Saving Lives in the Present Versus Saving Lives in the Future—Is There a Framing Effect?

This study considers how to compare programs which are designed to save lives. "To estimate the discount rate for lives saved in the future a number of studies have been carried out on the trade-off between saving lives now and in the future. A telephone survey is administered to about 1,700 individuals [in Sweden] to test if the framing of the question affects the estimated trade-off. In one sample the question is framed as saving 100 lives today versus saving x future lives and in one sample the question is framed as saving 100 future lives versus saving y lives today. The result shows that the framing has a major impact on the trade-off."     

Public Choices Between Life Saving Programs: The Tradeoff Between Qualitative Factors and Lives Saved

In a telephone survey 1000 adults were confronted with pairs of life saving programs that differed in number of lives saved and asked which program in each pair they would choose to implement. Respondents were also asked to rate qualitative program characteristics on 10 point scales. For most respondents, lives saved are significant in explaining program choices, as are psychological risk characteristics. The rate of technical substitution between these characteristics and lives saved is, however, inelastic. It is noteworthy that for about 20 percent of respondents, choices among programs appear to be insensitive to lives saved.     

个人价值观与社会工作价值观之整合——社工之专业自我的形塑路径初探

每一个社会工作者首先是作为普通的个人而存在的,尔后才逐渐作为专业自我而存在。在长期的社会生活过程中,作为个人而存在的存在者都会基于其所处文化,形成一套自我主动或潜意实施的个人价值观,这将天然地与社会工作之无差别对待生命的人本主义价值观存在或多或少的张力或冲突。对此,本文尝试以拟亲属化和主体意识投射两种手段之架构,来做个人价值观与社会工作价值观之整合的努力,以期探寻一种社工之专业自我的形塑路径。     

How close is too close?: The negative relationship between knowledge of HIV transmission routes and social distancing tendencies

Data measuring respondents’ knowledge of HIV's transmission routes was obtained via a statewide RDD sample of 603 Nevadans to determine if disease knowledge influences respondent efforts to socially and physically distance themselves from a hypothetical HIV-positive person. Four separate dependent variables (scenarios) are created in which the geographic distance between the respondent and a hypothetical HIV-positive person decreases; while, at the same time, physical personal contact, or potential for contact, increases. Findings show 84.2% of the respondents had sufficient knowledge of HIV transmission routes, and the majority felt comfortable across all four social scenarios. However, multiple logistic regression analyses indicate that respondents with sufficient knowledge of how HIV is transmitted are significantly more comfortable with casual social interactions than those respondents with insufficient knowledge. The results from this study confirm the importance of HIV-knowledge as a tool to combat AIDS-related stigma.     

Employers' attitudes towards long‐term unemployed people and the role of activation in Switzerland

Over the last few years, most OECD countries have extended their activation policy to new groups of non‐working people, including the long‐term unemployed (LTU). However, it is widely known that employers tend to regard LTU people as potentially problematic persons. This is likely to constitute a major obstacle for long‐term unemployed jobseekers. On the basis of a survey among employers in a Swiss canton (N = 722), this article aims to shed light on the perception employers have of the long‐term unemployed and whether this may matter for their recruitment practices. It also asks what, from the employer point of view, may facilitate access to employment for an LTU person. A key finding is that large companies have a worse image of the long‐term unemployed and are less likely to hire them. Furthermore, independent of company size, a test period or the recommendation of a trustworthy person is seen as the factors most likely to facilitate access to jobs for LTU people.     

个人价值观与社会工作价值观之整合——社工之专业自我的形塑路径初探

每一个社会工作者首先是作为普通的个人而存在的，尔后才逐渐作为专业自我而存在。在长期的社会生活过程中，作为个人而存在的存在者都会基于其所处文化，形成一套自我主动或潜意实施的个人价值观，这将天然地与社会工作之“无差别对待生命”的人本主义价值观存在或多或少的张力或冲突。对此，本文尝试以“拟亲属化”和“主体意识投射”两种手段之架构，来做个人价值观与社会工作价值观之整合的努力，以期探寻一种社工之专业自我的形塑路径。     

Explaining the Identifiable Victim Effect

It is widely believed that people are willing to expend greater resources to save the lives of identified victims than to save equal numbers of unidentified or statistical victims. There are many possible causes of this disparity which have not been enumerated previously or tested empirically. We discuss four possible causes of the identifiable victim effect and present the results of two studies which indicate that the most important cause of the disparity in treatment of identifiable and statistical lives is that, for identifiable victims, a high proportion of those at risk can be saved.     

