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Local Services (local + services)
Selected AbstractsThe Three Exit, Three Voice and Loyalty Framework: A Test with Survey Data on Local ServicesPOLITICAL STUDIES, Issue 2 2008Keith Dowding The article presents a modified Hirschman framework with three types of exit: moving location; moving from the public to a private sector provider; and moving between public sector providers; and three types of voice: private voice (complaining about private goods); voting; and collective action. Seven hypotheses are generated from this framework. The article then presents evidence from the first round of an online survey examining citizen satisfaction with public services and the relationship between exit and voice opportunities. We find dissatisfied people are more likely to complain privately, vote and engage in other forms of collective participation; but only a weak relationship exists between dissatisfaction and geographical exit. We find some evidence that the exit,voice trade-off might exist as more alert consumers are more likely to move from the public to the private sector and those ,locked in' are more likely to complain than those who have outside options. Overall the results tend to corroborate the hypotheses drawn from the modified Hirschman framework. [source] CULTURALLY-FOCUSED BATTERER COUNSELING FOR AFRICAN-AMERICAN MEN,CRIMINOLOGY AND PUBLIC POLICY, Issue 2 2007EDWARD W. GONDOLF Research Summary: Clinicians and researchers have strongly recommended culturally-focused counseling with African-American men arrested for domestic violence. An experimental clinical trial tested the effectiveness of this approach against conventional cognitive-behavioral counseling in all-African-American groups and in racially-mixed groups (N = 501). No significant difference was found in the reassault rate reported by the men's female partners over a 12-month follow-up period (23% overall). During that period, men in the racially-mixed groups were, moreover, half as likely to be rearrested for domestic violence as the men in the culturally-focused groups. The men's level of racial identification did not significantly affect the outcomes of the counseling options. Policy Implications: Simply adding a culturally-focused counseling group to domestic violence programs does not seem in itself to improve outcomes. In the current study, the culturally-focused counseling was an appendage to an existing agency closely linked to the criminal justice system. Culturally-focused counseling may prove to be more effective within community-based organizations tied to local services and supports. [source] The European Service Mapping Schedule (ESMS): development of an instrumentfor the description and classificationof mental health servicesACTA PSYCHIATRICA SCANDINAVICA, Issue 2000S. Johnson Objective: This paper describes the development of an instrument for description and classification of mental health services and for measurement of service use. Purposes to be served by the instrument include: (i) identification of gaps in the spectrum of services in a catchment area; (ii) obtaining background information which may be important to understanding why apparently similar interventions lead to different outcomes in different areas; (iii) investigating how introduction of a particular type of service influences use of other local services; and (iv) understanding the relationship between sociodemographic factors and service use. Method: The instrument was developed through meetings of an international expert panel and pilot stages in several European countries. Results: Use of the European Mapping Service Mapping Schedule (ESMS) appears feasible in several countries and allowed description and classification of the full range of services identified within each of the study catchment areas. Conclusion: The ESMS promises to fill a gap in the technology available for mental health services research. Further practical experiences of its use for a variety of purposes in a variety of settings are now needed to indicate how far the ESMS does successfully generate data which are useful to researchers and planners. [source] Forming partnerships with parents from a community development perspective: lessons learnt from Sure StartHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 6 2009Virginia MacNeill FCIH PhDArticle first published online: 22 JUL 200 Abstract The aim of this study is to explore some of the issues of service user participation in the planning and delivery of public services from a community development perspective. It draws on an action research evaluation study of a local Sure Start programme, which was introduced into an area without a tradition of community involvement in decisions about local services. The study describes and analyses the challenges of parent participation in the organisation and delivery of the Sure Start programme at an operational and strategic level, using findings from semi-structured interviews, observations and critical conversations with Sure Start parents, staff and members of the Sure Start management board. The main substantive findings are that there was a lack of shared understanding of the nature of parent participation in all its facets and this undermined the efforts of parents and staff in the development of the programme. These findings also raise broader issues about participation, the place of parental partnerships with professionals and ways in which collaboration between the two may be interpreted