Joining it up? Health and Wellbeing Boards in English Local Governance: Evidence from Clinical Commissioning Groups and Shadow Health and Wellbeing Boards

Statutory responsibility for health care and social care has long been separated between National Health Service (NHS) bodies and local government authorities. Repeated policy attempts to promote service integration through collaboration between such authorities have achieved little. The latest of such policy interventions are the Health and Wellbeing Boards (HWBs) established by the 2012 Health and Social Care Act (HSCA) alongside a range of other organisational innovations, including Clinical Commissioning Groups (CCGs). These organisations await full legal and operational status but have begun to develop structures and processes. HWBs are intended to lead the integrated assessment of local needs to inform both NHS health and local authority social care commissioners. We undertook detailed qualitative case studies in eight CCGs during 2011–2012 and here report observational and interview data related to CCGs’ perspectives and observations of early HWB developments. We found that developing HWBs vary greatly in their structure and approach, but we also identified a number of significant issues that are familiar from earlier research into health and social care integration. These include heavy dependence on voluntary agreements to align the strategic plans of the many different new statutory bodies; a significant role for mundane organisational processes in determining the extent of effective co-operation; and problems arising from factors such as size and the arrangements of local boundaries.     

社会网络视域下散居归侨社会适应研究——以广西凭祥市为例

从社会网络的视角来看,凭祥归侨的社会适应策略可以分为嵌入、建构和调试三种。其在生产、生活和心理上的社会适应充分利用了其所拥有的社会网络。在这一过程中,丰富的社会资本和中越边境文化同源是归侨适应凭祥社会的有利条件,而他者身份、个体力量薄弱、原有优势衰退是其在社会适应中的主要困难。     

Learning,Negotiating, and Surviving in Child Welfare: Social Capitalization Among Recently Hired Workers

In the child welfare workplace, accessible relationships and support, although understudied, are vital to worker success. Using telephone interviews with a statewide sample of recently hired, frontline workers (N = 38), this study applied a social capital framework to consider support functionality or capitalization. Findings highlight that, although nearly all workers recognized the importance of instrumental and expressive support, many workers did not capitalize on support. Agencies may benefit from an atmosphere focused on collective interests rather than individual survival. Policy can promote supportive atmospheres through providing agencies with the ability and time to foster recently hired workers’ skills.     

中国城市生活垃圾处理绩效的影响因素：基于VAR模型的实证研究

文章通过主成分分析的方法构建和评价中国2006-2015年9年间各省(区、市)及整体的城市生活垃圾处理绩效综合水平,在此基础上利用VAR模型检验了多种因素对中国城市生活垃圾处理绩效影响做以实证研究。研究发现：直接影响中国城市生活垃圾处理绩效的主要因素是劳动力因素和运营模式因素。同时,运营模式因素是一种外生嵌套因素,没有外生驱动紧靠自身调整是无法实现的;而劳动力因素则除了自身调整外,还受到经费因素以及政府监管因素的间接驱动,即经费因素和政府监管因素通过劳动力因素路径间接影响绩效水平。据此,文章根据研究结论提出较具建设性的建议,以期对提升中国城市生活垃圾处理绩效水平以及指导公共事业的政府监管工作做以绵薄之力。     

“I Wanna Make My Mom Proud of Me”: Embracing Mothers as Protective Factors Against Future Offending in Delinquent Youth

The potential protective factor of mothers is often overlooked in literature on juvenile delinquency. However, when hearing from incarcerated youth themselves, their mothers are a clear and unquestionable priority. Through embracing mothers using a strengths‐based lens, practitioners have an opportunity and responsibility to capitalize on this asset in a youth's life in an effort to aid rehabilitation and decrease recidivism. In this study, 1,008 writing samples from incarcerated youth were analyzed and writings to or about their mothers emerged prominently. Recommendations are shared on how to embrace and support mothers as protective factors against future offending among incarcerated youth.     

