information for practice

news & new scholarship from around the world 11.23.09

Grey Literature / RSS feed

November 23, 2009

In 2007, 7 percent of outpatient treatment facilities also offered child care services for their clients’ children. Outpatient-only facilities that provided child care for clients’ children were more likely than facilities that did not to use a sliding fee scale (81 vs. 67 percent), to offer treatment at no charge to clients who cannot afford to pay (75 vs. 47 percent), or to accept Medicaid payments (75 vs. 58 percent).

Two national programs—the National School Lunch Program (NSLP) and the School Breakfast Program (SBP)—play key roles in supporting the nutrition and health of schoolchildren in the United States by providing nutritionally balanced, low-cost or free lunches each school day. In 2008, the NSLP provided lunch to more than 30.5 million children, and the SBP provided breakfast to 10.5 million children.

This issue of The NSDUH Report presents information on trends in past month use and past year initiation of tobacco products among adolescents (i.e., youths aged 12 to 17) with special emphasis on use of cigarettes. NSDUH data from 2002 to 2008 are used.

November 22, 2009

The Expanding the Family Circle training, designed to be delivered over two consecutive days, teaches a framework for the experienced caseworker to integrate a culturally competent family-centered approach to casework practice with all families engaged in child welfare services. The training offers skills and strategies for working with all members of a family system, including couples, resident and non-resident fathers, extended family members and community supports.

This brief assesses emerging federal and state activities aimed at strengthening collection of data on race, ethnicity, and primary language. Our focus is on data collection related to health care services. We highlight the work of three states—Massachusetts, California, and New Jersey—that have implemented laws and regulations guiding data collection activities by hospitals, health plans, and government agencies.

Spend at least part of each visit with your teenaged patients without their parents in the room. Empathize with the stresses of growing up and identify positive outlets that can help relieve their stress, such as sports teams and youth groups.

Children and adolescents with mental disorders such as bipolar disorder or schizophrenia spectrum disorder are often treated with antipsychotic medications, especially the newer, second-generation (sometimes called atypical) antipsychotics. However, research has shown that these medications have worrisome cardiovascular and metabolic effects on young people, and their long-term effects on growing bodies are unknown.

A website hosting a range of dementia resources to support those with dementia, their carers and those working in dementia services. It features practical tips and tools, including two free e-learning resources and includes coverage of key topics such as symptoms, types of dementia, myths about dementia, activity and nutrition.

November 21, 2009

In this review, Kids Are Waiting both examines the progress that states have made since the 2005 summit in strengthening their dependency courts and improving outcomes for children, youth, and families, and makes recommendations for continued improvements.

This paper reviews the research on the reciprocal economic stress—DV relationship, focusing in particular on employment issues; social support networks; physical and mental health problems; and social services, including Temporary Assistance to Needy Families (TANF).

The Medicaid Buy-In program is a key component of the federal effort to make it easier for people with disabilities to work without losing health benefits. Authorized by the Balanced Budget Act of 1997 (BBA) and the Ticket to Work and Work Incentives Improvement Act of 1999 (TWWIIA), the Buy-In program allows states to expand Medicaid coverage to workers with disabilities whose income and assets would ordinarily make them ineligible for Medicaid.

Once all the hard work has been done and you have solid evidence of positive program results,
you may want to “take a breather.” However, you will also want to share the results of your
evaluation activities, which will help to build greater public understanding and support for your
family support/child abuse prevention services.

A two-day meeting convened in May 2009 educated participants on essential components of care for women with perinatal mood disorders. The event brought together 100 mental health providers including psychiatrists, psychologists, social workers and nurses from the Greater Washington, DC metropolitan area and beyond. Peter Schmidt, M.D., of the NIMH Intramural Research Program presented the results of ongoing research, focusing on the role of sex steroids in the onset of perinatal mood disorders. He emphasized the need for developing new, effective therapies for these conditions.

November 20, 2009

The aim of this report is to facilitate a dialogue about this very sensitive topic. The report describes findings from a small-scale study commissioned by SCIE and undertaken as part of the My Home Life programme, a national programme aimed at supporting quality of life for those living, dying, visiting and working in care homes. The study seeks to shed light on the complexity of the issues facing care homes and to explore how managers and staff have developed strategies for avoiding or minimising the use of restraint.

While a relatively young field of inquiry, research on violence against Disabled and Deaf women offers compelling evidence for their greater risk for experiencing physical, sexual, and emotional violence than women without disabilities. In addition to these traditional forms of violence, women with disabilities and Deaf women are at risk for disability-specific forms of violence including medication manipulation; destruction of adaptive equipment such as wheelchairs and communication devices; neglect by people who assist them with activities of daily living such as eating or bathing; and financial abuse.

This chartbook presents the major findings of the National Survey of Children's Health conducted in 2007. It addresses multiple aspects of children's health and well-being including physical and mental health, health care, social well-being, supportive and risk factors in the family environment, and aspects of the neighborhood that may support or threaten them. It includes analyses of key indicators at the National and State level. The chartbook includes figures, tables, and an appendix.

This At a glance briefing examines the implications of the personalisation agenda for user-led organisations. Personalisation means thinking about care and support services in an entirely different way. This means starting with the person as an individual with strengths, preferences and aspirations and putting them at the centre of the process of identifying their needs and making choices about how and when they are supported to live their lives. It requires a significant transformation of adult social care so that all systems, processes, staff and services are geared up to put people first.

Conditions for return are what must happen for a child to return home. The judge and CPS must be clear on what these conditions are, and this information must be provided to parents. This is consistent with federal law requiring the court to hold annual permanency hearings (administrative reviews every six months).

This brief defines peer conflict, how it differs by age and gender, what factors are associated with youth who engage in aggressive behaviors, and ways to reduce peer conflict. It includes specific questions to assess the prevalence of aggressive behaviors and peer conflict among students.

November 19, 2009

This brief begins by reviewing statistics and data on child abuse and neglect before reviewing contributing factors to consider in the reoccurrence of child abuse, and proposing the implementation of an ecological approach to combat repeat maltreatment. It explains how an ecological perspective can inform child protective services and lists strategies to prevent reoccurrence of abuse.

