New approaches are needed to monitor and evaluate health and social development. Existing strategies tend to require expensive, time-consuming analytical procedures. The growing emphasis on results-based programming has resulted in evaluation being conducted in order to demonstrate accountability and success, rather than how change takes place, what works and why. The tendency to monitor and evaluate using log frames and their variants closes policy makers' and practitioners' eyes to the sometimes unanticipated means by which change takes place. Two recent developments hold the potential to transcend these difficulties and to lead to important changes in the way in which the effects of health and social development programming are understood. First, there is growing interest in ways of monitoring programmes and assessing impact that are more grounded in the realities of practice than many of the 'results-based' methods currently utilised. Second, there are calls for the greater use of interpretive and ethnographic methods in programme design, monitoring and evaluation. Responding to these concerns, this book illustrates the potential of interpretative methods to aid understanding and make a difference in real people's lives. Through a focus on individual and community perspectives, and locally-grounded explanations, the methods explored in this book offer a potentially richer way of assessing the relationships between intent, action and change in health and social development in Africa, Asia, Europe and the Americas.

Community health is an emerging and growing discipline of public health and it focuses on the physical, social, and mental well-being of the people of specific districts. This interdisciplinary field brings together aspects of health care, economics, environment, and people interaction. This handbook is a comprehensive reference on public health for higher education students, scholars, practitioners, and policymakers of health care. There are five key thematic sections in the book: perspectives in public health; community health in practise; planning, built, and social environment and community health; digital and mobile health; and, towards sustainable health in the community. Each theme explores the leading research and trends. This book aims to help achieve the shared goal of healthier communities and quality of life for the residents. This collaborative work should be a very useful handbook to health professionals and government bodies in the planning of initiatives to improve population health, prevent chronic diseases, control infectious diseases and outbreaks, and prepare for natural disasters. This handbook integrates research and practise of public health in the community.

First published in 1986, this study explores the increased public concern with policies of 'community care' and their effects on informal carers, at that time. It looks at the widespread evidence that one particular group of informal carers- parents looking after their severely disabled child- lack information, advice and a co-ordinated pattern of supporting services. The author, who carried out research on disabled children and their families for a number of years, describes in detail a low-cost experimental project in which specialist social workers set out to remedy these shortcomings. Drawing on the results of this particular study, the author argues strongly for widespread assignment of 'key' social workers to this and other groups of informal carers. Despite being written in the mid-1980s, this book discusses topic that will still be of interest and use today.

The Open Access version of this book, available at http://www.taylorfrancis.com/books/e/9780429285912, has been made available under a Creative Commons Attribution-Non Commercial-No Derivatives 4.0 license. This innovative book addresses the question of why increasing numbers of people are being diagnosed with autism since the 1990s. Providing an engaging account of competing and widely debated explanations, it investigates how these have led to differing interpretations of the same data. Crucially, the author argues that the increased use of autism diagnosis is due to medicalisation across the life course, whilst holding open the possibility that the rise may also be partly accounted for by modern-day environmental exposures, again, across the life course. A further focus of the book is not on whether autism itself is valid as a diagnostic category, but whether and how it is useful as a diagnostic category, and how the utility of the diagnosis has contributed to the rise. This serves to move beyond the question of whether diagnoses are 'real' or social constructions, and instead asks: who do diagnoses serve to benefit, and at what cost do they come? The book will appeal to clinicians and health professionals, as well as medical researchers, who are interested in a review of the data which demonstrates the rising use of autism as a diagnosis, and an analysis of the reasons why this has occurred. Providing theory through which to interpret the expanding application of the diagnosis and the broadening of autism as a concept, it will also be of interest to scholars and students of sociology, philosophy, psychiatry, psychology, social work, disability studies and childhood studies.

A growing sense of urgency over obesity at the national and international level has led to a proliferation of medical and non-medical interventions into the daily lives of individuals and populations. This work focuses on the biopolitical use of lifestyle to govern individual choice and secure population health from the threat of obesity. The characterization of obesity as a threat to society caused by the cumulative effect of individual lifestyles has led to the politicization of daily choices, habits and practices as potential threats. This book critically examines these unquestioned assumptions about obesity and lifestyle, and their relation to wider debates surrounding neoliberal governmentality, biopolitical regulation of populations, discipline of bodies, and the possibility of community resistance. The rationale for this book follows Michel Foucault's approach of problematization, addressing the way lifestyle is problematized as a biopolitical domain in neoliberal societies. Mayes argues that in response to the threat of obesity, lifestyle has emerged as a network of disparate knowledges, relations and practices through which individuals are governed toward the security of the population's health. Although a central focus is government health campaigns, this volume demonstrates that the network of lifestyle emanates from a variety of overlapping domains and disciplines, including public health, clinical medicine, media, entertainment, school programs, advertising, sociology and ethics. This book offers a timely critique of the continued interventions into the lives of individuals and communities by government agencies, private industries, medical and non-medical experts in the name of health and population security and will be of interests to students and scholars of critical international relations theory, health and bioethics and governmentality studies.