Evaluating the utility of ‘strength’ items when assessing the risk of young offenders

There is emerging recognition that positive or pro-social characteristics may lessen criminal propensity. There are now several adult and youth forensic instruments that include protective or strength components. Yet evidence supporting the protective capacities of these instruments with youth offending populations is still developing. This study aimed to identity the prevalence of strength items on the Youth Level of Service/Case Management Inventory tool, and their relationships with risk and re-offending for a cohort of 212 multi-cultural Australian juveniles in custody. The prevalence of strengths in the sample was low, and differed by cultural group. Young people who possessed a strength yielded lower instrument total and domain scores and were more likely to be afforded a lower level of risk compared to youth without a strength. Moreover, youth who possessed a strength were significantly more likely to desist from re-offending. This association remained after controlling for level of risk. Findings point to the importance of strengths when assessing a young person’s risk for re-offending.     

Profile of forensic state patients at a psychiatric unit in KwaZulu Natal,South Africa: demographic,clinical and forensic factors

State patients are mentally ill offenders whose charges involved serious offences. Research on association between psychiatric morbidity and offences is important however data from Southern Africa is limited. To examine the demographic, clinical and forensic characteristics of state patients, and to evaluate the determinants of offending by an investigation of the association between mental illness and other variables (offence, comorbidity). Retrospective record review of state patients admitted to a forensic unit in KwaZulu-Natal from the 1 June 2013 to the 31 May 2016. Most patients were male (n = 90, 98.90%), single (n = 89, 97.8%), unemployed (n = 89, 97.80%) and had a diagnosis of intellectual disability (n = 33, 36.26%). Majority of participants had comorbid diagnoses (n = 70, 76.92%) and most of them (n = 52, 57.14%) had substance use disorder. Forty (43.96%) patients had past forensic history and 18 (72.5%) were non-adherent with treatment. Offences were predominantly against persons (n = 80, 87.91%), and rape was the most common offence (n = 50, 54.95%). Findings regarding diagnosis and offence were not consistent with the literature and suggest the need to explore the differences further. A better understanding of the association between mental health and crime in resource restrained settings may assist in developing appropriate prevention and rehabilitation programmes.     

The relationship between childhood traumatic events,social support,and mental health problems in prisoners

This study examined the prevalence of childhood traumatic events (CTE), social support levels as well as mental health problems (MHP), to test for differences between traumatized and non-traumatized individuals, and to investigate the relationship among the aforementioned parameters in a sample of 49 prisoners in Switzerland. This cross-sectional study used standardized self-report measurements. In line with expectations, prisoners reported a high rate of traumatic events. Furthermore, results indicated that those traumatized differed from those non-traumatized regarding the level of social support, interpersonal sensitivity, and depression. However, no relationship between CTE and social support as well as MHP was found. This points to specific therapeutic needs of those traumatized, and to the necessity of a trauma-informed correctional care. Moreover, these study results are a further step into more integrated models of criminal behavior.     

Paradoxical class: paradox of interest and political conservatism in middle class

ABSTRACT

Considering the importance of class analysis in understanding social issues, the present paper has used this level of analysis as an important factor in the economic, social and political attitude of society. Accordingly, three main classes, including the upper class, the middle class, and the lower class have been divided and their attitudes towards redistribution of wealth (as a non-conservative policy) have been evaluated. Given the current economic inequality, in the case of adopting the policy of redistribution of the wealth, the lower and middle classes will benefit economically, since they possess less wealth than their population percentage. Nevertheless, the results of the survey revealed that only the lower class assented to redistribution of the wealth, while upper and middle classes largely dissented to it. The study seeks to address this question that why the middle-class dissents to redistribution of wealth, despite its economic benefits. In order to answer that, we resort to another survey of the members of the middle class, in which the role of non-economic interests – including social and political interests, has been evaluated. Finally, the conclusion suggests that the majority of the middle class faces a paradoxical status in the area of economic, political, and social interests.     

三要素侦查法初探

凡事皆有时,凡事皆有地,凡事皆为变。时间、空间、变化三个概念构成了人们认知世界的基本要素。三要素侦查法就是指:研究、寻找犯罪的时间条件、空间条件、变化条件,针对案件在时、空、变三个方面的特定性,全面定位,综合分析,在时、空、变中找线索、求突破。三要素侦查法的实战性运用和预防性运用在侦查工作中意义重大。