Review: A systematic review and mixed- methods synthesis of the experiences, perceptions and attitudes of prison staff regarding adult prisoners who self-harm

The systematic review featured here was tweeted:

https://twitter.com/t_hewson/status/1533800510343499779

- and being mixed-methods caught my eye. 

Below, I have mapped some of the concepts, themes and findings of the review to Hodges' model, adding some italicised points of my own.

The relevance of Hodges' model, in carceral, forensic, health and justice contexts is marked. The vertical axis's distinction of individual and group and the need to protect the public from dangerous individuals stands out. As does an individual's physical and mental state to the State - in the political domain. This extends to the Sociological as to the public's expectations over 'law and order' and what - should, must - happen to wrong-doers.

Where the model can help reflection, scoping, critical thinking and problem solving is in the disciplinary bridges it provides between knowledge, or what can be 'silos'; and, the many interfaces that are found within our activities, health, educational or generally. There are several interfaces in this systematic review: Prison staff - prisoner; prisoner - prisoner; prisoner - family; and where the custody function, butts up against that of the health - and how physical and mental health needs are met - or in this environment (literally) negotiated. There is a related finding (page 6):

"In contrast, in one establishment with low rates of self-harm, staff felt that their roles of ‘carer’ and ‘security officer’ were well integrated."

INDIVIDUAL

|

 INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

|

GROUP

SELF: Prisoner / Prison Officer (and Other roles) Prison staff - perceptions & attitudes self harm (thoughts, motivation) suicide (thoughts, motivation) Staff confidence, skills: Awareness - Prevention Caring - empathy 'manipulative', 'attention seeking' Insufficient training expressed emotion Staff member's wellbeing Capacity to care 'deep acting' emotional intelligence 'hope' QUALITATIVE

SELF: Adult Prisoner, Prison Staff [repetitive] self harm (means, action) suicide (means, action) Carceral environment (PRISON) self-harm - factors Research: Methodology, [Mixed] methods Systematic Review self-report - non-validated questionairres TIME [shift]: 'all the time', 'every time' location, time Staff member's wellbeing Capacity to care 'surface acting' Effect of COVID on self-harm: men/women Assessment tools ACCT - Assessment, Care in Custody and Teamwork processes QUANTITATIVE

Prison - Staff Culture male::female staff -> prisoner -> relatedness Staff - Prisoner interactions in self-harm management Behavioural - learning/copying role - models clarity 'shared/pervasive sense of hope' 'Life skills - literacies' Social determinants of Health (Crime?)

Self-harm: Policy NICE guidelines 'Correction', Young Offender Inst. control–support model demands - resources model Occupational stress Staff Support Training Prison officer training 'Intro 101'?

The comments gleaned from staff are very informative. Also of interest here are ongoing developments in trauma-informed care and this can cover emotional trauma, as in abuse, plus head injury which is a key screening initiative. Achieving parity of esteem across physical and mental health, demands a more delicate balance in health and justice.

'Hope' is a concept subject to much analysis, for example, in the healthcare, sociological and philosophical literature. Incarceration, must bring its own 'trauma', which will vary in its signature across individual, age, first-offence, recidivism, offence, legal processes ... and its impact upon hope. From the challenge of the individual prisoner and their hope, there is the challenge for prison management and policy to instill, facilitate a shared, sense of hope. Amid the news on the state of prisons, there are no doubt examples where this can and is delivered.

Hewson, T., Gutridge, K., Bernard, Z., Kay, K., & Robinson, L. (2022). A systematic review and mixed-methods synthesis of the experiences, perceptions and attitudes of prison staff regarding adult prisoners who self-harm. BJPsych Open, 8(4), E102. doi:10.1192/bjo.2022.70

 

'Geography of Hope' & 'The Great Conversation'

c/o Resurgence & Ecologist

INDIVIDUAL
  |

     INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

|

GROUP

hope	geography
peoples - places	value / values

"... Stegner explained - we need such [wilderness] places because they remind us of a world beyond the human and also because they allow us to see ourselves as part of the 'environment of trees and rocks and soil ... part of the natural world and competent to belong to it". Taken together, he concluded, such places constitute a 'geography of hope'. ...

There are, as Stegner knew, certain thoughts and feelings that can had only in certain places: cognition is site-specific as well as motion-sensitive. It has long seemed to me that we might imagine landscapes as holding specific ideas and experiences just as they hold certain stones, minerals or species; that we might even talk of landscapes as growing ideas as they grow plants. And that, by extension, when we lose certain places - when they are destroyed incidentally, or deliberately - we lose not only the life that they held but also the thoughts that they enabled." p.38.

Mcfarlane, Robert., The Geography of Hope, Resurgence & Ecologist, Nov/Dec 2012, 275:pp.38-39.

https://www.20-20-vision.org/

Elia T. Ben-Ari, Defender of the Voiceless: Wallace Stegner's Conservation Legacy, BioScience, Volume 50, Issue 3, March 2000, Pages 253–257, https://doi.org/10.1641/0006-3568(2000)050[0253:DOTVWS]2.3.CO;2

INDIVIDUAL
  |

     INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

|

GROUP

intrinsic elements	PERIODIC table
we are elements too - part of nature	value / values "We have broken the great conversation."

"But does the natural world need our writing? Paul Evans, in his Country Diary in The Guardian, wrote of the importance of observing and describing the world with passion; that communicating 'the significance of ephemeral and overlooked things to a world which couldn't care less' is a political and spiritual act." p.41.

Reason, Peter., The Great Conversation, Resurgence & Ecologist, Nov/Dec 2012, 275:pp.40-41.

In the media and many Resurgence & Ecologist issues, there is a stress on our taking time to be slow. I'd written in the margin of Mcfarlane's article; "Relativistic care: The faster we run (travel) the more mass we consume". While by Reason's text I'd scribbled; "H2CM is a statement of intent, in idealised care. In practice it is an outcome."

Lancaster University studies - residential past week

It's not listed in the sidebar, but by far the most significant h2cm related event I've attended in the almost eight years of Welcome to the QUAD has been the residential week up at Lancaster. I had just 41 miles to travel; fellow students in cohort 7 came from much further afield: UAE, Egypt, German, Japan, Canada, Saudi Arabia, Oman, Singapore and Isle of Man (Yo! there used to be users of h2cm there!) ....

I was late on the first day.

It was 0930 start last Monday, I arrived 1015. There was an accident at Preston on the M6.

It was great to meet people, fellow students and staff that I'd shared online learning tasks with since January. Strange to think - hope! - that we'd all be meeting again in a year. Meeting cohort 6, the group 12 months ahead of us was very informative. Also exciting that the group are considering an extramural residential in other climes: I hope this happens.

