“Abusers are using COVID to enhance abuse”:Domestic abuse helpline workers’ perspectives on the impact of COVID-19 restrictions on those living with domestic abuse

Background: Mobility restrictions enforced by the UK Government in March 2020 as a response to COVID-19 resulted in those vulnerable to domestic abuse being confined in isolation with their abusers, deprived of safe spaces and many of their usual sources of support. Domestic abuse helplines therefore became an increasingly vital avenue for victim support, seeing a substantial increase in service demand during lockdown periods. Purpose: This project examined the nature and frequency of calls received by domestic abuse helplines since the first COVID-19 lockdown period. Design and Sample: Through semi-structured interviews with 11 domestic abuse helpline workers across UK services dedicated to a diverse range of populations. Results: Key themes identified through thematic analysis were: (1) Abusers weaponising government guidelines to justify and intensify abuse, and restrictions acting as both a barrier and facilitator to leaving an abusive relationship; (2) A loss of previously accessed support, with users uncertain about what help was available and issues around engaging with new forms of support; and (3) Isolation from social support networks, with callers reporting a loss of respite, lack of emotional and practical support, removal of third-party abuse monitoring opportunities, and subsequent mental health implications. Conclusions: These findings will act as a crucial guide for policy decision-making regarding support needs emerging from the pandemic and beyond, highlighting the importance of multi-agency partnerships and clear referral pathways to share the increasing financial burden of domestic abuse amongst services. The longer-term integration of more diverse options for remote support to reduce the risk of detection will be paramount as we emerge from the pandemic, but these should serve to offer a wider range of support routes for abuse victims rather than a replacement for face-to-face provision

‘At times it’s too difficult, it is too traumatic, it’s too much’:The emotion work of Domestic Abuse Helpline Staff during Covid-19

During the Covid-19 lockdowns, domestic abuse helpline staff (DAHS) in the UK faced both a shift from working in an office to working-from-home and an increased demand for their services. This meant that during Covid-19, DAHS faced an increase in traumatic calls, and all within their own homes. This article explores the emotions work of DAHS to manage and work through their work-related emotions during Covid-19. Drawing on semi-structured interviews with 11 UK-based DAHS, this article suggests that working-from-home during the Covid-19 lockdowns amplified emotions of anxiety, helplessness and guilt for DAHS alongside an evaporating emotional distance between work and home life. Engaging in leisure activities and increased online meetings with colleagues were emotion work practices that DAHS used to emotionally cope. This article demonstrates that emotion work fills in for, and masks, the structural insufficiencies of employer worker-wellbeing practices

More than nothing? Auditing business studies

This paper argues that business school scholarship can be seen as the example par excellence of what we are calling extreme neo-liberalism. By extreme neo-liberalism we mean the coexistence in the same sphere of extreme externalization of costs and extreme regulation of the sources of value. We argue that this condition is most obvious in the research audits conducted in Britain, and spreading globally, audits that record both the extreme externalization in business scholarship of all the sources of the wealth expropriated by business, and at the same time, regulate the very labour that produces this extreme self-regulation. Although this self-regulated labour regards itself as complete, and although it regards its acts of externalization as acts of self-making, we consider the relation between pedagogy and scholarship in order to show how this pervasive form of self-regarding simply does not hold. We conclude by noting that if business scholarship persists in defining itself against all that makes wealth possible, and thus making itself, logically at least, worthless, it also opens the possibility of starting an investigation of wealth, worth and value, from another point of view, one not dependant of completing business, but competing with it

High-sensitivity troponin in the evaluation of patients with suspected acute coronary syndrome: a stepped-wedge, cluster-randomised controlled trial.

