Investigating the association between characteristics of local crisis care systems and service use in an English national survey

Supplementary material is available online at https://doi.org/10.1192/bjo.2023.595This paper presents independent research commissioned and funded by the National Institute for Health and Care Research (NIHR) Policy Research Programme, conducted by the NIHR Policy Research Unit (PRU) in Mental Health. Research by N.S. is supported by the NIHR Applied Research Collaboration (ARC) South London at King’s College Hospital NHS Foundation Trust. N.S. is a member of King’s Improvement Science, which offers co-funding to the NIHR ARC South London and is funded by King’s Health Partners (Guy’s and St Thomas’ NHS Foundation Trust, King’s College Hospital NHS Foundation Trust, King’s College London and South London and Maudsley NHS Foundation Trust), and the Guy’s and St Thomas’ Foundation. Research by A.R.-G. is also supported by the Spanish Ministry of Universities and the Next Generation European Union funds. The views expressed are those of the authors and not necessarily those of the NIHR, the Department of Health and Social Care or its arm’s-length bodies, or other government departments.Background In England, a range of mental health crisis care models and approaches to organising crisis care systems have been implemented, but characteristics associated with their effectiveness are poorly understood. Aims To (a) develop a typology of catchment area mental health crisis care systems and (b) investigate how crisis care service models and system characteristics relate to psychiatric hospital admissions and detentions. Method Crisis systems data were obtained from a 2019 English national survey. Latent class analyses were conducted to identify discernible typologies, and mixed-effects negative binomial regression models were fitted to explore associations between crisis care models and admissions and detention rates, obtained from nationally reported data. Results No clear typology of catchment area crisis care systems emerged. Regression models suggested that provision of a crisis telephone service within the local crisis system was associated with a 11.6% lower admissions rate and 15.3% lower detention rate. Provision of a crisis cafe was associated with a 7.8% lower admission rates. The provision of a crisis assessment team separate from the crisis resolution and home treatment service was associated with a 12.8% higher admission rate. Conclusions The configuration of crisis care systems varies considerably in England, but we could not derive a typology that convincingly categorised crisis care systems. Our results suggest that a crisis phone line and a crisis cafe may be associated with lower admission rates. However, our findings suggest crisis assessment teams, separate from home treatment teams, may not be associated with reductions in admission and detentions.National Institute for Health and Care Research (NIHR) Policy Research ProgrammeNIHR Applied Research Collaboration (ARC) South London at King’s College Hospital NHS Foundation TrustKing’s Health Partners (Guy’s and St Thomas’ NHS Foundation Trust, King’s College Hospital NHS Foundation Trust, King’s College London and South London and Maudsley NHS Foundation Trust)Spanish Ministry of Universities and the Next Generation European Union fund

Diversity and public television: analysis of subtitling as an accessibility service

The present article addresses media pluralism from a critical perspective, as a guarantor of attention to social and cultural diversity. The study focuses on deaf individuals, and an analysis is conducted of subtitles as one of the services that guarantees universal access to the contents offered by Spanish Radio and Television (Radiotelevisión Española, RTVE) for social and cultural diversity. Likewise, given the changes in audiovisual consumption in the form of streaming, and the rise of on-demand content, an analysis is not only performed of linear television, but also of live online and on-demand content. For this, a quantitative analysis was performed of a random sample of more than 5000 RTVE programs (2017-2018), to establish the number of subtitled programs for deaf individuals, their schedule, and the types of contents that included this service. Also, a qualitative analysis was performed on a sample of 72 programs distributed among the different channels belonging to this public corporation. Lastly, to evaluate the quality and suitability of the subtitles, an online survey was provided, which was completed by 183 deaf individuals who were users of the RTVE subtitles. Through this combination of methods, we were able to analyze and evaluate the cultural pluralism of RTVE through the subtitles provided for the deaf, associating it with the defense of the fundamental right of freedom of expression and social inclusion, values that must be guaranteed in democratic societies

Evidencing built health system reconfiguration policy

BACKGROUND: Current built health system reconfiguration evidence is insufficient to support policy decisions on the best settings for healthcare provision. As a result, the “built health system” (the buildings, physical environments, engineering infrastructure and the building standards, guidance and evidence that support them) remain misunderstood. We explore several literature review types that have supported built health system policy, and the methodological, interdisciplinary and theoretical challenges of conducting high-impacting systematised reviews. Then establish how they might provide a robust basis for prioritising the reconfiguration of significant capital investments. METHODS/DESIGN: Five literature reviews undertaken to inform built health system reconfiguration policy are used as an empirical basis to help establish clearer scientific grounds for built health system infrastructure policy. The methods, benefits and empirical limitations of systematic, scoping, narrative, realistic and rapid reviews are compared. DISCUSSION: The methodological, interdisciplinary and theoretical shortcomings of existing evidence on built health system reconfiguration need to be addressed. This paper conceptualises this evidence and offers a new evidence co-production framework

Tectonic evolution of the Bajo Segura Basin northern limit. Implications for the Crevillente Fault Evolution