The presentations were a great help and included guest speakers - Prof. Charles Crook and Dr Debbie Prescott (cohort 1).

Now I've a research study to complete and Hodges' model is (will be) a key part of this. It's looking like there will be a literature search to follow.

Yesterday 0930 I thought the day was going to be wasted. It wasn't. I settled on Zotero now and it's a boon (at least I hope I don't have to start afresh!). There are other productivity tools to find, select and master into a workflow.

I hope to hear next week about a research conference in September that will further h2cm studies.

The study double bind is always an interesting one, being scared out your pants ... the 60+ mark: but also reassured - "You wouldn't be here if....".

I'd applied before for other programmes (Netherlands and thought about Italy), drafting a proposal and with subsequent efforts amazed at the demonstrated ineptitude. I think there's progress.

At the reception the progression of studies was stressed. The way, if we get beyond part one, we will be learning more and more about less and less.

How does that sit with Hodges' model and all it entails?

• A generic conceptual framework?
• A series of conceptual spaces?
• Is there such a thing as 'holistic bandwidth'?
• Can Hodges' model serve as the universal conceptual framework for health care, nursing and social care?

As the birthday of W2tQ beckons later this month there's no escape. Drupal 8 is going to throttle me soon as the pressure to introduce TEL technology enhanced learning to my studies takes hold.

Book review: "Leave No One Behind" i #LNOB

Leave No One Behind

This book is like a favourite CD or LP [that's vinyl ;-) ], every track - chapter - is an ace - no duds. I wanted to start this review with the final chapter, but I'll pick that up in due course (iv?).

The book is structured in three parts:

1. People
2. Problems
3. Places

I don't read horror specifically, so it is not often a book scares me from the get-go; but this one did. 

Chapter 1 gets specific on the statistics of LNOB and sustainable development. The numbers make for grim reading and had me wondering how much sense I could make of the book overall from the albeit COVID tainted comfort of Wigan Pier. What stood out was the way the intro chapter set out the stall. Obviously, that's the purpose and while depressed at what was follow from the initial graphs, the structure and cogency provided its own impetus to read. The text is clear and very readable, the data, graphs, notes all have bite. While the SDGs are Sisyphean in nature, the intro is like a snowball that starts from the upper peaks and grows chapter by chapter in  meaning and significance.

Obviously, Agenda 2030 looms large, but if you think in first reading of poverty, or to be more specific ultra-poor, income, education, Africa, development and finance you know the agenda to follow then for this community mental health nurse there are insights aplenty.

Chapter 2 combines two central issues in gender equality (by 2030) with 'Women on the Move'. The book draws significance to decade long issues that now constitute a specific SDG - #5 in this case. The book is up-to-date - oozing contemporaneity with #MeToo and background on the cussedness of the root causes of gender inequality. There's common sense too in the need for 'adaptable solutions that are fit for the complexity of the problem'. On first reading about the progress of feminist movements, but more recently experiencing resistance in access to and being able to inhabit civil spaces, this is more 'scary' than a horror story. Reflecting on the 'other' challenges and climate change especially and the role that feminism can play, this retrograde motion could be the stuff of nightmares. The chapter and book, as I will explain, drew my attention to the fact that while I tweet and post here on feminist issues: I am no feminist. The notes provide references and pointers to specific books on feminism. From this book I can see I should read one.

Organizations, such as, BRAC, Camfed, CARE Int. and Oxfam with authors clearly experts from academia and such key players in the field. The balances are not just financial, but a community program on women and girls can potentially prompt a backlash if men and boys and not engaged. I can see further relevance of being able to traverse individual-group, as Matthews and Nunn debate the merits and limitations of individual-based and need for social-based interventions. Yes, I can see how individual-based interventions can be apolitical (and how an axis can invoke several thresholds). To a text on feminism, I must add formal reading on intersectionality too, as the analysis called upon here (box 2.2) to make sense of social and income-based factors. 

Several chapters raise the problem of scale, the lack of data, especially what is and can be measured. Without due care, false proxies can be used for measures and more simple interventions may be pursued because they are more easily quantified. This may be insufficient to fully understand the complexity of gender equality. The book is 'dynamic' throughout; with project and service-based action for the individual progressing then to movement-based at the social change level (CARE, 2017, p.31. Gender Equality Framework -- through Individual, Group, Communities to deliver Social Change).

Although in this first review-post I refer to feminism, the treatment in the book is balanced and also essential. I usually equate 'hope' with the intra- interpersonal domain. Of the many sources in this to follow-up, is evidence on the "science of hope" with Coates and MacMillan in chapter 3.

individual

|

INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group - population

hope	SCIENCE of HOPE

 

Homi Kharas, John W. McArthur and Izumi Ohno, (Eds.) 2020. Leave No One Behind: Time for Specifics on the Sustainable Development Goals, Washington D.C.: Brookings Institution Press.  

Sahana OSS response in Haiti

My source: Community informatics list [ciresearchers]:
Sahana Software Foundation
Haiti Earthquake Response
Status Report #1
January 17, 2010 00:00 UTC

The Sahana Software Foundation and the Sahana community responded with a massive voluntary effort immediately following the earthquake that has devastated the poor country of Haiti. Working around the clock, we have set up a hosted instance of Sahana (the first deployment of SahanaPy following a disaster!) on a public website that is already filling gaps in the information management requirements of the massive relief operation.

Major Accomplishments

We have a Haiti 2010 Sahana Disaster Response Portal - a live and active website up at http://haiti.sahanafoundation.org which contains a feeds from many of the relief agencies and links to Sahana modules that are actively being used to help coordinate the relief effort.

We have a Sahana Haiti wiki page where we are tracking all of our and others' activites at: http://wiki.sahana.lk/doku.php/haiti:start

We have a requirements page where we record all the modification, configurations, and changes to Sahana based on the mission requirements at: http://wiki.sahana.lk/doku.php/haiti:requirements

See - https://sahanafoundation.org/products/eden/

The Haiti 2010 Sahana Disaster Response Portal provides the following functionality:

1. An Organization Registry - serves to track organizations and offices working on the ground in Haiti. Organizations are encouraged to self-register and report their office locations - alternatively, individual organization office or lists of offices can be e-mailed to haiti-orgs AT googlegroups.com and we have volunteers to assist with data entry and to aggregate lists from other sources. We have entered data from pre-disaster lists of organizations working in Haiti available from UN OCHA. We can assume that these organizations will be working on the relief efforts, but expect that most of their office locations will be different as most organizations have been forced to move into tents given that few buildings remain standing and usable in the capital. We are working to validate these lists with the organizations directly.

