Social firms: Sustainable employment for people with mental illness

Objective: Social firms or enterprises aim to offer sustainable employment in supportive workplaces for people who are disadvantaged in the labour market. Therefore, this study sought to explore employees' views in one social firm about the features of their workplace that they found supportive.Participants: Seven employees were recruited, all of whom experienced persistent mental illness, and had worked in this social firm for between eleven months and six years. Methods: A semi-structured interview, the Work Environment Impact Scale (version 2.0), was used to explore participants' views of their workplace and to rate how its physical and social characteristics impacted them. Participants also rated their job satisfaction with a modified Indiana Job Satisfaction Scale. Results: Features of the social firm workplace identified by these employees as contributing to their sustained employment and satisfaction were the rewards, task demands, work schedule, and workplace interactions with supervisors and other co-workers. From their views, guiding principles for the development of supportive workplaces and evaluation of their capacity to afford sustainable employment were derived. Conclusions: This study adds to current knowledge about workplace supports from an employee perspective, and is of relevance for informing future social firm development, workplace design and evaluation.     

Social firms: Building cross-sectoral partnerships to create employment opportunity and supportive workplaces for people with mental illness

A major barrier to employment for people with mental illness is limited access to supportive and non-discriminatory workplaces. Social firms are businesses committed to employing up to 50% of people with a disability or other disadvantage and to providing supportive work environments that benefit workers. Little research has been conducted to understand the features and social processes that support the vocational experiences of employees with mental health issues in social firms. Objective: This ethnographic study sought to explore the experiences of nine employees at one Australian social firm. Participants: Nine employees of a social firm, with and without mental illness. Methods: Study methods used included participant observation, interviewing and document analysis. Results and conclusions: The study highlights the complexity of running a socially-invested business, and the importance of cross-sectoral partnerships to support their operational success. Natural workplace supports, adequate training and support infrastructure and enabling participation in the business, were identified as important to creating a supportive workplace. Partnerships within the workplace and in support of the workplace are discussed. Future growth and development of partnerships are recommended to support the establishment of social firms.     

Breast‐Feeding Advocacy,Risk Society and Health Moralism: A Decade’s Scholarship

This article reviews research published this century that engages critically with the mantra ‘Breast is Best’ and the associated expansion of official breast‐feeding promotion programmes. In recent years there has been a marked increase in the number of such studies published. They mostly explore experience in English speaking, industrialised countries (the US, Canada, New Zealand, Australia and Great Britain) which are in some social and cultural respects dissimilar, yet where very similar developments and problems are detected in regards to breast‐feeding promotion. We highlight how this exploration of breast‐feeding promotion internationally has developed understanding of wider sociological themes. This scholarship, we suggest, has provided a powerful illustration of the relation between risk society (more particularly a heightened consciousness of risk) and the evolution of a code of conduct that regulates behaviour, that has been termed ‘health moralizm’. The article covers three themes: ‘Science, risk society, authority and choice’; ‘Public health policy and infant feeding’; and ‘Moralization and women’s identity work’. We conclude that the research discussed shows how the sociological imagination continues to shed light on the relation between private troubles and public issues. We also suggest one conclusion that can be drawn from this research is that official discourse and everyday maternal experience appear increasingly distant from each other.     

Relationships between marital quality,social, and familial interactions by residential location: Implications for human service professionals

Gerontological literature is reviewed concerning the factors contributing to marital quality of later life couples. Data are presented which compare the marital quality of older couples residing in a retirement facility and elderly couples living in the community-at-large. The couples' interactions with friends and frequency of visits with children are examined in terms of the relationship between these variables and marital quality of the subjects. Implications for practice are discussed.Ellie Brubaker is Associate Professor of Sociology at Miami University, Oxford, Ohio. Dr. Brubaker holds a Ph.D. in Social Work from the Ohio State University. Her current research is in the area of social service delivery to older families.Linda Ade-Ridder is Assistant Professor in the Department of Home Economics and Consumer Sciences and an associate of the Family and Child Studies Center at Miami University in Oxford, Ohio. Dr. Ade-Ridder received her Ph.D. in Marriage and Family Living at the Florida State University in 1983. Her current research is being conducted on the roles of women, including women in older marriages and eating disorders in women.     

