Telecare as Institutional Interaction: Checking up on the Client and Creating Continuity

This article studies the functions of telecare-mediated discussions in mental health floating support services. Home Screen, the telecare studied, is a touchscreen computer software that enables real-time audiovisual contact between users. The results indicate that Home Screen functions as a medium to discuss and check clients’ current situation and to sum up and plan their goals. The functions of Home Screen are not stable, but instead they are produced and negotiated in the interaction. Portraying Home Screen as a transitional device, this article supports the view that telecare enables clients to remain in their homes while receiving the care needed.     

Environmental hazards and home loss: The social construction of becoming homeless

Home loss due to landslides is a recurrent phenomenon in unstable lands in Caracas, Venezuela, where poor people help themselves by building their precarious homes. The social construction of becoming homeless in such situations was studied through in-depth interviews with 27 adults who lost their homes due to a landslide. The main topics brought up by the interviewees included the meaning of their homes, the impact of having lost them, the impact on their sense of family, the meaning of having become homeless and remaining indefinitely as such, and attribution of responsibilities for the disaster and for solutions to their homelessness. We present an analysis of some of the psychosocial processes related to these topics, as well as some ideas derived from the interpretation of the information gathered regarding risk prevention and the conception of homelessness.     

Health care segregation and race disparities in infectious disease: the case of nursing homes and seasonal influenza vaccinations

Examining nursing home segregation and race disparities in influenza vaccinations, this study demonstrates that segregation may increase both susceptibility and exposure to seasonal flu for black Americans. Evidence based on the 2004 U.S. National Nursing Home Survey shows that individuals in nursing homes with high percentages of black residents have less personal immunity to flu because they are less likely to have been vaccinated against the disease; they may also be more likely to be exposed to flu because more of their coresidents are also unvaccinated. This implies that segregation may generate dual disease hazards for contagious conditions. Segregation appears to limit black Americans' access to personal preventive measures against infection, while spatially concentrating those people who are most likely to become contagious.     

Volunteer Support for Mothers with New Babies: Perceptions of Need and Support Received

Semi‐structured interviews were conducted with 55 mothers of infants. Some had received Home‐Start during their infant’s first year, others were offered the support but declined and the remainder were not offered Home‐Start. Most of their support had come from informal sources, such as family and friends with less from professionals. Mothers who received Home‐Start described beneficial aspects, in particular, the extent of practical support provided, preferable to calling on close relatives or friends. Difficulties related to volunteer characteristics and administrative problems. Overall volunteer support can be important to complement informal and formal support, but needs careful management.     

Why nonprofit nursing homes pay higher nurses' salaries

It is generally agreed that nonprofit nursing homes pay higher wages to their employees, hire more staff per patient, and are thus more costly than for-profit nursing homes. We attempt to show that higher costs in nonprofit nursing homes are related to higher quality of care in these homes. Using the 1985 National Nursing Home Survey, we show that nurses in nonprofit nursing homes have different characteristics than nurses in for-profit homes and that these differences in characteristics account for the differences in wages, a finding consistent with our hypothesis concerning quality differences between types of homes.     

Mobility types,transnational ties and personal networks in four highly skilled immigrant communities in Seville (Spain)

In this study, we explore how different mobility patterns influence the composition and structure of the transnational social support networks and how personal networks allow us to elicit insightful data of mobile individuals. Ninety-five mobile individuals were selected from four distinct communities based in Seville (Spain), namely: Erasmus students, Flamenco artists, musicians from the symphonic orchestra and partners of European Commission researchers. Data were collected through an electronic survey sent by email with multiple name generators and a structured face-to-face interview utilizing a network visualization tool, VennMaker. Two distinct methods, namely qualitative case studies and cluster analysis were used to characterize mobility types. Findings reveal a heterogeneous foreign population, in which different forms of mobility are reflected in the personal networks of mobile individuals. Respondents who were settled in the city were more likely to have networks in which social support was mainly derived by hosts and people in the host location and with whom they communicated predominantly through face-to-face communication. Those who were in the host location for a study exchange, knowing that return to the county of origin is imminent were more likely to have networks linked to the home location. They relied heavily on strong transnational ties in the home country using social media to sustain their relationship. Respondents with an itinerant mobility profile, also had networks dominated by strong transnational ties, however, such ties had a higher degree of geographical spread due to previous international mobility. Participants who had a high number of hosts in the network but low connection between the ties were more likely to be linked to a specific subculture in the host society. The integration in the host location follows a different pattern to other settled individuals, mainly because their connection in the city tends to be community specific.     

