People in crisis services

Objectives The study aimed to explore which discourses staff in crisis services draw on when discussing people in crisis. Further questions were; how those with borderline personality disorder diagnosis are positioned by these discourses and what the subsequent consequences are for people in crisis. Design This study utilised a qualitative design. Individual interviews were conducted with participants to generate personal and reflective accounts. Method Twelve staff members from home treatment, day treatment or acute ward teams were interviewed. Questions related to their experiences of people in crisis. Foucauldian Discourse Analysis was used to highlight the discourses used when talking about those in crisis. Results Four main discourses were present in language used; ‘medical legal’, ‘personal responsibility’, ‘limited resources for the problem’, and ‘human experience and emotions’. People with a diagnosis of borderline personality disorder (BPD) were positioned differently to those with other diagnosis. Staff are positioned as experts needing to diagnose and cure distress. The discourse of human experience and emotions highlighted the emotional aspect of working with people in crisis, especially those with a BPD diagnosis. Conclusion The prevailing discourses within NHS crisis services remain those of the medical model, legitimising ideas of classic mental illness and practices of medication and control. This impacts the position of people with a BPD diagnosis. Further reflective spaces are required to highlight the flexibility of these discourses, practice, and the importance of emotions raised by those in distress

The Housing and Support Needs of Older People with Visual Impairment

Visual impairment is one of the most prevalent anddisabling conditions among older people, and yet verylittle research has been conducted that could inform thedevelopment of appropriate public services. In order toaddress this deficiency, Thomas Pocklington Trust fundedresearch to examine the housing and support needs of 400visually impaired people aged over 55.The study found that:? There is little professional recognition, or offers of help andadvice for the anxiety, depression, and sense of profoundloss that people experience with late onset of visualimpairment.? Both blind and partially sighted people need timely andholistic assessment, rehabilitation, affordable equipment andregular review.? People with sight loss do not wish to leave their homes.Home is the epicentre of a mental map that assistsorientation and continuity following sight loss.? Social isolation and lack of human contact are majorproblems for people with sight loss.? People with sight loss have poor knowledge of supportgroups, community services and/or specialist housingoptions for older people with visual impairment. Visual impairment is one of the most prevalent anddisabling conditions among older people, and yet verylittle research has been conducted that could inform thedevelopment of appropriate public services. In order toaddress this deficiency, Thomas Pocklington Trust fundedresearch to examine the housing and support needs of 400visually impaired people aged over 55.The study found that:? There is little professional recognition, or offers of help andadvice for the anxiety, depression, and sense of profoundloss that people experience with late onset of visualimpairment.? Both blind and partially sighted people need timely andholistic assessment, rehabilitation, affordable equipment andregular review.? People with sight loss do not wish to leave their homes.Home is the epicentre of a mental map that assistsorientation and continuity following sight loss.? Social isolation and lack of human contact are majorproblems for people with sight loss.? People with sight loss have poor knowledge of supportgroups, community services and/or specialist housingoptions for older people with visual impairment

Age constraints on the evolution of the Quetico belt, Superior Province, Ontario

Much attention has been focused on the nature of Archean tectonic processes and the extent to which they were different from modern rigid-plate tectonics. The Archean Superior Province has linear metavolcanic and metasediment-dominated subprovinces of similar scale to cenozoic island arc-trench systems of the western Pacific, suggesting an origin by accreting arcs. Models of the evolution of metavolcanic belts in parts of the Superior Province suggest an arc setting but the tectonic environment and evolution of the intervening metasedimentary belts are poorly understood. In addition to explaining the setting giving rise to a linear sedimentary basin, models must account for subsequent shortening and high-temperature, low-pressure metamorphism. Correlation of rock units and events in adjacent metavolcanic and metasedimentary belts is a first step toward understanding large-scale crustal interactions. To this end, zircon geochronology has been applied to metavolcanic belts of the western Superior Province; new age data for the Quetico metasedimentary belt is reported, permitting correlation with the adjacent Wabigoon and Wawa metavolcanic subprovinces

Quantum state diffusion with a moving basis: computing quantum-optical spectra

Quantum state diffusion (QSD) as a tool to solve quantum-optical master equations by stochastic simulation can be made several orders of magnitude more efficient if states in Hilbert space are represented in a moving basis of excited coherent states. The large savings in computer memory and time are due to the localization property of the QSD equation. We show how the method can be used to compute spectra and give an application to second harmonic generation.Comment: 8 pages in RevTeX, 1 uuencoded postscript figure, submitted to Phys. Rev.

Meeting the needs of older peoplewith visual impairment: social care orsocial exclusion?

