The Integration of Health and Social Care: The Lessons from Northern Ireland

Mechanisms for the integration of social services with health have come to dominate the debate on providing a more seamless provision of health and social care. Working together at the health and social care interface has been strongly promoted and endorsed in government documents since the late 1990s. Moves towards integration have been treated with suspicion and scepticism in the academic literature, with many authors highlighting the many barriers and challenges presented by this method of working. Yet these proposals do not represent a paradigm shift in culture in all parts of the United Kingdom, as Northern Ireland has had an integrated health and social care system for over thirty years. Based on an empirical study of senior health care professionals in Northern Ireland, this study identifies and discusses the key issues associated with integration. It concludes that the experiences in Northern Ireland have to date been overlooked or misrepresented and could prove extremely valuable in gaining an understanding of the challenges and benefits of integrated arrangements.     

Child Abuse Investigations: Reasons for using Child Advocacy Centers and Suggestions for Improvement

Child protective service (CPS) and child abuse law enforcement (LE) investigators have been required by the majority of states to work together when investigating criminal cases of child abuse. Child Advocacy Centers (CACs) and other^. multidisciplinary models of collaboration have developed across the United States to meet these requirements. This study surveyed 290 CPS and LE investigators who use a CAC in their investigations of criminal cases of child abuse. Reasons given for using, centers, include legal or administrative mandate and protocol, child appropriate environment, support, referrals, capacity for medical exams, expertise of center interviewers and access to video and audio technology. Respondents also identified ways that centers could be more helpful.     

INTERGENERATIONAL FAMILY LITERACY: WORKING TOGETHER

This paper brings intergenerational family literacy programs to the attention of both an education and a social welfare readership. It describes how they benefit both children of parents with unmet literacy needs and the parents themselves. The paper presents results, from a Department of Employment. Education and Training national study, which show an important overlap between adult literacy teachers and family support workers in their interests in their clients, and argues for the need for cross-sectoral cooperation. Australian examples of such cooperation are provided and a scheme is proposed linking a number of government agencies to provide intergenerational family literacy programs offering a suite of needed services.     

Coping with the Libyan migration crisis

ABSTRACT

This article discusses the EU's response to the recent Libyan ‘migration crisis’. The central Mediterranean migration route, via Libya, is now the principal route for mixed flows into the EU – primarily owing to the non-existence of a Libyan state to enforce migration controls in collaboration with the EU. The situation in Libya itself is dire, with extensive human rights violations committed against mostly African migrants. While the EU's efforts to curb migration from Libya through enhanced maritime patrol operations have been largely unsuccessful, the recent Italian–Libyan collaboration seems to have led to a significant reduction in the number of migrants departing from Libya's shores. In addition, the EU has also been enlisting transit countries further south – Niger, in particular – in its migration control efforts, with the provision of financial and other resources for capacity-building in migration management. Overall, the EU persists with buttressing its fortress, continues to push for the external hosting of refugee populations within the region and intensifies its collaboration with countries with a dismal track record in terms of respecting the rights of migrants and refugees.     

The effect of the abolition of capital punishment upon homicides in Great Britain:an application of intervention analysis

In this paper we examine the effect of the abolition of capital punishment on the homicide rate in Great Britain. Previous studies have used econometric techniques to determine whether the death penalty exerts a significant deterrent effect. However, econometric studies have been severely criticized for failing to provide robust results. The method of investigation used in this paper is that of intervention analysis. Some questions are raised about the proper way to measure the intervention effect in integrated models subject to trend changes. However, for both England and Wales, and for Scotland, a statistically significant intervention effect is consistently detected, although the extent of the effect is difficult to determine precisely. We also examine the effect of several ‘social stress indicators' (e.g. suicide and unemployment rates and violent crime) upon the homicide rate.     

Gaining Satisfaction? An Exploration of Foster-Carers' Attitudes to Payment

The payment of foster-carers has long been controversial, reflectingboth philosophical debates as to whether fostering should bea voluntaristic or professional activity and concerns aboutplacement provision and service delivery for children. Althoughmany research studies have touched upon the question of foster-carers’satisfaction with payments, this has not been explored in anydepth. Drawing on findings from a study involving 1,181 foster-carersin twenty-one agencies, this article attempts to provide suchan analysis with four main objectives. These comprised: examiningassociations between attitudes towards payment and demographic,socio-economic and fostering career variables; comparing responsesbetween carers based in local authorities (grouped accordingto levels of payment and performance criteria) and independentagencies (IFAs); gauging the influence of carers’ ‘orientations’towards foster-care as a ‘professional’ task; andanalysing payments in terms of their different components, suchas fees, maintenance and certain designated expenses. Amongmany detailed findings to emerge were the generally low levelof satisfaction among local authority carers, especially incomparison with their IFA counterparts and the growing supportamong carers for salaried status. There was mixed evidence onlinks between attitudes towards remuneration and the performanceof agencies.     

Intellectual Property Abuses: How Should Multinationals Respond?

This article illustrates the causes of piracy and pinpoints piracy associated with registrations and with production and distribution. Based on interviews with British and American multinational managers working in China, the authors elaborate 10 corporate actions to counter the spread of the ‘inevitable curse’. In order to implement these 10 strategies, the authors recommend that firms treat piracy as a challenge, be corporately proactive, be aware of the repertoire of possible strategies, investigate co-operative action with other companies, agencies and government and be continuously alert to the dynamic nature of piracy. The problems reflected here are common to multinationals operating businesses around the world, and the destructive nature of piracy is likely to encourage more academic study to yield further insights for practice.