This title was first published in 2003: This book provides an evaluation of the Gateshead Community Care Scheme which was devised as an alternative to residential and hospital care for frail elderly people. An important feature of the scheme was the decentralization of control of resources to individual social workers acting as care managers, with defined caseloads and expenditure limits to ensure accountability. The initial social social care scheme was subsequently extended to provide both health and social care to clients from a large general practice based in a health centre. The social care team was enlarged to include a nurse care manager and part-time doctor and physiotherapist. The study examines the operation of care management in both settings, the use of devolved budgets and services developed, the outcomes for clients and carers and the costs of care. Admissions to residential care were reduced and the elderly people who received the scheme's support experienced a better quality of care and greater well-being when compared with elderly people receiving the usual range of services. This was achieved at no greater cost. The characteristics of those for whom the scheme was most appropriate are described. In addition, the pattern of development of the scheme as it was incorporated into the mainstream of the Social Services and after the implementation of the NHS and Community Care Act are examined. Final, the implications for the development of care management are considered.

This title was first published in 2003: Although young people are generally very healthy, it has become clear that many of the health behaviours of young people can have serious consequences later in life. This is particularly so with the management of chronic illness, where poor management can result in serious long-term complications. This book explores how gender differentially affects both the ways in which young people manage chronic illness and the ways in which mothers care for their teenage sons and daughters. Until recently, where gender and health have been linked, the focus has typically been on women rather than men. However, there is growing interest in the health of men, with the recognition that masculinities and health interact in specific, sometimes detrimental ways. Most books examine either women's, or less commonly, men's health, but the comparative approach proposed reflects a growing academic and empirical trend which aims to develop new theoretical perspectives both on gender and on the relationship between gender and health. The book also challenges assumptions that gender is static, by exploring the effects of gender at a specific time of transition in the life course. The focus on adolescence is important, as it is seen by many to be the time when heterosexual values are most powerfully pursued and enforced, thus enabling interactions between gender and health to be thrown into relief. The approach adopted takes issue with many current ideas about young people, which tend to portray them as autonomous individuals, acting independently. For example, in terms of health care for young people with a chronic illness, health professionals generally adopt an individualistic approach, stressing the importance of independence for young people. Rather than seeing young people as purely autonomous, this book relocates them within families, in transition between childhood and adulthood and acting interdependently with other family members. Little is known about the complex deci

For the first time, life expectancy is declining in an industrialized society. In this pioneering work, William C. Cockerham examines the social causes of the decline in life expectancy beginning in the 1960s including:
*Russia
*Poland
*Hungary
*Romania
*Bulgaria
*the Czech Republic
*and East Germany.
Health and Social Change in Russia and Eastern Europe argues that the roots of this change are mainly social rather than biomedical - the result of poor policy decisions, stress and an unhealthy diet. Cockerham presents a theory of postmodern social change that goes beyond the borders of Eastern Europe.

For the first time, life expectancy is declining in an industrialized society. In this pioneering work, William C. Cockerham examines the social causes of the decline in life expectancy beginning in the 1960s including:
*Russia
*Poland
*Hungary
*Romania
*Bulgaria
*the Czech Republic
*and East Germany.
Health and Social Change in Russia and Eastern Europe argues that the roots of this change are mainly social rather than biomedical - the result of poor policy decisions, stress and an unhealthy diet. Cockerham presents a theory of postmodern social change that goes beyond the borders of Eastern Europe.

This title was first published in 2001. Engaging with both management science and interactionist sociology, this book employs a case study of stroke rehabilitation in hospitals to clarify a range of practical organizational concerns and conceptual issues related to decision making in complex organizations.

By the time Benacerraf received a Nobel prize in 1980 for his discovery of immune response genes, he had travelled a long way - literally on the road to success. He was born in Venezuela in 1920 to Sephardic Jewish parents from Algeria and Morocco. Benacerraf's childhood was spent primarily in Paris, until fear of war with Nazi Germany compelled his family to flee to Venezuela in 1939. Persuading his parents to send him to New York that same year, Benacerraf attended Columbia University, beginning a peripatetic existence that lasted until he landed in Boston in 1969, where he has held prominent positions at Harvard Medical School and the Dana Farber Cancer Institute. In the meantime, his passion for medical research gained him numerous prestigious appointments and awards. In addition to chronicling developments in his personal life, Benacerraf offers up rather dry accounts of his most important research projects - as well as his prediction for advances in cancer treatment and his somewhat crotchety opinions on the state of science education today and the research grant business. Despite colourful early years and his impressive accomplishments, Benacerraf paints his life in a two-dimensional fashion and presents insights without enough imagination to sustain the average reader's interest for long.

