The 2011 riots: a story of community, locality, subculture and music, demystifying the mainstream media and politicians’ descriptions of feral youth, nihilistic gang culture, thug life and ignorance

The rioting of 2011 started in London and spread to a number of other cities in the UK. Experts gathered in Bristol recently to explore the links between popular music, civic unrest and communities, considering both the 2011 and unrest in the 1980s. In this post Peter Webb and Lucy Robinson, on behalf of the Subcultures Network, summarise the discussion and shares findings, showing how interpretations by the media and politicians fail to tell the real story of the riots

Outreach, Delivery and Employer Engagement in Working Potential

Working Potential was a National Lottery Community Fund funded project commissioned by Greater Manchester Centre for Voluntary Organisation (GMCVO) which aimed to engage up to 300 unemployed older carers not engaged with statutory employability programmes. Ambition for Ageing commissioned three regional providers in the North West of England to deliver a service to support older carers into employment; all contractors had existing employment support provision. This report recounts the qualitative interviews and focus groups undertaken with carers, Working Potential coaches and other project stakeholders between February and November 2019 across three locations in the North West of England. The research highlights the instrumental and facilitative impact for older carers of fostering and re-establishing their connectedness to others, and how early stage, community-based, individual, and group-based coaching interventions may provide useful adjuncts to pre-employment support for older carers. Recommendations for research, policy and practice development are outlined

Covid‐19 lockdown: a perfect storm for older people’s mental health

The management of lockdown presents a perfect storm for mental distress for older people by enforcing isolation and heightening perceptions of risk of death and illness. While gradual release from lockdown will maintain protection of those most at risk from covid‐19, older people will experience social isolation for the longest period as the over 75s carry the highest mortality risk (WHO, 2020). Isolation is strongly linked to depression, anxiety, and cognitive decline, and reduces resilience factors such as self‐worth, sense of purpose and feeling valued (Novotney, 2019). However, in addition to sustained isolation, governmental management of lockdown presents other challenges for older people

Principles, tools and techniques for brief behaviour change interventions

Nurses are well placed to deliver brief opportunistic health promotion interventions during routine encounters with patients. Brief interventions have been shown to be effective in prompting behaviour change among people who engage in harmful drinking or substance misuse. Nurses can use their communication, relationship-building and partnership-working skills to support people to consider behaviour change. This article explains the concepts that underlie brief behaviour change interventions, which include motivational interviewing and the transtheoretical model of behaviour change. The article also describes practical tools and techniques that nurses can use to deliver such interventions

Providing holistic end-of-life care for people with a history of problem substance use: a mixed methods cohort study of interdisciplinary service provision and integrated care

Harmful use of illicit drugs and/or alcohol is linked to life-limiting illness and complex health and social care needs, but people who use substances and have complex needs do not receive timely palliative care and fail to achieve quality standards for a good death. They and their families often require support from multiple health and social care services which are shown to be poorly integrated and fail to deliver interdisciplinary care. This study aimed to identify the existing barriers and facilitators within and between services in providing this population with a good death. Using a mixed methods approach of survey, focus groups and semi-structured interviews, we explored the perspectives of practitioner and management staff across a range of health and social disciplines and organisations in one combined authority in a large city in the north west of England. Our findings indicate that practitioners want to provide better care for this client group, but face structural, organisational and professional boundary barriers to delivering integrated and shared care. Differences in philosophy of care, piecemeal commissioning and funding of services, and regulatory frameworks for different services, lead to poor and inequitable access to health and social care services. Ways forward for improving care are suggested as bespoke hostel-based accommodation for palliative care for this client group, and specialist link workers who can transcend professional and organisational boundaries to support co-ordination of services and support. We conclude that it is no longer adequate to call for more training, better communication and improved joint working. Complex care at the end of life requires creative and cohesive systemic responses that enable multi-disciplinary practitioners to provide the care they wish to give and enables individuals using substances to get the respect and quality service they deserve

A New Baseline for Diadema antillarum, Echinometra viridis, E. lucunter, and Eucidaris tribuloides Populations Within the Cayos Cochinos MPA, Honduras

We investigated the density of 4 urchin species from 5 shallow reefs in the Cayos Cochinos Marine Protected Area in Honduras. Individual species density varied among reefs with total urchin density ranging from 3.2–7.9 individuals/m2. Echinometra viridis (Agassiz, 1863) was the numerically dominant species (2.29/m2) followed by E. lucunter (Linnaeus, 1758) (1.76/m2) with Eucidaris tribuloides (Lamarck 1816) representing the fewest individuals (0.42/m2). Our results indicated that density of Diadema antillarum (Philippi, 1845) differed significantly among reefs (0.4-1.3/m2, mean = 0.63/m2), but are three times greater than data collected 12 years after the mass mortality event of the 1980’s. Size frequency analysis of D. antillarum indicated that test diameter also differed significantly among reef sites while correlation analysis showed that D. antillarum density was negatively related to both coral and algal cover. Echinometra viridis density, however, was positively related to coral cover (p \u3c 0.05). When all urchins were combined, they showed a negative correlation with algal cover and a positive correlation with coral cover indicating a potential top-down effect within the reefs. While urchin densities remain relatively low compared to other sites in the Caribbean, the D. antillarum population appears to be recovering in this Honduran MPA. If overall grazer abundance continues to increase then they may limit macroalgae on reefs, thereby encouraging coral settlement

The effectiveness of an education programme in improving dietary compliance and other outcomes in insulin-dependent diabetics / Karen L. Webb.

The studies for this thesis were carried out from 1977 to 1982 in the Department of Social. and Preventive Medicine at the Commonwealth Institute of Health within the University of Sydney, under the supervision of Professor Charles B. Kerr. The planning and implementation of the randomised controlled trial were conducted under the supervision of Professor Walter 0. Spitzer, former director of the Clinical Epidemiology and Evaluation Unit of the Royal North Shore Hospital of Sydney. Fieldwork for both studies was carried out at that hospital in collaboration with the Diabetes Education and Assessment Programme, under the direction of Dr. Martyn J. Sulway