The Deep SWIRE Field III. WIYN Spectroscopy

We present the results of spectroscopy using HYDRA on the WIYN 3.5m telescope of objects in the deep SWIRE radio field. The goal of the project was to determine spectroscopic redshifts for as many of the brighter objects in the field as possible, especially those detected in the radio and at 24 microns. These redshifts are primarily being used in studies of galaxy evolution and the connection of that evolution to AGN and star-formation. Redshifts measured for 365 individual objects are reported. The redshifts range from 0.03 to 2.5, mostly with z < 0.9. The sources were selected to be within the WIYN HYDRA field of approximately 30' in radius from the center of the SWIRE deep field, 10h46m00s, 59d 01'00" (J2000). Optical sources for spectroscopic observation were selected from a r-band image of the field. A priority list of spectroscopic targets was established in the following order: 20cm detections, 24 micron detections, galaxies with r < 20 and the balance made up of fainter galaxies in the field. We provide a table listing the galaxy positions, measured redshift and error, and note any emission lines that were visible in the spectrum. In practice almost all the galaxies with r < 19 were observed including all of the radio sources and most of the 24 microns sources with r < 20 and a sample of radio sources which had fainter optical counterparts on the r-band image.Comment: 6 pages, 3 tables, 2 figures, full electronic tables at http://www.aoc.nrao.edu/~fowen/papers/SWIRE/WIYNpaper3/, accepted ApJ Suppl Serie

X-ray behaviour of Circinus X-1 - I: X-ray Dips as a diagnostic of periodic behaviour

We examine the periodic nature of detailed structure (particularly dips) in the RXTE/ASM lightcurve of Circinus X-1. The significant phase wandering of the X-ray maxima suggests their identification with the response on a viscous timescale of the accretion disk to perturbation. We find that the X-ray dips provide a more accurate system clock than the maxima, and thus use these as indicators of the times of periastron passage. We fit a quadratic ephemeris to these dips, and find its predictive power for the X-ray lightcurve to be superior to ephemerides based on the radio flares and the full archival X-ray lightcurve. Under the hypothesis that the dips are tracers of the mass transfer rate from the donor, we use their occurrence rate as a function of orbital phase to explore the (as yet unconstrained) nature of the donor. The high $\dot{P}$ term in the ephemeris provides another piece of evidence that Cir X-1 is in a state of dynamical evolution, and thus is a very young post-supernova system. We further suggest that the radio ``synchrotron nebula'' immediately surrounding Cir X-1 is in fact the remnant of the event that created the compact object, and discuss briefly the evidence for and against such an interpretation.Comment: 11 pages, 11 figures, accepted for publication in MNRA

X-ray behaviour of Circinus X-1 - I: X-ray Dips as a diagnostic of periodic behaviour

We examine the periodic nature of detailed structure (particularly dips) in the RXTE/ASM lightcurve of Circinus X-1. The significant phase wandering of the X-ray maxima suggests their identification with the response on a viscous timescale of the accretion disk to perturbation. We find that the X-ray dips provide a more accurate system clock than the maxima, and thus use these as indicators of the times of periastron passage. We fit a quadratic ephemeris to these dips, and find its predictive power for the X-ray lightcurve to be superior to ephemerides based on the radio flares and the full archival X-ray lightcurve. Under the hypothesis that the dips are tracers of the mass transfer rate from the donor, we use their occurrence rate as a function of orbital phase to explore the (as yet unconstrained) nature of the donor. The high $\dot{P}$ term in the ephemeris provides another piece of evidence that Cir X-1 is in a state of dynamical evolution, and thus is a very young post-supernova system. We further suggest that the radio ``synchrotron nebula'' immediately surrounding Cir X-1 is in fact the remnant of the event that created the compact object, and discuss briefly the evidence for and against such an interpretation.Comment: 11 pages, 11 figures, accepted for publication in MNRA

Development of a measure of model fidelity for mental health Crisis Resolution Teams

