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.     

Drivers of plant biodiversity and ecosystem service production in home gardens across the Beijing Municipality of China

Home gardens have been recognized as repositories of agricultural biodiversity across the world. The influence of socioeconomics and location-specific factors on urban gardening patterns merits continued study. Using Beijing Municipal Province in China, a rapidly urbanizing region, as a case study, we address two questions: 1) How do biodiversity patterns change between different urbanized regions in Beijing? 2) How do ecosystem services provided by Beijing home gardens change with socioeconomic status and location-based preferences of gardeners? We surveyed 104 home gardens in Beijing Municipal Province for plant biodiversity, abundance, and species ecosystem services (ES) (provisioning or cultural uses). The gardens were distributed across three urbanized regions (suburban, peri-urban, and exurban). We found that species biodiversity and abundance shift according to a hierarchy of need from ornamentals (cultural ES) to edibles (provisioning ES) with increasing distance from Beijing. These trends are related to reduced income, lowered food security, and lack of urban markets in exurban regions. Rarefaction curves indicate ornamental species drive β diversity. Ordination also showed a shift in species composition with increasing isolation from the city; Suburban and exurban gardens were the most different, while peri-urban gardens were similar to both others. Only exurban gardens had a positive relationship between species and area. High edible cover and high species density indicates that demand for edibles in exurban regions may be higher than space constraints allows. Our study better quantifies species biodiversity patterns in Beijing, and can inform urban planners about the value and usefulness of home garden space.     

The process of coping with domestic violence in adult survivors of childhood sexual abuse

Research suggests that the use of disengaged or avoidant strategies to cope with interpersonal violence contributes to the development of depressive symptoms and other psychological difficulties. Survivors of childhood sexual abuse (CSA) who are exposed to subsequent episodes of abuse may be more likely to rely on disengaged coping strategies, placing them at elevated risk of psychological symptomatology. In this study, we explored the interrelationships between coping, depression, and self-esteem in an ethnically diverse sample of domestic violence survivors (N = 219) with and without a history of CSA. As predicted, CSA survivors (n = 86) reported significantly greater use of disengaged coping strategies (wishful thinking, self-criticism, and social withdrawal) than non-CSA survivors (n = 133). As hypothesized, both a CSA history and the use of disengaged coping significantly predicted higher levels of depression and lower self- esteem. Clinical implications of the findings are discussed.     

Evaluating the effect of education on earnings: models, methods and results from the National Child Development Survey

Summary.  Regression, matching, control function and instrumental variables methods for recovering the effect of education on individual earnings are reviewed for single treatments and sequential multiple treatments with and without heterogeneous returns. The sensitivity of the estimates once applied to a common data set is then explored. We show the importance of correcting for detailed test score and family background differences and of allowing for (observable) heterogeneity in returns. We find an average return of 27% for those completing higher education versus anything less. Compared with stopping at 16 years of age without qualifications, we find an average return to O-levels of 18%, to A-levels of 24% and to higher education of 48%.     

Are elderly men worried about crime?

It has been well documented that older adults, especially women, are more inclined to express fear of crime, but their risk of victimization is significantly lower than for people from other age groups. Even if gender issues related to fear are known, fear of crime among men is undocumented. This article explores how worry about victimization among older men (N = 156), from 3 francophone cities in Quebec, Canada, is influenced by age groups (60–69, 70–79 and 80 years old and over), health, depression, social support and prior victimization. There are significant results associated with the 3 dimensions of worry about crime (emotional, behavioural and cognitive). We conclude by commenting on the following question: Is worry about crime among elderly men a reality?     

Breaking Walls,Building Bridges: Expanding the Presence and Relevance of Rural Sociology*

Abstract Rural areas continue to face a series of challenges; many are likely to have profound impacts on the vitality of these places over the long term. Of central concern is whether the rural sociological enterprise, a potentially vital source of information and guidance on such diverse issues, will be able to effectively respond to such challenges. The author argues that in order to strengthen its relevance and viability in coming years, the rural sociological profession must embrace three important shifts. First, it must modify the manner in which it engages in the production of new knowledge by pursuing a more balanced portfolio of investments in disciplinary and transdisciplinary research. Second, it must take a bold step to build bridges to new entities whose missions, goals, and values closely align with those of the Rural Sociological Society. And third, it must take a more proactive role in generating quality, scientifically sound information that is aligned with the needs of federal and state policy communities, particularly information that can better articulate how policies are likely to impact rural people and places.     

Up Versus Down: The Role of Intersensory Redundancy in the Development of Infants' Sensitivity to the Orientation of Moving Objects

According to the intersensory redundancy hypothesis (IRH), during early development, perception of nonredundantly specified properties is facilitated in unimodal stimulation as compared with bimodal stimulation. Later in development, attention becomes more flexible and infants can detect nonredundantly specified properties in both unimodal and bimodal stimulation. This study tested these predictions by assessing the development of infants' sensitivity to the orientation of an object striking a surface, information that is nonredundantly specified in visual and in audiovisual stimulation. Infants of 3, 5, and 8 months were habituated to unimodal visual or bimodal, synchronous, audiovisual films of a hammer tapping a rhythm in 1 of 2 orientations (upward vs. downward). Results demonstrated an Age × Condition interaction, where younger infants (3 and 5 months) detected the orientation change in unimodal but not bimodal stimulation, whereas older infants (8 months) detected the change in both types of stimulation. Further, in a control study, 3‐month‐olds detected the orientation change when bimodal stimulation was asynchronous, demonstrating that temporal synchrony impaired performance in the bimodal condition. These findings converge with those of prior studies and support predictions of the IRH.