BACKGROUND: High-sensitivity cardiac troponin assays permit use of lower thresholds for the diagnosis of myocardial infarction, but whether this improves clinical outcomes is unknown. We aimed to determine whether the introduction of a high-sensitivity cardiac troponin I (hs-cTnI) assay with a sex-specific 99th centile diagnostic threshold would reduce subsequent myocardial infarction or cardiovascular death in patients with suspected acute coronary syndrome. METHODS: In this stepped-wedge, cluster-randomised controlled trial across ten secondary or tertiary care hospitals in Scotland, we evaluated the implementation of an hs-cTnI assay in consecutive patients who had been admitted to the hospitals' emergency departments with suspected acute coronary syndrome. Patients were eligible for inclusion if they presented with suspected acute coronary syndrome and had paired cardiac troponin measurements from the standard care and trial assays. During a validation phase of 6-12 months, results from the hs-cTnI assay were concealed from the attending clinician, and a contemporary cardiac troponin I (cTnI) assay was used to guide care. Hospitals were randomly allocated to early (n=5 hospitals) or late (n=5 hospitals) implementation, in which the high-sensitivity assay and sex-specific 99th centile diagnostic threshold was introduced immediately after the 6-month validation phase or was deferred for a further 6 months. Patients reclassified by the high-sensitivity assay were defined as those with an increased hs-cTnI concentration in whom cTnI concentrations were below the diagnostic threshold on the contemporary assay. The primary outcome was subsequent myocardial infarction or death from cardiovascular causes at 1 year after initial presentation. Outcomes were compared in patients reclassified by the high-sensitivity assay before and after its implementation by use of an adjusted generalised linear mixed model. This trial is registered with ClinicalTrials.gov, number NCT01852123. FINDINGS: Between June 10, 2013, and March 3, 2016, we enrolled 48 282 consecutive patients (61 [SD 17] years, 47% women) of whom 10 360 (21%) patients had cTnI concentrations greater than those of the 99th centile of the normal range of values, who were identified by the contemporary assay or the high-sensitivity assay. The high-sensitivity assay reclassified 1771 (17%) of 10 360 patients with myocardial injury or infarction who were not identified by the contemporary assay. In those reclassified, subsequent myocardial infarction or cardiovascular death within 1 year occurred in 105 (15%) of 720 patients in the validation phase and 131 (12%) of 1051 patients in the implementation phase (adjusted odds ratio for implementation vs validation phase 1·10, 95% CI 0·75 to 1·61; p=0·620). INTERPRETATION: Use of a high-sensitivity assay prompted reclassification of 1771 (17%) of 10 360 patients with myocardial injury or infarction, but was not associated with a lower subsequent incidence of myocardial infarction or cardiovascular death at 1 year. Our findings question whether the diagnostic threshold for myocardial infarction should be based on the 99th centile derived from a normal reference population. FUNDING: The British Heart Foundation

"It feels like sending your children into the lions' den" – A qualitative investigation into parental attitudes towards ASD inclusion, and the impact of mainstream education on their child

Background: Increasing numbers of autistic children are being educated in mainstream schools. The success of inclusive education is dependent upon multiple factors, including key stakeholders (i.e., teachers and parents). Research has tended to focus on teachers' experiences of inclusion with limited focus on parents. Aims: The study aimed to qualitatively investigate parental attitudes and experiences of inclusive education. As such, the research question was: What are attitudes towards, and experiences of, inclusive education for parents of autistic children? Methods and Procedure: Semi-structured interviews were conducted with 12 parents of autistic children. Data was analysed using Thematic Analysis (Braun & Clarke, 2006). Outcomes and Results: four themes were identified; 1) Feeling Unheard; 2) Implementation of Inclusive Strategies; 3) Social Exclusion; 4) Mental Health and Wellbeing Impact. Findings suggested that parents felt their child struggled socially in mainstream school, with such experiences negatively impacting upon their child's wellbeing. The detrimental impacts were a result of parents believing school staff dismissed their concerns and thus appropriate strategies for their child were not always implemented. Conclusions and Implications: This highlights the need for school staff and parents to work together to enhance inclusivity both academically and socially for autistic children

“Abusers are using COVID to enhance abuse”: Domestic abuse helpline workers’ perspectives on the impact of COVID-19 restrictions on those living with domestic abuse

Purpose: Mobility restrictions enforced by the UK Government in March 2020 as a response to COVID-19 resulted in those vulnerable to domestic abuse being confined in isolation with their abusers, deprived of safe spaces and many of their usual sources of support. Domestic abuse helplines therefore became an increasingly vital avenue for victim support, seeing a substantial increase in service demand during lockdown periods. Method: Through semi-structured interviews with 11 domestic abuse helpline workers across UK services dedicated to a diverse range of populations, this project examined the nature and frequency of calls received since the first COVID-19 lockdown period. Results: Key themes identified through thematic analysis were: 1) Abusers weaponising government guidelines to justify and intensify abuse, and restrictions acting as both a barrier and facilitator to leaving an abusive relationship; 2) A loss of previously accessed support, with users uncertain about what help was available and issues around engaging with new forms of support; and 3) Isolation from social support networks, with callers reporting a loss of respite, lack of emotional and practical support, removal of third-party abuse monitoring opportunities, and subsequent mental health implications. Conclusions: These findings will act as a crucial guide for policy decision-making regarding support needs emerging from the pandemic and beyond, highlighting the importance of multi-agency partnerships, and urging caution in the utility of virtual alternatives to face-to-face support longer-term