The site serves up both KML for Google Earth users and GeoRSS for everyone else, and will generate reports of organization activities and the gaps (uncovered sectors by geographic location). This site will hopefully become the main resource for accurate information about the organizations working on the ground, where they are located, and what activities they are engaged in, and the resources in terms of staff and equipment that they have available to them. (Currently, data is admittedly sparse but we expect more details to become available as the coordination efforts take root on the ground). We are coordinating with UN OCHA, Google and others on sources of accurate lists and updates.

What are the gaps in our information collection? We have a large and we think accurate list of organizations, but not much office location information. Without this, it becomes hard to generate data that can be used as a layer in a GIS system. We are encouraging people to report this information - preferably by GPS coordinates, but any location information that we can use to manually geo-reference the office is valuable. We hope to be able to enhance our capabilities such that we can produce polygons showing organization's areas of coverage by sector. Please direct organizations working in Haiti to our site to register their offices and activities!

2. A Missing Persons Registry / Disaster Victim Identification (DVI) Registry - we are working with Google and others on an agreed common standard for the exchange of Missings Persons data using the PFIF standard. The Google site at http://haiticrisis.appspot.com/ is the main aggregator collecting all missing and found persons reports and we are encouraging all people to send data to that site. [We are struggling a little as Google's feed is not fully PFIF compliant and the lack of unique record identifiers makes it more complex to set up true synchronization without the creation of duplicate records. We continue to work with Google on this and hope to have a resolution and solution within the next few hours.] We will also be embedding Google's widget on our site for collecting missing person information. Google will be making their data available via a PFIF feed and we will be importing it into Sahana's Missing Persons registry. From there, Sahana can add value to the simple lists being collected.

In particular, Sahana's Disaster Victims Identification registry - or DVI - which is used to management the handling and tracking and tracing of the deceased, dead bodies and their identification. There is currently no other known application for this and we hope that those working in this area will find Sahana extremely valuable. Sahana will have the ability to cross-reference missing persons information with the identified and unidentified deceased, thus facilitating reconciliation efforts. The Sahana Missing Persons registry has additional physical description information fields and we hope to be able to utilize some of the image matching capabilities available to extend these capabilities further. Organizations interested in utilizing these capabilities (which will not be made open for public use) should contact the Sahana team at
sahana-haiti AT lists.launchpad.net.

Any updated missing persons status information will be pushed back to the main Google repository from Sahana.

3. Situation Mapping - Sahana's site is able to map all of the geo-referenced data within Sahana - primarily the organization data, but we have also manually entered a data layer of hospitals and medical facilities. Sahana has worked with members of the OSGeo community to obtain a fast tiled set of the current imagery being made available by Digital Globe. Sahana is also leveraging the constantly updated set of Open Street Map tiles. These are acting as backdrop for the offices that are being entered as part of the Organization Registry. Other data sources that are ready and available to be leveraged by Sahana and SahanaPy for other deployments include reports from Ushahidi, various point layers from Open Street Map, location names, USGS earthquakes, and locations from GeoNames. We will continue to build out these capabilities further as relevant layers are made available.

Capabilities we are working on:

The following capabilities are in the process of being developed and we expect will soon be available:

4. Request Management: We are working with the US State Department, Ushahidi and some other voluntary efforts on a project to process SMS messages with requests for assistance sent from survivors in Haiti. SMS text messages sent to a short code in Haiti will go into Ushahidi, who will have volunteer translators to add some structure to the message, identifying the sender's name, location (to the extent possible), and category of the message - a missing persons report, a request for assistance, etc. The message will go into a Ushahidi GeoRSS feed that will be captured by Sahana and fed into a simple Request Management system where the requests for assistance (such as "send water" to a certain village or neighborhood) can be made visible to relief organizations working on the ground. Organizations can fulfill or claim requests for handling and message the person back that assistance is coming. (Missing persons information will be captured by Google).

5. Translation: In addition, our translation project is now set up for Kreol and French translation and we may utilize a pool of Kreol-speaking volunteers being set up by the Service Employees International Union (SEIU) to help in these efforts. Interested translators should be directed initially to:
http://translate.hfoss.eu/wiki/Translation to become oriented in the process.

6. Shelter Registry and Disaster Victims Registry: In the coming days, we expect that there will be a requirement to start tracking the location of temporary shelters now being established, and possible registration of the survivors. We will prepare Sahana's existing registries for such purposes, which will produce further consumable data layers as well as additional missing persons reconciliation capabilities.

If you want to help:

We are using the IRC #sahana channel on freenode as our main coordination tool. Join the chat room to volunteer for tasks and someone from our core volunteer team will direct you - this room is actively staffed on a 24x7 basis.

But first, please check out the wiki pages to see what are the current requirements and areas of focus. We have a lot of volunteer Python and PHP programmers already working on the codebase, but we can probably use more. Please review the requirements page in particular to see where you might help.

We also have a large need for non-technical help - particularly for documentation support - user guidelines and instructions in particular - including some nice screenshots.

...

Finally, we could use help maintaining our own wiki - both the main page and requirements... much of this can be culled from the chat room logs - and helping to update some of the common public repositories of information about similar efforts, such as the crisis commons wiki at
https://crisiscommons.org/, although they are doing a pretty good job at tracking us ourselves.

Remember to add yourself to the wiki as part of team, and what you are doing.

Acknowledgements

Personally, I have never been a part of such a collaborative and cooperative effort on the part of different organizations to come together and to help each other and to not replicate efforts. The Sahana community has worked closely and constantly with InSTEDD, Ushahidi, haitianquake.com, Google, the Crisis Camp participants, and others I apologize for not mentioning and we wouldn't have been able to accomplish all that we have without this, and for this I am very grateful.

The around the clock efforts of many of the Sahana community are too numerous to mention here, and at risk of leaving anyone out, I would just like to thank everyone for all that they have done and been able to do while juggling responsibilities such as full-time jobs and families.

This has been a new model for Sahana deployments - rather than waiting for a specific customer to come forward to take ownership of Sahana, we have self-deployed and I think this will be a likely successful model for the future. More and more, technology projects are stepping forward and doing good directly.

So go forth and do good.

Best regards,
Mark
==========
Mark Prutsalis
President & CEO
Sahana Software Foundation

Editorial: ".. Situating ‘illness narratives’ in recovery and mental health treatment"

"Models that put patients’ narratives at the core could perform as a connecting mechanism that provides a process to take account of ‘personalisation’, which is likely to create a better fit with individual context, structure and the complex diverse realities of recovery-oriented practice and routinely provided interventions." p.1.

