OVERALL CONCLUSION. 4.1.1 The findings of this EIA have provided information on the nature and extent of environmental impacts likely to arise from the construction and operation of the Project. The EIA has, where appropriate, identified mitigation measures to ensure compliance with environmental legislation and standards.
4.1.2 Overall, the EIA Report concludes that the Project would be environmentally acceptable with the implementation of the proposed mitigation measures for construction and operation phases. An environmental monitoring and audit programme has been recommended to ensure the effectiveness of recommended mitigation measures.
OVERALL CONCLUSION. With this doctoral thesis we aimed to improve the understanding of the prevalence and treatment of anxiety in later life. Our systematic review and meta-analysis of prevalence studies suggests that subthreshold anxiety might be at least equally prevalent to full-blown anxiety disorders in later life, and that for some types of anxiety prevalence rates seem to decrease throughout the later life span. The review article also highlights that little is still known about the ways in which age is associated with the prevalence and manifestation of anxiety. As earlier studies have indicated that anxiety is among the most common mental health problem in later life, it is important that future research focuses on answering more delicate questions regarding the presentation and prevalence of anxiety in older adults. Considering the psychological treatment of anxiety in later life, we found that a brief blended ACT intervention and a brief CBT intervention did not differ regarding their effects on anxiety symptom severity and related clinical outcomes. In both treatment conditions, large reductions of anxiety symptom severity were observed. Also, in terms of cost-effectiveness and cost-utility, there is no clear preference for one of the two interventions. Furthermore, we explored whether baseline participant characteristics moderated treatment response to the two interventions. We did not identify moderator variables, which indicates that there are no specific subgroups of patients that benefitted more from one of the two treatments. Lastly, we examined potential working mechanisms of the two interventions, but did not found evidence that the examined candidate mechanisms were related to anxiety symptom change during the ACT and CBT intervention. The results are promising, because they show that older adults with mild to moderately anxiety symptomatology can be effectively treated in a primary care setting with two low-threshold, brief psychological interventions. Mental health counselors and clients can together decide on their preferred treatment approach. These psychological interventions form a more constructive alternative to psychotropic drugs, which are still often prescribed to older adults with anxiety. Low-intensity psychological interventions for anxiety in later life have not previously been studied on such a large scale. This doctoral thesis therefore makes a timely and important contribution to the evidence- based treatment of the highly prevalent prob...
OVERALL CONCLUSION. Based upon the forgoing, it is our opinion that:
(i) The Merger will be treated for federal income tax purposes as a reorganization within the meaning of Section 368(a) of the IRC; and
(ii) Pulaski Financial and CWE will each be a party to that reorganization within the meaning of Section 368(b) of the IRC.
OVERALL CONCLUSION. The environmental impact assessment (covering air quality, noise, waste management, water quality, ecology, fisheries and landscape and visual) has concluded that no unacceptable environmental impacts are envisaged due to the construction and operation of the Proposed Beach Development. No adverse residual air, noise, water quality, waste management and landscape and visual impacts are anticipated from the construction and operation of the Project with the implementation of the recommended mitigation measures and good site practices. Although permanent loss of habitats (including backshore vegetation, village/modified area, intertidal and subtidal bottomed) and existing seabed are identified as residual ecological and fisheries impacts, the impacts are considered low/ negligible due to the low quality habitats and high mobility of faunal species and the fish can rehabilitate in the intertidal part of beach area. Thus, no long term unacceptable impacts on the environment are anticipated. Lung Mei is considered to be the best location for the proposed beach development in view of the following:
OVERALL CONCLUSION. Republic is in partial compliance with the Recyclables Processing and Marketing Agreement. Major concerns include the following: Republic did not provide the minimum reporting requirements per the Agreement. Republic has been charging the City $30 per ton for glass, instead of giving the City 80% of the gross revenues derived from the sale of glass. Republic did not perform audits every quarter as required per the terms of the Agreement. There were timing issues with various reports and payments. EWS has not monitored the Agreement: o Reconciliation of tonnage was not performed by EWS. o EWS does not re-calculate the OMB (High Southwest Board Market) pricing support for newspaper and OCC (Old Corrugated Cardboard), market price per ton, and gross revenue per commodity for amounts paid to the City on the MRF Pricing Analysis. The City did not verify if Republic maintained liability insurance which was required upon renewal of the Agreement.