The primary purpose of this paper is to provide an overview of how estimates of sexual violence in the United States are produced, with particular emphasis on major sources of rape statistics at the national level. Rape statistics are generated from two sources: (1) cases reported to law enforcement and (2) victimization surveys. Several broad conclusions may be drawn from the estimates discussed.

Poisoning is the second leading cause of injury death overall, and the leading cause of injury death for people aged 35–54 years, surpassing both firearm- related and motor vehicle-related deaths in this age group (1,2). During the Healthy People 2010 midcourse review, reduction of poisoning mortality was one of the injury objectives identified as moving away from its target. One of the challenges discussed during the review is a lack of recognition of the extent of the problem.

This workbook is designed to be used by participants in an anger management group treatment curriculum for substance abuse and mental health clients. It provides individuals participating in the 12-week anger management group treatment with a summary of core concepts, worksheets to complete homework assignments, and space to take notes for each of the sessions. The concepts and skills presented in the anger management treatment are best learned by practice and review and by completing the homework assignments given in this workbook.

Learning from the results of on-going tracking and analysis of outcome indicators is part of the
process of “self-evaluation.” It allows for timely adjustments in the delivery of services to
improve outcomes for families. Changes could be made in the way the service is delivered, in
the type and approach of staff, or in the intended participants. It may even be that not all of the
intended outcomes were achieved. In fact, this should be expected, especially as the evaluation
process is being learned.

November 18, 2009

Staff in care homes for older people can be confused as to what constitutes restraint, and unsure how to balance their responsibilities to residents with the rights of residents to make their own decisions. This report is based on a selection of literature that addresses these questions, as well as considering how, when and why restraint is used.

This paper develops statistical power formulas for such exploratory analyses under clustered school-based RCTs using ordinary least squares (OLS) and instrumental variable (IV) estimators, and uses these formulas to conduct a simulated power analysis. The power analysis finds that for currently available mediators, the OLS approach will yield precise estimates of associations between teacher practice measures and student test score gains only if the sample contains about 150 to 200 study schools.

Meeting Survivors' Needs is a groundbreaking study that captures the voices and experiences of over 3,400 shelter residents in 215 programs across eight states, providing important insights into the role that shelters play in survivors' efforts to escape violence and abuse.

This paper reviews the literature to examine whether organizational affiliation and structure affect the quantity and quality of sexual assault services. This paper concludes with recommendations for future research evaluating the effectiveness of RCCs within multiple organizational affiliations and structures.

Infant mortality is an important indicator of the health of a nation, and the recent stagnation (since 2000) in the U.S. infant mortality rate has generated concern among researchers and policy makers. The percentage of preterm births in the United States has risen 36% since 1984 (1). In this report we compare infant mortality rates between the United States and Europe.

This statistical release provides information about looked after children in England for the year ending 31 March 2009. It reports progress on seven national indicators.

November 17, 2009

This At a glance summary examines the use of restraint in care homes and approaches to minimise its use. For staff, residents and relatives it is often not clear what restraint means, whether it is acceptable and in what circumstances, and what is good practice. This summary presents some of the learning from two pieces of work on this topic:
* a review of what the literature tells us about the use of restraint in care homes for older people
* an exploration of practice in care homes, based on discussions with residents, relatives and staff.

Social network analysis (SNA) is a methodological approach to measuring and mapping relationships. It can be used to study whole networks, all of the ties within a defined group, or connections that individuals have in their personal communities. The resulting graph-based structures illustrate
the composition and effectiveness of networks on a variety of levels. Programs that can benefit from a social network perspective are common in evaluation research.

This paper offers an overview of trends and outcomes for victims in civil tort cases, which are sometimes referred to as personal injury cases. The paper also discusses benefits and drawbacks of tort litigation for sexual assault survivors. While some of the concerns in the tort process mirror challenges victims confront in criminal prosecution, others are exclusive to tort suits.

Three decades of research has shown that parent training can improve developmental outcomes for children. Recent research suggests that parent training can also reduce child abuse and neglect, especially when the training is embedded in a broader community campaign. Parent training and community campaigns warrant further rigorous experimental evaluation to determine cost-effectiveness. This policy brief presents a strategy for testing community-developed parent training initiatives. Such a test will generate knowledge of the feasibility of different approaches to reducing child maltreatment and promoting child development.

This brief provides information on who is most likely to be a bully or victim, how to know when conflict has turned into bullying, and ways to reduce bullying. It includes specific questions to assess students' tendencies to bully others, to be victimized by bullying, and to be pro-social and help others.

The review analysed evidence about the nature, extent and variability of age discrimination in health and social care services. It also considered what reforms are already in train to tackle age discrimination and support greater age equality. It looked at evidence from a wide variety of sources, including academic research, stakeholder submissions, personal testimony and the conclusions of a number of workshops and engagement events.

November 16, 2009

This report sets out future challenges and opportunities and contains a number of recommendations and suggestions for the government, delivery partners and the next phase of the Commission on Carers.

This brief discusses a study designed to identify potential parent education curricula or models that could meet the needs of county staff working to improve the skills of parents living in Michigan communities. It begins by explaining the criteria that was used to include curriculums in the review and describing Bronfenbrenner's ecological systems theory. Practices that have been identified by the National Extension Parent Education Model as necessary to allow parenting educators to work effectively with parents are then explained.

In September 2009, the NIMH convened a multidisciplinary workshop to discuss the role of electrophysiology in understanding the brain mechanisms underlying mental illness in children and adolescents. The meeting was organized around different domains of functioning, including: auditory processing/language; social information processing; emotion regulation; and, attention/inhibition. In addition, one session specifically examined the use of electrophysiology to examine treatment effects in children and adolescents with mental illness. Participants discussed major trends, methodological challenges, and opportunities.

Provides an agenda for policy research on drug and alcohol addiction treatment, including integrating screening and short-term interventions into primary care and other settings, services in specialty treatment centers, and ongoing support services.

This report describes the Family Partnership Model (FPM) and explores its potential for family support services in the New Zealand context. The objective of the study was to assess interest in this model by the various agencies and organisations which have contact with families in the community and to seek their views on its appropriateness for their staff and service users. The FPM is an integrated approach which has the potential to address three key issues affecting the provision of family support: the identification of unmet mental health need in the community; barriers to interagency collaboration; and the need for skilled clinical supervision for front-line practitioners.

