Coherent Approach (coherent + approach)

Distribution by Scientific Domains


Selected Abstracts


POLICIES IN THE UNITED STATES TO PROVIDE HOUSING ASSISTANCE TO LOW-INCOME HOUSEHOLDS1

ECONOMIC AFFAIRS, Issue 2 2008
Ronald D. Utt
From the 1930s onwards America's housing assistance policies have largely been shaped by the federal government's response to catastrophe, whether of an external nature (the Great Depression, the urban riots of the 1960s) or an internal nature (mismanagement, excessive costs). Consequently, today's collection of federal housing policies resemble more the results of an archaeological dig through 70 years of activity than a coherent approach to a longstanding problem. Nonetheless, one key theme that emerges is the shift from wholly government solutions to a hybrid public,private partnership approach in the early 1970s. [source]


Epidemiology of unarmed threats in the emergency department

EMERGENCY MEDICINE AUSTRALASIA, Issue 4 2005
Jonathan C Knott
Abstract Objective:, To evaluate the precipitants, subject characteristics, nature and outcomes of unarmed threats in the ED. Methods:, A 12 month prospective survey of security codes precipitated by an unarmed threat (Code Grey). Results:, Data were collected on 151 subjects. The Code Grey rate was 3.2/1000 ED presentations. They were most frequent on Saturday and in the late evening/early morning. There were verbal or physical threats of violence made to staff on 104 occasions (69%, 95% confidence interval [CI] 61,76) and a perceived threat of patient self-harm on 114 occasions (76%, 95% CI 68,82). Median time to be seen by a doctor was 8 min (interquartile range [IQR]: 2,21 min) and median time from presentation to Code was 59 min (IQR: 5,222 min). Sixteen subjects (11%, 95% CI 6,17) had a history of violence, 45 (30%, 95% CI 23,38) were affected by alcohol, 25 (17%, 95% CI 11,24) had used illicit drugs and 79 (52%, 95% CI 44,60) had a significant mental illness contributing to the Code Grey. Seventy-one patients (47%, 95% CI 39,55) required psychiatric admission, 49 (79%, 95% CI 66,88) involuntarily. Conclusion:, Acutely agitated subjects pose a threat to themselves and the staff caring for them. The reason for the agitation is multifactorial and the majority arrive in a behaviourally disturbed state requiring early intervention. The times most likely to result in a Code Grey coincide with least available resources: ED and hospital risk management policies must account for this. A coherent approach by ED to this population is required to optimize patient and staff outcomes. [source]


Evaluating complex public health interventions: theory, methods and scope of realist enquiry

JOURNAL OF EVALUATION IN CLINICAL PRACTICE, Issue 6 2007
James B. Connelly MD MSc FFPH
Abstract The standard models used in the study of complex public health interventions are inadequate. They adopt a simple empiricist theoretical foundation and attempt to graft onto an essentially open social system a contrived laboratory experimentation typically in the form of a randomized, controlled trial. By understanding the ontological and epistemological claims of critical realism, it is possible to transcend the methodological inadequacy of the standard model approach. Critical realism posits a substantive causal theory, an end to fact-value dualism, and a coherent and emancipatory model of social action; all of these features amount to a systematic and compelling account of public health practice and a coherent approach to evaluation of complex public health interventions. [source]


The elderly and undue influence inter vivos

LEGAL STUDIES, Issue 2 2003
Fiona R Burns
An important demographic and social trend is becoming indisputably evident in the UK. The population is ageing, and a clearly discernible group of elderly persons is growing. As this trend continues, it will be necessary to reconsider the effectiveness and application of the law from the perspective of the elderly claimant. While it has been recognised that there must be a legal scheme to oversee the care and protection of persons, including elders, who are unable to care for their interests due to severe disability, it is becoming evident that even elders who are apparently healthy and able may be vulnerable. Undue influence inter vivos is a significant legal doctrine upon which elderly people have relied in recent times to set aside gifs, contracts and guarantees which they (or their representatives) have considered in hindsight were not in their best interests. This paper seeks to provide an analysis of and contribute to an understanding of the doctrine of undue influence from the perspective of the elderly claimant in the UK. The paper considers actual and presumed undue influence and the impact of the House of Lords decision in Royal Bank of Scotland plc v Etridge (No2). It will be argued that the law of undue influence inter vivos is in transition from a nineteenth-century doctrine which did not confer a special legal status on the elderly to one which is applied in the context of an increasing recognition that the events leading up to the transaction and the circumstances of the case may indicate that elders need the relief which the doctrine affords. Nevertheless, the transition to a modem system of undue influence for the elderly is incomplete. There remain outstanding issues which need consideration before it can be said that there is a comprehensive or logically coherent approach to elders and undue influence. [source]


Domestic abuse experienced by young people living in families with alcohol problems: results from a cross-european study

CHILD ABUSE REVIEW, Issue 6 2008
Richard Velleman
Abstract This paper presents findings from the European Union (EU) DAPHNE project ALC-VIOL (2005,07). The project involved ten EU states (Germany, Austria, England, Finland, Hungary, Ireland, Malta, Netherlands, Poland and Spain). The research involved interviews with young people aged 12,18 from Germany, Poland, Spain, England and Malta on their experiences of living with parental alcohol misuse and parental violence. The children all had parents involved in treatment for alcohol problems. The study highlights the stressful experiences these children underwent, the effects on them, their coping strategies, and the support that they received and/or wished for, and underlines the need for a more coherent approach to help these children. Copyright © 2008 John Wiley & Sons, Ltd. [source]


The Challenge to Social Work

CHILD AND ADOLESCENT MENTAL HEALTH, Issue 1 2001
Anne Hollows
The Framework for the Assessment of Children in Need and their Families signifies a major achievement in the development of a coherent approach to promoting the welfare of children while safeguarding them from harm. In this article, the aspirations of the Framework are considered, with particular focus on the challenges posed by the Framework, not only to the practice of social workers but also to the status of the social work profession. The area of professional judgement making is discussed, along with the threats to the effective implementation of the Framework. The author concludes that the Framework could bring about not only a better deal for children and families service users, but a new era of professional respect for social workers. [source]