In today's world "health" means far more than merely the absence of illness. Indeed the impact that social, cultural and economic pressures have on health is well documented. The main task for health promoters is therefore to create conditions which promote rather than damage health by bringing about changes in policy on a local, national and international level. In "Rethinking Health Promotion: A Global Approach," Theodore H. MacDonald sweeps away the confusion surrounding the function and position of health promotion. He retraces the history to show that, far from being a modern innovation, it has existed as a distinct and separate enterprise for as long as biomedicine. He argues that this difference should be reflected in the organization of health care services and cautions against health promotion becoming merely an off shoot of medical care.

In today's world "health" means far more than merely the absence of illness. Indeed the impact that social, cultural and economic pressures have on health is well documented. The main task for health promoters is therefore to create conditions which promote rather than damage health by bringing about changes in policy on a local, national and international level. In "Rethinking Health Promotion: A Global Approach," Theodore H. MacDonald sweeps away the confusion surrounding the function and position of health promotion. He retraces the history to show that, far from being a modern innovation, it has existed as a distinct and separate enterprise for as long as biomedicine. He argues that this difference should be reflected in the organization of health care services and cautions against health promotion becoming merely an off shoot of medical care.

Natural Substances for Cancer Prevention explores in detail how numerous investigations in chemical biology and molecular biology have established strong scientific evidence demonstrating how the properties of naturally occurring bioactive chemicals hamper all stages of cancers (from initiation to metastasis). Accordingly, important goals for cancer prevention are the modification of our dietary habits and an increase in the intake of more anticancer-related natural substances. More significantly, the bioactive chemicals presented in the functional foods should be readily available, inexpensive, non-toxic, and nutritional.

Cynthia Moniz and Stephen Gorin's Behavioral and Mental Health Care Policy and Practice: A Biopyschosocial Perspective is a new mental health policy textbook that offers students a model for understanding policy in a framework that addresses policy practice. Edited to read like a textbook, each chapter is written by experts on an aspect of mental health policy. The book contains two parts: Part I chronicles and analyzes the evolution of mental health policy; Part II analyzes current policy and teaches students to engage in policy practice issues in different settings and with diverse populations.

Kevin is a sometimes-violent teenager with severe emotional disturbance in a family environment of poverty and stress. In this ethnography of a children's mental health care team, communication scholar Christine S. Davis delves deeply into how members of the team create hope for themselves, for Kevin, and for his family using a strengths orientation and future focus. A rich, evocative narrative that highlights multiple voices and interpretations, Davis provides a multilayered study of how social service workers can motivate and heal troubled families in challenging environments. The volume includes clinical and practice considerations for those working in the social welfare system

Phenomenology originated as a novel way of doing philosophy early in the twentieth century. In the writings of Husserl and Heidegger, regarded as its founders, it was a non-empirical kind of philosophical enquiry. Although this tradition has continued in a variety of forms, 'phenomenology' is now also used to denote an empirical form of qualitative research (PQR), especially in health, psychology and education. However, the methods adopted by researchers in these disciplines have never been subject to detailed critical analysis; nor have the methods advocated by methodological writers who are regularly cited in the research literature. This book examines these methods closely, offering a detailed analysis of worked-through examples in three influential textbooks by Giorgi, van Manen, and Smith, Flowers and Larkin. Paley argues that the methods described in these texts are radically under-specified, and suggests alternatives to PQR as an approach to qualitative research, particularly the use of interview data in the construction of models designed to explain phenomena rather than merely describe or interpret them. This book also analyses, and aims to develop, the implicit theory of 'meaning' found in PQR writings. The author establishes an account of 'meaning' as an inference marker, and explores the methodological implications of this view. This book evaluates the methods used in phenomenology-as-qualitative-research, and formulates a more fully theorised alternative. It will appeal to researchers and students in the areas of health, nursing, psychology, education, public health, sociology, anthropology, political science, philosophy and logic.

