Introduction The Integrated Recovery Scales (IRS) was developed by the Dutch National Expertise board for routine outcome monitoring with severe mental illnesses. This board aimed to develop a multidimensional recovery measure directed at 1. clinical recovery, 2. physical health, 3. social recovery (work, social contacts, independent living) and 4. existential, personal recovery. The measure had to be short, suited for routine outcome monitoring and present the perspective of both mental health professionals and service users with severe mental illnesses. All aspects are assessed over a period of the pas 6 months. Objectives The objective of this research is validation of the Integral Recovery Scales and to test the revelance for clinical practice and police evaluation. Methods The instrument was tested with 500 individuals with severe mental illnesses (80% individuals with a psychotic disorder), of whom 200 were followed up for 1 year. For the questions concerning clinical recovery, physical health and social recovery mental health care workers conducted semi structured interviews with people living with serious illnesses. The questions concerning personal health were self-rated. We analyzed interrater reliability, convergent and divergent validity and sensitivity to change. Results The instrument has a good validity and is easy to complete for service users and mental health care workers and appropriate for clinical and policy evaluation goals. Conclusions The Integrated Recovery Scales can be a useful instrument for a simple and meaningful routine outcome monitoring. Page: 121
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In the recent ‘Regional outlook’, the OECD (2014) convincingly argues that cities can be the drivers of national growth and recovery: in principle, their diversity and density makes people and companies more productive and innovative. This is not only a tale of large cities: over the last decade, as recent studies demonstrate (e.g. Dijkstra, 2013) many smaller and medium-sized cities across Europe were important economic engines. But this did not happen automatically: to make that happen, ‘getting cities right’ is the key challenge, and action on the city level matters! As demonstrated by recent OECD data (OECD, 2014), poorly organised cities fail to reap their economic potential.
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The Integrated Recovery Scale IRS was developed by Dutch National Expertise board for Routine Outcome Monitoring. Recovery is multi dimensional: 1. Symptomatic recovery 2. Physical health, 3. Societal recovery 4. Existential: personal recovery. The validation process and first outcomes of the instrument are described.
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After the unconditional surrender of the Third Reich in May 1945, Germany no longer existed as a sovereign, independent nation. It was occupied by the four Allied powers: France, Great Britain, the United States and the Soviet Union. When it came to the postwar European recovery, the biggest obstacle was that the economy in Germany, the dominant continental economic power before the Second World War, was at an almost complete standstill. This not only had severe consequences for Germany itself, but also had strong economic repercussions for surrounding countries, especially the Netherlands. As Germany had been the former’s most important trading partner since the middle of the nineteenth century, it was clear that the Netherlands would be unable to recover economically without a healthy Germany. However, Allied policy, especially that of the British and the Americans, made this impossible for years. This article therefore focuses on the early postwar Dutch-German trade relations and the consequences of Allied policy. While much has been written about the occupation of Germany, far less attention has been paid to the results of this policy on neighbouring countries. Moreover, the main claim of this article is that it was not Marshall Aid which was responsible for the quick and remarkable Dutch economic growth as of 1949, but the opening of the German market for Dutch exports that same year. https://doi.org/10.1515/jbwg-2018-0009 LinkedIn: https://www.linkedin.com/in/martijn-lak-71793013/
