Does More Schooling Reduce Hospitalization and Delay Mortality? New Evidence Based on Danish Twins

Schooling generally is positively associated with better health-related outcomes—for example, less hospitalization and later mortality—but these associations do not measure whether schooling causes better health-related outcomes. Schooling may in part be a proxy for unobserved endowments—including family background and genetics—that both are correlated with schooling and have direct causal effects on these outcomes. This study addresses the schooling-health-gradient issue with twins methodology, using rich data from the Danish Twin Registry linked to population-based registries to minimize random and systematic measurement error biases. We find strong, significantly negative associations between schooling and hospitalization and mortality, but generally no causal effects of schooling.     

From Work to Welfare: Institutional Arrangements Shaping Turkish Marriage Migrants’ Gendered Trajectories into a New Society

Using a mixed methods approach, this article examines gendered patterns of employment and of unemployment benefit uptake among Turkish marriage migrants in Denmark. The results show that men use co‐ethnic networks to access entry positions. Subsequent eligibility for unemployment benefits enable these men to search for better jobs. Women enter employment more slowly and tell of such entry being related to entering the unemployment insurance system, enabling them to periodically conform to gendered expectations as homemakers. Pakistani marriage migrants display similar patterns, indicating the centrality of this institutional arrangement in low‐skilled marriage migrants’ active adaptation to a new society.     

‘What Troubled Children Need’ Constructions of Everyday Life in Residential Care

This article argues that key values of child protection work are not the appropriate point of departure for contemplating the welfare of children in professional care. Central values, such as ‘comfort’, ‘recognition’ or ‘appreciation’ say very little about the social practices of residential care. Using data from an ethnographic study in Denmark, the article demonstrates that ideas about the needs of troubled children are realised in dissimilar ways, creating highly different living environments for institutionalised children. The principles behind these construction processes are explored, and the profound ambiguity of values in childcare is discussed as an effect of residential care’s being an ‘institutional’ or ‘human service’ type of organisation.     

Commodification of rural places: A narrative of social fields,rural development,and football

One of the most significant recent elements of restructuring in rural areas is the transition from an economy based on agricultural production to an economy based on the countryside as a form of commodity. In this transition process, different narratives or images of an area are produced to promote villages and other places in the countryside as commodities. Much of the literature takes it for granted that outsiders control the processes of branding rural areas, but our case study demonstrates that the producers (as well as potential consumers) of the countryside as a commodity can be insiders within a community. In this paper, we demonstrate how a local football club can take a leading role in the process of commodification of rural places in the post-modern era. Football clubs are presented as commodities to attract investors, sponsors, and expertise from private businesses. In both commodification of rural places and football, the challenge is to construct narratives or images that correspond to the pre-existing expectations of consumers, whoever they might be. Our theory-informed empirical analyses illustrate the way in which the Norwegian football club Sogndal Football has been instrumental in the restructuring of the Sogndal community.     

Stability and change – a 7‐ to 8‐year follow‐up study of mental health problems in Norwegian children in long‐term out‐of‐home care

The aim of the study was to explore stability and change in mental health problems in Norwegian children aged 6–12 years old (n = 70) in long‐term out‐of‐home care. The children's mental health problems were assessed shortly after the placement and 7–8 years later by the caregivers and the teachers on the Revised Rutter Scales. Information on pre‐placement and placement factors were collected from the child welfare workers. At a group level the children's mental health problems had improved significantly over time according to the teachers' reports. According to the caregivers' reports, however, the children's problems were high and stable across time. Analyses aimed at detecting individual changes revealed a great variability in development according to both informants, indicating that treating the placed children as a homogenous group could be misleading. Several pre‐placement and placement variables were associated with the change in the children's mental health problems from the time of placement to the follow‐up time according to both informants' reports. However, all the predictors were accounted for by the strong effect of the children's problem scores when entering care.     

Melancholy Hope and Other Psychic Remainders Afterthoughts on Love the Sin

In this essay the coauthors of Love the Sin consider connections between moral and psychic ambivalence around sex and sexual pleasures; what tolerance “feels” like; and melancholia as both block to and resource for democratic social relations. In the final section of their essay, they suggest rethinking tolerance as a kind of melancholic reaction, or defense, that protects the agents of tolerance from knowing just how far short that they have fallen from their own professed commitments to being fair and doing good.     

Anti-social youth? Disruptions in care and the role of ‘behavioral problems’

This paper explores the mechanisms behind the disturbingly high occurrence of placement disruption among young people in out-of-home care. Discussions have usually been framed in a vocabulary of risk and protection, with the bulk of research designed for singling out factors that correlate with stability and discontinuity in care arrangements. From this research tradition, we have learned that ‘behavioral problems’ are by far the strongest predictor for disruptions in care. By exploring the quality of care as experienced by young people themselves, this study suggests an alternative strategy. Findings suggest that disruptions occur as a result of complex social relations, as when young people struggle to fit in among other troubled youth in demanding residential settings. The paper concludes that labels such as ‘behavioral problems’ may have a reifying effect that individualizes the problem of care disruption while not being particularly helpful in explaining the phenomenon.     

The role of professional judgement in social work assessment: a comparison between Norway and England

ABSTRACT

Good quality assessment has a significant role to play in contributing to better outcomes for children in need of protection, so it is important to understand what supports best practice. This paper focuses on the role of professional judgement in assessment, and compares two very different national approaches. In England, governmental responses to perceived failings in the child protection system have led to a highly proceduralised and bureaucratised system and a corresponding down playing of the role of professional judgement. In Norway, professional discretion and judgement have been seen as key to the assessment process, and governmental response to criticism of child protection practice has been to support their use through provision of increased resources. However, too much emphasis on professional judgement and too little procedure may be as problematic as the reverse [Report of Auditor General of Norway. (2012). Document 3:15. Norway: Fagbokforlaget]. So this paper explores the different ways in which professional judgement is understood and addressed in each system and asks what we can learn from them in terms of best assessment practice. Acknowledging child protection as a ‘wicked problem’, we propose a model of Grounded Professional Judgement based on notions of epistemic responsibility and accountability to support the exercise of professional judgement in situations of uncertainty.     

Performance Budgeting in Practice: the Case of Danish Hospital Management

Performance budgeting systems have been introduced in the OECD countries with the proclaimed aim to increase public sector efficiency. However, the aim has often been hampered by a lack of relevant information, symbolic politics and conflicting political preferences. In this study, we investigate Danish public hospitals to see how performance budgeting works in the regions where the fundamental problems of performance information are negligible and the regions statutorily obligated to increase public sector efficiency by performance budgeting. The analysis shows that the regions in general have designed the performance budgeting system to increase efficiency and mitigate the dilemma of performance budgeting between increasing activity and controlling cost at the same time. Still, there are signs of moderation of the instrumental efficiency use of performance budgeting due to political concerns for equity.