The significance of uprightness: parents’ reflections on children’s responses to a hands-free walker for children

The benefits and drawbacks of facilitating independent walking in children with physical mobility impairments, such as cerebral palsy, remain to be determined. This knowledge gap creates decision dilemmas about which mobility practices parents and children should adopt and rehabilitation professionals should foster. These dilemmas are reflected in continuing debates about allocation of time, effort and resources to optimize walking versus encouraging use of manual or powered wheelchairs. Recent studies have reported only modest measurable walking progress for severely disabled children using hands-free walkers. Despite these seemingly disappointing results, parents remained highly motivated to encourage their children to use these walking devices and appraised them very positively. In the present paper, we suggest that parents’ symbolic value of their children assuming upright comportment may explain why they perceive hands-free walkers positively and why they are so motivated to devote much time and effort to improving independent, walking-based mobility of their children.     

An analysis of the homeworker network in Pakistan: a global justice network (GJN) perspective

Using a global justice network (GJN) approach, in this article I examine the localization of a transnational network for homeworker rights. Based on my field research undertaken in Pakistan between January 2015 and December 2017, I compare different organizing approaches to establish how a politics of vulnerability may be transformed into a politics of voice and mobility. I found that, from the vantage point of the homeworker, the process of organizing rather than the results achieved is what really matters. In the case of Pakistan, union‐style organizing by the Home‐worker Federation, which is mindful of gender and class hierarchies, enhances the homeworkers’ voice, agency and mobility, while also building translocal labour solidarities. Conversely, an NGO‐led national network, with its top–down approach, perpetuates the very hierarchies it was mission bound to dismantle, thus forcing the women to stay spatially imprisoned. Without arguing that one institutional form is superior to the other, I demonstrate that for a GJN to articulate diverse local and global struggles it must be mindful of the hierarchies and boundaries that isolate and silence marginalized workers. It must also genuinely include the grassroots in the production and transference of knowledge.     

Elderly Nursing Home Residents' Need for Public Guardianship Services in Tennessee

This study assesses the need for public limited guardian, conservator, representative payee, and power of attorney services among elderly nursing home residents in Tennessee in the Summer and Fall of 1988. Of the 295 licensed nursing homes in Tennessee, 123 responded that 32% of their residents were receiving one of the services, and 10% of their residents (1,044 of 10,555) needed one of the services. As many as 3,003 residents in Tennessee may need one of the services. The effects of size and location of nursing homes are measurable but minimal. The problems of record-keeping and conflict of interest are cited.     

Implementation and results of the statewide ONHRSS

In response to increased consumer demand, state governments are publishing more detailed information about the quality of nursing homes. In 2002, Ohio legislation mandated the publication of a Long-Term Care Consumer Guide that included information on nursing home resident and family satisfaction surveys. Using the 2002 Ohio Nursing Home Resident Satisfaction Survey as an example, this article addresses two research questions: (1) how can statewide resident face-to-face satisfaction interviews be implemented to maximize participation of residents and facilities and produce reliable and valid results, and (2) how satisfied are residents with their nursing home experiences, overall and by level of cognitive function.     

Oxford house: a review of research and implications for substance abuse recovery and community research

After treatment for substance abuse, whether it is in hospital-based treatment programs, therapeutic communities, or recovery homes, many patients return to former high-risk environments or stressful family situations. Returning to these settings without a network of people to support abstinence increases chances of a relapse. As a consequence, substance abuse recidivism following treatment is high for both men and women. Alternative approaches need to be explored, and there are some promising types of recovery homes. From a public health perspective, a series of studies conducted at DePaul University suggests that one type of recovery home for alcohol abuse recovery has much potential. For example, within this self-help communal living setting, recovering alcoholics were able to maintain employment, thereby reducing their need for government subsidies. Maintaining employment for recovering alcoholics may promote increased personal responsibility, which may impact self-efficacy beliefs. These pilot studies, then, raised both theoretical and practical issues needing further evaluation.     

