Older people's experiences of community life: patterns of neighbouring in three urban areas

This paper examines changes to the community life of older people living in three urban areas of England: Bethnal Green, Wolverhampton and Woodford. All three were the subject of classic community studies in the 1940s and 1950s, these providing rich material about the lives of groups such as elderly people. Using this earlier research as a baseline, the paper presents data on how the experience of living in urban neighbourhoods has changed for older people in the intervening years. The article reviews the relationship between elderly people and their neighbours, drawing on quantitative as well as qualitative data. In conclusion, the paper identifies a number of general arguments pointing to the value of a community and locality perspective for understanding the impact of social changes on later life.     

Struggling with Poverty: Implications for Theory and Policy of Increasing Research on Social Class-Based Stigma

Low-income people are stigmatized in a number of ways, including being negatively stereotyped and discriminated against both interpersonally and institutionally (see Lott & Bullock, 2007 for a comprehensive review). Yet psychologists have not focused much attention on social class in general, nor on social class-based stigma in particular. This article argues that by resolving three main problems in the literature (the achieved/ascribed discrepancy, the complexity of operationalizing social class, and the seeming lack of identification with one's social class), psychologists are in a unique position to use their knowledge to aid practitioners and policymakers in ameliorating the consequences of poverty. Thus, this article focuses on how better to incorporate social class into the stigma literature and how this research can be linked to social policy initiatives.     

High-risk children with challenging behaviour: changing directions for them and their families

This paper is about an evaluation of three centre-based projects established by a voluntary organization under the Scottish Government's Youth Crime Prevention Fund, to work with primary school-aged children displaying challenging and antisocial behaviour. Following a brief overview of what is known about effective interventions, the paper describes the projects' ways of working, including their remit and ethos. The core intervention chosen was the well-tested Webster-Stratton training programme, The Incredible Years . Wrap around services were also developed and staff modelled the projects' ethos, promoting children's participation and parents' empowerment. The evaluation is described, noting the limited time and resources at the disposal of the evaluation team. The evaluation team adopted a broad definition of evidence, using a range of measures to explore the processes of project development and service intervention, the meaning to the children and families who used the services, and the impact on children's behaviour and parents' levels of stress. The results were modest but encouraging. They suggested that the projects had provided valuable turning points for some of the children with out-of-control behaviour and their families. Finally, it is suggested that a better way to evaluate such projects could be to use complexity theory     

Missing data: Discussion points from the PSI missing data expert group

The Points to Consider Document on Missing Data was adopted by the Committee of Health and Medicinal Products (CHMP) in December 2001. In September 2007 the CHMP issued a recommendation to review the document, with particular emphasis on summarizing and critically appraising the pattern of drop‐outs, explaining the role and limitations of the ‘last observation carried forward’ method and describing the CHMP's cautionary stance on the use of mixed models. In preparation for the release of the updated guidance document, statisticians in the Pharmaceutical Industry held a one‐day expert group meeting in September 2008. Topics that were debated included minimizing the extent of missing data and understanding the missing data mechanism, defining the principles for handling missing data and understanding the assumptions underlying different analysis methods. A clear message from the meeting was that at present, biostatisticians tend only to react to missing data. Limited pro‐active planning is undertaken when designing clinical trials. Missing data mechanisms for a trial need to be considered during the planning phase and the impact on the objectives assessed. Another area for improvement is in the understanding of the pattern of missing data observed during a trial and thus the missing data mechanism via the plotting of data; for example, use of Kaplan–Meier curves looking at time to withdrawal. Copyright © 2009 John Wiley & Sons, Ltd.     

Conditional approval: discussion points from the PSI conditional approval expert group

The European Agency for the Evaluation of Medicinal Products has recently completed the consultation of a draft guidance on how to implement conditional approval. This route of application is available for orphan drugs, emergency situations and serious debilitating or life-threatening diseases. Although there has been limited experience in implementing conditional approval to date, PSI (Statisticians in the Pharmaceutical Industry) sponsored a meeting of pharmaceutical statisticians with an interest in the area to discuss potential issues. This article outlines the issues raised and resulting discussions, based on the group's interpretation of the legislation. Conditional approval seems to fit well with the accepted regulatory strategy in HIV. In oncology, conditional approval may be most likely when (a) compelling phase II data are available using accepted clinical outcomes (e.g. progression/recurrence-free survival or overall survival) and Phase III has been planned or started, or (b) when data are available using a surrogate endpoint for clinical outcome (e.g. response rate or biochemical measures) from a single-arm study in rare tumours with high response, compared with historical data. The use of interim analyses in Phase III for supporting conditional approval raises some challenging issues regarding dissemination of information, maintenance of blinding, potential introduction of bias, ethics, switching, etc.     

