Lessons from a comparative study of user involvement

Abstract

Grounded in the context of the significant differences in service user involvement in social work education and research between the UK and Israel, a joint project between Anglia Ruskin University in the UK and Tel-Hai College in Israel was developed. Its aim was to develop a comparative research methodology to evaluate the outcomes of service user involvement in social work education. A main tenet of our research methodology consisted of partnering with a group of older people who used health and social care services as co-researchers from each country. This co-researching methodology together with the evaluation tools worked effectively in the two respective countries. The key findings highlight that while students in both countries valued the involvement of service users in their training, this occurred more so in Israel, where this is a very new development. Students in both countries developed rich concept maps illustrating the complexity of such an involvement. Yet, while the responses of both groups to vignettes describing user involvement scenarios reflected the positive impact of such an involvement, the UK students focused on the negative impact of potential risk more so than the Israeli students.     

Deep Uncertainties in Sea-Level Rise and Storm Surge Projections: Implications for Coastal Flood Risk Management

Sea levels are rising in many areas around the world, posing risks to coastal communities and infrastructures. Strategies for managing these flood risks present decision challenges that require a combination of geophysical, economic, and infrastructure models. Previous studies have broken important new ground on the considerable tensions between the costs of upgrading infrastructure and the damages that could result from extreme flood events. However, many risk-based adaptation strategies remain silent on certain potentially important uncertainties, as well as the tradeoffs between competing objectives. Here, we implement and improve on a classic decision-analytical model (Van Dantzig 1956) to: (i) capture tradeoffs across conflicting stakeholder objectives, (ii) demonstrate the consequences of structural uncertainties in the sea-level rise and storm surge models, and (iii) identify the parametric uncertainties that most strongly influence each objective using global sensitivity analysis. We find that the flood adaptation model produces potentially myopic solutions when formulated using traditional mean-centric decision theory. Moving from a single-objective problem formulation to one with multiobjective tradeoffs dramatically expands the decision space, and highlights the need for compromise solutions to address stakeholder preferences. We find deep structural uncertainties that have large effects on the model outcome, with the storm surge parameters accounting for the greatest impacts. Global sensitivity analysis effectively identifies important parameter interactions that local methods overlook, and that could have critical implications for flood adaptation strategies.     

Play in Mexican‐American mothers and toddlers is frequent,multimodal, and rich in symbolic content

Play offers rich opportunities for toddlers to develop motor, social, cognitive, and language skills, particularly during interactions with adult caregivers who may scaffold toddlers to higher levels of play than toddlers achieve on their own. However, research on play has narrowly focused on children from White, middle‐income backgrounds, leaving a dearth of knowledge about dyadic play in diverse cultural communities. We videorecorded 222 Mexican‐American mothers playing with their 2‐year‐old toddlers with a standard set of toys. Play behaviors were coded as nonsymbolic or symbolic (play type) and as expressed through manual, verbal, or multiple channels (play modality). Play between toddlers and mothers was frequent, high in symbolic content, and toddler play closely corresponded with mother play in type and modality: Toddlers’ nonsymbolic play related to mothers’ nonsymbolic play; toddlers’ symbolic play related to mothers’ symbolic play; toddlers’ manual play related to mothers’ manual play; and toddlers’ multimodal play related to mothers’ multimodal play. Play in Mexican‐American mothers and toddlers is frequent, multimodal, and symbolically rich, offering new directions for future research and practice.     

Relations among Sadness Regulation,Peer Acceptance,and Social Functioning in Early Adolescence: The Role of Gender

Using a multi‐informant approach, this study examined emotion regulation within the social context of White and Black adolescent peer groups by assessing two aspects of sadness expression management (i.e., inhibition, disinhibition) and their linkages to peer acceptance and social functioning as a function of gender and ethnicity. Seventh‐ and eighth‐grade adolescents (N = 155, 52 percent female, 54.8 percent Black) completed self‐reports and peer nominations of sadness management and sociometric ratings of peer acceptance. Parents rated their child's social competence and social problems. Results revealed specific patterns of sadness regulation across informants that were associated with social functioning and varied by gender, but not ethnicity. Boys were more likely than girls to minimize sadness displays; boys who violated this pattern had lower peer acceptance and higher parent‐rated social problems. In contrast, although girls were rated as displaying overt sadness more frequently than boys, this was unrelated to peer acceptance.     

The Impact of Criminal Conviction Disclosure on the Self-reported Offending Profile of Social Work Students

Correspondence to University of Edinburgh, School of Social and Political Studies, 31 Buccleuch Place, Edinburgh, EH8 9JT, UK. E-mail: richard.perry{at}ed.ac.uk. Summary Data gathered at a Scottish institute of higher education between1986 and 2000 indicate a significant reduction in the scaleof self-reported offending behaviour by social work students.The change coincided with the introduction by the Central Councilfor Education and Training in Social Work (CCETSW) in 1989 ofa requirement that applicants for training disclose prior toadmission any criminal convictions recorded against them. Thearticle suggests that more prolific offenders have been deterredfrom applying to DipSW programmes and the social work professionneeds to take steps to create a more positive climate for therecruitment of those offenders who represent no more of a threatto users than non-offenders.     

The last mile of the way: understanding caregiving in African American families at the end-of-life

This research is based on in-depth ethnographic interviews and focus groups with 88 African American family caregivers from various regions of the United States during a stressful time in their family development--caregiving at the end-of-life--and the grieving during the aftermath. The study employed a stratified purposeful sampling strategy. Subjects were African Americans from the Northern, Southern, and Midwestern United States. Formal care is complicated by the distrust that many African Americans hold toward the health care system, which has resulted from years of exclusion, racism and discrimination. The findings highlight the importance of hearing from African American families to gain an understanding of what services, including family therapy and other psychotherapy, they will need during this process.     

Mitochondrial abnormalities and oxidative imbalance in neurodegenerative disease

An increasing body of evidence now suggests the involvement of mitochondrial abnormalities in the etiology of neurodegenerative diseases, such as Parkinson's disease (PD) and Alzheimer disease. In this Perspective, we describe a recent study that shows that treatment of human patients with the antioxidant coenzyme Q(10'), which functions in concert with certain mitochondrial enzymes, reduced the worsening of symptoms associated with PD. These findings are consistent with the hypothesis that mitochondrial dysfunction plays a role in the pathogenesis of PD and that treatments that target mitochondrial biochemistry might ameliorate the functional decline observed in patients suffering from PD.