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All for one and one for all [Abstract]

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From Flexible Assertive Community Treatment to collaborative mental health care in the community

Introduction F-ACT is a flexible version of Assertive Community Treatment to deliver care in a changing intensity depending on needs of individuals with severe mental illnesses (Van Veldhuizen, 2007). In 2016 a number of the FACT-teams in the Dutch region of Utrecht moved to locations in neighborhoods and started to work as one network team together with neighborhood based facilities in primary care (GP’s) and in the social domain (supported living, social district teams, etc.). This should create better chances on clinical, social and personal recovery of service users. Objectives This study describes the implementation, obstacles and outcomes for service users. The main question is whether this Collaborative Mental Health Care in the Community produces better outcome than regular FACT. Measures include (met/unmet) needs for care, quality of life, clinical, functional and personal recovery, and hospital admission days. Methods Data on care utilization regarding the innovation are compared to regular FACT. Qualitative interviews are conducted to gain insight in the experiences of service users, their family members and mental health care workers. Changes in outcome measures of service users in pilot areas (N=400) were compared to outcomes of users (matched on gender and level of functioning) in regular FACT teams in the period 2015-2018 (total N=800). Results Data-analyses will take place from January to March 2019. Initial analyses point at a greater feeling of holding and safety for service users in the pilot areas and less hospital admission days. Conclusions Preliminary results support the development from FACT to a community based collaborative care service.

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From Flexible Assertive Community Treatment to collaborative mental health care in the community

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THE ART OF SUCCESSFUL IMPLEMENTATION OF PSYCHOSOCIAL INTERVENTIONS IN RESIDENTIAL

Presentatie gegeven over de review in Brussel Objectives: In the past decades many psychosocial interventions for elderly people with dementia have been developed and implemented. Relatively little research has been done on the extent to which these interventions were implemented in the daily care. The aim of this study was to obtain insight into strategies for successful implementation of psychosocial interventions in the daily residential dementia care. Using a modified RE-AIM framework, the indicators that are considered important for effective and sustainable implementation were defined.

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THE ART OF SUCCESSFUL IMPLEMENTATION OF PSYCHOSOCIAL INTERVENTIONS IN RESIDENTIAL

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Motivational Intervention through Literature Activities (MILA): an intervention to measure motivation in secondary school students based on the Motivational Self System

Abstract The main purpose of this intervention was to measure student’s motivation in English Literature before and after an intervention based Zoltán Dörnyei’s Motivational Self System (2009) and Michael Magid’s (2011) application of the same theory in schools in Singapore. The present intervention was adapted to the students of the Dutch secondary school CLV (Christian Lyceum Veenendaal) in Veenendaal using fragments of English Literature (books, films, poems and songs). The intervention was carried out during eight lessons of fifty minutes where students had to participate in a variety of activities, all registered in a workbook assigned to each student at the beginning of the research project. Prior to and after the intervention, students filled in a questionnaire on motivation and English Literature. The results of these questionnaires were analysed with SPSS running descriptive statistical analysis. Along with these analyses, the timelines and life trees made by the students during the lessons and students’ answers given to the exercises on the workbooks were evaluated and compared. One of the most important conclusions of the intervention was that female students were more motivated, could make action plans and set goals easier and more detailed than male students. Another important result was that students in general had no interest in English Literature, although they realised it can be influential in their future life. The affective attitude of students to- wards the teacher and materials increased after the intervention, as well as students’ confidence in their own effort during class. However, the construct validity between the quantitative and qualitative data could not be established due to the fact that gender was not included as variable in the questionnaire. Gender relevancy became visible after the analyses of the workbooks. Therefore, future research will have to focus on including gender as a variable in the questionnaire in order to establish solid relations between quantitative and qualitative data. Another interesting research question for future interventions could be how to adapt English Literature and the materials that are being used in a way that both female and male students can tap into their own intrinsic motivational current.

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Motivational Intervention through Literature Activities (MILA): an intervention to measure motivation in secondary school students based on the Motivational Self System

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The integrated recovery Scales

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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Juggling ideals and constraints

In bilingual streams in the Netherlands, school subjects are taught in an additional language so that pupils learn both subject content and the target language by using language meaningfully. Teachers of English in bilingual streams (TEBs) are often expected to collaborate with subject teacher colleagues (STs). In addition, they teach separate language lessons. This provides TEBs with specific challenges. This article reports on a focus group (FG) study exploring the extent to which the ideals of stakeholders in bilingual schools in the Netherlands reflect the literature on this topic, using a frame of reference developed for this purpose (Dale, Oostdam & Verspoor, 2017). Five FGs were held with TEBs and STs from Dutch schools in the network for bilingual education and with members of the network’s quality assurance panels. Each FG consisted of between three and six participants with a similar role in bilingual education; audit panel chairpersons, audit panel secretaries and STs and TEBs from different schools. Participants were asked to discuss what an ideal English teacher would do in English lessons and in cooperation with subject colleagues. Data consists of five transcripts of the FG discussions. On the basis of inductive and deductive analyses (using MaxQDA), the ideals of stakeholders are positioned in the framework to explore to what extent different types of stakeholders have complementary or conflicting views. The findings suggest that stakeholders need to develop more shared understandings and a shared language to allow TEBs to realise their ambitions. References Dale, L., Oostdam, R., & Verspoor, M. (2017). Searching for identity and focus: Towards an analytical framework for language teachers in bilingual education. International Journal of Bilingual Education and Bilingualism, doi:10.1080/13670050.2017.1383351

