Working in Multidisciplinary Community Mental Health Teams: The Impact on Social Workers and Health Professionals of Integrated Mental Health Care

Correspondence to Professor John Carpenter, Centre for Applied Social Studies, University of Durham, Elvet Riverside II, Durham DH1 3JT, UK. E-mail: J.S.W.Carpenter{at}dur.ac.uk Summary This study investigated the relationships between the organizationof community mental health services and professional and teamidentification, team functioning and the psychological well-beingand job satisfaction of staff working in multidisciplinary communitymental health teams (CMHTs). Staff in four districts in theNorth of England completed anonymous questionnaires on two occasions,twelve months apart. There were systematic differences in teamfunctioning, favouring teams in districts where mental healthand social care services were integrated. However, service organizationhad no evident impact on professional or team identificationor on outcomes for staff in terms of stress or job satisfaction.There were differences between social workers (n = 31) and healthservice professionals (n = 82) indicating that social workershad poorer perceptions of team functioning and experienced higherlevels of role conflict. Controlling for other factors includingthe study districts, role conflict was a significant predictorof stress and of job dissatisfaction, while role clarity promotedjob satisfaction. We conclude that support and supervision aimedat ensuring a social work contribution to multidisciplinaryworking should be provided in the course of establishing CMHTsand integrated health and social care services.     

Graphic Family Therapy: An Affective Alternative to Structure and Strategy1

A self-discovery hypothesis regarding changing family dysfunctioning is suggested. From this hypothesis a method for treatment called Graphic Family Therapy has been developed. The four stages of this design—Analysis, Motivation, Evaluation and Research—are discussed. Specific graphic exercises for eight categories of family dysfunction are described. Two illustrative cases, one long-term and one short-term, are presented. Conclusions regarding results, future research, training and other clinical applications are offered.     

Can We Trust Measures of Political Trust? Assessing Measurement Equivalence in Diverse Regime Types

Do standard “trust in government” survey questions deliver measures which are reliable and equivalent in meaning across diverse regime types? I test for the measurement equivalence of political trust in a sample of 35 former Soviet and European countries using the 2010 Life in Transition Survey II conducted by the World Bank and European Bank for Reconstruction and Development. Employing multiple group confirmatory factor analysis, I find that trust perceptions in central political institutions differ from (1) trust in regional and local political institutions, (2) trust in protective institutions like the armed forces and police and (3) trust in order institutions like the courts and police. Four measurement models achieve partial metric invariance and two reach partial scalar invariance in most countries, allowing for comparisons of correlates using latent factors from each model. I also found some clustering of measurement error and variation in the dimensionality of political trust between democratic and autocratic portions of the sample. On some measurement parameters, therefore, respondents in diverse cultures and regime types do not have equivalent understandings of political trust. The findings offer both optimism and a note of caution for researchers using political trust measures in cross-regime contexts.     

Teil-autonome Arbeitsteams oder tayloristische Produktionslinie? Welche Erkenntnisgewinne bieten simulationsbasierte Work Design Trainings

Digitalisation, flexible job markets, new technologies and innovative forms of collaboration constitute increasing challenges for employers and the design of modern work. But how can we deal with these challenges and what do we know about the effect of good versus bad work design? Based on the job demands-resources model (JRM), we present a simulation-based training during which participants experience the effects of different work characteristics. We focus on the moderating effects of job control and job demands: The JRM assumes that job demands and job control interactively affect employee exhaustion and work engagement: Jobs with high control can buffer the strain-enhancing effect of job demands (buffer hypothesis) and increase work engagement (active learning hypothesis). We test these hypotheses in a workplace simulation during which participants have to produce ice-cream. Our results support the buffer hypothesis but not the active learning hypothesis. We discuss the added value of work design simulations for organisations, practitioners, and HR professionals.     

Touch in residential child care: staff’s bodies and children’s agency

This paper concerns the significance of touch in the everyday life of those living and working in residential child care. Public and professional awareness about child abuse has focused attention on the bodies of children and their vulnerability – but the same cannot be said of the bodies of staff members who touch children. This ethnographic study of a Scottish residential child care unit shows such touch to be central to the everyday participation of children and young people in care. On the basis of participant observation, the paper analyses how care workers influence the agency of children and young people by bringing their own bodies into their relationships with them. Based on a relational understanding of care, the paper elaborates on how tender and restraining forms of touch form part of care workers’ professional repertoire of actions. The analysis of various instances of touch in terms of sociology of the body shows how staff members can help to shape children and young people’s opportunities for participation with their own bodies. In conclusion, the paper therefore argues for a professional and reflexive engagement with bodies rather than a general avoidance of touch between care workers and young people.     

Hybrids,materiality, and black boxes: Concepts of actor‐network theory in data journalism research

Actor‐Network Theory (ANT) vocabulary offers meaningful sensibilities for explorations of data‐driven newswork. Concepts of hybrids, materiality, and black boxes are increasingly mentioned across digital journalism studies and appear to be particularly constructive to examine the relations between data, computation, and journalism practice, epistemology, reflexivity, and journalistic artefacts. After outlining central concepts of ANT, this literature review provides an overview of research agendas that propose sociotechnical dimensions, followed by a structured review of findings generated through ANT‐informed explorations of data journalism. In a closing summary, presented findings and limitations of ANT are discussed.     

Multiple Hypothesis Testing for Variable Selection

We propose two new procedures based on multiple hypothesis testing for correct support estimation in high‐dimensional sparse linear models. We conclusively prove that both procedures are powerful and do not require the sample size to be large. The first procedure tackles the atypical setting of ordered variable selection through an extension of a testing procedure previously developed in the context of a linear hypothesis. The second procedure is the main contribution of this paper. It enables data analysts to perform support estimation in the general high‐dimensional framework of non‐ordered variable selection. A thorough simulation study and applications to real datasets using the R package mht shows that our non‐ordered variable procedure produces excellent results in terms of correct support estimation as well as in terms of mean square errors and false discovery rate, when compared to common methods such as the Lasso, the SCAD penalty, forward regression or the false discovery rate procedure (FDR).     

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IMAGE AND MISREPORTING

In this paper we analyze how image utility can lead to misreporting of private information in contexts where truthful reports maximize monetary outcomes. In a controlled experiment, subjects go through a series of quiz questions and subsequently report a performance measure. We vary whether reports are made to an audience or not. In an additional feedback treatment, reports are also stated to an audience and afterwards the experimenter publicly verifies whether reports were correct. We find that in the audience treatment, stated reports are significantly higher relative to the private treatment as well as the feedback treatment. Our findings suggest that overconfident appearance might be a consequence of social approval seeking.