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The National Disability Insurance Scheme (NDIS) is one of the most significant initiatives in Australian social policy history. Its complexity has been compounded by a fast-paced introduction and ongoing refinement throughout the initial trial phase. Parents and carers of very young disabled children face particular challenges accessing and navigating NDIS systems. This article presents findings from a mixed-method pilot study examining the perspectives of parents and carers of disabled children in one NDIS trial site – the Hunter Region of New South Wales. The research highlights a number of policy assumptions potentially impacting on NDIS take up for young disabled children and their families in regional contexts. Based on research findings a number of policy suggestions and improvements for disabled children and their families entering the NDIS and other individualised funding schemes are outlined.  相似文献   
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Little is known about the environmental implications of long-term historical trends in household size. This paper presents the first historical assessment of global shifts in average household size based on a variety of datasets covering the period 1600–2000. Findings reveal that developed nations reached a threshold in 1893 when average household size began to drop rapidly from approximately 5.0 to 2.5. A similar threshold was reached in developing nations in 1987. With the notable exceptions of Ireland, and England and Wales in the early 1800s, and India and the Seychelles in the late 1900s, the number of households grew faster than population size in every country and every time period. These findings suggest accommodating housing may continue to pose one of the greatest environmental challenges of the twenty-first century because the impacts of increased housing present a threat to sustainability even when population growth slows. Future research addressing environmental impacts of declining household size could use an adapted IPAT model, I = PHoG: where environmental impact (I) = population × personal goods (P) + households × household goods (HoG).  相似文献   
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The impetus towards basing practice and policy decisions moreexplicitly on sound research requires tools to facilitate thesystematic appraisal of the quality of research encompassinga diverse range of methods and designs. Five exemplar toolswere developed and assessed in terms of their usefulness inselecting studies for inclusion in a systematic review. Thewidely used ‘hierarchy of evidence’ was adaptedand used to appraise internal validity. Four tools were thendeveloped to appraise the external validity dimensions of generalizability(two scales) and methods of data collection (two scales). Methodsof combining the scores generated by each tool were explored.Qualitative and quantitative studies were appraised, not separatedinto two spheres but by using complementary tools developedto appraise different aspects of rigour. There was a high levelof agreement between researchers in applying the tools to twenty-twostudies on decision making by professionals about the long-termcare of older people. The scales for internal validity and generalizabilitydiscriminated between the qualities of studies appropriately.The two tools to appraise data collection gave diverse results.Excluding studies that scored in the lowest category on anyscale appeared to be the scoring system that was most justifiable.This approach is presented to stimulate debate about the practicalapplication of the evidence-based initiative to social workand social care. This study may assist in developing clearerdefinitions and common language about appraising rigour thatshould further the process of selecting robust research forsynthesis to inform practice and policy decisions.  相似文献   
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In this article, we examine the association between the legalization of abortion with the 1973 Roe v. Wade decision and youth homicide in the 1980s and 1990s. An interrupted time series design was used to examine the deaths of all U.S. 15- to 24-year-olds that were classified as homicides according to the International Classification of Diseases (codes E960-969) from 1970 to 1998. The legalization of abortion is associated over a decade later with a gradual reduction in the homicides of White and non-White young men. The effect on the homicides of young women is minimal. We conclude that the 1990s decline in the homicide of young men is statistically associated with the legalization of abortion. Findings are not consistent with several alternative explanations, such as changes in the crack cocaine drug market. It is almost inconceivable that in the United States of today, policies affecting the choice to have children would be justified as a means to control crime. Yet, if the legalization of abortion had this unintended effect, the full range of policy implications needs to be discussed.  相似文献   
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Domestic violence and substance use are issues which pervadesocial work practice, yet are often on the margins of the knowledgebase for practitioners and their managers. This article providesan overview of the literature on substance use and domesticviolence, highlighting the problems with the separation of bothpractice and policy in these areas. Research on substance useand the needs of women survivors of domestic violence are explored,alongside the more substantial literature on perpetrators ofdomestic violence and patterns of substance use. The problemsof a simplistic analysis which suggest that there is a causallink between substance use and domestic violence are highlighted.Using data from an on-going research project, the sources ofthe continuing and dysfunctional separation of work in theseareas are explored.  相似文献   
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College and university educators have a unique and appropriate forum in which to address social issues, the classroom environment. On September 11, 2001, this opportunity became very real. With it came the challenge of facilitating classroom discussions that include myriad views and feelings. Instruction on conducting difficult discussions in a productive, versus destructive, manner is not commonly included in graduate training, leaving many educators without the tools of effective facilitation. An overview of some of the literature on conducting difficult discussions is presented and applied to classroom discussions of the September 11 events. Recommendations on the process component of facilitating are provided, as well as a rationale for why faculty may want to accept this educational challenge.  相似文献   
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