Title: Community Psychology for Applied Psychologists:
1Community Psychology for Applied
Psychologists
- Working Alongside Marginalised/Excluded/Disadvanta
ged Communities - Facilitators Dr Ho Law and Dr Glenn Williams
- With input from Community Psychology Section
Committee members
2Agenda
- Speaker and delegate introductions
- Sessions
- Introduction to Community Psychology
- Ecology, Prevention and Promotion
- Community Psychology - Research and Action
- Community and Organizational Change
- Applying these Principles and Practices in your
Work
3Profile of Expertise/Experience Dr Ho Law PhD
CPsychol CSci FCMI MSCP(Accred) AFBPsS FRSM
- Founding Committee Member of Community Psychology
Section (Honorary Treasurer) http//cps.bps.org.uk
/ - Registered Psychologist, Chartered Psychologist,
Chartered Scientist, a Fellow of the Royal
Society of Medicine, an international
practitioner in coaching psychology and
psychotherapy. - Chair (2010) of the British Psychological
Societys (BPS) Special Group in Coaching
Psychology. http//www.sgcp.org.uk/ - Chair (2013-14) BPS Psychotherapy Section
http//ps.bps.org.uk - President, Empsy Network. http//www.empsy-networ
k.co.uk/ - Founder Director, International Society for
Coaching Psychology http//www.isfcp.net/ - Senior Lecturer, Programme Leader in Coaching
Psychology, University of East London (UEL), UK.
http//www.uel.ac.uk/psychology/staff/hochunglaw/
- Visiting professor, Lisbon University, Portugal.
- Visiting psychologist, School of Nursing, Hong
Kong Sanatorium Hospital (HKSH). - Current research Compassion in healthcare
practice. - Achievement awards Local Promoters for Cultural
Diversity Project (2003), the Positive Image
(2004), - the first Student Led Teaching Award (UEL 2013) -
Best Supervisor. http//youtu.be/MDVVbdhSEuw
Email drholaw_at_gmail.com
Or law2_at_uel.ac.uk
4Profile of Expertise/Experience Dr Glenn
Williams
- Heavily involved with Community Psychology
research and practice developments in the UK and
abroad - Committee member of the BPS Community Psychology
Section since 2010. - Member of the Society for Community Research and
Action. - Member of the European Community Psychology
Association. - External Examiner for BA (Hons.) Counselling and
Psychology in Community Settings (Leeds Met
University Regional Network).
- Received PhD in Psychology in 2003 Studied
organisational change, personality, well-being
and stress. - Has worked in the NHS as a researcher from 1995
to 2001. - Has delivered Psychology teaching since 2001 to
nursing/other health professionals and to
psychology students - Author of 90 books, book chapters, journal
articles, conference papers, and commissioned
reports.
5Delegate introductions Group Work
- Delegates divide into groups of 4 or 5.
- Introduce briefly to each other their name and
what they do. - Discuss amongst yourself and agree on one example
of the work from the group as the most
representative application of psychology in
communities.
6Ground rules participants are requested to
- Understand the question.
- Use your groups chosen examples to illustrate
the understanding of the questions in the later
exercises. - Ensure understanding of the others viewpoints
during the discussion. - Use common sense everyday experience.
- Use imagination to step into the examples under
debate. - Refrain from book citing.
- A volunteer to take note to summarise the key
points and report back to the plenary
7Community Psychology for Applied
Psychologists
- Session 1
- Introducing Community Psychology
- with
- Dr Glenn Williams and Dr Ho Law
8Introduction to Community Psychology - Overview
- What is community psychology?
- Origins of community psychology
- Core values of community psychology
- What do community psychologists do?
9What is Community Psychology?
- Its primary focus is on understanding, and
working with, people in their wider social
context beyond seeing them purely as individuals - Acknowledges role of systems that exist around
people relating to place, history, and culture
that affect peoples well-being and behaviour - It uses a multi-layered focus (Nelson
Prilleltensky, 2010) with analysis of - micro-systems (e.g. a family or social network),
- meso-systems (i.e. links between micro-systems
such as between home and school or relationships
between work and home) and - macro-systems (e.g. social norms, economic
systems and policies).