Background Crisis Resolution Teams (CRTs) provide short-term intensive home treatment to people experiencing mental health crisis. Trial evidence suggests CRTs can be effective at reducing hospital admissions and increasing satisfaction with acute care. When scaled up to national level however, CRT implementation and outcomes have been variable. We aimed to develop and test a fidelity scale to assess adherence to a model of best practice for CRTs, based on best available evidence. Methods A concept mapping process was used to develop a CRT fidelity scale. Participants (n = 68) from a range of stakeholder groups prioritised and grouped statements (n = 72) about important components of the CRT model, generated from a literature review, national survey and qualitative interviews. These data were analysed using Ariadne software and the resultant cluster solution informed item selection for a CRT fidelity scale. Operational criteria and scoring anchor points were developed for each item. The CORE CRT fidelity scale was then piloted in 75 CRTs in the UK to assess the range of scores achieved and feasibility for use in a 1-day fidelity review process. Trained reviewers (n = 16) rated CRT service fidelity in a vignette exercise to test the scale’s inter-rater reliability. Results There were high levels of agreement within and between stakeholder groups regarding the most important components of the CRT model. A 39-item measure of CRT model fidelity was developed. Piloting indicated that the scale was feasible for use to assess CRT model fidelity and had good face validity. The wide range of item scores and total scores across CRT services in the pilot demonstrate the measure can distinguish lower and higher fidelity services. Moderately good inter-rater reliability was found, with an estimated correlation between individual ratings of 0.65 (95% CI: 0.54 to 0.76). Conclusions The CORE CRT Fidelity Scale has been developed through a rigorous and systematic process. Promising initial testing indicates its value in assessing adherence to a model of CRT best practice and to support service improvement monitoring and planning. Further research is required to establish its psychometric properties and international applicability

Luminosity functions for galaxies and quasars in the Spitzer Wide-area Infrared Extragalactic Legacy Survey

We construct rest-frame luminosity functions (LFs) at 3.6, 4.5, 5.8, 8 and 24 μm over the redshift range 0 < z < 2 for galaxies and 0 < z < 4 for optical quasi-stellar objects (QSOs), using optical and infrared (IR) data from the Spitzer Wide-area Infrared Extragalactic (SWIRE) Survey. The 3.6- and 4.5-μm galaxy LFs show evidence for moderate positive luminosity evolution up to z∼ 1.5, consistent with the passive ageing of evolved stellar populations. Their comoving luminosity density was found to evolve passively, gradually increasing out to z∼ 0.5–1 but flattening, or even declining, at higher redshift. Conversely, the 24-μm galaxy LF, which is more sensitive to obscured star formation and/or active galactic nuclei (AGN) activity, undergoes strong positive evolution, with the derived IR energy density and star formation rate (SFR) density ∝ (1 +z)γ with γ= 4.5+0.7−0.6 and the majority of this evolution occurring since z∼ 1. Optical QSOs, however, show positive luminosity evolution in all bands, out to the highest redshifts (3 < z < 4). Modelling as L*∝ (1 +z)γ gave γ= 1.3+0.1−0.1 at 3.6 μm, γ= 1.0+0.1−0.1 at 4.5 μm and stronger evolution at the longer wavelengths (5.8, 8 and 24 μm), of γ∼ 3. Comparison of the galaxy LFs to predictions from a semi-analytic model based on cold dark matter (CDM) indicates that an initial mass function (IMF) skewed towards higher mass star formation in bursts compared to locally be preferred. As a result, the currently inferred massive SFRs in distant submm sources may require substantial downwards revision

Psychological consultancy in mental health services: A systematic review of service, staff, and patient outcomes

Objectives Psychological consultation in mental health is an organizational intervention aiming to enable mental health care to be delivered in a more efficient manner. This review sought to: (1) clarify what theoretical models underpin consultancy, (2) define how consultancy is implemented, (3) assess the methodological rigour of the evidence base, and (4) define the outcomes achieved for services, staff, and patients. The review was focal to direct and indirect forms of consultation. Method PRISMA guidelines were followed. Three databases were searched identifying N = 17 studies, and these were quality assessed using the QualSyst quality ratings checklist. Studies were grouped by model of consultation and outcome. A thematic analysis then clustered the patient, staff, and service outcomes into either discrepant or confirmatory evidence. Results The most frequently adopted theoretical models underpinning psychological consultation are cognitive‐behavioural and cognitive‐analytic. Method of consultancy implementation is typically via case formulation meetings. Study quality varied from limited to strong. The main confirmatory and positive outcomes for staff are an increase in understanding and also more positive feelings towards patients, and for the service, there is a reduced need for other interventions. Conclusions Psychological consultation appears a useful and worthwhile aspect of leadership by psychological therapists. Training in delivering consultancy needs to be well integrated into the core curricula of clinical training programmes. The evidence base is still in its infancy, and further well‐controlled research is required. Practitioner points Psychological consultation improves staff insight and understanding of patients. Psychological consultants need to remain visible and accessible to teams and use a theoretical model to guide consultation. Training and supervision in consultation are necessary to support psychological therapists in these roles

