We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Drug and alcohol users have been suggested to face disproportionate exclusion from mental health services, but data on any such exclusion are not readily available. This study examined the clinical records of those excluded from an NHS Talking Therapies service due to drug or alcohol use, focusing on (1) quantitative levels of alcohol consumption, and (2) the rationales documented by clinicians for excluding these individuals. Our results suggest that over half (57%) of those excluded due to alcohol use were consuming below the 15-unit daily threshold recommended for signposting to specialist alcohol assessment. Clinicians cited various rationales for exclusion, including the potential for poor treatment outcomes and health risks associated with concurrent use. Due to being based on a single service, these findings may be limited in their generalisability, but they offer an initial signal that there is potential over-exclusion of some alcohol users from NHS Talking Therapies, and that rationales for exclusion may not consistently align with best practice principles. We discuss implications for NHS Talking Therapies clinicians, and for the development of future clinical guidance.
Key learning aims
(1) To understand how different levels of drug or alcohol use may affect the outcomes of psychological therapy.
(2) To learn why individuals with drug or alcohol use experience exclusion from mental health services.
(3) To examine how clinical practice within an NHS Talking Therapies service aligns with best practice principles.
(4) To explore skills and clinical principles that can lead to optimal treatment planning for these individuals.
(5) To explore how integrated working between NHS Talking Therapies and local drug and alcohol services can enhance service-user experiences.
The Letters of Ernest Hemingway documents the life and creative development of a gifted artist and outsized personality whose work would both reflect and transform his times. Volume 2 (1923–1925) illuminates Hemingway's literary apprenticeship in the legendary milieu of expatriate Paris in the 1920s. We witness the development of his friendships with the likes of Sylvia Beach, F. Scott Fitzgerald, and John Dos Passos. Striving to 'make it new', he emerges from the tutelage of Ezra Pound and Gertrude Stein to forge a new style, gaining recognition as one of the most formidable talents of his generation. In this period, Hemingway publishes his first three books, including In Our Time (1925), and discovers a lifelong passion for Spain and the bullfight, quickly transforming his experiences into fiction as The Sun Also Rises (1926). The volume features many previously unpublished letters and a humorous sketch that was rejected by Vanity Fair.
Despite calls for better support to empower people when reassessing their housing in later life, two recent literature reviews highlight a paucity of research on the efficacy of such services. This article reports a qualitative realist evaluation on the efficacy of a UK telephone service providing information on specialist housing to older people. The findings of thirty-one realist interviews with sixteen older people are presented. Information-seekers’ existing tenure (social tenant or private owner-occupier/renter) shaped their experience and utilisation of support. Broadly, however, information was considered too ‘light touch’ to empower older people. However, the widely recognised lack of accessible housing options and reports of non-transparent and unresponsive market practices were also key factors. This study underlines the widely acknowledged need to increase the supply of specialist housing, and recommends that housing options support be reflective of market conditions and be more substantive – including discussion, deliberation, education and advocacy.
We reconcile two scaling laws that have been proposed in the literature for the slip length associated with a moving contact line in diffuse interface models, by demonstrating each to apply in a different regime of the ratio of the microscopic interfacial width $l$ and the macroscopic diffusive length $l_{D}=(M{\it\eta})^{1/2}$, where ${\it\eta}$ is the fluid viscosity and $M$ the mobility governing intermolecular diffusion. For small $l_{D}/l$ we find a diffuse interface regime in which the slip length scales as ${\it\xi}\sim (l_{D}l)^{1/2}$. For larger $l_{D}/l>1$ we find a sharp interface regime in which the slip length depends only on the diffusive length, ${\it\xi}\sim l_{D}\sim (M{\it\eta})^{1/2}$, and therefore only on the macroscopic variables ${\it\eta}$ and $M$, independent of the microscopic interfacial width $l$. We also give evidence that modifying the microscopic interfacial terms in the model’s free energy functional appears to affect the value of the slip length only in the diffuse interface regime, consistent with the slip length depending only on macroscopic variables in the sharp interface regime. Finally, we demonstrate the dependence of the dynamic contact angle on the capillary number to be in excellent agreement with the theoretical prediction of Cox (J. Fluid Mech., vol. 168, 1986, p. 169), provided we allow the slip length to be rescaled by a dimensionless prefactor. This prefactor appears to converge to unity in the sharp interface limit, but is smaller in the diffuse interface limit. The excellent agreement of results obtained using three independent numerical methods, across several decades of the relevant dimensionless variables, demonstrates our findings to be free of numerical artefacts.
So you didnt get the screed from Doc Johnston. We’re just down from the hut and find word that when the Secretary heard they were going to proposition you she decided she didnt have to quit and withdrew the resignation.
Bill showed me Linati's Il Corriere story. Congratulations on heading such a splendid movement. Where is Antheil? Thought he and you were joint leaders. Would like to see Il Convegno[ .]