Patterns of Social Support in the Middle Childhood to Early Adolescent Transition: Implications for Adjustment

Children's social networks often include close family members, extended family members, and friends, but little is known about interindividual differences in the patterning of support from these sources. In this study, we used person‐oriented analyses to differentiate patterns of support for children undergoing the transition to adolescence. Social network and adjustment data were collected for an ethnically diverse sample of 691 fourth‐ and sixth‐grade children, with a two‐year follow‐up. Cluster analyses identified one pattern of support from both close family members and friends, a second pattern of support from both close and extended family members, and a third pattern of support primarily from close family members alone. Participants receiving support from close family in combination with either extended family or friends were better adjusted than were those without multiple support resources. The results suggest that a meaningful typology of children's social networks can be developed.     

Aging,Social Support Systems,and Social Policy

This paper presents an operationalization of the concept of informal social support systems as derived from a statewide study of the problems of the elderly in Texas. The extent of such support systems is shown to be consistently related to a variety of psychological states, demographic characteristics, and other social variables. These findings lead to the conclusion that the extent of informal social support is an important variable in understanding the social needs ofthe elderly. The social policy implications of these findings are discussed.     

Interpersonal Perspectives on Black–White Health Disparities: Social Policy Implications

There are large and persistent disparities between the health status of Blacks and Whites in the United States. On average, the mental and physical health of Blacks is much poorer than Whites. In this article, we discuss several potential direct causes of Black–White disparities in health status, which include biological or genetic factors, prejudice and related processes, and socioeconomic factors. We also consider how the system-level, patient-level, and provider-level components of healthcare contribute to disparities in health status. We examine in detail the psychological processes associated with patient- and provider-level factors that may produce healthcare disparities. Of particular interest is the potential impact of racial attitudes and stereotypes on provider–patient interactions. Finally, we propose possible directions for future research on health disparities and discuss policy changes that might reduce disparities in health status and healthcare between social groups.     

Volunteerism: Social Issues Perspectives and Social Policy Implications

This analytic review focuses on theory and research on volunteerism. First, we define volunteerism as freely chosen helping activities that extend over time and that are often performed through organizations and on behalf of receptive causes or individuals. Next, we link these definitional features to the Volunteer Process Model, which depicts volunteerism as a process with three sequential and interactive stages (antecedents, experiences, and consequences) and at multiple levels of analysis. Then, we use this model to organize the empirical literature on volunteerism and selected work on social movements. Finally, we discuss implications for social policy issues relevant to individuals, organizations, communities, and societies.     

Access, Choice and Travel: Implications for Health Policy

The UK National Health Service is introducing policies offering patients a choice of the hospital where they would like to be treated. ‘Patient choice’ policies form part of a wider debate about the access to health care and the interaction between providers (including information, provision, performance and reputation) and patients (including knowledge, resources and willingness to travel). As the hospital of ‘choice’ might not necessarily be the ‘local’ provider, such policy developments are predicated on an assumption that some patients will be willing to travel further. This will, in turn, affect patients’ access to services. In general, use of services decreases with distance but this is dependent on accessibility to services, the organization of those services, the socio‐economic characteristics of the patient, perceptions of the provider and the condition for which they are to be treated. This article reviews the evidence on patients’ willingness to travel in terms of access to health care and assesses the emerging implications of and for current UK policy on patient choice.     

Parent Characteristics and Early Coparenting Behavior at the Transition to Parenthood

This study examined parent characteristics as correlates of coparenting behavior in 57 primiparous couples. Parents' negative emotionality and perceptions of maternal acceptance in childhood, mothers' beliefs about fathers' roles, and observed marital behavior and family socioeconomic status were assessed during the third trimester of pregnancy, and coparenting behavior was observed at 3.5 months postpartum. Couples who exhibited high‐quality marital interaction showed higher supportive coparenting behavior, but couples who showed lower quality marital interaction demonstrated higher supportive coparenting behavior when mothers held more progressive beliefs about fathers' roles. Couples showed more undermining coparenting behavior when family socioeconomic status was lower and when fathers were higher on negative emotionality. Greater perceived maternal acceptance in childhood was only associated with lower levels of undermining behavior when prenatal marital interaction was high in quality. Thus, the characteristics of both parents, especially in combination with preexisting marital behavior, are important determinants of coparenting behavior.     

