Evidence-based programs in children's services: A critical appraisal

Evidence-based programs (EBPs) are increasingly being implemented in children's services agencies in developed countries. However, this trend is meeting resistance from some researchers, policy makers and practitioners. In this article we appraise the main critiques, focusing on scientific, ideological, cultural, organizational and professional arguments. We contend that some of the resistance stems from misconceptions or an oversimplification of issues, while others represent valid concerns that need to be addressed by proponents of EBPs. We set out implications for the development and evaluation of programs and how they are introduced into service systems, and conclude with broader recommendations for children's services.     

Influencing international child labour policy: The potential and limits of children-centred research

How did research with working children influence child labour policy in the late 1990s and early 2000s? What were the constraints to research findings exerting greater influence over international policy? This paper explores these questions against the backdrop of studies with working children in Jakarta, Indonesia in 1994, 1995 and 1999. It is suggested that rights-based, children-centred research is a potential means of gaining insights into the lives of working children. As such, research has a role to play in informing policy. An analysis of international debates during the 1990s indicates that the findings of research with children did exert some influence over international child labour policy in the 1990s, but there were limits to the extent of that influence. In seeking to explain these limits, this article explores the tension between research that recognises and reports children's agency and the structural constraints that militate against children's views, experiences and priorities being translated into policy.     

Implementing evidence-based practices and programmes in the human services: lessons from research in public administration

The development of evidence-based practice and programmes (EBP) has led to increasing interest in implementation issues in the field of human services, and specifically how to bridge the gap between scientific knowledge and actual practice. However, because EBP are usually connected with social policies, which are political, implementation problems arise concerning resource allocation, ethics and power. Such implementation problems in the field of public administration have been extensively researched. The aim of this paper is to investigate whether and how research into policy implementation in public administration may benefit ongoing research on EBP in the human services to understand, explain and manage common implementation problems. This paper is based on a broad review and comparison of the literatures on policy implementation in public administration and implementation of EBP in the human services. Analysis shows that human services could learn from public administration research to develop a broader theoretical approach for understanding and managing implementation of evidence-based practice and programmes.     

Prevention in integrated children's services: the impact of sure start on referrals to social services and child protection registrations

Every Child Matters, the English government's plans for integrated children's services, proposed that preventative approaches such as those developed through Sure Start should be able to reduce the numbers of children requiring more intensive support from children's social services and, by implication, the numbers of children on the child protection register. This study examined the impact of Sure Start local programmes (SSLPs) on four local authorities with social services responsibilities in the northeast of England. The researchers analysed routinely collected statistical data concerning over 10,000 referrals of children under four years and over 1,600 child protection registrations (CPRs) in an eight‐year period before and after the introduction of 19 SSLPs. They also analysed interviews with 36 key informants in eight case study SSLP areas. Contrary to expectations, the quantitative data revealed no discernable short‐term effect on the numbers of referrals, or on CPRs. Interview data showed broad agreement on the potential impact of preventative work undertaken by SSLPs and many respondents believed that it was too early to draw conclusions. Alternatively, the universal approach to prevention within the Sure Start areas and the attempts to provide non‐stigmatising and non‐intrusive community‐based services may be ineffective in reducing the need for intensive support for ‘at risk’ families. The findings are discussed in relation to ‘targeted’ prevention programmes and government policy intentions. Copyright © 2007 John Wiley & Sons, Ltd.     

How parents decide to participate and save in their children's asset-building accounts: Implications for practice, policy, and theory

Asset-based social welfare programs focus on helping low to moderate income citizens accumulate wealth in the form of home ownership, savings, small businesses, and higher education. Individual development accounts, savings accounts in which account holders' deposits are matched, are a vehicle often used in these programs. In a national demonstration of children's savings accounts (individual development accounts for children) parents participated in focus groups to discuss how they decided to enroll in this asset-building program, how they decided to open accounts for their children, and how they saved in these accounts. Findings from this study have implications for assetbuilding policy and practice, and institutional theories of saving.     

