Background: Although the prevalence of older patients in forensic psychiatric services is increasing, research around service provision for this population is very limited. We aimed to gather the views of members of staff on how well secure services are meeting the challenges of an ageing population.
Methods: Three focus groups were carried out with 13 members of staff working with older patients in secure services. A topic guide, based on the research team’s previous research, guided the sessions. The focus groups were audio-recorded, transcribed and analysed through thematic analysis.
Results: Two themes were identified: (1) Identifying patients’ needs, which focused on how promptly any emerging issues in the older patients are identified and reported; (2) addressing patients’ needs, which focused on how the unique needs of the older patients are addressed, once established.
Conclusions: There are unique age-related issues that may have an impact on the older patients’ opportunities for recovery, including a lack of specialist training for members of staff, prolonged stay in secure care and a limited number of age-relevant activities. Far from optimal, provision requires improvement through the active involvement of the primary stakeholders. 相似文献
This article argues that the work of the hedgerow poet John Clare is invaluable for legal social history in illuminating the
reality of the operation of the poor law as it affected the lives of the poor. Clare's poem,The Parish, written between 1823–6 was not published during the author's lifetime. Written as he first achieved fame, it consists of
2,202 lines of satire denouncing the cant and hypocrisy he himself had witnessed and experienced in local village life. His
Parish was his settlement parish where he and his parents were subject to the power of the vestry and local officials. This piece
considers the text within the context of the legal history of the poor law. The value ofThe Parish as a primary source for that legal history is not merely in the simple narrative of biographical events allied to the poet's
words, evocative as they are. It lies in the subtleties of Clare's own ambiguity about being poor and in the way those ambiguities
assist us today both in understanding Clare's times and values and in hearing Clare mediating the universal experience of
poverty through his art.
This revised version was published online in August 2006 with corrections to the Cover Date. 相似文献
The complex nature of the challenge posed by state–society relations to the realization of citizenship rights in poorer countries reflects the unwillingness as well as incapacity on the part of the state to guarantee basic security of life and livelihoods to its citizens, and its proneness to capture by powerful elites. Identity, affiliations, and access to resources continue to be defined by one's place within a social order that is largely constituted by the ascribed relationships of family, kinship, and community. These ‘given’ relationships pervade all spheres of society and render irrelevant the idea of an impersonal public sphere that individuals enter as bearers of rights, equal in the eyes of the law. This paper explores the proposition that the possibility of belonging to alternative associations whose membership is chosen rather than ascribed by social position offers pathways to a more democratic social order. Bangladesh offers an interesting context to explore this proposition both because it embodies many of the problems of bad governance outlined above and because it contains a large number of civil society associations, many of which work primarily with the poor. The paper is based on interviews with members of some of these organizations in rural and urban areas of the country. 相似文献
While academics have addressed the interaction between mobilisation and citizenship in a myriad of ways, none of them have used citizenship to explain the sustainability of collective action. Drawing on an ethnographic fieldwork in Santiago de Chile’s underprivileged neighbourhoods, this paper provides an analytical framework explaining how neighbourhood activists sustain mobilisation on the basis of citizenship construction despite Chile’s transitional and post-transitional stark political exclusion. This article calls this concept ‘mobilisational citizenship’. Building on the notion of rights-claiming, mobilisational citizenship explains how durable mobilisation results from the dynamic interaction between four factors: agentic memory, mobilising belonging, mobilising boundaries and decentralised protagonism. Through mobilisational citizenship, local residents politicise their neighbourhood, build autonomous local empowerment and self-define their political incorporation. 相似文献
The research selected K hospital in Kunming as the case, and applied action research methods to explore the ways and methods of how social workers helping patients construct a positive self-awareness. The result shows that under the guidance of the strength theory, comprehensive service to the hospitalized psychiatric patients and their families could help patients recognize their own physical self objectively and reduce their fears and anxiety. At the same time, the life-course review and the Iceberg Theory are likely to help patients to accept themselves, find their own inner needs and strengths, and build a positive psychological self. By providing external support and promoting the patients to participate in community life actively we could help them to build a positive social self. The paper also presented several principles necessary for the construction of positive self-awareness of the psychiatric patients in the local context. 相似文献