Person‐centredness in the community care of older people: A literature‐based concept synthesis

‘Person‐centredness’ is a ubiquitous term, employed in modern care services to signify policies and practices that attend to the uniqueness of each individual user. Despite being highly regarded in older adult community care services, there is much ambiguity over its precise meaning. Existing reviews of person‐centredness and its attributes have tended to focus on the medico‐nursing literature, neglecting other interpretations, such as those relevant to community social care. A new literature‐based concept synthesis reported here identified 12 common attributes within the broad themes of ‘understanding the person’, ‘engagement in decision‐making’ and ‘promoting the care relationship’. The review also contrasts how these attributes are applied across different interpretations of person‐centredness. The article argues that not all attributes necessarily pull in the same direction, and that older adults may require them to be delivered in different ways than they are to younger people. Thus, a ‘one‐size‐fits‐all’ approach should be discouraged in community care. Key Practitioner Message: ? ‘Person‐centredness’ is open to multiple interpretations, causing difficulties for services trying to gauge performance and quality; ? Three themes are central to person‐centred services: ‘understanding the person’, ‘engagement in decision‐making’ and ‘promoting the care relationship’; ? A ‘one‐size‐fits‐all’ approach to applying person‐centredness is to be discouraged.     

Social Work Training or Social Work Education? An Approach to Curriculum Design

Population ageing, economic circumstances and human behaviour are placing social welfare systems under great strain. In England, extensive reform of the social work profession is taking place. Training curricula are being redesigned in the context of new standards of competence for social workers—the Professional Capabilities Framework (PCF). Students must be equipped on qualifying to address an extensive range of human problems, presenting major challenges to educators. Critical theory suggests an approach to tackle one such challenge—selecting the essential content required for areas of particular practice. Teaching on social work with older people is used to illustrate this. Habermas' theory of cognitive interests highlights the different professional roles served by the social work knowledge base—instrumental, interpretive and emancipatory. Howe's application of sociological theory distinguished four social work roles corresponding to these. It is suggested that curriculum design decisions must enable practitioners to operate in each. When preparing students to work with older people, educators therefore need to include interpretive and emancipatory perspectives, and not construct social work purely as an instrumental response to problems older people present. This approach provides one useful rationale for curriculum design decisions, which is applicable to other areas of practice, and to contexts outside England.     

New bottles for new wine: Julian Huxley,biology and sociology in Britain

Although sociologists in Britain have debated the nature of their field's relationship with biology since the late nineteenth century, interest in the full range of responses has only grown in recent years. This paper contributes to the spirit of historical revisionism by turning to the work of the biologist and first director of UNESCO, Julian Huxley (1887–1975). Paying particular attention to the doctrine he called ‘scientific humanism’ and his ideas about a biosocial agenda separate from the priorities of biology itself, the paper uses historical tools to address a concern that has frequently cast a shadow over debates about biosocial science: does it interfere with the progressive agenda sociologists have traditionally seen themselves as contributing to? The paper argues that Huxley's work is evidence that biosocial science is compatible with progressive goals and that recent developments in biology mean it may be the ideal time to reconsider long-standing attitudes.     

Informed Consent with Children and Young People in Social Research: Is There Scope for Innovation?

Over 20 years of research has enhanced our understanding about the methodological and ethical benefits and challenges of involving children and young people in research. Concurrently, the increasing bureaucratisation of research ethics governance within UK universities has reified expectations about the methods used to gain informed consent for research participation. This paper explores how social researchers in the UK are navigating this tension and whether there is any scope for innovation through the use of technologies in how children and young people provide informed consent to take part in research. We conclude there is a need for the co‐creation of research information with children and young people and greater transparency by sharing creative solutions.     