Definitions of escape, attempted escape, abscond and failure to return in secure mental health services

November 15, 2009

The number of nonelderly uninsured grew to 45.7 million as the recession hit in 2008 and job-based coverage continued to erode. As incomes dropped more qualified for Medicaid, buffering the loss of health insurance for millions.

The ICD is the international standard diagnostic classification for all general epidemiological, many health management purposes and clinical use. These include the analysis of the general health situation of population groups and monitoring of the incidence and prevalence of diseases and other health problems in relation to other variables such as the characteristics and circumstances of the individuals affected, reimbursement, resource allocation, quality and guidelines.

A study by the Institute for Criminal Policy Research at King's College London, examining the National Probation Service's work with alcohol misusing offenders.

This report examines the progress made in a pathfinder for improving the mental health of children and young people.

November 14, 2009

Presents findings from the National Survey of Children’s Exposure to Violence, the most comprehensive survey to date of children’s exposure to violence in the United States. The survey was conducted between January and May 2008, and surveyed more than 4,500 children or their parents or adult caregivers regarding their past-year and lifetime exposure to violence. This Bulletin discusses the survey’s findings regard children’s direct and indirect exposure to specific categories of violence, how exposure to violence changes as children grow up, and the prevalence and incidence of multiple and cumulative exposures to violence. It also discusses the implications of the survey findings for policymakers, researchers, and practitioners who work with juvenile victims of violence.

With the support of WHO, the 194 States Parties to the International Health Regulations (IHR) have been implementing these global rules to enhance national, regional and global public health security.

This report gives figures on drug seizures made by police forces and HM Revenue and Customs in England in Wales, including the number of seizures and quantities seized.

Reviews what interventions have been attempted to try to prevent excessive use of alcohol by young people, summarises the findings and suggests how a universal prevention programme might be delivered.

This report explores some of the challenges associated with achieving the aims of raising educational attainment for deprived children living in New Deal for Communities areas, including their dispersal amongst local schools, the quality of these schools and the impact of local levels of residential mobility on attainment.

November 13, 2009

The recent Green Paper shows that the Government has moved on from previous statements on adult social care – but it still lacks important detail, particularly on funding options.

This report analyses self-reported data on offending, drug use and anti-social behaviour amongst young people (initially aged 10 to 25) from the Offending, Crime and Justice Survey, which was carried out annually between 2003 and 2006. It describes levels of change in offending behaviour, anti-social behaviour and drug use within individuals and covers the timing of transitions into and out of offending, anti-social behaviour and drug use.

Compares the insurance status, usual healthcare provider, reasons for not having a usual provider, health status, and healthcare experiences of Latinos/Hispanics who are not citizens or legal permanent residents with those of Latinos/Hispanics who are.

In our consultation paper we propose the repeal of 57 obsolete Acts relating to the poor law relief arrangements that existed before the advent of the modern welfare state. Indeed most of them are relics of the parish-based system that existed before 1834. The earliest of them date back to 1697 during the reign of William III and made provision for the poor in areas such as Colchester, Exeter, Hereford and Shaftesbury. Thes Acts were passed to provide the necessary powers to raise money from the inhabitants of a parish to build workhouses to contain the poor and elderly. Today these powers are obsolete and are proposed for repeal on that basis.

Looks in detail at the influences on children, including family processes and structures, peers, marketing and cultural representations, and other major forces such as religion, school and community.

Additional tables on reasons for exclusion by local authority, number of pupils with one or more fixed period exclusions and number of days of fixed period exclusion at local authority level, and an update to the table on permanent exclusion by ethnicity and Government Office Region to show data at local authority level have been added.

November 12, 2009

International travel is undertaken by large, and ever increasing, numbers of people for professional, social, recreational and humanitarian purposes. More people travel greater distances and at greater speed than ever before, and this upward trend looks set to continue. Travellers are thus exposed to a variety of health risks in unfamiliar environments. Most such risks, however, can be minimized by suitable precautions taken before, during and after travel. The purpose of this book to provide guidance on measures to prevent or reduce any adverse consequences for the health of travellers.

This report emphasizes the need for enforceable policies to severely restrict smoking imagery in movies. It is backed by evidence indicating a causal link between exposure to movie smoking depictions and youth smoking initiation. The report summarizes current knowledge, as well as approaches to ensure that movies that are marketed to youth do not contain tobacco imagery.

The State of the HIV/AIDS Epidemic, HIV Incidence in the United States provides partners with an interactive, visual method of explaining and presenting HIV incidence data. This project was conceived based on feedback from partners who expressed a desire to have CDC data in a more accessible, visual way.

This book has been revised and will be given free to expectant mothers and parents in England. It is a trusted authority on all aspects of maternity, providing in-depth support, useful contact information and advice on rights and benefits.

This publication includes a wealth of new information on pupils with special education needs alongside further interpretation of existing findings.

November 11, 2009

This study contrasts policy assumptions about work and worklessness with the personal experiences of residents living in deprived neighbourhoods.

A study of why cities decline, how they recover and how low-income communities within them fare under the impact of dramatic changes.

It can be difficult for carers and people with dementia to communicate.In recognition of this, JRF funded the development and delivery of a project in 2008/2009 that would train care home staff across the UK to use Talking Mats. This system, complete with a textured mat and visual symbols, helps people with communications difficulties to interact.

Self-selection by more food-needy households into the Supplemental Nutrition Assistance Program (SNAP, formerly called the Food Stamp Program) makes it difficult to observe positive effects of the program in survey data. This study investigates self-selection and ameliorative program effects by examining households’ food security month by month for several months prior to initial receipt of SNAP benefits and for several months after joining the program.Two-year panels are constructed by matching the same households interviewed in the Current Population Survey Food Security Supplement in 2 consecutive years using data from 2001 to 2006. Food security is observed to deteriorate in the 6 months prior to beginning to receive SNAP benefits and to improve shortly after. The results clearly demonstrate the self-selection by households into SNAP at a time when they are more severely food insecure.

