A critical narrative analysis of shared decision-making in acute, inpatient mental health care

Shared decision-making (SDM) is a high priority in healthcare policy and is complementary to the recovery philosophy in mental health care. This agenda has been operationalised within the Values-Based Practice (VBP) framework, which offers a theoretical and practical model to promote democratic interprofessional approaches to decision-making. However, these are limited by a lack of recognition of the implications of power implicit within the mental health system. This study considers issues of power within the context of decision-making and examines to what extent decisions about patients? care on acute in-patient wards are perceived to be shared. Focus groups were conducted with 46 mental health professionals, service users, and carers. The data were analysed using the framework of critical narrative analysis (CNA). The findings of the study suggested each group constructed different identity positions, which placed them as inside or outside of the decision-making process. This reflected their view of themselves as best placed to influence a decision on behalf of the service user. In conclusion, the discourse of VBP and SDM needs to take account of how differentials of power and the positioning of speakers affect the context in which decisions take place.

Duo Geminiani and the Bach Ensemble, January 7, 1979

Concert program for Duo Geminiani and the Bach Ensemble, January 7, 1979

The state and the development of an information society: Greek policy and experience

The paper looks into the dynamics of information society policy and its implementation in the Greek context. It argues that information society development is a contested process, influenced by pre-existing state, economy and society relations. Based on this, it looks into the different aspects of the idiosyncratic path which the evolution of the Greek information society has followed, particularly after 2000. Using Bob Jessop's strategic-relational approach (SRA) to the state as an analytical framework and drawing on a number of in-depth interviews with relevant political actors, it provides insights into policy implementation by examining: the public management of information technology projects, how such projects were received in bureaucratic structures and practices, as well as the relationship between the state and the information and communication technology (ICT) sector in public procurement processes. The emphasis is on the period 2000–2008, during which a major operational programme on the information society in Greece was put into effect. The paper also touches upon the post-2008 experience, suggesting that information society developments might include dynamics operating independently and even in contradiction to the state agenda.

[4/7/20, McGoldrick Field, Brooklyn, les pentathlètes R. N.] Irving, Leon Perrine [University of Idaho], Joseph Baker [University of Michigan], Brutus Hamilton [University of Missouri], Everett [Lewis] Bradley [University of Kansas], R. [Robert] Le Gendre [Georgetown University] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 60119

Men's Basketball Team

1981-1982 Men's Basketball Team Front - Doug Fast. John Radaslav, Jim Zareski, Kelly Baker, Jim Baldin, Doug Johnson, Tim Mcalpine Back - Manager Britt Fischer, ??, Bob Blasko, David Hodges, Mark Green, Bob Yuhasz, Paul Treitz, Mike Creighton, Trainer Joe Kenney, Coach Garney Henley

1969-70 Men's Basketball

Pictured here from left to right: Back Row - Les Korchok (Coach), Ken Cripps, Mike McGinnis, Bill Butler, Tim McKillop, Gary Jellum, Fred Kovacs (Manager). Front Row - Jim Leach, Wally Dick, Bob Tatti, Paul Zutautas, Tom Kearney (Trainer). Kneeling - Dave Luff, Dave Brent. Missing - Bill Levesque.

1977 Men's Varsity Crew

From left to right. Top: Sean Dowd, Dave Muirhead, Mike Thompson, Rick Cicchine, Mark Thomas, John Ahlstedt, Mark Reynolds, Tom Kent, and Tony Biernacki (Coach). Bottom: Bob Nguyen (Coxie).

Geography Football Team

The winning intramural football team from the Geography department. Pictured from left to right are: Brian Rogers, Lino Fuciarelli, Tim Slack, Les Selby, Larry Miller, Bob Lunge (captain), Ron Devereux, Bob Steele, and Gerry Gamble.

1968 BUSA Council

Pictured here from right to left and back to front are Geoff Eden, Bob Campbell, Pat Beard, Doug Chapman, Mike Wheeler, Peter Dixon, ?, John Auld, ?, Richard Harlow, Nigel Hussey, Ian Beddis, and Tom Goldspink.

Hesperian College football team, Woodland, California, 1891

Hesperian College football team, Woodland, California, 1891. Standing, left to right: Sidney Elston, Ernest Norton, Charlie Elston, Charlie Merritt, Jimmie Johnston, Rolls Bray, Frank Zimmerman. Seated, left to right: John Gardner, Bill Banks, Jerry Rust, Bob Simons. On floor, left to right: Joe Harlan, George Martin.