The end of an era? The resignation of Iain Duncan Smith,Conservatism and social security benefits for disabled people

Iain Duncan Smith resigned as the UK’s Secretary of State for Work and Pensions in March 2016. While not invisible from the debate following his resignation, the fact that changes to social security policy for disabled people were central to Duncan Smith’s time as Secretary of State and central to his (at least public) reasons for resignation was lost in a focus on the internal machinations of the UK’s Conservative Party. In this short article, Duncan Smith’s resignation is used to examine the location of additional cost social security benefits for disabled people in Conservative thinking in contemporary Britain.     

Political influence across generations: partisanship and candidate evaluations in the 2008 election

Recent scholarship in political socialization has moved beyond traditional transmission models of parent-driven socialization to consider alternative pathways, like trickle-up socialization and its predictors. However, these studies have paid less attention to the diverse ways in which parents and children develop discrete political orientations, especially during a competitive presidential campaign. In this study, we examine various pathways through which influence occurs across generations in terms of partisanship and candidate evaluations. Our results suggest that while harmonious attitudes remain the norm, there are substantial opportunities for youth to demonstrate their independence, particularly when gaining perspectives from schools and digital media sources. Our findings indicate the importance of exploring how youth and their parents come to understand politics and the forces that shape youth socialization.     

Quadratic Concavity and Determinacy of Equilibrium

One of the central features of classical models of competitive markets is the generic determinacy of competitive equilibria. For smooth economies with a finite number of commodities and a finite number of consumers, almost all initial endowments admit only a finite number of competitive equilibria, and these equilibria vary (locally) smoothly with endowments; thus equilibrium comparative statics are locally determinate. This paper establishes parallel results for economies with finitely many consumers and infinitely many commodities. The most important new condition we introduce, quadratic concavity, rules out preferences in which goods are perfect substitutes globally, locally, or asymptotically. Our framework is sufficiently general to encompass many of the models that have proved important in the study of continuous‐time trading in financial markets, trading over an infinite time horizon, and trading of finely differentiated commodities.     

The Earned Income Tax Credit and abortion

Using a panel of states between 1975 and 2005, I examine the relationship between the Earned Income Tax Credit (EITC) and abortion. Results suggest that increases in the EITC are associated with reductions in the overall abortion rate. Specifically, a $1000 increase in the maximum credit is associated with a 7.6% decrease in the overall abortion rate. This effect implies a reduction of approximately 1.6 abortions per 1000 women of childbearing age. I also provide evidence that the reduction in abortions is attributable to a drop in pregnancies, not an increase in the number of births. In other words, women appear to respond to increases in EITC generosity by altering sexual behavior, rather than shifting abortion-birth decisions after a pregnancy occurs.     

Structured risk assessment procedures: instruments of abuse?

Child protection services in Australia and elsewhere face increasing internal and external demands. As a response to these pressures, in part at least, services are increasingly implementing some form of risk assessment procedures. This article examines the practice implications of the increasing use of risk assessment instruments in child protection services. It highlights the complexity of the concept of risk as the basis for a future‐oriented assessment activity. The authors suggest that this change of time frame (from what has happened to what might happen) may be detrimental to children. Through a critical review of the literature, the authors question whether risk prediction is possible and discuss the limitations of risk assessment instruments which omit some risk factors and may ignore the perspective of the child. The authors challenge the validity of risk assessment instruments in statutory settings and suggest that the protection of the organization may be a major objective in their implementation. Copyright © 1999 John Wiley & Sons, Ltd.     

Identity,impairment and disablement: exploring the social processes impacting identity change in adults living with acquired neurological impairments

The social model of disability acknowledges the impact of impairments but argues that disablement is socially constructed. Taking a theoretical perspective, underpinned by the social model of disability and elements of social identity theory, we investigated the relationship between impairment, disablement and identity change in adults living with an acquired neurological impairment. Through the thematic analysis, three themes emerged: changing self described the personal factors for identity change in people acquiring impairment; changing communities explored the contextual factors creating both socially constructed disablement and identity change; and influencing identity change considered strategies adopted by individuals to both counter socially constructed disablement and promote exploration of identity. A systemic change towards acknowledgement and valuing a disabled identity may counter socially constructed disablement and support enablement and social inclusivity.