This is Ofsted’s second report on serious case reviews. It covers the evaluations of 173 reviews carried out and completed between 1 April 2008 and 31 March 2009. As in the first report, Learning lessons, taking action, this one brings together findings in relation to the practice issues arising from the reviews, the process of conducting them and the emerging lessons.

Having effective partnerships can help PDCS to reach more vulnerable groups who may be reticent about approaching a Government agency and third sector organisations can help the PDCS learn more about the customers it serves. Furthermore, by engaging effectively with third sector organisations it may be possible to determine how national policies will work at a local level, and ensure that the design of these policies and their application is as effective as possible.

November 10, 2009

The aim of this multimedia learning resource is to provide a broad introduction to the issues affecting minority ethnic carers and service users with an emphasis on achieving cultural competence within individual practice.

Why a renewal of primary health care (PHC), and why now, more than ever? The immediate answer is the palpable demand for it from Member States – not just from health professionals, but from the political arena as well. Globalization is putting the social cohesion of many countries under stress, and health systems, as key constituents of the architecture of contemporary societies, are clearly not performing as well as they could and as they should.

Four very different communities - Gellideg in Merthyr Tydfil, Hedworth in Jarrow, South Tyneside, Broadgreen in Swindon and Barkerend in Bradford - reveal the recession's effect on real people's lives, from the social and economic impact of job losses to disaffected young people and stalled regeneration.

What impact is the current recession having on disadvantaged communities and what can we learn from evidence from previous recessions?

This qualitative work sought to explore the views of year 7s about their future career and educational choices, what is most likely to affect their thinking and the most effective ways to equip young people with the skills to make the optimal decisions.

These figures show the levels of processing and payment of student support in England for the 2009-10 academic year.

November 9, 2009

This summary report provides a synthesis of key messages emerging from research on the strategies deployed by New Deal for Communities areas to tackle worklessness and the evidence of change and processes affecting change in relation to tackling worklessness across the 39 deprived neighbourhoods that make up the New Deal for Communities programme.

Some individuals are at increased risk of severe or complicated illness if they suffer from influenza. This guidance gives advice on protecting healthcare employees who are pregnant or in one of the other at risk groups identified for swine flu.

Recent policy debate has centred on a number of claims about why people do not have jobs and the benefits of employment for individual and family life. This report draws on detailed interviews with residents in deprived neighbourhoods across Britain to reflect on the validity of these assumptions at a time of recession and far-reaching welfare reform.

GAO was asked to examine (1) what is known about the population of postsecondary students with disabilities; (2) how postsecondary schools are supporting students with disabilities; (3) what challenges, if any, schools face in supporting these students; and (4) how the Department of Education is assisting schools in supporting these students.

Using data from the final two rounds of the ECLS-B, a longitudinal study begun in 2001, this First Look provides a snapshot of the demographic characteristics, reading and mathematics knowledge, fine motor skills, school characteristics, and before- and after-school care arrangements of the cohort at the time they first began kindergarten

The DSFA advised of the context within which they operate their anti-fraud measures – 1.2 million payments are made per week, with an additional 500,000 monthly payments across more than 50 schemes. Two million new claims are processed each year. Certain social welfare payments are more susceptible than others to fraud. Jobseeker payments and the One Parent Family Payment (OPFP) scheme are particularly high risk.

November 8, 2009

This study suggests the idea of a 'narrative in common' – developed by local people and connecting them across different neighbourhoods and backgrounds – as a more natural and progressive idea of 'cohesion' than that promoted through current national policy.

Young people in the United States are at persistent risk for HIV infection. This risk is especially notable for youth of minority races and ethnicities. Continual HIV prevention outreach and education efforts, including programs on abstinence and on delaying the initiation of sex, are required as new generations replace the generations that benefited from earlier prevention strategies. Unless otherwise noted, this fact sheet defines youth, or young people, as persons who are 13–24 years of age.

Child poverty commands widespread national and international concern. The United Kingdom (UK) has established its ambitions to end child poverty, with interim targets for substantial reductions and an apparatus to monitor progress. However, the poverty of ethnic minority children has not been strongly emphasised within the child poverty agenda by means, for example, of specific targets for ethnic minority groups. This is despite the fact that children from minority ethnic groups are overrepresented among poor children.

Presents findings from the National Survey of Children’s Exposure to Violence, the most comprehensive survey to date of children’s exposure to violence in the United States. The survey was conducted between January and May 2008, and surveyed more than 4,500 children or their parents or adult caregivers regarding their past-year and lifetime exposure to violence. This Bulletin discusses the survey’s findings regard children’s direct and indirect exposure to specific categories of violence, how exposure to violence changes as children grow up, and the prevalence and incidence of multiple and cumulative exposures to violence. It also discusses the implications of the survey findings for policymakers, researchers, and practitioners who work with juvenile victims of violence.

Addressing disproportionate minority contact (DMC) with the juvenile justice system is a core requirement of the Juvenile Justice and Delinquency Prevention (JJDP) Act. More important, it is a fundamental matter of justice and fair play.

November 7, 2009

This article describes the development and preliminary effectiveness of a campus suicide prevention program designed for American Indian (AI) students who are at higher risk for suicide compared with the general population. Using the medicine wheel as a guiding framework, the current prevention model integrates communication links between AI tribes and prevention program staff, educational and cultural programming, and spiritual ceremonies with the larger campus mental health resources available to students. A discussion of the barriers faced and solutions generated for implementing the program is offered, along with suggestions for disseminating this AI-specific prevention program to other universities.

Early in the epidemic, HIV infection and AIDS were diagnosed for relatively few women and female adolescents (although we know now that many women were infected with HIV through injection drug use but that their infections were not diagnosed). Today, women account for more than one quarter of all new HIV/AIDS diagnoses. Women of color are especially affected by HIV infection and AIDS.

The tragedy of suicide is dreaded by everyone. Tribal child welfare workers are no exception. Fortunately, they are in a position to do something about it. The purpose of this toolkit is to help tribal child welfare workers and care providers play an effective role in the prevention of suicide among the children and youth they serve. The tribal child welfare worker needs to consider several questions to be effective:

The increasing number of homeless students in the United States, particularly in the wake of the current economic downturn, is reaching crisis proportions. Research has begun to identify particular risks and negative outcomes homeless children face in their school, social, and family lives. In academic settings, there are more attempts at providing supports to homeless students, but the effectiveness of these interventions has only recently begun to be measured. One reason for measurement challenges is the difficulty in identifying homeless and highly mobile students, particularly as they move between school districts and are reluctant to self-identify to school staff.