Nicotine Addiction: Implications for Public Health Policy

Although the morbidity and mortality caused by cigarette smoking occur in adulthood, the initiation of tobacco use and the development of nicotine addiction typically occur during adolescence. The purpose of this paper is to examine the determinants of nicotine addiction, focusing on the development of addiction in youth, and to explore implications for public health policy. An understanding of the pharmacological and nonpharmacological factors that determine the course of nicotine addiction is critical in developing rational policies regarding tobacco products. The Food and Drug Administration's rule to regulate cigarettes and smokeless tobacco products is discussed. The fact that smokers typically make the transition from casual use to nicotine addiction during adolescence argues for developing and implementing effective prevention efforts and smoking cessation treatment programs that are youth-oriented.     

Health and Social Policy Responses to Unemployment in Europe

This paper analyzes health policy development in Europe in response to economic instability, and describes agreements and declarations at a European level as well as commitments in some selected countries. One significant example is the European Health for All Strategy, which encompasses 38 operational targets agreed upon by all 32 member states of the European region. The Council of Europe and the Commission of the European Communities have instituted study groups on psychosocial and health effects of long-term unemployment, and on intervention measures taken or contemplated. This paper discusses interventions such as psychological and socio-pedagogic training schemes, measures for long-term unemployed, and a "social guarantee" of employment or training, as well as prevention of unemployment and empowerment of the unemployed. A local approach in a region of the Federal Republic of Germany illustrates the need for political involvement and strategies.     

Attachment and Coping Strategies in Middle Childhood Children whose Mothers Have a Mental Health Problem: Implications for Social Work Practice

Mental health has implications for the quality of relationshipswithin a family, particularly between parents and children,but also between other family and non-family members. Previousresearch has investigated parental reports of attachment infamilies with mental health problems, but relationship representationsas experienced by these children, especially in middle childhood,have not been so frequently investigated. An understanding ofchildren’s representations of attachment relationshipsand the different coping strategies that may result is importantfor social work practice when offering support, not only tothe children, but also other family members. Methods of investigatingattachment, such as the Separation Anxiety Test, have been usedto understand the relationship issues, fears and coping strategiesof other vulnerable children, and this study was designed specificallyto investigate relationship issues in middle childhood childrenwhose mothers had previously been hospitalized with mental healthproblems. We found that these children tended to be less emotionallyopen and secure, and generated fewer adaptive coping strategiesthan children whose mothers had never had mental health problems.Other themes also emerged from the interviews, such as a senseof trust in the parent–child relationship and the ‘containment’of fears. Implications for social work practice are discussed.     

Social Status,Perceived Social Reputations,and Perceived Dyadic Relationships in Early Adolescence

This investigation examined social acceptance and popularity as correlates of perceived social reputations and perceived dyadic relationships in a cross‐sectional sample of 418 6th and 7th grade students (approximate average age of 12 years). We assessed early adolescents' social status using peer nominations and measured their perceptions of their social status, behavioral reputations, and friendships from a combination of self‐ratings and peer nominations. Social acceptance was positively related to perceptions of social acceptance and friendships and negatively related to perceptions of rejection and a victimized reputation. Popularity was positively associated with perceptions of popularity, rejection, and an aggressive reputation and negatively associated with perceptions of unpopularity and a socially withdrawn reputation. Our results were, in general, consistent with the suggestion that social acceptance is related to perceiving facets of reputations and relationships relevant to forming and maintaining friendships whereas popularity is related to perceiving facets pertinent to gaining social power.     

Social Support and Government Policy on Services for the Elderly

Government policy on services for the elderly is to increase the provision of care in the community. This paper examines this policy in relation to informal help received from relatives and friends.
Drawing on the results of a pilot study of 92 people over the age of 75, registered in a group general practice, data are presented on the balance between informal and formal help over a group of activities of daily livhg. The main informal helpers are described with the range of activities for which people in the study were receiving assistance.
Community services are, at present, limited in the help they can provide for people in their own homes. If policies of community care are to be successful, then they must take into account the strengths and weaknesses of informal support. Using the data presented, suggestions are made a bout improvements in services including task specific services not currently provided and the definition of groups at risk of their social support breaking down.     

Child Support: The Limits of Social Policy Based on Assumptions of Knavery Extending the Pillars of Social Policy Financing to Aged Care

Julian Le Grand has argued that a key component of welfare reform involves changes in the assumptions about human behaviour which are embedded in social policies. Policy assumptions have been transformed from espousing a belief that social service providers act as well-intentioned knights and recipients as passive pawns, to a stance in which all participants are regarded as self-seeking knaves. These ideas are particularly pertinent to policy developments concerning financial obligations for children, and this paper examines these issues in relation to child support policy in New Zealand. It highlights the evident and inevitable failure of this policy to meet its primary stated aim of revenue generation. In New Zealand this failure is compounded by the creation of parallel systems for dealing with children and families, one for financial obligations and the other for care and development, which are founded on diametrically opposed assumptions about human behaviour and capabilities. This confusion is symptomatic of a wider failure in government policy towards families in New Zealand.     

