Embarking on self-directed support in Scotland: a focused scoping review of the literature

This article presents findings from a focused scoping review of the published literature on self-directed support (SDS), the term adopted by the Scottish Government to refer to its policy to improve social care outcomes and choices for people using publicly funded services and to distinguish it from personalisation, the term more commonly used in England, and from consumer-directed-care and cash for counselling. The review was undertaken to inform an evaluation of the early adopters of SDS, funded by the Scottish Government 2009–2011, and was updated with later literature. It focused on the evidence base available to inform the Test Sites' (pilot local authorities) efforts to reduce bureaucracy or ‘red tape’ for people choosing their own social care and support; the available evidence about leadership and training to support these changes and about the use of specific transitional funding to ease the process of implementation. The findings of the literature review around these three themes are presented and discussed. The article concludes with a discussion of the potential for such focused literature reviews to inform policy-makers, researchers, and social work practitioners across Europe of the options available when seeking to combine rapid yet rigorous approaches to evidence.     

Strategy and Structure in Managing Global Associations

A key aspect of civil society worldwide is the emergence of thousands of nongovernmental organizations that operate on a global scale. The special challenges of organizing and managing these organizations include massive communications problems and the need to accommodate a wide diversity of interests. In this paper, we ask what kinds of organizational structures and management strategies are utilized by globally oriented nongovernmental organizations involved in the development of civil society, and we consider the advantages and disadvantages of alternative structures. From 15 case studies, we find that three principal types of structures are utilized: corporate partnerships, federations, and membership associations. We also find that management challenges are addressed in various creative ways within these structures, and that the federation form appears to be generally effective and avoids some of the risks associated with other forms.     

The ethics-economics-policy paradigm: The foundation for an integrated land trust conservation decision-support model

This paper sets forth a transdisciplinary approach, based upon current trans-Atlantic research carried out in Britain and the U.S., on the complex and interdisciplinary relationship of the ethics-economics-policy paradigm. To provide the proper associations within the land trust framework, the paradigm is viewed from the little explored private lands perspective.The results of interviews carried out with conservation professionals in Britain and the U.S. indicate a strong desire to use a more integrated framework to facilitate the decision-making process. Approximately 96% of the 139 land trusts interviewed felt that their organization's conservation efforts would ultimately be enhanced through the use of a decision-support tool that extended beyond traditional ecological criteria and constraints and incorporated both qualitative social and quantitative economic information. To this end, this paper will both examine the current status of land trust decisions making and frame the fundamentals and dimensions (e.g., land resources, sustainability, community, environment, etc.) of the ethics-economics-policy paradigm.The conceptual integrated land conservation decision-support (ILCDS) model is introduced. Aims of the model, as prescribed by the ethics-economics-policy paradigm, are to integrate concerns of economic efficiency, equity (between and within generations), behavioral models of resource use and ecological integrity, and other patterns of human and economic development within a private land–land trust context.     

Intimate partner violence and Hurricane Katrina: predictors and associated mental health outcomes

This study sought to establish the prevalence and correlates of intimate partner violence (IPV) victimization in the 6 months before and after Hurricane Katrina. Participants were 445 married or cohabiting persons who were living in the 23 southernmost counties of Mississippi at the time of Hurricane Katrina. Data for this study were collected as part of a larger, population-based, representative study. The percentage of women reporting psychological victimization increased from 33.6% prior to Hurricane Katrina to 45.2% following Hurricane Katrina (p < .001). The percentage of men reporting psychological victimization increased from 36.7% to 43.1% (p = .01). Reports of physical victimization increased from 4.2% to 8.3% for women (p = .01) but were unchanged for men. Significant predictors of post-Katrina victimization included pre-Katrina victimization, age, educational attainment, marital status, and hurricane-related stressors. Reports of IPV were associated with greater risk of post-Katrina depression and posttraumatic stress disorder. Data from the first population-based study to document IPV following a large-scale natural disaster suggest that IPV may be an important but often overlooked public health concern following disasters.     

