Organizational support for evidence-based practice within child and family social work: a collaborative study

Research in Practice works in collaboration with over 50 English local authorities and voluntary childcare organizations, to explore new and dynamic ways to increase the use of quality evidence to improve services to children and families. One Research in Practice initiative was a two‐year collaborative project involving the social services departments of six local authorities. This paper reports on how the views of more than 100 professional staff involved with the provision of services to children and families have been gathered to offer insight into how evidence‐based practice can be supported or frustrated in social care organizations. The findings suggest considerable uncertainty about the nature of evidence in social care and its validity in relation to decision‐making, policy and planning. Mechanisms essential for the dissemination, implementation and adoption of research messages are underdeveloped and tensions exist around the explicit use of research evidence within reports and reviews. Many practitioners and teams may be excluded from making decisions based on the best available research evidence through lack of access to internet resources and adequate information dissemination mechanisms. The paper concludes that there remain considerable areas for further debate if evidence‐based practice is to become a reality in work with children and families.     

A new look at child abuse tragedies

Thirty-five child abuse inquiry reports, published in Britain between 1973 and 1989, were reviewed and the cases reanalysed using a systemic framework. Problematic interactions were identified within the families, among members of the professional networks and between the families and professionals. These relational aspects of each case interacted and progressively skewed the course of events. The findings have important implications for the practice of child protection, including the assessment of risk and decisions by statutory professionals to employ controlling interventions such as Emergency Protection Orders.     

Analyzing cross-sectional and longitudinal lung-function measurements: The effects of age

The problem of interpreting lung-function measurements in industrial workers is examined. The data under discussion pertain to FEV₁ and FVC measurements in smoking and in nonsmoking groups of grain-elevator workers in British Columbia and of workers in Vancouver City Hall. Initial observations have now been enriched by longitudinal follow up data on the same groups after three and after six years. It is shown that interesting selection phenomena, favouring “fit” individuals, take place over time, with regard both to lung symptoms and lung functions. Thus cross-sectional and longitudinal studies refer to somewhat different populations. It also appears that longitudinal studies are considerably more sensitive to identifying cumulative lung damage than are corresponding cross-sectional studies. The nonlinearity of the effect of age on lung functions is noted in the longitudinal data in a number of cases, lending support to the hypothesis of association between quadratic age effect and cumulative exposure to lung insults.     

Housing as Health Capital: How Health Trajectories and Housing Paths Are Linked

This article explores the relationships between housing and health inequalities. It locates housing within a network of health resources that can either promote well-being or increase susceptibility to disease. Housing thereby contributes to the accumulation, or depletion, of the health capital of individuals and communities. Qualitative interviews in three British regions help specify the links between health capital, on the one hand, and the network of resources, environments, events, institutions, and social relations comprising the housing system, on the other. The findings show why, from a health capital/health-resources-network perspective, a segment of the housing system (owner-occupation) that generally appears therapeutic can have the opposite effect for people whose resilience is low or whose health is in decline .     

The Management of Circulations: Biopolitical Variations after Foucault

This paper provides a review of the reception of Foucault's later work on biopolitics within management and organization studies and contrasts this with the reception of these ideas in sister fields of research in the social sciences. In his later work, Foucault developed original conceptions of power, including ‘biopolitics’, ‘the apparatus of security’ and ‘neo‐liberal governmentality’, which marked a departure from his conception of disciplinary power. This paper explores these concepts and elaborates the implications of these ideas for management studies. The structure of this argument is divided as follows. The first section outlines Foucault's concept of biopolitics and neo‐liberal governmentality, distinguishing these systems of control clearly from the concept of disciplinary power. The second section then undertakes a synthesis and evaluation of the extent to which these ideas have been developed within the field of management and organization studies. The final section provides a discussion of how these concepts have been used within other social sciences, distinguishing between three key approaches to their development in terms of: (a) the concept of governmentality; (b) the concept of immaterial labour; and (c) the concept of biocapital. Based on this analysis, a framework is developed which can serve as a basis for future research into the significance of these new biopolitical systems of control for management studies.     

Counseling severely dysfunctional families of mentally and physically disabled persons

Some families of mentally and physically disabled persons behave in an extremely self-destructive or resistant manner. These severely dysfunctional families pose a formidable obstacle to their disabled relatives' habilitation. Because such families are particularly frustrating to work with, little professional assistance has been provided to them. This article examines probable causes of severely dysfunctional family behavior, details several maladaptive family patterns and suggests practical treatment strategies for helping these families.     

Compelling Evidence: Research Methods,HIV/AIDS,and Politics in Papua,Indonesia

Increasing calls for an evidence-based public health (EBPH) rely on forms of quantitative evidence to decide HIV/AIDS interventions. A major criticism of this method is it downplays the significance of experiential, cultural or political facets of HIV/AIDS. We apply the concept of ‘rendering technical’ to explore the relationship between methods used in HIV/AIDS research in Papua, Indonesia and current socioeconomic conditions. We analysed research methods used in sixty-two HIV/AIDS studies, assessed presentations at an international AIDS conference, and conducted ethnographic research in Papua. Nation-wide EBPH initiatives are implemented in Papua, yet there remains a critical mass of qualitative ethnographic studies carried out by indigenous scholars emphasising experiences of persons and culture, often within a colonial or post-colonial framework. We argue these studies partially counter approaches which render technical complex realities. In political conditions where indigenous minorities suffer inequities, qualitative ethnographic research may yield critical kinds of evidence, potentially contributing to more nuanced decision-making around HIV.     

Managing Societal and Institutional Risk in Child Protection

Public sector services have been reshaped by two interacting factors: the growing dominance of risk management and the growing demands for transparency and accountability. For the caring professions, these have provoked radical reform. Using the child protection service as a case study, this article explores the impact of the changes on a service that deals with conflicting risks and has a poorly articulated knowledge base. Drawing on Rothstein et al. 's distinction between societal and institutional risks, it is argued that difficulties in managing societal risks are creating serious institutional risks. The latter are then being prioritized in the way the system operates. The preoccupation with such risks has been translated into concerted efforts to formalize the work of front line practitioners to make it transparent and auditable. Although done, in part, with the good intention of spreading good practice standards, this formalization has gone beyond the evidenced knowledge base to the extent that it is creating a new picture of "good practice" that omits significant dimensions of work and is distinct from measures of children's safety or welfare. Moreover, the process of formalization acts as an impediment to knowledge development in disciplines where such learning is urgently needed.     

Adolescents' Expenditure On Alcohol: A Pilot Study

Minimal research has examined the extent to which underage youth access and purchase alcohol. This pilot study investigated adolescents' expenditure on alcohol, and the circumstances in which underage youth access alcohol. A street intercept survey was used to interview 187 young people aged 13 to 17 years in shopping centres in metropolitan and rural Victoria, Australia. Seventy percent of the sample self‐reported that they drink alcohol. Young people were more likely to report that they were drinkers as their income increased. More than one‐third of the sample and over half of drinkers purchased alcohol with their own money, spending on average $22 when they last purchased alcohol. Drinkers obtained their alcohol from a variety of other sources including friends over 18 years old and their parents. This study shows that underage youth have access to and pay for alcohol even if they do not purchase it personally. Further research in this area with a larger sample is clearly warranted to inform both prevention strategies and effective practice.