The Single Assessment Process in Primary Care: Older People's Accounts of the Process

Recent government policies have been active in addressing socialinclusion and active participation of older people in many aspectsof societal life. Independence and well-being animate thesedevelopments and are evident in the emphasis on person-centredservices within the single assessment process for older people(Department of Health, 2002b). Drawing on a feasibility study of the Single Assessment Processas a ‘case-finding’ approach, this paper presentsfindings drawn from older people’s accounts of this experience.These accounts indicate the potential of the process for identifying‘low-level’ need, whilst raising issues of accessto formal services and resource constraint; also they underlinethe importance of understanding how older people seek ways ofmanaging their own health and well-being, whilst continuingto contribute to the social cohesion of society by providingsupport to their peers and to younger generations. Interdependence, it is suggested, rather than dependence shouldunderlie any approach to assessing older people’s needs,if we are to appreciate and build upon the complexity of olderpeople’s strategies for actively managing their lives.     

Maternal Differential Treatment and Child Adjustment: A Multi-informant Approach

The study aimed to replicate previous links with children's adjustment as well as using children's reports of maternal differential treatment (MDT) to test whether difference scores or favouritism scores demonstrate stronger links with child outcome. Finally, it tested for a unique prediction of children's adjustment from distinct aspects and informants of MDT. The sample consisted of 173 working- and middle-class English families with two children aged four to eight years. Mothers provided reports of the mother–child relationship, and both mothers and fathers provided reports of the children's problematic behaviour. The children also provided reports of parent–child relationships and perceived favouritism via a puppet interview. Results confirmed moderate links between MDT and children's adjustment and showed that difference scores provided a better prediction of adjustment than did the favouritism scores. Finally, the results showed that mothers' reports of differential positive feelings were the most salient aspect of MDT for older siblings whereas mothers' reports of negative feelings and positive discipline were the most salient aspects of MDT for younger siblings.