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152 p. ; 15 cm

Episode 66 of Let's Talk Social Work examines a subject which previously hasn't been explored on the podcast. The discussion focuses on self-neglect-what it is, the ways in which it affects people and how social workers can respond.We look at how the social work approach to supporting people who self-neglect has changed over the years, the duties placed on Local Authorities in relation to self-neglect by the Care Act and how these requirements must be balanced with each individual's human rights.Joining Andy McClenaghan to explore the topic are Lizzie Furber, Principal Social Worker with responsibility for Social Justice, Diversity & Strategy at DCC Interactive Ltd and Independent Social Worker, Lisa Barrett. Lisa runs the consultancy Clutter Free Living and is a Trainer with, and former Board member of, the Association of Professional Declutterers & Organisers. Hosted on Acast. See acast.com/privacy for more information.

The current study aims to explore the self-perceived risk of OSA, awareness of symptoms and help-seeking actions related to OSA among undergraduate medical students.

The self instructional text for Head Start personnel is designed to further refine and enhance the skills of staff members in learning to deal effectively with abuse and neglect problems. Following directions for using the text are units on the following areas: policy, background information, definitions, abusive and neglectful patterns, characteristics, reporting, treatment, and prevention. Stimulus and self-assessment quizzes are provided at the beginning and end of each unit. Appendixes include sources of additional information, suggestions for Head Start administrators on the use of the text, a reference guide for Head Start directors implementing Head Start policy instruction on child abuse and neglect, and suggested questions for determining agency compliance with Head Start policy instruction on child abuse and neglect. (SBH)

Research in elder self-neglect has lagged behind that of other forms of mistreatment, despite the fact that self-neglect is the most common allegation reported to Adult Protective Service agencies throughout the US. The lack of a gold-standard to measure self-neglect has hampered efforts to study this phenomenon. Researchers designed the Self-neglect Severity Scale (SSS) based on interviews with Adult Protective Service workers and a national expert panel. The SSS is based on observation and interview and is administered in the home to include an environmental assessment. It was piloted, extensively field tested and then revised. The CREST SSS was developed using survey data and consultation with experts in the field. This instrument utilizes observer ratings, interview responses, and assesses subjects physical and environmental domains. It also assesses functional status as it relates to health and safety issues. After field and pilot testing the SSS was finalized and is currently undergoing reliability and validity testing. The CREST SSS was developed as a state scale to provide a common language for describing cases of self-neglect. It is the first self-neglect severity scale available to researchers. If found to be both reliable and valid it can be used in future intervention studies.

This article is from JRSM Open , volume 5 . Abstract Wernicke–Korsakoff syndrome is a neuropsychiatric disorder resulting from thiamine deficiency and commonly associated with chronic alcoholism, but we describe the first case report resulting from self-neglect associated with depression.

Despite high mortality rates, elder self-neglect is characterized by refusal of medical and social interventions. To date there have been no tested clinical interventions in elders who self-neglect. Previous research from the TEAM Institute has shown significantly low vitamin D levels in this population. This study aimed to determine the feasibility of a clinical intervention. Replacement of vitamin D was chosen because of its ease of administration and favorable safety profile. Methods: A randomized clinical trial using directly observed therapy of vitamin D was conducted using 50 elders, >65 years of age, with Adult Protective Services (APS) validated self-neglect. A staggered intervention with waiting controls was used to maximize statistical power. One-third (n=17) of the group was administered 50,000 IU vitamin D2 (ergocalciferol) monthly and the remainder (n=33) were administered 400 IU monthly. Serum 25-OH vitamin D was assessed at baseline and 5-months. Results: 69% agreed to participate in the study and of those n=40 (80%) remained at 5-months. At baseline, 12% (n=7) were deficient in vitamin D (<30nmol/L) and approximately 38% (n=22) had inadequate vitamin D levels (<50nmol/L). The baseline 25-OH vitamin D level was 59 nmol/L +25 (mean SD), and increased significantly to 72nmol/L +21 nmol/L at 5-months. Conclusion: These data are the first to provide evidence that clinical interventions are feasible in elders who self-neglect. The increase in vitamin D levels confirmed that the study personnel were able to successfully intervene community-dwelling elders with self-neglect. This study sets the precedent for future intervention and prevention studies