This document sets out how DCSF intends to deliver the guarantee of good behaviour across schools in England, acting upon the recommendations of Sir Alan Steer’s behaviour review.

November 6, 2009

The HIV/AIDS epidemic is a serious threat to the Hispanic/Latino community. Hispanics/Latinos* comprise 15% of the U.S. population but accounted for 17% of all new HIV infections occurring in the United States in 2006. During the same year, the rate of new HIV infections among Hispanics/Latinos was 2.5 times that of whites. In 2006, HIV/AIDS was the fourth leading cause of death among Hispanic/Latino men and women aged 35–44.

The HIV/AIDS epidemic in African American communities is a continuing public health crisis for the United States. At the end of 2006 there were an estimated 1.1 million people living with HIV infection, of which almost half (46%) were black/African American. While blacks represent approximately 12 percent of the U.S. population, they continue to account for a higher proportion of cases at all stages of HIV/AIDS—from infection with HIV to death with AIDS—compared with members of other races and ethnicities.

This research was carried out by researchers on the British Social Attitudes team and in the Questionnaire Development and Testing Hub (QDT Hub) at NatCen to test questions on attitudes to child poverty for use on the British Social Attitudes survey (BSA). The objectives were to:
• explore the effectiveness of existing survey questions regarding poverty generally; and
• develop and test a new set of questions exploring public attitudes to child poverty.

The report structure covers six specific themes. These themes formed the basis of the interview structure, although most are interlinked in some way. The themes are: partnerships and multi-agency working; choice of interventions and models of practice; engaging stakeholders (schools, children, young people and parents); evaluation; financial planning; and influencing system change in children’s mental health services.

There are many interrelated aspects of children’s well-being, and only selected facets can be included in this report. This report draws on various overarching frameworks to identify seven major domains that characterize the well-being of a child and that influence the likelihood that a child will grow to be a well-educated, economically secure, productive, and healthy adult. The seven domains are family and social environment, economic circumstances, health care, physical environment and safety, behavior, education, and health. These domains are interrelated and can have synergistic effects on well-being.

This leaflet sets out the powers that schools have in relation to children’s behaviour, every parent’s responsibility for ensuring the good behaviour of their children, and what parents can expect from the school.

November 5, 2009

India has one of the world's most diverse and complex migration histories. Since the 19th century, ethnic Indians have established communities on every continent as well as on islands in the Caribbean and the Pacific and Indian oceans.

At the end of 2006, an estimated 1.1 million persons in the United States were living with diagnosed or undiagnosed HIV/AIDS. In 2007, 42,655 new cases of HIV/AIDS in adults, adolescents, and children were diagnosed in the 33 states with long-term, confidential name-based HIV reporting.

HIV continues to pose a significant threat to Americans’ health and well-being, with African Americans and men who have sex with men (MSM) of all races most severely affected. While African Americans account for 13 percent of the population, they account for nearly half of HIV diagnoses in 2005 (49% in 33 states with longstanding confidential name-based reporting) and nearly half of the people estimated to be living with HIV (47%). MSM also account for half of new HIV diagnoses in 2005 (49% in the 33 states with confidential name-based reporting) and nearly half of people estimated to be living with HIV (45%).

While youth are in care, their foster homes are paid monthly to house and care for them. However, once youth age out of care, they experience high rates of homelessness. Homelessness can be attributed to many factors, and chief among them is health: physical health, trauma, developmental delays, disabilities, addictions and mental health. Because current and former foster youth are more likely to experience mental health problems and have higher rates of other health needs, these youth are less likely to be able to retain stable housing. Services that provide therapeutic care, or employment and educational opportunities can help youth retain housing.

This document sets out the committee’s strategic priorities for 2009-10.

November 4, 2009

The Government has high-profile child poverty targets which are assessed using a measure of income, as recorded in the Household Below Average Income series (HBAI). However, income is an imperfect measure of living standards. Previous analysis suggests that some children in households with low income do not have commensurately low living standards. This report aims to document the extent to which this is true, focusing on whether children in low-income households have different living standards depending on whether their parents are employed, self-employed, or workless.

Clinical research presents health care providers with information on the natural history and clinical presentations of disease as well as diagnostic and treatment options. In today's healthcare system, patients, physicians, clinicians and family caregivers often lack the sufficient scientific data and evidence they need to determine the best course of treatment for the patients' medical conditions. Initial National Priorities for Comparative Effectiveness Research(CER) is designed to fill this knowledge gap by assisting patients and healthcare providers across diverse settings in making more informed decisions.

These profiles review the major features of the countries’ health coverage, financing and service delivery policies and provide links to articles with more information.

Decades of racial progress have led some researchers and policymakers to doubt that discrimination remains an important cause of economic inequality. To study contemporary discrimination we conducted a field experiment in the low-wage labor market of New York City. The experiment recruited white, black, and Latino job applicants, called testers, who were matched on demographic characteristics and interpersonal skills. The testers were given equivalent resumes and sent to apply in tandem for hundreds of entry-level jobs. Our results show that black applicants were half as likely to receive a callback or job offer relative to equally qualified whites.

This exploratory study, relying upon statewide administrative education and child welfare data, examined the special education use and child protection involvement of a cohort of children who received Part C services in Minnesota as infants and toddlers during the late 1990s. We explored this in two ways: by examining what proportion of Part C children did not need special education by elementary school, and; by selecting a series of comparison groups of children who did not receive Part C, but who may have had eligibility as infants and toddlers.

This booklet offers guidance to learning disability partnership boards to help them ensure that carers of people with learning disabilities and carers with learning disabilities are supported in their own right and involved in local service developments that affect their lives and the lives of the people they care for.

November 3, 2009

This is a letter from Deputy Director of Cross Government Programmes, Stakeholder and Partner Relationships Claire Phillips. It seeks views from a wide range of stakeholders on the Department of Health’s Taskforce on Violence Against Women and Girls.

