Necessary Steps in Designing a Successful Contract

Abstract

Parents with a history of serious mental illness are vulnerable in many ways and are therefore likely to be accessing services from a range of government and community agencies. The use of multiple services, sometimes with conflicting practice frameworks, can result in sub-optimal management of these families. This study surveyed 77 service providers from a range of government and non-government agencies targeting their views regarding parents with a serious mental illness (specified in this study as schizophrenia, bipolar disorder and psychotic depression). They were asked what they perceived were difficulties for this population, interventions required to meet the needs of this group and finally, barriers to effective service delivery. We found that service providers reported that current services were inadequate for these parents. Parent-based interventions were seen as being more beneficial than those targeting children. Lack of liaison between agencies and lack of coordinated service provision were seen as the greatest barrier to effective service delivery. The results highlight the need for policy planners and service providers to develop strategies to ensure effective coordination between services that work with this population.     

What Is “Elder Abuse”? Voices From the Margin: The Views of Underrepresented Canadian Older Adults

We know relatively little about the definitions and perceptions of elder abuse held by marginalized groups of older adults in Canada. The current study used focus group methodology to explore perceptions of elder abuse among marginalized groups such as Aboriginal persons, immigrants, refugees, and lesbians. We found both similarities and differences in perceptions of elder abuse across groups. Groups identified traditional forms of elder abuse (i.e., physical, sexual, psychological/emotional, financial abuse, and neglect) as well as less frequently identified types of abuse such as disrespect and government or systemic abuse. Groups also discussed issues related to immigrant sponsorship arrangements and abuse in nursing homes.     

The Cycle of Bias in Health Research: A Framework and Toolbox for Critical Appraisal Training

Recognizing bias in health research is crucial for evidence-based decision making. We worked with eight community groups to develop materials for nine modular, individualized critical appraisal workshops we conducted with 102 consumers (four workshops), 43 healthcare providers (three workshops), and 33 journalists (two workshops) in California. We presented workshops using a “cycle of bias” framework, and developed a toolbox of presentations, problem-based small group sessions, and skill-building materials to improve participants' ability to evaluate research for financial and other conflicts of interest, bias, validity, and applicability. Participant feedback indicated that the adaptability of the toolbox and our focus on bias were critical elements in the success of our workshops.     

Research ethics committees: values and power in higher education

The rise of research governance structures in universities has created huge disquiet amongst academic researchers. The unquestioning adoption of a medical model of ethical review based upon positivist methodological assumptions has created for many a mismatch between their own ongoing ethical research practice and the process of obtaining clearance from Research Ethics Committees (REC). This paper examines the issues that have contributed to dissatisfaction with the ethical review model that is prevalent within the modern university. Using examples from the authors’ own experiences, the dynamics of values, interests and power in research governance is examined from multiple perspectives including that of REC member and applicant; lecturer/student supervisor; researcher; and university administrator. The paper reveals a rift between the values and objectives of the key players in research governance within the modern university and concludes by asking whether differences can be resolved so that a collaborative approach to ethical review may be incorporated into a renewed academic research culture. It is suggested that the alternative is increasing alienation from anything to do with ‘ethics’, with potentially serious consequences for the ethical standards of social research.     

Still face,moving face

The article examines two sets of photographs of the face: first, a set of images by Suzanne Opton of soldiers returned from tours of duty in Iraq/Afghanistan and second, Robert Lyons’ portraits of Rwandans. In conclusion, it looks briefly at Alfredo Jaar’s The Eyes of Gutete Emerita. It explores what pictures of the face can do. Responses to Opton’s images from passers-by who saw them mounted on huge billboards, as well as the photographer’s account of what she thought she was doing, and Lyon’s motives and reactions to his work are examined. Drawing in part on Ariella Azoulay’s political ontology of photography and Jacques Rancière’s notion of the distribution of the sensible, the article asks what it is that these images of the face do, politically, and whether there might be a way in which the face, or its still image, and the event of photography in which the face is embedded, escapes the dominant regime of signification. The article argues that despite its widespread use in practices of biopolitical control, the face, or in some cases its still image, can prompt or generate action and challenge the dominant regime of signification and visibility.     

Joining the Dark Side: Women in Management in the Dominican Republic

This article presents evidence of the challenges faced by women in management in their interactions with men and other women, contesting the idea that men organizationally oppress women and suggesting instead that both men and women can be organizational oppressors of women. Using empirical evidence, this article provides new insights into the working lives and challenges of women in a Latin American and Hispanic Caribbean context. The article highlights struggles of power and credibility in women in management's relationships with men and other women. It draws on findings of research conducted in the public sector in the Dominican Republic, where in‐depth semi‐structured interviews were conducted with professional men and women. This article has significant implications for advancing understanding of the dynamics of gender and organizations in developing countries, in particular, the experiences of women in management.     

Resistance,Space and Political Identities: The Making of Counter-Global Networks

Activists in seven US cities were interviewed about why they thought people in their communities mobilized against alcohol-related problems. The data were analyzed in light of the focus on resource mobilization theory in the social movement literature. In contrast with claims that resources are the primary catalyst for change, informants emphasized the role of grievances, and to a lesser extent, bridging factors that caused residents to be more aware of or frustrated by problems, and thus ready for change. Resources seemed to provide necessary but insufficient conditions for explaining movement participation, suggesting that, to be effective, resources must be channeled to address and be linked to the grievous social conditions of inner city communities.     

Communicative Openness About Adoption and Interest in Contact in a Sample of Domestic and Intercountry Adolescent Adoptees

Adolescent intercountry (n = 122) and domestic (n = 40) adoptees and their adoptive parents were asked about their views on communicative openness. The adoptees were also asked for their thoughts on birth parents and contact. A modest association between communicative openness and feelings about adoptive status and self-esteem was found. Girls were more interested in many aspects of their adoptions than boys. Compared with the situation at 11 years of age, there was greater parent-child agreement on whether the child had difficulties talking about adoption. Nevertheless, at age 15, children were still nearly twice as likely to report difficulties talking about adoption issues than their adoptive parents realized. At the age of 15, the majority of the adoptees expressed a desire for contact with birth relatives, but this was a reduction from the numbers at age 11. They also reported finding it easier to talk about adoption issues than they did at the age of 11. The implications for policy and practice are discussed.