Poor children1

This article explores trends in child poverty in the UK since 1979 and examines the extent to which the government is making progress in pursuit of its objective to abolish child poverty in 20 years. The spatial distribution of child poverty is examined by country, local authority and ward. The characteristics of households containing poor children are presented and research on the dynamics of child poverty reviewed. Child poverty in the UK trebled during the 1980s and has only just begun to fall slowly. Child poverty is heavily spatially concentrated and the risks of child poverty are concentrated in certain types of household. Copyright © 2003 John Wiley & Sons, Ltd.     

Walking Ability is Associated with Social Communication Skills in Infants at High Risk for Autism Spectrum Disorder

Achievement of early motor milestones in infancy affords new opportunities for social interaction and communication. Research has shown that both motor and social deficits are observed in infants who later develop autism spectrum disorder (ASD). This study examined associations between motor and Social communication skills in 12‐month‐old infant siblings of children with ASD who are at heightened risk for developmental delays (N = 86) and low‐risk, typically developing infants (N = 113). Infants were classified into one of three groups based on their walking ability: walkers (walks independently), standers (stands independently), or prewalkers (does not yet stand or walk independently). Social communication and cognitive skills were assessed with two standardized assessments (Communication and Symbolic Behaviors Scales [CSBS] and Mullen Scales of Early Learning) and compared across the three walking groups. Results demonstrated that high‐risk walkers showed superior Social communication skills, but commensurate cognitive skills, compared to high‐risk prewalkers. In contrast, Social communication and cognitive skills were largely comparable for low‐risk infants, regardless of walking status. Findings suggest that for high‐risk infants, who are already vulnerable to developmental delays and ASD, independent walking may facilitate the emergence of Social communication abilities. Pivotal motor milestones may serve as useful indicators of Social communication delays and targets for intervention.     

Preliminary evaluation of contingent meals and telephone use to improve evidence-supported family therapy session attendance in mothers referred by Child Protective Services for substance abuse

Persons referred by Child Protective Services (CPS) for substance abuse evidence high rates of nonattendance to therapy sessions, taxing systems of care and exacerbating outcomes. This study examined the influence of two telephone-based incentive programs on therapy session attendance in mothers who were referred by CPS for substance abuse. After baseline therapy session attendance was established in an evidence-based clinic that incorporated a telephone engagement intervention (Phase I), participants were provided free cellular telephones with limited minutes and permitted to order free meals delivered by the therapist during upcoming sessions (Phase II). The third phase was similar to Phase II, but participants were provided unlimited minutes. Results indicated that participants’ attendance was significantly improved when meals and cellular telephone minutes were contingent on attendance. Although the percentage of sessions attended by participants during Phase III was higher than Phase II, unlimited minutes and meals did not significantly enhance attendance relative to limited minutes and meals. Session attendance for significant others of these participants was significantly higher during Phase III as compared with Phase I. Session attendance of significant others was statistically similar between Phase I and II and between Phase II and Phase III. Study implications and recommendations for future research and practice are discussed in light of the findings.     

Complaining Our Way to Quality: Complaints, Contracts and the Voluntary Sector

The research on which this paper is based is part of a wider study of quality assurance and the voluntary sector. The focus of this paper is on complaints procedures, as part of quality assurance mechanisms, where voluntary agencies are the contracted service providers. The authors argue that, with the introduction of contracting and particularly with its further development, the way in which complaints mechanisms currently operate will need to be revised if they are to be an effective part of the quality assurance process.     

Cognitive Risk Factors to the Development of Anxiety and Depressive Disorders in Adolescents

This exploratory study examines cognitive risk factors, anxiety sensitivity, and positive and negative affect, as related to the development of anxiety and depression. In a mailed survey, adolescents completed the Child Anxiety Sensitivity Index and the Positive and Negative Affectivity Scale. Previous research utilized the broad and unified variable of anxiety sensitivity as a predictor of anxiety. In this study, we separate and examine the four specific factors of anxiety sensitivity: mental incapacitation concerns, social concerns, disease concerns, and unsteady concerns, and relate it to specific anxiety disorders and depression. Results indicate good convergent validity and improved divergent validity when utilizing the four factors of anxiety sensitivity as compared to using it as one construct. Results also suggest: (1) OCD and GAD share numerous similarities and (2) the importance of the role of negative affectivity in anxiety and depression. Being aware of the components of anxiety sensitivity and how they relate to specific anxiety disorders can help a social worker when rendering a diagnosis. Part of the data presented in this article was from David A. Dia’s doctoral dissertation.     