 

Khan, N., & Tracy, D. (2021). The challenges and necessity of situating ‘illness narratives’ in recovery and mental health treatment. BJPsych Bulletin, 1-6. doi:10.1192/bjb.2021.4

 

INDIVIDUAL

|

INTERPERSONAL : SCIENCES

HUMANISTIC----------------------------------------------- MECHANISTIC

SOCIOLOGY : POLITICAL

|

GROUP - COMMUNITY - POPULATION

co-concepts: 'recovery' & ‘illness narratives’-  ‘Person-directed’ - Define 'recovery' psychologically (my understanding of this?) - Acceptability of terms 'service user', 'patient'... - Patient autonomy* - CHIME framework: Connectedness, Hope - - Identity, Meaning values - - Symptom reduction & individual recovery? - Measuring Recovery - reflection and critical thinking - personal individual storylines - 'Access' to information - personal narratives & construction of meaning - ‘narratives on social reality’ - 'Lived experience' Peer Support - Advanced planning: IF  THEN ... for me ... - ‘palliative psychiatric care’ -

- co-concepts 'recovery' & ‘illness narratives' - 'Professionally directed’ treatment - Define ''recovery' clinically (my understanding  of this?) - Conceptual Framework: CHIME - - Connectedness, Hope – optimism, Identity, Meaning – purpose, and Empowerment. - Symptom reduction & individual recovery? - pathology, clinicians as ‘chemotherapists' Px pad - Measuring Recovery - Mental Health (Min) Dataset (decades) Data? - h2cm: as simple/complicated as needed? - - a measure of holism, integration ...recovery? - - can conceptually encompass all 'spaces' - h2cm remains a response to legacy issues - - person-centred care - - holistic care/ ['holistic bandwidth'] - - integrated care - COVID-19 a corollary in ‘long-COVID’? - 'Biology' coercive and  impersonal

Practitioner Socialisation - (learned paternalism?) CHIME framework: Connectedness, Hope, Meaning - values ‘Person-directed’ Patient/Carer experience of CPA collaboration - care planning - - case formulation - - and small group work - - Meaningful illness narratives are a gift exchange: providing meaning, emotive steadiness - - narration & collective experience - - Anthropological models of Recovery - 'Illness behaviour' - pre-existing underlying relationship between the person and their illness - - healthspan, health career, career span - dialogues remain contested: patiency, recovery - ‘authentic alliances’ -

- 'Professionally directed’ treatment - 'Recovery' spans Quality and Quantity - Professionals ‘mainstream’ recovery concepts to their advantage? - Recovery-orientated practice guidelines for service provision include: --personal recovery --recovery-oriented services --provider competencies - *Patient autonomy: can it be 'exercised' here? - CHIME framework: - - Empowerment, Identity (am I seen/heard here?) - Care Programme Approach as Policy c.1991... - - Assessment, Care plan, Review, Care Coord. - - Role in Personalisation & Recovery? - ‘Illness management’ 'Illness problems' - ‘corporate’ recovery/criticism

  

My source: Twitter

'Recovery' on W2tQ:

https://hodges-model.blogspot.com/search?q=recovery

Jones (2014) Using a conceptual framework to explore the dimensions of recovery and their relationship to service user choice and self-determination. Int J. of Person Centered Med. 3,4,305-311.

iii WCCS26: World Conference on Complex Systems 20-22nd April

Chaos
Making a New Science 
by James Gleick

When I first learned of WCCS26, I saw a connection, an affinity across the conference themes. This was reinforced when I read the final program for WCCS. Here was a home for the model, a way-point for Hodges' model. For an independent scholar, it was quite a trip to Ben Guerir, to the north of Marrakech; 13 hours (brief by global standards). It was a place to wave wildly, making use of the opportunity to present Hodges' model, to say - "Dear All, can you do anything with this?".

It is almost 40 years since I read James Gleik's, Chaos: Making a New Science. That was in Cornwall I think? Now, something more than book - a complexity conference.  

 After the first two keynotes - two panels: 

 Panel 1 - Complexity, Society & Global Challenges

▪ Carlos Álvarez Pereira - No Limits to Hope: Escaping from the unreasonable effectiveness of Modernity
▪ David Chavalarias - The Artificialization of Cultural Evolution: the Impact of Very Large Digital Infrastructures on Individuals and Society
▪ Louis Klein - Noospheric Singularity and the Mirror of Tamkeen
Panel Chair: Karima Kadaoui

These confirmed I was in the right place. Well, it was bit late if I wasn't! I was reminded of the slow movement, and how in healthcare, specifically client-nurse intereactions you had time to manage your time, that is your caseload to deliver person-centred care. I don't mean time-wasting, as in social chat, tea and custard creams either. This is what being professional is about, truly trying to make a difference - that lasts. So we worked through: What is; (science) what we understand; and (tech and law) what should be. Ecologically, we often refer to the size of our footprints. Panel one considered this individually and collectively - institutionally. Fascinating to reflect upon these themes and how modernity is stamping about in a rather chaotic way? We are seemingly power-less to stop this.

c/o Carlos Álvarez Pereira
No Limits to Hope: Escaping from the unreasonable effectiveness of Modernity

Three reports to the Club of Rome were displayed, spanning 'NO LIMITS TO LEARNING - Bridging the human gap' 1979; 'Limits and Beyond' 2022; 'NO LIMITS TO HOPE - Liberate the potential for Collective Learning' 2026. Should we be troubled, worried even, that the latest followed after a mere four years? There are of course, many reports as per the link above.

David Chavalarias - The Artificialization of Cultural Evolution: the Impact of Very Large Digital Infrastructures on Individuals and Society spoke about the beneficial and malign impacts of social media AI tools. Covid featured as might be expected. Within the sciences, what was worrying, was an innovation slowdown associated with AI, non-AI use, chartered around a central point (centroid). I believe the slide referred to:

Qianyue Hao & Fengli Xu & Yong Li & James Evans, 2026. "Artificial intelligence tools expand scientists’ impact but contract science’s focus," Nature, vol. 649(8099), pages 1237-1243, January. 

There was one slide:

Is this the demise of any efforts to achieve SOCIO-technical synergy? Even to the extent of realising benefits for the human in socio-technical systems? Did Covid not teach us anything about the informational difference technology can make? When so many technologies are muted by a virus? This is what we need: things to think about, question and critique. 

There used to be a series of A3 step-by-step oil painting magazines in the 1970s. One presented a desert campfire, clearly set in the east. I did try it, though not sure were the result is now. ... Such a scenario was presented by Louis Kleinand the Noospheric Singularity and the Tamkeen Process - Regenerative Hermeneutics, with the following reference provided:

Klein, L., & Kadaoui, K. (2024). Realising metamorphic transformation in the mirror of Tamkeen: Growing a shared understanding from co-reflected lived experiences. Systems Research and Behavioral Science, 41(5), 738–749. https://doi.org/10.1002/sres.3058 

There was much I could identify with. And, once again, I cannot continue at this pace. We have only covered (touched!) panel one. Hopefully you now have an idea of the depth of the conference programme. More however, will follow.

