Supporting people with depression and anxiety: a guide for practice nurses

This guide has been devleoped for GP practice nurses following a three year research study called ProCEED (Proactive care and its evaluation for enduring depression), conducted by Dr Marta Buszewicz and a research team at University College London

A maverick in the mind: exploring the haunting spectre of tensions in 'maverick' educators fostering unconventional student-learner relationships and empowerment against existing tensions within educational frameworks

Some educators are haunted by the spectre of a 'maverick in the mind'. Wilfully driven and shaped by life experiences they live in a constant tension, often at odds with the apparent constraints of the educational system. They fight perceived enemies in their quest to transform learners. This paper, part of ongoing PhD studies employs aspects of narrative inquiry and life history/life story methodologies to explore some encountered tensions and how they foster unconventional pedagogic practices and stranger mindful imaginings. Bourdieu's 'Habitus' and 'Capital' theories (Bourdieu and Wacquant, 1992) and Goffman's (1959) perspective on roles as acted out, provide theoretical underpinning

Blue remembered skills : mental health awareness training for police officers

The Bradley Report (Bradley, 2009) has raised a number of important questions regarding the treatment of individuals who are experiencing mental health problems and find themselves in the criminal justice system. One of the key recommendations is that professional staff working across criminal justice organisations should receive increased training in this area. This paper explores the experiences of two professionals, a mental health nurse and a social worker, involved in providing training for police officers. It goes on to consider the most effective models of training for police officers

Combating Corruption in the Private Sector

Combating private sector corruption is indispensable for economic growth. This paper sought to interrogate the impact of corruption in private sector and explore enabling strategies to retard private sector corruption and allow the economy to grow. The research applied a qualitative approach using an exploratory research design. The research participants were purposively selected from the Chief Executive Officers of private corporations that were conveniently accessed in Harare Metropolitan Province. Data collection methods included unstructured interviews and documentary review. The results established that major causes of corruption in the private sector include effects of colonial heritage, low percentage of women in the labour force, deteriorating cultural factors and endowment of natural resources. It was also found that the impact of private sector corruption negatively manifest itself in the community, it derails investments, foreign direct investment, foreign trade and foreign aid, affects gross domestic product and the economic growth and productivity. The study recommended that strong adherence to corporate governance principles, building strong positive culture and improving corporate integrity, incorporating financial institutions and promulgating effective laws against bribery and corruption in the private will help in reducing private sector corruption. It can be concluded that the fight against corruption should be given top priority as its success has the potential to grow the economy. Keywords: private sector corruption, strategies, economy DOI: 10.7176/JESD/13-20-02 Publication date:October 31st 202

Examining the Challenges and Opportunities for Artisanal Miners in Mt Darwin District, Zimbabwe

The study aimed at examining challenges, opportunities and enabling strategies for the development of artisanal and small-scale miners (ASM) and their communities in Mount Darwin District, Zimbabwe. The study employed a descriptive qualitative design. The 8 research participants were purposively selected from the Mount Darwin prominent artisanal miners and community leaders. The data collection methods included interviews, document review and direct observation. The study found that ASM face challenges such as lack of necessary mining equipment, lack of access to electricity, have poor financial credit facilities, lack expertise, lack of progressive legal framework, lack of relevant institutions and environmental challenges. The research revealed that proper functioning of ASM may lead to economic growth, employment creation, increase in level of production thereby improving the livelihoods. The study recommended the use effective policy formulation and implementation, improving administrative and legal framework issues, creation of mining learning institutions and use of technology. Future researchers should deal with the transformation of artisanal and small-scale miners into companies or cooperatives. Keywords: Artisanal and small-scale miners, challenges and opportunities DOI: 10.7176/JESD/13-20-04 Publication date:October 31st 202

The market efficiency hypothesis and the behaviour of stock returns on the JSE securities exchange

While the Efficient Market Hypothesis (EHM) has been widely accepted as robust by many researchers in the field of capital markets, the hypothesis’ robustness has been under increased scrutiny and question lately. In the light of the concerns over the robustness of the EMH, the weak form efficiency of the JSE is tested. Stock returns used in the analysis were controlled for thin trading and it was discovered that once returns are controlled for thin trading, they are independent of each other across time. Some of the previous studies found the JSE to be inefficient in the weak form but this research found that the JSE is efficient in the weak form. A comparison is also made between the JSE and four other African stock markets and the JSE is found to be more efficient than the other markets. The developments on the JSE, which have improved information dissemination as well as the efficiency of trading, contributed to the improvement of the JSE’s efficiency. The improvement in operational efficiency and turnover from the late 1990s has also made a major contribution to the improvement in the weak form efficiency of the JSE. Theory proposes that if markets are efficient then professional investment management is of little value if any; hence the position of professional investment managers in efficient markets is investigated. Although the JSE is found to be efficient, at least in the weak form, it is argued that achieving efficiency does not necessarily make the investment manager’s role obsolete. Investment managers are needed even when the market can be proved to be efficient

