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Edited by
Masum Khwaja, Imperial College of Science, Technology and Medicine, London,Peter Tyrer, Imperial College of Science, Technology and Medicine, London
Since the 1950s, there has been a substantial shift from long-term institutional mental health (MH) care to community-based services. The introduction of specialist community-based teams and a 70 per cent reduction in MH beds in the UK since the late 1980s means that people with greater acuity of illness and complexity are being treated in the community. As a consequence, MH services are more likely to need to manage violent behaviour in the community. Within MH services, successful management of violence is predicated on a range of factors/interventions. These include management of specific conditions, most notably schizophrenia, personality disorder and substance misuse. Multidisciplinary team working, effective communication and collaboration across services play important roles, arguably more so than the service model. Key clinical risk factors for violence in mental illness, how to modify these risks in community MH services, different service models that may help achieve this, domestic violence and lone working are discussed. Liaison with the police, the role of AMHPs, MHA assessments, and law and guidance on personal safety in the community are also discussed. The criminal justice system has an important role in addressing violence, and there is mention also of the Code for Crown Prosecutors and MAPPA arrangements.
Motivated by disparities in gun violence, sharp increases in gun ownership, and a changing gun policy landscape, we conducted a nationally representative survey of U.S. adults (n=2,778) in 2021 to compare safety-related views of white, Black, and Hispanic gun owners and non-owners. Black gun owners were most aware of homicide disparities and least expecting of personal safety improvements from gun ownership or more permissive gun carrying. Non-owner views differed. Health equity and policy opportunities are discussed.
Fieldwork can be exciting, and even addictive, but it can also be daunting and dangerous. Fieldsites range from a tent to established research stations. You may be close to home, or on the other side of the world. National researchers may be just as foreign to a local area as non-national researchers. You may be in a familiar environment or in a very unfamiliar one. Fieldwork often involves sharing living space with other people, and with wildlife. In this chapter I begin with what it takes to be a fieldworker, then cover permissions and logistics, field kit, personal safety, the social context, LGBTQIA+ concerns, natural hazards, physical health, mental health, and returning home.
This chapter discusses reasonable safety measures for people with epilepsy to consider. Until recently, women with epilepsy have received little or no education on safely caring for a child. Many seizure-related injuries are preventable. It is important that women are aware of the steps they can take to reduce the risk of injury and how they can live safely with seizures. There are many different types of epilepsy. Some people need to make minor adjustments to their lives because of epilepsy, whereas others must make significant life changes. Maintaining personal safety is crucial for all women with epilepsy. For many, parenting and maintaining a household raise additional safety concerns. By working together with health-care professionals, women with epilepsy and their families can better understand their seizures, assess work and home situations, and make the adjustments necessary to manage epilepsy and lead an interesting and productive life.
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