This book's purpose is to offer various perspectives relating to the development, effectiveness, and implementation of interactive computing technology for health promotion--programs and interventions aimed at improving various health-related outcomes such as involvement in care, quality of life, adherence, disease management, healthy lifestyle, and more. Its coverage includes:
*conceptual foundations for examining how characteristics of media, messages, and users relate to one another and how interactive media can effectively and appropriately promote health outcomes;
*examinations of the development, utilization, and evaluation of specific computer applications for health promotion featuring discussions of the theoretical rationale for the program, the targeted audience, research on the program's effectiveness, and implications for future program development; and
*analyses of critical issues such as potential benefits and limitations of technology on the delivery of care, institutional obstacles to the adoption of computing technology, and prospects for integrating information technology into the health system.

This book's purpose is to offer various perspectives relating to the development, effectiveness, and implementation of interactive computing technology for health promotion--programs and interventions aimed at improving various health-related outcomes such as involvement in care, quality of life, adherence, disease management, healthy lifestyle, and more. Its coverage includes:
*conceptual foundations for examining how characteristics of media, messages, and users relate to one another and how interactive media can effectively and appropriately promote health outcomes;
*examinations of the development, utilization, and evaluation of specific computer applications for health promotion featuring discussions of the theoretical rationale for the program, the targeted audience, research on the program's effectiveness, and implications for future program development; and
*analyses of critical issues such as potential benefits and limitations of technology on the delivery of care, institutional obstacles to the adoption of computing technology, and prospects for integrating information technology into the health system.

This title was first published in 2003. The fulfilment of health care rights in a world where resources are scarce is a prominent issue. In this volume, Frances H. Miller introduces studies on a wide variety of aspects of this important yet complex process.

Two Worlds of Drug Consumption in Late Modern Societies reports the findings of an empirical study of drug users in London, Amsterdam, Turin, Prague, Vienna and Warsaw, European cities representative of a wide range of drug problems and public policies. The innovative study reconceives the standard distinctions between 'hard-core' and 'recreational' drug users in terms of their social position. The authors argue that this is closely related to consumption patterns rather than drug choice, and reveals that 2 relatively homogenous drug worlds exist within each of the study sites. This leads to the development of diverging drug markets; a friendly market for the integrated consumer, and a highly commercialized one for the marginalized customer, where low quality goods are sold at a higher price. These findings have significant implications for academics and professionals working in health, psychology and urban studies.

In Anthropology in the Making, Laurent Vidal takes the reader into the world of research in the fields of health and development, providing a fresh and provocative perspective on the practice of anthropology. This volume investigates the "science of otherness" across four multi-disciplinary research projects in Africa, examining the practices of health workers, the behaviors of patients, and the organization and management of health systems struggling with AIDS, tuberculosis, and malaria. Balancing epistemological considerations with the practical concerns thrown up by real-life situations, Vidal explores the researcher's choices - of method, objective, and terrain.

This unique book draws on research that constituted the first major nationwide evaluation of the use and impact of key digital health information platforms which were provided to thousands of health consumers in the UK. The authors offer the first comprehensive and detailed comparison of usage and impact of the three major ICT platforms delivering health information - the internet, touch-screen kiosks and digital interactive television. It provides an extensive reference source on how health consumers behave when online, whether this differs according to digital platform or type of user, how users perceive digital health services and what health benefits these services deliver. The book will be invaluable reading for all those interested in digital health information - students, academics, health policy-makers and information managers.

This title was first published in 2000: The first book to examine stress in doctors' families in the United Kingdom, this book outlines the results of both qualitative and quantitative research data and a thorough literature review of stress in the medical profession. It has been organised in five chapters beginning with medical students, junior doctors and consultants' stress. Chapter two focuses on specific problems experienced by general practitioners. The content of the third chapter outlines the experiences of women doctors and their family lives. In chapter four overseas doctors, their spouses and their children talk about their experiences which are characterised by cultural diversities. Chapter five focuses on the experiences of non-doctor spouses and children's point of view. The final chapter reviews issues raised by the doctors, their spouses and their children. Approaches to the problems of different groups are suggested and some individual and organisational stress management strategies are outlined. This book is aimed at medical students, hospital doctors and their spouses, general practitioners and their spouses, other health care professionals and students in medicine, social sciences and allied health professions. It will also be of value to counsellors helping doctors and their families suffering from emotional problems.

This title was first published in 2001. A classic ethnographic study of the interactions between paediatricians and parents of children thought to be neurologically handicapped. Strong used this work to systematize the often chaotic ideas of Erving Goffman, to explore the connections between micro and macro analysis in sociology and to reflect on the nature of medical practice in modern liberal societies. The book stands as a testament to Strong's pursuit of methodological rigour in qualitative sociology.