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Neoliberal discourse often conceptualizes nature in relation to its market utility and economic development. This article will address the role of metaphors in shaping neoliberal discourse in business education. The aim of this article is to reveal reasoning patterns about environmental problems and economic development in students of sustainable business minor. The case study described in this article involves business students at The Hague University in The Netherlands. This case study aimed to explore a shift in student understanding of environmental problems and economic development before and after the intervention. The results suggest that critical curriculum can inform students about the alternative conceptions as well as instruct them about potential solutions to the sustainability challenges. The article culminates with the argument that without goal-oriented education for sustainability; neoliberal education may not permit transcendence from unsustainable practices. https://doi.org/10.3390/su6117496 https://www.linkedin.com/in/helenkopnina/
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During an interview at Georgetown University’s School of Foreign Service one student questioned Prime Minister Rutte about an official apology for slavery. The Dutch Prime Minister assured that each island-nation to whom the Kingdom apologized “has full power to decide to leave the Kingdom. They are not colonized. They are independent.” Rutte described the current role of The Netherlands as that of a “gateway” to bring their products to Europe. The emphasis on trade relationship smacks of neo-colonial interests. Rutte’s portrayal of The Netherlands acting as the “in” to the European market for the former colonies is far from the recovery that one would expect for the descendants of the enslaved. In fact, the Slavery Past Dialogue made a number of recommendations to the Dutch Kingdom, including “active prevention of discrimination and institutional racism throughout society” and “the establishment of a Kingdom Fund […] for structural and sustainable financing of recovery measures.” The Dutch Prime Minister’s comments belie a singular focus on trade with the Caribbean nations rather than a holistic approach, looking at non-pecuniary interests involving the well-being of the descendants and the societies in which they live today. The “republicanization” serves as a backdrop to the years-long journey during which the Dutch government (and the Dutch crown) seemingly dragged their feet, refusing to issue a formal apology for the trade of Africans by the Dutch West Indies corporation. That much-solicited apology was finally issued in December 2022, despite warnings that any gesture that excluded reparations would not be favorably received by the Dutch Caribbean nations.
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Economische impact World Rowing Championships 2014 Van 24 tot 31 augustus 2014 vond op de Bosbaan in Amsterdam de World Rowing Championships (WRC) plaats. Met het oog op de verdere ontwikkeling van het evenement wil de World Rowing Federation (FISA inzicht krijgen in de economische impact van dit evenement. Zij heeft de Hogeschool van Amsterdam in samenwerking met Hogeschool Inholland en Sport2B gevraagd hier onderzoek naar te doen. Daarnaast heeft de FISA enkele aanvullende vragen geformuleerd over de tevredenheid van bezoekers en vrijwilligers. Bezoekers Het bezoekersaantal wordt geschat op 40.000, waarvan 30.000 unieke bezoekers. Buitenlandse bezoekers besteedden gemiddeld 77 euro per dag, Nederlandse bezoekers 27 euro en Amsterdamse bezoekers 20 euro. De bezoekers waren goed voor 28.500 overnachtingen in de dagen rondom het evenement. De totale bestedingsimpuls gerealiseerd door bezoekers bedroeg 3,1 miljoen. Deelnemers In totaal namen 1.800 atleten en begeleiders deel aan het evenement. Conservatief geschat gaven de deelnemers gemiddeld 25 euro per dag uit. De totale additionele uitgaven van atleten en begeleiders komen daarmee op 534.000 euro. In totaal waren de atleten goed voor 19.500 overnachtingen. De totale uitgaven voor de accommodatie komen daarmee op meer dan 2 miljoen euro. Zes nationale teams hebben als voorbereiding op WRC in juni deelgenomen aan de International Rowing Regatta Amsterdam (IRRA), dit genereerde een lokale economische impact van 149.000 euro. De totale bestedingsimpuls gerealiseerd door deelnemers bedroeg 2,7 miljoen euro. Organisatie en media Het saldo van in- en uitgaande geldstromen veroorzaakt door de organisatie en de media bedroeg 0,8 miljoen euro. De totale directe en indirecte economische impact: 9,2 miljoen euro.