Adult child and elderly parent household

Intergenerational households—adult child and elderly parents—are an alternative lifestyle. A review of the literature suggests that several factors are related to the level of stress in these households. A number of structural, individual family member and family factors which may influence the stress level in intergenerational households are explicated. It is suggested that community resources mediate the linkages between the structural factors, individual family member factors, family factors, and the level of stress in intergenerational households. A number of practice strategies for preventing and dealing with stress are discussed.     

What might Normalisation Process Theory bring to policy implementation studies? Learning lessons and uncovering questions through a case study of the profound implementation failure of a new policing policy

Normalisation Process Theory (NPT), used nationally and internationally to explore implementation within health services research, is used for the first time within policing to understand profound policy implementation failure and to generate broader discussion of policy implementation theory. The policy in question (Police to Primary Care [P2PC]) was an intervention designed to notify GPs when women are assessed by police as at high risk of future domestic abuse. Designed to improve interagency communication, it took place amidst radical organisational change. Using qualitative interviews with domestic abuse specialist and frontline officers, this paper addresses how NPT helps to explain the (non)implementation of P2PC, how such an analysis differs from other policy implementation approaches, and what this means for our understandings of policy implementation more broadly. NPT proved useful in understanding mechanisms leading to (non)implementation of the intervention: fuzzy alignment with existing practice, faulty communication of purpose, and inattention to discretionary implementation spaces. It helped us understand why the intervention came to be invisible. Dwarfed by its organisational context, made institutionally hard to read by a lack of formal protocols, and given restricted view to police officers, it was compromised by a failure to instigate systems of organisational learning. More broadly, NPT helped reveal practices intersecting top‐down and bottom‐up implementation theory. The paper concludes by asking how NPT and theories of street‐level bureaucracy might be better used in tandem and, particularly, how this might help explorations of policy implementation where human actors are joined by technological actors in interpreting and making policy in vivo.     

Caregiving and cost of health care for later life families

In the future, the number of families providing care for elderly relatives as well as the costs associated with health care will continue to increase. The caregiving triad—individual, family and government—will need to balance the resources to meet the needs of the elderly. Public policy changes can assist older persons and their families as they address caregiving in the later years.     

The ‘First Three Years’ Movement and the Infant Brain: A Review of Critiques

This article reviews a particular aspect of the critique of the increasing focus on the brain and neuroscience; what has been termed by some, ‘neuromania’. It engages with the growing literature produced in response to the ‘first three years’ movement: an alliance of child welfare advocates and politicians that draws on the authority of neuroscience to argue that social problems such as inequality, poverty, educational underachievement, violence and mental illness are best addressed through ‘early intervention’ programmes to protect or enhance emotional and cognitive aspects of children's brain development. The movement began in the United States in the early 1990s and has become increasingly vocal and influential since then, achieving international legitimacy in the United States, Canada, New Zealand, Australia, the UK and elsewhere. The movement, and the brain‐based culture of expert‐led parent training that has grown with it, has been criticised for claiming scientific authority whilst taking a cavalier approach to scientific method and evidence; for being overly deterministic about the early years of life; for focusing attention on individual parental failings rather than societal or structural problems, for adding to the expanding anxieties of parents and strengthening the intensification of parenting and, ultimately, for redefining the parent–child relationship in biologised, instrumental and dehumanised terms.     

Voices in Transition: Lessons on Career Adaptability

Occupational problems have negative consequences across life domains, yet relatively little research addresses the psychological resources necessary for the adult career transition. Considering Super's concept of career adaptability (D. E. Super &: E. G. Knasel, 1981), the authors outline what they believe adults need to successfully manage the transition. Individuals in transition were interviewed and their responses were analyzed using qualitative methods. Participants who anticipated career change planfully and realistically, even when their jobs appeared to be secure, cited better experiences of the transition and perceived themselves to be coping better than did participants who ignored signs of change or reacted unrealistically soon after the job loss.