No time to think: protecting the reflective space in children's services

Over the past few years, first line managers in child care have faced mounting pressure on their time from both the national performance management agenda and the professional demands associated with the Framework for the Assessment of Children in Need and their Families and Working Together to Safeguard Children: A Guide to Inter‐Agency Working to Safeguard and Promote the Welfare of Children. This paper briefly discusses the policy context surrounding this period of unprecedented change and focuses on the potential erosion of the reflective space in supervision as first line managers struggle to cope with the ever‐increasing expectations. An argument is made for the creative use of multi‐agency action learning/ research projects within the workplace to supplement individual supervision and promote reflective multi‐agency child care practice; some examples of successful projects are given. Copyright © 2003 John Wiley & Sons, Ltd.     

A multi-level examination of how the organizational context relates to readiness to implement prevention and evidence-based programming in community settings

Prior theoretical and empirical research suggests that multiple aspects of an organization's context are likely related to a number of factors, from their interest and ability to adopt new programming, to client outcomes. A limited amount of the prior research has taken a more community-wide perspective by examining factors that associate with community readiness for change, leaving how these findings generalize to community organizations that conduct prevention or positive youth development programs unknown.Thus for the current study, we examined how the organizational context of the Cooperative Extension System (CES) associates with current attitudes and practices regarding prevention and evidence-based programming. Attitudes and practices have been found in the empirical literature to be key indicators of an organization's readiness to adopt prevention and evidence-based programming. Based on multi-level mixed models, results indicate that organizational management practices distinct from program delivery may affect an organization's readiness to adopt and implement new prevention and evidence-based youth programs, thereby limiting the potential public health impact of evidence-based programs. Openness to change, openness of leadership, and communication were the strongest predictors identified within this study. An organization's morale was also found to be a strong predictor of an organization's readiness. The findings of the current study are discussed in terms of implications for prevention and intervention.     

The policy context of leaving care services: A case study of Northern Ireland

The transition of foster youth from state care to independent living has received increased research, practice, and policy attention in the United States and in many other countries. Most contributions to this literature have focused on documenting poor outcomes across various dimensions of need in the young people's lives whereas little attention has been given to the policy context in which the responses to those needs are being developed. In this article, we argue that there is a pressing need for better understanding of how the policy context can both promote and impede the development of appropriate services. To illustrate our argument, we use Northern Ireland as a policy case study both because of recent initiatives underway there in regard to youth transitions from state care and because of the heightened political sensibilities associated with it as a society. We draw attention to the socio-political historical context, a number of intersecting social policies, and the place of social work as a key occupation involved in delivering service improvements. We conclude by suggesting that this case study not only highlights the need to address similar aspects of the policy on youth transition from state care in the United States but also demonstrates the benefits of reflecting on policy development and implementation elsewhere in the world.     

Barriers and facilitators to implementing evidence-based health innovations in low- and middle-income countries: A systematic literature review

The unsuccessful implementation of health innovations occurs frequently, leading to missed opportunities where improvements could have been made on various aspects of a health system. The purpose of this study is to identify, assess and synthesise the facilitators and barriers to sustainably implementing evidence-based health innovations in a low- and middle-income country (LMIC) context. To identify the LMIC specific facilitators and barriers, a systematic literature review was conducted. 79 studies were analysed, and the implementation barriers and facilitators identified in each study were extracted. The extracted barriers and facilitators were categorised and synthesized into one of seven concepts: context, innovation, relations and networks, institutions, knowledge, actors or resources. There were no substantial variations between the frequency that each concept was identified as a facilitator or barrier to implementation. However, resources, which includes time, human, financial and physical resources, was the most frequently mentioned concept; emphasising the need to focus on the resource situation in LMICs. This study contributes to the growing literature that aims to inform health system planners and evaluators in LMICs on effectively and sustainably implementing evidence-based health innovations.     

Caring for informal caregivers: policy approaches to the provision of direct support services

Despite being the backbone of modern welfare states, the informal care sector for elderly people in need of long-term care is highly dysfunctional. The majority of informal caregivers are overburdened on account of their care-related activities, although an evolving market for support services directly aimed at relieving informal caregivers is observable. In this paper, we examine the reasons for the imperfect exchange between demand and supply in this market, applying the economic theory of market failure. Through a case study of Austria based on an empirical, qualitative survey of all direct support services and their suppliers on the national level as well as in three provinces, an understanding of this market's main players and mechanisms is derived. Thus, the authors determine that three different system types can be identified beyond the historical regional discrepancies. They illustrate the approaches to service provision for informal caregivers: centralized and public, laissez-faire and private, and a radically decentralized network for informal caregivers. Still, lack of information, social and psychological barriers, as well as high transaction costs, are identified which undermine the support service market for informal care. If the costs of the formal long-term care sector are to be contained despite demographic developments, better policy approaches will be necessary to overcome this challenge. In light of this, recommendations are derived to ensure a better exchange between supply and demand. By providing an initial empirical understanding and analysis of this market and its imperfections, the authors pioneer future quantitative research in this field.     

