A systems method for the identification of variable service needs of the elderly

Current trends in the aging sector make critical the development of more precision in the policy and decision-making processes. This study explores a strategy for improving service allocation decisions in the aging services area. Two research tools were combined—Delphi and magnitude estimation—to identify the perceptions of key decision makers about the variable service needs of different aging risk groups. The results indicate that such distinctions can be made and can provide the basis of improving several aspects of the allocation process.     

Functional capacity evaluation: An essential component of South African occupational therapy work practice services

South African occupational therapists have been involved in the delivery of work practice services since the inception of the profession in this country. Initial development in this area of practice appeared slow but following the acceptance of South Africa's first democratic Constitution in 1996, many opportunities for service delivery were facilitated by the implementation of disability equity legislation. One of the key services offered by practitioners is Functional Capacity Evaluation (FCE). Although the outcomes of FCE are many, the process in essentially the same. This entails: referral, the initial interview, evaluation of performance components and ADL, vocational evaluation, obtaining collateral and the closure interview, the work visit, hypothesis testing and reporting. This article reports on the Functional Capacity Evaluation process as followed by South African occupational therapists in various contexts.     

Preparing for work practice: Under- and postgraduate student training at the University of Pretoria (South Africa)

South Africa has experienced much new legislation since the restoration of democracy in 1994 which has had widespread influences on education. Past and current teaching strategies of occupational therapy training at the University of Pretoria have included the training of students in vocational rehabilitation (or work practice). The influence of these new laws on training is discussed. An outline of the undergraduate and postgraduate modules presented at the University of Pretoria is presented in this paper. The authors wish to share the training of vocational rehabilitation with other educators as this training program seems to be very successful in South Africa.     

Growing up with a sibling with dwarfism: perceptions of adult non‐dwarf siblings

Despite the fact that society seems to have become more tolerant towards human diversity, skeletal dysplasia still carries some extent of stigmatization and negative stereotyping. There seems to be a lack of knowledge regarding psychosocial factors associated with skeletal dysplasia, specifically as it relates to interpersonal relationships. Since the negative attention directed at individuals with dwarfism may also have an impact on family members and family relationships, the aim of this qualitative study was to explore adult non‐dwarf siblings' experiences of growing up with siblings with a skeletal dysplasia. Thematic analyses of semi‐structured interviews with four adult non‐dwarf siblings confirmed both negative and positive effects. These effects were evident in childhood and continued into adulthood. For the adults who took part in this study, the positive effects seemed to be more profound.     

The Incarcerated Parent: Examining Mother-Child Conflict at the Margins through a Bio-Ecological Lens

ABSTRACT

This study examined conflict, parenting communication style, and attitudes regarding the parent-child relationship for a marginalized special population: incarcerated mothers and their children. Bronfenbrenner’s bio-ecological perspective served as a guiding framework, based on its ability to consider family interactions across ecological contexts, both proximal and distal to the developing child’s home setting. Fifty incarcerated mothers in the central U.S. provided in-depth interviews and individual self-report surveys. Findings indicate that incarcerated mothers most frequently used an authoritative parenting communication style in conflict situations that ended positively, and authoritarian style in conflict that ended negatively. Authoritative parenting was associated with incarcerated mothers’ reports of greater satisfaction with parenting. Study findings suggest that parenting communication style can help support efforts to reduce recidivism. Contextualizing these findings within Bronfenbrenner’s model, the present study affirms the role of proximal as well as distal factors governing relational communication between incarcerated mothers and their children.     

Family Practices,Holiday and the Everyday

Holidays are central to the rhythm of everyday family practices and consumption, and are often depicted, within both academic literature and consumer marketing, as a defining moment in contemporary family life. To date, academic accounts of the experiences of travel and tourism have been mostly developed outside of the realm of everyday family practices and intimate relations. In this paper, therefore, we advance an interpretation of family holidays as a constituent of everyday family practices. To do this, we bring together three distinct yet interrelated conceptual frameworks: those of family practices, holiday and the everyday. Presenting and analysing data collected from ethnographic research with six families and exploring the themes of anticipation and utopian family practices, we identify how the notion of family holidays can be used a conduit for realising not only relationality between family members but also as a means of easing out the tensions and aspirations of everyday family life, a way to perfect the everyday and also to make it more palatable.     

(Re)Valuing Relationships in Child Protection Practice

Relationship-based social work practice with Australian Indigenous families, within an anti-oppressive framework, is considered effective in child protection work. However, procedural and legalistic approaches to child protection, as well as limited cultural competence, can limit the capacity of workers to develop relationships and take action that empowers vulnerable Indigenous families and communities to care safely for their children. This qualitative study, conducted in Australia, examines the inter-relationships between practitioners, agencies, families and community members expressed in day-to-day child protection practice with Indigenous families. There were tensions and constraints on relationship-building between practitioners and clients, between Indigenous and non-indigenous practitioners, and between government and non-government agencies. The findings support arguments to re-value and strengthen the concept of relationship-building as a foundation for practice. All practitioners must have greater support to build the culturally respectful relationships required for positive change, and more scope to work in partnership with families.     

The Impact of High-Profile Sexual Abuse Cases in the Media on a Pediatric Emergency Department

High-profile media cases of sexual abuse may encourage disclosures of abuse from victims of unrelated assaults and also influence parental concerns, leading to increased emergency department visits. In the region of the study authors’ institution, there are two recent high-profile sexual abuse cases with media coverage: Earl Bradley, a Delaware pediatrician, and Jerry Sandusky, a Pennsylvania college football coach. This is a retrospective cohort study of children evaluated for sexual abuse at a pediatric emergency department. Patients were classified as either presenting during a media period or non-media period. The media periods were one-month periods immediately following breaking news reports, when the cases were highly publicized in the media. The non-media periods were the 12-month periods directly preceding the first reports. The median number of emergency department visits per month during a non-media period was 9 visits (interquartile range 6–10). There were 11 visits in the month following the Sandusky case and 13 visits following the Bradley case. There was no statistical difference in number of emergency department visits for sexual abuse between the periods (p = .09). These finding have implications regarding use of resources in pediatric EDs after high-profile sexual abuse cases.     

“As You Grow up the Divide Still Tends to Happen”: A Qualitative Investigation of Gender Segregation in Adulthood

Gender Issues - Gender segregation, the tendency to form social relationships with those of the same gender, is believed to contribute to gender-typing (Mehta and Strough in Sex Roles...