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There has been little focus on autism and attention-deficit hyperactivity disorder (ADHD) in occupational groups, particularly in high-demand roles such as the police.
Aims
To describe the characteristics and experiences of UK-based police force employees who are autistic and/or have ADHD, including the benefits and challenges their conditions bring to their occupation, their need for reasonable adjustments, and their co-occurring mental illnesses.
Method
An online survey was developed, containing both quantitative and qualitative elements. Survey invitations were disseminated through the National Police Autism Association. The survey was open from 23 April to 23 July 2022.
Results
A total of 117 participants participated in the survey, including 66 who were autistic and 51 with ADHD. Participants who were autistic and/or had ADHD widely reported both benefits and challenges related to their condition(s) in policing work. Both the autistic and ADHD groups widely reported having requested workplace adjustments related to their condition(s), although these were frequently not made. Anxiety (n = 57; 49%) and depression (n = 40; 36%) were both highly prevalent among the participants.
The qualitative findings identified four themes: (a) motivations for taking on this career, (b) rewards of the role, (c) challenges of the job and (d) challenges regarding career progression.
Conclusions
Police force employees who are autistic and/or have ADHD reported that their conditions provided both benefits and challenges with respect to policing work, and that they had requested related workplace adjustments, although such adjustments frequently do not take place. Healthcare professionals need to recognise the importance of workplace considerations and advocacy for people who are autistic and/or have ADHD.
Communicating effectively with children is fundamental to educational practice. As children spend a significant amount of time in education settings, there is increasing pressure on educators to promote positive mental health and wellbeing, participate in prevention of mental ill health, and work with children diagnosed with existing mental health conditions. However, communicating about mental health, wellbeing, and emotional regulation with children, and generally supporting those with need, can be a challenge. Educators need a communication toolkit to help them build their confidence and competencies in engaging in sensitive and critically important conversations. To develop this toolkit, we spotlight the communication practices used by mental health practitioners in clinical settings, translating key messages for educators. In this chapter we show how question design is instrumental for engagement, and detail ways to manage the complex endeavour of asking children about emotions, feelings, and wellbeing. The data illustrate some of the discursive techniques used by adults when communicating with children about mental health and wellbeing, illustrating examples of good practice for educators. To demonstrate this, we utilize excerpts of data from the assessments data and translate clinical practice into educational knowledge.
The Tailored Activity Program (TAP) is an evidence-based occupational therapist-led intervention for people living with dementia and their care partners at home, developed in the USA. This study sought to understand its acceptability to people living with dementia, their care partners, and health professionals, and factors that might influence willingness to participate prior to its implementation in Australia.
Methods:
This study used qualitative descriptive methods. Semi-structured interviews were conducted with people living with dementia in the community (n = 4), their care partners (n = 13), and health professionals (n = 12). People living with dementia were asked about health professionals coming to their home to help them engage in activities they enjoy, whereas care partners’ and health professionals’ perspectives of TAP were sought, after it was described to them. Interviews were conducted face-to-face or via telephone. All interviews were recorded and transcribed. Framework analysis was used to identify key themes.
Results:
Analysis identified four key themes labelled: (i) TAP sounds like a good idea; (ii) the importance of enjoyable activities; (iii) benefits for care partners; and (iv) weighing things up. Findings suggest the broad, conditional acceptability of TAP from care partners and health professionals, who also recognised challenges to its use. People living with dementia expressed willingness to receive help to continue engaging in enjoyable activities, if offered.
Discussion:
While TAP appeared generally acceptable, a number of barriers were identified that must be considered prior to, and during its implementation. This study may inform implementation of non-pharmacological interventions more broadly.
The mental health assessment is a fundamental aspect of clinical practice and central to this is the use of questions.
Aims
To investigate the frequency and type of questions utilised within a child mental health assessment.
Method
The data consisted of 28 naturally occurring assessments from a UK child and adolescent mental health service. Data were analysed using quantitative and qualitative content analysis to determine frequencies and question type.
Results
Results indicated a total of 9086 questions in 41 h across the 28 clinical encounters. This equated to a mean of 3.7 questions per minute. Four types of questions were identified; yes–no interrogatives, wh-prefaced questions, declarative questions and tag questions.
Conclusions
The current format of questioning may impede the opportunity for families to fully express their particular concerns and this has implications for service delivery and training.
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