Enabling Adults with Learning Disabilities to Articulate their Housing Needs

Correspondence to Dr Alex McGlaughlin, Department of Social Sciences, The Nottingham Trent University, Burton Street, Nottingham NG1 4BU, UK. E-mail: alex.mcglaughlin{at} ntu.ac.uk Summary This study is about involving adults with learning disabilitiesin service planning by asking them to articulate their own needsin relation to housing. It also identifies some of the barriersto meeting the housing needs of this group. The views expressedindicate that ordinary housing with small numbers is the preference,and that appropriate support is highly valued. This suggestsa need for housing of a supported living model or similar. Theservice users in this study were clearly able to verbalize theirpreferences as well as to think through potential options. However,there is also clear evidence that they feel powerless in makingchoices, with decisions being taken on their behalf by professionalsand carers. This demonstrates the need for a cultural shiftwhereby the voices of adults with learning disabilities areheard and acted upon.     

Stress and Pressures in Mental Health Social Work: The Worker Speaks

Two-thirds of councils with social services responsibilities(CSSRs) took part in a UK survey of mental health social workers.A one in five sample of front line workers was drawn, and 237respondents completed a questionnaire and diary about theirwork context and content, and their attitudes to their work,their employer, mental health policy and the place of mentalhealth social work in modernized mental health services. Thequestions, that called for free-text responses, were completedin detail and at length. This paper reports the results of aqualitative analysis of these responses using NVIVO software.The paper is structured around the themes emerging from theanalysis: pressure of work; staffing matters; job satisfactionand well-being; recruitment and retention issues; and beingvalued. The conclusions are that the social workers value faceto face contact with service users, and that their commitmentto service users is an important factor in staff retention.The most unsatisfactory aspects of their work context arisefrom not feeling valued by their employers and wider society,and some of the most satisfactory from the support of colleaguesand supervisors. Without attention to these factors, recruitmentand retention problems will remain an unresolved issue.     

Disabled Children's Experience of Permanency in the Looked After System

Research with seven local authorities in England provided dataon the ‘care careers’ of 596 foster-children overthree years (Sinclair et al., 2005). One part of this studylooked at the experiences of disabled foster-children comparedto non-disabled foster-children. The research aimed to identifyif there were any particular difficulties in pursuing permanencyfor disabled looked after children. This article introducesa concept developed by the author from this work: the idea thatdisabled children may be at risk of experiencing a ‘reverseladder of permanency’; being less likely than their peersto receive permanent placements such as adoption and returnhome. The results of the study partially supported this hypothesis,reinforcing existing findings and highlighting some new ones.Foster-children with learning but not other impairments wereless likely to be adopted. All disabled children were less likelyto return home and therefore remained in foster-care for longer.Disabled children who were adopted, or who returned home, didso after a greater delay compared to non-disabled children.By contrast, children who were ‘clearly disabled’achieved a greater degree of permanence within the care system.The article concludes by considering the implications of suchfindings for policy and practice.     

Transition pathways towards a robust ecologization of agriculture and the need for system redesign. Cases from organic farming and IPM

The growing criticism of intensive agricultural practices that lead to a deterioration of natural resources and a decrease of biodiversity has progressively led to more environmental constraints being put on agricultural activities through an “ecologization” of agricultural policies. The aims of these policies have been to protect environmentally sensitive areas, to improve groundwater quality and, more recently, to develop organic farming and/or reduce pesticide use. However, these efforts are still a far cry from a robust ecologization of agricultural practices. In order to identify the conditions for the implementation of such an ecologization, the changes in practices from conventional agriculture towards organic farming and integrated pest management (IPM) are investigated using a sociological study of farmers’ trajectories, coupled with the ESR (Efficiency-Substitution-Redesign) framework developed by biological and agricultural scientists. This combined approach reveals that a robust ecologization of agricultural practices requires us to take into account the specific and variable tempo of farmers’ trajectories and to redesign not only technical agricultural systems but also interactions within larger agrifood systems.     

Women's perceptions of the effects of menopause and hormone replacement therapy on skin

Although women frequently associate skin issues with menopause and hormone replacement therapy (HRT), little work has been done to investigate a possible relationship. A questionnaire was given to women attending a specialist menopause clinic; 87 women responded. Skin problems generally were common, with over 64% of respondents reporting past problems. Around half felt that the menopause had resulted in skin changes; dry skin was the predominant complaint at this stage. However, use of HRT in the short term did not result in any conclusive trends in skin condition in the majority of users.     

An Integrated Risk Model of a Drinking-Water – Borne Cryptosporidiosis Outbreak

A dynamic risk model is developed to track the occurrence and evolution of a drinking-water–borne cryptosporidiosis outbreak. The model characterizes and integrates the various environmental, medical, institutional, and behavioral factors that determine outbreak development and outcome. These include contaminant delivery and detection, water treatment efficiency, the timing of interventions, and the choices that people make when confronted with a known or suspected risk. The model is used to evaluate the efficacy of alternative strategies for improving risk management during an outbreak, and to identify priorities for improvements in the public health system. Modeling results indicate that the greatest opportunity for curtailing a large outbreak is realized by minimizing delays in identifying and correcting a drinking-water problem. If these delays cannot be reduced, then the effectiveness of risk communication in preemptively reaching and persuading target populations to avoid exposure becomes important.     

The Two-Stage Model of Carcinogenesis: Overcoming the Nonidentifiability Dilemma

The two-stage mathematical model of carcinogenesis has been shown to be nonidentifiable whenever tumor incidence data alone is used to fit the model (Hanin and Yakovlev, 1996). This lack of identifiability implies that more than one parameter vector satisfies the optimization criteria for parameter estimation, e.g., maximum likelihood estimation. A question of greater concern to persons using the two-stage model of carcinogenesis is under what conditions can identifiable parameters be obtained from the observed experimental data. We outline how to obtain identifiable parameters for the two-stage model.     

Dangerous Work: The Gendered Nature of Bullying in the Context of Higher Education

This article discusses results from a research project which set out to investigate gender differences in the nature and experience of bullying within the higher education sector. Gender differences emerged in the form and perception of bullying as well as in target responses. Results also indicate that, irrespective of gender, bullies can capture and subvert organizational structures and procedures (such as official hierarchies, mentoring systems and probationary reviews) to further their abuse of the target and to conceal their aggressive intent. These outcomes are discussed in relation to gendered assumptions behind management practices and in relation to the masculinist ethic that underpins many higher education management initiatives. Overall, results indicate that bullying cannot be divorced from gender and that such behaviour needs to be seen in a gendered context.