First published in 1999, this volume responds to a large and growing interest among health policy and research circles on the use of purchasing alliances to leverage change in health care. This book gives detailed and useful specifics on how a leading alliance has fared in California, the most competitive health care market in the United States. Although it is generally accepted that large organizations are more effective purchasers of health insurance, little work has been done to carefully examine the reasons that underlie that phenomenon. Yet, creating interventions and designing potential solutions requires a thorough understanding of the issues. The econometric analysis adds to the limited literature on the influence of premium on choice behaviour for employees of small firms, and introduces an analysis of choice behaviour in a purchasing cooperative setting. The political section of this book presents a much more detailed historical account and analysis of California's small group market reforms, the most significant health-related legislation in the state in the prior decade, than has been previously available. The conclusions are becoming particularly relevant, both in California and elsewhere, as the issues of reform of the individual market for health insurance comes to the forefront.

First published in 1999, this volume examines the history of psychiatry and pathogenic parenting models over the past two centuries and contains the results of a study carried out by the author on the experiences of the parents of patients with Schizophrenia drawn from a sample of parents of patients in a forensic and a community setting. Michael Ferriter draws out the themes of the rival claims of organic and non-organic explanations of disorder, therapeutic optimism and therapeutic pessimism and rivalry between the medical professions and the non-medical for supremacy in the treatment of the mentally disordered. Ferriter further explores the issues of blame and guilt, the quality of interaction between mental health professionals and parents and the relevance of attribution theory as an explanation of why parents might still experience self-blame, even when they have nothing to blame themselves for.

First published in 1997, this study reports on a study of 221 sex workers in Queensland, Australia. The workers were interviewed by an interviewer with experience in the industry. They were asked a variety of questions relating to how they came to enter the industry, their knowledge of and attitudes towards safe sex, and a variety of other questions to do with lifestyle, service use and sexual health, and contact with the police and legal system. Sex work emerges as an activity which has a number of advantages. The pay is good, the hours are short and the work enables the worker to meet some interesting people and engage in social activities. Unlike other occupations, entry into sex work is somewhat haphazard (few appearing to plan entry to this industry as a career path) but, once in the industry many find it has benefits as well as disadvantages. Primary amongst these latter are the risks of acquiring a sexually transmitted disease (AIDS being uppermost in their minds) or the fear of violence which is associated with the context in which services are provided. In addition, sex workers often manifest a lifestyle which includes substance use and abuse. Relationships with police are often problematic and many workers report experiences which are critical of the legal system. This book provides a broad insight into the industry which, for parts of Australia, is subjected to substantial change. Such insights contribute not only to our understanding of the industry itself but also to the kind of health promoting activities which need to be initiated.

First published in 1985, this book considers the financial consequences of parents and other relatives caring for severely disabled children at home. At the time of publication little reliable information was available on the costs incurred by 'informal carers', which this book set to rectify. The volume interweaves hard statistical material about money with the detailed personal responses of parents. It examines the claim that disablement in a child reduces parents' earnings while simultaneously creating an extra expense. The author compares the incomes and expenditure patterns of more than 500 families with disabled children and 700 control families of the time showing that the financial effects of disablement in a child can be far-reaching and pervasive. This book discusses contemporary policy implications of these findings in a chapter dealing with the rational for compensating families with disabled children, and in the final chapter. Although the book was original published in 1985, it references issues that are still important today and, whilst its main concern is families with disabled children, it will also be useful to anyone caring for other kinds of dependent people, such as the elderly.

First published in 1975, this book looks at the place of children with handicaps in society, at that time. It argues that in the thirty years previous, a great deal of progress was made in the field of rehabilitation but that the separation between handicapped people and the community was still a challenge. A strong range of contributors discuss approaches to the problem focusing on education, employment, and daily life. Topics covered include the social aspects of integration, through the problems of the multiple-handicapped child, to a survey of disabled students at universities and polytechnics in Great Britain.

