‘It's a whole cultural shift’: Understanding Learning in Cultural Commissioning from a Qualitative Process Evaluation

This qualitative process evaluation investigated learning from stakeholders (patient representatives, art managers/artists, clinicians and commissioners) involved in a co-produced cultural commissioning grant scheme. The scheme was devised as a mechanism to foster learning between, and within, stakeholder groups and to embed co-production in decision-making in clinical commissioning. The evaluation included respondents (n=36) from four stakeholder groups in three sequential stages. Findings identified themes centred on outcomes, learning, co-production, and cultural and political change, specifically that stakeholder roles need to be clearly defined and understood and that co-production takes a significant time commitment. Co-production in innovative projects is both complex and challenging. However, despite this, involving stakeholders has benefits for service design and the clinical commissioning process

Intergenerational family support for ‘Generation Rent’:The family home for socially disengaged young people

This paper critically discusses the concept of intergenerational family support in housing for young people. Recognizing increased difficulties faced by the younger generation in the housing market, this paper highlights that support from older family members is increasingly important. Nonetheless, it is critiqued that the role of the family home has been largely ignored in the current ‘generation rent’ discourse. By drawing on recent youth studies debates, this paper argues living in the family home could be an important form of support in housing, especially for marginalized youth. This paper presents insights from qualitative studies in Hong Kong and Scotland and analyses interview accounts of socially disengaged young people. It reflects how remaining at the family home could be interpreted as intergenerational support, and further elicits complexities in expectations, negotiations and emotions involved. This analysis offers new evidence and a more nuanced perspective of intergenerational family support in housing research

Collaborative planning approach to inform the implementation of a healthcare manager intervention for hispanics with serious mental illness: a study protocol

Background: This study describes a collaborative planning approach that blends principles of community-based participatory research (CBPR) and intervention mapping to modify a healthcare manager intervention to a new patient population and provider group and to assess the feasibility and acceptability of this modified intervention to improve the physical health of Hispanics with serious mental illness (SMI) and at risk for cardiovascular disease (CVD). Methods: The proposed study uses a multiphase approach that applies CBPR principles and intervention-mapping steps--an intervention-planning approach--to move from intervention planning to pilot testing. In phase I, a community advisory board composed of researchers and stakeholders will be assembled to learn and review the intervention and make initial modifications. Phase II uses a combination of qualitative methods--patient focus groups and stakeholder interviews--to ensure that the modifications are acceptable to all stakeholders. Phase III uses results from phase II to further modify the intervention, develop an implementation plan, and train two care managers on the modified intervention. Phase IV consists of a 12-month open pilot study (N = 30) to assess the feasibility and acceptability of the modified intervention and explore its initial effects. Lastly, phase V consists of analysis of pilot study data and preparation for future funding to develop a more rigorous evaluation of the modified intervention. Discussion: The proposed study is one of the few projects to date to focus on improving the physical health of Hispanics with SMI and at risk for CVD by using a collaborative planning approach to enhance the transportability and use of a promising healthcare manager intervention. This study illustrates how blending health-disparities research and implementation science can help reduce the disproportionate burden of medical illness in a vulnerable population

Personal health budgets and the role of nursing Read More: http://rcnpublishing.com/doi/abs/10.7748/ns2011.03.25.26.35.c8369

A personal health budget is an allocation of NHS resources that is given to an eligible individual to meet an identified set of health needs in lieu of commissioned services. Personal health budgets were introduced into the NHS in England in 2009 to give individuals more control of the care they receive. This article describes personal health budgets and presents some early findings from pilots in England and the United States

Going public Diplomacy for the information age

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