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Addressing a need for LGBTQ+ affirmative counselling in training, this meticulously crafted book is designed for graduate counselling students, new practitioners, and cross-disciplinary professionals. Authored by top researchers and clinicians, this collection synthesizes best practices in training and intervention, presenting a blueprint to seamlessly integrate affirmative counselling into academic curricula. Individual chapters cover topics including history, culture, assessment, treatment planning, crisis response, international perspectives, technology, and training. Enriched with resources, real-life case examples, and thoughtful reflection questions, the book moves beyond theory to provide actionable insights for effective LGBTQ+ affirmative counselling in diverse organizational settings. Tailored for graduate programs, this book equips future practitioners to adeptly navigate the complexities of affirmative counselling.
Hyperparameters critically influence how well machine learning models perform on unseen, out-of-sample data. Systematically comparing the performance of different hyperparameter settings will often go a long way in building confidence about a model's performance. However, analyzing 64 machine learning related manuscripts published in three leading political science journals (APSR, PA, and PSRM) between 2016 and 2021, we find that only 13 publications (20.31 percent) report the hyperparameters and also how they tuned them in either the paper or the appendix. We illustrate the dangers of cursory attention to model and tuning transparency in comparing machine learning models’ capability to predict electoral violence from tweets. The tuning of hyperparameters and their documentation should become a standard component of robustness checks for machine learning models.
Around the world, countries have introduced laws and policies designed to prevent species extinction. While there have been some success stories, overall, these laws and policies are routinely failing. Extinction rates continue to climb. However, the law is necessary to regulate the human-environment interactions that form the basis of the drivers of extinction and biodiversity loss, including land-clearing, the discharge of greenhouse gases and the introduction of invasive species. The purpose of this paper is to evaluate the literature specifically on biodiversity conservation law, to review and describe the commonalities in laws and legal systems that can be considered successful, or unsuccessful. Laws for the conservation of biodiversity form a critical component for minimising the drivers of extinction, with species extinction being an extreme outcome of biodiversity loss. We reviewed 128 publications from around the world to ascertain and synthesise best practices in law and policy that aim to protect and conserve biodiversity (herein termed ‘biodiversity conservation law’). The literature demonstrated that when it comes to biodiversity conservation law, the concept of ‘best practice’ is elusive, and does not necessarily equate to a reversal in species decline. Further, most western countries utilise the same legal mechanisms (also known as policy tools) for biodiversity conservation, although some countries implement these laws more effectively than others. In this paper, we explore and explain several common legal mechanisms discussed across the range of literature, including species listing and recovery plans, protected area regulation, stewardship, restoration, and offset and no net loss schemes. We also explore the necessity of biodiversity and climate mainstreaming across all laws and highlight the need to engage in genuine partnerships and collaborations with First Nations communities. This paper, and the principles explored herein, should assist law and policymakers to regulate more effectively and explain to those in the conservation sciences where research should be directed to improve the science-policy interface.
Although the legal conditions are perceived as restrictive, metal detecting has become a popular activity in the Czech Republic. In 2017, a questionnaire survey revealed that a significant segment of this community is made up of passionate people interested in history and archaeology. The majority of professional archaeologists consider metal-detecting finds to be important and believe that cooperation with metal detectorists is necessary, beneficial, and acceptable. A collaborative project called “Joint Forces in Order to Discover the Common Archaeological Heritage of the South Moravian Region” aims to create conditions for citizen science among the metal detectorists in the region. By using tools such as expert workshops for the employees of professional institutions, meetings, educational workshops and field activities with interested members of the public, and production and distribution of printed and digital information materials, the partners in the program have long endeavored to improve the mutual understanding of all relevant actors of society and administration. The creation of circles of citizen collaborators is in progress in several archaeological institutions; nevertheless, this process is far from over. In 2020, with the creation of the Portal of Amateur Collaborators, this activity acquired a unified digital scheme for the registration of finds.
