How do secondary school counsellors work with other professionals?

Counselling services based in secondary schools across the UK are becoming common place. Indeed, several of the home nations have national strategies and targets to introduce universal counselling into schools to address the mental health needs of young people more effectively. This study explores how secondary school counsellors work with other professionals within and outside schools in the delivery of services. Sixteen school counsellors from across the UK were interviewed, in four different focus groups - 2 in England (n=8) and 2 in Scotland (n=8). The findings indicate that the professional relationships counsellors have with other colleagues have a direct influence upon the quality of the service they feel able to offer. Time spent with colleagues when setting up services was viewed as highly beneficial, as was time spent building relationships and connections with colleagues within the school and from external agencies and organisations, as well as having a senior member of staff to liaise with. It is apparent that attending to relationships outside of the counselling room may influence the positive outcomes for the counselling service and its clients generally. Implications of these findings may influence the time counsellors are employed by commissioners, and how counsellors use their time allocation in schools to ensure that effective services are both achieved and maintained. The research also points to the need for future research into the processes and practices in the delivery of school counselling across the UK. Karen Cromarty and Kaye Richards British Association for Counselling and Psychotherap

Outdoor mental health interventions & outdoor therapy; a statement of good practice (version 2)

Health, well-being and self-development has been a cornerstone of the impact and value of outdoor learning practices for many decades. Over recent years, we have seen an exponential growth in therapeutic outdoor initiatives and programmes being developed and utilised for mental health and well-being benefits. Traditional terms such as adventure therapy, wilderness therapy, nature therapy and outdoor counselling, have more recently been joined with a plethora of wider terms, such as eco-therapy, forest bathing, and a Natural Health Service, to name a few. All of these terms are taking claim to some kind of health benefit (physical or psychological) for getting outdoors. This Institute for Outdoor Learning (IOL) statement purposefully sets out a view on competence when combining mental health and well-being interventions with outdoor learning: o The primary goal was to develop a model that could support organisations and individuals who provide and utilise services for mental health and well-being in an outdoor setting. The statement has been strongly informed by mapping current practice in the UK. o It has been created to ensure that those engaging outdoor learning services to improve mental health and well-being can do so with confidence and trust in what they are offered

‘The SixP sustainability framework for outdoor mental health services and interventions’: a qualitative study of stakeholder perspectives of sustainability

The rapid growth of outdoor mental interventions presents a number of challenges for sustainable impact and benefits. A key need is building research that recognises different contexts to developing practices, but also enables the voices of those that take part in interventions to inform best practice frameworks. Given this, research was undertaken to develop a set of ‘Indicators of Sustainability’ applicable to outdoor mental health interventions. This was supported with a research grant from a national UK mental health research network, 'The MARCH Network' funded by UK Research and Innovation (UKRI) as part of the 2018 Cross-Council Mental Health Plus Call. A qualitative research approach was adopted examining the processes and factors affecting ethical, effective, and equitable delivery in different types of outdoor mental health practices, across a continuum of mental health. This included in-depth interviews (n=23) with delivery stakeholders and intervention participants across different outdoor mental health practices. Through an iterative process of data analysis and refinement, a framework incorporating key stakeholder-defined domains of sustainability emerged, and is titled ‘The SixP Sustainability Framework for Outdoor Mental Health Services and Interventions’ (Richards & Fullam, 2021). This presentation will consider the research findings that underpin this framework, identifying core factors that are deemed important from different stakeholder perspectives. This will raise critical questions in terms of both future research directions and practice considerations for sustainable outdoor approaches for mental health benefit

Is social media challenging the authority of the judiciary? Rethinking the effectiveness of anonymised and super injunctions in the age of the internet

Thaddeus Manu, and Felipe Romero Moreno, 'IS SOCIAL MEDIA CHALLENGING THE AUTHORITY OF THE JUDICIARY? RETHINKING THE EFFECTIVENESS OF ANONYMISED AND SUPER INJUNCTIONS IN THE AGE OF THE INTERNET', Journal of Legal Studies, Vol. 18 Issue 32, 2016. DOI: 10.1515/jles-2016-0017. This is an open access article distributed under the Creative Commons Attribution-NonCommercialNoDerivs license as currently displayed on http://creativecommons.org/licenses/by-nc-nd/3.0/.While freedom of expression has a long and well-established constitutional foundation as a self-governing concept, the right to privacy is a relatively recent norm in the constitutional orientation of the United Kingdom. Until the Human Rights Act 1998, the right to privacy had little standing constitutionally. Following on from this standard-setting, notably, both rights have taken on added importance in our modern technological society. Nevertheless, the formulation of privacy into a legal doctrine of human rights seems to have presented a fundamental tension in relation to freedom of expression. As a matter of legal logic, the courts, through a consideration of the law, examine the substantive legal issues in terms of a balancing process, whereby the interest in privacy is balanced against the interest in freedom of expression. It is a matter of broad principle for the courts to rely on injunctions as ancillary instruments of equity in doing justice in this field. Significantly, while the elementary norm of an injunction is that it commands an act that the court regards as an essential constituent to justice, unfortunately, many contend that judges have gone beyond this point, and this is shifting opinions. In fact, serious concerns have been frequently expressed about the extent to which the rich are easily able to invoke the discretion of the court to grant injunctions in a fashion that remains an antithesis to the principle of open justice and also undermines the exercise of freedom of speech. While this suspicion is not entirely new to matters of procedural law, the recent case, PJS v News Group Newspapers turned on this controversy. Therefore, the aim of this paper is to examine the complexity of celebrity privacy injunctions in the age of the internet and question its relevance, as we outline the extent to which social media is challenging the authority of the state (judiciary) in this direction.Peer reviewedFinal Published versio