The Integrated Children's System and disabled children

The Integrated Children's System (ICS) is premised on a single approach to assessment/review, ideally providing a more coherent, comprehensive and efficient system of electronic information recording and sharing among different groups of practitioners. Despite its holistic aims for all children in need, questions have been raised about the use of ICS with certain groups of children, especially those who do not follow normative patterns, such as disabled children. This paper explores the introduction of ICS with disabled children and their families within four pilot authorities in England and Wales. Drawing on interviews and questionnaires with 16 social workers and 22 families experiencing assessment/reviews under the new ICS, this paper suggests that important questions and concerns regarding the appropriateness and usefulness for disabled children of the ICS remain, especially the use of 'standardized' exemplars. Five disability-specific areas of concern are identified, and their implications are considered.     

Family Relations and the Adjustment of Young Children of Mexican Descent: Do Family Cultural Values Moderate These Associations?

This study examined the role of family cultural values as moderators of the association between family relations and the adjustment of young children. Fifty‐five families of Mexican descent with young children enrolled in Head Start programs in the Southwest participated. Mothers provided information about closeness of the mother–child relationship, warmth in the sibling relationship, child behavior problems, and familism and simpatía, or two cultural values associated with families of Mexican origin. The children's preschool teachers provided information about child emotional adjustment and social functioning with peers six months later. Familism was found to act as a moderator, whereby warmth and closeness in family relationships coupled with the endorsement of a family cultural value that complements these relationship characteristics was associated with more optimal functioning in preschool classrooms. Results demonstrate the need to evaluate family cultural values or beliefs systems in conjunction with qualities of family relationships as determinants of children's developmental outcomes. Specifically, familism emerged as a family characteristic capable of promoting young children's adjustment within and beyond the family context.     

The living arrangements of new unmarried mothers

We use data from the Fragile Families and Child Wellbeing Study to describe the living arrangements of new, unwed mothers and to examine the selection process that underlies choices of living arrangements. Our analysis goes beyond previous studies by examining a wide diversity of living arrangements for a homogenous sample of recent unwed mothers and by using information on both parents' demographic and human capital characteristics and the quality of their relationships. We find that about half the new unwed mothers are cohabiting at the time their children are born, and only 17% are living alone. We also find that mothers' choices of living arrangements are significantly related to parents' human capital, the quality of their relationship, and the cost of housing.     

Child sexual abuse evaluations: adherence to recommendations

Sixty-eight parents of children with alleged child sexual abuse (CSA) were surveyed 4 months after visiting an interdisciplinary CSA evaluation clinic in order to examine the extent to which recommendations were recalled and implemented. Of those parents for whom specific recommendations were provided, 9% recalled recommendations for medical follow-up, 79% recalled recommendations for child therapy, and 43% recalled recommendations for parental therapy. Families were more likely to receive and adhere to recommendations when there were behavioral problems and a strong indication of CSA. To improve communication with families, the reasons for recommendations must be clearly conveyed, and possible barriers to implementation should be anticipated and addressed. In addition, recommendations need to be realistic, and professionals need to facilitate the implementation of their treatment plan.     

Everyday incivility: towards a benchmark

Commonplace incivility is a topic of longstanding interest within social theory, perhaps best exemplified by Goffman's studies of the interaction order. Nevertheless we know very little about its distribution and expression in everyday life. Current empirical work is dominated by criminological agendas. These tend to focus on more serious and illegal activities rather than minor deviant acts that are simply inconsiderate or rude. The paper reports findings from a focus group study conducted in Melbourne, Australia that set out to benchmark everyday incivilities. The results suggest that perpetrators of incivility have a surprisingly broad social distribution as does the range of locales that might be characterised as ‘high risk’. Turning to the work of Putnam and Wolfe, we call for a research focus on low‐level incivilities as key symptoms of the state of civic virtue and the strength of moral ties within civil society. Drawing on Virilio, Bauman and Durkheim, it is suggested that the experience of incivility is underpinned by the growth of freedom and movement in contemporary urban settings, and has ambivalent implications that not only invoke boundary maintenance and retreatism, but also offer the possibility for boundary expansion and tolerance of difference.