Eighty-five percent of American households were food secure throughout the entire year in 2008, meaning that they had access at all times to enough food for an active, healthy life for all household members. The remaining households (14.6 percent) were food insecure at least some time during the year, including 5.7 percent with very low food security—meaning that the food intake of one or more household members was reduced and their eating patterns were disrupted at times during the year because the household lacked money and other resources for food.

Global health has emerged as a growing field, particularly over the past decade. Greater recognition of the global AIDS crisis, combined with the appearance and rapid international spread of epidemics such as SARS and H1N1 (swine flu) have reinforced that health threats transcend national borders. While much of the media attention has focused on epidemic infectious diseases, global health also encompasses a wider scope of health problems, determinants, and solutions, such as chronic illnesses and injuries, development, and foreign aid.

This is a fact sheet to assist social scientists in meeting the requirements of the Mental Capacity Act when carrying out social science research that includes people who lack capacity.

This brief provides an overview of national postsecondary assessment efforts and notes the similarities and differences these approaches have taken in comparison to college rankings, presents several examples of the inclusion of college rankings in state government assessment efforts, highlights key findings, and makes recommendations for enhancing the policy relevance of college rankings. Key findings and recommendations are drawn from a review of the literature on college rankings and postsecondary government accountability systems, and from interviews with individuals from federal and state government agencies, trade associations, and other groups.

This brief provides an overview of national postsecondary assessment efforts and notes the similarities and differences these approaches have taken in comparison to college rankings, presents several examples of the inclusion of college rankings in state government assessment efforts, highlights key findings, and makes recommendations for enhancing the policy relevance of college rankings. Key findings and recommendations are drawn from a review of the literature on college rankings and postsecondary government accountability systems, and from interviews with individuals from federal and state government agencies, trade associations, and other groups.

7 Outcomes in the Areas of Safety, Permanency, and Child and Family Well-Being

November 2, 2009

Three-quarters of online economic users go online to relax and take their minds off of the recession. Fully 88% of 18-29 year old online economic users look to the internet to relax.

In Arkansas and Oklahoma, men and women marry young -- half of first-time brides in these states were age 24 or younger on their wedding day. These states also have above-average shares of women who divorced in 2007-2008. It's the opposite state of affairs in Massachusetts and New York. Their residents marry late -- half of ever-married New York men were older than age 30 when they first wed. These states also have below-average shares of men and women who divorced in 2007-2008.

Most poverty data come from studies conducted at one point in time, or from annual studies conducted on a different set of people every year. In the 1970s and 1980s, when researchers began analyzing information from longitudinal studies, a dynamic view of poverty began to emerge. The longitudinal data (collected from the same set of people for several years) show that a majority of poor individuals do not remain poor for very long periods of time and a relatively high proportion of people have experienced poverty at one point or another.

Refugee women are more affected by violence against women than any other women’s population in the world and all refugee women are at risk of
rape or other forms of sexual violence. Sexual violence is regarded the UN as one of the worst global protection challenges due to its scale, prevalence and profound impact. Up to half a million women were raped during the Rwandan genocide; more than 90% of women and girls over the age of three suffered sexual violence in parts of Liberia, while three out of four women have survived sexual violence in parts of Eastern Congo.

The Children’s Health Insurance Program Reauthorization Act (CHIPRA) of 2009 has the potential to transform children’s health care in the United States. The authors of this report analyze selected provisions of the legislation that involve outreach and enrollment, as well as child health quality and measurement.

An information pack has been produced by the Care Council for Wales to help communicate the campaign messages to as wide an audience as possible – be it those receiving social care services, those working in the sector or members of the general public.

November 1, 2009

The Commission has been working with the Government Equalities Office (GEO), the Scottish Government, the Welsh Assembly Government, the Office for National Statistics (ONS) and a range of other stakeholders and subject experts to develop a measurement framework that can be used to assess equality and human rights across a range of domains relevant to 21st century life.

All of us who work with families carry into our work a whole set of beliefs and values about family life and how children should be cared for. This learning object is designed to make you aware of these personal values and how they might impact on your practice.

Presents survey findings on bilingual clinicians, staff, interpreters, and volunteers providing language services; training and assessment; hospital policies; and their impact. Recommends explicit policies, robust assessments, and proactive approaches.

The survey confirms that most of our society’s children are exposed to violence in their daily lives. More than 60 percent of the children surveyed were exposed to violence within the past year, either directly or indirectly (i.e., as a witness to a violent act; by learning of a violent act against a family member, neighbor, or close friend; or from a threat against their home or school).

October 31, 2009

In Working toward Wellness, master’s-level clinicians (“care managers”) called the study participants in the program group to encourage them to seek treatment, to make sure that they were complying with treatment, and to provide telephonic counseling. The effects of the program are being studied by examining 499 depressed Medicaid recipients with children, who were randomly assigned to the program group or the control group from November 2004 to October 2006. Participants were given a list of mental health professionals in the community from whom they could receive treatment.

This e-learning resource explores the complex issues that often surround these children and families. Through a case study, you will have the chance to reflect on an assessment of possible neglect and support services that could be of assistance to them. You can then compare your reflections with the findings of the social workers who undertook the assessment and find out more about the possible services available to the family.

America’s Children: Key National Indicators of Well-Being, 2009 is a compendium of indicators illustrating both the promises and the difficulties confronting our Nation’s young people. The report presents 40 key indicators on important aspects of children’s lives. These indicators are drawn from our most reliable statistics, easily understood by broad audiences, objectively based on substantial research, balanced so that no single area of children’s lives dominates the report, measured regularly so that they can be updated to show trends over time, and representative of large segments of the population rather than one particular group.

The three rural northern New Hampshire counties of Carroll, Coos, and Grafton have undergone economic and demographic changes in recent years that have impacted the climate for young residents. This report provides a snapshot of how youth are doing in these three counties and describes some of the difficulties they and their communities face as they negotiate the transition to adulthood. The study is based on data from several agencies that collect county- and community-level information about youth as well as from interviews with individuals working with youth in each of the three counties.

When using services, parents have reported that they encounter discriminatory attitudes from some professionals on the basis that they are poor. This e-learning resource seeks to help you understand the positive steps that can be taken to building good relationships with parents in poverty.

