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Substantial policy, communication and operational gaps exist between mental health services and the police for individuals with enduring mental health needs.
To map and cost pathways through mental health and police services, and to model the cost impact of implementing key policy recommendations.
Within a case-linkage study, we estimated 1-year individual-level healthcare and policing costs. Using decision modelling, we then estimated the potential impact on costs of three recommended service enhancements: street triage, Mental Health Act assessments for all Section 136 detainees and outreach custody link workers.
Under current care, average 1-year mental health and police costs were £10 812 and £4552 per individual respectively (n = 55). The cost per police incident was £522. Models suggested that each service enhancement would alter per incident costs by between −8% and +6%.
Recommended enhancements to care pathways only marginally increase individual-level costs.
A total of four barren adult female muskoxen (Ovibos moschatus) were used over a period of 2 years for the purpose of the present study. During the first year, the natural changes in appetite (ad libitum intake of standard pelleted reindeer feed) and body mass were determined in two of the animals. During the second year, the effect of reduced food quality on ad libitum food intake was tested in all four animals in July when the appetite had been found to be at a high. We found that the experimentally reduced food quality was not compensated with increased food intake in these large high-Arctic herbivores.
This article is a response to an account of a communist espionage circle which appeared in this journal in 2003. It argues that the original article is seriously misleading because of its apparently exclusive reliance on previously classified intelligence documents and the interpretations found within them. Combined with a failure to provide an appropriate historical context, particularly concerning the politics of the drama's central figure – the Daily Herald journalist W. N. Ewer – and a tendency to import questionable value judgements into the narrative, the original piece substitutes the secret policeman's opinions for a real history of its subject-matter.
The eleventh annual conference of the Institute of Contemporary British
History was held at the Institute of Historical Research, University of London,
July 12–16, 1999. The first day was largely concerned with British Marxist
and socialist movements; the second concentrated on the trade unions and
comparative perspectives; the third and fourth days focused on the Labour party;
and the conference concluded with a day on the future of the Left. The
conference was male-dominated to about the same proportion as most university
departments in Britain, but the age range of participants was broad and involved
doctoral students as well as professors. Only two papers were presented on women
in the labor movement, and although participants addressed issues concerned with
identity and ethnicity, there was nothing directly concerned with imperialism or
immigrants from Britain's former colonies and their British-born
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