Informing Debate or Fuelling Dispute? Media Communication of Reconfiguration in Scotland's Rural Maternity Care

Public reaction to the UK's ongoing health sector reform often results in dilution of policy‐makers’ goals. Public participation in health service decision‐making is advocated in policy, but precisely how to do it and what role public opinion should have in formulating reform strategy is ambiguously described. Public opinion is formed through many influences, including media reporting. This paper examines how reconfiguration at a rural maternity unit at Caithness General Hospital in Wick, Scotland, was communicated in national and local media and considers potential implications of media communication on public participation in policy decision‐making. Content analysis of arguments for and against change revealed a high level of reporting of commentators against change in regional newspapers. Qualitative analysis identified emergent themes about how maternity service reconfiguration was portrayed. These included framing opposition between management and local people, and change drivers receiving superficial coverage. Findings suggest that media portrayal of the public role in change may promote an adversarial rather than a participative stance. More finely tuned understanding of the relationship between the reporting of change and public reaction should be attained as this could affect how planned social policy evolves into actual practice.     

Employability,Poverty and the Spheres of Sociability – Evidence from the British Household Panel Survey

Policymakers in the UK and beyond have sought to promote interventions to encourage social capital‐building among disadvantaged groups. One specific concern is that those with limited access to social capital/social network relationships will be at greater risk of experiencing both unemployment and poverty. By analyzing longitudinal data from the British Household Panel Survey (BHPS), we seek to identify significant relationships between poverty and the likelihood of entering employment, and different measures of ‘sociability’ and social isolation. Crucially, we discuss if and how measures of sociability/social isolation are associated with jobseekers' varying chances of exiting and re‐entering work and how this varies with their experience of poverty. These issues are important because if sociability impacts on the likelihood of entering employment from a state of worklessness, then policymakers need to understand how cycles of social and labour market exclusion are associated with the rates of entering employment in order to develop effective interventions to improve jobseekers' employability and combat poverty. Following an analysis of BHPS data, we identify lessons for policy for combating long‐term unemployment and promoting social inclusion.     

Engaging with families in child protection: lessons from practitioner research in Scotland

This paper reports findings from practitioner-led research on engagement with families in the child protection system in Scotland. Engagement is here defined in a participative sense, to mean the involvement of family members in shaping social work processes. Key findings include the importance of workers building trusting relationships; the value of honest and clear communication, information, and explanation; and the potential for formal structures such as reports and meetings to hinder family engagement. These findings contribute to a growing critique of managerialism in social work.     

区域·结构·秩序——历史学与人类学的对话

2006年4月17日,一场由刘平教授发起及其与包弼德教授共同主持的历史学与人类学的跨学科对话在哈佛燕京图书馆会议室举行。该对话围绕着当代中国历史学的发展、历史人类学的由来、中国历史人类学状况以及台湾的人类学研究等主题展开。而关于"什么是历史人类学"的问题,更是汇聚了来自多方的不同声音。这样的交流和交锋,对于中国当前以及今后的历史人类学研究,有着可以预期的启示作用。     

A review of the research priorities of practitioners working with children in social care

It has been argued both that research in social care is insufficiently relevant to practice, and that a clearer steer is needed from the social work community in shaping national research priorities. The work reported here systematically searched for and analysed findings from studies that asked practitioners working with children for their suggestions for research. Eight studies were found, and authors gave us access to the primary data from four of these, to which we added responses from the What Works for Children? website survey of practitioners’ research priorities. Responses were analysed in terms of both topic and type of research. Family support, parenting and child protection research were among the most frequently requested child‐focused topics. In terms of question type, almost half the research suggestions concerned the effectiveness of interventions. These findings suggest that a commitment to outcomes, and to robustly researched interventions to attain those outcomes, are increasingly important to practitioners. These views from the front line may well be useful in assisting decision‐makers in social work, and research funders, to set priorities.     

Delayed Hospital Discharge and Mental Health: The Policy Implications of Recent Research

In 2003, the Community Care (Delayed Discharges etc.) Act introduced charges for social services departments unable to discharge patients from hospital within agreed timescales. As details of this reimbursement policy have begun to emerge, it has become apparent that the new system may also be extended to mental health services. In response, this narrative review of the literature on delayed hospital discharges and mental health reports findings from 12 studies, which raise important and timely concerns about the feasibility of reimbursement. Although a significant number of people experience delayed discharges from acute psychiatric services, the task of defining delayed discharges is complex and subjective, dependent on the professional background and seniority of the person making the judgement. Reasons behind delayed discharges are also multi‐factorial in nature and cannot be attributed to social services departments alone.     

Passivity in Childminded Children: Problem or Prejudice?

SUMMARY. Many people still believe that healthy social and emotional development in very young children depends upon the presence of maternal care. Some research work in the UK has also suggested that childminded children, when away from their mothers, typically manifest withdrawn and passive behaviour. Drawing on findings from unpublished research and illustrations from an exploratory study in which childminded children and childminders' own children were videotaped and compared, it is argued that such conclusions cannot easily be demonstrated empirically. Rather, they may result from observational and interpretative biases which overlook the role of factors such as children's age and social experience. Further, it is suggested that attempts to quantify and measure theoretical constructs such as passivity may be less informative than observations focused more specifically upon the behaviour of individual children in day care.     

Extended Dialogue About Significant Developments: Manualising Systemic Family Therapy: The Leeds Manual

Steve Allison and Amaryll Perlesz review a systemic family therapy manual developed at the Leeds Family Therapy and Research Centre. Responding to the critique, Helen Pote gives an account of the manual's history, and its reception in the UK.