Despite high mortality rates, elder self-neglect is characterized by refusal of medical and social interventions. To date there have been no tested clinical interventions in elders who self-neglect. Previous research from the TEAM Institute has shown significantly low vitamin D levels in this population. This study aimed to determine the feasibility of a clinical intervention. Replacement of vitamin D was chosen because of its ease of administration and favorable safety profile. Methods: A randomized clinical trial using directly observed therapy of vitamin D was conducted using 50 elders, >65 years of age, with Adult Protective Services (APS) validated self-neglect. A staggered intervention with waiting controls was used to maximize statistical power. One-third (n=17) of the group was administered 50,000 IU vitamin D2 (ergocalciferol) monthly and the remainder (n=33) were administered 400 IU monthly. Serum 25-OH vitamin D was assessed at baseline and 5-months. Results: 69% agreed to participate in the study and of those n=40 (80%) remained at 5-months. At baseline, 12% (n=7) were deficient in vitamin D (<30nmol/L) and approximately 38% (n=22) had inadequate vitamin D levels (<50nmol/L). The baseline 25-OH vitamin D level was 59 nmol/L +25 (mean SD), and increased significantly to 72nmol/L +21 nmol/L at 5-months. Conclusion: These data are the first to provide evidence that clinical interventions are feasible in elders who self-neglect. The increase in vitamin D levels confirmed that the study personnel were able to successfully intervene community-dwelling elders with self-neglect. This study sets the precedent for future intervention and prevention studies

Despite high mortality rates, elder self-neglect is characterized by refusal of medical and social interventions. To date there have been no tested clinical interventions in elders who self-neglect. Previous research from the TEAM Institute has shown significantly low vitamin D levels in this population. This study aimed to determine the feasibility of a clinical intervention. Replacement of vitamin D was chosen because of its ease of administration and favorable safety profile. Methods: A randomized clinical trial using directly observed therapy of vitamin D was conducted using 50 elders, >65 years of age, with Adult Protective Services (APS) validated self-neglect. A staggered intervention with waiting controls was used to maximize statistical power. One-third (n=17) of the group was administered 50,000 IU vitamin D2 (ergocalciferol) monthly and the remainder (n=33) were administered 400 IU monthly. Serum 25-OH vitamin D was assessed at baseline and 5-months. Results: 69% agreed to participate in the study and of those n=40 (80%) remained at 5-months. At baseline, 12% (n=7) were deficient in vitamin D (<30nmol/L) and approximately 38% (n=22) had inadequate vitamin D levels (<50nmol/L). The baseline 25-OH vitamin D level was 59 nmol/L +25 (mean SD), and increased significantly to 72nmol/L +21 nmol/L at 5-months. Conclusion: These data are the first to provide evidence that clinical interventions are feasible in elders who self-neglect. The increase in vitamin D levels confirmed that the study personnel were able to successfully intervene community-dwelling elders with self-neglect. This study sets the precedent for future intervention and prevention studies

Despite high mortality rates, elder self-neglect is characterized by refusal of medical and social interventions. To date there have been no tested clinical interventions in elders who self-neglect. Previous research from the TEAM Institute has shown significantly low vitamin D levels in this population. This study aimed to determine the feasibility of a clinical intervention. Replacement of vitamin D was chosen because of its ease of administration and favorable safety profile. Methods: A randomized clinical trial using directly observed therapy of vitamin D was conducted using 50 elders, >65 years of age, with Adult Protective Services (APS) validated self-neglect. A staggered intervention with waiting controls was used to maximize statistical power. One-third (n=17) of the group was administered 50,000 IU vitamin D2 (ergocalciferol) monthly and the remainder (n=33) were administered 400 IU monthly. Serum 25-OH vitamin D was assessed at baseline and 5-months. Results: 69% agreed to participate in the study and of those n=40 (80%) remained at 5-months. At baseline, 12% (n=7) were deficient in vitamin D (<30nmol/L) and approximately 38% (n=22) had inadequate vitamin D levels (<50nmol/L). The baseline 25-OH vitamin D level was 59 nmol/L +25 (mean SD), and increased significantly to 72nmol/L +21 nmol/L at 5-months. Conclusion: These data are the first to provide evidence that clinical interventions are feasible in elders who self-neglect. The increase in vitamin D levels confirmed that the study personnel were able to successfully intervene community-dwelling elders with self-neglect. This study sets the precedent for future intervention and prevention studies