At Home With Derek Jarman

Home is never only of the present. A sense of personal robustness and sometimes political resistance can emerge through a tacking back and forth between homes past and present—especially for those who felt and feel socially or culturally marginalized. We see this vividly in the way the filmmaker Derek Jarman created his home and garden at Prospect Cottage at Dungeness on the Kent coast in the context of his failing health. In this piece I show how formative homes, homes of early adulthood, and aspirations for a different kind of home life inflect the way Jarman lived at Prospect in his here and now. This is about the rolling together of different ages and experiences in ways that can give a sense of endurance in uncertain times.     

On social aspects of the usage of guide-dogs and long-canes1

The paper argues that discredit pertains not only to individuals, but also to the implements of aid that discredited persons use to overcome their situation. Focusing on the mobility aids of blind people, the paper demonstrates that as a consequence of the diffusion of discredit, the users of guide-dogs and long-canes mould their usage practices in particular ways. Namely, according to norms which the users conceive to be unobjectionable to sighted people. Thus cane-users considered the sound that their canes emitted to be embarassing, and tried to avoid causing it. Also guide-dog usage was inhibited as a result of traditional Middle-Eastern attitudes towards dogs. In concluding, the ambiguity of blind people toward their mobility aids is juxtaposed with their accepting attitude toward television sets in their homes. The latter are conceived by blind people as a natural element of the material culture of the sighted environment. Consequently, even blind people for whom television sets are manifestly unsuited introduce them into their lives. This leads to the conclusion that material artifacts are conceptualized in society generally, according to practices that are attuned to the dominant social stratum. The data are drawn from observations made in the course of ethnographic field-work in a population of blind people in Israel.     

Nursing homes and the affordable care act: a cease fire in the ongoing struggle over quality reform

Most provisions in the Affordable Care Act that affect nursing homes originated in two earlier attempts at reform, both of which failed multiple times in prior Congressional sessions: the Elder Justice Act and the Nursing Home Transparency and Improvement Act. Both of these earlier efforts focused on improving quality and reducing elder abuse in nursing homes by strengthening oversight and enforcement penalties, expanding staff training, and increasing the information on nursing home quality available to consumers and regulators. Each bill addressed problems that were serious, widespread, and had persisted for years, but each failed to pass on its own. The Affordable Care Act, with its own momentum, became the vehicle for their passage. However, the reasons the bills failed in these earlier efforts suggest implementation challenges now that they have ridden into law on the coattails of the more general effort to reform the health care sector.     

Movement without mobility: Adolescent status hierarchies and the contextual limits of cumulative advantage

This paper develops a theory of interpersonal status hierarchies that builds on and challenges traditional models of cumulative advantage. Cumulative advantage models predict stability in interpersonal status hierarchies, where status is defined by asymmetries in social relationships. According to strict cumulative advantage, initial status differences are exaggerated over time, making upward or downward mobility unlikely. We argue that interpersonal status hierarchies are instead quite fluid, with individuals regularly moving up or down the hierarchy. Individual status gains do not, however, disrupt the status order as the upwardly mobile are often pulled back to their original positions. This drag of the past generates the same long run status outcomes as cumulative advantage models, but through very different means: sustained upward mobility is rare because the upwardly mobile fail to maintain their status gains, and not because initial gains are impossible. More generally, the effect of the past limits sustained mobility in most, but not all, status hierarchies, and we expect sustained mobility where ties are stable and the expectations for reciprocity are low. We test our model using longitudinal data on adolescents, finding strong support for the theory. We end the paper with a reflexive discussion about measurement error, hypothesis testing, and “messy” longitudinal network data.     

Exiting or retaining owner-occupied housing in the United States 1999–2009: How do social programs matter?

This research examines exits from homeownership in the United States between 1999 and 2009 using data from the Panel Study of Income Dynamics. We first document the extent to which homeowners exited owned housing (to a rental unit or a rent-free unit) during that time period. Second, we examine how socio-demographic characteristics, housing characteristics, debt levels, and receipt of public and private transfers are associated with exiting (or retaining) homeownership, with a particular focus on whether transfers counteract earnings decreases and/or housing cost increases to assist homeowners in retaining their homes. We also investigate whether these associations differ for several subgroups of homeowners defined by their location in the income distribution and race. Findings from regression models that include individual, year, and state fixed effects highlight the role of both labor markets and housing markets in influencing exits from homeownership. More generous and universal public transfers (such as OASDI) appear to help owners retain homes, whereas less generous and means-tested transfers do not. At the same time, the influences of universal transfers on retaining a home are small in magnitude compared to those of decreases in earnings and home values as well as increases in payment-to-income and consumer debt-to-income ratios.     