Social Policy in a Cold Climate: Health and Social Welfare in Russia

The Russian Federation faces multiple challenges for its health and welfare systems and for the development of social policy responses. This article provides a review of some of the key challenges for social policy in Russia and assesses the adequacy of the responses to date. The author surveys recent developments in health and social welfare and makes recommendations on priorities for Russia's policy‐makers and international funders. A range of public health challenges including drug and alcohol misuse, health in prisons and mental health is discussed; HIV/AIDS is singled out for particular attention. While Russia is increasingly attracting the attention of social scientists in the West, there is uncertainty about models and concepts suitable for the analysis of this complex society. Although empirical trends are largely discussed in this article, it is argued that theoretical development is required and some suggestions are made about concepts of the ‘middle range’ to assist in future analyses. Intermediate theories, such as those relating to the management of personal welfare, and development of resilience in a formerly collectivized context, are identified as having explanatory potential for this task.     

Measuring Volunteerability and the Capacity to Volunteer among Non‐volunteers: Implications for Social Policy

As volunteering and its benefits gain global recognition, social policymakers can sustain and increase volunteering through social policy, legislation and other types of involvement. A key performance practice is to measure the rate of volunteering based on the percentage of the population that volunteer or the number of hours donated. The focus of this article, however, is on the capacity to volunteer by non‐volunteers as well as by volunteers. The concept and theory of volunteerability (an individual's ability to overcome related obstacles and volunteer, based on his or her willingness, capability and availability) offers a richer understanding of how people can be assisted to overcome barriers to maximize their volunteer potential and thus increase volunteering. The article details the definitions and benefits of volunteering and covers examples of related social policy, as well as explaining the concept of volunteerability and how it can be measured using existing and new scales. Based on a mixed methods study in Australia, the article offers specific measures to examine the concept of volunteerability and reveals important differences between volunteers and non‐volunteers. The article also details major barriers to volunteering and how social policies can be developed to overcome them.     

Education and Social Policy in Central Asia: The Next Stage of the Transition

This paper discusses the challenges facing the education system of Central Asia and evaluates how these have been addressed in the market economy. We first review the evidence on the economic return to education and determine how the rewards to different levels of education changed during the transition. We then examine the trends in school enrolment and evaluate whether changes in supply or demand explain the enrolment trends we observe. Finally, we evaluate the efficiency of the delivery of education and whether market forces have improved the management of schools. We conclude with a summary of the economic and policy lessons derived thus far from the educational transition. The paper uses aggregate administrative data supplemented with survey data, primarily from the Kyrgyz Republic and Kazakhstan, on enrolment, completion, and expenditures.     

Interconnections among Homelessness,Family Separation,and Mental Health: Implications for Multi-Sectoral Social Services

This qualitative study explored the interconnections among the phenomena of homelessness, family separation, and mental health and substance abuse issues within the social services, geographic, and infrastructure context of northern Ontario. In-depth semi-structured interviews were conducted with thirteen participants. Findings revealed the effects of colonization in the form of poor and overcrowded housing conditions in the northern First Nations, difficulties in obtaining affordable and suitable housing in northern towns and cities, reliance on the scarce social services for survival, and valiant attempts to cope with the cold climate of northern Ontario. All participants reported multiple and intergenerational experiences of separation from family due to involvement of child welfare system, placement in residential schools, death of family member(s), flooding, and epidemics. Participants described their lifelong struggles with mental health and substance abuse issues. All three phenomena were tied together in various configurations of causes and consequences. The implications include the need for critical examination of the historical policies and practices, early intervention for mental health and substance abuse issues, greater support for youth transitioning out of care, creation of a continuum of housing options, collaboration across multiple social services sectors, and incorporation of Indigenous worldview and practices in the mainstream services.     

Social Health Insurance: Key Factors Affecting the Transition Towards Universal Coverage

Several low- and middle-income countries are interested in extending their existing health insurance for specific groups to eventually cover their entire populations. For those countries interested in such an extension, it is important to understand the factors that affect the transition from incomplete to universal coverage. This paper analyses the experience of eight countries in the implementation of social health insurance. It highlights the importance of the socioeconomic and political context, particularly in relation to the level of income, structure of the economy, distribution of the population, ability to administer and level of solidarity within the country, but also stresses the important stewardship role government can play in facilitating the transition to universal coverage via social health insurance.