Health and the household

We underscore the close link between the economics of the household and health economics in a framework in which consumers produce their fundamental objects of choice. Health is produced with inputs of market goods and services and the own time of the consumer. Health is demanded not only because it is an argument in the utility function but also because it determines the amount of time available for market and nonmarket production. The latter motive points to health capital as one component of the stock of human capital. The economics of the household has much to say about the determinants of investment in this type of capital. The five health economics papers in this issue of Review of Economics of the Household are connected by an emphasis on the role of time in the production of two aspects of health: obesity and the general health of elderly persons.      

An account of the experiences of 51 families involved in an initial child protection conference

This paper reports on one part of a research project, funded by the Nuffield Foundation, to evaluate the effects of involving parents in 83 initial child protection conferences in a northern city between May 1991 and June 1992. The experiences of two groups of families are recounted and compared, those who attended the conferences and those who did not An analysis was made of the degree to which the parent's participation in the conference affected their overall attitude to the intervention. There were differences between the two groups with regard to their feeling fairly treated, and in their relationship with their social worker. The factors most strongly associated with attitude were whether the child had been removed from the family or statutory action was recommended, and whether the parents agreed abuse had taken place. The fear of removal of the child had an independent influence on the overall attitude, irrespective of whether or not the parents attended the conference. The parents who attended were glad they had gone but found the experience emotionally difficult Although their positive feelings of involvement did not extend to a conviction that they had influenced the decisions, their on-going relationship with their social worker was less likely to have been impaired where they had been invited and attended.     

The private practice of social work: Current trends and projected scenarios in a managed care environment

This article reviews the status of the social work labor force engaged in the private practice of social work based on data drawn from the full membership of the National Association of Social Workers. The demographics, areas of practice, income, and career development patterns of this sub-set of social workers are explored. These trends and issues are then discussed within the context of the realities of actual and potential changes in the mental health system of care in this society and their implications for private practice. Despite clear patterns which show a consistent upward trend in the proportion of social workers engaged in the private practice of social work, the current political and economic environment raises substantial questions about the nature and breadth of this component of social work practice in the future.     

The value of mixed-method longitudinal panel studies in ict research

This paper uses a unique British three-wave longitudinal dataset to examine the rates of transitions into and out of 'ICT poverty' defined as having Internet access in the household and/or having a mobile phone. This serves three purposes: it shows that many are still 'passing by' ICT ownership, that 'gaining ICT' access is not a one-way street - many just pass through; and that the rates of dropping out differ for different ICTs and for different groups of people. This has implications for both commercial and public policy strategy. It also shows the value of longitudinal approaches to data collection without which this kind of analysis would be impossible.     

INTIMATE JUSTICE: CONFRONTING ISSUES OF ACCOUNTABILITY, RESPECT, AND FREEDOM IN TREATMENT FOR ABUSE AND VIOLENCE

Intimate justice theory is a set of nine interrelated concepts that describe the ethical dimensions of equality, fairness, and care in ongoing partnerships. Understanding ethical dimensions involves examining internalized beliefs and behavior in terms of their motivation and impact on the partner, particularly as they empower, disempower, or abuse power. The concepts of intimate justice theory are applied to confront disempowerment and abuses of power, to challenge internalized beliefs about how one should treat one's partner, to explore how internalized beliefs were developed through experiences in the family of origin, and to develop an awareness of the linkages between intimate partner abuse and social injustice. This article demonstrates how therapists can utilize three of the concepts-accountability, respect, and freedom-to structure the opening phase of treatment for abuse and violence. The primary focus of the opening phase is on establishing accountability for change in the abusive man and protecting the safety of the injured partner. This involves challenging the abuser's sense of entitlement and working to rethink what respect is and restoring freedom to his partner. The discussion incorporates the findings of an exploratory, qualitative study that investigated the experiences of 30 abusive men and their partners who were clients in a university-based counseling clinic. The article elaborates six interventions that can be utilized in clinical settings to structure treatment with abusive men.     

Author disincentives and open access

All parties in the scholarly-information marketplace agree that any Open Access (OA) system will have to account for the costs of disseminating scholarly information and of editing, publishing and distributing it. There has been less discussion of the fact that for an OA forum to succeed, it will have to be accepted and supported by authors. Author charges, a relative lack of prestige, and the required abdication of copyright are three characteristics of many currently emerging OA models that may pose significant barriers to author acceptance. These will have to be addressed if OA providers wish to be competitive with non-OA providers.     

A Comparison of two analytic methods for the identification of neighborhoods as intervention and control sites for community-based programs

Study Objective: Interest in community as the focus of public health interventions is growing. However, choosing intervention and comparison neighborhoods when designing community based programs poses a challenge to program planners. Ideally, intervention neighborhoods should be chosen based upon risk profiles and demonstrated need for the program. Multiple sources of data that tap into neighborhood characteristics might be used to facilitate the selection of intervention and comparison neighborhoods for program implementation and evaluation.Design: We present and compare selected characteristics of two analytic methods that can be used to create perinatal risk profiles of neighborhoods within cities. For our example, we used information from several sources of routinely available data and used census tract level low birthweight as our intervention or outcome variable.Main Results: At the neighborhood level, we found average household wealth of the census tract, proportion of births to women with late or no prenatal care, proportion of teen births per census tract, per capita crime rates, proportion of housing violations, and number of community organizations as being important factors identifying neighborhoods at risk for high rates of low birthweight births. Advantages of both methods are discussed and risk profiles generated from either method can be used not only to identify high risk areas of the city for adverse perinatal outcomes but also for the identification of intervention and comparison neighborhoods for implementation of community based programs.     

Sociology of Humor and a Critical Dramaturgy

Goffman's analytic framework can provide tools useful for a critical theory of modern society. While commentators have remarked on Goffman's apparent technical neutrality, a sociology of humor can help reveal his critical thrust. Using a latent content analysis, we demonstrate how several frames found in Jerry Seinfeld's humor are both dramaturgical and covertly critical. We use these themes to illuminate the critical analyses of modern social life provided by Goffman's method.