Advances in the pharmacological treatment of pathological gambling

In the present paper we discuss the current status of drug treatment for pathological gambling and the scientific rationales underlying the various pharmacological approaches. Specifically, we summarize the treatment study results of serotonin reuptake inhibitors, mood stabilizers, opioid antagonists, and atypical antipsychotics in pathological gambling. We also discuss dosage strategies, the duration of treatment, issues surrounding medication compliance, and approaches to treatment-refractory pathological gambling, such as pharmacological and behavioral augmentation.     

Simulation to enhance care of patients with psychiatric and behavioral issues: use in clinical settings

Nurses with a medical-surgical clinical focus often care for patients with psychiatric and behavioral issues in acute care hospitals. This article describes how hospital staff and nursing and theater department faculty joined forces to develop realistic simulated psychiatric scenarios for use by practicing nurses.     

Use of actors as standardized psychiatric patients

Using actors in simulation provides opportunities for immersive, interactive, and reflective experiences to improve health care professionals' clinical expertise and practice. These experiences facilitate the development of enhanced critical thinking, problem-solving, and communication skills without risks to patients. This article discusses how to integrate actors and students into simulated experiences. Examples are provided using mental health simulations with actors as standardized psychiatric patients.     

Liberty and Respect in Child Protection

Correspondence to Sally Holland, Cardiff University, School of Social Sciences, Glamorgan Building, King Edward VII Avenue, Cardiff CF10 3WT, Wales, UK. E-mail: HollandS1{at} cf.ac.uk Summary The paper begins by introducing Isaiah Berlin's concepts ofpositive and negative liberty and the application of these conceptsto child protection. There is discussion of some recent debateson the social and political context of state social work andchild protection in particular. The authors then consider, inturn, the experience of children, parents and social workersin the child protection system. There is also a considerationof partnership and rights. The conclusion is that opportunitiesfor statutory child protection to be liberating are limited,but that there is more potential than the most pessimistic accountsmight allow. Rather than libertarian child protection, socialworkers can aim for child protection practice that is respectful.The paper concludes with some principles for respectful practice,based on the ideas of Richard Sennett. Most importantly, Sennett'sideas recognize the importance of relationships in social welfareand acknowledge the context of inequality within which socialwork takes place.     

Social Protection and Health: Experiences in Uganda

There is an interesting and continuing debate on the nature and role of social protection in poverty reduction. Within the health sector, discussion has focussed on the drawbacks associated with fee exemption schemes and community‐based health insurance, with much less attention paid to the policy option of abolishing user fees. This paper reviews empirical evidence on the impact of the Government of Uganda's decision in 2001 to abolish user fees for health services. The paper finds that this policy intervention has had a significant positive impact on health‐seeking behaviour in Uganda and concludes that this policy measure can make an important contribution towards a more ‘promotional’ policy approach to social protection.     

Psychometric Properties of the Flourishing Scale in a New Zealand Sample

The Flourishing Scale (FS; Diener et al. in Soc Indic Res 97(2):143–156, 2010) was developed to assess psychological flourishing, which can be conceived of as a social-psychological prosperity incorporating important aspects of human functioning. This study takes the FS, which has previously been validated on convenience samples of students, and analyses the underlying structure, psychometric properties, and demographic norms using nationally-representative data from New Zealand’s Sovereign Wellbeing Index (n = 10,009; Human Potential Centre in Sovereign Wellbeing Index: New Zealand’s first measure of wellbeing. Auckland University of Technology, Auckland, 2013). Evidence for the reliability and validity of the FS is presented (Cronbach alpha) and its performance compared to other related scales and behaviors. Exploratory and confirmatory factor analysis demonstrated the one factor structure of the 8-item FS. Contemporary population norms for the FS are reported, providing a much-needed benchmark for estimation of population health and permitting cross-study and international comparisons. The study provides further evidence that the FS is a valid and reliable brief summary measure of psychological functioning, suited for use with a wide range of age groups and applications.