Expert review of an approach to functional capacity evaluation

Functional capacity evaluation (FCE) is a widely used tool in work rehabilitation, despite the limited examination of the soundness of its measurement properties. This paper outlines the development of a new approach to FCE, the GAPP FCE, and reports on the findings of an expert review of aspects of its content validity and technical adequacy and how it meets established test criteria. Five expert occupational therapists reviewed the materials of the GAPP FCE then completed a questionnaire related to the content validity, technical adequacy and safety, reliability, validity, practicality and utility of the GAPP FCE. The experts gave support to most aspects of these criteria. The main issue identified by the review was related to interpretation and extrapolation of the FCE results for return to work. This and other issues are discussed in relation to recent developments in FCE and plans for future development of the GAPP FCE.     

Mental health need, awareness, and use of counseling services among international graduate students

OBJECTIVE AND PARTICIPANTS: The authors examined the prevalence of mental health needs in international graduate students, their knowledge of mental health services, and their use of on-campus and off-campus counseling services. METHODS: All registered graduate students in the Spring 2004 semester received an e-mail invitation to participate in a Web survey. Of the 3,121 completed surveys, 551 completed surveys were from international graduate students. RESULTS: Approximately 44% of international graduate students responded that they had had an emotional or stress-related problem that significantly affected their well-being or academic performance within the past year. International students who reported a more functional relationship with their advisors were less likely to report having an emotional or stress-related problem in the past year and using counseling services. International students who reported higher financial confidence were also less likely to use counseling services. CONCLUSIONS: There is an unmet mental health need among international graduate students. Special mental health outreach efforts should be directed at international graduate students, with particular attention on the relationship between students and their advisors and on adequate financial support for students.     

Evaluation of a research mentorship program in community care

This article describes the results of a qualitative case study evaluating a research mentorship program in community care settings in Ontario, Canada. The purpose of the program was to build evaluation and research capacity among staff of community care agencies through a mentorship program. Data were collected through in-depth, semi-structured interviews, focus group interviews, and written evaluations. Three themes were identified: taking hold, fostering hold, and holding on. Mentees took hold of new evaluation and research skills. Factors fostering hold included positive mentoring relationships and participation in relevant research projects. Mentees struggled to hold on to, and apply their skills within a community care context of challenges such as constrained resources and a mandate to provide client-centered care. The lessons learned include having trainees participate in relevant, time-limited evaluation and research projects, and early implementation of mechanisms to sustain integration of trainees' knowledge and skills within community care agencies.     

Actualizing the "Democratic Family"? Swedish Policy Rhetoric versus Family Practices

In this article, we examine empirically a key element of individualizationtheory—the democratic family. We do so using the "acidtest" of family policy, and family practice, in Sweden. First,we review the progress of family policy in Sweden since the1960s, which has expressly promoted an agenda of gender equalityand democracy in families, with individual autonomy for bothadults and children as one key element. We then turn to familypractice, looking particularly at negotiation and adult equality,lifelong parenting after separation, and children's autonomy.While Swedish policy makers and shapers seem to have developedthe idea of the democratic family long before the sociologistAnthony Giddens, the results in practice have been more ambivalent.While there has been change, there is more adaptation to pre-existinggender and generational norms.     

英国住户收入和支出数据需求的变化

The sources of information on family and expenditure in the UK are reviewed, showing how they have developed over time in response to user requirements, describing the current demands, and suggesting some directions for future development.     

Specialist assessment in child protection proceedings: problems and possible solutions

Specialist assessment is a crucial part of child protection intervention. This review considers problems surrounding the process of obtaining a specialist assessment in the child protection process, focusing especially on mental health assessment. Difficulties identified concern different professional frames of reference and agency functions, individual influences and power differentials, communication and decision-making at child protection conferences, court proceedings, ‘sensitive costs’ and resources. Particular attention is paid to difficulties associated with the multi-agency nature of the child protection process. Possible solutions are discussed under the following headings: structures and procedures, communication and role clarity, interpersonal relationships, the role of the keyworker, consultation and the responsiveness of specialists to referrer needs. A comprehensive strategy is advocated in improving the input of specialist services to child protection proceedings. This strategy should employ a combination of structural, procedural and interpersonal approaches and its effects should be thoroughly evaluated. © 1998 John Wiley & Sons, Ltd.     

Implications of government funding of advocacy for third‐sector independence and exploration of alternative advocacy funding models

This paper examines the effect of funding contracts on the capacity of third‐sector organizations to effectively advocate. The relationship is not simple or obvious, with some organizations reporting 'mature relationships' with particular (state) departments, and others reporting difficulty with state or federal government jurisdictions. The paper spells out the negative effects of conflating service funding and advocacy. The paper concludes by exploring alternative institutional arrangements for the resourcing of advocacy including the establishment of a Public Interest Fund administered independently of any government department, one not requiring specific service contracts but rather evidence that it is advocating for the broader public good.