10Origins of Community Psychology (CP) in UK 1
- Relatively new as an organised discipline in UK
Psychology - One of the forerunners was from Europe
- Marie Jahoda and colleagues studied an unemployed
community, Marienthal, Austria in 1930s. Their
conclusion negative impacts best understood
at the community, rather than the individual,
level (Jahoda,1983) - Jahoda was responsible for an important
pioneering psychological study of a community in
Wales. - Jahoda became 1st woman professor at Sussex
University and founded a version of Social
Psychology closely related to community
psychology.
11Origins of Community Psychology (CP) in UK 2
- Fast forward a few decades Roots of CP was in
applied social psychology, mental health work,
and clinical psychology. - Journal of Community and Applied Social
Psychology launched in 1991 and co-edited by
Orford. - Textbook on Community Psychology produced in
1992. - CP conferences held in the UK from the 1990s
onwards. - Strong tradition of critical psychology
influencing CP. E.g. Prof. Ian Parker and Erica
Burman. - MMU integrates critical psychology and CP
together as part of their undergraduate
programmes. - Growing links between health psychology and CP
Michael Murray, David Marks and Carla Willig. - For a fuller overview, see http//tinyurl.com/eop
6x
12Some Key People in UK Community Psychology
- Prof. Jim Orford
- Prof. Carolyn Kagan
- Prof. Jacqueline Akhurst
13Some of the Initial Aims of the Section
- To get a better understanding of the multiple
factors (e.g. social, economic, political and
environmental) that cause or perpetuate
psychological problems in order for preventative
strategies to be developed and put in place - To develop partnerships, where local knowledge of
participants is valued as equal to expert
knowledge, and professional skills are used
collaboratively - To collect evidence of the impact of
community-based interventions - To undertake forms of inclusive, participatory
action research (and other more progressive
research forms) - To engage, and influence, policy makers.
- For progress on this, see http//cps.bps.org.uk
14Core Values of Community Psychology
- Placing people in their social contexts
- Includes central concepts of
- Power (Disempowerment..Empowerment)
- Social inclusion (Marginalisation..Inclusivity)
- Involves working collaboratively with others
- Uses a plurality of research development
methods (e.g. participatory action research) - More critical community psychological approaches
challenge the status quo
156 Rs Ethical Principles to guide Community
Psychology Research and Practice
http//www.isfcp.net/ethics.htm
- Rights
- Respect
- Recognition
- Relationship
- Representation
- Responsibility
16What do community psychologists do?
- They see social exclusion, marginalisation,
powerlessness and oppression as having major
impacts on health and well-being. - Lack of power and oppression due to inequalities
(e.g. rooted in social class, gender, sexual
orientation and ethnicity) - states of learned helplessness, conformity,
self-blame and worthlessness - downward spirals in well-being and ill-health
(Prilleltensky, 2003). - Community psychology research and interventions
attempt to change these influences and systems. - Community psychologists pursue social justice,
liberation, and act as advocates for the
marginalised and the oppressed. - Examples of research debt (Akhurst, 2011),
gambling (e.g. Orford, 2010), climate change
(e.g. Burton, 2009) disabilities (e.g. Kagan, et
al., 1999) and physical and mental health (e.g.
Lovell, et al., 2011).
17Questions For Discussion
- What is community?
- What does community mean to you?
- Are you part of a community? If so, which ones?
- Are the communities that you belong to tied into
a place/an ethnic group/a religion or something
else? - What made you part of that community? Did you
get much of a choice?
18Community Psychology for Applied
Psychologists
- Session 2
- Ecology, Prevention and Promotion
- with
- Dr Glenn Williams and Dr Ho Law
19Ecology, Prevention and Promotion- Overview
- The Ecological Metaphor
- Prevention primary, secondary and tertiary
approaches - Promoting healthy lifestyles and choices
- Working together on a prevention/promotion
project relevant to your work practice or
research interests
20The Ecological Metaphor
- Interdependence (e.g. micro-, meso-,
macro-levels) - Cycling of Resources (e.g. having sustainable
social support systems both formally and
informally) - Adaptation (e.g. coping with changes to the
eco-system such as cuts to funding of essential
services) - Succession (e.g. having a long-term perspective
evolutions to available social systems and
networks of support)
Nelson Prilleltensky (2010)
21Different Levels of Focus for Prevention
- Primary aims to reduce incidence of new cases
of a disorder (i.e. the number of new cases in a
specified population at a given time) - Secondary aims to detect disorder and to give
treatment at early stage. Ideally, the goal will
be to reduce the prevalence of a disorder (i.e.
