The socio-economic circumstances of children at risk of disability in Britain

Our aims were to describe the socio-economic circumstances faced by families supporting a child at risk of disability and to investigate the extent to which disability is associated with hardship once family income is held constant. We analysed data on 7070 family units containing 12,916 children aged under 17. Families supporting a child at risk of disability were significantly more disadvantaged across a wide range of indicators of socio-economic position. The hardship experienced by these families was only partly accounted for by between group differences in income, debt and savings. Children who are already at risk of disability as a result of a range of physical and cognitive impairments are more likely than other children to live under conditions that have been repeatedly shown to impede development, increase the risk of poor health and (additional) disability and increase the risk of social exclusion.     

Training youth services staff to identify,assess, and intervene when working with youth at high risk for suicide

Youth in the child welfare system are often at increased risk for suicide due to the numerous physical and psychological challenges they face. This study was a longitudinal assessment of the impact of suicide intervention training on staff's abilities to identify, assess, and intervene when working with these youth in a child welfare setting. Participants received an adapted version of the “Youth and Depression” suicide intervention curriculum (Massachusetts Society for the Prevention of Cruelty to Children, 2010) designed to improve participants' attitudes toward suicide intervention, knowledge about suicide intervention, self-efficacy for engaging in intervention behaviors, and increased use of assessment and intervention behaviors over time. ANOVA tests yielded large effect sizes for increasing knowledge and self-efficacy. There were no statistical changes in attitudes and reluctance, but these were very positive even before training. Results for changes in the use of assessment and intervention skills were more modest but demonstrated some improvements from pre-training to post-training. Further refinement of the curriculum may yield larger and consistent improvements in intervention behaviors.     

Social mobility and the well‐being of individuals

Several papers published in recent years have revived interest in Sorokin's dissociative thesis: the view that intergenerational social mobility has detrimental effects on the social relationships and wellbeing of individuals. In this paper, I test the dissociative thesis using data from the British Household Panel Survey and Understanding Society. On a wide range of indicators that measure participation in civic associations, contact with parents, close personal relationships, social support, subjective wellbeing, etc. individuals who have achieved long‐range upward mobility (i.e. those who move from working class origin to salariat destination) tend to fare better than those who are immobile in the working class. Those who have experienced long‐range downward mobility (moving from salariat origin to working class destination) do about as well as second‐generation members of the working class. Overall, there is no support for Sorokin's thesis.     

The contextual and social locations of older women's experiences of disability and decline

Understandings of disability and decline within health and social care seem to focus mainly on the bodies and function of older persons. However, the way that older people's experiences of disability and decline are fixed into rigid functional classifications such as ‘frailty’ are problematic. Drawing on the narratives of twelve diverse older English-speaking women in Montreal, Canada, I will argue that older women's experiences are more connected with the contexts within which they experience disability and decline, and the social locations they bring to these experiences, than the functional limitations of their bodies. Older women's stories – particularly those related to the home and the bus – reveal the clash between dominant understandings of ‘frailty’ and older women's contextual and social experiences of disability and decline; expose tensions within health and social care practices; and highlight the potential which exists in both context and social location.     

From 'cage beds' to inclusion: the long road for individuals with intellectual disability in the Czech Republic

In the Czech Republic, individuals with intellectual disabilities continue to be institutionalized in large, remote, state-run institutions and as a result are isolated from community interaction. Some practices associated with these institutions are coming to be seen as human rights violations. Although non-governmental organizations (NGOs) offer alternatives to institutionalization, demand for such services exceeds supply. Czech legal structure hinders NGO funding. Large state institutions continue to be built.     

Children's experiences of disability: pointers to a social model of childhood disability

The social model of disability has paid little attention to disabled children, with few attempts to explore how far it provides an adequate explanatory framework for their experiences. This paper reports findings from a two-year study exploring the lived experiences of 26 disabled children aged 7-15. They experienced disability in four ways—in terms of impairment, difference, other people's behaviour towards them, and material barriers. Most young people presented themselves as similar to non-disabled children: it is suggested they may have lacked a positive language with which to discuss difference. It is further argued that Thomas's (1999) social relational model of disability can help inform understandings of children's experiences, with 'barriers to being' having particular significance.     

