Include me in: user involvement in research and evaluation

yesPurpose: This paper discusses the experiences of a group of ten user and carer researchers from mental health and learning disability services who worked together in a research and evaluation project between 2009 and 2012. The research project aimed to identify changes that took place as over 300 people moved from hostel accommodation into independent tenancies in flats and bungalows. These moves were part of a three year project involving a partnership between a local authority and a housing association. Design / approach: The paper describes the process of involving user and carers in the research process, identifying the challenges and benefits of involving users and carers. The ways in which people were trained and supported to take part and stay involved are outlined, as well as how the group felt they learnt new skills and increased their confidence. Findings: User involvement in research can mean different things with different levels of involvement, from consultation through to user-controlled research. The collaborative study had a range of benefits for the lives of the co-researchers, as well as contributing to the development of a new independent living service. A number of factors contribute to the success of user involvement in research and these are listed. Originality / value: This paper adds the voices of the co-researchers to the literature and provides ‘lessons learned’ for other researchers in this area

Globalization, the ambivalence of European integration and the possibilities for a post-disciplinary EU studies

Using the work of Manuel Castells as a starting point, this article explores the ambivalent relationship between globalization and European integration and the variety of ways in which the mainstream political science of the EU has attempted to deal with this issue. The analysis here suggests that various 'mainstreaming' disciplinary norms induce types of work that fail to address fully the somewhat paradoxical and counter-intuitive range of possible relationships between globalization and European integration. The article explores critically four possible analytical ways out of this paradox—abandonment of the concept of globalization, the development of definition precision in globalization studies, the reorientation of work to focus on globalization as discourse, and inter- and post-disciplinarity. The argument suggests that orthodox discussions of the relationship require a notion of social geography that sits at odds with much of the literature on globalization and while greater dialogue between disciplines is to be welcomed, a series of profound epistemological questions need to be confronted if studies of the interplay between global and social process are to be liberated from their disciplinary chains

The Galway Study of Panic Disorder. IV. Temporal stability of diagnosis by present state examination test-retest

BACKGROUND: A long-term outcome study of DSM-III-R panic disorder included the Present State Examination (PSE) at baseline and follow up five to six years later.METHOD: PSE test-retest and individual within- patient change scores on various PSE syndromes were assessed for consistency with either a categorical view of panic disorder as a stable clinical entity or panic disorder as one facet only of a "general neurotic syndrome'.RESULTS: PSE profile at baseline was virtually identical with that at follow up. Few patients had changed in PSE syndrome diagnosis after five to six years.CONCLUSION: These data, although not conclusive, are supportive of the concept of DSM-III-R panic disorder as a stable clinical entity and are correspondingly difficult to reconcile with the view that panic disorder is but one facet only of a general neurotic syndrome

The Galway Study of Panic Disorder. III. Outcome at 5 to 6 years

BACKGROUND. The aim was to evaluate long-term outcome of DSM-III-R panic disorder at a mean of 5.3 years following a controlled trial of treatment that included antidepressants and behavioural counselling.METHOD. Sixty-eight (86%) subjects were evaluated by lengthy research interview.RESULTS. Thirty-four per cent recovered and remained well, 46% were minimally impaired and 20% had persistent panic disorder of whom half remained significantly impaired. Anxious-fearful personality dysfunction was the most important predictor of poor outcome, followed by poor clinical status at discharge and inability at baseline to recall vividly the initial panic attack. Those who dropped out from the original trial did badly. CONCLUSIONS. Complete recovery can occur even after many years of severe illness in a large minority of subjects who receive both antidepressants and behavioural counselling in the acute stage of treatment. The comparative prognostic value of personality, severity and chronicity need to be more fully addressed in future studies

Exposure and risk estimates for Arizona drinking water

As part of the National Human Exposure Assessment Survey, a multistage sampling was used to estimate and compare exposures and risks associated with drinking water for two groups - the population of Arizona and that of border communities. There had been some concern that the border communities' exposures would be higher than those of other parts of the state because of their proximity to Mexico, where environmental quality may not be as high a priority as it is in the United States. The two study populations were further categorized by gender, age, ethnicity, education, income, and building structure type and year of construction. For these subgroups, the study estimated and compared risks for arsenic, 1,3-butadiene, chloroform, chromium, 1,2-dichloroethane, dichloromethane, lead, nickel, and toluene. For almost all of the sample subjects, residue concentrations were below the drinking water guideline values of both Arizona and the US Environmental Protection Agency. Of the metals studied, arsenic was the only one with a population carcinogenic risk above the acceptable level of 1.0E-6. Contrary to expressed concerns, average daily exposures and associated risks were estimated to be smaller in the border communities than in the Arizona population. For utilities, one finding deserving further study was that risks from tap water were estimated to be greater than risks from nontap water. Further research may be warranted to uncover the causes for these elevated risks