number of active cases at a particular point in
time) - Tertiary aims to reduce the chances of disorder
developing into disability/handicap
From Orford (1992)
22Other Ways of Seeing Prevention
Increasing levels of focus Bloom (1968), Heller (1984) Public Health-related (e.g. Robertson, 1986) Ecology (Bronfenbrenner, 1979)
1. Community-wide (focused on whole community) 1. Host (e.g. person infected) 1. Micro-level (e.g. family, workplace, school)
2. Milestone (those passing a developmental milestone 2. Agent (e.g. vehicle for transmitting disorder/disease) 2. Meso-level (e.g. interfaces between home and school, between home and work)
3. High-risk 3. Environment (e.g. noxious circumstances) 3. Macro-level (e.g. societal norms, legislation)
Continued from Orford (1992)
23Why Primary Prevention Matters
- Secondary
- Requires early diagnosis and treatment
- Relatively mechanistic and based on biomedical
model - Fits the linear model that underpins conventional
health care systems - Some interventions based on this approach may
repair one part of the body but might still upset
rest of the system
- Primary
- Promotes healthy lifestyles
- Does not need a condition to be diagnosed or
understood to have an intervention for it (e.g.
John Snows work on cholera prevention in London
in 1854) - Based on an outcomes model treats the person,
not the disease - Interventions typically involve behavioural (e.g.
exercise, diet) or policy changes (e.g.
sanitation, pollution control)
From Kaplan (2000)
24Focus Reference/s Compared with Cost/QALY
Secondary Prevention
Mammography Women aged 40-49 Eddy, 1989 Salzmann et al. 1997 No mammography Ranges from 150,000 to 240,000
PSA screening for men 60-70 yrs Krahn et al., 1994 No screening Screening causes reductions
Primary prevention
Daytime use of running lights in automobiles Williams Lancaster, 1995 No use of lights lt 0
Tobacco restrictions for minors Graham et al., 1998 No restrictions lt 1,000
Continued from Kaplan (2000)
25Promotion and Communicating the Message Lessons
from Research
- Messages should not be laden with statistics - be
colourful and memorable - The communicator needs to be expert, trustworthy
and likeable - Strong arguments to be put at beginning or end of
communication - The message should have a clearly defined course
of action
- For messages emphasising uptake of screening,
suggestions of problems arising from no screening
will be effective - Audience receptivity to changing habits
- Audience receptive - state only good points of
message. - Audience undecided - discuss both sides
From Daniel OKeefe (2002)
26Promotion Issues to Consider
- To whom is the message being promoted?
- Is this an effort at primary, secondary or
tertiary prevention? - What other elements of prevention are being
tackled? Any of the following - Community-wide
- Milestone-based areas of focus (e.g. passing a
life milestone) - High-risk (e.g. those particularly at high risk)
- Micro-level (e.g. in a family or workplace)
- Meso-level (e.g. interactions between home and
school micro-systems, or between home and work) - Macro-level (e.g. prevailing attitudes and norms,
current laws or policies)
27Group Work
- What risks to health and well-being can you
identify for a target group relevant to your
groups practice or research interests? - What prevention strategies could you use to
target these risks? - What promotion methods might work well for your
target group, and why?
28Community Psychology for Applied
Psychologists
- Session 3
- Community Psychology Research and Action
- with
- Dr Ho Law and Dr Glenn Williams
29Overview
- 3 main paradigms in community psychology
research - Post-positivist
- Constructivist
- Transformative
- Examples of community psychology research
- Designing research and action for your chosen
target group group activity
30Three Paradigms for Community Research
- Outlined in Williams Zlotowitz (2013)
- Positivist/Post-Positivist came from logical
positivism with its emphasis on one external
reality/truth - Constructivist sees reality as being relatively
shaped by peoples perceptions of their worlds
and that there can be many truths (e.g. see
post-modernist approaches to inquiry) - Transformative developed from Marxist and
critical theorist approaches to social phenomena
emphasis is on external reality that has been
historically shaped by social, cultural,
political, gendered, economic and ethno-racial
factors. Based on assumption of inequalities
being present and there being dominant/subordinate
groups
31Focus of research Post-Positivist Constructivist Transformative
Analytic Mainly quant. Methods (surveys, epidemiological data, quasi-experiments, case-control, cohort studies) Mainly qual. methods (grounded theory, discourse analysis, case studies) Quant./Qual. methods used. Highly participatory. Partners with those in a disempowered and marginalised community
Activist/ Interventionist Focuses on programme evaluations, cost-effectiveness, outcomes Also analyses programme data, archival information, minutes of meetings, observations, publicity material Defines problems and intervenes in partnership with the disadvantaged community
32The Transformative Paradigm
- Ontology Rooted in German critical theory,
feminism, Marxism and strives for social justice
and change. Proposes an external reality (like
post-positivism). Unlike p-p, this reality is
based on shared social histories where
inequalities and misuse of power are salient. - Epistemology Inter-relationships between
researcher and researched. The researcher is
working in solidarity with the oppressed and
marginalised. Important to acknowledge and
reflect on this dynamic. - Axiology Has a moral and political stance
underpinning the research. Has values of
justice, respect for diversity, inclusivity,
empowerment, and accountability to those being
oppressed (6Rs). - Methodology Reflexive and critical. Uses
participatory and action-oriented methods.
