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This paper presents findings from a new study of outcomes for young people leaving care funded by the Department for Education and Skills. It reports findings for a sample of 106 young people in relation to progress made in housing and employment some 12–15 months after leaving care. The generally poor employment outcomes of care leavers are acknowledged, but ingredients that make for success are also highlighted, including the value of settled care and post‐care careers, sound career planning and, significantly, the value of delaying young people’s transitions from care. Early career paths also interconnect with how young people fare in housing, in developing life skills and with other problems in their lives after leaving care. Housing outcomes were more encouraging and predominantly shaped by events after leaving care, and faring well in housing was the factor most closely associated with positive mental well‐being in young people. Some groups that are at risk of faring badly are identified, including young people with mental‐health problems, young people with persistent offending or substance misuse problems and, in some respects, young disabled people. The implications of these findings for leaving care services are considered.  相似文献   
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Recognition of emotions within others is a necessary life skill. We know that this is a learnt skill, which develops throughout childhood and is deficient in some individuals. To put individual development in context, it is necessary to understand the nature of development amongst the normal population. Age-related centiles can be used to add this context. The level of emotion recognition is assessed using an ordinal outcome scale, and hence establishing age-related centiles for these measures creates particular analytical problems. In this paper, we use methodology previously developed by us for monitoring the development of visual acuity during childhood to calculate age-related centiles for emotion recognition ratings. The ratings do not consistently improve with age and appear to be affected by hormonal developments. A comparison of ability to rate emotions according to the stage of pubertal development is used to illustrate how the conversion of ordinal assessments to continuous centile scores facilitates the investigation. The specific issues relating to the application of the methodology to data that are not consistent in the direction of change with age and where large amounts of data can be gathered electronically are discussed.  相似文献   
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This paper draws on findings from a study of outcomes for youngpeople leaving care funded by the Department for Education andSkills. It explores the informal support networks availableto a sample of 106 young people over a period of 12–15months after leaving care. It examines patterns of contact withbirth families and caregivers, the support that emanated fromthese links and the strategies of leaving care professionalsto strengthen these connections. It also considers the new familiescreated by many young people through relationships with partnersand the onset of parenthood and discusses the continuing supportneeds of young parents. The paper situates the needs and experiencesof care leavers in a wider youth transitions framework and highlightsthe need for continuing professional attention to be given tostrengthening family links as one strategy for helping careleavers to negotiate the transition to adulthood.  相似文献   
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Problem Gambling (PG) represents a serious problem for affected individuals, their families and society in general. Previous approaches to understanding PG have been confined to only a subset of the psychobiological factors influencing PG. We present a model that attempts to integrate potential causal factors across levels of organization, providing empirical evidence from the vast literature on PG and complimentary literatures in decision-making and addiction. The model posits that components are arranged systematically to bias decisions in favor of either immediately approaching or avoiding targets affording the opportunity for immediate reward. Dopamine, Testosterone and Endogenous Opioids favor immediate approach, while Serotonin and Cortisol favor inhibition. Glutamate is involved in associative learning between stimuli and promotes the approach response through its link to the DA reward system. GABA functions to monitor performance and curb impulsive decision-making. Finally, while very high levels of Norepinephrine can induce arousal to an extent that is detrimental to sound decision-making, the reactivity of the Norepinephrine system and its effects of Cortisol levels can shift the focus towards long-term consequences, thereby inhibiting impulsive decisions. Empirical evidence is provided showing the effects of each component on PG and decision-making across behavioural, neuropsychological, functional neuroimaging and genetic levels. Last, an effect size analysis of the growing pharmacotherapy literature is presented. It is hoped that this model will stimulate multi-level research to solidify our comprehension of biased decision-making in PG and suggest pharmacological and psychological approaches to treatment.  相似文献   
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Utilizing epidemiological methods in the planning process, the Georgia Department of Human Resources, Division of Public Health, focuses on community-based and patient-based standards. These standards are identified and applied in the evaluation of local health department programs. Emphasis is first on prevention, taking into consideration life style, environment, health systems, and biological factors, in developing objectives from which these standards are derived. The evaluation process is based on sampling techniques to obtain patient data and vital statistics for community data. The success of this model is a function of decentralization.  相似文献   
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Many child protection systems struggle to implement effective models of frontline practice in the context of high caseloads, increasing costs, and compliance‐focused bureaucratic cultures. This article discusses changes brought about by “Practice First,” a framework for practice introduced to improve the quality and effectiveness of child protection work in New South Wales, Australia. Findings drawn from quantitative and qualitative research with practitioners show that the initiative was effective in changing cultures of practice. It enabled workers to spend more face‐to‐face time with families and build relationships and was perceived to improve the quality of decision‐making. At the same time, the article highlights difficulties in attempting to embed change in practice cultures when broader systemic challenges persist.  相似文献   
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To meet the requirements of the National Environmental Policy Act of 1969, the U.S.D.A. Forest Service has changed the way forest plans are developed. The focus of this paper is to address the group-decision problem using social choice theory, specifically the voting models of Condorcet and Borda. The elements of a social choice problem are voters, alternatives, preferences, and aggregation. A case study from the Shoshone National Forest is used to demonstrate the use of the voting models from social choice theory. The solutions derived from the analysis are strategy and coalitional strategy proof implying that behaviors intended to influence the outcome, such as vote trading, would be unsuccessful.  相似文献   
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