En este estudio presentamos los resultados del análisis estructural del borde norte de la cuenca del Bajo Segura, en la cordillera Bética oriental. En este borde se desarrolla el sinclinal de Crevillente; se trata de un pliegue de propagación de falla con geometría de crecimiento y vergente al sur asociado a la falla de Crevillente (sector Abanilla-Alicante). El estudio cuantitativo de la discordancia progresiva asociada a dicho pliegue ha puesto de manifiesto que la actividad de esta falla se inició en el Tortoniense, aumentó durante el Messiniense y, a partir de ese momento se ha mantenido constante o ha disminuido durante el Plioceno y el Cuaternario. La escasez de depósitos cuaternarios deformados no implica que no exista actividad cuaternaria de la falla de Crevillente (sector Abanilla-Alicante), ya que la mayoría de los depósitos más recientes son discontinuos o se localizan al sur, alejados de la zona de máxima deformación. Por otro lado, el hecho de que la actividad de la falla del Bajo Segura, situada en el borde meridional de la cuenca, se iniciara durante el Plioceno, parece indicar una migración de la deformación hacia el sur.We here present a structural analysis of the northern area of the Bajo Segura Basin, in the eastern Betic Cordillera. In this area the Crevillente syncline occurs, which consists of a fault-propagation fold related to the Crevillente Fault (Abanilla-Alicante sector). This south vergent syncline shows a growth geometry. The analysis of the growth sequence evidences that the Crevillente Fault (Abanilla-Alicante sector) tectonic activity started in the Tortonian, increased during Messinian and has decreased or kept constant during Pliocene and Quaternary times. The scarcity of deformed Quaternary deposits does not indicate a lack of tectonic activity of the Crevillente Fault (Abanilla-Alicante sector), because most of the recent sediments are discontinuous and deposited far from area of maximum deformation. Taking into account that the Bajo Segura Fault (located in the opposite southern margin of the basin) started in the Pliocene, it seems that tectonic deformation in the Bajo Segura Basin migrated southwards from the Crevillente Fault (Abanilla-Alicante sector) to the Bajo Segura Fault.El presente trabajo ha sido financiado gracias al proyecto de investigación CGL2011-30153-C02-02 del Ministerio de Ciencia e Innovación, así como por el Grupo de Investigación de la Universidad de Alicante VIGROB053

Copper Glufosinate-Based Metal−Organic Framework as a Novel Multifunctional Agrochemical

Pesticides are agrochemical compounds used to kill pests (insects, rodents, fungi, or unwanted plants), which are key to meet the world food demand. Regrettably, some important issues associated with their widespread/extensive use (contamination, bioaccumulation, and development of pest resistances) demand a reduction in the amount of pesticide applied in crop protection. Among the novel technologies used to combat the deterioration of our environment, metal−organic frameworks (MOFs) have emerged as innovative and promising materials in agroindustry since they possess several features (high porosity, functionalizable cavities, ecofriendly composition, etc.) that make them excellent candidates for the controlled release of pesticides. Moving toward a sustainable development, in this work, we originally describe the use of pesticides as building blocks for the MOF construction, leading to a new type of agricultural applied MOFs (or AgroMOFs). Particularly, we have prepared a novel 2D-MOF (namely, GR-MOF-7) based on the herbicide glufosinate and the widely used antibacterial and fungicide Cu2+. GR-MOF-7 crystallizes attaining a monoclinic P21/c space group, and the asymmetric unit is composed of one independent Cu2+ ion and one molecule of the Glu2− ligand. Considering the significant antibacterial activity of Cu-based compounds in agriculture, the potential combined bactericidal and herbicidal effect of GR-MOF-7 was investigated. GR-MOF-7 shows an important antibacterial activity against Staphylococcus aureus and Escherichia coli (involved in agricultural animal infections), improving the results obtained with its individual or even physical mixed precursors [glufosinate and Cu(NO3)2]. It is also an effective pesticide against germination and plant growth of the weed Raphanus sativus, an invasive species in berries and vines crops, demonstrating that the construction of MOFs based on herbicide and antibacterial/antifungal units is a promising strategy to achieve multifunctional agrochemicals. To the best of our knowledge, this first report on the synthesis of an MOF based on agrochemicals (what we have named AgroMOF) opens new ways on the safe and efficient MOF application in agriculture.project MOFseidon PID2019-104228RB-I00Juan de la Cierva incorporation JC2019-038894-I and Multifunctional Metallodrugs in Diagnosis and Therapy Network (MICIU) RED2018-102471-TComunidad de MadridEuropean Regional Development Fund-FEDER 2014-2020-OE REACTUEUniversidad de Granada/CBUAEuropean Union NextGenerationEU/PRT

Centaurea sulphurea Willd. (Asteraceae), a novelty for the Western Andalusian flora

Centaurea sulphurea Willd. (Asteraceae), a novelty for the Western Andalusian flora Palabras clave. Centaurea, Asteraceae, corología, Cádiz, Andalucía Occidental, Península Ibérica.Key words: Centaurea, Asteraceae, chorology, Cadiz, Western Andalusia, Iberian Peninsula