Will Direct Payments Make Adult Residential Care more Personalized? Views and Experiences of Social Care Staff in the Direct Payments in Residential Care Trailblazers

Direct payments, i.e. cash payments made directly to the individual in lieu of social care services, have become an established option in council‐funded domiciliary care as a means to better personalize care and support. As part of its agenda to modernize social care, the Government tested their use in long‐term residential care in 18 trailblazing councils in England. This article presents findings from the independent evaluation of this initiative, using interviews with project leads seconded to the programme in all participating councils, and with council and care home staff involved in implementing direct payments in residential care in five sites. Interviews were conducted between September 2014 and November 2015. They explored professionals' views and experiences of personalization in residential care and their thoughts on the potential contribution of direct payments to promoting personalization. Whilst there was agreement that good care takes personal preferences into account and that many care homes could provide a more personalized service, doubts were voiced about whether direct payments were an appropriate mechanism to achieve this aim. This was seen as particularly pertinent in relation to residents with very high care needs and limited capacity to exercise choice and control. Interviewees also identified a number of risks and challenges to implementation, including financial risks to care homes. The findings from these interviews suggest that the contribution of direct payments to personalizing residential care may be more modest than expected.     

‘The AISH review is a big joke’: contradictions of policy participation and consultation in a neo‐liberal context

Responsive and appropriate disability policy is ideally developed through the participation of individuals with disabilities. Using a case study methodology, we have examined the policy review process for a disability income programme in Alberta, Canada. We examined questions of participation and consultation and compared individual and agency involvement. Participation was characterized by sustained interactions with government, face‐to‐face collaboration and transparency. Consultation involved short‐term interactions by invitation only, limited input and was more typical in policy construction. In this study individual involvement was more likely to be consultative, while agency involvement was more participatory. In terms of policy outcomes, neither model was more effective. Instead, the government adhered to its original intent, responding in terms of neo‐liberal ideals of independence and autonomy.     

VA Staff Perceptions of Barriers and Facilitators to Home-and Community-Based Placement Post–Hospital Discharge

This study identifies factors U.S. Department of Veterans Affairs (VA) staff perceived to promote or impede home- and community-based services (HCBS) placement post–hospital discharge among Veterans cared for within the VA. Data derive from 35 semi-structured interviews with staff from 12 VA medical centers from around the country. VA staff reported that Veteran’s care needs and social and financial resources influence HCBS placement. They also reported prerequisites for successful placement, including housing, unpaid informal care, and non-VA services funded privately and by public programs such as Medicaid and the Older Americans Act. Lack of staffing and failure to offer the specific types of services needed limit referral to and use of HCBS. Budgetary imperatives influence the relative availability of HCBS across VA medical centers. Findings highlight patient-, provider-, and system-level constraints that impede successful placement at home and in the community of Veterans in need of long-term services and supports after hospitalization.     

Reciprocal interactions between group perceptions of leader charisma and group mood through mood contagion

Departing from the static perspective of leader charisma that prevails in the literature, we propose a dynamic perspective of charismatic leadership in which group perceptions of leader charisma influence and are influenced by group mood. Based on a longitudinal experimental study conducted for 3 weeks involving 116 intact, self-managing student groups, we found that T1 group perceptions of leader charisma mediate the effect of leader trait expressivity on T2 positive and negative group moods. T2 positive and negative group moods influence T3 distal charisma perceptions by affecting T2 proximal perceptions of leader effectiveness. The current findings offer critical insights into (a) the reciprocal relationship between group perceptions of leader charisma and group mood, (b) the dynamic and transient nature of group perceptions of leader charisma, (c) the importance of understanding negative mood in charismatic leadership, and (d) the mechanism through which charismatic leadership perceptions can be formed and sustained over time.     

Disentangling the Effects of an Adult Model's Eye Gaze and Head Orientation on Young Infants' Processing of a Previously Attended Object

In order to disentangle the effects of an adult model's eye gaze and head orientation on infants' processing of objects attended to by the adult, we presented 4‐month‐olds with faces that either (1) shifted eye gaze toward or away from an object while the head stayed stationary or (2) that turned their head while maintaining gaze directed straight ahead. Infants' responses to the previously attended and unattended objects were measured using eye‐tracking and event‐related potentials. In both conditions, infants responded to objects that were not cued by the adult's head or eye gaze shift with more visual attention and an increased negative central (Nc) component relative to cued objects. This suggests that cued objects had been encoded more effectively, whereas uncued objects required further processing. We conclude that eye gaze and head orientation act independently as cues to direct infants' attention and object processing. Both head orientation and eye gaze, when presented in motion, even override the effects of incongruent stationary information from the other kind of cue.     

Neighborhood resources, racial segregation, and economic mobility: Results from the Gautreaux program

This study uses the unique design of the Gautreaux residential mobility program to estimate the long-run impacts of placement neighborhood conditions on the AFDC receipt (N = 793) and employment levels (N = 1258) of low-income Black women. We find that women initially placed in neighborhoods with few Black residents and moderate to high neighborhood resources experienced significantly more time employed when compared with women placed in neighborhoods with higher concentrations of Blacks and a low level of resources. Women placed in neighborhoods with high levels of resources and low Black populations also spent significantly less time on welfare than women placed in highly Black segregated areas with low levels of resources.     

Implementation of a Posted Schedule to Increase Class-Wide Interobserver Agreement Assessment

The present study investigated the impact of an antecedent intervention in the form of a daily posted schedule on the interobserver agreement (IOA) assessment of educational goals implemented within a classroom at a private school serving individuals with disabilities. During baseline, the percentage of academic goals with interobserver agreement was low and stable (M?=?5%). Teacher performance improved during the intervention (M?=?92%). A reversal replicated this effect and performance maintained during 6-week, 6-month, and 1-year follow-up probes. Results suggest a daily posted schedule can effectively increase interobserver agreement assessment by direct-care teaching staff.