Advances in the field of Assisted Reproductive Technology (ART) have been revolutionary. This book focuses on the use of ARTs in the context of families who seek to conceive a matching sibling donor as a source of tissue to treat an existing sick child. Such children have been referred to as 'saviour siblings'. Considering the legal and regulatory frameworks that impact on the accessibility of this technology in Australia and the UK, the work analyses the ethical and moral issues that arise from the use of the technology for this specific purpose. The author claims the only justification for limiting a family's reproductive liberty in this context is where the exercise of reproductive decision-making results in harm to others. It is argued that the harm principle is the underlying feature of legislative action in Western democratic society, and as such, this principle provides the grounds upon which a strong and persuasive argument is made for a less-restrictive regulatory approach in the context of 'saviour siblings'. The book will be of great relevance and interest to academics, researchers, practitioners and policy makers in the fields of law, ethics, philosophy, science and medicine.

Promoting Youth Sexual Health, written for preventionists and interventionists who work with children and adolescents across home, school, or community settings, offers guidance on how to promote sexual health among youth. The reader is first introduced to the state of the field, including sexual behaviors in which youth engage, sexual risk and protective factors, standards and professional guidelines for promoting sexual health of youth, developmental and cultural considerations, and considerations in supporting LGBTQ youth. Evidence-based strategies to support child and adolescent sexual health in homes, schools, and communities are then presented. The book concludes with a proposed model for integrating supports across settings to comprehensively promote youth sexual health.

First published in 1997, this volume emerged in the ongoing struggle between those favouring centralized and those favouring decentralized government, and has three goals: 1) To illustrate how theories of federalism and intergovernmental relations can provide a useful framework for examining how to 'divide up the job in the health care area'; 2) To assess the capacity of the states to actually implement health care policy changes; 3) To weigh the merits of alternative visions of the future roles of states and the federal government in health care policy.

Promoting Youth Sexual Health, written for preventionists and interventionists who work with children and adolescents across home, school, or community settings, offers guidance on how to promote sexual health among youth. The reader is first introduced to the state of the field, including sexual behaviors in which youth engage, sexual risk and protective factors, standards and professional guidelines for promoting sexual health of youth, developmental and cultural considerations, and considerations in supporting LGBTQ youth. Evidence-based strategies to support child and adolescent sexual health in homes, schools, and communities are then presented. The book concludes with a proposed model for integrating supports across settings to comprehensively promote youth sexual health.

Loss and consequent grief permeates nearly every life changing event, from death to health concerns to dislocation to relationship breakdown to betrayal to natural disaster to faith issues. Yet, while we know about particular events of loss independently, we know very little about a psychology of loss that draws many adversities together. This universal experience of loss as a concept in its own right sheds light on so much of the work we do in the care of others. This book develops a new overarching framework to understand loss and grief, taking into account both pathological and wellbeing approaches to the subject. Drawing on international and cross-disciplinary research, Judith Murray highlights nine common themes of loss, helping us to understand how it is experienced. These themes are then used to develop a practice framework for structuring assessment and intervention systematically. Throughout the book, this generic approach is highlighted through discussing its use in different loss events such as bereavement, trauma, chronic illness and with children or older people. Having been used in areas as diverse as child protection, palliative care and refugee care, the framework can be tailored to a range of needs and levels of care. Caring for people experiencing loss is an integral part of the work of helping professions, whether it is explicitly part of their work such as in counselling, or implicit as in social work, nursing, teaching, medicine and community work. This text is an important guide for anyone working in these areas.

Men, Masculinities and Intimate Partner Violence examines how gender and other social identities and inequalities shape experiences of, and responses to, violence in intimate relationships. It provides new insights into men as both perpetrators and victims of violence, as well as on how to involve men and boys in anti-violence work. The chapters explore partner violence from the perspectives of researchers, therapists, activists, organisations, media as well as men of different background and sexual orientation. Highlighting the distinct and ambivalent ways we relate to violence and masculinity, this timely volume provides nuanced approaches to men, masculinity and intimate partner violence in various societies in the global North and South. This book foregrounds scholarship on men and masculinities in the context of intimate partner violence. By doing so, it revitalises feminist theorising and research on partner abuse, and brings together the fields of masculinity studies and studies of intimate partner violence. The book will be a vital resource for students and scholars in criminology, gender studies, psychology, social work and sociology, as well as those working with men and boys.

