Family Placement Schemes Offering Long-term Care for Adults with Learning Disabilities: a review of the evaluation literature

This paper reviews evaluation studies of family placement schemes offering long-term care for adults with learning disabilities in Britain. The model is widely used, but there is very little research describing such schemes. It is suggested that evaluation is made difficult because the goals of placement schemes for people with learning disabilities are not made clear in the literature. A theoretical structure for evaluation based upon an ecological view of quality of life is suggested and research is reviewed within this model. Where possible, comparisons are made to American literature on similar models of care.     

Beyond normalization and impairment: theorizing subjectivity in learning difficulties – theory and practice

Normalization and social role valorization continue to play a central role in shaping debates and practice relating to learning difficulties. In the context of recent arguments this paper draws on the work of Foucault to deconstruct these theories. Foucault’s work alerts us to a conceptual confusion at their heart which reproduces a common but problematic individual–society dualism. There is an implicit, and problematic, presence in the theories of a pre‐social individual conceived as having essential impairments and who is passive in the face of negative socialization. We propose that Foucault’s ‘ethical’ domain of inquiry, with its concern for how people actively understand themselves and govern their conduct in relation to specific values and a ‘truth’ that they are obliged to recognize in themselves, provides the basis for returning the individual‐as‐subject to theories in an active, critical manner.     

Black/White Differences in Health Status and Mortality Among the Elderly

Grade of membership (GOM) representations are used to characterize and compare the health status of a very heterogeneous sample of blacks and whites in an elderly cohort of 2,806 noninstitutionalized men and women living in New Haven, Connecticut. They were interviewed in 1982 as part of the Established Populations for the Epidemiologic Study of the Elderly (EPESE). Ideal profiles based on functional disabilities, chronic diseases, and selected biomedical and behavioral risk factors are constructed empirically. Each individual in the sample is represented by a set of GOM scores, interpreted as degrees of similarity of his or her health record to each of the profiles. Four profiles emerge from GOM analyses: healthy elderly, elderly with cognitive impairment, elderly with impairment in mobility function and physical performance and with selected chronic conditions, and elderly with major limitations in activities of daily living and multiple chronic conditions. Although elderly blacks and whites generally have similar configurations of profiles, there are important differences, especially when chronic conditions are related to specific types of functional impairments. Questions about and claims for black/white mortality crossovers at older ages, usually addressed with aggregate data, are examined conditional on GOM scores that correspond to diverse combinations of disabilities (or lack thereof) together with housing characteristics of cohort members (e.g., whether they live in public housing for the elderly or in owned or rented housing in the community).     

Correlates of physical activity in a community sample of older adults in Appalachia

Although much has been learned about the global determinants of physical activity in adults, there has been a lack of specific focus on gender, age, and urban/rural differences. In this church-based community sample of Appalachian adults (N = 1,239), the primary correlates of physical activity included age, gender, obesity, and self-efficacy. Overall, 42% of all participants and 31% of adults age 65 years or older met recommended guidelines for physical activity, which suggests that most participants do not engage in adequate levels of physical activity. Of participants who met physical activity guidelines, the most common modes of moderate and vigorous activity were walking briskly or uphill, heavy housework or gardening, light strength training, and biking. These particular activities that focus on building self-efficacy might be viable targets for intervention among older adults in rural communities.     

Exploring the Importance of Business Clockspeed as a Moderator for Determinants of Supplier Network Performance*

As the importance of supplier networks becomes increasingly recognized as a vital factor to company performance, researchers and practitioners alike are focusing their attention on this subject. The study's main objective is to test the specific hypotheses that effective use of Information Technology (IT) and the depth of company relationships with suppliers are directly related to Supplier Network (SN) performance, and that industry clockspeed moderates these relationships. A convenience sample of 135 manufacturing organizations was used to empirically test these hypotheses. Our results indicate that clockspeed does moderate the relationship between IT use effectiveness and supplier network performance. The same is true in the case of supplier relations depth, and hence, managers are encouraged to pay attention to the items comprising network performance as a determinant of supplier network performance.     

The Rise of Supermarkets in Africa: Implications for Agrifood Systems and the Rural Poor

The rise of supermarkets in Africa since the mid‐1990s is transforming the food retail sector. Supermarkets have spread fast in Southern and Eastern Africa, already proliferating beyond middle‐class big‐city markets into smaller towns and poorer areas. Supplying supermarkets presents both potentially large opportunities and big challenges for producers. Supermarkets' procurement systems involve purchase consolidation, a shift to specialised wholesalers, and tough quality and safety standards. To meet these requirements, producers have to make investments and adopt new practices. This is hardest for small producers, who risk exclusion from dynamic urban markets increasingly dominated by supermarkets. There is thus an urgent need for development programmes and policies to assist them in adopting the new practices that these procurement systems demand.     

Advance Directives Among Korean American Older Adults: Knowledge,Attitudes, and Behavior

The study objective was to explore knowledge, attitudes, and behavior about advance directives and how cultural values influence these beliefs. Three focus groups with 23 Korean American older adults were conducted. Advance directives were seen as helpful for ensuring that preferences for unwanted end-of-life treatment are honored and for relieving the decision-making burden on family members. However, some viewed completing advance directives as contrary to focusing on living. Culturally competent education about advance directives for Korean American older adults is necessary to help them make informed decisions about end-of-life care and informing family and health care providers of these preferences.     

Integrating institutional, relational and embodied structure: an emergentist perspective

This paper begins to develop an emergentist and realist account of normative social institutions. The argument is developed as a response to Lopez and Scott's historical portrait of the debate on social structure as a dialogue between two different concepts of structure: institutional structure and relational structure, integrated more recently through the concept of embodied structure. The paper argues that all these approaches tend to neglect the idea of structure as a whole and suggests that we cannot understand social structures without recognizing the nature of the corresponding wholes, and how they relate to the human individuals that comprise them. Such a perspective makes clear that embodiment alone is inadequate as a means of integrating institutional and relational conceptions of structure. For a fuller resolution, we must set social structure in an emergentist framework, which can reconcile the complementary roles of institutional structure, relational structure, and indeed embodiment, as aspects of the production of social structures as wholes.