Evaluating integrative services in edge-of-care work

Children living on ‘the edge-of-care’ are typically known to local safeguarding authorities and are considered likely to face risks to their safety. Many are subject to a child protection plan and/or involved in ‘pre-proceedings’ processes. A growing number of their parents face (un)diagnosed mental health difficulties as well as economic and social precarity. This article draws on a mixed methods evaluation of a pilot service in the East of England offering a therapeutically led attachment-based intervention for families. The service cross-cuts health and social care, allowing psychologists and psychotherapists to work alongside social workers and other practitioners. The evaluation examined psychological and safeguarding outcomes and explored practitioner perspectives. A key outcome was that 85.4% of families were enabled to remain, or reunite with their child, compared with an estimated 50% of ‘edge-of-care’ cases nationally. This supports the need for similarly oriented interventions that could help lower the incidence of child removals.     

Those Who Hesitate are Lost: The Case for Setting Behavioral Health Treatment and Disability Standards, Part III

The first and second articles in this 3-part series discussed systematic issues related to multiple standardization problems and their compounding impact on the state and federal disability systems. In addition, the lack of standardization negatively influencing the behavioral health (BH) training and treatment processes may have the potential to cause harm not only to the individual receiving professional care but also to the clinician providing the treatment. In the final article of the series, I make recommendations for systemic changes for the field as well as for potentially revising previous models toward moving the Behavioral Health treatment and disability systems into more of a biopsychosocial approach. However, conclusions emphasize that successful implementation of recommendations and models require the involvement of all of the stakeholders in promoting better outcomes and in facilitating individuals; return to the workplace.     

Those Who Hesitate Are Lost: The Case for Setting Behavioral Health Treatment and Disability Standards, Part I

There are multiple factors that impede the implementation of standards into the behavioral health (BH) treatment and disability processes. The combination of physical and psychological conditions as well as the influence of psychosocial issues has consistently been identified as having negative effects on treatment and treatment outcomes. Further, the wide-spread lack of standardization causes a multitude of problems throughout both BH processes. The focus of this first article in a three-part series will examine the explosion of behavioral health claims and the major factors, such as comorbid physical conditions and psychosocial issues, associated with these types of claims. In addition, the overarching theme of lack of standardization will begin to be explored in regard to the problematic definition of disability, communication difficulties between treating professionals and disability insurers and agencies as well as the introduction of bias into the BH treatment and disability processes.     

Determinants of developing country debt: the revolving door of debt rescheduling through the Paris Club and export credits

Programmes designed to alleviate developing country debt have been implemented by bilateral, commercial and multilateral creditors and sovereign debt has been restructured under Paris Club negotiations. These strategies have not been very successful at reducing the debt levels of developing countries, in part because they continue to receive export credit insurance facilities through export credit agencies (ecas). The purpose of this paper is to examine the high percentages of developing country debt owed to governmental ecas. Analysis of the external debt of low-income and lower middle-income economies at five year intervals from 1980 to 2010 finds a substantial part of the indebtedness of these economies is held by ecas. Analysis of specific sub-Saharan African countries undergoing debt rescheduling and forgiveness through Paris Club negotiations was done for Ghana and Kenya. These results show that, following debt restructuring, new export credit guarantees and/or loans were forthcoming to these countries from the ecas of the creditor countries that rescheduled their old debt in Paris Club negotiations during 2000–12.     

Conflict Resolution through Democracy Promotion? The Role of the OSCE in Georgia

This article qualitatively and empirically analyses the OSCE's efforts to promote democracy after intra-state war in Georgia. This regional organization is rooted in a comprehensive approach to security that directly links security to democratic values. Therefore, the OSCE is a particularly appropriate subject for studying the issue of democracy promotion in the context of conflict-resolution processes. Georgia provides a difficult environment for such a goal. Given that its two secession conflicts are ‘frozen’, democracy can, especially in this context, be considered a well-suited means to indirectly contribute to conflict resolution. By contrasting the democratic development in Georgia with OSCE activities since 1992, this article will assess OSCE democracy promotion efforts. When these efforts are measured with regard to progress in peace and democratic quality, the effectiveness of external democracy promotion by the OSCE has to be called into question. However, the article argues that democratization is a long-term process in which internal factors play a decisive role. The OSCE, like other international organizations, can only reach its normative goals to the degree of the reform orientation and political will of the target state's government. The potential for impact is limited, but can be increased by commitment and context sensitivity.     

Déjà vu All Over Again: Investigating Temporal Continuity of Adolescent Victimization

An important theoretical issue in the study of criminal victimization focuses on state dependence or the extent to which prior victimization causally affects subsequent victimization. Framing this issue are two conceptual arguments that posit divergent predictions regarding the impact of past victimization. While “victim labeling” suggests that the experience of prior victimization increases victimization in the future, “victim rationality” suggests that past victimization decreases subsequent victimization. To date there has been little longitudinal research that explicitly evaluates these competing viewpoints. In response, the current study uses panel data from a sample of adolescents to assess the merit of these opposing theoretical frameworks. Against this theoretical backdrop, it is shown that prevailing strategies for the analysis of panel data—random-effects and fixed-effects—produce erroneous results that add confusion to the debate regarding the nature of state dependence processes in criminal victimization. Drawing from advances in econometrics, two estimators that can overcome the problems that plague more traditional panel data models are used to provide a test of the competing victimization perspectives. Results from those analyses suggest support for the thesis that past victimization increases subsequent victimization, but the magnitude of this positive relationship is more modest than is indicated by analytic models that have been utilized in prior longitudinal victimization research.