Harnessing civil society's knowledge for development policy: Potential and challenges for the Republic of Yemen

This exploratory case study investigated Yemeni civil society actors’ actual and potential contribution to policy‐making, implementation, monitoring and evaluation, in the sectors prioritized in Yemen's national development strategy. Semi‐structured interviews were conducted in Sana'a between January and July 2015 with policy‐makers, researchers from academic institutions and civil society organizations. More specifically, this article discusses the role that YPRIs play in the public policy landscape of Yemen; the challenges they face in their interaction with policy‐makers; the opportunities they represent for policy actors in Yemen; and the factors enabling and limiting their influence, communication, inclusiveness and capacity. The authors conclude by contextualizing their findings within the ongoing conflict and drawing lessons for post‐war policy‐making in Yemen.     

Poultry and policy in Ghana: Lessons from the periphery of an agricultural policy system

We analyze poultry‐related policy documents from Ghana and ask how the problems identified and the actions proposed have changed over time. The analysis highlights the fact of limited and poor quality data, and associated uncertainty, ambiguity and poor specification of both problems and interventions. It also points to a long‐term commitment to intensive commercial production as the preferred pathway to deliver more animal protein. However, in the face of persistent feed constraints and economic liberalization, imports of frozen chicken have sky‐rocketed since the early 2000s, and a new pathway has come to dominate. We discuss this outcome and what it says more generally about policy around minor crops and livestock species.     

Early savings for children's higher education: A comparison between savers and non-savers in a Child Development Account program

This study examined economic pressure, parenting stress, and personal mastery factors among N = 235 lower income parents who had the opportunity to save for their children's future higher education in a children's development account program. Bivariate analyses and structural equation modeling (SEM) were used to test the differences between early savers and non-savers. There were some sociodemographic differences between the groups; however, the overall SEM was invariant between the groups. Data suggest that specific case management services may be critical to help lower-income parents save for their children. Further research needs to identify institutional aspects and household characteristics that explain saving among this poorer households.     

Learning from bottom-up dissemination: Importing an evidence-based trauma intervention for infants and young children to Israel

This article describes a pilot study of a “bottom up” dissemination process of a new evidence based intervention for treating early childhood trauma. Clinicians applied to learn Child–Parent Psychotherapy (CPP), imported to Israel from the U.S. A focus group of six graduates of a CPP training program responded to questions concerning their experiences learning and using CPP. All 39 CPP graduates from two cohorts also completed a cross sectional survey related to their use of CPP. Within the focus group, the openness of the workplace and the intervention's characteristics were considered major factors impacting CPP use; the training program was perceived to promote CPP implementation, and lack of supervision and secondary traumatic stress were the major inhibiting factors. Using CPP-informed therapy, as opposed to CPP with fidelity, was perceived to be one of the main outcomes of the training. Survey results showed that 53% of graduates were using CPP in over three cases, and almost all intended to use CPP within the next year. Ninety-five percent were using CPP principles in their therapeutic work. The implications of importing a new evidence based intervention to a foreign country that utilizes a different dissemination system within a different professional culture are discussed.     

An ecological perspective on family policy: A conceptual and philosophical framework

This article develops a conceptual framework that places family policy within an ecological perspective. The ecological perspective is particularly useful in providing a means both to understand why diversity exists among families and to analyze how human-created rules disparately affect the environments faced by families within and across different societies. Examples are provided of how family policy is conceptualized by organizations and groups that are concerned with family issues, and these examples are critiqued from the ecological perspective. Finally, the article suggests that the values on which an ecological perspective of family policy are grounded can serve as a beginning point to develop a philosophical basis for the development of family policy. Her research interests include family policy and research at the national and international levels. She received her Ph.D. in Social Work and Economics from the University of Michigan.     

