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Salt marshes are highly dynamic and important ecosystems that dampen impacts of coastal storms and are an integral part of tidal wetland systems, which sequester half of all global marine carbon. They are now being threatened due to sea-level rise, decreased sediment influx, and human encroachment. This book provides a comprehensive review of the latest salt marsh science, investigating their functions and how they are responding to stresses through formation of salt pannes and pools, headward erosion of tidal creeks, marsh-edge erosion, ice-fracturing, and ice-rafted sedimentation. Written by experts in marsh ecology, coastal geomorphology, wetland biology, estuarine hydrodynamics, and coastal sedimentation, it provides a multidisciplinary summary of recent advancements in our knowledge of salt marshes. The future of wetlands and potential deterioration of salt marshes is also considered, providing a go-to reference for graduate students and researchers studying these coastal systems, as well as marsh managers and restoration scientists.
This book updates articles previously published in BJPsych Advances to compile a current review of noteworthy subjects in old age psychiatry. It opens with epidemiology, then offers information and advice about a variety of disorders, including rare and unusual dementias. It considers assessment, from cognitive testing and the use of neuroimaging, to newer issues around biomarkers. Turning to treatment and management, the book provides readers with up-to-date evidence-based guidance on common situations that clinicians face, from home assessments to giving advice about driving. It refreshingly discusses self-management and the notion of recovery; it reviews the literature on psychosocial interventions and palliative care; and it tackles delirium and depression. The final chapters explore related legal, ethical, and philosophical issues. Written for old age psychiatrists and trainees, but also relevant to other health and social care workers, this text shows the excitement of old age psychiatry – its importance, breadth, and depth.
Practice books are often simple 'how to' lists or straightforward 'recipes' and the practitioner still does not know why the activity is related to the outcome they seek. In essence, they lose how the specifics of the practice are related to the theory of change or the theory of how the problem developed in the first place. This leads to practitioners potentially removing crucial elements of best practice procedures when making modifications to tackle new or different problems in an unfamiliar context. By understanding the theoretical underpinnings, practitioners can better plan for adjustments because they know how the outcomes they seek are informed by the theory. Engagingly written and perfect for day-to-day use, this book translates state-of-the-art research and interdisciplinary theory into practical recommendations for those working with children and adolescents.
Research on complex behavior change interventions has largely focused on intervention development and testing their effects in feasibility trials, pilot studies, and randomized controlled trials. However, a significant gap exists in translating behavior interventions informed by theory into real-world practice. This chapter describes how engaging stakeholders can improve the likelihood that effective behavior change interventions are put into practice. The chapter begins with an overview of implementation science and normalization process theory – which outlines how effective interventions are routinely implemented. The roles of stakeholders as research partners and research participants are differentiated using research in health contexts. For example, the process of stakeholder involvement is illustrated using digital health interventions for people with long-term physical health conditions with reference to UK Medical Research Council guidelines on complex interventions. The examples illustrate (1) how stakeholder support in the co-design of complex interventions can improve their utility, usability, accessibility, and acceptability and (2) how stakeholder perspectives elicited using mixed methods during the feasibility and pilot phases of intervention development can help inform subsequent stages of intervention development. Finally, the evaluation and implementation phase is explored, using a case study to illustrate the need to engage with additional stakeholders to translate effective interventions into routine practice.
Youth Mental Health is a rapidly developing field with a focus on prevention, early identification, treatment innovation and service development. In this perspective piece, we discuss the effects of COVID-19 on young people’s mental health. The psychosocial effects of COVID-19 disproportionately affect young people. Both immediate and longer-term factors through which young people are affected include social isolation, changes to the delivery of therapeutic services and almost complete loss of all structured occupations (school, work and training) within this population group. Longer-term mechanisms include the effects of the predicted recession on young people’s mental health. Opportunities within this crisis exist for service providers to scale up telehealth and digital services that may benefit service provision for young people’s mental health in the future.