Perceptions of newly admitted undergraduate medical students on experiential training on community placements and working in rural areas of Uganda

<p>Abstract</p> <p>Background</p> <p>Uganda has an acute problem of inadequate human resources partly due to health professionals' unwillingness to work in a rural environment. One strategy to address this problem is to arrange health professional training in rural environments through community placements. Makerere University College of Health Sciences changed training of medical students from the traditional curriculum to a problem-based learning (PBL) curriculum in 2003. This curriculum is based on the SPICES model (student-centered, problem-based, integrated, community-based and services oriented). During their first academic year, students undergo orientation on key areas of community-based education, after which they are sent in interdisciplinary teams for community placements. The objective was to assess first year students' perceptions on experiential training through community placements and factors that might influence their willingness to work in rural health facilities after completion of their training.</p> <p>Methods</p> <p>The survey was conducted among 107 newly admitted first year students on the medical, nursing, pharmacy and medical radiography program students, using in-depth interview and open-ended self-administered questionnaires on their first day at the college, from October 28-30, 2008. Data was collected on socio-demographic characteristics, motivation for choosing a medical career, prior exposure to rural health facilities, willingness to have part of their training in rural areas and factors that would influence the decision to work in rural areas.</p> <p>Results</p> <p>Over 75% completed their high school from urban areas. The majority had minimal exposure to rural health facilities, yet this is where most of them will eventually have to work. Over 75% of the newly admitted students were willing to have their training from a rural area. Perceived factors that might influence retention in rural areas include the local context of work environment, support from family and friends, availability of continuing professional training for career development and support of co-workers and the community.</p> <p>Conclusion</p> <p>Many first year students at Makerere University have limited exposure to health facilities in rural areas and have concerns about eventually working there.</p

Patients' perspectives on high-tech home care: a qualitative inquiry into the user-friendliness of four technologies

BACKGROUND: The delivery of technology-enhanced home care is growing in most industrialized countries. The objective of our study was to document, from the patient's perspective, how the level of user-friendliness of medical technology influences its integration into the private and social lives of patients. Understanding what makes a technology user-friendly should help improve the design of home care services. METHODS: Four home care interventions that are frequently used and vary in their technical and clinical features were selected: Antibiotic intravenous therapy, parenteral nutrition, peritoneal dialysis and oxygen therapy. Our qualitative study relied on the triangulation of three sources of data: 1) interviews with patients (n = 16); 2) interviews with carers (n = 6); and 3) direct observation of nursing visits of a different set of patients (n = 16). Participants of varying socioeconomic status were recruited through primary care organizations and hospitals that deliver home care within 100 km of Montreal, the largest urban area in the province of Quebec, Canada. RESULTS: The four interventions have both a negative and positive effect on patients' lives. These technologies were rarely perceived as user-friendly, and user-acceptance was closely linked to user-competence. Compared with acute I.V. patients, who tended to be passive, chronic patients seemed keener to master technical aspects. While some of the technical and human barriers were managed well in the home setting, engaging in the social world was more problematic. Most patients found it difficult to maintain a regular job because of the high frequency of treatment, while some carers found their autonomy and social lives restricted. Patients also tended to withdraw from social activities because of social stigmatization and technical barriers. CONCLUSIONS: While technology contributes to improving the patients' health, it also imposes significant constraints on their lives. Policies aimed at developing home care must clearly integrate principles and resources supporting the appropriate use of technology. Close monitoring of patients should be part of all technology-enhanced home care programs

Dental service patterns among private and public adult patients in Australia

Background While the majority of dental care in Australia is provided in the private sector those patients who attend for public care remain a public health focus due to their socioeconomic disadvantage. The aims of this study were to compare dental service profiles provided to patients at private and public clinics, controlling for age, sex, reason for visit and income. Methods Data were collected in 2004–06, using a three-stage, stratified clustered sample of Australians aged 15+ years, involving a computer-assisted telephone interview (CATI), oral examination and mailed questionnaire. Analysis was restricted to those who responded to the CATI. Results A total of 14,123 adults responded to the CATI (49% response) of whom 5,505 (44% of those interviewed) agreed to undergo an oral epidemiological examination. Multivariate analysis controlling for age, sex, reason for visit and income showed that persons attending public clinics had higher odds [Odds ratio, 95%CI] of extraction (1.69, 1.26–2.28), but lower odds of receiving oral prophylaxis (0.50, 0.38–0.66) and crown/bridge services (0.34, 0.13–0.91) compared to the reference category of private clinics. Conclusion Socio-economically disadvantaged persons who face barriers to accessing dental care in the private sector suffer further oral health disadvantage from a pattern of services received at public clinics that has more emphasis on extraction of teeth and less emphasis on preventive and maintenance care.David S Brennan, Liana Luzzi and Kaye F Roberts-Thomso