Adoptions by Single Parents

Adoptions by single parents are thought by the public and by adoption professionals to be a plan for children needing adoption which is less advantageous for the child than a two parent adoption. For this reason, children who are difficult to find homes for are often placed with single parents; these are usually older children whose experiences have led to emotional and behavioral problems. Single persons who wish to parent an infant often adopt a child from another country. A review of the literature concerning single parent adoptions, and examination of the findings of a longitu- dinal study, indicate that the single persons who adopt are well able to carry out the responsibilities of parenting. They handle the special issues of adoption competently. Because children placed with single parents are frequently children with complex needs, and because single parents do not have a partner to share the responsibilities of parenting, continuing support from family and friends, the commu- nity, and from the adoption agency are important. Children adopted by single parents are as well adjusted as children adopted into two parent homes. There is some evidence that single parent homes may have unique strengths and be the placement of choice for some children.     

Regulating Transnational Flows of People: An Institutional Analysis of Passports and Visas as a Regime of Mobility

This article challenges the widely held "mobility thesis" by examining the current regime of mobility in regulating transnational flows of people-namely, passports and visas-from an institutionalist perspective. An institutional device linking individuals to the state, the passport is a manifestation of both citizenship and sovereignty. As such, the passport has to be situated in a broader international context in which "organized hypocrisy" (Krasner 1999) underlies the principle of sovereignty. Furthermore, through the "rite of institutions" (Bourdieu 1991), the passport provides foundations for identification, classification, and trust for individuals. The Taiwan passport provides vivid illustrations of how identification, classification, and trust have been breached by organized hypocrisy and how such a breaching has been experienced by individual citizens. However, it is also shown that some capable individuals, through the leverage of their economic power, are able to circumvent or even take tactical advantage of the current system. The political overtone of the Taiwan passport has exposed the nature of the regime of mobility that has often been depoliticized and undertheorized. Just as passports issued by different states are of different values, there has been an inequality of mobility structured by power asymmetries and economic inequalities in the world system. Such an inequality of mobility may have become enlarged under the impact of globalization but has gone mostly unnoticed. Individuals may try to increase their mobility through various economic means, but differentiated access to mobility may have further reproduced and enhanced unequal social, economic, and political relations.     

Moving as a family affair: Applying the SOC model to older adults and their kinship networks

In cases where moves are voluntary, older adults may decide to move as a strategy to optimize their living experiences. Older adults may voluntarily move as a strategy to optimize their living experiences. We use the Baltes and Baltes (1990) model of selection, optimization with compensation (SOC) to understand the impact of moving on a family network. Extending the SOC model beyond individual analysis offers an innovative addition to the literature. Moving may serve to optimize one’s life by enriching one’s emotional and physical reserves, but relocation may also challenge the older adult and their kin with other demands and frustrations. While moving can be optimal in some ways, it is also important to consider how the act of moving may be exchanged for future emotional and instrumental support from spouses and kin. To complete this ethnographic project, the researcher conducted interviews, participant observation of the moving process (packing, garage sales, moving day, adjustment) and document review with older adults (n = 81), members of their kin network (n = 49) and supportive professionals (n = 46). This approach allowed for the possibility of tracking a network through the moving process, using formal interviews, participant observation and document review to find out if and how moving optimizes lives.     

Mobile Children: Small Captives of Large Structures?

All over Europe more parents are living apart and children increasingly commute between two homes. This article explores children’s mobility. Two questions are raised. First, do children with ‘modern’ (consensual unions) family background, commute more? Second, can mobility between parental homes impinge on children’s everyday welfare? In conclusion, the article discusses whether commuting is solely in the child’s best interest. Could it be argued that children’s welfare is sacrificed for parent’s interests, and even ‘captives’ of a globalised society in need of people ‘lighter on their feet’? The case of Norway is used to illustrate a general developmental pattern.