Breaking the mould: new trajectories in the domiciliary care of older people in Ireland

This article reviews the development of domiciliary care services for older people in Ireland over the last decade. It reveals three central developments, namely (i) the first steps, in the Irish context, towards a quasi-market; (ii) the introduction of cash-for-care and the subsequent notable segmentation of care tasks among three provider groups; and (iii) a rapidly increasing reliance on for-profit private home care providers. The authors conclude that while the Irish social care regime is still anchored in important ways in the primacy of informal (family) care and the subsidiarity principle, it has broken path-dependency by evolving towards an increasingly complex mix of public, not-for-profit and for-profit provision and financing. The most policy-relevant aspect of this new constellation is the lack of a regulatory framework that would enable the State to monitor the multiple and diverse providers with the view to ensuring the quality of home care services.     

Health of Carers of Young People with Early Psychosis: A Biopsychosocial Approach

Despite widespread recognition of the usefulness of a biopsychosocial approach in social work, there are limited studies exploring how social workers can use this approach to support the health and wellbeing of carers of young people with first episode psychosis (FEP). Validated questionnaires and anthropometric measures were used to assess the physical health and wellbeing of 42 carers of young people with FEP. Carers had moderate levels of negative caregiving consequences, quality of life, and health status. More than half (52.4%) of carers were experiencing social isolation. Many carers were overweight (78.6%), had a high risk for type 2 diabetes (39.0%), and had hypertension (33.3%). Practical implications of a biopsychosocial approach to social work that supports both clients and their carers are discussed.     

Infant Electroencephalogram Coherence and Toddler Inhibition are Associated with Social Responsiveness at Age 4

Previous work has suggested that individual differences in infant functional neuroconnectivity are a potential biomarker for later cognitive and social outcomes, but the mechanisms are unclear. This study investigated a longitudinal model of infant frontotemporal electroencephalogram (EEG) coherence predicting toddler inhibition, which then predicted childhood social responsiveness. A structural equation model showed good fit, with increased right hemisphere frontotemporal EEG coherence predicting less inhibition at age 2, which in turn predicted less social responsiveness at age 4. These findings support the hypothesis that infant frontotemporal connectivity is indirectly associated with later social behavior, with toddler inhibition as a potential mechanism.     

The effects of maternal depression on children

The importance of identifying children at risk because of parental pathology such as schizophrenia has been well established. It is recommended that a systematic investigation of children of depressed mothers be made. An object relations developmental model is presented as a conceptual framework for understanding the consequences to children of being cared for by depressed mothers.     

The development of a capacity for concern in antisocial children: Winnicott's concept of human relatedness

Winnicott's refreshing view of clinical practice includes the unique notion that delinquency is a sign of hope. Several of Winnicott's interpersonal concepts fit together to develop this thought: holding environment, capacity for concern, the use of the object, and hate in the counter transference. In this paper these four concepts are described and the case of a ten-year-old antisocial youngster is used to illustrate Winnicott's thinking and tie some of his illusive ideas into a difficult but familiar kind of practice situation. The therapeutic approach used was a mixture of case management and play therapy. What is different however is the way in which the therapist interpreted the youngster's behavior and stimulated his rich fantasy life.     

Health Behavior Change and the College Personal Health Class: A Multifaceted Approach

Abstract

Both the literature review and the results of a behavioral change project conducted at the University of Oregon indicate that health courses can bring about positive lifestyle changes when behavior is made a focus of the class. A multi-faceted behavioral intervention strategy was developed and used with 433 students enrolled in personal health classes during the fall term, 1983. At the end of the term, 23% of the students reported they were 100% successful in obtaining their desired behavioral changes. Another 40% reported they had just missed their goal. Overall, it appears the intervention was highly successful. More research is needed to validate the approach.     

A Preliminary Investigation of Risks for Adverse Outcomes of Relationship Seeking on Social Network Sites (SNS): A Descriptive Study of Women Over 50 Seeking Relationships on MySpace in Hillsborough County,Florida

In contrast to younger populations, little attention has been paid to the increase in seniors using Internet-based venues to find relationships and the potential risk for adverse outcomes this poses. This study examined data collected via an online survey from 45 ethnically diverse women aged 50+ “seeking relationships” on MySpace. The majority of women reported a relationship with someone they met online (85%). They also reported experiencing adverse events including financial exploitation (40%), threats (55%), and physical harm (38%) by someone they met online at levels greater than traditional relationship seeking in the general population. Directions for future research are explored.     

Online interval scheduling: randomized and multiprocessor cases

We consider the problem of scheduling a set of equal-length intervals arriving online, where each interval is associated with a weight and the objective is to maximize the total weight of completed intervals. An optimal 4-competitive algorithm has long been known in the deterministic case, but the randomized case remains open. We give the first randomized algorithm for this problem, achieving a competitive ratio of 3.5822. We also prove a randomized lower bound of 4/3, which is an improvement over the previous 5/4 result. Then we show that the techniques can be carried to the deterministic multiprocessor case, giving a 3.5822-competitive 2-processor algorithm, and a 4/3 lower bound for any number of processors. We also give a lower bound of 2 for the case of two processors. A preliminary version of this paper appeared in the Proceedings of COCOON 2007, LNCS, vol. 4598, pp. 176–186. The work described in this paper was fully supported by a grant from City University of Hong Kong (SRG 7001969), and NSFC Grant No. 70525004 and 70702030.