Creating Disability in the Home: the role of environmental barriers in the United States

One thousand persons with disabilities were sampled to discover the types of barriers they encountered in their home while carrying out their daily activities. A 43 percent response rate was obtained. The open-ended questions were submitted to a process of analytic coding and suggested 27 different categories of barriers existed in the homes of persons who have disabilities. The findings have implications for rehabilitation practice. Performance of daily activities is greatly diminished by the presence of architectural barriers. Environmental supports can greatly improve performance in daily tasks. These findings are discussed in light of disability policy and implications for improving performance of persons who have disability.     

Roadmap to recovery: Reporting on a research taskforce supporting Indigenous responses to COVID‐19 in Australia

In April 2020 a Group of Eight Taskforce was convened, consisting of over 100 researchers, to provide independent, research‐based recommendations to the Commonwealth Government on a “Roadmap to Recovery” from COVID‐19. The report covered issues ranging from pandemic control and relaxation of social distancing measures, to well‐being and special considerations for vulnerable populations. Our work focused on the critical needs of Aboriginal and Torres Strait Islander communities; this paper presents an overview of our recommendations to the Roadmap report. In addressing the global challenges posed by pandemics for citizens around the world, Indigenous people are recognised as highly vulnerable. At the time of writing Australia's First Nations Peoples have been largely spared from COVID‐19 in comparison to other Indigenous populations globally. Our recommendations emphasise self‐determination and equitable needs‐based funding to support Indigenous communities to recover from COVID‐19, addressing persistent overcrowded housing, and a focus on workforce, especially for regional and remote communities. These latter two issues have been highlighted as major issues of risk for Indigenous communities in Australia It remains to be seen how governments across Australia take up these recommendations to support Indigenous peoples' health and healing journey through yet another, potentially catastrophic, health crisis.     

The impact of differences in the levels of technology on international labor migration

In this paper we analyze the patterns of international labor migration in a two-country world where one country's production technology is superior to that of the other country. We exploit an overlapping-generations model which enables us to trace the relevant dynamic considerations. We find that in the absence of international capital movements labor will migrate from the technologically-inferior to the technologically-superior country unless the stationary autarkic equilibrium is characterized by over-investment relative to the Golden Rule and the long-run elasticity of the interest rate with respect to the technological level is sufficiently large, in which case migration will be from the technologically-superior country.This paper, presented at the 6th World Congress of the Econometric Society, Barcelona, August 22–29, 1990, is a revised version of Discussion Paper No. 34, Harvard University Migration and Development Program.     

The Common Assessment Framework: the impact of the lead professional on families and professionals as part of a continuum of care in England

This paper utilizes data gathered as part of an exploratory study to assess the costs and impact of the Common Assessment Framework (CAF), to examine the impact that the lead professional role had on families and workers. The study found that both families and workers believed the lead professional to be central to the CAF process, providing a range of support, coordinating multi‐agency responses to need and acting as a single point of contact between families and workers. The paper highlights the need for consideration to be given to inter‐agency working, data sharing, training for workers and the capacity implications for those taking on the role. The extent to which the lead professional might be more integrated into the continuum of support for vulnerable children and families is also examined. The paper highlights the need to consider the lead professional's role in not only preventing the need for more intensive services, such as those provided by statutory social work, but also maintaining outcomes achieved once a child protection plan is closed, or a child is reunified with his or her birth family after a period of being in care. The implications of the findings for policy and practice are discussed.     