See also: thefifthelement.earth

Chaos - cover: https://www.goodreads.com/book/show/826080.Chaos

Book Announcement | The Examined Illness: A Philosopher's Confrontation with Deadly Disease

The Examined Illness

Intellect is pleased to share that The Examined Illness: A Philosopher's Confrontation with Deadly Disease, by Darrel Moellendorf, is out in paperback and hardback.

A visceral personal memoir of being seriously unwell – and the consolations of philosophy during sickness. Being a patient is part of being alive. Disease and serious illness often strike randomly, and when they do, we quickly become subject to the impersonal forces of biochemistry and pharmacology. We rarely think about sickness beforehand and are often totally unprepared for it when it happens. Suddenly, there we are, subject to a standard treatment protocol. Darrel Moellendorf learned this by experience during a month confined to a solitary and sterile hospital room where he received a life-saving stem cell transplant. His room was somebody’s workspace, his schedule was somebody’s work routine, his immune system was systematically crushed, and his prognosis was out of his hands. There was no assurance that it would all work out.

Having spent thirty years teaching philosophy to college students, He was facing the biggest test of all—perhaps the final exam. These are his reflections before, during, and after his cancer treatment, written in real time. He writes, “My brain was sometimes addled by the chemotherapy that sapped my energy and destroyed my immune system, but I wrote out of the conviction that living well includes living well with disease, and eventually living well facing death.” This memoir expresses the conviction that the virtues of patience, courage, trust, and hope serve us well. A measure of good humor also can’t hurt.

Part of the Global Health Humanities series.

Table of Contents

Acknowledgements
Introductory Note

Part I: Diagnosis
1. First Thoughts and Second Opinions
2. Healthcare for All Pt. 1
3. Patients and Patience
4. Father to Son and Back
5. Give It Up for Lent!

Part II: Inside
6. Day 7: The Countdown Begins
7. Day 6: Carpe Diem
8. Day 5: Vegetarianism Is Not an Option
9. Day 4: Sweatin’ and Shakin’
10. Day 3: Making Decisions When You Can’t Think
11. Day 2: Nausea and Fatigue
12. Day 1: Courage
13. Day 0: Communion
14. Day +1: Confinement
15. Day +2: Waiting and Anxiety
16. Day +3: Relaxed
17. Day +4: Toiling and Spinning
18. Day +5: Healthcare for All Pt. 2
19. Day +6: Patience and Hope?
20. Day +7: A Letter Arrives
21. Day +8: Anaemia
22. Day +9: Why I Write
23. Day +10: Why I Dyed My Hair Blue
24. Day +11: Shorn
25. Day +12: Tired, Itchy, and Hiccupping
26. Day +13: Waiting
27. Day +14: Signs of Progress
28. Day +15: Turn Me Lose, Set Me Free
29. Day +16: Fresh Air
30. Day +17: Postponement

Part III: Recovery
31. Home Sweet Home
32. Home Update
33. The Social Determinants of My Survival
34. Letting the Days Go By
35. A Thread of Good Fortune
36. Magical Thinking
37. Hope Kept Me Eating
38. Sunshine, Suffering, Rebirth, and Freedom
39. Food Aversions
40. Inching Towards Normalcy
41. Human Fatigue and Canine Anxiety
42. Healthcare for All Pt. 3
43. Still Wearing My Helmet
44. Same as It Ever Was
45. Who Is That Masked Man?
46. Inspiration in the Oncology/Haematology Waiting Room
47. With a Little Help from My Friends
48. Springtime on My Face
49. Feeling the Love … and the Likes
50. Disease, Bodily Alienation, and Transhumanism
51. Dem Fingernails
52. Traversing the Rim of the Valley of the Shadow of Death
53. The Examined Illness

Epilogue: Living with Mortality
References

Please visit our website for more information:

www.intellectbooks.com/the-examined-illness

--

My source: Georgia Glasspole

Marketing Executive (she/her)

Intellect  | 0117 9589910 | georgia AT intellectbooks.com

Finding a space for Lived Experience

Individual

|

      INTERPERSONAL    :     SCIENCES               

HUMANISTIC  --------------------------------------  MECHANISTIC      

 SOCIOLOGY  :    POLITICAL 

|

Group

Whatever your personal - emotional - journey, your experience, ongoing expectations ... hope: hope-fully this is you. You can, or have discovered the potential here. Whether or not the strengths you possess, are recognised due to what others see elsewhere.	Lived experience brings so many pathways. So many rooms and spaces to explore. Whatever the physical challenges: whether well: 'all-good thanks'; or dealing with one or more diagnoses - acutely, in recovery, relapse, may all points of the compass be open to you.
Whatever your life experience: your health career began down here [and across there ->], shaped by your life chances. These days they call them the determinants. They are many, and can influence your social network, whether you have one ...	As you (literally) negotiate - even if you fail repeatedly - the systems, that the system throws your way, trying to make ends-meet; in work or out, never under-estimate what a person can do. Here lived experience can pay dividends, across the divides that really matter.

Welcome to your space ...

and may it include hope shared and delivered ...

'Un Caso Clinico' BUZZATI (I906-I972)

Reading The Theatre of the Absurd earlier this year was a very enjoyable and disconcerting experience. In acknowledgement: I have quoted from the book at length below. I do so to better convey the context, and in the hope other people may similarly obtain and enjoy this classic theatrical text.

Reading, I was reminded of starting my career as a nursing assistant and student nurse, and the 'lock-up' wards: male and female. Listening now to the current Reith Lectures I will post regards: 

Gwen Adshead - Four Questions about Violence

https://www.bbc.co.uk/sounds/play/m0025cmg

As a community mental health nurse in community mental health teams and nursing home liaison, residents on the ground floor (of two or three floors - with 'general') 'knew' there were very poorly people on the top floor. In summer, windows open, they could often be heard shouting and in the night. Inside, for staff, family members, friends became advocates expressing concern for a lack of access to fresh air and sunshine. Something, of course, we can all benefit from. For some residents there was an in-house understanding of NOT wanting to be moved 'upstairs'. At times I gather, if a resident 'played up' such re-location (displacement) was used as a threat: a cue for education.^

DINO BUZZATI (I906-I972)

'In Les Bátisseurs d'Empire the flight from death takes the form of trying to escape upwards. The same image appears in the opposite direction in a remarkable play by Dino Buzzati, the eminent Italian novelist and journalist on the staff of the Corriere della Sera in Milan. This play, first performed by the Piccolo Teatro, Milan, in 1953, and in Paris in an adaptation by Camus in 1955, is Un Caso Clinico. In two parts (thirteen scenes), it shows the death of a middle-aged businessman, Giovanni Corte. Busy, overworked, tyrannized but pampered as the family's breadwinner, whose health must be preserved, he is disturbed by hallucinations of a female voice calling him from the distance and by the spectre of a woman that seems to haunt his house. He is persuaded to consult a famous specialist, and goes to see him at his ultra-modern hospital. Before he knows what has happened, he is an inmate of the hospital, about to be operated on. Everybody reassures him - this hospital is organized in the most efficient modern manner; the people who are not really ill, or merely under observation, are on the top floor, the seventh. Those who are slightly less well are on the sixth; those who are ill, but not really badly, are on the fifth; and so on downwards in a descending order to the first floor, which is the antechamber of death.