Impact of a multidimensional intervention programme applied to families at risk for child neglect

The purpose of this study is to evaluate the effects of an intervention programme applied to families at risk for child neglect. Twenty‐nine families were recruited through a Local Community Services Centre (LCSC) and were assigned to two groups: (1) the first group participated in a multidimensional eco‐systemic intervention programme called the Personal, Family and Community Help Program (PFCHP); and (2) the second group underwent psychosocial intervention that was provided as part of regular LCSC services and focused mainly on the social worker–family relationship. Pre‐test measures were obtained at the beginning of intervention for both groups and a follow‐up was held 24 months later. Quantitative and qualitative analyses indicated that both forms of intervention were associated with improved parent–child relationship and the reduction of parental stress, depression and the potential for child abuse and neglect. However, PFCHP participants showed multiple indications of improvement in their social and marital relationships, which was not the case for LCSC participants. The conclusion outlines the need for a long‐term intervention process for families at high risk for child neglect and the necessity of addressing multiple dimensions of family life if lasting changes are to be expected. Copyright 2000 John Wiley & Sons, Ltd.     

Targeting youth at risk for gang involvement: Validation of a gang risk assessment to support individualized secondary prevention

Objective/PurposeA major challenge in economically marginalized neighborhoods across the United States and around the world is the proliferation of local street gangs and the violence they perpetuate. While estimates vary from place to place, in the United States approximately 10% to 19% of youth between the ages of 12 and 16 are likely to join a local street gang in these high-risk areas. While a substantial proportion of those who join a gang drop out relatively quickly (within a year or so), others remain involved over several years. Prolonged involvement in a street gang frequently results in violent injury or death among gang-involved youth and among innocent victims. Communities and families facing these problems are looking for ways to discourage gang involvement before it starts.MethodsHere we report a test of the prospective validity of an assessment that supports concentrated prevention efforts focused on the youth most likely to join a gang. This approach, called secondary gang prevention, works intensively to remediate influences that motivate high-risk youth to join a neighborhood gang. The prospective validity of the Gang Risk of Entry Factors (GREF) assessment was tested over a 12 to 18 month period (baseline to retest) in a high-risk sample of 11 to 16 year old youth in Los Angeles County.ResultsThe findings confirm the assessment's effectiveness in prospectively identifying the youth most likely to join a gang within impacted communities. In the study sample, 100% of the boys who reported current gang membership, 81% of boys who report former gang membership, and 74% of the boys who reported hanging out with the gang at the posttest had been identified as high-risk 12 to 18 months earlier on the baseline assessment. All but one of the 14 girls in the study who reported any gang involvement (including just hanging out) on the posttest had been assessed as high-risk on the baseline interview.ConclusionsThe findings confirm the assessment's effectiveness in prospectively identifying the youth most likely to join a gang within impacted communities.     

Handedness as a major determinant of lateral bias in human functional cradling

Studies examining infant cradling have almost uniformly concluded with a general human left-side bias for cradling, indicating that people prefer to hold an infant to the left of their body. Explanations for the notion of the left-side cradling bias have traditionally been searched for in a variety of factors, for example, in terms of maternal heartbeat, genetic factors, in the form of an ear asymmetry where auditory information is perceived faster through the left ear, as a result of a right hemispheric functional specialization for perception of emotions and faces, and in identifying a motor bias of the infant, such as the tendency of newborn infants to lie with the face to the right when placed supine. Interestingly, handedness is generally considered an inadequate explanation for the lateralized cradling bias, despite it being an intuitively plausible one. In this brief review, I put forward the cradler's handedness as the most convincing and elegant determinant of the cradling bias. This explanation is consistent with a developmental cascades' framework where the cradling bias can be understood as the result of a multitude of factors across a range of levels and systems.     

Expertise and experience: a deliberative system of a functional division of labor for post-normal risk governance

Public policy is increasingly facing human-made risks in various domains (technology, environment, energy, food, health, security, etc.) that pose new challenge for risk governance. These risks induce cognitive, evaluative and normative challenges that result from uncertainty and ambiguity. This necessitates a new interplay between the state, experts, stakeholder groups, and the public at large. We confront the notion of risk governance with theories of deliberative democracy: How can societies develop deliberative institutions and processes for governing risks more effectively and how can society be better involved in risk governance? We argue that a deliberative system with a functional division of labor that assigns specific tasks to and recognizes specific competences in experts, stakeholder groups, and citizens facilitates an appropriate integration of scientific and experiential substance. We argue that the integration of expertise and experience can be conveyed by differentiated deliberation by expert, stakeholders, and the public, which produces better outcomes than the classical risk analysis approach in many regulatory systems. To this end, we combine theory, normative conceptualization, and institutional practicability.     

