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A rapid appraisal of how alcohol is screened and treated among minoritised ethnic service users within community mental health settings
No full textIntroduction: Close to half of those engaged with community mental health teams (CMHT) report an alcohol or drug problem. UK public health guidance recommends that these services screen for harmful alcohol use, but reporting may be less likely among minoritised ethnic groups. This study aimed to explore i)the prevalence of screening and referrals to alcohol services within CMHTs and differences across ethnic groups, ii)how alcohol use is assessed and treated in CMHTs, and tailored for minoritised ethnic service users, iii)staff and minoritised ethnic service users’ experiences of assessing and reporting alcohol use. Methods: A rapid appraisal was conducted which triangulated data across patient healthcare records(aim 1), online survey(aim 2), interviews and focus groups(aim 3) with three CMHT services within an NHS Mental Health Foundation Trust in North-West England. Data was analysed using framework analysis.Results: Both patient notes and survey data showed that alcohol was seldom assessed using formal tools. Three themes were developed reflecting differences in the barriers of reporting and assessing alcohol use for minoritised ethnic service users and staff. With barriers for the former including information sharing and barriers for the latter including protecting the therapeutic relationship.Discussion and conclusions: Triangulating data from across different sources highlights the complex challenges that services face in meeting the recommendations around alcohol screening in CMH services. Our findings have implications on the need for staff in mental health services to better understand and accommodate the needs of minoritised ethnic service users who may have co-occurring alcohol and mental health problems.<br/
The journey from research into practice (without public policy): the case of school music education
No full textThe BERA-Sage Handbook of Research-Informed Education Practice and Policy, 2 Vol. offers an in-depth exploration of the ways in which education research intersects with and can lead to improvements in education
Part solution, part problem? How Bulgarians and Romanians navigate Facebook, gender and entrepreneurship in the UK
No full textThis article uncovers the role of Facebook in the lives of two recently settled migrant communities in the UK: Bulgarians and Romanians. We use online observation and interaction analysis to explore the ways in which Facebook diasporic groups have become a key support resource for women and an outlet for entrepreneurial activities. We also assess the risks women encounter, resulting in self-censorship, community disembedding and digital precarity. Our findings suggest that Facebook has shifted from a community and identity-making platform to a marketplace for diasporic products and services. This invites a reconsideration of the limitations of social media platforms for meeting the needs of diasporic communities and especially women migrants
Does Mismatching Matter? A Systematic Review into the Impact of Therapist-Client Personality Similarity on the Therapeutic Alliance
No full textFemicide, revenge and victim-blaming in pop songs: 'I loved her so much I had to kill her’
No full textThis chapter considers the similarities in the narratives of popular songs and ballads and real-life violence against women, whether that is femicide, violence and abuse or coercive and controlling behaviours (CCB). The criminal defences pleaded by men who have murdered or seriously harmed their (ex) partners have parallels to these musical tales that have been recounted for hundreds of years. Through an analysis of historical ballads and contemporary popular music, this chapter reveals how cultural storytelling continues to romanticise, rationalise, or potentially glorify gendered violence, thereby reinforcing harmful societal norms. In considering these enduring narratives, the chapter challenges readers to reconsider the role of music in shaping public perceptions of accountability, victimhood, and justice
Something to Share?:Ridiculous Society in BBC's Ghosts
No full textThis chapter positions BBC’s sitcom Ghosts (2019–2023) as ridiculous, theorising the ridiculous as an alternative aesthetic experience to the sublime, eschewing its emphasis on individual magnificence in favour of collective laughter. All of the ghosts are represented as ridiculous: silly, low, and vulnerable. In the episodes focusing on Thomas and Kitty’s “sordid life stories”, misunderstanding is represented in a formally innovative fashion leading to a fresh appreciation of both characters. Whereas Thomas is led to a reckoning with his own ridiculousness, Kitty is allowed no such recognition, although her ridiculousness is the object of sympathy rather than ridicule for both the other characters and the show’s audience. The show focuses on the creation of a new affective community of the living and the dead who are bound not just by the setting of Button House but by their own ridiculous society
Incel Ideologies, Misogynistic Terrorism and the Bible
No full textRecent research in terrorism studies has drawn attention to the threat and misogynistic violence of incels. In this chapter, Greenough demonstrates how the Bible has the potential to validate the violent ideologies that inform incel thinking and how religious language is used to popular effect in incel forums, revealing incel murderers as ‘saints’ or ‘martyrs’. The chapter explores misogynistic language in both the biblical text and in contemporary incel spaces
Speeding up clinical skills development in accelerated undergraduate medical education: current insights from cognitive science
No full textThere is an increasing need to speed up essential clinical skills development to accelerate basic and postgraduate training. Insights from precision education and cognitive science can provide a variety of practical evidence-based strategies for speeding up clinical skills development. Insights from precision education highlights the importance of personalised training, which can be informed by using learning curves of skill development. Insights from cognitive science highlight the need to ensure readiness for training, provide coaching with guided practice and further opportunities for spaced repeated practice across a variety of situations. Educators can integrate these practical strategies with their existing approaches to skills training for speeding up clinical skills trainin
Carbohydrate co-ingestion does not affect blood acid-base or gastrointestinal responses to acute sodium citrate:Sodium citrate and carbohydrate ingestion
No full textBACKGROUND: While carbohydrate (CHO) and sodium citrate (SC) may independently provide ergogenic benefits to intense activity, the effect of CHO on the perceptual response and key acid-base kinetics following acute SC ingestion remains unknown. The aim of this study was to examine the effects of acute CHO intake on gastrointestinal symptoms (GIS) and blood acid-base responses alongside the ingestion of an individualised dosage of SC(0.5 g. kg-1 body mass (BM)). METHODS: In a double-blind, randomised crossover design, ten recreationally active males (age, 24 ± 2 years; BM, 79.7 ± 5.7 kg; height, 1.8 ± 0.1 m; VO2max, 41.9 ± 10.2 mL. kg-1.min-1) ingested either encapsulated SC (0.5 g. kg-1body mass) or a sodium chloride control (0.07 g.kg-1 BM) on two occasions each, both with and without CHO (1.75 g.kg-1 BM). Gastrointestinal symptoms and fingertip capillary blood samples and were collected every 17 min for 4 hr and later used to determine overall GIS and acid-base kinetics, respectively. RESULTS: Carbohydrate had no significant effect on GIS or blood acid-base kinetics following SC ingestion. Peak GIS emerged almost exclusively (13/15 instances) in the first measurement post-ingestion. Potentially meaningful increases in blood bicarbonate (4+ mmol.L-l ) were also noted following SC ingestion, both with and without CHO.CONCLUSION: While CHO intake did not negatively impact total GIS or blood acid-base kinetics, co-consuming large quantities of CHO and SC promoted a prompt spike in GIS. Methods of reducing total volume/ingested in a single instance and navigating large interindividual variation in blood acid-base responses are required