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This publication is a result of an international research project which took place from 2012-2014. Among the participators were four universities, number of service providers, NGOs and people with psychiatric and learning disabilities from Amersfoort and Maastricht in the Netherlands, Budapest in Hungary and Tallinn in Estonia. The aim of the project was to explore the wishes and needs of persons with psychiatric or learning difficulties with regard to community participation, and how services could be (more) supportive in order to meet these needs. We also looked at local policies, especially from the perspective of the UN Convention on the Rights of Persons with Disabilities (CRPD). From the research we learn that regardless of the country where people live, persons with disabilities have similar struggles to cope with vulnerability and deprivation. They also share the same desires as any other human being: the wish to live a good and valued life, to have meaningful activities and to belong to a social community. The stories in this book were selected from the interviews which were conducted by researchers during the project. The portraits illustrate experiences of illness, disability and recovery. They also reflect experiences of using social- and mental health services, exclusion and inclusion. By reading these stories we see, how multifaceted life can be, and what are the challenges towards the real participation in community
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Purpose Pre-stroke frailty in older adults is associated with adverse outcomes after stroke in community-based and hospitalbased populations. The aim of our study was to investigate the prevalence of pre-stroke frailty among older stroke survivors receiving medical specialistic rehabilitation and its association with outcomes and recovery. Methods Pre-stroke frailty was measured by the Groningen Frailty Indicator (GFI, score ≥ 4 indicates frailty) in patients≥65 years receiving stroke medical specialistic rehabilitation. Baseline, follow-up and change (i.e. recovery) scores of the Barthel index (BI), Stroke Impact Scale (SIS) ‘mobility’, ‘communication’, and ‘memory and thinking’, Hospital Anxiety and Depression Scale (HADS) and the EuroQoL-5 dimensions (EQ-5D) were compared between frail and non-frail patients with a multivariable regression model adjusting for confounders. Results Of 322 included patients (34.2% females, median age 70 years), 43 (13.4%) patients reported pre-stroke frailty. There were no diferences in BI or in destination of discharge between pre-stroke frail and non-frail stroke survivors receiving inpatient rehabilitation. However, pre-stroke frailty was associated with worse follow-up scores for all other measures. Recovery in pre-stroke frail patients was less favorable compared to non-frail patients for SIS mobility, HADS subscales and EQ-5D index and visual analogue scale. Conclusion Pre-stroke frailty was present in a minority of older stroke survivors receiving medical specialistic rehabilitation. BI and destination of discharge did not difer. Nevertheless, pre-stroke frailty was associated with worse functioning at follow-up for most measures of health status and with smaller improvements in mobility, mood and quality of life.
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Background: A quality improvement collaborative is an intensive project involving a combination of implementation strategies applied in a limited “breakthrough” time window. After an implementation project, it is generally difficult to sustain its success. In the current study, sustainability was described as maintaining an implemented innovation and its benefits over a longer period of time after the implementation project has ended. The aim of the study was to explore potentially promising strategies for sustaining the Enhanced Recovery After Surgery (ERAS) programme in colonic surgery as perceived by professionals, three to six years after the hospital had successfully finished a quality improvement collaborative. Methods: A qualitative case study was performed to identify promising strategies to sustain key outcome variables related to the ERAS programme in terms of adherence, time needed for functional recovery and hospital length of stay (LOS), as achieved immediately after implementation. Ten hospitals were selected which had successfully implemented the ERAS programme in colonic surgery (2006–2009), with success defined as a median LOS of 6 days or less and protocol adherence rates above 70%. Fourteen semi-structured interviews were held with eighteen key participants of the care process three to six years after implementation, starting with the project leader in every hospital. The interviews started by confronting them with the level of sustained implementation results. A direct content analysis with an inductive coding approach was used to identify promising strategies. The mean duration of the interviews was 37 minutes (min 26 minutes – max 51 minutes). Results: The current study revealed strategies targeting professionals and the organisation. They comprised internal audit and feedback on outcomes, small-scale educational booster meetings, reminders, changing the physical structure of the organisation, changing the care process, making work agreements and delegating responsibility, and involving a coordinator. A multifaceted self-driven promising strategy was applied in most hospitals, and in most hospitals promising strategies were suggested to sustain the ERAS programme. Conclusions: Joining a quality improvement collaborative may not be enough to achieve long-term normalisation of transformed care, and additional investments may be needed. The findings suggest that certain post-implementation strategies are valuable in sustaining implementation successes achieved after joining a quality improvement collaborative.
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