Disadvantaged people are included in the setting
for the research agenda and in the executing of
the study and the dissemination of findings and
deciding what to do afterwards.
33An example Stories of Hopes A narrative
practice in wider communities
- Dr Ho Law Naomi Mwasambili
- With input from Valeria Sterzi Jenny Gordon
34Aims of the project
- UEL Make It Global (MIG) project which aims to
support 250 women-led, small and medium
enterprises (SMEs) in London, to increase their
confidence and awareness of the benefits to
internationalise. - The scheme aims to
- 1) increase peer coaching resources in Southwark
- 2) get customer feedback and
- 3) enable peer coaches to successfully carry out
placements within their community. - The research aims to assess the effectiveness of
a six-week community based peer coaching training
scheme provided by Community Therapies and
Training Service (CTTS) using narrative method. - The approach aims to help participants to improve
their personal development, self-reflection and
general functioning.
35Context
C
E
CTTS
MIG
W
T
A2
B
W
A1
W
D2
D1
36Narrative approaches and practices
37Meso - levelpsychological foundation
38Narrative techniques
- Externalising Conversations (11)
- Re-membering/Re-Authoring (11)
- Outsider Witness Re-telling (11n)
- Definitional ceremony (Community) - Retellings of
retellings.
39Working in Groups
40Instructions for observer/listener outsider
witness
Activity - group Listen Make note
41Case studies
- Identify
- The problem
- The goal, hopes and dreams
- How community psychology may help
42Group activity/Homework Re-designing a
community psychology research and action project
for your target group (designing a new one if you
wish)
- Identify
- The problem
- The goal, hopes and dreams
- How will your intervention help
43Community Psychology for Applied
Psychologists
- Session 4
- Developing Effective Organisational and Community
Change - with
- Dr Ho Law and Dr Glenn Williams
44Overview
- Resistance to change
- Using Appreciative Inquiry to effect change
- Steps for organisational/community change
- Considering strategies for organisational change
in your groups by using your same target group
from Sessions 2 3
45Resistance May be Good for You
- Foucault (1976) where there is power, there is
resistance (p.95). - The oppressed may be fighting for their rights
through resistance. - We need to distinguish between (a) the
disempowered having their resources taken away
through the change versus (b) the powerful having
the status quo (and their status) being placed
under threat through this change. - Those with a vested interest in the status quo
often mount an attack on the methodology of a
change or evaluation because they do not like
the challenging work that the group is doing.
It is often easier to attack the method than to
attack the sense making that the collaborative
inquiry is doing (Burns, 2007 as cited by
Kagan, et al., 2011).
46Case Study of How to Deal With Resistance
- Advocating for the leisure participation of
people with learning difficulties - One of the local service managers was hostile to
the project, arguing that slow, person-centred
ways of working would lead to little change and
be a waste of public money. We invited him to
join the management group of the project. - Although his criticisms were still voiced, he
could not stop his staff cooperating with a
project of which he was part. He was also
exposed to some of the exciting changes that were
achieved. Within 3 years he had mainstreamed
many of the ideas of the project and they
became part of the serviceFar from continuing to
resist, he ended up embracing the practices and
had also brought a different set of skills and
knowledge to the project (Kagan et al., 2011
p.289)
47Other Considerations about Change (Kagan, et
al., 2011)
- It is effective when owned by those affected by
the change. - Change doesnt always happen straight away in the
area where the intervention is focused. - Work done by community psychologists to effect
change is only one element of what is going on in
an organisation at any one time. Many social
patterns occurring at the same time in the same
environment. - People affected by the change may not have the
perspective at the time to be able to give
effective feedback on the impact of the change. - Community psychologists have a privileged
position of being on the fringes and
occasionally on the inside in helping to bring
about the change. There is a tension,
howeverStakeholders may be suspicious about
whose interests are really being represented in
helping to effect and evaluate the changes.
