Attitudes,accounts and impact assessment

In recent years there has been a growing interest in the sociological study of environmental issues. One area in which this is evident is in the application of social scientific methods in social impact assessment (SIA): the study of the anticipated social impact of proposed changes to the environment. This paper addresses one aspect of the debate about appropriate methods for SIA; whether, and how, to include the expressed views and perceptions of those who will be affected. It is argued first that although SIA ostensibly deals with the social effects of projects there is a tendency for assessments to avoid any detailed consideration of the ways in which people are affected. Instead there is an emphasis upon technical and economic considerations. When assessments do attempt to incorporate the perceptions of local people they typically do so through some form of attitude research. However if language is viewed as a form of social action rather than as a detached commentary on reality there are radical implications for the methods traditionally used in SIA to gauge people's views and attitudes. I conclude by outlining an alternative to the traditional practice of viewing peoples' accounts as a repository of their attitudes, arguing that they might be more profitably used to explore how social impacts are socially constructed.     

Management,Competition and Professional Practice: Medicine and the Marketplace

Within the context of the creation of the internal market for health care, the paper examines the role of clinical directors, that is doctors who have retained their professional clinical positions whilst at the same time assumed roles as managers within increasingly well-defined corporate organizations providing health care. This represents considerable change from previous contexts in which doctors could always contract out of difficult managerial decisions. The role of clinical director is examined in terms of its own directorate and its involvement in contracting, co-operation and competition both within its own corporate organization and within the wider market place for health. Key issues are raised for the individuals and organization by these changes, they are discussed in terms of time, succession, managing colleagues, financial and human resources, market behaviour, support and terms of reference. These changes occasion wider discussion in terms of the challenge of coping with future demands for innovation, changes in the distribution of power within an emerging market for health care and the relationship among health care organizations, professionals and lay clients.     

Maternity services and the discharge process: A review of practice in Queensland

BackgroundEfforts to increase postnatal support available to women and families are hampered by inadequate referral mechanisms. However, the discharge process in maternity services has received little research attention.AimTo review current discharge practices in Queensland, in order to identify mechanisms to minimise fragmentation in the care of women and families as they transition from hospital-based postnatal care to community-based health and other services.MethodsA survey of discharge practices in Queensland hospitals that offer birthing services (N = 55) and content analysis of discharge summary forms used by those hospitals.FindingsFifty-two Queensland birthing hospitals participated in the study. Discharge summaries were most commonly sent to General Practitioners (83%), less commonly to Child and Family Health Nurses (CFHNs; 52%) and rarely to other care providers. Discharge summaries were usually disseminated within one week of discharge (87%), but did not capture any information about care provided by domiciliary services. Almost one-fifth (19%) of hospitals did not seek women's consent for the disclosure of their discharge summary and only 10% of hospitals had processes for women to check accuracy. Significant gaps in the content of discharge summaries were identified, particularly in psychosocial and cultural information, and post-discharge advice. The format of discharge summaries diminished their readability.ConclusionDischarge summaries (format and content) should be consistent, comprehensive and specific to maternity services. Discharge summaries should be generated and disseminated electronically at the time of discharge from the maternity service. Women should review their discharge summaries and direct and consent to its dissemination.     

Regional Welfare System Developments in Russia:Community Social Services

Micro-level studies of welfare service developments are largely absent from the literature on Russian social policy issues, which tends to concentrate on macro-level social security arrangements. This paper highlights the emergence of community-based social services in the post-1991 era, examining their development in two provincial Russian cities, based on an empirical study carried out in 1998. The paper adds to a growing literature which seeks to understand "welfare systems" from the perspective of welfare services as opposed to a social security or policy-based approach. It takes a user-group perspective on the services by looking at their use by, and relevance for, disabled children regarded as having learning difficulties, and their families. The empirical data indicate the shape of "new" services in the field sites, the means by which such institutions were maintained and their integration into the welfare sphere as a whole. Their development and maintenance at the local level is explained in part by socio-economic, political and administrative factors in these regions. By highlighting the various factors that help to maintain welfare provision and drive change at the local level, the case studies indicate the possible shape of future welfare developments in Russia as a whole.     

