Elias and habitus: explaining bureaucratisation processes in the Gaelic Athletic Association

Based on a case study of the Gaelic Athletic Association in Ireland, this paper examines how bureaucratisation advanced and the specific structure it took. Drawing on Elias's concept of habitus, and the wider theoretical framework that informs it, the paper explains how an ambivalent attitude amongst the organisation's administrators towards volunteerism emerged and became deeply sedimented within the habitus of administrators. Over time, the habitus of administrators also became more self-steering. This more self-restrained habitus facilitated a capacity for greater calculation, foresight and coordination, a necessary precondition for more expansive bureaucratisation. As such, the main contribution of this paper is to expand existing theoretical explanations of bureaucratisation by connecting shifting inter- and intra-organisational interdependencies at different planes of integration with habitus change.     

Typologies of Child Protection Systems: An International Approach

In recent decades, typologies have been developed to better understand the way in which different countries create systems to protect the interests of vulnerable children and their families. A child protection system typology is a classification of a set of characteristics that capture and define different approaches to child protection. Typologies are helpful in enabling comparisons of systems across international contexts, helping also to illuminate the various strengths and weaknesses of child protection systems. Typologies can also guide or redirect the development of a system, as they illustrate the varied ways in which children might be better protected. They explain how a cultural value base underpins approaches to child protection and can suggest alternative ways in which a system might evolve, based on the experiences of other countries. This article builds upon early typology building work and presents an international child protection system typology that has universal application. Country examples are used to illustrate the development of systems across two dimensions: whether they are oriented towards an individual or community focus; and whether systems are more, or less, regulated.     

The feasibility of goal attainment scaling to measure case resolution in elder abuse and neglect adult protective services intervention

Objectives: This pilot study describes implementation procedures of goal attainment scaling (GAS) and examines the feasibility of using GAS to measure the multifarious intervention outcome of case resolution in elder mistreatment (EM) adult protective services (APS).

Methods: Substantiated EM victims (n = 27) were recruited prospectively from the State of Maine APS. An adapted GAS approach was implemented involving development of a pre-populated goal scale menu and web-based GAS application.

Results: The GAS menu comprised 18 goals and corresponding scales spanning several domains of case resolution: social support, service access, health/functioning, enhancing independence, and protective measures. The overall GAS process had mean length 33.8 min per case. The mean GAS summary t-score (54.3) aligned with theoretical expectations.

Discussion: Without a measure of case resolution, research cannot compare the effectiveness of different EM intervention models. Findings suggest that GAS is a feasible, client-centered strategy to measure the multifarious EM intervention case resolution outcome.     

A user-focused model for the utilization of evaluation

It is proposed that the present low level of utilization of evaluation findings is traceable in part to their failure to address directly the information needs of a clearly specified decision maker. An alternative model proceeding from such specification is proposed here, with evaluation closely interwoven with the on-going innovation process. The model suggests a number of implications for the organizational role of evalutors, for the design of evaluations, and for directions for methodological development. In particular, we suggest that evaluation designs be assessed against possible “threats to utility” as well as against the traditional “threads to validity.”     

What does a nurse need to know and do to maintain an effective level of case management?

The nurse needs to have a working knowledge of the needs of the seriously mentally ill and their families and effective treatment modalities, including therapeutic use of self, networking and social systems, crisis intervention, pharmacology, physical and psychosocial assessment skills, psychosocial rehabilitation, collaborative skills, teaching skills, psychoeducation, management and leadership skills, research, group skills, psychopathology, relevant legislation, biological psychiatry, and community resources. The ANA Standards of Psychiatric and Mental Health Nursing Practice (1982) provides a broad framework for the nurse case manager.     

Forensic nurses' views regarding medications for inmates

1. High arrest rates among people with mental illnesses may suggest that the illness is a factor in their arrests. 2. The increased number of individuals with severe and persistent mental illnesses in the criminal justice system reflects deficient community-based mental health services. 3. Jails and prisons act as revolving-door treatment facilities and are a poor substitute for proper community-based mental health care. 4. Mandatory discharge medication and follow-up treatment for ex-inmates with mental illnesses may lower the rate of recidivism.     

Psychosocial care in nursing homes in the era of the MDS 3.0: perspectives of the experts

Meeting psychosocial needs of nursing home residents is increasingly regarded as a critical component of care, and the nationally-mandated nursing home care screening instrument- the Minimum Data Set (MDS) 3.0-was modified and implemented in 2010 to promote better assessment of psychosocial needs and health. Recognizing the importance of psychosocial well-being among nursing home residents, and the promise of MDS 3.0 for improving psychosocial care, this article reports recommendations derived from a conference of stakeholders representing diverse disciplines and organizations regarding next steps following MDS 3.0 screening. Results relate to seven areas of psychosocial care and address cross-cutting recommendations to improve psychosocial care.     

Navigating human rights across the life course

Issues related to human rights have increasingly moved to the forefront of professional concern in recent years. Despite this, there has been minimal attention paid to exploring how changing human needs across the lifespan impact upon human rights. This paper takes a broad look at human rights issues that occur across the life course, and uses examples of life course transitions to illuminate issues related to moral rights and human rights. The examples include family formation, raising children, adolescent maturation in the context of youth offending and grandparents parenting their grandchildren. Each example explores the contestable rights and responsibilities of children, young people and adults and the ways in which these are negotiated within the context of the family.