Institutions and Co-Management in East African Inland and Malawi Fisheries: A Critical Perspective

Institutions matter within natural resource management. While there are many examples of analyses of the nature and influence of institutions within fisheries, there are fewer examples of how institutions inform the practice and outcomes of co-management. This article reports on analysis of institutions and fisheries co-management in East African and Malawi inland fisheries informed by Critical Institutionalism. It concludes that relations between fisheries departments and local co-management structures, and between local government/traditional authorities and local co-management structures, and social, power, and gender relations within and beyond fisheries communities, particularly impact on the practice and outcomes of co-management

Trade-off decisions in ecosystem management for poverty alleviation

The academic literature on trade-offs in ecosystem management has paid relatively little attention to justice and poverty reduction objectives. The aim of this paper is to highlight the multiple dimensions of trade-offs in ecosystem services management for poverty alleviation, and to support decision-makers in planning for the almost inevitable trade-offs arising from environmental interventions. The paper brings together different dimensions or lenses through which to analyse trade-offs in ecosystem management for poverty alleviation in a low-income country context. Following a literature review of trade-off decisions, the paper introduces the Balance Sheets Approach to structure trade-off analysis and appraise decisions. We apply the Balance Sheets Approach to analyse five case studies set in very different social-ecological systems where trade-offs were pertinent and undermined poverty alleviation. We show how the combination of ‘positive’ approaches, often used at strategic level, with ‘value’ approaches which analyse multiple values, multi-scale governance, power and capacity, is necessary to analyse complex trade-offs. Based on the case studies we identify four lessons for future trade-off analysis in the context of ecosystem management for poverty alleviation in low-income settings

Compliance, corruption and co-management::how corruption fuels illegalities and undermines the legitimacy of fisheries co-management

Links between corruption and illegal practices within fisheries are recognised in existing literature but little reference has been made to how these interconnected practices affect the performance and legitimacy of fisheries co-management. Research in the three countries bordering Lake Victoria, Kenya, Tanzania and Uganda, demonstrated that corruption is systemic and that members of all stakeholder groups – fishers, fisheries officers, police and the judiciary - are implicated. It was confirmed that corruption is strongly linked to illegalities and that corruption in this context should be viewed as a collection action problem, with fishers reluctant to invest in legal gears and methods when they perceive illegalities and corruption to be prevalent. It was also found that corrupt practices linked to illegalities discourages local level fisheries management structures – the Beach Management Units – from enforcing regulations and contributes to a lack of trust between fishers and government. Linked corruption and illegal fisheries practices were therefore found to be undermining the performance and legitimacy of co-management. The article concludes that whilst co-management offers opportunities for collusive corruption through collaborative arrangements, any management system will be susceptible to the harmful effects of corruption where it is systemic and is not formally recognised or appropriately addressed. Greater official recognition of the links between corruption and illegalities, and a range of appropriate actions taken to this collective action problem, is essential if co-management is to have a chance of success

Promoting Personal Recovery in People with Persisting Psychotic Disorders: Development and Pilot Study of a Novel Digital Intervention

BACKGROUND For people with persisting psychotic disorders, personal recovery has become an important target of mental health services worldwide. Strongly influenced by mental health service consumer perspectives, personal recovery refers to being able to live a satisfying and contributing life irrespective of ongoing symptoms and disability. Contact with peers with shared lived experience is often cited as facilitative of recovery. We aimed to develop and pilot a novel recovery-based digitally supported intervention for people with a psychotic illness. METHODS We developed a website to be used on a tablet computer by mental health workers to structure therapeutic discussions about personal recovery. Central to the site was a series of video interviews of people with lived experience of psychosis discussing how they had navigated issues within their own recovery based on the Connectedness-Hope-Identity-Meaning-Empowerment model of recovery. We examined the feasibility and acceptability of an 8-session low intensity intervention using this site in 10 participants with persisting psychotic disorders and conducted a proof-of-concept analysis of outcomes. RESULTS All 10 participants completed the full course of sessions, and it was possible to integrate use of the website into nearly all sessions. Participant feedback confirmed that use of the website was a feasible and acceptable way of working. All participants stated that they would recommend the intervention to others. Post-intervention, personal recovery measured by the Questionnaire for the Process of Recovery had improved by an average standardized effect of d = 0.46, 95% CI [0.07, 0.84], and 8 of the 10 participants reported that their mental health had improved since taking part in the intervention. CONCLUSION In-session use of digital resources featuring peer accounts of recovery is feasible and acceptable and shows promising outcomes. A randomized controlled trial is the next step in evaluating the efficacy of this low intensity intervention when delivered in conjunction with routine mental health care.This study was funded by the State Government of Victoria Department of Health Mental Illness Research Fund (MIRF33). The funder had no role in the design of the study or reporting of results

Randomised controlled trial of a digitally assisted low intensity intervention to promote personal recovery in persisting psychosis: SMART-Therapy study protocol

BACKGROUND: Psychosocial interventions have an important role in promoting recovery in people with persisting psychotic disorders such as schizophrenia. Readily available, digital technology provides a means of developing therapeutic resources for use together by practitioners and mental health service users. As part of the Self-Management and Recovery Technology (SMART) research program, we have developed an online resource providing materials on illness self-management and personal recovery based on the Connectedness-Hope-Identity-Meaning-Empowerment (CHIME) framework. Content is communicated using videos featuring persons with lived experience of psychosis discussing how they have navigated issues in their own recovery. This was developed to be suitable for use on a tablet computer during sessions with a mental health worker to promote discussion about recovery. METHODS/DESIGN: This is a rater-blinded randomised controlled trial comparing a low intensity recovery intervention of eight one-to-one face-to-face sessions with a mental health worker using the SMART website alongside routine care, versus an eight-session comparison condition, befriending. The recruitment target is 148 participants with a schizophrenia-related disorder or mood disorder with a history of psychosis, recruited from mental health services in Victoria, Australia. Following baseline assessment, participants are randomised to intervention, and complete follow up assessments at 3, 6 and 9 months post-baseline. The primary outcome is personal recovery measured using the Process of Recovery Questionnaire (QPR). Secondary outcomes include positive and negative symptoms assessed with the Positive and Negative Syndrome Scale, subjective experiences of psychosis, emotional symptoms, quality of life and resource use. Mechanisms of change via effects on self-stigma and self-efficacy will be examined. DISCUSSION: This protocol describes a novel intervention which tests new therapeutic methods including in-session tablet computer use and video-based peer modelling. It also informs a possible low intensity intervention model potentially viable for delivery across the mental health workforce