Gearing Up for Personalisation: Training Activities Commissioned in the English Pilot Individual Budgets Sites 2006–2008

The transformation of social care in England is taking place though changes affording greater choice and control for people using services. Individual budgets were one key element of these changes and were piloted in 13 local authorities in 2006–2008. This article reports on interviews with training leads in these local authorities that took place in 2008 as part of an independent evaluation of the individual budget pilots. The aims of the interviews were to explore the role of training as part of the processes of transformation, the use of resources and establishment of training strategies within the local authority. Participants revealed that the subject of training was acquiring higher profile within their authorities, although uncertainties remain about the extent of local authority responsibilities for training. Within local authorities, training resources were yet to be determined and models of training were not fully developed. The article concludes that training will remain a central issue when implementing personalised social care services and that models of training for such changes should be shared and evaluated over the long term.     

User and Carer Experiences of International Social Care Workers in England: Listening to their Accounts of Choice and Control

Abstract

This paper develops a typology of people using social care services’ preferences for care workers and satisfaction with social care services from a large multimethod study that explored international recruitment to the English social care sector (home and health care, including residential homes). We developed this typology with two questions in mind: (a) what led to satisfaction of care and (b) what led to preference and satisfaction with workers? Data were collected from face-to-face interviews with 35 people who were using social care services and carers (2007–2009) and these data were used to develop the typology. Using the theoretical concept of homophily, we explored contentions that people might prefer to receive care and support from individuals resembling themselves. We observed that preferences for care workers and satisfaction with social care services may be linked, but highlighted that the concept of meeting a preference is personal to the individual. The implications of users’ preferences for certain care workers at a time where policy is promoting greater consumer-led care or self-directed support are discussed.     

Examining Depression,Anxiety, and Foster Care Placement as Predictors of Substance Use and Sexual Activity in Adolescents

ABSTRACT

This study investigated the impact of anxiety and depression on sexual activity and substance use behaviors in a sample of 56 community- (traditional living arrangements) and foster care-dwelling adolescents aged 12 to 17 years. It was hypothesized that higher levels of anxiety and depression would be related to higher rates of risky sexual activity and substance use. Regression analyses were used to examine impact of the internalizing predictors on the risky behaviors. Results of the sample were presented with group membership emerging as a robust predictor of both sexual activity and substance use. Results suggest that adolescents within out-of-home care are at increased risk for engaging in these behaviors when compared with community-dwelling peers, and they may benefit from specific interventions aimed at decreasing participation. Future research may focus on assessing the effectiveness of interventions for these youth.     

Sleep and psychological well-being

Although many studies have linked sleep problems with symptoms of psychopathology, fewer studies have examined the relationship between sleep and dimensions of psychological health as well as depression. To fill this gap, 502 community residents were surveyed about sleep habits, symptoms of anxiety and depression, as well as Ryff’s six dimensions of psychological well-being. Using cut-offs suggested by epidemiological research, participants were classified as either optimal sleepers (those reporting an average of 6 hours or less than 8.5 hours per night) or suboptimal sleepers (those sleeping less than 6 hours or 8.5 or more hours per night). After controlling for demographic differences (i.e., sex, age, education, ethnicity, employment status, marital status, presence of children), the Multivariate Analysis of Covariance (MANCOVA) suggested that optimal sleepers reported fewer symptoms of depression, and anxiety, and reported higher levels of environmental mastery, personal growth, positive relations with others, purpose in life, and self acceptance. Differences between optimal sleepers and non-optimal sleepers in depressive symptoms, positive relations with others, purpose in life and self-acceptance remained significant when people with mild to moderate symptoms of depression were eliminated from the data set. These results are consistent with a theoretical framework that defines sleep as a resource related to stress management and self-regulation.     

Adolescent Career Development in Urban‐Residing Aboriginal Families in Canada

The purpose of this study was to understand how urban‐residing Aboriginal adolescent–parent dyads (n = 11) jointly constructed and acted on goals and strategies with their social supports (n = 17) to facilitate the adolescents' career development. A modified protocol following the qualitative action‐project method was used. A discrete joint project was identified for each family. These joint projects can be clustered into 3 joint career development projects: (a) navigating toward a safe future, (b) negotiating school continuance, and (c) intergenerational continuity through tradition of care. A 4th project emerging from the data was family survival. Family survival projects supplanted participants' efforts to engage in career development projects.     

Case study in the Bayesian analysis of a cost‐effectiveness trial in the evaluation of health care technologies: Depression

We present a case study based on a depression study that will illustrate the use of Bayesian statistics in the economic evaluation of cost‐effectiveness data, demonstrate the benefits of the Bayesian approach (whilst honestly recognizing any deficiencies) with respect to frequentist methods, and provide details of using the methods, including computer code where appropriate. Copyright © 2003 John Wiley & Sons, Ltd.     

Working Together to Improve Accessibility: Consortial E-Resource Accessibility and Advocacy

Abstract

In 2015, the Big Ten Academic Alliance (BTAA) Libraries formed the BTAA Library E-Resource Accessibility Group. This group, which consists of members from each Big Ten library and the BTAA Library Initiatives staff, was charged with creating boilerplate accessibility license language for vendor contracts, as well as collectively funding high level accessibility testing of e-resources and posting these publicly for all libraries and users. Since the creation of the group, about 50 databases have been tested and accessibility license language has been created that can be used and adapted by anyone. In 2019, the group welcomed another consortia, the Association of Southeastern Research Libraries (ASERL), to be partners in this work, renaming themselves the Library Accessibility Alliance. This paper examines the mission, accomplishments, and new partnership in more depth while also discussing the need for focused efforts to help ensure accessible e-resources.     

The experience of smoking in recovery settings: an ecological momentary assessment pilot study

ABSTRACT

Smoking continues to be the leading cause of preventable death in the United States, and people with substance use disorders (SUD) smoke at higher rates compared to their non-using counterparts. Individuals with SUDs may have different emotional experiences and expectancies than those without. The current study explored the relationship between smoking and emotional experiences among residents in recovery homes, a population that little is known about regarding their tobacco addiction. Using ecological momentary assessment (EMA), significant emotional differences were found between nicotine users and nonusers. Implications of these findings could help in the development of interventions directed toward reducing smoking cessation.     

Homelessness,Public Space and Civil Disobedience

This paper argues that anti-social behaviour, in the context of homelessness, ought to be seen as acts of civil disobedience. Firstly, I identify public space as a hostile space for people experiencing homelessness. Secondly, I detail how this reveals a default interpretation of them as anti-social through their mere presence. Thirdly, I explore how this de-politicises. I go onto define and examine civil disobedience theory, as a counter narrative to anti-social behaviour. I then argue how acts of disruption by people experiencing homelessness in public space can qualify as civil disobedience. I acknowledge this as a wicked problem but claim that flipping the default framing of homelessness in this way has normative gain, undoing the de-politicising othering that anti-social behaviour narratives have caused.