The making of Jamaica’s ‘National Policy for Persons with Disabilities 2000’: macro,meso and micro factors

This paper summarises the findings of my doctoral thesis on the development of Jamaica’s first rights‐based disability policy: The National Policy for Persons with Disabilities 2000. The research had two main aims. First through conducting a retrospective case study, was to construct a history of the national policy’s development, which was made possible by a series of events. Second, was to explore through using Easton’s thesis, that policy is developed within an extra‐ and intra‐ societal environment in order to investigate how macro, meso and micro factors have influenced the policy‐making process. The thesis synthesises Easton’s systems approach to policy‐making with Lasswell’s classic stagist approach as a tool for discussing the policy‐making process in Jamaica. I argue that a combination of macro, meso and micro factors created an ‘opportunity’ for the national policy’s development, which represents a paradigm shift in Jamaican disability policy.     

Families' experience of a single session therapy framework in advanced allied health practice for children with neurodevelopmental and behavioural disabilities: A thematic analysis of qualitative data

Single session therapy (SST) has emerging evidence for facilitating meaningful therapeutic change in a small number of consults, rather than more traditional long-term therapies. This study aimed to explore and describe the parent/caregiver and child experience with advanced allied health practitioners (AAHP) using SST for children with developmental disabilities, by understanding key characteristics of the consultation that led to therapeutic change. Eligible families attending an AAHP outpatient clinic for children with developmental and behavioural concerns participated in one to four SST consultations around their identified areas of need. Semi-structured interviews were conducted with 38 parents and 12 children, from 37 different families. Thematic analysis was used to analyse interviews. Demographic information was gathered through parent interviews and by reviewing hospital records. Four key themes emerged relating to the characteristics of the consultation that led to a positive experience for families: (1) the art of mutual presence; (2) the value of time; (3) the power of understanding; and (4) the trust of action. These attributes were influenced by the overarching complexities of the AAHP, the parent's and child's interpersonal skills, and the organisational mechanisms influencing patient care. Parents and children reported clinical change during the consult through increased understanding, and being heard, valued, and respected for their individual decisions on how to manage their child's and family's needs. This study provides preliminary evidence that utilising SST for children and families with developmental and behavioural needs facilitates a positive experience valued by families. SST, with a focus on a family's individual identified areas of concern, was valued and effective when delivered by AAHP. This suggests that SST, when appropriately administered by experienced and trained health practitioners, is useful for families dealing with children with developmental and behavioural challenges.     

Parents’ and friends’ responses to discrete negative emotions: Associations with adolescent emotional experiences

Emotion socialization (ES) impacts a range of youth socioemotional outcomes. However, research often examines parent socialization of negative emotions more broadly. Research examining multiple socializers demonstrates that variety in ES messages may promote flexibility in youth socio-emotional adjustment. The current study examined how parents’ and friends’ supportive socialization of discrete negative emotions (anger, sadness, worry) related to adolescents’ emotional experiences. Eighty-seven adolescents (50 girls; 13–15 years old, M age = 14.23 years) reported on parent and friend supportive ES in 8^th grade. Sixty-four of these adolescents reported their own emotional experiences in 9^th and/or 10^th grade. Parents’ supportive ES was higher than friends’ for sadness and worry. Divergence between parent and friend ES of sadness related to lower increases in anger over time. There were effects of convergence in ES of anger, as matches between parent and friend ES were related to less experience of all three negative emotions. There were unique effects of parent and friend ES of worry. Parent ES of worry related to adolescents’ balance of anger and sadness, whereas friend ES of worry related to decreased sadness over time. These findings suggest that ES and its relations with adolescent emotional experience varied by discrete emotions, as each carries a different meaning and function. Future research should examine processes connecting discrete emotional experiences within interactions and across time.     

A Voice,but not a Vote: A Youth Generation at Risk?

The aim of this paper is to address risks young people in the late 20th and 21st century are exposed to with regard to political participation. Based on qualitative data and ordinary language interviews with 27 Norwegian pupils in upper secondary school, we address how the construction of the political space is understood by young people themselves. By analysing how young people define political interest and engagement, the findings indicate that a gap exists in the perception of ‘own’ and ‘institutionalised’ political participation. This paper concludes that exploring the understanding of politics among the young may reduce vulnerability of this particular group in their democratic participation as well as facilitate their political empowerment.