Treatment and outcomes of crisis resolution teams: a prospective multicentre study

<p>Abstract</p> <p>Background</p> <p>Crisis resolution teams (CRTs) aim to help patients in acute mental health crises without admitting them to hospital. The aims of this study were to investigate content of treatment, service practice, and outcomes of crises of CRTs in Norway.</p> <p>Methods</p> <p>The study had a multicentre prospective design, examining routine data for 680 patients and 62 staff members of eight CRTs. The clinical staff collected data on the demographic, clinical, and content of treatment variables. The service practices of the staff were assessed on the Community Program Practice Scale. Information on each CRT was recorded by the team leaders. The outcomes of crises were measured by the changes in Global Assessment of Functioning scale scores and the total scores on the Health of the Nation Outcome Scales between admission and discharge. Regression analysis was used to predict favourable outcomes.</p> <p>Results</p> <p>The mean length of treatment was 19 days for the total sample (N = 680) and 29 days for the 455 patients with more than one consultation; 7.4% of the patients had had more than twice-weekly consultations with any member of the clinical staff of the CRTs. A doctor or psychologist participated in 55.5% of the treatment episodes. The CRTs collaborated with other mental health services in 71.5% of cases and with families/networks in 51.5% of cases. The overall outcomes of the crises were positive, with a small to medium effect size. Patients with depression received the longest treatments and showed most improvement of crisis. Patients with psychotic symptoms and substance abuse problems received the shortest treatments, showed least improvement, and were most often referred to other parts of the mental health services. Length of treatment, being male and single, and a team focus on out-of-office contact were predictors of favourable outcomes of crises in the adjusted model.</p> <p>Conclusions</p> <p>Our study indicates that, compared with the UK, the Norwegian CRTs provided less intensive and less out-of-office care. The Norwegian CRTs worked more with depression and suicidal crises than with psychoses. To be an alternative to hospital admission, the Norwegian CRTs need to intensify their treatment and meet more patients outside the office.</p

The CORE service improvement programme for mental health crisis resolution teams: results from a cluster-randomised trial

BACKGROUND: Crisis resolution teams (CRTs) offer brief, intensive home treatment for people experiencing mental health crisis. CRT implementation is highly variable; positive trial outcomes have not been reproduced in scaled-up CRT care.AimsTo evaluate a 1-year programme to improve CRTs' model fidelity in a non-masked, cluster-randomised trial (part of the Crisis team Optimisation and RElapse prevention (CORE) research programme, trial registration number: ISRCTN47185233). METHOD: Fifteen CRTs in England received an intervention, informed by the US Implementing Evidence-Based Practice project, involving support from a CRT facilitator, online implementation resources and regular team fidelity reviews. Ten control CRTs received no additional support. The primary outcome was patient satisfaction, measured by the Client Satisfaction Questionnaire (CSQ-8), completed by 15 patients per team at CRT discharge (n = 375). SECONDARY OUTCOMES: CRT model fidelity, continuity of care, staff well-being, in-patient admissions and bed use and CRT readmissions were also evaluated. RESULTS: All CRTs were retained in the trial. Median follow-up CSQ-8 score was 28 in each group: the adjusted average in the intervention group was higher than in the control group by 0.97 (95% CI -1.02 to 2.97) but this was not significant (P = 0.34). There were fewer in-patient admissions, lower in-patient bed use and better staff psychological health in intervention teams. Model fidelity rose in most intervention teams and was significantly higher than in control teams at follow-up. There were no significant effects for other outcomes. CONCLUSIONS: The CRT service improvement programme did not achieve its primary aim of improving patient satisfaction. It showed some promise in improving CRT model fidelity and reducing acute in-patient admissions.Declaration of interestNone