Navigating healthcare: gateways to cancer screening

This article is the first phase in the Gateways to Cancer Screening project – a user‐driven participatory research project that examines barriers and facilitators to preventive cancer screening for women with physical mobility disabilities. Through a systematic review of the existing literature on this subject we discover that, despite the fact that women with disabilities have the same biological risk of developing cancer as non‐disabled women, women with mobility impairments face systemic, architectural, procedural and attitudinal barriers to preventive cancer screening. Our goals are to identify barriers and facilitators to screening, identify the gaps in the existing literature related to issues of diversity and ultimately set the stage for disabled women to effect change through the telling of their own stories.     

Political talk on mobile instant messaging services: a comparative analysis of Germany,Italy, and the UK

Mobile instant messaging services (MIMS) are emerging as important digital environments in citizens’ everyday lives. We explore the use of MIMS for talking about politics with unique survey data on samples representative of Internet users in Germany, Italy, and the UK. First, we show that robust percentages of our respondents who use MIMS employ them for posting political messages and discussing politics. Second, we demonstrate that political talk on MIMS is positively associated with users’ tendency to censor themselves politically on social networking sites (SNS) and, to a lesser extent, with ideological extremism. Third, we find that the association between self-censorship on SNS and the likelihood of publishing political contents on MIMS is stronger for individuals living in former East Germany where, due to historical reasons, large segments of the population are reluctant to talk about politics in public. Our findings suggest that MIMS make a distinctive contribution to contemporary repertoires of political talk, with important implications for the quality and inclusiveness of interpersonal political discussion.     

Hong Kong Chinese aging adults voice financial care expectations in changing family and sociocultural contexts: implications for policy and services

Despite being one of the world’s wealthiest cities, approximately one-third of Hong Kong older adults live below the poverty line. Innovatively using the Photovoice research method, this study invited 36 Hong Kong Chinese aging adults to photograph images and voice their concerns and expectations regarding financial care. Insufficient government support, diminishing family support, insecurity and fear regarding future finances, and strong desire for self-sufficiency through early preparation and bridge employment were recurring themes observed in the participants’ photographs and narratives. The shifting of the participants’ financial care expectations from informal to formal sources in changing family and sociocultural contexts indicated that older people are in urgent need of policy reform from a needs-based to rights-based approach to foster empowerment and fulfill older people’s rights of financial security, dignity and participation. Improving the retirement protection system should go hand in hand with encouraging family support and caregiving and creating age-friendly working environment for older residents. The findings of this study may have crucial policy implications for Hong Kong and other aging societies, especially those that share similar filial piety values and have seemingly ungenerous welfare systems.     

Employee counseling services evaluation system: design, issues and conclusions

Employee Counseling Services (ECS) programs have emerged as an effective method for dealing with employees whose job performance has deteriorated due to personal problems such as alcoholism or drug abuse. It is estimated that 18% of any work force is effected by such problems at any given time and that these employees cost industry billions of dollars annually in lost productivity, abuse of sick leave, etc. One of the critical concerns of this emerging field is the need for comprehensive evaluation that can demonstrate the cost-effectiveness and cost-benefits of ECS programs. This paper will describe the model Federal ECS developed at the U.S. Department of Health and Human Services as well as the components of the evaluation system designed to determine its effectiveness. The system is the first of its kind and will be a valuable contribution to the field. The paper then raises issues and develops conclusions about designing such an evaluation within the context of a large bureaucracy.     

Bridging the gap between ecological research and land use policy: The North Sonoran Collaboration

A key factor in bridging the gap between ecological research and public land use policy is translating information from the language of research into the language of public policy making. Creating effective translations of research is often beyond the skills of urban planners and environmental researchers individually, and thus collaboration between the two is needed. Examples of such translation and partnerships can be found in the projects of an interdisciplinary group coined the North Sonoran Collaborative. This group consists of Phoenix, AZ, USA city staff, Arizona State University faculty, graduate students, and staff, and people from other local private companies and government agencies. The group, through its collaboration, has sponsored a series of environmental research efforts and translated those into successful land use planning activities and policies. The focus of the collaboration is the northern, largely undeveloped portion of the city of Phoenix, Arizona. This group has pursued three principles: desert ecosystems should be protected, a diversity of development should be pursued, and a sense of community should be created in new developments. This paper discusses this unique approach to planning and how it has proven effective in responding to the local communities needs quickly.