The aim of this study is to present concrete descriptions of the content in the construction of helpful relationships with staff, according to users. Starting with the re-occurring concept of the meaning of “little things” in recovery studies, a literature review was done. A thematic analysis shows that small things play an important role in improving a person’s sense of self. Small things seem to be an invisible but effective parts of a recovery-orientated practice, but they might be defined as unprofessional and their efficacy negated.

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Background: In spite of a national strategy for reducing coercion in the mental health services,

There is a need for valid and representative data on the production, resource use and emissions from different farm types in Denmark for public regulation and assessment. The data should be usable for both area-based environmental assessment (e.g. nitrate leaching per ha) and product-oriented environmental assessment (e.g. greenhouse gas emissions per kg pork). The objective of this study was to establish a national agricultural model for estimating data on resource use, production and environmentally important emissions for a set of representative farm types.Every year a sample of farm accounts is established in order to report Danish agro-economical data to the 'Farm Accountancy Data Network' (FADN), and to produce 'The annual Danish account statistics for agriculture'. The farm accounts are selected and weighted to be representative for the Danish agricultural sector, and similar samples of farm accounts are collected in most of the European countries. Based on a sample of 2138 farm accounts from year 1999 a national agricultural model, consisting of 31 farm types, was constructed. The farm accounts were grouped according to the major soil types, the number of working hours, the most important enterprise (dairy, pig, different cash crops), livestock density, etc. For each group the farm account data on the average resource use, products sold, land use and herd structure were used to establish a farm type with coherency between livestock production, feed use, land use, yields, imported feed, homegrown feed, manure production, fertilizer use and crop production. The set of farm types was scaled up to national level thus representing the whole Danish agricultural sector and the resulting production, resource use and land use was checked against the national statistics. Nutrient balance methodology and state-of-the-art emission models and factors were used to establish the emissions of nitrate, phosphate, ammonia, nitrous oxide, methane and fossil carbon dioxide from each farm type. In this paper data on resource uses and emissions from selected farm types are presented and it is demonstrated that this approach can lead to an agro-environmental inventory, which is consistent with national level estimates and still has the advantage of being disaggregated to specific farm types. Conventional dairy farm types in general emitted more nitrate but less phosphate compared with pig farm types. The methane emission was higher from dairy farm types compared with all other farm types. In general the conventional dairy farms emitted more nitrate, ammonia, and nitrous oxide, compared with organic dairy farms. #

This article explores how professional relationships may be helpful from the perspective of residents in community-based staffed supportive housing for individuals with severe mental illness (SMI) and/or drug abuse. Residents were individually interviewed about a relationship with a self-chosen staff member, the content of the help provided by this staff member and how this help influenced their lives. Using thematic analysis, we found that the residents described mutual relationships that resembled friendships and helpful staff members who carried out a variety of doings. Four domains of doings were identified: small human gestures, filling the hours with 'friendship', enabling the residents to take care of their own needs and fighting on behalf of the residents to ensure rights and benefits. To some of the residents, these doings had life-changing impact. We propose that mental health service management should facilitate friendship resemblance when matching professionals and service users, and we warn against a pitfall were present 'recovery ideals', such as independency, contradict the idea of helping by doing.

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Patients and staff have different perceptions of involuntary commitment. Based on the patients' points of view, mental health care ought to be characterized by inclusion and recognition, treating patients as equal citizens comparable to guests in a hotel.

The ethics of care and a dialogical approach are suggested as ethical frameworks for preventing fear, danger and aggression in psychiatric wards. Both frameworks can be understood as patient-driven, including the relational and contextual perspectives. It means a shift from professionally driven processes to patient-driven dialogue.