The HARM (Hamilton Anatomy of Risk Management) Tool: Implications for Implementation

This webinar explores risk management as it relates to the specific implementation of the Hamilton Anatomy of Risk Management (HARM) Tool. Risk factors for violence vary from inpatient hospital settings to community settings and this webinar also explores implementation of the HARM tool in both settings. Learn from experts about implementation and ways in which your organization can use this tool. Recording Link Presentation Slides (missing) Hamilton Anatomy of Risk Management – Forensic Version (HARM-FV) Hamilton Anatomy of Risk Management – Community Version (HARM-CV) Hamilton Anatomy of Risk Management – Youth Version (HARM-YV)

Aging well on the autism spectrum: the perspectives of autistic adults and carers

“Aging well” is an increasingly popular concept in gerontology. Adults with disabilities such as autism spectrum disorder represent a demographically substantial population, yet remain excluded from existing conceptualizations of aging well. This qualitative study aimed to explore what it means for autistic adults to “age well” from the perspectives of autistic adults and carers. Twenty-four semi-structured interviews were conducted with 15 autistic adults (mean age 50.3 years) and 9 carers of autistic adults. Interviews were offered in four formats: email, telephone, Skype, and face-to-face and included three questions exploring what it means for autistic adults to age well as well

The homeless community: breaking down the barriers to primary care

The number of homeless adults on our streets is increasing which, due to their associated health problems, is causing increasing demand and inefficiencies on the National Health Service (NHS). Currently the homeless are experiencing inequalities of healthcare due to a lack of access to primary care. As a consequence, there has been an increasing use of secondary care, which has become the preferred provider of healthcare for the homeless community. Homeless health is often complex involving tri morbidity and although legislation already exists to embrace these needs within current models of primary care, they are not being met. Innovative and

Effectiveness of Mental Health Courts in Reducing Recidivism: A Meta-Analysis

Objective: Mental health courts (MHCs) were developed to address the overrepresentation of adults with mental illnesses in the U.S. criminal justice system through diversion into community-based treatment. Research on MHCs has proliferated in recent years, and there is a need to synthesize contemporary literature on MHC effectiveness. The authors conducted a meta-analytic investigation of the effect on criminal recidivism of adult MHC participation compared with traditional criminal processing. Methods: Systematic search of three databases yielded 17 studies (N=16,129) published between 2004 and 2015. Study characteristics and potential moderators (that is, publication type, recidivism outcome, and length and timing of follow-up)

Are we anywhere near there yet? The state of harm reduction in North America in 2017

The emergence of the new disease, AIDS (first reported as a clinical syndrome in the USA in 1981), was the principal reason for the birth of harm reduction in the mid to late 1980s. The first appearance of clinical evidence of AIDS was based on the appearance of opportunistic infections among young populations not normally associated with such infections—e.g., Kaposi’s sarcoma and other symptoms of immune disorders, normally mostly seen among older populations. The fact that these first cases were among young gay men hospitalized in Los Angeles [1, 2] became the basis of the initial professional and popular conceptions

Ottawa asking Canadians to weigh in on sentencing reform

The Justice Department wants to know what Canadians think of changing some of the former Conservative government’s controversial tough-on-crime sentencing legacy, including mandatory minimum penalties. An online survey asks respondents to judge several unique scenarios, such as a brain-damaged offender whose condition leads to poor decision-making skills, or a single mother whose children were placed in foster care after her arrest. Once respondents choose a course of action, the survey notes that currently, a judge would have no choice but to imprison the convicted offender for a minimum period of time. The Canadian Press Global News, 2017-08-17  

A Survey of Hospital Ethics Structures in Ontario

In response to the growing recognition of the prevalence of ethical issues in clinical care, hospitals in Canada began forming ethics committees in the 1980s. Studies showed significant growth in the prevalence of ethics committees over the ensuing decade. Although the limited studies available suggest that ethics committees have become very prevalent in Canadian hospitals, hospital ethics services have evolved in recent years to include a wider range of structures. In some cases, these structures may work in conjunction with an ethics committee, but in other cases they may replace ethics committees. They include on-staff ethicists, external ethics consultants, “hub-and-spokes”