Controlling for causality in the link from income to mortality

While previous research shows that wealthier people tend to live longer, it is not clear whether this occurs because wealthy people make greater investments in health and safety or because inherently healthy people tend to make more money. This article uses measures of initial health to focus on the flow from wealth to good health. While the estimated link between income and mortality is less than in other articles, we find that a significant link still remains. In particular, we estimate that health and safety regulations, which cost more than $12.2 million per life saved, are likely to kill more people through increased poverty than they save directly. Estimates of costs per life saved provided by the Office of Management and Budget suggest that many health and safety programs implemented in the last 20 years would be eliminated using this criterion.     

Guy with a Gun - Condemned Man,Rebel, Writer: "War" Prose by Young Authors

Spirit breathes where it pleases. But literature lives where it can—or, rather, where it is allowed to live. Literature's life in thick literary-artistic journals is a difficult one, but no more difficult than the life of any regular person in this era of changes; in other words, the difficulties are natural. In recent years, literature has begun to "live" in publications of an entirely different type: "glossy" journals and newspapers, including dailies. How is its life there, in, for instance, Playboy magazine? Or Cosmopolitan? Or on the newspaper pages, next to the horrors of our everyday life? We asked some very different people from some very different "nonliterary" publications to tell us about it. These people have one thing in common: all of them, directly or indirectly, are helping literature to expand its habitat.     

The human life vs economic loss dilemma: Relation between death rate and the output rate in Europe during the Covid 19 pandemic

I analyze the human life-economic loss dilemma (HELD) trade-off between saving lives ad saving economic activities during the emergency period of Covid 19 pandemic. A new concept labeled HELD Curve, not addressed in the literature so far, is proposed to model the inverse non-linear relation between loss of economic activity and death rates during the Covid 19 Pandemic in Europe, due to the lockdown policy. Econometric estimation supports this view offering to policymakers a tool to assess the impact of continuing the lockdown. The HELD curve elasticity implies a trade-off of 218 thousand EURO per saved human life.     

‘He told me to calm down and all that’: a qualitative study of forms of social support in youth mentoring relationships

The worldwide growth in formal youth mentoring programmes over the past two decades is partly a response to the perception that young people facing adversity do not have access to supportive relationships with adults and positive role models in their communities to the degree they once had. Formal mentoring programmes facilitate the development of a friendship or ‘match’ between an older volunteer and a young person, with the objective of supporting the young persons’ personal and social development. Drawing on 66 semi‐structured interviews with young people, parents, mentors and caseworkers associated with nine youth mentoring matches in the Big Brothers Big Sisters Programme in Ireland, this paper analyses the forms of social support evident in the mentor–mentee relationships and highlights how the mentoring relationship was perceived to have impacted on the well‐being of the young people participating. The findings reflect the consensus in the mentoring literature that close, well‐established mentoring relationships have the potential to bring about meaningful change in the lives of young people.     

Insensitivity to the Value of Human Life: A Study of Psychophysical Numbing

A fundamental principle of psychophysics is that people's ability to discriminate change in a physical stimulus diminishes as the magnitude of the stimulus increases. We find that people also exhibit diminished sensitivity in valuing lifesaving interventions against a background of increasing numbers of lives at risk. We call this psychophysical numbing. Studies 1 and 2 found that an intervention saving a fixed number of lives was judged significantly more beneficial when fewer lives were at risk overall. Study 3 found that respondents wanted the minimum number of lives a medical treatment would have to save to merit a fixed amount of funding to be much greater for a disease with a larger number of potential victims than for a disease with a smaller number. The need to better understand the dynamics of psychophysical numbing and to determine its effects on decision making is discussed.     

Patterns of social assistance receipt in Sweden

This article analyses the situation of Swedish-born people who became first-time receivers of social assistance in 1987 and 1992. The macroeconomic situation at the time of entry was rather different for the two cohorts and the number of new entrances increased by almost 50%. Much of the increase consisted of young adults and experience of social assistance has been shown to be fairly widespread among persons under the age of 25. Bridging the period when individuals are supported by their parents to their becoming established as wage earners has become an important function of social assistance in Sweden. The pattern of social assistance receipt is rather heterogeneous across new recipients. The complex pattern of receipt means that the duration of social assistance can appear to vary depending on one's choice of perspective. On the one hand, the median duration of social assistance receipt is as low as two years when an eleven-year follow-up period is applied. On the other hand, among people who receive social assistance during a given year, as many as half had entered receipt more than four years earlier.     

Confusion of Relative and Absolute Risk in Valuation

Subjects were less willing to pay for government medical insurance for diseases when the number of people who could not be cured was higher, holding constant the number who could be cured. In a second experiment, willingness to pay (from a hypothetical government windfall) for risk reduction was unaffected by whether the risk was described in terms of percentage or number of lives saved, even though subjects knew that the risks in question differed in prevalence. These results are consistent with the findings of Fetherstonhaugh et al., Jenni and Loewenstein, and others. I suggest that these results can be explained in terms of a general tendency to confuse proportions and differences, a confusion that is analogous to other confusions of quantitative dimensions in children, adults, the news media, and perhaps even the epidemiological literature.     

