Social innovation and ICT in social services: European experiences compared

Innovation in social services and social policies in the European welfare systems is an evolving phenomenon stimulated by socio-demographic, cultural and economic changes. Many social service innovations are linked to disruptive technologies, especially the introduction of information and communication technology (ICT). To discuss the effects of disruptive technologies on health and social services, this article first proposes a framework consistent with the social innovation paradigm. Secondly, based on case-studies, it investigates different models of social and health service innovation driven by technology. The article shows advantages and disadvantages of service innovation driven by technology, and offers some final remarks about future challenges for ICT in health and social services. More evidences of effectiveness and efficiency are necessary to promote public and private investment to implement solutions on a wider scale. However, the impacts of technology-based solutions cannot be measured only in terms of economic aspects but also taking into account whether new technologies really provide the opportunity for citizens to have a better life and advocacy for their rights.     

Fertility patterns in the Roma population of Spain

The Spanish Roma population have co-existed with the broader population of Spain, under the same laws and regulations for more than 500 years, but they exhibit very different fertility patterns. The aim of this paper is to determine whether there are factors other than income or education that can explain the larger number of children in Spanish Roma families. Our analysis reveals that the existence of a family business, which is highly labor-demanding, appears to be associated with parental decisions concerning the number of children. Since parental authority, in Roma families, holds sway over children even after their own marriage, the future labor contributions of children are particularly beneficial to the family business.     

Association between handgrip strength,walking, age-related illnesses and cognitive status in a sample of Portuguese centenarians

Background

Centenarians are a growing population in Europe and present significant variability in motor and cognitive functions. The aim of our study was to characterize health status, as well as cognitive and motor functions in a group of Portuguese centenarians. In addition, our study also aimed at analyzing the relationship between cognitive functions and the burden of diseases affecting the elderly.

Methods

Fifty-two centenarians were evaluated using the Mini-Mental State Examination, short version. Walking-related parameters (velocity and time spent in the 3 m walk test), grip strength and number of age-related illnesses were also measured. The relationship between cognitive scores and time spent in the three metre walk test, velocity, grip strength and number of diseases was analysed.

Results

Cognitive scores showed a positive correlation with both handgrip strength and time spent in the three metre walk. In contrast, no association was found between cognitive scores and the presence/absence of disease, walking velocity or number of diseases present.

Conclusions

These results suggest that in centenarians, cognitive functions may be related with motor functions.

     

Boom and bust: housing equity withdrawal and consumption decisions and their impacts on household wealth

The authors examine whether the surge in housing refinance and equity withdrawal generated by the housing boom disproportionately affected older households in terms of decisions on whether to refinance, whether to withdraw equity, and how much to withdraw, and how in turn these decisions affected their household wealth. Using the Federal Reserve's Survey of Consumer Finances, the authors found the highest rates of refinancing and cashing out equity among older (although not necessarily the oldest) households. The authors also found that appreciation in house value, being a baby boomer, and having higher household income were the factors that most increased the probability of refinancing and withdrawing equity. Amounts cashed out were higher among older than among younger households. Ordinary least squares (OLS) estimates showed that amounts withdrawn were increased by price appreciation, financial assets, and income, along with being a "pre-boomer" or "early boomer." Older cohorts displayed larger wealth effects than younger ones, but their withdrawn equity was a smaller percentage of total net worth. A relatively small percentage of respondents' dollars was used for consumption, and most dollars were used for home improvement, other investment, or debt repayment. However, massive equity withdrawal and the subsequent collapse of housing prices have caused housing leverage to soar, putting some homeowners "underwater" and jeopardizing others' retirement preparedness. The ensuing housing finance crisis raises numerous policy issues, from reform of mortgage underwriting, securitization, servicing, and foreclosure procedures, to potential limitations on borrowing against unrealized housing equity gains, to enhanced government transfers for distressed older homeowners, to local and state revenue policy changes.     

The Effect of Solution‐Focused Versus Problem‐Focused Questions: A Replication

In therapeutic conversations, questions can be considered as interventions in their own right. This study is a cross‐cultural replication of Grant (Journal of Systemic Therapies, 2012, 31, 2, 21) study on the effects of different types of questions on various clinically relevant variables. A total of 204 students of a Spanish university described a real‐life problem that they wanted to solve and were then randomly assigned to either a solution‐focused or a problem‐focused questions condition. Before and after answering the questions, they completed a set of measures that assessed positive and negative affect, self‐efficacy, and goal attainment. Solution‐focused questions produced a significantly greater increase in self‐efficacy, goal approach, and action steps than problem‐focused questions, and a significantly greater decrease in negative affect, providing further empirical support to solution‐focused practices.     

The Structured Interview of Family Assessment Risk: Convergent Validity,Inter-rater Reliability and Structural Relations

The quality of parenting, composition and socio-economic status are family risk or protective factors on juvenile delinquency, however, there is not an instrument to help psychologists and social workers to specifically assess the adolescent offender’s family. This study set out to accomplish an additional validation study of the structured interview of family assessment risk (SIFAR), a structured professional judgment tool for the assessment of family risk and protective factors of juvenile delinquents. The statistical analyses included inter-rater reliability, convergent validity with YLS/CMI, the Partial Least Squares approach to structural equation modeling and receiving operator characteristics (ROC) analysis. A sample of 130 male adolescent delinquents detained in Portuguese forensic facilities and their parents, were paired analyzed. The YLS/CMI was used to analyze the convergent validity with SIFAR. SIFAR shows a strong correlation with the YLS/CMI family context, moderate to high values of inter-rater reliability; SIFAR factors show that they are predictive determinants of the Moderate Four risk factors. ROC analysis shows adequate accuracy power. The findings show that SIFAR it is useful as an additional assessment tool for structured risk assessment instruments since it allows understanding the vulnerabilities and strengths of the delinquent’s family.     

Stages of Mentoring: An Analysis of an Intervention for Pregnant and Parenting Adolescents

A qualitative analysis of 51 matches between volunteer mentors and pregnant adolescents is discussed in terms of problems that occurred and reasons relating to early termination of the match. In each of three stages of the relationship, different issues related to the behavior and interpersonal process between members of the match created problems. In stage one, the mentors had difficulty establishing the match when there was avoidance, distrust, and testing behavior on the part of the mentee. Fear of intimacy and rejection seemed to underlie these relationship difficulties. In stage two, which encompassed the birth of the adolescent’s child, conflict occurred when mentees’ demands overwhelmed the mentors. In the third stage, difficulties discussing termination or continuation of the relationship led to disengagement and less frequent contact. Recommendations are provided to help mentors and mentees navigate the problems in each of these stages.