What (a) Difference a Degree Makes: The Evaluation of the New Social Work Degree in England

After many years of debate in the UK about the need for a degree-levelqualification in social work, the arguments for a minimum degree-levelqualification were accepted. The requirements for the degreein England were developed drawing on work from a number of sources,including a benchmark statement for undergraduate degrees insocial work and focus groups with stakeholders. The new degreein England, launched in 2003, involves one extra year’sstudy; improvements in the qualifying standard for social work;and specific curriculum and entrance requirements. At the timeof launching the degree, the government department responsiblefor funding (Department of Health) commissioned a three-yearevaluation of the implementation of the new degree to establishwhether the new qualifying level leads to improvements in thequalified workforce. The aim of the evaluation is to describethe experiences of those undertaking the degree, collect theviews of the various stakeholders about the effectiveness ofthe degree and measure the impact of a degree-level qualificationon those entering the workforce. This article, written by theteam undertaking the evaluation of the England degree, exploresthe reasons for the methodological approach adopted and theissues that have arisen in setting up the research.     

Personal empowerment program: addressing health concerns in people with schizophrenia

Three staff nurses in the Outpatient Schizophrenia Service of the Foothills Medical Centre in Calgary, Alberta, Canada, became concerned about the weight gain of their patients. Patients and their family members were also concerned and asking for help. Before integrating a program to address these concerns, staff first had to demonstrate that a program of this nature would be beneficial for clinic patients. Of the 75 clients screened, many presented with problems in the areas of weight, blood pressure, and fasting blood sugar and lipid levels. Although not a research study, an 8-month pilot project was implemented to address these concerns. It was hypothesized that integrating all dimensions of wellness in patient programming would have a positive effect on various defined indicators (e.g., weight, body mass index, blood pressure, and fasting blood sugar and lipid levels). Screening tests before, during, and after the 8-month project provided the physical outcome measurements. Social and psychological outcomes were described through observation and group member feedback. The positive results are significant in terms of empowering patients in the long-term management of their health.     

Young people and social action: youth participation in the United Kingdom and United States

This chapter provides two case studies of projects in the United Kingdom and United States using a social action approach to encourage youth participation and civic engagement. The authors provide a snapshot of U.K. and U.S. policy related to inclusionary practice in youth development work, along with testimony from youth participating in the two community development initiatives. As part of the positive youth development approach, youth inclusion is seen as a key to policy, programs, planning, and practice with young people. Educators, researchers, and practitioners using participatory methodologies have continued to move the youth development field forward. Social action provides a theory and practice that enhances community building, social cohesion, and positive youth development.     

Longitudinal perspectives on event history analysis

We discuss event histories from the point of view of longitudinal data analysis, comparing several possible inferential objectives. We show that the Nelson–Aalen estimate of a cumulative intensity may be derived as a limiting solution to a sequence of generalized estimating equations for intermittently observed longitudinal count data. We outline a potential use for the theory in interval-censored recurrent-event models, and demonstrate its applicability using data from a Toronto arthritis clinic. We also discuss connections with rate models, along with some implications for the longitudinal analyst.     

Effect of frailty on marginal regression estimates in survival analysis

Unexplained heterogeneity in univariate survival data and association in multivariate survival can both be modelled by the inclusion of frailty effects. This paper investigates the consequences of ignoring frailty in analysis, fitting misspecified Cox proportional hazards models to the marginal distributions. Regression coefficients are biased towards 0 by an amount which depends in magnitude on the variability of the frailty terms and the form of frailty distribution. The bias is reduced when censoring is present. Fitted marginal survival curves can also differ substantially from the true marginals.     

Improvisational choreography in teleservice work

This naturalistic study of the ordinary work practice of sales representatives employed by the call centre of a large office-equipment company focuses on the actions of those sales reps during their calls with customers. We show how this work performance is organized through an improvisational choreography of action involving not only the turn-by-turn interchange with customers on the telephone but also the concurrent utilization of a variety of tools and artefacts. While 'improvise' and 'choreograph' may appear to be conceptually incongruent, our analysis demonstrates that even though these teleservice workers recurrently fabricate their actions out of materials and means that are conveniently on hand, the convenience is often carefully arranged to afford such extemporaneous composition. Finally, we conclude from this analysis that the traditional topics of 'work routines' and 'routinization' need to be respecified in order to take into account how any 'routine' is a contingently produced result (and in this centre, a craft-like performance).     

The Maternal Wall

Although the economic and social position of women has improved considerably in the last decades, some gendered expectations and roles have proved remarkably resilient. Increasingly, the gender gap in compensation has become an issue of "mother" versus "other," as, for example, working mothers earn 60% of what working fathers earn. Conservatives tend to frame the gender imbalance in terms of women's choices; but feminists, including those in this issue, debunk explanations that blame women for gender differences in earnings. Contributors to this issue, whose work we introduce here, chronicle and analyze the power of stereotypic thinking and behavior, and also discuss how to change both stereotypes and realities.     

Presenting features in adult victims of satanist ritual abuse

This paper begins with a brief account of the author's own introduction to the subject of satanist ritual abuse (SRA). This is followed by clinical data concerning five adult victims of SRA, brought up within multi-generational Satanic cults. Clinical features are described, some of which are common to those seen in victims of other forms of child sexual abuse (CSA). Others appear to be more specific to SRA victims. The pattern of disclosure is described briefly but details of the content are not included. Professional scepticism about SRA is discussed and attention drawn to the similarity of these cases with those reported in the US literature. The conclusion emphasizes the importance of considering the possibility of SRA in patients presenting with these symptoms.     

A multidimensional and contextual framework for understanding diverse family members' roles in long-term care facilities

Very few studies have explicitly examined the roles of family members in institutionalized settings and how these roles are developed. The most widely used theoretical framework employed in the studies that do exist is Litwak's structural-functionalist framework—the theory of shared functions and balanced coordination. Although Litwak's theory emphasizes the importance of both formal organizations (e.g., long-term care facilities) and primary groups (e.g., family) to optimal care, the framework provides a limited understanding of the roles of family members in long-term care facilities. The first section of this article describes Litwak's framework and then outlines the limitations of this task-assignment approach. By adopting a symbolic interactionist approach and integrating concepts from an ecological perspective and Hughes' concept of career, an alternative, more dynamic, contextual framework for understanding the roles of family members in long-term care settings is presented.     

Chronic Homelessness Among Working-Age Adults: Personal Problems and Public Assistance

As rapid changes have occurred in the economic and cultural structures of society, some have found themselves more disadvantaged than others. The mismatch between income and the cost of housing means that some of the poor will inevitably become homeless. Given the economics of the situation, prevention of homelessness is a non-issue; more germane is the question of chronic homelessness. This paper takes the position that determining who is most likely to be chronically homeless is related to the cultural ideology of individualism and, more specifically, that the situations likely to create the greatest vulnerability are problems for which individuals are seen as personally responsible. The distress brought about by societal-level changes is manifested in the “personal” problems of individuals. The social welfare system, acting as a substitute for failed social institutions, recreates their failures by relying on a cultural ethos that blames individuals for occupying positions to which the society has relegated them.