Institutional Shaping of Interagency Working: Managing Tensions between Collaborative Working and Client Confidentiality

Tensions between imperatives for sharing of information aboutclients, patients, and offenders and those for confidentialityand privacy have become a prominent but unresolved issue inBritish public policy in the context of greater pressures towardinteragency collaboration. This article analyses empirical datafrom a major Economic and Social Research Council–fundedresearch project designed to provide the first systematic evidenceabout the ways in which local partnerships working in sensitivepolicy fields in England and Scotland attempt to strike settlementsbetween sharing and confidentiality and discusses the impactof national government's attempts to increase formal regulationof their information-sharing practices. To do this, the projecthas developed a methodology to operationalize neo-Durkheimianinstitutional theory and demonstrates that theory in this traditionhas the power to identify and explain patterns of information-sharingstyles adopted in local collaborative working. The overall conclusionis that the stronger assertion of formal regulation by nationalgovernment may well be leading to the greater prominence ofhierarchical institutional forms but it may also be associatedwith the counterassertion of other institutional forms, too,and in ways that may reinforce problems that greater regulationis intended to address. In particular, we show that neitherdoes increased formal regulation always lead frontline staffto be more confident about local information-sharing practicesnor should it lead observers to be more confident that data-sharingpractices will be more transparent or consistent from localityto locality.     

The Value of Premarital Education

Premarital education programs have been designed with the aim of helping prospective spouses examine and evaluate their relationship prior to marriage. It is widely considered as preventative skills training and assumes that exposing couples to the skills to improve their relationship will help them deal with interpersonal difficulties as they arise. Skills commonly included in the programs involve communication, negotiation, problem-solving and decision making. There are a number of problems identified with the current status of premarital education programs including the atheoretical nature of most programs, the lack of specific goals in the program format, and poor evaluation procedures which are used to examine effectiveness. Overall it is concluded that although the concept of preparation for marriage is a good one, the current value of these programs is limited. A personal account of one premarital education program is also provided.     

The complexity of roles in community action projects: The example of the evaluation of ‘alternatives’

Evaluation of community interventions is a special form of evaluation involving many roles that are key to accomplishing both the intervention and the accompanying research. The present paper describes the roles involved in the evaluation of a community intervention (‘Alternatives’) aimed at safer use of alcohol and depressant medications by seniors.The three core roles were the community developer who provided leadership in the implementation of the project, the researcher/evaluator, and the community committee that sanctioned and facilitated the project. Other roles on the project included: the project coordinator, the nurse-interviewers who collected the survey data for the evaluation, volunteers from seniors groups, local health service providers, the media, the funders, and others on the project team who provided specific technical expertise.The paper describes the competing interests among these roles as well as conflicts that arose and how these conflicts were handled. Although specific roles are described, the types of roles and the potential for competing interests and conflict are generally relevant to community level evaluations.     

Determinants of Portfolio Efficiency Losses in US Self-directed Pension Accounts

This empirical study evaluates the magnitude of efficiency losses of household portfolio choices in self-directed pension accounts (SDAs). It uses data from the Survey of Consumer Finances (SCF). The determinants of the magnitude of efficiency losses across household investors are investigated in detail. The findings of this study lend empirical support to the belief that the magnitude of efficiency losses for household investors differs with the different demographic characteristics and investment propensities. In particular, household investors with long-investment horizons, with more autonomy of choices in their SDAs, or with the tendency to select high levels of portfolio risk in SDAs are more vulnerable to efficiency losses. Factors to predict the levels of portfolio risk maintained by household investors in their SDAs are also explored.     

Maternal Welfare and Employment Experiences and Adolescent Well-Being: Do Mothers' Human Capital Characteristics Matter?

Using a representative sample of over 900 low-income urban families from the Three-City Study, analyses assessed whether maternal human capital characteristics moderate relationships between mothers' welfare and employment experiences and young adolescents' well-being. Results indicate synergistic effects whereby greater maternal education and literacy skills enhanced positive links between mothers' new or sustained employment and improvements in adolescent cognitive and psychosocial functioning. Greater human capital also enhanced the negative links between loss of maternal employment and adolescent functioning. Mothers' entrances onto welfare appeared protective for adolescents of mothers with little education but predicted decreased psychosocial functioning among teens of more educated mothers. Results suggest that maternal human capital characteristics may alter the payback of welfare and work experiences for low-income families.     

When Baby Brings the Blues: Family Therapy and Postnatal Depression

Postnatal depression impacts on a significant number of women and their families. As a topic it is attracting much interest from researchers as we become clearer about its impact on the long‐term mental health of both women and their partners, as well as on the couple's relationship and their children's mental health. This article will provide a brief overview of postnatal depression and the current research associated with it, and consider the usefulness of systemic family therapy interventions. Examples of these are included along with a clinical vignette.     

Public–private wage differential and gender gap in Latin America: Spoiled bureaucrats and exploited women?

This paper uses a rich collection of household surveys to investigate the wage differential between the public and private sectors in 13 Latin American countries. It also studies how the sector of employment affects the gender wage gap. Contrary to what is commonly thought, it is found that, in the majority of Latin American countries, there is a premium associated with working in the public sector. It is also found that the premium is often higher for women than for men but that this difference does not compensate for the wide gender gap.     

Discourses of blame: deconstructing (hetero)sexuality, peer sexual violence and residential children's homes

Little research exists on sexuality and residential care, even less that position gender inequality as a central analytical component. This paper, based on a wider research project that focused on children’s and young people’s experiences of peer violence within residential care, seeks to help redress this disparity. The main aim of this paper is to explore how (hetero)sexuality, discourses of blame and male peer sexual violence are constructed and interrelated in residential child care. Young people’s and staff’s conceptualizations, evaluations and experiences are compared and contrasted to illuminate the range of discourses surrounding sexuality and sexual violence operating within residential settings. Findings relating to female culpability for male violence, normative male violence, female duplicity and challenges to traditional gender roles will be presented, and contextualized, in relation to previous studies. In addition, some broader implications of the research findings for residential practice are explored.