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AbstractBackground to commencing a randomised controlled trial, we conducted a focused ethnography to ensure that the trial was well suited to the proposed setting. Six month observation of a Child and Adolescent Mental Health Service site in the North East of England was undertaken to observe the site procedures, staff culture and patient care pathways. During this period steroids, documentary data were collected and interviews were conducted with key informants to provide insight into staff perceptions of the proposed trial.

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The Mets had planned to mix and match their way through Mejia’s DL stint. Now they have to make longer term plans. « That is the way we went into it, saying ‘Hey, we can get through the next couple of weeks with what we’ve got.’ All of a sudden you are looking at the next three months, » Collins said.

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