In a terrifying sequence of scenes, Buzzati shows his hero's descent. At first he is moved to the sixth floor, merely to make room for someone who needs his private ward more than does. Further down, he still hopes that he is merely going down to be near some specialized medical facilities he needs, and before he has fully realized what has happened, he is so far down that there is no hope of escape. He is buried among the outcasts who have already been given up, the lowest class of human beings - the dying. Corte's mother comes to take him home, but it is too late.

Un Caso Clinico is a remarkable and highly original work, a modern miracle play in the tradition of Everyman. It dramatizes the death of a rich man - his delusion that somehow he is in a special class, exempt from the ravages of illness; his gradual loss of contact with reality; and, above all, the imperceptible manner of his descent and its sudden revelation to him. And in the hospital, with its rigid stratification, Buzzati has found a terrifying image of society itself - an impersonal organization that hustles the individual on his way to death, caring for him, providing services, but at the same time distant, rule-ridden, incomprehensible, and cruel.' 

Esslin, Martin. Parallels and Proselytes, The Theatre of the Absurd. London: Pelican, 1982. (3rd Ed.).pp.277-279.

The Bewitched Bourgeois

^Rest assured, there were and are excellent centers of care too.

Update: 11th January 2025: c/o John Self. Meet the forgotten maestro of the ultra-short story. Saturday Review, The Times, p.15.

'One of his most widely published stories, Seven Floors, is set in a hospital where they put the "mildest cases" on the seventh floor, and so on in increasing order of sickness down to the first floor, which is occupied by those who are "beyond hope"'.

Lawrence Venuti. (2025) The Bewitched Bourgeois, New York: NYRB Classics ISBN: 9781681378671.

Cover image: NYRB.

Research Design Service North West (RDS NW) September 2013 e-bulletin

A very useful resource:

Dear Colleague,

Please follow the link below to the September 2013 e-bulletin from the Research Design Service North West (RDS NW).

http://www.rds-nw.nihr.ac.uk/news-training-events/

In this issue:

• is my study research?
• NIHR showcases the clinical research that could bring hope to the nation’s dementia sufferers
• funding opportunities
• events and training
• approaching funding deadlines.

We hope you find this helpful and as always welcome any feedback.

Thanks,

RDS NW

Research Design Service North West

Central Coordinating Office

Tel: +44 (0) 1524 593209

Follow the Research Design Service on Twitter: @NIHR_RDS

Source: Thanks to RDS NW and Paul Dolby

Theatre - the best way to learn ...

Pardon me, while I stay local - in Liverpool . . . 

I've always been interested in drama since school days (aged 13-14) and playing Francis Nurse in Arthur Miller's Crucible. Recent reading (inc. Theatre of the Absurd, The Shifting Point), see 'drama' - with more to follow) encouraged me to find out more. As a community mental health nurse on a visit, I've sometimes thought of this script being written as we engage with each other. Framed within  interpersonal skills and the society 'outside', there's a sense in which a screenplay is also writ large. 

The fact of whether the session is therapeutic, progressive, person-centred, structured, ethical, purposeful, has tea and custard creams ... is the drama of course.

In a way the creators of formal psychotherapies are playwrights - directors:

After all, they keep producing 'original' therapy manuals, don't they?

In the new year I noticed a community message about a theatre group Valley Theatre Group, planning a 'Living Newspaper' for a drama festival that took place last month. There is another performance next month in Liverpool, as per the edited message below:

People have been asking what’s going on and when for our Hope Street performances June 6-8^th. So here’s the details.

We start each evening with the play about a 1930s Socialist Theatre group, “Unity”. (Cast: Peter Merrill, Ted Grant, Steve Donegan, Meggan Pye, Day Sheehan and Donna Lauder)

Then, on Friday 6 June, in the second half, we have our first Living Newspaper. This is the one that has most of the sketches submitted by outside writers and developed at the workshops. Then on Saturday 7th, second half, we have the Leverhulme group (The one that won the award at the festival) with their Living Newspaper. Finally, on Sunday 8^th, in the second half, we have the last of the Living Newspapers, the one with slightly longer pieces like Scouse Man. This final one also has an original sketch from a 1930s Living Newspaper, the Munich Pact.

Tickets are on sale at the Hope Street Theatre website (link below) and from Ticket Quarter. Please come along and try to get other people along as well.  It'll be a good night's theatre! 

Thanks for all your support. The WTM team

Ticket link:  www.hopestreettheatre.com

Phone: 0344 561 0622

Contexto Int. [Newsletter] - Special Issue 47.2 Where is the Sea in Int. Relations?

Dear Colleagues,

We hope this correspondence finds you well.

We are delighted to formally announce the publication of the latest special issue of Contexto Internacional, entitled "Where is the Sea in IR?," which I had the distinct honour of co-editing with Dr Flavia Guerra (Federal University of Rio de Janeiro).

The overarching objective of this Special Issue is to address a central scholarly lacuna within International Relations (IR) scholarship: the historical and theoretical marginalisation of the oceanic domain. In pursuing this fundamental inquiry—why and how does the ocean recede from scholarly and political attention?—the assembled contributions collectively prompt a sustained, rigorous examination of two key analytical challenges:

1. The specific mechanisms through which IR has historically relegated the oceanic domain to the periphery of its dominant analytical frameworks.
2. The subsequent broader political and theoretical implications that stem from this systematic exclusion.

The volume is structurally organised around three distinct, yet interconnected, thematic axes, each seeking to contribute to a deeper engagement with the marine sphere:

1. The Marginalisation of the Ocean in IR: Conceptual and empirical explorations of how the sea is actively rendered absent or subordinate within core theoretical debates.
2. Complex Entanglements between the Ocean and Ontological Security: Analyses focusing on the relationship between maritime spaces, existential anxieties, and state identity formation.
3. Ocean Governance as Regulatory Mechanism and Platform for Political Discourse: Critical assessments of regulatory frameworks and their role in structuring political contestation over the maritime commons.