Amidst the Reign of Behaviour and Disorder: Recalling Schools as Problems

In May 2013 one of the most profoundly influential books of the late twentieth and early twenty‐first century was released in its fifth edition. Yet, it is not unreasonable to speculate that this newest edition will pass largely unnoticed, even as new diagnoses (and the loss of current ones) seep into the everyday. The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM‐5) will undoubtedly be influential in education – defining and re‐defining student maladies. Its list of extensive categories provides, so it is argued, a means to uniformly identify mental disorders. Applied in educational contexts, children and young people can thus be categorized by clinical experts and teachers able to identify an individual's problems, and in theory, respond appropriately. Criticism of the DSM includes debate over its application in cross‐cultural contexts as well as the ways that socio‐economic differences are, to put it bluntly, diagnosed differently. Although these issues of diagnosis do get attention, historical contexts can remain bereft in commentary. In this paper we consider the value that historical perspectives can bring to an analysis of the contemporary effects of DSM‐inspired readings of education and disadvantage. The paper also draws on two projects, one with young people, the other with parents of young children, both of whom experienced disadvantage and precarious relationships with education. In these excluded contexts, people are more likely to come into contact with diagnostic repertoires that originate from the DSM. Drawing on Georges Canguilhem's analysis the ‘concept' as well as Michel Foucault's discussion of Canguilhem's work, this paper considers how attention to school problems is important for disengaging with education's appetite for psychiatric disorders.     

A limit approaching pop-up message reduces gambling expenditures,except among players with a financially focused self-concept

Responsible gambling (RG) tools that guide electronic gaming machine (EGM) players to set a pre-set money limit on their gambling expenditures are known to reduce excessive gambling. However, not all EGM players who use a limit-setting RG tool will adhere to their limit. We hypothesized that limit adherence is facilitated by informing players that their limit is approaching (and when their limit is reached), but undermined by a financially focused self-concept (FFS). Accordingly, EGM players (N = 88) were provided seed funds to gamble with on a slot machine in a simulated virtual reality casino. They were randomly assigned to receive a limit reminder both when their limit was approaching and again when their limit was reached (experimental condition) or just when their limit was reached (control condition). Players in the experimental condition were more likely to stop playing before reaching their money limit compared to players in the control condition. However, this was observed among players who are low, but not high, in FFS. Unexpectedly, condition (control vs experimental) was unrelated to playing beyond the money limit and FFS did not moderate this relation. Results suggest that individual difference factors, like FFS, can undermine the utility of RG tools.     

Sociometric methods and difference: a force for good – or yet more harm

This paper offers a critique of sociometrics as a ubiquitous method of measuring social relationships among children in social groups such as school classes. This is important in relation to disability politics and research as the apparently scientific measures are frequently used in the process of labelling children or predisposing the children involved, or others involved with them, to view disabled and other children in particular ways. We open a debate about judgements concerning whether the use of sociometric techniques needs to be better informed by questions about the underpinning normalising frameworks on which they depend, about the connotations of blame associated with particular sociometric statuses, and about the way that research constructs difficulties and reflects an adult agenda, marginalising the voices of (disabled) children. We argue for the value of the transactional turn in understanding the implications of this approach and for highlighting alternative perspectives.     

Long‐term Outcomes for Children with Early Language Problems: Beating the Odds

Using the 1970 British Cohort Study, this study examines factors promoting positive language development and subsequent successful education and employment transitions among children showing early receptive language problems (age 5). We find that 61 per cent of children with early receptive language problems develop into competent readers by age 10. Factors promoting positive language development include parental support and more importantly a good school environment, characterised by only few children receiving remedial help. Post‐16 education and employment experiences indicated competent reading to be associated with a less challenging journey into adulthood. Findings are discussed in terms of their policy implications.     

A Lean transportation approach for improving emergency medical operations

Abstract

This paper extends the approach of Lean transportation to improve the performance of emergency medical processes (EMP) by adapting its main concepts into the main characteristics of the EMP environment. The paper is based on an inductive theory-building process initiated from a case study in the field of emergency medical services. The development of the suggested performance improvement approach triggered from an exhaustive analysis of a process involved and an exploratory review of the existing improvement approaches available. The process of concern can be described as a specialized transportation process, where human lives are at risk. Its characteristics led to a natural application of Lean transportation. The results include, a novel approach for improving the agility and efficient EMS processes. This is validated with an application for improving ambulance response times and turnaround times of the Red Cross operations located in Monterrey, Mexico. The approach proved to be an integrated scheme for identifying waste opportunities at a systems level. This characteristic is important to let operations management prioritize improvement efforts in a limited budget situation. This work suggests the application of the emerging Lean transportation approach for increasing the agility performance of EMS processes.