‘She couldn’t leave them… the perpetrator had threatened to burn them alive’: Domestic abuse helpline calls relating to companion animals during the COVID-19 pandemic

Companion animals can both protect against, and increase risk for, coercive control and abuse, yet have not been considered in existing UK COVID-19 reports of domestic abuse. This study aimed to explore the nature and frequency of animal-related calls received by UK domestic abuse helpline staff during the COVID-19 pandemic, examine any lockdown-related changes, identify potential commonalities across helpline organisations, and explore perspectives about ongoing animal-related issues in the context of domestic abuse. Semi-structured virtual interviews were conducted with 11 domestic abuse helpline staff workers during the COVID-19 pandemic. Data were subjected to thematic analysis. The analysis revealed four overarching themes. Theme 1) Lockdown-related changes in the frequency and nature of animal-related calls received. Theme 2) Animals as tools for abuse during lockdown, with subthemes a) Manipulating the family-animal bond, and b) Fears over animal safety. Theme 3) Animals as barriers to refuge during lockdown, with subthemes, a) Lack of animal-friendly accommodation, b) Lack of social support systems, and c) Animals as coping mechanisms. Theme 4) Helpline staffs’ awareness of and links to animal friendly accommodation and fostering services. The findings can inform decision making regarding appropriate long-term support needs for multi-species families with complex needs, both during and post-pandemic

Parental beliefs towards the inclusion of autistic children in mainstream schools

Research has examined teacher attitudes, knowledge, and stigma towards inclusion of autistic children in mainstream schools. Less focus has been given to these beliefs among parents. This is problematic as parents are important in the implementation of inclusion and fostering a positive school environment. The current study examined differences in autism attitudes, knowledge, stigma, and inclusive education attitudes (core perspective; expected outcomes; classroom practices) among parents with and without an autistic child; The study also investigated whether autism knowledge, attitudes and stigma predicted inclusion attitudes. 185 parents in the UK (52% had an autistic child) completed questionnaires measuring these variables. Parents of an autistic child had significantly higher core perspective inclusive attitudes than parents without an autistic child. However, this group also reported more beliefs that parents of autistic children are stigmatised. For all parents, core perspective inclusive attitudes were predicted by autism attitudes and stigma towards parents of autistic children. Predictors of expected outcomes and classroom practices inclusive attitudes differed between groups. Findings highlight the need for parental attitude research to be disability-specific and consider different aspects of inclusive attitudes. Parent education to enhance inclusive attitudes should be tailored for distinct parent groups and contact interventions should be considered

Parental beliefs towards the inclusion of autistic children in mainstream schools

Research has examined teacher attitudes, knowledge, and stigma towards inclusion of autistic children in mainstream schools. Less focus has been given to these beliefs among parents. This is problematic as parents are important in the implementation of inclusion and fostering a positive school environment. The current study examined differences in autism attitudes, knowledge, stigma, and inclusive education attitudes (core perspective; expected outcomes; classroom practices) among parents with and without an autistic child; The study also investigated whether autism knowledge, attitudes and stigma predicted inclusion attitudes. 185 parents (52% had an autistic child) completed questionnaires measuring these variables. Parents of an autistic child had significantly higher core perspective inclusive attitudes than parents without an autistic child. However, this group also reported more beliefs that parents of autistic children are stigmatised. For all parents, core perspective inclusive attitudes were predicted by autism attitudes and stigma towards parents of autistic children. Predictors of expected outcomes and classroom practices inclusive attitudes differed between groups. Findings highlight the need for parental attitudes research to be disability specific and consider different aspects of inclusive attitudes. Parent education to enhance inclusive attitudes should be tailored for distinct parent groups and contact interventions should be considered