We sincerely hope that you find the contributions within this volume to be a compelling and theoretically relevant read that stimulates further research and critical reflection within the discipline.

Special Issue: Where is the Sea in IR?

Where is the Sea in International Relations?
  Francisco Eduardo Lemos de Matos; Flávia Guerra Cavalcanti

Abstract | Full text

Table of Contents: https://www.scielo.br/j/cint/i/2025.v47n2/

Includes - Addressing 'Maritime Aphasia' in International Relations
  Bruno Sowden-Carvalho; Marcelo M. Valença

Between Nuclear Tests and Rising Sea Levels
  Beatriz Rodrigues Bessa Mattos

Carl Schmitt on the Move: Spatial Politics and the (political) Sacrifice of the Sea
  Francisco Eduardo Lemos de Matos

Thinking Ontological (In)Security with Water: The Place of the Ocean in Boat Migration
  Flávia Guerra Cavalcanti

What is the Place of Mar de Timor in Timorese Geopolitics, Culture and Education?
  Silvia Garcia Nogueira; Betina Lopes; Ângelo Ferreira; Samuel de Souza Freitas

Fluid Boundaries: Reassessing Maritime Spaces and Nomadic Waves in International Relations Theory
  Henrique Campos de Oliveira

The Third Bank of the Sea: Maritime Traces of Constitutive Outside(r)s and International Ontopolitical Lines
  Roberto Vilchez Yamato; Gustavo Alvim de Góes

Ocean Governance, Maritime Security, and International Relations
  Daniele Dionisio da Silva; Gilberto Carvalho Oliveira

Sailing on Waves beyond National Sovereign Land Borders: On the Crossroads between International Ocean Relations and the Blue Economy
  Thauan Santos

Regards,
chico

Francisco Eduardo Lemos de Matos
Doutor em Relações Internacionais pelo IRI/PUC-RIO.
Pesquisador de Pós-Doutorado em Relações Internacionais no IRI/PUC-RIO pela FAPERJ.

Rede IPS Brasil - https://www.ipsbrasil.com/
Lattes: https://lattes.cnpq.br/9338374067089166
Orcid: https://orcid.org/0000-0003-4214-5382

My source: DOINGIPS list - https://www.doingips.org/

Reference [ii] "Practice in forensic psychiatry: A proposed interdisciplinary model"

Practice in forensic psychiatry:
A proposed interdisciplinary model

Expanding on the post about a further reference for Hodges' model:

Holmes, D. Perron, A. Jacob, J.D. Paradis-Gagné, É. & Gratton, S (2018). Pratique en milieu de psychiatrie légale: proposition d’un modèle interdisciplinaire. Recherche en soins infirmiers, (Practice in forensic psychiatry: A proposed interdisciplinary model). 134, 33-43. DOI: 10.3917/rsi.134.0033

Here, and on twitter I have sought to stress the limitations of the biopsychosocial model in healthcare, and I value Holmes et al. recognition of Hodges' model as politico-biopsychosocial. 

The authors also identify the structural nature of the model.

 

In comparing 'models of care' there is the question of whether Hodges' model is a model of care. As a generic conceptual framework Hodges' model can of course be used in the health care (as per its original design and creation) but it can be used to compare models of care.

Below, translated by Google are the models used in the paper.

I have altered the listing bringing the Tidal and Recovery model s together. Some I've 'mapped' in pairs, using formatting to indicate the differences.

Tidal Model

"The Tidal Model is a humanistic nursing model of recovery developed by Barker (12) with the premise that the person with mental disorder has strengths, abilities, personal priorities and a future ahead (13). This model of care, popular in forensic psychiatry circles, recognizes certain deficits of the hospitalized patient but it is especially interested in the meaning that the latter attributes to them. The sick person is the expert in his life and is therefore the one who contributes the most to his own recovery. This nursing perspective is therefore centered on the phenomenological experience (lived experience) of the patient and on the role of the staff, which is to allow healing and restore hope (12,14)."  

Recovery Model

"A popular model in mental health care, the recovery model is increasingly gaining ground in psychiatric care settings (28). The postulates of this humanistic model state that anyone, including those suffering from mental disorders, can aspire to a fulfilling future, participate in rewarding and inspiring activities, self-determination and finally, be able to live in an environment free of stigma and discrimination (29). The peculiarity of this model lies in the fact that recovery is part of a process where the person with mental illness can continue to show symptoms while being able to adapt to their condition (often chronic) and pursue their goals. life (30)."

Individual
|

INTERPERSONAL : SCIENCES

humanistic ------------------------------------------ mechanistic

SOCIOLOGY : POLITICAL

|

Group

recovery strengths, abilities, personal priorities deficits healing and hope phenomenological - (lived experience) personal responsibility fulfillment - life goals patient as expert personal adaptation living with x,y,z... coping strategies	place as context my future deficits signs - symptoms chronicity Institutional settings clinical - hospital
humanistic - human qualities social expectations social contribution participation - social inclusion free from stigma deficits	Institutional settings politics of recovery free from discrimination forensic deficits

<>

Integrated Practice Model

"This model was developed by Virginia Lynch, a pioneer in forensic psychiatry, and it guides the role of practicing staff in this care setting (15). There are three main theoretical foundations: 1) the fields of expertise involved (nursing, criminal justice and forensic science), 2) the health system (victim and offender, health care and forensic nursing ) and 3) the social impact (social sanction, human behavior, crime and violence) (16). According to this model, patients should be cared for using an interdisciplinary and holistic approach (15)."

Individual
|

INTERPERSONAL : SCIENCES

humanistic ------------------------------------------ mechanistic

SOCIOLOGY : POLITICAL

|

Group

nursing forensic psychiatry 2. health system interdisciplinary holistic OFFENDER	nursing theoretical foundations forensic science 1. fields of expertise 2. health system interdisciplinary holistic
VICTIM role of practitioners 2. health system 3. social impact (social sanction, human behavior, crime and violence)	criminal justice 2. health system

<>

Model of Nursing Interaction

"This model of care includes six categories of forensic nursing interaction with the goal of establishing a relationship with the patient: establishing and maintaining a relationship (relationship based on honesty, respect and trust), encouraging and support interactions (help the patient to recognize his qualities and use his resources), the learning of social skills (encourage the patient to do social activities and talk to others), reality orientation (help the patient patient to be aware of his way of being and of acting), reflective interactions (the perception of the patient and his problems) and the learning of practical skills (encouraging the patient to develop good lifestyle habits) ( 17,18)."