Group Work Stories Celebrating Diversity is a most timely book about group work practice and education that highlights the theme of diversity, which encompasses acceptance and respect for various dimensions of difference. Dimensions of diversity include race, ethnicity, gender, sexual orientation, socio-economic status, age, physical or intellectual abilities, linguistic difference, religious beliefs, international or regional origin, lifestyle, political beliefs, or other ideologies, as well as the varying and complex intersection of these various dimensions. The thirty-one meaningful stories in this book explore these differences, leading to understanding and to moving beyond simple tolerance to mutual empathy, genuine and open encounter, and the celebration of the rich dimensions of diversity. Readers will enjoy this wonderfully intimate and intriguing collection, and will be moved to share them with others to help to spread the word about the importance of embracing, understanding and celebrating diversity. This book, with an international cast of authors - practitioners, educators and students - is a welcome antidote to the divisiveness and suspicion that swirl around difference and have become a sad hallmark of current times. This book was originally published as a special issue of the Social Work with Groups journal.

Combining biomedical, psychological, and anthropological approaches to intergenerational incestuous violence experienced by rural indigenous [and] peasant women in the Andean region, this book raises new questions surrounding humanness and the normalisation of sexual violence. Through original ethnographical research, the author analyses Andean understandings of incest, medical positivist practices, as well as the psychiatric 'treatment' of incestuous and gender-based violence. The book examines the implications that psychiatric institutionalisation within the context of interethnic, gender, and class schemes, has on what it means to be human. It also draws on a theoretical framework in order to understand how discourses shape, and are simultaneously problematized by individual experiences of sexual violence and incest. Intergenerational incestuous violence against women is not necessarily an exceptional event, but can be an ordinary process, one where through the articulation of biomedical and indigenous medicine, as well as indigenous and mestizo forms of administration of political power, women as subjects can become possible. This book will appeal to scholars and students with an interest in gender-based violence, as well as mental-health practitioners and academics in Latin American studies, anthropology, gender studies, and sociology.

The world is growing older and this is a historically unprecedented phenomenon. Negotiating such change, personally, socially and for governments and international organisations requires an act of cultural adaptation. Two key questions arise: What is the purpose of a long life? and How do we adapt to societies where generations are of approximately the same size? A number of pre-existing narratives can be identified; however, it is argued that contemporary policies have produced a premature answer which may eclipse the potential arising from lifecourse change. In this book Simon Biggs discusses ways of interrogating these questions and the adaptations we make to them. Four major areas, all of which have been suggested as solutions to population ageing, are critically assessed, including work as an answer, the relationship between work, ageing and health, narratives of spirit, belief and wisdom, the body and the natural, anti-ageing medicine, critical approaches to dementia, plus family and intergenerational relations. This book is particiularly useful for those trying to make sense of population ageing and negotiate solutions. It describes a number of concepts that can be used to assess what we are told about a long life and how generations can adapt together. With the cultural landscape moving away from traditional interpretations of old age, the question of adult ageing is of growing interest to a number of groups. This book is essential reading for social and health-care workers, other helping professionals, policy makers, social scientists and all who encounter the prospect of a long life.

Social scientists have only recently begun to explore the link between health and political engagement. Understanding this relationship is vitally important from both a scholarly and a policy-making perspective. This book is the first to offer a comprehensive account of health and political engagement. Using both individual-level and country-level data drawn from the European Social Survey, World Values Survey and new Finnish survey data, it provides an extensive analysis of how health and political engagement are connected. It measures the impact of various health factors on a wide range of forms of political engagement and attitudes and helps shed light on the mechanisms behind the interaction between health and political engagement. This text is of key interest scholars, students and policy-makers in health, politics, and democracy, and more broadly in the social and health and medical sciences.

Adolescence is one of the most turbulent yet exciting phases in life. Increased autonomy brings with it new health risks ranging from drugs and sexually transmitted disease, to eating disorders and suicidal depression. Even though todays teenagers are more concerned with and educated about their health than any previous generation, they still engage in risky behaviour.

Adolescent Health explores how individual differences contribute to health and illness across a wide range of cultures and socio-economic backgrounds. Patrick Heaven blends the latest research findings from a range of sources with practical suggestions on how to improve health care services for adolescents. Adolescent Health will prove valuable to professionals working with young people, social science students and parents.