October 30, 2009

Through a scenario this resource enables you to explore the potential barriers to communication that can exist in your everyday work. This resource will further your understanding of how the following factors can inhibit, interrupt or confuse the communication between social workers and service users, carers and others:

This is the final report on a small-scale qualitative study, convened in two phases among a panel of people who currently use social services or who have used services.

Partnership work refers to partnership with people who use services and their carers, students, agency colleagues and other professions.

GAO found tens of thousands of Medicaid beneficiaries and providers involved in potential fraudulent purchases of controlled substances, abusive purchases of controlled substances, or both through the Medicaid program in California, Illinois, New York, North Carolina, and Texas. About 65,000 Medicaid beneficiaries in the five selected states acquired the same type of controlled substances from six or more different medical practitioners during fiscal years 2006 and 2007 with the majority of beneficiaries visiting from 6 to 10 medical practitioners.

Disproportionate minority contact (DMC) refers to the disproportionate representation of minority youth in the juvenile justice system. DMC first cameto national attention in 1988, when the Coalition for Juvenile Justice (formerlythe National Coalition of State Juvenile Justice Advisory Groups) focused on the problem in its annual report to Congress.

This primer, updated with 2008 data, reviews the basic profile of the uninsured population, how they receive care, the latest trends in health insurance coverage, key issues in increasing coverage and basic statistics on the uninsured. More detailed breakdowns are available in supplemental data tables.

This e-learning resource lets you explore the framework and its many dimensions. With the help of Barbara, a social worker, you will use the framework to assess a family, to help you to understand the needs of children and families in your daily role.

The first Health Indicators report was released in 2000, published along with Health Care in Canada. At that time, the report included 13 indicators, providing the first-ever comparative data on a range of health and health system measures for Canada’s 63 largest health regions as well as the provinces and territories. The goal was to provide objective and up-to-date information to support evidence-based decision-making for regional, provincial and national stakeholders. The indicators were to help answer two questions: how healthy are Canadians, and how healthy is the Canadian health care system? This year, CIHI and Statistics Canada celebrate the 10th release of this report—Health Indicators 2009.

October 29, 2009

Parents living in poverty face a complex set of issues at individual, family and community levels that make parenting more difficult.

Offers guidance on policy and programmatic actions local governments can take, with community input, to promote healthy eating and physical activity and to ensure equal opportunities for healthy living in low-income neighborhoods. Profiles best practices.

Despite poverty and social exclusion being common characteristics of families involved in the child protection system, there is evidence to suggest that professionals struggle to truly incorporate an understanding of the impact of poverty in their assessments and interventions.

This document reports on what needs to be done to tackle the damaging discrimination and disadvantage lesbian, gay and bisexual people face and where organisations will need to focus in order to address the changes required.

This resource uses a case study to help you explore the challenges that social workers experience during interviews and what decisions can be made to overcome some of these. It highlights that discovering the other person’s perspective and establishing a shared agenda for the interview are priority tasks, as well as the need to explain bureaucratic procedures and to provide as well as gather information.

Overall rates of injury and death increase dramatically from childhood to late adolescence. 1 Due to developmental and social factors, such as time spent without adult supervision and increasing independence, adolescents are more likely to engage in risk-taking behaviors than either younger children or adults. Biology also plays a role. The maturation of brain networks responsible for self-regulation often does not occur until late adolescence, making adolescents more likely to engage in risk-taking behaviors. These are just a few of the factors that contribute to greater risk of injury or violence in this age group.

This statistical release provides information about looked after children in England for the year ending 31 March 2009. It reports progress on seven national indicators.

SCIE’s latest knowledge review examines social work teaching on human growth and development with regard to older people, looking particularly at what promotes or hinders successful learning outcomes. Teaching on human growth and development is a central requirement of qualifying social work education and the focus on older people is particularly relevant as we improve our policies and practice in response to an ageing population.

October 28, 2009

This e-learning resource uses a video scenario to help you develop your observation, listening and interviewing skills and to become more aware of your own subjectivity. Different ways of asking questions will be considered in more depth and you will have the opportunity to try out some creative approaches to gathering information using diagrams or art-based tools.

Outlines how education levels influence health-related knowledge and behaviors, employment and income, and social and psychological factors, and, in turn, health outcomes. Examines how parents' education affects children's health and educational outlook.

This report presents interim results from a rigorous evaluation of the New York City-based Center for Employment Opportunities (CEO), a highly regarded employment program for ex-prisoners. CEO participants are placed in paid transitional jobs shortly after enrollment; they are supervised by CEO staff and receive a range of supports. Once they show good performance in the transitional job, participants get help finding a permanent job and additional support after placement.

This resource looks at the benefits that are gained from the relationships that are built within social work. Using the voices of service users, carers and workers you will hear accounts of how the relationships that were created helped them to deal with the difficulties they faced.

This project tests one of many possible approaches for supplemental instruction (others might be more experiential or focused on enrichment). Furthermore, it is not a test of the effects of after-school program services compared to no after-school program. As part of the intervention, these instructional models were supported by implementation strategies related to staffing, training and technical assistance, and student attendance. This second and final report presents findings, after two years of program implementation, from a two-year intervention and random assignment evaluation in 27 after-school centers (12 for reading and 15 for math) for students in grades 2 through 5.

Poverty affects children from very different backgrounds. Discrimination on the bases of disability, race or immigration status mean that some sections of the population are significantly over represented among poor families. However, many families living in poverty also report facing discrimination on the basis of being poor. This is compounded when involved with child welfare services.

NCCP’s Demographic Profiles provide state-specific data on the characteristics of children in poor and low-income families by age. Children living in families with incomes below the federal poverty level – $22,050 for a family of four in 2009 – are referred to as poor. Children living in families with incomes below twice this level are referred to as low income.

October 27, 2009

This resource will further your understanding of:
* the principles of effective communication as a two or more way process (underpinned by values such as participation and inclusion)
* how context shapes communication and can facilitate or impede effective communication
* communication within the social work role and task

Knowledge translation is all about turning research into action. It is about closing the gap between knowing and doing. It’s about accelerating the capture and practical application of the knowledge uncovered by research. For the Canadian Institutes of Health Research (CIHR), the benefits of knowledge translation (KT) include better health for Canadians, improved health services and products, and economic growth.