This paper is based on the research study ?Housing and supportneeds of older people with visual impairment ? experiences andchallenges? (Hanson et al, 2002).1The full findings of this study are reported in another occasionalpaper produced by Thomas Pocklington Trust.2 It is, however, usefulto state that this study found evidence that sight loss in later life hassignificant emotional consequences, often unacknowledged byprofessionals. It also showed how older people with visionimpairment often have their own coping strategies, but are less ablethan sighted peers to carry out certain daily tasks.The study suggested that professionals should offer sensitive andtimely support, in a more collaborative manner, and that serviceshave to be monitored and evaluated to avoid wide-ranging needsremaining unmet. In respect of the home environment, researchindicated that adequate and accessible domestic space in which todo housework safely, low vision equipment and the provision ofovernight accommodation for guests and carers was required.Most participants in the study wished to stay in their homes andneighbourhoods. When asked about possible alternative options,participants emphasised the importance of location and sufficientspace. If they were considering supported housing, they requiredfull information about how it addressed their particular needs.This paper focuses on whether older people with visual impairmentare vulnerable to social exclusion if their social care needs are unmet. In particular, this paper argues that:? Greater professional collaboration is required to improve eyeclinic and community support services.? Relevant staff should aim to provide timely and holisticassessments of need.? Older people with vision impairment have significant needs asregards home care support, access to information, psychologicalstress and social isolation.? Initiatives such as peer support groups and resource centres offeropportunities to tackle social exclusion arising from unmetneeds. This paper is based on the research study ?Housing and supportneeds of older people with visual impairment ? experiences andchallenges? (Hanson et al, 2002).1The full findings of this study are reported in another occasionalpaper produced by Thomas Pocklington Trust.2 It is, however, usefulto state that this study found evidence that sight loss in later life hassignificant emotional consequences, often unacknowledged byprofessionals. It also showed how older people with visionimpairment often have their own coping strategies, but are less ablethan sighted peers to carry out certain daily tasks.The study suggested that professionals should offer sensitive andtimely support, in a more collaborative manner, and that serviceshave to be monitored and evaluated to avoid wide-ranging needsremaining unmet. In respect of the home environment, researchindicated that adequate and accessible domestic space in which todo housework safely, low vision equipment and the provision ofovernight accommodation for guests and carers was required.Most participants in the study wished to stay in their homes andneighbourhoods. When asked about possible alternative options,participants emphasised the importance of location and sufficientspace. If they were considering supported housing, they requiredfull information about how it addressed their particular needs.This paper focuses on whether older people with visual impairmentare vulnerable to social exclusion if their social care needs are unmet. In particular, this paper argues that:? Greater professional collaboration is required to improve eyeclinic and community support services.? Relevant staff should aim to provide timely and holisticassessments of need.? Older people with vision impairment have significant needs asregards home care support, access to information, psychologicalstress and social isolation.? Initiatives such as peer support groups and resource centres offeropportunities to tackle social exclusion arising from unmetneeds

Quantum state diffusion, localization and computation

Numerical simulation of individual open quantum systems has proven advantages over density operator computations. Quantum state diffusion with a moving basis (MQSD) provides a practical numerical simulation method which takes full advantage of the localization of quantum states into wave packets occupying small regions of classical phase space. Following and extending the original proposal of Percival, Alber and Steimle, we show that MQSD can provide a further gain over ordinary QSD and other quantum trajectory methods of many orders of magnitude in computational space and time. Because of these gains, it is even possible to calculate an open quantum system trajectory when the corresponding isolated system is intractable. MQSD is particularly advantageous where classical or semiclassical dynamics provides an adequate qualitative picture but is numerically inaccurate because of significant quantum effects. The principles are illustrated by computations for the quantum Duffing oscillator and for second harmonic generation in quantum optics. Potential applications in atomic and molecular dynamics, quantum circuits and quantum computation are suggested.Comment: 16 pages in LaTeX, 2 uuencoded postscript figures, submitted to J. Phys.

The challenge of public law law reform: reflections on a failed Law Commission project

This article reviews the history of the Law Commission project on administrative law and the citizen from 2003, a project which the Law Commission essentially substantively ended in 2010. The project provides lessons both about the initiation and design of law reform projects and on the prospect of law reform being institutionally capable of contributing to the development of core areas of public law

The Square Root Depth Wave Equations

We introduce a set of coupled equations for multilayer water waves that removes the ill-posedness of the multilayer Green-Naghdi (MGN) equations in the presence of shear. The new well-posed equations are Hamiltonian and in the absence of imposed background shear they retain the same travelling wave solutions as MGN. We call the new model the Square Root Depth equations, from the modified form of their kinetic energy of vertical motion. Our numerical results show how the Square Root Depth equations model the effects of multilayer wave propagation and interaction, with and without shear.Comment: 10 pages, 5 figure

Estimating Sighting Proportions of American Alligator Nests during Helicopter Survey

Proportions of American alligator (Alligator mississippiensis) nests sighted during aerial survey in Florida were estimated based upon multiple surveys by different observers. We compared sighting proportions across habitats, nesting seasons, and observer experience levels. The mean sighting proportion across all habitats and years was 0.736 (SE=0.024). Survey counts corrected by the mean sighting proportion reliably predicted total nest counts (R2=0.933). Sighting proportions did not differ by habitat type (P=0.668) or year P=0.328). Experienced observers detected a greater proportion of nests (P<O.OOOl) than did either less experienced or inexperienced observers. Reliable estimates of nest abundance can be derived from aerial counts of alligator nests when corrected by the appropriate sighting proportion