Emerging Patterns of Care Management: Arrangements for Older People in England

One of the key objectives of the community care legislation, implemented in the UK in 1993, was the development of care management systems. Subsequent studies based on limited samples of local authorities have indicated that there is much variation in the forms and types of arrangements being developed. This paper explores whether typologies of care management arrangements for older people can be discerned through the analysis of a series of key indicators. Data were drawn from a survey of all English local authorities, undertaken as part of the PSSRU study: Mapping and Evaluation of Care Management Arrangements for Older People and Those with Mental Health Problems. Care management arrangements were categorized using a limited number of key indicators chosen on an empirical and an a priori basis. This resulted in the formulation of six categories of care management arrangements for older people, within which approximately 80 per cent of local authorities could be included.     

The Politics of Race and Gender: Children's Perceptions of Discrimination and the U.S. Presidency

In the year prior to Hillary Clinton's and Barack Obama's bids to become the Democratic nominee for the U.S. presidency, we explored children's views about the role of race and gender in the U.S. presidency, with a specific focus on perceptions of discrimination. Specifically, we examined children's (aged 5 to 10) knowledge of and attributions for the lack of female (Study 1, N = 76), African American (Study 2, N = 64), and Latino (Study 3, N = 65) presidents. Results indicated that children are knowledgeable about the gender, race, and ethnicity of past presidents, and that many children attribute the lack of female, African American, and Latino presidents to gender and racial discrimination. Theoretical and policy implications of the work are discussed.     

Parents' Goals for Children: The Dynamic Coexistence of Individualism and Collectivism in Cultures and Individuals

Current scholarship on the cultural value systems of individualism and collectivism, and the associated developmental goals of autonomy and relatedness, has moved beyond grand divide theories to emphasize variation within individuals and cultures. We present a theoretical model on the dynamic coexistence of cultural value systems (at the macro level) and parents' developmental goals (at the micro level). We contend that cultural values and developmental goals that have largely been classified as polar opposites may be viewed as conflicting, additive, or functionally dependent. Parents may view the developmental goal of autonomy as interfering with the goal of relatedness (and vice versa); parents may endorse both autonomy and relatedness; and parents may consider the developmental goal of relatedness to be a path to the goal of autonomy and/or autonomy to be a path to relatedness. These forms of coexistence are themselves dynamic, changing across situations, developmental time, and in response to social, political, and economic contexts.     

A multivariate von mises distribution with applications to bioinformatics

Motivated by problems of modelling torsional angles in molecules, Singh, Hnizdo & Demchuk (2002) proposed a bivariate circular model which is a natural torus analogue of the bivariate normal distribution and a natural extension of the univariate von Mises distribution to the bivariate case. The authors present here a multivariate extension of the bivariate model of Singh, Hnizdo & Demchuk (2002). They study the conditional distributions and investigate the shapes of marginal distributions for a special case. The methods of moments and pseudo‐likelihood are considered for the estimation of parameters of the new distribution. The authors investigate the efficiency of the pseudo‐likelihood approach in three dimensions. They illustrate their methods with protein data of conformational angles     

Masculinity and Class in the Context of Dirty Work

Through an ethnographic study of ‘dirty work’ (refuse collection and street cleaning), this article explores how masculinity and class intersect — how, in a mutually constitutive sense, they produce attitudes and practices, strengths and vulnerabilities, which are shaped by shifting relations of privilege and power. We find resistance to class subordination through adherence to traditional forms of masculinity and through esteem‐enhancing social comparison (e.g., with women; with migrant workers). Men also mobilized powerful nostalgic themes around the loss of traditional jobs as well as trade union power. We argue that displays of masculine resilience in the face of devaluation are less indicative of a culture of masculine dominance but more an expression of vulnerability and social dislocation, serving both as a source of resistance whilst simultaneously reinforcing anchors of social disadvantage that characterize forms of dirty work. We suggest that combining social comparison with intersectionality can potentially highlight how categories of difference are strategically deployed in response to varied and unequally valued social positionalities.     

Being disabled: towards a critical social ontology for disability studies

In Disability Studies the question of ontology is establishing itself as a live issue. Whilst there are many arguments and tendencies emerging from this literature, this paper identifies and critically examines an approach to the ontological question in disability studies that is based on an appeal to frailty as a universal characteristic of humanity. The argument builds on the relatively familiar claim that everyone is only temporarily able-bodied. This approach is exemplified in recent work by Bryan Turner and by Tom Shakespeare and Nick Watson. I argue that their universalistic approach is problematic. While it may constitute a theoretical means of ameliorating the existential negativity associated with being disabled it does so at the expense of disability identity. What is required is a critical social ontology that problematises non-disablement and exposes the forms of invalidation that lie at the heart of disabling culture.     

What do Care Managers do?--A Study of Working Practice in Older Peoples' Services

Correspondence to A. Weinberg, School of Community Health Sciences and Social Care, University of Salford, Allerton Building, Frederick Rd Campus, Salford, Greater Manchester M6 6PU, UK. Summary This paper explores the principal activities of local authoritystaff undertaking the role of care manager. It is based on asample of staff in a social services department specializingin older people's services. Data were obtained by asking staffto complete a diary schedule in which thirty-four job relatedactivities were grouped into five broad categories on the basisof previous research. A 57 per cent response rate was achieved.Analysis of the data revealed several findings of note. First,excluding travel, care managers spent 64 per cent of their workingweek in direct and indirect user and carer related activities.Second, administrative tasks occupied 32 per cent of their time.Third, care managers spent 27 per cent of their time in assessmentactivities compared with 7 per cent in monitoring and reviewingactivities and 5 per cent in counselling and support. Fourth,care managers spent 4 per cent of their time liaising with healthstaff. These findings are discussed in the light of previousresearch and a shift is noted in the nature of the direct contactwith the service user. The methodological limitations of thestudy are explored and the implications of these findings forusers and carers and the development of care management arrangementsare discussed.     

Leadership challenges for human service administrators

This study addresses the challenges that human service administrators face in maintaining and moving their organizations forward. Twelve leadership challenge dimensions are identified, variations in these challenges across agencies and administrators are explored, and the implications of these findings for leadership development programs targeted at human service administrators are discussed.