OVERALL CONCLUSION. 4.1.1 The findings of this EIA have provided information on the nature and extent of environmental impacts arising from the construction and operation of the Project. The EIA has, where appropriate, identified mitigation measures to ensure compliance with environmental legislation and standards.
4.1.2 Overall, the EIA for WDII and CWB has predicted that the Project will generally comply with environmental standards and legislation after the proposed construction and operation stage mitigation measures are implemented. This EIA has also demonstrated the general acceptability of the residual impacts from the Project and the protection of the population and environmentally sensitive resources. Environmental monitoring and audit mechanisms have been recommended before and during construction and operation, where necessary, to verify the accuracy of the EIA predictions and the effectiveness of recommended mitigation measures.
OVERALL CONCLUSION. 4.1.1 The findings of the EIA provided information on the nature and extent of the environmental impacts likely to arise from the construction and operation of the ARQ development. The EIA has, where appropriate, identified mitigation measures to ensure compliance with environmental legislation and standards.
4.1.2 Overall, the EIA concluded that the ARQ development would comply with the requirements of the EIAO and TM-EIAO with the implementation of the proposed mitigation measures during the construction and operational phases. The schedule of implementation of the proposed mitigation measures has been provided in the EIA report. An EM&A programme has also been recommended to check the effectiveness of the proposed mitigation measures.
OVERALL CONCLUSION. 4.1 The findings of this EIA Study have determined the likely nature and extent of environmental impacts predicted to arise from the construction and operation phases of the Project. The EIA has, where appropriate, identified precautionary design and mitigation measures to ensure compliance with environmental legislation and standards.
4.2 Overall, the EIA Study for the proposed ADF has predicted that the Project, with the implementation of the proposed precautionary design and mitigation measures for construction and operation phases, would comply with all applicable environmental standards and legislation. This EIA has also demonstrated the acceptability of the residual impacts from the Project. EM&A mechanisms have been recommended, where necessary, to verify the accuracy of the EIA predictions and the effectiveness of recommended precautionary design and mitigation measures.
OVERALL CONCLUSION. 6.4.1 In conclusion the existing Partnership Agreement has facilitated the development of parallel and complementary services. However, if the objective to achieve a fully integrated mental health service is to be met the existing Partnership Agreement should be revised. R7 The Partnership Agreement should be revised to reflect future arrangements including pooled budgets and TUPE transfer of employees. Cabinet Member for Social Care and Health September 2006 R8 The new Partnership Agreement (as in recommendation 7) should be aligned with the financial year and should become a three-year rolling agreement. Cabinet Member for Social Care and Health September 2006 R9 A Mental Health Commissioning Strategy should be implemented, setting the provision of the Partnership Agreement in the context of the wider commissioning framework. The strategy must address the issues identified in this report. Cabinet Member for Social Care and Health September 2006 Subject of review Partnership Agreement Under Section 31 of the Health Act 1999 between Birmingham City Council and the Birmingham and Solihull Mental Health NHS Trust Overview and Scrutiny Committee Social Care Reasons for Conducting the Review Reasons for conducting this review The Social Care Overview and Scrutiny Committee received a copy of the Annual Report from the Birmingham and Solihull Mental Health NHS Trust which raised questions about the current partnership arrangements. As a result, this review assesses the effectiveness of the Partnership Agreement with Birmingham and Solihull Mental Health NHS Trust. Objectives of review / Areas for investigation • Governance Framework • Review organisational arrangements of staff seconded to the Trust • Review the monitoring arrangements for the budget Outcomes expected from conducting this work Review the existing partnership agreement and the proposed amendment to the Partnership Agreement. Confirm the new partnership agreement • Confirm the Governance model and composition of the membership of the Governance Board • Confirm the employee solution i.e. review the secondment model and future financial implication • Consider the recent Audit Report on the Partnership Agreement
