This paper reports on an analysis of arrangements in English mental health trusts to meet the needs of adult homeless people. Mental ill-health is disproportionately higher amongst the homeless yet they are underrepresented in accessing mental health services. In recent years, government strategy to improve health outcomes for the homeless and practice guidance on work with this service user group has emphasised the need for NHS services to improve care pathways and service provision for the homeless, and collaborate more closely with homelessness organisations.\ud
Responses to Freedom of Information requests sent to trusts were analysed. The requests asked trusts for information concerning partnerships with external agencies, particular projects/staff, training trust professionals have access to, referral pathways, and intervention models/approaches informing work with homeless service users.\ud
Forty-nine trusts provided information that could be used in the analysis. Just under half of these had dedicated arrangements or resources, including outreach teams and clinical staff co-located in homeless organisations. The remaining trusts indicated they either had some limited specific arrangements, such as links between local homeless agencies and existing services, or no dedicated arrangements. Training to help trust professionals address issues associated with homelessness tended to be minimal if provided at all.\ud
This analysis adds further evidence to concerns that homeless people’s mental health needs are not being adequately considered by services at a local level and that there is a lack of appropriate pathways through which they can access treatment and care
Human trafficking is presented as a multidimensional problem, constituted by a complex matrix of borders, vertices and spaces. In spite of the agreement of an international definition of trafficking in human beings some 20 years ago, debates persist about what constitutes human trafficking. The malleability of the concepts within this definition, and the range of activities they describe, undermines efforts to provide clarity to front-line professionals and the wider public about how to recognise individuals as potential victims, and what rights should be afforded to them (O'Connell Davidson, 2013). This paper interrogates the role of time and temporality in the construction of individuals as eligible, or ineligible, for the status of 'Victim of Trafficking'. The paper is structured through Adam's (1998) approach to time as a multidimensional phenomenon, constituted by timeframes, temporality, sequences, tempo, timeliness, and temporal modalities and a case study of R v N [2012] EWCA Crim 189 is used to illustrate the discussion. The legislative framework, including international and national legal instruments is described. Consideration is given to the differentiation of offenders from victims and the discrete phases of processing individuals through the criminal justice system. Across all of these categories and the borders between them, time shapes the decision of street-level bureaucrats to construct a complex, multi-layered understanding of efforts to tackle human trafficking in England and Wales.
Guided tours of memorial museums have sought to have an impact on visitors through an affective learning environment and critical reflection leading to ‘action’. However, there is limited work investigating the pedagogical underpinnings of such guided tours in order to understand whether they can facilitate action. This paper presents reflections of 21 students’ experiences of educational visits to the former Nazi extermination and concentration camp Auschwitz-Birkenau, Poland between 2017 and 2018. Students identified the guided tour of Auschwitz-Birkenau as having an affective dimension that enhanced understanding and brought about a perspective transformation but action was ill-defined. In considering ill-defined action, this paper attempts to frame understanding of the guided tour of the memorial museum within the context of Transformative Learning. It concludes that guiding practices should incorporate space for reflection and provide examples of potential ‘action’ so that visitors can mobilise their deeper understanding and experience long-term personal ‘change’.
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