Quality of Life for People with Learning Difficulties Moving to Community Homes

Research concerning people with learning difficulties who have left institutions has typically investigated how well people 'adapt' to life in the community, and has often ignored users' own perceptions of the changes in their quality of life resulting from the move. In this study, eight people with learning difficulties who moved from a hospital and seven people who moved from parental homes to live in staffed homes in the community were interviewed. Choice, privacy, social life and relationships with their parents and staff emerged as important factors in participants' perception of their quality of life. Their relationships with their parents were found to be close, and in some cases their parents were overprotective. Staff were perceived in some cases as too controlling and in others as providing too little support. The findings indicate that people with learning difficulties moving to community residences have aspirations which encompass far more than a wish to adapt to life in the community, and their relationships with family and staff are a central factor in achieving such aspirations.     

Needs and preferences for employer supported child care: A feasibility study

Employees of a large suburban health care center were asked to identify their needs and preferences for child care, and existing fringe benefits that they would be willing to give up in order to obtain employer supported child care services. Results indicate that a majority of the 41 employees in the sample with children under 12 years of age experience problems relating to child care and that those problems affect their work performance. There is no clear preference for type of child care, however, and employees are unwilling to give up existing fringe benefits to obtain child care services. Results are discussed with implications for provision of employer supported child care that is sensitive to the individual needs of employees.Terese Dressel is a clinician/consultant with the DuPage County Health Department, 111 North County Farm Road, Wheaton, Illinois 61087. The research reported was conducted as part of her Masters thesis in the Department of Human and Family Resources, Northern Illinois University.Michael Martin is an Associate Professor in the Department of Human and Family Resources, Northern Illinois University, DeKalb, Illinois 60115. Research interests include child maltreatment and family violence.     

Foster care: The protection and training of carers' children

One of the risk factors in foster placement breakdown is the presence of the carers' own children. A project is described through which carers' children express their feelings and conflicts and present a demand for a review of foster care, to be seen as care by families, not only parents. Many children in care have a powerful psychological impact on their carers, and the impact on other children in the household is underestimated and poorly understood. There is a confusion of role between carers' children and children who are fostered—on the one hand, the former are peers, and on the other, considerable demands of patience and understanding are made on them. This understanding, and perhaps also fear of allegations, may make them prematurely adult and distort aspects of their own development. The need for further research into the direct experience of foster care is highlighted and a training model of preparation for carers and their children is described, based on direct work with adolescents.     

Predictors of out-of-pocket medical expenditures in low-income households

From a sample of low-income households, out-of-pocket medical expenses are found to average about $25 per month. For each household, these expenses vary with annual income, type of insurance for medical care, priority of medical expenses, ethnicity, and number of ill family members. Expenses are reported for households with different socioeconomic characteristics and composition. Multiparticipation in insurance programs is shown. Fourteen percent of the survey participants say they have no insurance, public or private. Thirty-three percent participate in Medicaid.Flora L. Williams is an Associate Professor in Consumer Sciences and Retailing at Purdue University, West Lafayette, IN 47907. She received her Ph.D. from Purdue University and includes family economic well-being, and financial problems and expenditures among her research interests.Amy Hagler received her M.S. from Purdue University in Consumer Sciences and Retailing.Mary Pritchard is an Associate Professor in the Department of Human and Family Resources at Northern Illinois University, DeKalb, IL 60115-2854. Her Ph.D. was earned at Purdue and her areas of research focus on family economic well-being and economic socialization of adolescents.Marshall A. Martin is a Professor of Agricultural Economics at Purdue University. His research addresses agriculture and food policy, and economic assessment of emerging agricultural technology.William C. Bailey is an Assistant Professor of Marketing at the University of Indianapolis, 1400 E. Hanna Avenue, Indianapolis, IN, 46227-3697. He received his Ph.D. from Texas Tech University and focuses his research on economic psychology and health care cost.     

Editorial

Helmut Anheier is Assistant Professor of Sociology at Rutgers University, New Brunswick, New Jersey, and Research Associate at the Institute for Policy Studies, The Johns Hopkins University, Baltimore, Maryland, USA.     

The Development of Social Assistance and Unemployment Insurance in Germany and Japan

Both Japan and (West) Germany were subjected to foreign “Allied”Occupation from 1945. In this fiftieth anniversary year of the ending of World War Two and the commencement of these periods of Occupation, this paper assesses and compares the impact of the latter experience on social policy development in Germany and Japan. In particular, it focusses on social assistance and unemployment insurance, on the grounds that provision for “the able-bodied poor”constitutes a clear guide as to how far each society has progressed or is progressing along the road to “social citizenship”as defined by T. H. Marshall. The import of Allied Occupation was in practice quite different in the two cases, not least because of their very different paths of social policy development beforehand. Developments in the wake of Occupation and upto the present are nonetheless indicative of there being some elements of policy “convergence”, which welfare state regime theory has hitherto failed to allow for in its concentration upon “whole systems”at the expense of more detailed policy “subsystem”review.