Skip to main content Accessibility help

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.

Close cookie message
×
  1. Home
  2. Search

Refine search

Refine search

Access:
Content type:
Publication date:
Apply   From and To filters
Subject: Show more
Journals Show more
Publishers: Show more
Societies Show more
Series: Show more
Collections: Show more

Actions for selected content:

Select all | Deselect all
  • View selected items
  • Export citations
  • Download PDF (zip)
  • Save to Kindle
  • Save to Dropbox
  • Save to Google Drive

Save Search

You can save your searches here and later view and run them again in "My saved searches".

Please provide a title, maximum of 40 characters.
Cancel
×

2 results

  • SERVICE INNOVATION (SOUL PROGRAMME) - Charitable home-based outreach service for treatment of schizophrenia in Larkano, Pakistan: development, implementation and 10 year outcomes

  • S.S. Afghan, B. Junejo, G. Soomro, F. Soomro, R. Wagan, R. Faruqui
  • Journal:
    European Psychiatry / Volume 65 / Issue S1 / June 2022
    Published online by Cambridge University Press:
    01 September 2022, pp. S101-S102
    • Article
      • You have access
      • Open access
    • PDF
    • Export citation
  • Introduction

    There is a huge resource gap in mental health service provision & service utilisation in LAMIC including Pakistan. SOUL Programme has been established in the City of Larkana, on charitable donations, which utilises principles of home-based outreach and produces clinical and functional outcomes.

    Objectives

    SOUL programme focuses on collaborative working with patients & families. The objectives include recognition, treatment, family education & psychosocial support to maximize clinical, functional & occupational outcomes.

    Methods

    Single cohort intervention (patients recruited on continual basis over time) with innovative service structure and culturally relevant open label intervention design developed with local academic psychiatric unit in Larkano, Pakistan. Training was provided to local mental health professionals on diagnosis, delivering care & use of recognized clinical outcome measures.

    Results

    We have recruited a cohort of 160 patients on continual basis over time. Our analysis show a higher BPRS and lower GAF ratings for men in comparison to female cohort at the baseline. Our Ten year follow up has demonstrated statistically significant clinical / functional improvement on BPRS, CGI & GAF measures. The mean differences recorded for the individual measures after 12 months were BPRS, CGI-I and GAF and were all statistically significant. Innovative home-based community mental health intervention shows significant improvements in clinical and functional outcomes (with good effect size).

    Conclusions

    SOUL Programme is a highly effective and cost-efficient intervention model for treatment of schizophrenia in a developing country setting. Our 10 year follow up study confirms the feasibility of this intervention model through close working with families of our patients.

    Disclosure

    No significant relationships.

  • 7 - Private Purpose Trusts

  • Judith Bray, University of Buckingham
  • Book:
    A Student's Guide to Equity and Trusts
    Published online:
    11 September 2020
    Print publication:
    27 August 2020, pp 102-112

  • Summary

    One of the key rules of trusts is that there must be ascertainable beneficiaries so a trust for a purpose may fail because the objects are uncertain. There are some limited exceptions which allow purpose trusts to be upheld. These are examined in this chapter. The first group are the anomalous exceptions which include trusts for specific animals. Trusts for animals as a group will be charitable but only if they fulfil the public benefit rule. A trust to erect and maintain a monument has usually been upheld but only where it complies with the perpetuity period. Following the case of re Denley where a trust appears to be for a purpose it may be upheld if there are hidden beneficiaries. In some circumstances an unincorporated association can form an exception to the beneficiary principle. There is a possible solution to the problems created by purpose trusts which is to use an enforcer or protector trust. The chapter discusses how these have been adopted in countries such as the Bahamas and the Channel Islands. It also considers the problem of who enforces against the enforcer of a purpose trust since the enforcer has no interest in the trust property.