Brazil accounts for half of South America’s territory and population. Given this large scale and its federal structure, the country can be described as highly heterogeneous. In this context, universities have a crucial role in social change and mobility. Research is closely linked to university life. This chapter provides an overview of undergraduate research in Brazil and its impact on individuals, universities, and society. First, we present an historical outline of the development of the national education and higher education system. Second, we describe administrative issues and cultural impact. Third, we show examples of best practice, selecting specific disciplines and aspects. Finally, we summarize the main themes and provide an outlook on expected further developments concerning undergraduate research in Brazil.
This chapter presents the organization of the Portuguese higher education system, defines the institutional context of undergraduate research (UR) in the country and present five cases of best practice that illustrate individual, departmental, and institutional efforts for promoting UR. The authors conclude by proposing four recommendations for further evolution of UR in Portugal.
The removal of controversial names and monuments from the public sphere in the United States has gained traction in the context of efforts to achieve social justice for historically mistreated and marginalized communities. Such debates are increasingly raising issues in the healthcare setting as hospitals and medical schools grapple with the legacies of figures whose scientific contributions are clouded with ethical transgressions. Present efforts to address these challenges have largely occurred at the institutional level. The results have been guidelines that are complex, highly inconsistent across institutions, and largely downplay the symbolic importance of such historical redress. This paper proposes a simpler three-part test for name and monument removal in the medical and hospital settings that places greater weight on the symbolic importance of the renaming process itself instead of only considering the outcomes.
In this chapter I consider some important implications of adopting rules, principles and supplementary guidance-based approaches to the regulation and governance of health research. This is a topic that has not yet received sufficient attention given how impactful different regulatory approaches can be on health research. I suggest that each approach has strengths and limitations to be factored in when considering how we shape health research practices. I argue that while principles-based approaches can be well-suited to typically complex health research landscapes, additional guidance is often required. I explore why this is so, highlighting in particular the added value of best practice and noting that incorporating additional guidance within regulatory approaches demands its own important considerations, which are laid out in the final section.
During the global COVID-19 pandemic, there has been guidance concerning adaptations that physical healthcare services can implement to aid containment, but there is relatively little guidance for how mental healthcare services should adapt service provision to better support staff and patients, and minimise contagion spread.
Aims
This systematic review explores service adaptations in mental health services during the COVID-19 pandemic and other contagions.
Method
The Allied and Complementary Medicine database (AMED), the Cumulative Index to Nursing and Allied Health Literature (CINAHL), EMBASE, Medline, PsycINFO and Web of Science were systematically searched for published studies from database inception to April 2020. Data were extracted focusing on changes to mental health services during contagion outbreaks. Data were analysed with thematic analysis.
Results
Nineteen papers were included: six correspondence/point-of-view papers, five research papers, five reflection papers, two healthcare guideline documents and one government document. Analysis highlighted four main areas for mental health services to consider during contagion outbreaks: infection control measures to minimise contagion spread, including procedural and practical solutions across different mental health settings; service delivery, including service changes, operational planning and continuity of care; staff well-being (psychological and practical support); and information and communication.
Conclusions
Mental health services need to consider infection control measures and implement service changes to support continuity of care, and patient and staff well-being. Services also need to ensure they are communicating important information in a clear and accessible manner with their staff and patients, regarding service delivery, contagion symptoms, government guidelines and well-being.
This chapter highlights the relevance of women’s experience and the leadership that women play in psychotherapy. We briefly review contributions of women in transforming psychotherapy from a field dominated by male views to one being inclusive toward liberation, and empowerment and emancipation of women and culturally diverse clients in the West. We also present evidence of women’s leadership in psychological healing practice and professional development of psychotherapy around the world, using China and Guatemala as examples. As clients, scholars, or practitioners, women’s voices and experience have challenged traditionally gender-biased practice of psychotherapy. The feminization of the psychotherapy workforce demonstrates the degree to which women have stepped up and shouldered the responsibility for mental health care in the United States and worldwide.Framed in an international and contextual perspective, we recommend best practices for clients of all genders and cultures, especially women, to be growth-oriented, relationship-focused, and strength-based.
Modern best practice in caring for human remains is explored in this chapter. The chapter gives the context of the various guidance documents produced in different countries. It covers whether the country in question has one rule for all remains or whether remains are treated differently depending on differing circumstances, for example,the age of the remains – broadly the recently dead or the ancient dead – the origin of the remains and the usage of the remains. The processes necessary to follow in respect of curation of remains that are claimed for return are also considered here.