A poor boy discovers the value of honesty and industry. More than that, he discovers the value of his relationship with God. (Introduction by Robert Harder)

LibriVox volunteers bring you 12 recordings of The Demon of the Gibbet by Fitz-James O'Brien. This was the Fortnightly Poetry project for February 10, 2013.<br><br>Fitz James O'Brien was an Irish-born American writer, some of whose work is often considered a forerunner of today's science fiction. After emigrating to the United States in 1852 he contributed numerous articles in prose and verse to Harpers Magazine, Vanity Fair and Atlantic Monthly. He died IN April 1862 from severe wounds suffered in the American Civil War. (Summary from Wikipedia)

3Outwitting The Hun; My Escape From A German Prison Camp

By Pat O'Brien

A true war narrative, published in 1918 while WWI was still going on. (Summary by David Wales)

4Handbook of Home Rule: Being Articles on the Irish Question

By James Bryce, William Ewart Gladstone, Edwin Lawrence Godkin, Malcolm MacColl, John Morley, Richard Barry O'Brien and Henry Thring

The issue of Irish home rule was the dominant political question of British and Irish politics in the late 1800s to early 1900s. Published in 1887, this work contains articles in favour of the measure. (Irish home rule was finally approved in 1914 but implementation was suspended until after WWI.)<br> "The object of the writers has been to treat the difficult questions connected with the Government of Ireland in a dispassionate spirit; and the volume is offered to the public in the hope that it may, at a time of warm controversy over passing events, help to lead thoughtful men back to the consideration of the principles which underlie those questions, and which it seeks to elucidate by calm discussion and by references to history." (Summary by TriciaG & from Editor's Note)

5Great Ghost Stories

By Edward Bulwer-Lytton, Amelia Ann Blanford Edwards, Joseph Lewis French, Théophile Gautier, Thomas Hardy, E. T. A. Hoffmann, M. R. James, Frederick Marryat, Fitz-James O'Brien, Margaret O. Oliphant, Sir Arthur Thomas Quiller-Couch and William Sharp

A great collection of 12 classic stories about ghosts and the supernatural. Included are stories by Thomas Hardy, Fitz-James O'Brien, and Margaret Oliphant. Recommended for fans of classic ghost stories of yesteryear. - Summary by Phyllis Vincelli

Irish-born author Fitz-James O'Brien is a underrated genius of weird fiction, serving as the missing link between Edgar Allan Poe and later purveyors of the form like Algernon Blackwood, Ambrose Bierce and Arthur Machen. This collection contains several of O'Brien's most well-known weird tales including "The Diamond Lens" (a seance, a murder and a world beneath a microscope!) and "What Was It?" (an invisible murderous creature that predates Wells' The Invisible Man and Ambrose Bierce's "The Damned Thing"), both stories taking a scientific approach to the fantastical and supernatural. Also included are stories like the bizarre killer puppets of "The Wondersmith", the spacial legerdemain of "The Lost Room", a mystery from beyond the grave with "A Pot of Tulips", an exotic and fantastical tale of the Orient with "The Dragon Fang" and several others that illustrate the sheer talent and imagination of a near forgotten master of the weird. (Summary by Ben Tucker)

7Liberation: Marines in the Recapture of Guam

By Cyril J. O'Brien

Guam became a territorial possession of the United States with the signing of the Treaty of Paris in 1899, ending the Spanish-American War. Earlier, on 21 June 1898, First Lieutenant John Twiggs “Handsome Jack” Myers had led a party of Marines ashore from the protected cruiser Charleston to accept the surrender of the Spanish authorities. Thus began a long Marine presence on Guam. The island, southernmost of the Marianas chain, was discovered by Ferdinand Magellan in 1521, but not occupied until 1688 when a small mission was established there by a Spanish priest and soldiers. When control of the rest of the Mariana Islands was given to Japan as a mandate power in 1919, Guam became an isolated and highly vulnerable American outpost in a Japanese sea. This American territory, 35 miles long, nine miles at its widest and four at its narrowest, shaped like a peanut fell quickly and easily in the early morning of 10 December 1941. With the opening of a two-hour, ever-increasing bombardment by six battleships, nine cruisers, a host of destroyers and rocket ships, laying their wrath on the wrinkled black hills, rice paddies, cliffs, and caves that faced the attacking fleet on the west side of the island, liberation day for Guam began at 0530, 21 July 1944. - Summary by Cyril J. O’Brien