48Example of Effecting Individual Change
Feedforward
- Based on Appreciative Inquiry (AI) (Cooperrider
Srivasta, 1987) - 3-phase appreciative interview
- Get a narrative from the person on when s/he was
at his or her best - What were the conditions that brought out the
best in that person? - Look at the emotions experienced when reaching
end of narrative - To what degree do your plans for the immediate
future take you closer to, or further away from,
the conditions that allowed you to be at your
best?
49Appreciative Inquiry (AI) as a Way Forward for
Organisations (Robbins, 2003)
Most Organisation Development approaches are
problem-centred. Identifies a problem and aims
to come up with solution. AI identifies unique
qualities and strengths of an organisation to
build on to improve performance.
- Four-step AI process (large group meeting usually
over 2-3 day period) - Discovery (what people think are the strengths of
the organisation) - Dreaming (info from Discovery is used to envisage
possible futures for the organisation) - Design (based on the articulation of the Dreaming
stage, participants find a common vision for what
the organisation will look like) - Destiny (discussion on how the organisation will
fulfil this dream).
50Other Methods of Tracking Change Stages of
Change (Prochaska et al., 2008)
Maintenance
Action
Preparation
Contemplation
Precontemplation
51Steps for Organisational Change 1(adapted from
Nelson Prilleltensky, 2010)
Steps Aim People Tasks Who will do it? When to do it?
1. Pre-cont. Create awareness Allies to the change Inform others Choose effective people Decide on right time to sensitise
2. Contemp. Create need for change Allies and possible allies Look for specific problems and spread information Credible people in organisation Have time to create momentum for change
3. Prep. Specific goals and areas to be changed Those with influence and credibility Get data about problem and devise plan Internal or external consultants Have clear timetable for prep. phase
52Steps for Organisational Change 2(adapted from
Nelson Prilleltensky, 2010)
Steps Aim People Tasks Who will do it? When to do it?
Action Do the most effective interventions first Everyone affected by the proposed change Many tasks linked to the changes Involve multiple agents of change Decide ahead of time on this. Too much time lag will reduce credibility of change
Maint. Put in place systems to sustain the change Everyone affected by the change Have activities to institutionalise the change As many people as possible Have change-sustainingactivities at regular intervals
53Group Activity Designing community-level or
organisational change for your target group
- Effecting Change by Using your Groups Scenarios
- Have a think about your target group that you
focused on in Sessions 2 and 3. - Think about macro-, meso- and micro-level focused
interventions that you could recommend. - Now, aim to see if you can draw from the content
of todays session to bring about successful
change. - Who would you get involved in the change? How
would you get the key stakeholders involved?
54Community Psychology for Applied
Psychologists
- Session 5
- Incorporating Community Psychology Principles and
Evaluative Practices in your Work - with
- Dr Ho Law and Dr Glenn Williams
55Overview
- A case study of evaluation within a social
enterprise and wider communities - Evaluation at meso/macro level using multi-level
modelling - Considering strategies for evaluation in your
groups by using your same target group from
Session 4.
56An evaluation model
Qualitative
quantitative
- Evaluation methodology (Law, 2013)
57Responsive Evaluation qualitative method
Robert Stake (1975)
- Assumptions and the process
- Focus on issues that are important to
stakeholders (not objectives or hypotheses). - Use the identified issues to drive the
information (data) gathering process. - Regard human observers as the best instruments
for the data collection. - Obtain information from diverse (different,
independent and credible) sources.
(Green Abma, 2001)
58Responsive Evaluation qualitative method
- Social Constructionism, - multiple realities
constructed by social interactions - context-bonded
- Pragmatic method let the design emerge from the
on-going process. Thus suitable for evaluating
community-based interventions e.g. using AI or
action research - may be embedded in other research methods such as
ethnography or even quantitative method (as mixed
design) for triangulation. - Users are free to decide whether the results are
transferable to different contexts, as the
subject-object relation is blurred (Abma, 2005).