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English teachers in bilingual streams: in search of identity and focus

In CLIL contexts in the Netherlands, learners use the target language meaningfully in subject lessons parallel to English classes and English teachers are expected to co-operate with subject teacher colleagues. What does this mean for content and language in English lessons and for English teachers’ pedagogical and collaborative practices? For example, it has been suggested that Teachers of English in Bilingual streams (TEBs) may need to use different language teaching methodologies to mainstream English teachers. Coyle, Hood and Marsh (2010) suggest “the language needed in CLIL settings does not necessarily follow the same grammatical progression one would find in a language-learning setting.”(Coyle et al, 2010: 35) and that this has consequences for language teachers’ approaches to planning for CLIL learners; “It is not built on a grammatical model where progression focuses on a gradation of grammatical concepts, but incorporates grammatical progression from different perspectives.” (2010: 59)To explore the challenges facing TEBs, Dale, Oostdam and Verspoor (2017) reviewed the literature on language teachers in various forms of bilingual education. They found the literature referred to a wide variety and range of types and aspects of language, types of content, theories informing LTs’ pedagogical practices and issues for LTs’ collaborative practices. Even though there were no one-fits-all approaches to be found, a framework of possible choices to be made emerged. The framework presents a landscape for TEBs in four quadrants, based on the literature.This presentation will discuss this framework in the light of a subsequent qualitative study exploring idealisations of TEBs’ pedagogical and collaborative practices in the Netherlands. Focus group discussions were held with stakeholders in bilingual streams. These included members of quality assurance panels responsible for certification of bilingual schools, practising TEBs and subject teachers. On the basis of inductive and deductive analysis of the focus group transcripts, we will discuss the extent to which stakeholders’ ideals for TEBs reflect the literature. Coyle, D., Hood, P., & Marsh, D. (2010). Content and language integrated learning. Cambridge: Cambridge University Press.Dale,L. Oostdam, R., & Verspoor, L. (2017, submitted) Searching for Identity and Focus: Towards an analytical framework for language teachers in bilingual education Manuscript in preparation

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English teachers in bilingual streams: in search of identity and focus

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The importance of a near-native accent.

The importance of a near-native accent. This talk will discuss whether or not it is important for EFL-teachers to try and achieve a near-native generally accepted accent for their students. The focus will be on the credibility of non-native speakers of English while speaking English in a globalising world, with a heavy or mild foreign accent. These days and in the future more and more non-native speakers of English will communicate with each other in English. For a native speaker it is not that difficult to understand a non-native speaker speaking English with a lot of local or regional phonological interferences. For two non-native speakers of different origin, both speaking English with a mild or heavy accent, it might be more likely that confusion about what is being said occurs because of the foreign accent. Research (Shiri Lev-Ari &, Boaz Keysar, Why don't we believe non-native speakers? The influence of accent on credibility, 2010) proves that a near-native accent adds to the credibility of the speaker. In the Netherland most EFL-teachers were trained to speak English with an RP or GA accent. As soon as they start teaching students in secondary education they accept “World English” and most teachers do not pay a lot of attention to pronunciation mistakes made by their students, as long as they can get the message across. During the talk the audience will be asked how important they consider a near-native accent is, what mistakes they accept and don’t accept and in which way teaching pronunciation is an issue in their lessons. Some sound samples with typical mistakes the Dutch make while speaking English will be presented and discussed to see if the audience consider them to be confusing or not. Then a strategy, using phonetics as a tool, will be presented to help correcting a few typical mistakes. session type : talk (30 minutes) Audience; EFL teachers & teacher trainers

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English Language

No abstract - a group chapter with many authors

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Producten 1.507

All for one and one for all [Abstract]

From Flexible Assertive Community Treatment to collaborative mental health care in the community

THE ART OF SUCCESSFUL IMPLEMENTATION OF PSYCHOSOCIAL INTERVENTIONS IN RESIDENTIAL

Motivational Intervention through Literature Activities (MILA): an intervention to measure motivation in secondary school students based on the Motivational Self System

The integrated recovery Scales

Juggling ideals and constraints

English teachers in bilingual streams: in search of identity and focus

The importance of a near-native accent.

English Language

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Producten 1.507

All for one and one for all [Abstract]

From Flexible Assertive Community Treatment to collaborative mental health care in the community

THE ART OF SUCCESSFUL IMPLEMENTATION OF PSYCHOSOCIAL INTERVENTIONS IN RESIDENTIAL

Motivational Intervention through Literature Activities (MILA): an intervention to measure motivation in secondary school students based on the Motivational Self System

The integrated recovery Scales

Juggling ideals and constraints

English teachers in bilingual streams: in search of identity and focus

The importance of a near-native accent.

English Language