Charles Clarke Chapman, 1942

Photographico portrait of Charles Clarke Chapman, Taken by Bob Gamble, Hollywood, California, 1942

Charles C. Chapman's birthday celebration, Fullerton, California,1932

Family portrait taken at Charles C. Chapman's birthday celebration, Fullerton, California,July 2, 1932. The group poses outside his residence on the lawn. Top row [left to right]: Arthur Irvin, Charles Wickett, Irvin Chapman, Sam Collins, Paul Williams, Grant Chapman,, Sidney Chapman, Clay McCarn, Earl Chapman's son David McDougal, Earl Chapman's son William McDougal, Earl Chapman, Harry Chapman, William Wickett Sr. Second row [left to right]: Mr. VanMeter, Mrs. Sinclair, C. C. Sinclair, John Franklin, Way Bagley, Marjorie Collins, Emma Williams, Ruth Chapman, Vesta Chapman, Inez Bagley, Grace Chapman, Bertha Chapman, Clough Chapman, Frank and Bertha Chapman's daughter Agnes McDougal [Streech], Georgiana Chapman, Thela Clough, Mrs. Earl [Ann] Chapman, Bessie Reynolds, Fred Chapman, E. B. [Bert] Reynolds. Seated [left to right]: Mrs. VanMeter, Hattie Clark, Louie Messlar, Charlie Thamer, Louella Thamer, Dolla Harris, Stanley Chapman Sr. holding Mary Anne, Ethel Wickett, Charles C. Chapman, Clara Chapman, Colum C. Chapman, Aunt Annie Colum, Deryth Chapman, Anna Marie Chapman, Floy Chapman, Edith Chapman. Front row [left to right]: Sam E. Collins, Bill Wickett Jr., Joyce Chapman, Marilyn Chapman, Elizabeth Chapman, Mary McCarn, Nina Chapman Lescher, Jodeane Collins, Bob Gibb, Jean Chapman. In front is a floral arrangement with drawing of a Western Union telegram "To Chas. C. Chapman, July 2, 1932, N. Fullerton, Cal., 'Wishing you a happy birthday, Nina."

Architectural rendering of the Argyros Forum

Photographic copy of the architectural rendering of the Argyros Forum, Chapman University, Orange, California. Architect: Bob Murrin. Groundbreaking September 16, 1991 and dedication October 26, 1992.

Architectural model of Pralle-Sodaro Residence Hall, Chapman University, Orange, California

Architectural model of the Pralle-Sodaro Residence Hall, Chapman University, Orange, California, dedicated October 21, 1991. Pralle-Sodaro Hall (3 floors, 75,382 sq.ft.) is a three-story building containing one-hundred-fifty-five units. This state-of-the-art residence hall was made possible by the tremendous generosity of Bob and Helga Pralle and Don and DeeDee Sodaro. Bob Pralle served as a trustee for eighteen years beginning in 1984 and Don Sodaro as Chairman of the board of trustees and has served on the board for fourteen years beginning in 1988. Pralle-Sodaro Hall (3 floors, 75,382 sq.ft.) is a three-story building containing one-hundred-fifty-five units.

Dedication of the Pralle-Sodaro Residence Hall, chapman University, Orange, California

Dedication of the Pralle-Sodaro Residence Hall, 323 East Walnut Avenue, Chapman University, Orange, California, October 21, 1991. At the podium, George L. Argyros, Chairman of the Board of Trustees is speaking to Helga Pralle while President James L. Doti stands directly behind, and Bob Pralle applauds at right. Don and Dee Dee Sodaro are in the back at left. Pralle-Sodaro Hall (3 floors, 75,382 sq.ft.) is a three-story building containing one-hundred-fifty-five units. This state-of-the-art residence hall was made possible by the tremendous generosity of Bob and Helga Pralle and Don and DeeDee Sodaro. Bob Pralle served as a trustee for eighteen years beginning in 1984 and Don Sodaro as Chairman of the board of trustees and has served on the board for fourteen years beginning in 1988. Pralle-Sodaro Hall (3 floors, 75,382 sq.ft.) is a three-story building containing one-hundred-fifty-five units.