Children at risk: rationales for risk assessments and interventions

In this study, we examine and compare the rationales that social workers and laypersons give for their judgments, assessments and decisions in cases of alleged child abuse and neglect. We have used Toulmin's framework to explore the structure of the arguments/rationales of social workers and laypersons. We analyzed separately basic and complementary level arguments. We used Rosen's work to analyze the content of the backing provided by respondents for their claims.We presented two groups of respondents—52 social workers and 50 laypersons—with a case vignette that was a referral of a child and family made by a family physician. Respondents were asked to read the case, provide their assessment of risk to the child, recommend an intervention, and give written and detailed rationales for their assessment and recommended intervention.The findings indicate that social workers and laypersons differ in the structure and in the content of their rationales. Social workers formulated significantly more complete arguments, both basic and complementary levels of arguments, than laypersons. The content of the backing for the judgments was also significantly different: Social workers used more theory, experience and policy than the laypersons who used more general knowledge and values.In the discussion, we address the training implications of the fact that social workers pay very little attention to rebuttal of arguments, and do not refer to research evidence as a basis for the arguments they make. We recommend that more research focus on arguments and rationales given by professionals in this area.     

'Working at Disability': a qualitative study of the meaning of health and disability for women with physical impairments

Seven women with cerebral palsy and one woman with a spinal cord injury were interviewed about the meaning of health and disability in their lives. The most compelling feature of their narratives was the pressure to define their health by able-bodied standards. These women 'worked at' fitting their bodies and experiences into the limited societal understanding of a body. Paradoxically, the women seemed to come to a deeper personal understanding of disability and themselves through this work. The women's stories of health, impairment and disability, as told in the interviews, blended into rich chapters of their life stories.     

The lived experience of students with an invisible disability at a Canadian university

University institutions are required by law to make their services accessible to students with disabilities. Canadian universities have gone a long way to eliminate the physical obstacles that present barriers for students. Many students with disabilities have invisible disabilities that require different types of adjustments. Although some researchers have evaluated the needs of students with disabilities in higher education, the unique needs of students with invisible disabilities have received less attention. The best means of assessing these needs is through direct consultation with students with disabilities. Thus, in-depth interviews were conducted with university students with dyslexia, attention-deficit hyperactivity disorder, and mental illness. Themes were developed that related to the nature of the disability, the accessibility of the university context, the social and organizational barriers, and recommendations for change. This research lends insight into how individuals with invisible disabilities believe that they are perceived within the university context.     

Development of objective discomfort evaluation indicators for a task-oriented motion using less constrained motion concept: application to automotive pedal clutching task

This paper presents a method to develop objective discomfort evaluation indicators for a task oriented motion using the concept of less constrained movement. The basic idea is to compare imposed and less constrained movements in order to identify relevant biomechanical parameters for defining objective discomfort indicators. The task of automotive pedal clutching was chosen for illustrating the proposed method. Based on discomfort questionnaire and motion analysis of the experimental data, four discomfort indicators were proposed. Two of them were based on the ankle joint angle around flexion/extension axis at the beginning and the end of the clutch pedal depression. The third one was defined using knee flexion/extension joint torque at the end of the clutch pedal depression. The last indicator was defined as the relative lateral position of the heel compared to the average pedal lateral position for less constrained configurations. A global discomfort function was also defined as a weighted sum of all indicators. Globally, the proposed global discomfort indicator succeeded in differentiating the tested configurations in agreement with experimental observation. As expected, less discomfort rating is obtained for less constrained movement when compared with the corresponding imposed one.     

A 3-D model of health decline: disease, disability, and depression among Black and White older adults

Much of the research on health decline in older adulthood has specified a single causal direction between two health domains, often measured at the same time point, making it difficult to disentangle the mechanisms of health decline over time. Using three waves of data over seven years from older residents of North Carolina, a 3-D model is used to examine the temporal ordering of general health decline and the pathways of influence across three health domains (disease, disability, and depression). In addition, we test whether the 3-D model of health decline is similar for Black and White older adults. Results indicate that both prevalent and incident disease lead to increases in depression and that prevalent disease leads to greater disability three years later. Depression, in turn, leads to disease, identifying a cycle of health decline that is, for the most part, similar for Black and White older adults. The effect of widowhood is more deleterious to the health of Black older adults than for their White counterparts.