The incidence of metabolic risk factors in an inpatient psychiatric setting

Our study examines risk factors for metabolic syndrome on admission to an acute psychiatric facility and the incidence of medical referrals at discharge. Data on demographics, risk factors for metabolic syndrome, other health risk factors, medications, related diagnoses, and primary care providers and referrals were collected from 125 psychiatric patient charts. Comparison analysis was done for two groups: those with two or more risk factors for metabolic syndrome and those with less than two risk factors. Differences between groups were statistically significant for age, waist circumference, body mass index, high-density lipoprotein, triglycerides, and fasting glucose levels. Few patients were referred to their primary care provider for follow-up care. This study has clinical implications for improving assessment of psychiatric patients at risk for developing metabolic syndrome, for designing interventions to help patients adopt lifestyle changes to mitigate these risks, and for working toward fuller integration of psychiatric and primary care.     

‘I'm not a family therapist. OK?’ Working Constructively with Families in Aged Psychiatry

This paper reports on the first phase of a larger study aimed at investigating factors hindering family work and exploring ways to improve the amount and quality of family contact within a community aged mental health service in Melbourne, Australia. During the first phase of the project, 28 mental health professionals were interviewed about their views and experiences. Interviews were transcribed, coded, and analysed in terms of repeating themes. The range of attitudes, beliefs and feelings about family work is summarised in this paper. Polarities emerged around questions of whether or not to engage family members, and if so, what function family work fulfils. The interviews also provided useful information on clinicians' beliefs about what would increase the possibility of family work. The paper concludes with a discussion about how to recognize and value family work in this area and target sustainable interventions during the second phase of the study.     

Specialisation and training for fire-fighters driving heavy rescue vehicles: consequences for the development of operators?

This work was undertaken in France at the request of a local fire and rescue school in order to conduct an analysis of driving two types of heavy rescue vehicle with a view to improving training. This study took place in a context of specialisation: the drivers of these vehicles will henceforth only perform this type of task. Consequently, specific training has been designed in advance. Our study concerns the improvement of this training, taking account of the particularities of driving these vehicles in emergency situations typical to the profession of fire-fighters. The results stress first that driving of rescue vehicles in emergency situations is a multidimensional collective activity. Driving strategies identified share certain common objectives: "optimising trajectories", warn other road users, anticipate their behaviour and leave room for manoeuvre to counter and react to any unexpected behaviour. They include risks management for the potential victims of the incident and the risk of accidents during the journey. These initial results help identify certain recommendations for the training courses dealing with driving vehicles in emergency situations. They also provide a warning concerning the possible consequences of driver specialisation.     

Modeling the Niger Delta Insurgency

Nigeria's oil guarantees its role in the global economy; however, the state's overwhelming weaknesses perpetuate a high level of volatility vis-à-vis the potential for an immediate disruption of the national, regional, and global environment. This study presents a current qualitative analysis of Nigeria to produce a model that characterizes current conditions in the state and the state response to the nefarious acts in the delta region. This model will serve as a baseline for a significant iteration of the model that reflects the delta region counter-insurgency at various levels of strength: a what-if scenario of the region with an increase of state security over southern separatists, insurgents seeking to gain control of the oil assets. The conjectured model serves to inform/educate decision and policy makers in developing proactive, effective strategies to counter existent and potential threats in the Niger Delta.     

(Re) Shaping Social Work: An Australian Case Study

Contemporary policy development via various nationally contingentprocesses of welfare reform poses significant challenges tosocial work. This paper explores the initial impact on one groupof generalist social workers in working in the Australian incomesupport agency—Centrelink. Positioning welfare reformwithin a theoretical framework of institutional change, theauthors suggest that the associated policy developments havethe capacity to seriously destabilize social work, particularlyin that they promote values and rationalities at odds with thoseassumed by the profession. These assumptions are explored throughexploratory empirical engagement with the Centrelink socialworkers, the results of which suggest that all social workersin those national contexts experiencing the same policy orientationhave significant reason to be concerned.     

When Things Go Wrong: Being an Independent Person under the Children Act 1989 Complaints Procedure

The introduction of market principles into public services in the 1990s meant that British local authorities were required to develop complaints procedures. In the case of services for children and families, the Children Act 1989 required the appointment of an "independent person". This article describes the findings from a research study conducted in 1999. A total of nineteen independent people from a range of London boroughs participated. It was found that young people themselves rarely use this system designed to protect their rights. As "sole traders" in adversarial situations between social services personnel and complainants, the independent people were constantly negotiating their position. Depending upon the issue, they are required to move skilfully between conciliation and formal investigation. The findings will be useful to local authorities using independent people, and to the independent people themselves who are largely unsupported in their roles.     

Involuntary Immobility and the Unfulfilled Rite of Passage: Implications for Migration Management in the Gambia,West Africa

Gambia, the smallest country on the African continent, is one of the largest contributors, per capita, to irregular migrants in Europe. Aspirations to migrate are ingrained culturally, to the extent that they can be understood as a rite of passage. Unfilled rites, associated with involuntary immobility, have led to pervasive frustration and feelings of entrapment, locally referred to as having the nerves syndrome. This article explores the societal and cultural significance of migration in this context, exploring the meanings that this especially has for effective migration management. It provides evidence and context for the deep motives, embedded socially and culturally, for migration as a significant mechanism to maintain status and achievement of adulthood. In view of this, initiatives by foreign and domestic governments and NGOs to work on campaigns and strategies to entice citizens to remain and work at home should be carefully considered. Foreign policies and funds to so-called empower youth to stay in their home countries may be misleadingly ineffective. The academic literature does not sufficiently address this.     

Revisiting The New Politics of Immigration

This article follows from the workshop that Professor Mireille Paquet organized in Montreal in June 2018, to discuss my book, The New Politics of Immigration and the End of Settler Societies (Cambridge, 2016; Dauvergne 2016). In relation to this event and the articles of this special issue, this paper embarks on revisiting The New Politics of Immigration, now more than three after it first appeared in print. In this paper, I reflect on whether my arguments stand up to the test presented by the events of the past three years. Recent events lead me to nuance some of my original arguments, but on the whole even the most recent surprises fit well into the New Politics framework that points to increasing salience, legalization and urgency in politicizing immigration.