and evolve. [source] Gender in elderly suicide: analysis of coroners inquests of 200 cases of elderly suicide in Cheshire 1989,2001INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Issue 12 2003Emad Salib Abstract Objectives The aim of this study is to review gender differences in elderly suicide in relation to specific social aspects of the suicidal process and health care contact before death. Such information may have practical value in identifying and targeting vulnerable elderly in whom suicide may be potentially preventable. Methods Data were extracted from the records of coroner's inquests into all reported suicide of persons aged 60 and over, in Cheshire over a period of 13 years 1989,2001. The Coroner's office covers the whole county of Cheshire (population 1,000,000). Results Men were less likely to have been known to psychiatric services (Odds Ratio [OR] 0.4 95% 0.2,0.6) and with less frequently reported history of previous attempted suicide compared to women (OR 0.5 95% Confidence Intervals [CI] 0.2,1). All deceased from ethnic minorities were men, none of whom had been known to psychiatric services. There was no significant difference between women and men in relation to, physical or psychiatric morbidity, GP contact prior to suicide, intimation of intent or living alone. Of suicide victims not known to services a surprisingly high proportion of 38% and 16% were found to have psychiatric morbidity in men and women respectively. Conclusion Suicide is an important problem in the elderly with gender playing an important part in their social behaviour but a high proportion of the deceased were not known to local services. Primary Care professionals have an important role to play in reducing elderly suicide as most contact with the health service in elderly suicide seem to be with GPs. Copyright © 2003 John Wiley & Sons, Ltd. [source] Concordance with community mental health appointments: service users' reasons for discontinuationJOURNAL OF CLINICAL NURSING, Issue 7 2004Tony Hostick MSc Background., Quality issues are being given renewed emphasis through clinical governance and a drive to ensure service users' views underpin health service development. Aims., To establish service users' reasons for discontinuation of community based mental health appointments in one National Health Service Trust. Method., A two-phase survey of all non-completers over a year. Phase one using a structured postal questionnaire. Phase two using structured interviews with respondents to phase one by post, telephone and face to face. Results., A total of 243 discharges because of non-completion were identified by local services over the 12 months of the study and followed up by initial questionnaire. This represents 8.19% of all discharges (2967) within the same period. Forty-four users were engaged and followed up within phase two of the survey. Data were subject to both quantitative and qualitative analysis. Conclusions., Analysis of responses suggests that the main reasons for non-completion are because of dissatisfaction although the reasons are varied and the interplay between variables is complex. Whilst this user group are not apparently suffering from ,severe mental illness', there is clear, expressed need for a service. Relevance to clinical practice., Whoever provides such a service should be responsive to expressed need and a non-medical approach seems to be favoured. If these needs are appropriately met then users are more likely to be engaged and satisfaction is likely to be improved. Although this in itself does not necessarily mean improved clinical outcomes, users are more likely to stay in touch until an agreed discharge. Practical problems of applied health service research are discussed and recommendations are made for a review of referral systems, service delivery and organization with suggestions for further research. [source] Developing services for the carers of young adults with early-onset psychosis , listening to their experiences and needsJOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 5 2005J. SIN msc bsc (hons)-thorn bn bgs rmn The care-giving experience of carers of young adults with early onset psychosis is relatively unexplored. New carers are less likely to be engaged with local services for carers and families, than those more established in their caring role. Understanding the experience of these carers provides some valuable insight into the value of caring and in guiding service development. This paper reports on a study designed to explore carers' experiences of caring for a young adult diagnosed with a first psychotic episode and their needs in relation to the development of an early intervention for psychosis service. A phenomenological approach was used. Eleven carers were given a semi-structured interview in their own homes. All of the carers in the study had a son with early onset psychosis. The outcome revealed that all carers were providing a comprehensive range of practical, emotional and financial support for their son including initiating and sustaining engagement between them and local mental health services. Many carers were felt to be invisible and silent partners in care and felt under-valued by mental health services. [source] Local Response to the Global Challenge: Comparing Local Economic Development Policies in a Regional ContextJOURNAL OF URBAN AFFAIRS, Issue 4 2000Joanne Wolfson This article reports on a study that examined and compared the responses of six Greater Toronto Area (GTA) municipalities (two