Evidence-based Medicine and Child Mental Health Services

There is increased focus on using research evidence to guide clinical practice in the provision of child mental health services, to allocate resources and to make policy decisions. Emphasis has been placed on randomised controlled trials, which are clearly vital. However, given the complexity of children's lives and the multiple systems relevant to their care, it is important to consider alternative research designs and to think creatively about outcomes. In the context of difficulties with random allocation a number of quasi-experimental designs are described that may more closely reflect actual clinical work. In the context of ecological theory, the importance of taking a systems level approach to evaluation is highlighted, with examples from the US. Finally, the ways in which qualitative outcomes measures can be used to sensitively describe the effects of treatment are outlined, and their potential for giving voice to children and families as consumers of mental health services. These suggestions aim to lessen the tension between the requirements of the scientific investigations of treatment effectiveness and the realities of clinicians' daily experiences.     

Evaluation von Supervisionsprozessen an Südtiroler Schulen

Supervision and training have been offered to schools as constant components of the support and consulting measures for 12 years now. Over nearly the same period of time supervision processes have also been evaluated, namely for nine years. The results show how crucial supervision has become in the school system and how strongly the people involved can benefit from it. Positive developments are perceived especially with regard to the cooperation among teachers.     

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.     

Reports of Conferences, Institutes, and Seminars

Reports on the 2005 North Carolina Serials Conference, the twentieth anniversary conference of the North American Serials Interest Group, the 2005 Acquisitions Institute at Timberline Lodge, and a program on electronic archiving sponsored by the New England Chapter of the Association of College and Research Libraries.     

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.