Use of Single-System Research to Evaluate the Effectiveness of Cognitive-Behavioural Treatment of Schizophrenia

Correspondence to William Bradshaw, Ph.D., LICSW School of Social Work, University of Minnesota, 105 Peters Hall, 1404 Gortner Ave. St. Paul, Minnesota 55108, USA. E-mail: Bbradsha{at}che.umn.edu Summary Practitioner research that utilizes single-system designs andreplication studies has been promoted as a means to developpsychosocial interventions of demonstrated effectiveness. Atthe same time, there has been relatively little practitionerpublication of single-system studies. The purpose of this studywas to evaluate the effectiveness of cognitive-behavioural interventionsin the treatment of schizophrenia. The study used a single-systemmultiple baseline design across seven subjects to evaluate changein clinical outcomes. The AB design included a (A) baselinephase and (B) cognitive-behavioural intervention phase. Standardizedmeasures of psychosocial functioning, severity of symptoms andattainment of treatment goals were used to assess change overthe course of three years treatment. A pre-test/post-test designwas used to measure achievement of treatment goals. All sevenclients made statistically significant improvement in psychosocialfunctioning when the baseline mean was compared to the interventionmean. The average effect size for the seven cases was 2.96.All seven clients made a statistically significant reductionin severity of psychiatric symptoms when the baseline mean wascompared to the intervention mean. The average effect size forthe seven cases was -2.19. All seven clients exceeded the expectedlevel of attainment of treatment goals. The pre-test averagegoal attainment score for the seven cases was 20.65 (sd = .55).The average post-test score was 71 (sd = 8). Directions forfuture research and the applicability of single-system designsfor the practitioner researcher evaluation of mental healthpractice are discussed.     

Boards of directors in nonprofit organizations do they follow a life-cycle model?

In this study the authors used data from a survey of Canadian nonprofit organizations to empirically test hypotheses derived from models of nonprofit board “life cycles.” The authors suggest that while formal structural elements of board behavior change in the manner suggested by life-cycle models, the more enacted or behavioral aspects of nonprofit boards do not. The data further suggest caution in the use of life-cycle or age-dependent models to either explain or guide nonprofit board behavior.     

Social policy options and fuel poverty

The concept of ‘fuel poverty’, the inability to afford adequate warmth at home has become a focus for social policies in recent years. Increasing numbers of households dependent on social security and the likelihood that fuel will become more expensive mean that the existing problem of fuel poverty may become even greater. The data on fuel expenditure and related variables from three national surveys are used to evaluate various policy options for relieving fuel poverty. Three policies for increasing incomes to pay for fuel costs are considered, increasing benefits, introducing a fuel allowance or extending the existing scheme of additional heating requirements. The policies for reducing fuel expenditure are also considered, restructuring tariffs, changing payment methods and conservation measures. The case is made for priority to be given to an advice and information campaign and a conservation programme aimed at poor households who are unable to respond to existing price signals and grants.     

Exploring Similarity and Stability of Differentiation in Relationships: A Dyadic Study of Bowen's Theory

Bowen family systems theory (BFST) identifies differentiation of self as a crucial characteristic that relates to one's individual and relational maturity. Bowen theorizes that an individual's level of differentiation typically remains static over time and that individuals select and pair in relationships with others who have similar levels of differentiation. This study aimed to test the hypotheses of BFST by using components of differentiation of self, emotional reactivity, and emotional cutoff, in dyadic structural equation modeling. Specifically, a longitudinal dyadic confirmatory factor analysis and structural equation longitudinal panel model were two analyses utilized to statistically test the dyadic nonindependence and stability of emotional reactivity and emotional cutoff across time. Results indicated mixed support for Bowen's assumptions regarding similarity (nonindependence) and stability. That is, small levels of nonindependence and significant stability paths across time were found. Theoretical implications and considerations for future research are discussed.     

Reframing Board‐Staff Relations: Exploring the Governance Function Using a Storytelling Metaphor

This article attempts to reframe board‐staff relations by presenting an alternative perspective on governance, management, and leadership functions within nonprofit organizations. It draws on an interpretative view of organizations and suggests that we can understand nonprofits as socially constructed entities by using the metaphor of storytelling. Seeing the role of board and staff through this theoretical lens allows us to reconceptualize them. This in turn enables us to enhance the creative potential of the governance function and allows governance to support the goal of creating resilient, adaptive, learning organizations.