Ethical review by the Health Research Authority will be required for the case study research once the sites have been identified from the first two elements of the study. A range of methods including a policy seminar, publication in academic journals and a tool kit for commissioners and practitioners will be produced to maximise the impact of the findings on policy and practice

"(Re)Visions of the Unicorn: The Case of Scève's Délie (1544)."

The unicorn is a ubiquitous figure redolent with symbolic meaning in the visual culture of the high and late Middle Ages. It is primarily a symbol of Christ in bestiaries and the Physiologus tradition, the hunt for the unicorn is an allegory of the Passion, but scenes of the unicorn near fountains or water sources suggest the latemedieval perception of the horn as a panacea. Beyond this, the one-horned creature represents courtly love as the poet-lover falls prey to the beautiful virgin. Because of this variety, unicorns also populate the genre of emblems1 - an allegorical mode of representation derived from medieval bestiaries consisting of three parts: title, image, and motto. While scholars have shown the significance2 of unicorns in a range of literary and visual arts,3 little scholarship has examined unicorn iconography in early emblem books of 1540s Europe nor has there been much formal analysis of emblem images combined with literary analysis of the accompanying text in emblem books.4 This article considers the shift of unicorn iconography from the allegory of Christ in medieval bestiaries to the symbol of poet-lover in Maurice Scève’s early emblem book Délie, object de plus haulte vertu (1544). The article title indicates a “vision” or sighting of the unicorn in antiquity, the revisions of written and visual depictions throughout history, and the unicorn’s gaze in emblems

PHC and integration with aged care services: Challenges and approaches in Australia

Recent Australian health reforms highlight the role of effective primary health care (PHC) in providing coordinated, person-centred care and keeping individuals out of hospital.1 In the context of an ageing population and rising rates of chronic and complex conditions, there is growing demand for health services. Collaboration is needed across all service providers who support older people, including integrating PHC with aged care services. This RESEARCH ROUNDup highlights current challenges and approaches to such integration in Australia

The influence of differing protected area status and environmental factors on the macroinvertebrate fauna of temperate austral wetlands

AbstractOne means of conserving wetlands is to designate the area around them as ‘protected’. Although many different types of protected areas exist, ranging from international (Ramsar-listed) to local importance, there is little information on how the type of protection influences biodiversity conservation. Studies of the effectiveness of protected area systems are a priority, if we are to understand their importance and design systems effectively. Many Tasmanian wetlands are regarded as having high to very high conservation values with more than 60% located within protected areas. This study tested macroinvertebrate richness and assemblage responses to a range of environmental attributes and differing types of protected area status at 66 protected Tasmanian (Australian) wetlands. Two hundred and eighteen taxa were identified with an average of 33 species (or morphospecies) and 18 families recorded per wetland. The wetland assemblages were idiosyncratic, four families contributed 21% of the total recorded and only two families contributed greater than 10%. Wetlands were not significantly nested on the basis of the composition of their macroinvertebrate assemblages. No single environmental attribute had a strong relationship with macroinvertebrate richness or assemblage composition and neither species richness nor assemblage composition varied significantly between different types of protected areas. Although the majority of protected area types were designed to support terrestrial conservation objectives rather than wetland values, our results suggest that the latter were also afforded protection. The state of the proximal zone (the terrestrial zone within 50m of the wetland edge) and the type of aquatic habitat present (macrophyte or sediment-dominated substrates) were the most important determinants of macroinvertebrate richness and assemblage composition across all types of protected wetlands. These results suggest that for temperate austral wetlands located within protected areas, the macroinvertebrate fauna will be best conserved by minimal disturbance of proximal lands

Strategies for promoting success in inclusive mathematics classrooms

A brief overview of the big ideas in mathematics for elementary/middle grades will be provided followed by evidence based strategies for teaching grade-aligned mathematics skills to students in inclusive classroom. Participants will practice selected strategies for embedding instruction within typical mathematics routines

The MASSIVE Survey - III. Molecular gas and a broken Tully-Fisher relation in the most massive early-type galaxies

In this work we present CO(1-0) and CO(2-1) observations of a pilot sample of 15 early-type galaxies (ETGs) drawn from the MASSIVE galaxy survey, a volume-limited integral-field spectroscopic study of the most massive ETGs ($M_* >10^{11.5}M_\odot$) within 108 Mpc. These objects were selected because they showed signs of an interstellar medium and/or star formation. A large amount of gas ($>$2$\times$10$^8$ M$_{\odot}$) is present in 10 out of 15 objects, and these galaxies have gas fractions higher than expected based on extrapolation from lower mass samples. We tentatively interpret this as evidence that stellar mass loss and hot halo cooling may be starting to play a role in fuelling the most massive galaxies. These MASSIVE ETGs seem to have lower star-formation efficiencies (SFE=SFR/M$_{\rm H2}$) than spiral galaxies, but the SFEs derived are consistent with being drawn from the same distribution found in other lower mass ETG samples. This suggests that the SFE is not simply a function of stellar mass, but that local, internal processes are more important for regulating star formation. Finally we used the CO line profiles to investigate the high-mass end of the Tully-Fisher relation (TFR). We find that there is a break in the slope of the TFR for ETGs at high masses (consistent with previous studies). The strength of this break correlates with the stellar velocity dispersion of the host galaxies, suggesting it is caused by additional baryonic mass being present in the centre of massive ETGs. We speculate on the root cause of this change and its implications for galaxy formation theories.Comment: 13 pages, 7 figures, accepted by MNRA

Inclusive Practice for Health Professionals

Inclusive Practice for Health Professionals equips students with knowledge of the social, political and cultural factors that influence health care in Australia, to prepare them to be well informed, considerate health professionals. It embraces the multidisciplinary nature of work in the health professions, and applies the term inclusive practice to focus attention on its relevance to all healthcare professionals and improving health outcomes. The book considers the interface between health care delivery, health care professionals and population groups, and examines the key concepts, influences and strategies of inclusive practice to help students develop best practice skills for working in complex and diverse healthcare settings

Counselor Professional Identity Development: Narratives from a Professional Event

The goal of a one-day professional event was to enhance counselor professional identity (CPI) development through a panel discussion on CPI, professional and career information in sessions and booths, and networking breaks to connect Master’s students, doctoral students, and counseling professionals. Narrative analysis of eight interviews with event attendees, event leaders, and event speakers (i.e., practicing counselors) revealed themes of commitment, community, defining my professional self, and ambiguity and affirmation. Implications for best practices in CPI development and future research are discussed