The influence of therapeutic horticulture on social integration

Study Purpose: The purpose of the pilot study was to qualitatively evaluate the impact of therapeutic horticulture on social integration for people who have mental health problems. Method: A qualitative grounded theory approach captured the perceptions about therapeutic horticulture from people with mental health problems. Data were collected using semi-structured focus group and interviews from a purposive sample (n= 7) and were analysed using a constant comparative approach. Findings: Four key themes emerged from the analysis: ‘A Space to Grow’, ‘Seeing the Person’, ‘Learning about Each Other through Nature’ and ‘Connecting to Nature and Others’. The findings suggest that therapeutic horticulture enabled participants to integrate socially, engage with nature and develop confidence. Social Implications: Therapeutic horticulture embodies the principles of empowerment, person centeredness and can support people with mental health problems to integrate socially. Originality: There is limited evidence about the influence that therapeutic horticulture have on mental health and social integration. The use of therapeutic horticulture is an area that is gathering evidence and this small study highlights the perceived potential benefits of this approach

A qualitative exploration of mental health service user and carer perspectives on safety issues in UK mental health services

Background Service user and carer perspectives on safety issues in mental health services are not well known and may be important in preventing and reducing harm. The development of the Yorkshire Contributory Factors Framework—Mental Health (YCFF‐MH) provides a broad structure within which to explore these perspectives. Objective To explore what service users of mental health services and their carers consider to be safety issues. Design, setting and participants Qualitative interviews with 13 service users and 7 carers in the UK. Participants were asked about their experiences and perceptions of safety within mental health services. Perceived safety issues were identified using framework analysis, guided by the YCFF‐MH. Results Service users and carers identified a broad range of safety issues. These were categorized under ‘safety culture’ and included psychological concepts of safety and raising concerns; ‘social environment’ involved threatened violence and sexual abuse; ‘individual service user and staff factors’ dominated by not being listened to; ‘management of staff and staffing levels’ resulting in poor continuity of care; and ‘service process’ typified by difficulty accessing services during a crisis. Several examples of ‘active failures’ were also described. Discussion and conclusions Safety issues appear broader than those recorded and reported by health services and inspectorates. Many safety issues have also been identified in other care settings supporting the notion that there are overlaps between service users and carers’ perspectives of safety in mental health services and those of users in other settings. Areas for further research are suggested

Depression: Current treatments with low cost strategies

Depression has profound social, economic and personal consequences for the affected individual, and it shows no signs of abating in the general population. There are several treatment modalities available for this debilitating illness, however, effective as they are, these treatments have pitfalls. Antidepressants are the most common form of treatment for depression; they are relatively cheap and effective, but induce uncomfortable side-effects, some of which can be life threatening. These can include cardiotoxicity, weight gain, serotonin syndrome, sexual dysfunction, dry mouth and urinary retention. Electroconvulsive therapy has been used in the treatment of depression since the late 1930s and is effective particularly in severe depression. It is quick acting, but its use tend to evoke moral and ethical debates. Psychological therapies have been used since the 9th century and are effective and have little side-effects but they are relatively expensive and there is a long waiting list in the NHS for these therapies. Emerging evidence suggest a place for the use of exercise to improve depressive symptoms. The article discusses evidence in support of exercise and ecotherapy in particular to alleviate symptoms of depression and promote recovery. This has implications for mental health nursing practice

A women’s worker in court: A more appropriate service for women defendants with mental health issues?

Aims Court liaison services aim to reduce mental illness in prison through early treatment and/or diversion into care of defendants negotiating their court proceedings. However, liaison services may inadvertently contribute to gender inequalities in mental health in the prison system. This is because women often do not access liaison services. This is attributed to services failing to recognise that women have different needs from men. To address this, it is essential that the needs of women in contact with the criminal justice system (CJS) are clearly articulated. However, there is a dearth of research that considers women’s needs at this stage of their journey through the CJS. This paper aims to identify these needs before women enter prison. It does so through an analysis of a pilot Women’s Support Service based at a Magistrates’ Court, a response to concerns that women were not accessing the local liaison service. Characteristics of women defendants attending the service are described, specifically their home environments, general and mental health needs. Their support needs when in contact with the CJS and the links the service must forge with local community organisations to provide this, are also presented. This knowledge will develop/ tailor existing services available to women defendants to improve their access to these and optimise the benefits they can derive from them. Methods Proformas were completed by a women specialist worker for 86 women defendants assessed in 4 months. Information was collected on characteristics including education, domestic violence, accommodation, physical and mental health.. This specialist worker recorded the range of needs identified by defendants at assessment and the services to which women were referred. Results Access to the Women’s Support Service is high, with only 11.3% of women refusing to use the service. Women attending have high levels of physical and mental health issues. Their mental health issues have not being addressed prior to accessing the service. Women often come from single households and environments high in domestic abuse. Women have multiple needs related to benefits, finance, housing, domestic abuse, education and career guidance. These are more frequent than those that explicitly link to mental health. The women’s worker providing the service referred women to 68 services from a wide variety of statutory and voluntary organisations. Conclusions The Women’s Support Service is accessed by a higher number of women, many more than access the local liaison service. It is suggested that this is due to their multiple and gender specific needs being adequately addressed by the former service and the organisations to whom they are referred. Mental health needs may also be secondary to other more basic needs, that makes the generic service provided but the Women’s support Service more appropriate than a liaison service that deals with mental health support alone