Aging Men, Masculinities and Modern Medicine explores the multiple socio-historical contexts surrounding men's aging bodies in modern medicine from a global perspective. The first of its kind, it investigates the interrelated aspects of aging, masculinities and biomedicine, allowing for a timely reconsideration of the conceptualisation of aging men within the recent explosion of social science studies on men's health and biotechnologies including anti-aging perspectives. This book discusses both healthy and diseased states of aging men in medical practices, bringing together theoretical and empirical conceptualisations. Divided into four parts it covers: Historical epistemology of aging, bodies and masculinity and the way in which the social sciences have theorised the aging body and gender. Material practices and processes by which biotechnology, medical assemblages and men's aging bodies relate to concepts of health and illness. Aging experience and its impact upon male sexuality and identity. The importance of men's roles and identities in care-giving situations and medical practices. Highlighting how aging men's bodies serve as trajectories for understanding wider issues of masculinity, and the way in which men's social status and men's roles are made in medical cultures, this innovative volume offers a multidisciplinary dialogue between sociology of health and illness, anthropology of the body and gender studies.

This is the first book to provide a multidisciplinary, critical, and global overview of evidence-based parenting education (PEd) programs. Readers are introduced to the best practices for designing, implementing, and evaluating effective PEd programs in order to teach clients how to be effective parents. Noted contributors from various disciplines examine evidence -based programs from the U.S., Canada, Europe, Asia, Australia, as well as web-based alternatives. The best practices used in a number of venues are explored, often by the developers themselves. Examples and discussion questions encourage application of the material. Critical guidance for those who wish to design, implement, and evaluate PEd programs in various settings is provided. All chapters feature learning goals, an introduction, conclusion, key points, discussion questions, and additional resources. In addition to these elements, chapters in Part III follow a consistent structure so readers can easily compare programs-theoretical foundations and history, needs assessment and target audience, program goals & objectives, curriculum issues, cultural Implications, evidence-based research and evaluation, and professional preparation and training issues. The editor has taught parenting and family life education courses for years. This book reviews the key information that his students needed to become competent professionals. Highlights of the book's coverage include: Comprehensive summary of evidence-based PEd training programs in one volume. Prepares readers for professional practice as a Certified Family Life Educator (CFLE) by highlighting the fundamentals of developing and evaluating PEd programs. Exposes readers to models of parenting education from around the world. The book opens with a historical overview of PEd development. It is followed by 20 chapters divided in four parts. The initial six chapters focus on fundamentals of parenting education --program design, implementation, evaluation, the role of mediators and moderators, as well as the U.S. Cooperative Extension Parent Framework. The three chapters in Part II review the latest status of parenting education in Europe, Asia, and web-based alternatives. Part III presents ten stellar, evidence-based parenting programs offered around the world. In addition to the learning goals, introduction, conclusion, key points, discussion questions, and additional resources that are found in all chapters, those in Part III also consider theoretical foundations and history, needs assessment and target audience, program goals & objectives, curriculum issues, cultural Implications, evidence based research and evaluation, and professional preparation and training issues. Part IV reviews future directions. Ideal for advanced undergraduate or graduate courses in parent education, parent-child relations, parenting, early childhood or family life education, family therapy, and home, school, and community services taught in human development and family studies, psychology, social work, sociology, education, nursing, and more, the book also serves as a resource for practitioners, counselors, clergy members, and policy makers interested in evidence based PEd programs or those seeking to become CFLEs or Parent Educators.

The vast majority of resources in public initiatives to support older people are invested in financial security, health care, and long-term care, where the focus is on individual benefits. Community features that collectively benefit residents have received much less systematic attention. This volume explores how the effort to make cities livable for older people is a specialized version of efforts to make cities more livable for people of all ages. The livable community movement coincides with appreciation for development in places with sufficient density to provide walkable distances between residential and commercial areas, and density sufficient to provide the basis for viable public transportation. The book will be of interest to scholars in fields including urban planning, gerontology, transportation planning, environmental design, and adult education.

This Report is one of the first comprehensive studies on young children in India. It focuses on children under 6 years of age and presents key aspects of their well-being and development. With the highest number of neonatal, infant and under-5 deaths in the world, there is an urgent need to address issues that continue to affect the young child in India. This volume: Introduces two young child indices aggregating selected indicators to separately track child outcomes and child circumstances. Provides an account of the current situation of the young child in terms of physical and cognitive development, access to care, disadvantaged children and major issues that have led to the continued neglect of this age group. Explores the policy and legal framework, fiscal space and the role and obligations of key stakeholders, including the state, private sector, civil society, media and the family. Highlights key recommendations and action points that can help to improve the ecosystem for early childhood care and development. Drawing on specially commissioned technical background papers, supplemented by extensive field experience of Mobile Creches in childcare, this Report will be of interest to practitioners, policymakers and influencers, think tanks and researchers of public policy, development studies, human rights, sociology and social anthropology, as well as general readers. The Open Access version of this book, available at http://www.tandfebooks.com/doi/view/10.4324/9781003026488, has been made available under a Creative Commons Attribution-Non Commercial-No Derivatives 4.0 license. .

