Mainstreaming Equality: Implications of the Provision of Support at Home for Majority and Minority Ethnic Older People

This paper explores the potential impact and practical difficulties of mainstreaming equalities in support at home for minority and majority ethnic older people, drawing on two linked empirical research projects. Social care providers have long faced difficulties in catering for diversity of need. Recently, diversity within minority ethnic groups has increased, and there is now a statutory duty to promote equality. Research findings illustrate the complexity of exclusionary processes, with particular reference to the example of health care. There is a gap between the high‐level commitment to mainstreaming equality and people's lived experiences. Autonomy and choice are central to community care legislation, policy and practice guidance, but in reality, the research shows that choices are limited for both minority and majority older people. More user‐focused approaches and grassroots involvement may offer ways forward, despite some limitations of current models. In conclusion, the potentiality of a broad mainstreaming equality perspective is highlighted, but challenges include a need for a more grounded approach, better engagement with user groups and a need to focus on understanding issues of implementation.     

Spinning the Rural Agenda: The Countryside Alliance, Fox Hunting and Social Policy

This paper investigates the ways in which the UK hunting lobby has historically sought to widen its appeal by wrapping the hunting debate up in broader countryside issues in an attempt to present it as an integral part of rural life. It is based upon a detailed analysis of the re‐branding of the hunting lobby and the subsequent framing of the Countryside Alliance's Liberty and Livelihood March in the British newspaper press in September 2002. This illustrates how the hunting lobby has fed upon and promoted the perception of a growing urban–rural divide in the UK. The analysis suggests that there is a long history of symbiotic relationships between campaigning organizations promoting a ‘countryside agenda’ and the politically partisan UK press. Gaining extensive newspaper access, however, does not guarantee that a protest group is successful in its aims. This case study suggests that it is important to consider the less visible processes of news production within their historical context, and in relation to the broader policy‐making arena, to adequately assess whether there has been a fundamental shift in the relationship between protest movements and the press in recent years.     

Housing experiences of former foster youth: How do they fare in comparison to other youth?

Research indicates that foster youth tend to fare poorly in a number of domains in the transition to adulthood, and the shift to independent living may be particularly challenging. However, it is unclear whether negative housing outcomes are attributable to foster care history or if they are due to other risk factors. This study uses data from the National Longitudinal Survey of Youth 1997 to compare housing outcomes for foster youth to a matched sample of youth who share similar risk factors and to an unmatched sample. Results indicate that foster youth struggle more in the transition to independent living in comparison to both groups, showing higher rates of homelessness, less housing stability, poorer neighborhood quality, and more reliance on public housing assistance. The paper explores how factors related to foster care and confounding risk factors that tend to have higher prevalence among foster youth may contribute to these outcomes.     

Military Occupations: Methodological Approaches and the Military–Academy Research Nexus

Military occupations are continually evolving in relation to the geopolitical changes of societies, their conflicts and conflict management strategies, and technological developments in military hardware and software. Military occupations studies undertaken by the academy have been key to informing government strategy towards the maintenance of functioning armed forces. Since the 1950s, such studies have prioritised ‘top‐down’ quantitative sociological methodologies. This paper reviews these studies and the role of the dominant Institutional/Occupational model. The paper then considers less influential ‘bottom up’ interpretive methodological studies of military occupations. It is suggested that the reliance on ‘top down’ modelling approaches has led to the paucity of studies describing the range and experiential detail of military occupations. The Military–Academy nexus, and the priorities of the discipline of sociology are suggested as reasons for this emphasis.     

The neurodevelopmental outcome in infants who have sustained a subdural haemorrhage from non‐accidental head injury

Subdural haemorrhage (SDH) in infants arises most commonly from non‐accidental head injury (NAHI) from shaking. Patients present with a varied severity of illness and a variety of symptoms and signs. Data on long‐term outcome of the survivors are not widely reported. The aim of this paper is to describe the physical and educational outcomes of children <2 years diagnosed with non‐accidental head injury and formulate guidelines on follow‐up. Data on 65 children <2 years with non‐accidental head injury and subdural haemorrhage diagnosed on CT/MRI/postmortem were extracted from the hospital and community notes and education reports. The Kings Outcome Scale for Childhood Head Injury (KOSCHI) was used. Sixteen children died (24.6%), 13 within 6 weeks and three 5 years after the injury. Of the 45 children followed up (follow‐up time 21.7–103 months), 25 had a good outcome, six were moderately disabled and 11 were severely disabled, while three were in persistent vegetative state. Problems identi?ed included cerebral palsy—16, ongoing seizures—5, visual problems—11, speech and language problems—17 and behavioural problems—13. Of the 29 children of school age on whom data were available, 12 children had a statement of educational needs. In conclusion, young children who survive non‐accidental head injury can have signi?cant physical, cognitive and behavioural problems. Regular follow‐up by a multidisciplinary team, which includes a community paediatrician, therapists, school health personnel and ophthalmologic services, until the child is established in school may facilitate early identi?cation of emerging problems and optimize management. Care must be taken not to discharge children with good outcomes, as behavioural and cognitive problems can emerge with time. Only a prospective study will help outline the subtle problems that can emerge with time in children with a so‐called good outcome. Copyright © 2004 John Wiley & Sons, Ltd.