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"Since cloud is the flavour of the month, there will be a specific pressure on engaging with service provders.
20 In addition to engaging with service users themselves, the National Treatment Agency and Department of Health has identified carers as one of the key groups to be targeted to reduce the risks of opioid overdose.
The DUNDRUM Toolkit instruments can be used in ways that are complimentary to risk assessment instruments when engaging with service users in planning their treatment and when presenting evidence at mental health review tribunals and boards concerning detention under mental health legislation, when measuring outcomes for health service commissioners and for service users.
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Overall the parent literature focused more on barriers to both accessing and engaging with services while the professional literature had a more balanced focus across barriers and facilitators.
It has been argued that women with mental illness who are also from ethnic minorities suffer a so-called 'triple disadvantage' when it comes to engaging with services [ 37].
As behavioural PT programmes require the parent to make changes to their own behaviour in order to help the child, the parents' social cognitions and motivational readiness may also impact on both accessing and engaging with services [ 45, 47].
Understanding treatment options both for themselves and also to explain to caregivers if appropriate, was important for clients in order to navigate the complex process of seeking help and engaging with services.
When comparing the views of parents and professionals, the parents tended to focus more on the barriers they face regarding accessing and engaging with services, giving less suggestions as to what could help overcome such difficulties.
These authors conclude an interesting clinical implication: security of attachment should be assessed in order to identify patients who might experience difficulties in engaging with services and who may need increased input on this issue.
So the challenge remains how to engage with service users on a long-term basis.
We need to engage with service users: The evidence-based agenda to date has largely identified decision-makers as policymakers and practitioners, with little engagement with actual users themselves.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com