'Dealing With It': Experiences of Young Fathers in and Leaving Care

The interface between two major UK Government priorities—reducingunwanted teenage pregnancies and supporting teenage parents,and improving the health and well-being of young people in andleaving local authority care—has been the focus of recentresearch. The overall aims of this study were to explore factorscontributing to early pregnancy and parenthood among young peoplein and leaving local authority care; to determine the kindsof support available to these young people; and to identifywhat enables or prevents the delivery of the support they need.Via in-depth interviews, and in four contrasting geographicalareas, data were collected from young people and service providersacross England. This paper analyses data of relevance to theexperience of young fathers who have been looked after—toconsider how the needs of these young men might be better addressedthrough policy and practice. In-depth interviews conducted withyoung fathers and service providers highlighted three key aspectsof their experience that must be addressed if future needs areto be better provided for. These are: social exclusion, trustand more flexible forms of service provision. The implicationsof these issues for future policy and programme developmentare discussed.     

TigerPlace, A State-Academic-Private Project to Revolutionize Traditional Long-Term Care

The Aging in Place Project at the University of Missouri (MU) required legislation in 1999 and 2001 to be fully realized. An innovative home health agency was initiated by the Sinclair School of Nursing specifically to help older adults age in place in the environment of their choice. In 2004, an innovative independent living environment was built and is operated by a private long term care company, as a special facility where residents can truly age in place and never fear being moved to a traditional nursing home unless they choose to do so. With care provided by the home care agency with registered nurse care coordination services, residents receive preventative and early illness recognition assistance that have markedly improved their lives. Evaluation of aging in place reveal registered nurse care coordination improves outcomes of cognition, depression, activities of daily living, incontinence, pain, and shortness of breath as well as delaying or preventing nursing home placement. Links with MU students, faculty, and nearly every school or college on campus enrich the lives of the students and residents of the housing environment. Research projects are encouraged and residents who choose to participate are enjoying helping with developing cutting technology to help other seniors age in place.     

Analysis of a long-term study of neurotic disorder, with insights into the process of non-response

Summary.  The paper studies the non-response process in a long-term study of neurotic dis-order by comparing the analysis based on the responses that were collected by the established practice of interviewing the subjects, at dates arranged in advance (appointments), with the analysis of the nearly complete set of responses that were collected by an extensive effort that involved attempts to interview without seeking a prior agreement. The method of multiple imputation is applied, and its properties are explored in a setting that is not perfectly suited for its application: a relatively small sample size, ordinal score outcomes and the likelihood that the outcomes are missing not at random.