(SSA) has experienced processing delays and significant backlogs of disability claims at the hearings level. In May 2007, SSA began implementing a plan for eliminating the hearings backlog entitled Summary of Initiatives to Eliminate the SSA Hearings Backlog (the Plan). In response to a congressional request, GAO (1) examined the Plan's potential to eliminate the hearings-level backlog, (2) determined the extent to which the Plan included components of sound planning, and (3) identified potential unintended effects of the Plan on hearings-level operations and other aspects of the disability process.

This statistical first release contains national and local authority level results for the early years foundation stage profile assessments for 2009. It shows the percentage of children achieving each point on the 13 assessment scales and provides figures that help to assess progress towards the achievement of public service agreement targets and associated national indicators.

The tobacco industry has a long history of developing cigarette brands and marketing
campaigns that target women and girls, with devastating consequences for women’s health. In
the last two years, the industry has significantly stepped up these efforts, threatening to lure a
new generation of girls into a lifetime of smoking. The nation’s two largest tobacco companies –
Philip Morris USA and R.J. Reynolds – have launched new marketing campaigns that depict
cigarette smoking as feminine and fashionable to counter the growing public consensus that
smoking is socially unacceptable and unhealthy.

October 26, 2009

This publication provides guidance at a glance for frontine workers on techniques which can help build community cohesion.

Understanding the various definitions of poverty is a very complicated task, but this e-learning resource is designed to help you see beyond technical definitions and to understand how poverty changes people’s lives.

Although there are common themes among immigrants, certain groups do have unique perspectives. We chose to look at two groups, immigrants from Mexico and immigrants who identify themselves as Muslims as these groups are at the forefront of immigration policy and perceptions. Mexican immigrants are more likely to say they’re happy in the United States, but also significantly more likely to perceive discrimination against immigrants. They’re also more likely to be lower-income and perhaps face more language barriers. Muslims, by contrast, are less likely to report discrimination and overwhelmingly more likely to say the United States will be their permanent home.

The Canadian Institutes of Health Research (CIHR) hired PRA Inc. to evaluate the Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Syndrome (AIDS) Community-Based Research (CBR) Program and its funding tools. The purpose of the evaluation is to assess the rationale for the program, the effectiveness of its design and delivery processes, and its successes. CIHR will use the results of the evaluation to strengthen the HIV/AIDS CBR Program and maximize its impact on Canada's response to the HIV/AIDS epidemic.

Over the past few decades, a number of social and environmental changes have limited children’s access to safe places where they can walk, bike and play. As a result, children and adolescents are less physically active than they were a generation ago. For example, traffic dangers, neighborhoods that lack sidewalks and urban sprawl have contributed to a sharp decline in the number of students ages 5 to 18 who walk or bike to school, from 42 percent in 1969 to only 13 percent in 2001.

The number of individuals experiencing hunger has grown to more than 1 billion worldwide in 2009, up from a record 963 million in 2008, according to the United Nations (UN) Food and Agriculture Organization (FAO). FAO attributes this upsurge in hunger to the global economic crisis, which followed rising food and fuel prices from 2006 to 2008. However, even before these crises, the number of undernourished people had been increasing annually in sub-Saharan Africa--where some of the world's food needs are greatest--underscoring the need to improve international food assistance. International food assistance includes both emergency food aid and long-term food security programs.

October 25, 2009

Huge changes to social policy have occurred since 1979. This study uses three 'model lifetimes' for low, average and high earners to look at the impact of taxes and benefits over time. It also examines child and pensioner poverty under the systems of 1979, 1997 and 2008.

Despite its efforts, the U.S. Department of Agriculture's (USDA) Food and Nutrition Service (FNS), which oversees federal school meals programs, did not always ensure that states and schools received timely and complete notification about suspect food products provided to schools through the federal commodity program. The federal commodity program provides food to schools at no cost to the schools, and accounts for 15 to 20 percent of food served in school meals. During 3 recent recalls, FNS notified states, but in only one case did it inform schools to hold and not serve suspect foods prior to an official recall of commodity products.

The Adoption & Child Welfare JobSite is a FREE webservice created and managed by the National Center for Adoption Law and Policy at Capital University Law School. Unlike other employment websites, the JobSite is specifically limited to employment opportunities in the adoption and child welfare fields. The JobSite connects legal and social work students and professionals with adoption and child welfare employers across the country. By helping to link qualified individuals with employers dedicated to working with children and families, we seek to advance our goal that all children will have safe, healthy, permanent homes.

This qualitative study, which draws on focus group discussions and interviews, captures the views of Bangladeshi Muslim, Pakistani Muslim, Gujarati Hindu and Punjabi Sikh fathers and mothers. The findings suggest that policies aimed at supporting Asian fathers appreciate and address a number of issues.

Of the estimated 1.1 million Americans living with HIV, not all are aware of their HIV-positive status. Timely testing of HIV-positive individuals is important to improve health outcomes and to slow the disease's transmission. It is also important that individuals have access to HIV care after being diagnosed, but not all diagnosed individuals are receiving such care. The

October 24, 2009

This issue brief examines the health care needs and health costs of individuals with special health challenges, focusing on those with low-to-moderate incomes. It finds that even under a benefit package more generous than most offered in the private insurance market, individuals and families can face significant gaps in coverage and large out-of-pocket costs, especially if they have serious health conditions.

For-profit schools-also known as proprietary schools-received over $16 billion in federal loans, grants, and campus-based aid under Title IV of the Higher Education Act in 2007/08. GAO was asked to determine (1) how the student loan default profile of proprietary schools compares with that of other types of schools and (2) the extent to which Education's policies and procedures for monitoring student eligibility requirements for federal aid at proprietary schools protect students and the investment of Title IV funds.

This interactive side-by-side compares the leading comprehensive reform proposals across a number of key characteristics and plan components. Included in this side-by-side are proposals for moving toward universal coverage that have been put forward by the President and Members of Congress.

The past several decades have been marked by notable changes in women’s labor force activities. Women’s labor force participation is significantly higher today than it was in the 1970s, particularly among women with children, and a larger share of women work full time and year round than in past decades.