(Green Abma, 2001)
59Impact evaluation quantitative design
Research question What is the effect/impact of
an intervention? Input/process/output - e.g.
coaching/mentoring/counselling/ training Outcome
- e.g. performance/ wellbeing Measurement e.g.
scores.
60Questionnaire
- UIF SAQ
- Measure personal, social, cultural and
professional competence - http//www.uelpsychology.org/csc/
- Recovery-Stress SAQ Questionnaire (Kellmann
Kallus, 2001) - Measure your general stress level (not clinical
but social well being). - http//www.uelpsychology.org/restq76social/
61Uif CSC SRQ http//www.uelpsychology.org/csc/
Competence I Personal (Self) II Social (other) III Cultural (cross culture organisation and individuals) IV Professional Competence
Awareness Self - Awareness Empathy Enlightenment Reflective Practice
Management Self - Regulation Social Skills Champion Continues Professional Development within supervision framework
62Evaluation of Coaching Psychology Pedagogy
preliminary results (1)
63Evaluation of Coaching Psychology Pedagogy
preliminary results (2)
64Example of Multi-Level Modelling A Three-Level
Hierarchy
65Benefits of Multi-Level Models (MLMs)
- Homogeneity of regression slopes
- Model the variability in regression slopes
- Assumption of independence
- You can model the relationships between cases
- (Regression for repeated observations)
- Missing Data
- MLMs can cope with missing data
Field, A. (2009). Discovering statistics using
SPSS (3rd ed.) London Sage.
66Group Activity Designing an evaluation at
community or organizational level for your target
group
- Use the same Groups Scenarios
- Have a think about your target group that you
focused on in Session 4. - Think about macro-, meso- and micro-level focused
interventions that you could recommend. - How would you evaluate the effectiveness of the
changes that you have got planned? - Now, aim to see if you can draw from the content
of todays session to bring about successful
embedding of the evaluation.
67Summary
68Questions, Discussion,workshop evaluation
Feedback
69Annex 1 Examples of Community Research 1 -
Constructivist Research
- Boydell et al. (2000) qualitative study of 29
homeless people in Toronto, Canada. - Used symbolic interactionism to see how sense of
self and the homeless persons social context
interacted. - Main finding the homeless persons in this study
were motivated to maintain a retrospective,
positive sense of self. The current sense of
self was commonly affected by perceptions of - Stigma
- Isolation
- Shame
- Feeling inferior to others
- I felt disgusted with myself, you know, that I
messed up. I felt bad, you know, like I was
nobody (p.31) - Aim of this study was not to generalise to all
homeless persons but to understand their
phenomenologies and the constructions of their
realities.
Full article via http//tinyurl.com/9mpfar9
70Annex 1 Examples of Community Research 2 -
Transformative Research
- Paradis (2009) A little room of hope Feminist
participatory action research with homeless
women. PhD thesis. University of Toronto. - April 2005 gt50 women who were experiencing
poverty, homelessness and isolation attended a
workshop on human rights at a drop-in centre in
Toronto. - 15 months later, these women had attended weekly
workshops on social and economic rights, methods
of reacting to and resisting homelessness. They
gave testimony to their experiences and their
group sent a representative to the United Nations
Committee on Economic, Social and Cultural
Rights. - Conclusion homelessness is not only a material
state, but more importantly a social process of
disenfranchisement enacted through relations of
harm, threat, control, surveillance, precarity
and dehumanization (p. ii). - Project acted at multiple levels including at the
macro level.
71Annex 1 More Examples of Community Psychology at
Work 3
- The Joshua Project devotes a lot of time and
effort to supporting some of the most
marginalised community members who are often
ignored/rejected by mainstream health,
educational and other agencies
http//joshuaproject.org.uk/ - Artworks Creative Works collaboratively with
people at street level in their communities a
great deal of positive change is effected
http//www.artworkscreative.org.uk/ - UCL research group looks at processes and
outcomes of various forms of psychological
helping and support see http//www.ucl.ac.uk/cl
inical-psychology/Research-Groups/phas/ - Prof. Jim Orfords work using community
psychology to influence social policy relating to
gambling www.gamblingwatchuk.org