A Kind of Loving: A Model of Effective Foster Care

Correspondence to Professor Kate Wilson, Centre of Social Work, University Park, Nottingham, NG7 2RD. E-mail: kate.wilson{at}nottingham.ac.uk Summary The article builds on a companion statistical paper, which drewon the findings of a large sample of foster placements and analysedfactors leading to a successful placement and the avoidanceof disruption. A model of successful foster care was developedwhich suggested that outcomes depend on three aspects of thefoster placement, those that relate to the child, the fostercarer and the interaction between the two. Here, a concreteexample in the form of a case study drawn from interviews undertakenas part of the study is used to illustrate the relevance ofthe model to practice. The qualities that make up the interactionbetween the carer and the child are elaborated through the conceptof ‘responsive parenting’. The analysis is takenfurther by identifying the processes involved in a way thatis detailed and precise and has relevance to theory. The paperargues that the case study provides material that could informboth training and the theories that underpin practice.     

Foster fathers: their experiences and contributions to fostering

The paper reports some of the findings of an exploratory study that looks at foster fathers’ experiences of fostering and discusses their routes into foster care and their perspectives on their roles and tasks. The study collected quantitative and qualitative data by approaching all foster fathers registered with a single independent fostering agency based in south‐east England. They were asked about their personal and professional attributes, and their experiences of and views concerning the role of a foster father. The study discusses the foster fathers’ motivation to foster, and argues that what they see as the benefits and drawbacks of fostering, and how it fits into their own family lives, are all relevant to improving service recruitment, delivery and retention. The study produced some evidence about the distinctive and positive contribution that foster fathers see themselves making to the lives of the children they foster. Further research is needed to refine our knowledge of what this contribution may be. Such knowledge could potentially develop our understanding of the roles of fathers in child development more generally as well as fine‐tuning practice in matching what particular placements have to offer to the needs of individual children.     

Homelessness in Europe and the United States: A Comparison of Prevalence and Public Opinion

Random samples of 250–435 adults were interviewed by telephone in five different nations ( N = 1,546): Belgium, Germany, Italy, the UK, and the United States. The interview included questions on respondent attitudes, knowledge, and opinions regarding homelessness; respondents' own personal experiences with homelessness and homeless people; and demographic characteristics of the respondents. The highest rates for lifetime literal homelessness were found in the UK (7.7%) and United States (6.2%), with the lowest rate in Germany (2.4%), and intermediate rates in Italy (4.0%) and Belgium (3.4%). Less compassionate attitudes toward the homeless were also found on many dimensions in the United States and the UK. Possible explanations of these findings, drawn from various theoretical perspectives, and policy implications are provided .     

Children's Views of Family Group Conferences

The note reports one part of a research study which looked atthe experiences of the first twenty families who participatedin a family group conference pilot project. The research reportsthe largely positive views of twenty children aged between sixand sixteen who were interviewed and/or returned questionnaires.Based on the experiences of the children in this project, children’sinclusion in family group conferences is generally to be encouraged.They mostly valued the experience of being consulted and welcomedopportunities for families to develop relationships and worktogether on issues, free from the attentions of social services.Nonetheless, although family group conferences can usefullyinclude children and have a clear role in child welfare practice,they are not necessarily the route to empowering practice forall children and families.     

Family Mapping: A Cumulative Measure of Family Structure and Instability

Family structure is an important area of study given the growing rates of family instability. The research, however, is limited due to broad definitions and measurement methods that only consider one time point. Using a sample of young adults (N = 398), our goal was to develop a user-friendly implementation procedure and coding system that efficiently captures a broad range of information. The coding system offered includes multiple levels of detail and hundreds of previously untapped variables. Examinations of standard methods versus the cumulative family mapping method revealed additional variance explained in measures of substance use, providing early indications of measurement utility.