Forensic psychiatry in Europe is a specialty primarily concerned with individuals who have either offended or present a risk of doing so, and who also suffer from a psychiatric condition. These mentally disordered offenders (MDOs) are often cared for in secure psychiatric environments or prisons. In this guidance paper we first present an overview of the field of forensic psychiatry from a European perspective. We then present a review of the literature summarising the evidence on the assessment and treatment of MDOs under the following headings: The forensic psychiatrist as expert witness, risk, treatment settings for mentally disordered offenders, and what works for MDOs. We undertook a rapid review of the literature with search terms related to: forensic psychiatry, review articles, randomised controlled trials and best practice. We searched the Medline, Embase, PsycINFO, and Cochrane library databases from 2000 onwards for adult groups only. We scrutinised publications for additional relevant literature, and searched the websites of relevant professional organisations for policies, statements or guidance of interest. We present the findings of the scientific literature as well as recommendations for best practice drawing additionally from the guidance documents identified. We found that the evidence base for forensic-psychiatric practice is weak though there is some evidence to suggest that psychiatric care produces better outcomes than criminal justice detention only. Practitioners need to follow general psychiatric guidance as well as that for offenders, adapted for the complex needs of this patient group, paying particular attention to long-term detention and ethical issues.
Inter-professional education (IPE) can support professionals in developing their ability to work collaboratively. This position paper from the European Forum for Primary Care considers the design and implementation of IPE within primary care. This paper is based on workshops and is an evidence review of good practice. Enablers of IPE programmes are involving patients in the design and delivery, providing a holistic focus, focussing on practical actions, deploying multi-modal learning formats and activities, including more than two professions, evaluating formative and summative aspects, and encouraging team-based working. Guidance for the successful implementation of IPE is set out with examples from qualifying and continuing professional development programmes.
This article critiques the global concern that international commercial arbitration (ICA) is becoming increasingly ‘judicialized’, addressing the growing sentiment in ICA that arbitral proceedings are too lengthy, expensive, and complex. Assuming a contrarian perspective, it argues that attempts to address the cost and length of arbitration proceedings ought not to undermine the value of finely reasoned arbitral decisions grounded in law and justice. It also argues for a contextual assessment of ICA that extends beyond the debate over ‘judicialization’.
Using global illustrations and ICA developments in Australia as an initial guide, this article suggests that balancing party autonomy, accountability, efficiency, and fairness in ICA can help resolve these growing criticisms of ‘judicialization’. Ultimately, the reform of international arbitration should take place within a framework of ‘international best practice’ that is both analytical in nature and functional in operation. As such, ICA should not only be affordable and expeditious, it should serve as a legitimate and effective method of resolving international commercial disputes. In addition, it should balance the virtue of transparent proceedings against the need to respect the confidences of the parties.
While a wide array of service providers and academic scholars apply the use of “care” in their work, the concept of “care” itself remains largely undefined. This has widespread implications for applied work with children and young people (CYP), particularly since institutions such as schools and non-governmental organisations are increasingly being expected to care for or about children. In this paper, we use thematic analysis to report on interviews with representatives from four service providers and organisations responsible for the care of children. In our analysis, we explore both how care is defined by these organisations, and the implications for practice when working with CYP.
We sought to benchmark the utilisation of echocardiography in the outpatient evaluation of heart murmurs by evaluating two large paediatric cardiology centres.
Background
Although criteria exist for appropriate use of echocardiography, there are no benchmarking data demonstrating its utilisation.
Methods
We performed a retrospective cohort study of outpatients aged between 0 and 18 years at the Sibley Heart Center Cardiology and the Children’s Hospital of Philadelphia Division of Cardiology, given a sole diagnosis of “innocent murmur” from 1 July, 2007 to 31 October, 2010. Using internal claims data, we compared the utilisation of echocardiography according to centre, patient age, and physician years of service.