central, four suburban) to the challenges of global economic change. The study was carried out in a context characterized by the transfer to municipal governments of both administrative and financial responsibilities for local services by the government of the Province of Ontario. It found a strong tendency for the municipalities to compete with each other for economic advantage, despite efforts to convince them of the need for a cooperative region-wide approach. Suburban governments relied principally on strategies to draw businesses away from the core, and this type of activity seemed likely to increase because of the municipalities' increased dependence on local property taxes. Nonetheless, study findings suggested several ways in which regional organizations or senior governments might help to strengthen regional economies without expecting municipal governments to surrender control over economic development policy. [source] Measuring Citizen Preferences for Public Services Using Surveys: Does a "Gray Peril" Threaten Funding for Public Education?PUBLIC BUDGETING AND FINANCE, Issue 1 2003William Duncombe Given the rising share of senior citizens and their higher voter participation rates, seniors could represent a sizeable bloc of voters in many local elections. Concerns have been raised about a "gray peril," where seniors vote against some local services, such as education. Preferences for education are examined using a contingent valuation survey method in the context of local school budget referenda. The results suggest for this district that elders are a heterogeneous group, and that block voting against schools is unlikely. The impact of age on preferences appears more likely to emerge in how these groups respond to changes in their economic circumstances. [source] Substantive Symbols: The Attitudinal Dimension of Black Political Incorporation in Local GovernmentAMERICAN JOURNAL OF POLITICAL SCIENCE, Issue 1 2007Melissa J. Marschall Traditional studies of minority incorporation focus on the redistribution of public resources that purportedly follows black gains in representation. The present study departs from this approach by focusing on the attitudinal effects of black leadership. Two research questions guide this study: To what extent do blacks' assessments of neighborhood services and conditions stem from black representation in local executive and legislative offices? Are these attitudinal effects rooted in policy and service delivery outcomes? Employing survey data from 3,000 blacks embedded in 52 cities and 53 school districts, this study reveals that blacks report higher levels of satisfaction with their neighborhood conditions, police services, and public schools when represented by blacks in city hall and on school boards and that these evaluations are most positive when improvements in local services are conspicuous. Overall, these findings extend conventional conceptualizations of substantive benefits and challenge more pessimistic accounts regarding the effects of black representation in local politics. [source] Mental health services for people with intellectual disability: challenges to care deliveryBRITISH JOURNAL OF LEARNING DISABILITIES, Issue 2 2009Eddie Chaplin Accessible summary ,,This paper looks at how care is given to people with intellectual disability who have mental health problems. ,,The paper looks at care since Valuing People came out in 2001. ,,It shows there are not enough services for people with intellectual disability who have mental health problems. ,,It shows there are not enough services for people who have autism and mental health problems. ,,Lots of people feel that mainstream mental health services are not good enough for people with intellectual disability. Lots of people feel mainstream services could be better. ,,The paper looks at how people can get help and support in their local area and not having to move away to get help. ,,The paper looks at what services might be needed in the future. What can be done to make services better? ,,The people who pay for services are called commissioners. They should think about how they can make local services better for with intellectual disability and mental health problems. ,,Commissioners should work more together with those who support people with intellectual disability to improve services. ,,People with intellectual disability should be happy with the services they have in their local places. ,,Services need to remember that people change as they get older. ,,Services need to remember that what people want. This can change when they get older. Summary The commissioning and provision of mental health services for people with intellectual disability is often complex and characterised by different service delivery models. This paper looks at the current situation 7 years after the White Paper, Valuing People (From words into action: London learning disabilities strategic framework, Department of Health, London), within the context of the National Service Framework for Mental Health (Establishing responsible commissioner; draft guidance. HSC draft, Department of Health, London). It sets out to illustrate problems faced in providing local services in the United Kingdom for those with intellectual disability and other neurodevelopmental disorders. This paper proposes new ways of working and introduces the concept of a neurodevelopmental model designed to address gaps and inequalities within services by offering solutions that embrace joint working. [source] | ||||||||||||||||||||||