Despite sustained debate and progress the evolving thing that is evidence based nursing or practice (EBP) continues to dangle a variety of conceptual and practical loose threads. Moreover, when we think about what is being asked of students and registered or licenced practitioners in terms of EBP, it is difficult not to concede that this 'ask' is in many instances quite large and, occasionally, it may be unachievable. EBP has and continues to improve patient, client and user care. Yet significant questions concerning its most basic elements remain unresolved and, if nurses are to contribute to the resolution or reconfiguration of these questions then, as a first step, we must acknowledge their existence. From a range of international standpoints and perspectives, contributors to this book focus on aspects of EBP that require development. This focus is always robust and at times it is unashamedly provocative. Contributors challenge readers to engage with anomalies that surround the subject and readers are asked to consider the often precarious assumptions that underpin key aspects of EBP. While both conflict and concord are evident among the various offerings presented here, the book nonetheless creates and sustains a narrative that is bigger or more substantial than the sum of individual parts. And, across contributions, a self-assuredly critical stance towards EBP as currently practiced, conceptualized and taught coexists alongside respectful admiration for all who make it happen. Exploring Evidence-based Practice: Debates and Challenges in Nursing should be considered essential reading for academics and postgraduate students with an interest in evidence-based practice and nursing research.

Cancer is a transnational condition involving the unprecedented flow of health information, technologies, and people across national borders. Such movement raises questions about the nature of therapeutic citizenship, how and where structurally vulnerable populations obtain care, and the political geography of blame associated with this disease. This volume brings together cutting-edge anthropological research carried out across North and South America, Europe, Africa and Asia, representing low-, middle- and high-resource countries with a diversity of national health care systems. Contributors ethnographically map the varied nature of cancer experiences and articulate the multiplicity of meanings that survivorship, risk, charity and care entail. They explore institutional frameworks shaping local responses to cancer and underlying political forces and structural variables. Chapter 3 of this book is freely available as a downloadable Open Access PDF under a Creative Commons Attribution-Non Commercial-No Derivatives 3.0 license. https://s3-us-west-2.amazonaws.com/tandfbis/rt-files/docs/Open+Access+Chapters/9781138776937_oachapter3.pdf

This unique book enhances our understanding of the links between professions, the state and the market - and their implications for the public in terms of professional practice. In so doing, the book adopts a neo-Weberian perspective, in which professions are seen as a form of exclusionary social closure based on legal boundaries established by the state. To illustrate the overarching theme, the book considers how healthcare in general, and medicine in particular as a form of professional work, is organized in public and private arenas in three societies with different socio-political philosophies - namely, Britain, the United States and Russia. As such, it examines the varying extent to which the development of independent professional organizations has been enhanced or restricted in public, as compared to more privatized social contexts. The comparative perspective adopted in this book thereby provides insight into the organization of professional work in different contexts and the all-important effects of this on delivery to the public. This book will be of particular interest to scholars, researchers and students of Management, Public Policy and Health Care.

Despite rapid advances in modern medicine and state-of-the-art health care services in the private sector, primary health care in India remains inaccessible to a majority of the population. Besides, even policymakers often do not have access to real-time data to fine-tune their policies or design appropriate research and intervention programmes. Drawing on field experiences, this volume brings together scholars and practitioners to examine public health from different perspectives. It discusses practical and applied issues related to the health sector, especially the role of Information and Communications Technology (ICT); participation of civil society; service delivery; quality evaluation; consumer empowerment; data management; and research and intervention. This book will be useful to scholars, students and practitioners of public health in developing countries such as India. It will also interest policymakers, health care professionals, and departments of public health management and those concerned with community medicine.

Once a synonym for death, cancer is now a prognosis of multiple probabilities and produces a world of uncertainty for carers. Drawing on rich, in-depth interview data and employing interactionist theories, Towards a Sociology of Cancer Caregiving explores carers' lived experiences, paying close attention to the ways in which spouse carers manage the ambiguity that pervades their orientations to the future, their responsibilities and their emotions. A detailed exploration of the temporal and emotional journeys of spouse carers of cancer patients, this volume raises and responds to new questions about how to conceptualise informal caregiving, offering a fresh theorisation of the uncertainty that now characterises cancer. As such, it will appeal to scholars of the sociologies of emotion, time and identity, and all those interested in the question of how to support informal carers.