Search results

Purpose
Local Safeguarding Adults Board (SAB) policies, procedures, guidance and related documents on self-neglect were gathered and analysed, to map what approaches are being taken across England. This paper aims to identify areas of divergence to highlight innovations or challenges faced by SABs.


Design/methodology/approach
Self-neglect documents were identified by searching SAB websites. Data were extracted into a framework enabling synthesis and comparison between documents.


Findings
This paper reports on how English SAB documentation defines self-neglect, treats executive capacity, lays out pathways for self-neglect cases, advises on refusal of service input and multi-agency coordination and draws on theories or tools. Greater coherence in understanding self-neglect has developed since it was brought within safeguarding in 2014; however, variation remains regarding scope, referral pathways and threshold criteria.


Research limitations/implications
This review was limited to published SAB documentation at one point in time and could not consider either the wider context of safeguarding guidance and training or implementation in practice.


Practical implications
This review provides an overview of how SABs are interpreting national guidance and guiding practitioners. The trends and areas of uncertainty identified offer a resource for informed research and policy-making.


Originality/value
To the best of the author's knowledge, this is the first systematic survey of SAB self-neglect policies, procedures and guidance since self-neglect was included under safeguarding.

David W. Orr looks at the causes and consequences of the coming climate destabilization, which he argues is the result of the largest political failure in history. While better technology and smarter economics are important to limit the eventual scope and scale of the problem, climate change will require basic changes in governance.

Ecological design is an emerging field that aims to recalibrate what humans do in the world according to how the world works as a biophysical system. Design in this sense is a large concept having to do as much with politics and ethics as with buildings and technology. The book begins by describing the scope of design, comparing it to the Enlightenment of the 18th century. Subsequent chapters describe barriers to a design revolution inherent in our misuse of language, the clockspeed of technological society, and shortsighted politics. Orr goes on to describe the critical role educational institutions might play in fostering design intelligence and what he calls "a higher order of heroism." Appropriately, the book ends on themes of charity, wilderness, and the rights of children. Astute yet broadly appealing, The Nature of Design combines theory, practicality, and a call to action.

Cover; Half-title; Title; Copyright; Contents; Preface; Acknowledgments; Prologue: The Road to Montana; one: A Perfect Storm; two: The Challenges of Sustainability; three: Resilience; four: The Problem of Denial; five: Economy; six: Governance; seven: Mind; eight: Heart; nine: The Long Revolution; ten: Sustainable Democracy?; eleven: Cities in a Hotter Time; twelve: The Oberlin Project; Afterword; Notes; Index; A; B; C; D; E; F; G; H; I; J; K; L; M; N; O; P; R; S; T; U; V; W; Z

1. The Rifles : a brief history -- 2. Preparation -- 3. Sailing to the far side of the world -- 4. Korea -- 5. Advance and withdrawal -- 6. Happy Valley -- 7. Replacements and prisoners of war -- 8. Reconnaissance and resupply -- 9. On the Imjin -- 10. The battle of the Imjin -- 11. The war grinds on -- 12. Checkpoint 'how' -- 13. The closing days