Between “Families in Trouble” and “Children at Risk”: Historicising “Troubled Family” Policy in England since 1945

The launch of the Troubled Families Programme in 2011 has thrown into sharp relief how governments develop policies and practices to intervene in the lives of so‐called ‘troubled families’. Commentators were quick to make comparisons with historic efforts to rehabilitate ‘problem families’ in the post‐war period. However, beyond discursive similarities, there are also marked continuities in how family policies have been developed and implemented. This review narrates the rise, fall and rise of concern about ‘problem’ and ‘troubled’ families in England in the context of anxieties about child and family welfare, and the appropriate response of the state.     

On the use of extreme value tail modeling for generalized pairwise comparisons with censored outcomes

In randomized clinical trials, methods of pairwise comparisons such as the ‘Net Benefit’ or the ‘win ratio’ have recently gained much attention when interests lies in assessing the effect of a treatment as compared to a standard of care. Among other advantages, these methods are usually praised for delivering a treatment measure that can easily handle multiple outcomes of different nature, while keeping a meaningful interpretation for patients and clinicians. For time-to-event outcomes, a recent suggestion emerged in the literature for estimating these treatment measures by providing a natural handling of censored outcomes. However, this estimation procedure may lead to biased estimates when tails of survival functions cannot be reliably estimated using Kaplan–Meier estimators. The problem then extrapolates to the other outcomes incorporated in the pairwise comparison construction. In this work, we suggest to extend the procedure by the consideration of a hybrid survival function estimator that relies on an extreme value tail model through the Generalized Pareto distribution. We provide an estimator of treatment effect measures that notably improves on bias and remains easily apprehended for practical implementation. This is illustrated in an extensive simulation study as well as in an actual trial of a new cancer immunotherapy.     

Transitions to Caregiving,Gender, and Psychological Well‐Being: A Prospective U.S. National Study

Guided by a life course perspective, this study examined the effects of transitioning into caregiving activity for a child, spouse, parent, other relative, or nonkin associate on nine dimensions of psychological well‐being. Data came from adults ages 19–95, who were noncaregiver primary respondents in the National Survey of Families and Households in 1987–88 and who were followed up longitudinally in 1992–93 (N= 8,286). Results from multivariate regression models confirmed that the transition to caregiving for primary kin (i.e., a child, spouse, or biological parent) was associated with an increase in depressive symptoms. However in selected instances, caregiving was associated with beneficial effects (e.g., women who began to provide nonresidential care to a biological parent reported more purpose in life than noncaregiving women). Evidence regarding gender differences was inconsistent, varying across caregiving role relationship types.     

Exact methods in optimum disassembly sequence search for problems subject to sequence dependent costs

Disassembling complex products is formally approached via network representation and subsequent mathematical modeling, aimed at selecting a good or optimum sequence of disassembly operations. This is done via heuristics, metaheuristics or mathematical programming. In contrast with heuristics and metaheuristics, which select a near-optimum solution, mathematical programming guarantees the selection of the global optimum. This problem is relatively simple if the disassembly costs can be assumed sequence independent. In practice, however, sequence dependent disassembly costs are frequently encountered, which causes NP-completeness of the problem. Although methods, e.g., based on the two-commodity network flow approach, are available to solve this constrained asymmetric Traveling Salesperson problem rigorously, this requires the introduction of integer variables. In this paper, a modification of the two-commodity network flow approach is proposed, which reduces the number of integer variables. This is applied to product structures that can be represented by a disassembly precedence graph. It is demonstrated that use of integer variables is completely avoided by iteratively solving a binary integer linear programming problem. This appears to be more efficient than solving the corresponding integer linear programming problem. It is demonstrated, on the basis of some cases, that this method might provide the exact solution of problems with increased complexity compared to those discussed so far in the literature. This appears particularly useful for evaluating heuristic and metaheuristic approaches.     

Avoiding “regulatory mismatch in regulating workplace ergonomics: The case for an informational approach

Conclusion My basic point is simple: OSHA, in its zeal to ensure safer workplaces, should remember that its primary task as a regulatory agency is to correct market failures and should tailor its regulatory solutions to respond to market failures efficiently. The most efficient solution to a market failure will generally be the least restrictive regulatory alternative, for such an alternative maximizes the ability of individual actors to engage in wealthcreating private ordering. With respect to inadequate ergonomic protections in the workplace, the culprit market failure is not a negative externality but is — if there truly is a market failure — systematic informational inadequacies on the part of employees (about ergonomic risks) and employers (about available precautions). The most narrowly tailored regulatory solution, and therefore the one most likely to preserve the wealth-creation benefits of private ordering, would focus on providing the systematically under-produced information to the relevant actors.     

INFORMATION AND ENDOGENOUS DELEGATION IN A RENT‐SEEKING CONTEST

We offer a new explanation for the occurrence of delegation in rent‐seeking contests. We consider a two‐player contest for a prize of common value. The players only know that the prize is high or low, with given probabilities. Each player can hire a delegate to act on his behalf. After a delegate is hired, she privately observes the true value of the prize. We derive the conditions under which, respectively, no player, only one player, or both players delegate in equilibrium. (JEL D7)     

Beyond resistance: Exploring health managers’ propensity for participatory evaluation in a developing country

The evaluation of interventions is becoming increasing common and now often seeks to involve managers in the process. Such practical participatory evaluation (PPE) aims to increase the use of evaluation results through the participation of stakeholders. This study focuses on the propensity of health managers for PPE, as measured through the components of learning, working in groups, use of judgment and use of systematic methods. We interviewed 16 health managers to determine the meaning they ascribe to these four components in their practice in a developing country, Haïti. We found that learning was often informal and that all managers attached a negative meaning to the use of judgment. Working in groups was favored by all managers, while the health managers viewed the use of systematic methods differently than do evaluators. The administrative health managers generally ranked lower in propensity for PPE than did their clinical colleagues. Implications for the practice of evaluation are discussed in relation to the work styles exhibited by managers in everyday practice, the proactive repetition of actions, the control exercised by formal procedures, and the collective versus “solitary” image of one's environment of action.