Individual
|

INTERPERSONAL : SCIENCES

humanistic ------------------------------------------ mechanistic

SOCIOLOGY : POLITICAL

|

Group

patient qualities, resources reflective interaction self-perception of problems reality orientation awareness of way of being and of acting	practical skills develop lifestyle skills
reality orientation learn social skills develop lifestyle skills encourage social activities talk to others	encourage and support interactions reality orientation perception of patient and problems

<>

Healthy Living Program

"This model was developed in response to metabolic syndrome and physical illnesses that may develop in people with severe mental illness (19). It includes programs related to health promotion activities such as weight reduction, smoking cessation, physical exercise, etc. It is a voluntary approach that not only improves physical health, but also independence and recovery. For the program to work in the institution and to fit into its organizational culture, the approach must be flexible and systematically maintained by the entire interdisciplinary team."

[ PARITY OF ESTEEM ] 

mental health - metabolic syndrome physical illnesses

Individual
|

INTERPERSONAL : SCIENCES

humanistic ------------------------------------------ mechanistic

SOCIOLOGY : POLITICAL

|

Group

independence recovery voluntary approach	(physical) health promotion activities such as weight reduction, smoking cessation, physical exercise,
independence recovery	voluntary approach for program to work in the institution and to fit into its organizational culture, the approach must be flexible and systematically maintained by the entire interdisciplinary team

<>

Holistic Model

"This model is used in forensic care in the assessment, health care and psychotherapy of patients with personality disorder (22). Holistic care includes the physical (diet and exercise), cultural, spiritual, and psychosocial needs of the patient. This model is based on problem solving, anger management and decision making. Caring is a central concept in the holistic model and is actualized in an emotional, psychosocial, constant and authentic caring response (23). It is for caregivers to be present for the patient, to respect his situation, to understand his experience and to demonstrate a desire to help."

Individual
|

INTERPERSONAL : SCIENCES

humanistic ------------------------------------------ mechanistic

SOCIOLOGY : POLITICAL

|

Group

holistic care personality disorder [mental] health care psychotherapy assessment emotion problem solving, anger management decision making actualized psycho-	holistic care 'caring' assessment diet, exercise health care 'being present'
-social culture holistic care 'being present' constant and authentic caring understand person's experience respect person's situation desire to help	forensic care holistic care desire to help (also exemplified in the organisation?)

<>

Good Lives Model

"This model focuses on the offense committed by the mentally disordered offender, his recovery, the promotion of personal goals, the reduction of the risk of reoffending, and the treatment of mental illness (24,25, 26). The model favors an approach based on the strengths of the patient. In addition, mechanisms of change are present, that is to say that behaviors judged to be poorly adapted are replaced by adapted behaviors when the patient is equipped with the skills, resources and support provided by the nursing staff. This model contextualizes the offense, focuses on the symptoms of mental illness while conceptualizing both as inappropriate behaviors.This model helps to better understand the relationship between mental illness and crime in order to create an individualized plan of care."

Risk-Need-Responsivity Model

"This model (27) imported from the correctional environment was adapted to the psycho-legal context by the addition of the “mental illness” dimension. It was developed primarily to reduce the risk of recurrence. Care interventions are geared towards the identification and treatment of criminogenic factors. This model is based on three major principles: the risk principle (granting the highest level of resources to the group most at risk of crime), the needs principle (identifying dynamic criminogenic risk factors and targeting them in treatment) and the principle of receptivity (adjusting programs according to the characteristics of the person: learning style, motivation, strengths, etc.) (24,25)."

Individual
|

INTERPERSONAL : SCIENCES

humanistic ------------------------------------------ mechanistic

SOCIOLOGY : POLITICAL

|

Group

mentally disordered (diagnosis) recovery characteristics of the person learning style (evidence?) motivation, strengths 3. principle of receptivity treatment: skills, resilience personal goals “mental illness” <-> crime recurrence individualized plan of care	1. risk principle -> resource allocation recurrence treatment 2. dynamic criminogenic risk factors  support of nursing staff
treatment [social determinants?] mechanisms of change adapted behaviours inappropriate behaviours recurrence	offense reoffending correctional environment contextualise the offence treatment principles [policy] recurrence

<>

Hodges' Health Career Model

"This model has a politico-biopsychosocial structure which is consistent with contemporary interdisciplinary practice (20); that is, it relies on a multidimensional critical approach, incorporating writings in sociology and politics, in order to understand the person in context. It is based on four objectives: measuring learning, providing holistic care, supporting reflective practice and closing the gap between theory and practice (21). This model is applicable in various clinical situations in a psycho-legal context. When this model is used as a frame of reference, it emphasizes the role of caregivers who must meet the patient's needs and focus on their problems. It also serves as a guide to assess and provide assistance to the patient vis-à-vis their physical, psychological and social needs as well as with the justice system in order to promote their recovery. The theoretical foundations call on four sources of knowledge: interpersonal, scientific, sociological and political (21)."

The PERSON in Context 

(situated)

Individual
|

INTERPERSONAL : SCIENCES

humanistic ------------------------------------------ mechanistic

SOCIOLOGY : POLITICAL

|

Group

INTRAPERSONAL INTERPERSONAL reflective practice conceptual structure psychological needs measure of learning psycho-	SCIENTIFIC physical needs theory-practice gap
SOCIOLOGICAL reflective practice (develop self-awareness) social needs practice-theory gap	POLITICAL justice system (needs) -legal

[ all embedded within the SPIRITUAL ]

Not just 'problems' Hodges' model can incorporate any desired stance, perspective or philosophical approach - strengths, disease, skills, weaknesses or deficits, psychosocial for example.

I am not sure about explicitly 'measuring learning, but the model can be used by learners and teaching staff / mentors to demonstrate their understanding and justify their output - formulation.

There is an instrumental potential in Hodges' model as a whole. Hodges' model can illustrate the degree of holistic intent - whether this is realised could also be indicated using the model.

Once again I am grateful to the authors for their inclusion of Hodges' model. The reference is listed in the blog's bibliography (please see the sidebar for others) which includes:

Doyle, M., Jones, P. (2013). Hodges’ Health Career Model and its role and potential application in forensic mental health nursing. Journal of Psychiatric and Mental Health Nursing. 20, 7, 631-640.
http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2850.2012.01961.x/abstract

Jones P. (2014) Using a conceptual framework to explore the dimensions of recovery and their relationship to service user choice and self-determination. International Journal of Person Centered Medicine. Vol 3, No 4, (2013) pp.305-311.

See also on W2tQ (with overlap):

https://hodges-model.blogspot.com/search?q=forensic

https://hodges-model.blogspot.com/search?q=justice

https://hodges-model.blogspot.com/search?q=interdisciplinary