Substance Use Decision-Making – Are Clinicians Using the Evidence?

Clinical assessment and treatment decision-making is a complex, everyday task for the substance use workforce. This Canadian study conducted with community substance use providers in the Interior region of British Columbia examines the factors clinicians pay attention to in their decision-making. A randomized factorial survey approach, using three unique vignettes embedded with factors of interest, was used to test the effect of case and respondent factors on assessment and treatment decisions. Responses were received from 106 participants, representing approximately a 35% response rate, yielding a sample size (n) of 308 vignettes. Multiple regression tested the independent effects of the vignette and clinician factors on assessment and treatment decisions. Factors within the vignette associated with withdrawal, physical illness and mental health issues emerged as the most predictive elements. The social complexity of people’s lives, client’s stated treatment preferences and readiness for change, and respondent characteristics were obscured in decision-making. This study indicates a lack of fidelity in the use of core assessment and treatment-matching tools, suggesting that clinician decision-making may, in everyday practice, be more heuristic and evidence-informed than evidence-based. Further research on normative decision-making practices in the substance-field is warranted.     

The Prevention of Homelessness Revisited

Conceptual and methodological problems plague efforts to prevent homelessness. Attempts to identify individuals at risk are inefficient, targeting many people who will not become homeless for each person who will. Such interventions may do useful things for needy people, but evidence that they prevent homelessness is scant. Subsidized housing, with or without supportive services, has ended homelessness for families and played a key role in ending it for people with serious mental illnesses. Other risk factors may be less important once housing is secured. But programs that allocate scarce housing may simply reallocate homelessness, determining who goes to the head of the line for housing, not shortening the line itself. We recommend reorienting homelessness prevention from work with identified at-risk persons to efforts to increase the supply of affordable housing and sustainable sources of livelihood nationwide or in targeted communities.     

Personalization: From Story‐line to Practice

Personalization has become a unifying theme and a dominant narrative across public services in England. Key to understanding the dominance of personalization is the recognition that it is a story that is told about public services, their history and the roles and experiences of the people who use them and work in them. Like other stories it is compelling, emotionally resonant, but also multi‐interpretable. This article identifies five key themes which are central to the personalization story‐line, noting their reliance on a combination of formal evidence, personal narratives and common sense. These are: (1) personalization works, transforming people's lives for the better; (2) person‐centred approaches reflect the way people live their lives, rather than artificial departmental boundaries; (3) personalization is applicable to everyone, not just to people with social care needs; (4) people are experts on their own lives; (5) personalization will save money. The article goes on to examine some of the complexities that audiences face in translating a story‐line into policy programmes and frontline practice. Three aspects in particular are considered: the ambiguity of personalization as a guide to action; the tensions between user empowerment and user responsibility; and the extent to which personalization is used to legitimize other reforms, in particular budget cuts.     

Advocacy for disabled children and young people: benefits and dilemmas

Recent policy has emphasized the need for advocacy services for children and young people, developments that have gone hand‐in‐hand with greater levels of participation of young people in decision‐making. Advocacy for disabled young people is especially important, as they are a particular vulnerable group and have, traditionally, been even more excluded from decisions about matters affecting their lives. This paper reports the findings, as they relate to disabled young people, from a study that investigated the role of advocacy for looked‐after children and children in need. The paper highlights some of the benefits of advocacy for disabled children, the dilemmas facing advocates between advocating and acting in someone's ‘best interests’, identifying the client and the boundaries between advocacy and social work. It argues that time given to establish a close relationship with a disabled child or young person is crucial if advocacy is to be effective and participation in decisions affecting their lives a reality.     

Valuation of Multiple Environmental Programs

We examined sequence effects on willingness-to-pay (WTP) when people evaluate a series of environmental goods. Each respondent evaluated five different environmental goods using WTP and four evaluative attitude ratings. There was a strong sequence effect: WTP was much larger for the first good than for goods evaluated afterward. Also, total WTP for the bundle of five goods depended on which good was evaluated first: the more highly valued the first good, the higher the total WTP for the bundle. The attitude ratings are shown to be more statistically efficient than WTP in measuring the relative importance of different environmental goods.     

As Parents Grow Older:

For those older persons with families, the family is the vital, natural support system while also being the link between the older person and formal community supports. No matter how many community services and supports are provided for older persons, these services only supplement the emotional ties and support from the families. Enhancing the family's supportive role is crucial. This paper describes a community based support group model called "As Parents Grow 0lder" as an example of a systematic, effective effort to provide services to this natural system. This model has evolved and been used with 10 different groups totalling l25 participants over the past four years.