Results
Of 23,114 eligible patients (Sibley Heart Center Cardiology: 12,815, Children’s Hospital of Philadelphia Division of Cardiology: 10,299), 43.1% (Sibley Heart Center Cardiology: 45.2%, Children’s Hospital of Philadelphia Division of Cardiology: 40.4%; p<0.001) underwent echocardiography. There was wide variability in the utilisation of echocardiography by individual physicians at both centres (Sibley Heart Center Cardiology 18.3–85.5%, median 45.4%; Children’s Hospital of Philadelphia Division of Cardiology 13.9–81.8%, median 34.7%, p=0.45). Children in their first month of life represented the group with highest utilisation of echocardiography (62.3%), whereas children aged >1–5 years had the lowest utilisation (32.7%).
Conclusions
In two large paediatric cardiology practices, the overall utilisation of echocardiography by physicians with a sole diagnosis of innocent murmur was similar. There was significant and similar variability in utilisation by provider at both centres. Although these data serve as initial benchmarking, the variability in utilisation highlights the importance of appropriate use criteria.
Living in poverty has lifelong consequences for children. In response to the obvious needs of highly vulnerable, impoverished children and youth in its neighbourhood, Community and Family Services International (CFSI) commenced the Park Avenue Initiative (PAI) which was aimed at addressing the impact of poverty through promoting and testing community-based initiatives in child protection, youth development, and opportunity-creation. Building upon research into the reproductive health (RH) practices of young people in the area, the PAI was expanded to include a new programme addressing RH and the high risk sexual behaviours engaged in by many youth. This article critically examines how poverty is impacting on children. It presents the PAI RH approach as an example of a programme which addresses many of the multiple risks poverty presents for children. The PAI RH programme takes a holistic perspective to address the co-morbidity of poverty risk factors. The programme works with children, their families and the community. The article concludes that programmes need to take an integrated approach to address the multidimensions of poverty and engage with children and their families in actions which are aimed at building individual resilience and strengthening communities.
Clinical care guidelines exist internationally recommending the appropriate standards of care for adults following brain injury. These guidelines recommend a care pathway including acute, inpatient and outpatient rehabilitation and community-based care. However, if and how these guidelines are implemented is largely unknown. The aim of this study was to explore the recollected continuum of care experienced by 202 adults with moderate to severe traumatic brain injury (TBI) in Victoria, Australia. The experiences of participants in this study were investigated using a mixed methods research approach (surveys and in-depth interviews). The results indicated that only 20% of participants in this study recollected receiving care in line with recommendations made in clinical care guidelines. Reasons they identified for their problematic access to services included: a lack of information about the services available, the absence of an advocate and services being restricted by limited funding. The findings of this study indicate that while guidelines provide recommendations regarding standards of care and can serve as a benchmark to improve the quality of services, they do not ensure the equitable delivery of services. Clinicians using these guidelines need to be aware of the factors that restrict clients’ access to services and take these into account when planning the delivery of services.
Developing an awareness of the preferences of healthcare consumers is essential in determining the ‘reality’ of service provision, in planning the provision of brain-injury services and in service evaluation. Consumers should be given the opportunity to express satisfaction or dissatisfaction with the services they receive, offering their perceptions of barriers to service access, which could be removed once known. This article presents narratives of the healthcare journeys of three adults with a moderate to severe brain injury. The experiences of these participants were elicited through in-depth interviews. The aim of this article is to convey how the needs and experiences of adults with brain injury change throughout time, affecting their ability to access care over time. Previous research by the authors of this paper identified five factors that affect consumers’ experiences of care: acceptance and readiness, support, advocacy, the right service at the right time and mismatched expectations. The fluidity and interaction of these factors through time is demonstrated in this article as facilitating and impeding access to services. The implications for clinicians in considering these factors when planning services for adults with moderate to severe brain injuries are explored.
Currently in Australia there is much activity and expenditure in a field broadly defined as ‘Indigenous education’. However, there is little by way of rigorous research that has compared and evaluated different approaches. This article draws together the existing international evidence to develop a set of best-practice components for Indigenous education. The author intends for these components to provide practical guidance for program developers who may currently be developing programs without the benefit of an existing evidence base, while also acknowledging the need to expand the evidence base and continue to refine this set of components to maximise their utility.