scholarly journals ‘The development of alcohol strategies in England and Wales’: a review

1993 ◽  
Vol 17 (12) ◽  
pp. 726-726
Author(s):  
Christine Godfrey

The misuse of alcohol causes a range of health, legal, social and employment problems for the individual and the rest of society. Many agencies are involved in dealing with the consequences of alcohol misuse and providing services to those with problems. Sources of funds to finance interventions for drinkers whether from health authorities, social services, probation or other sources are very limited. Without some coordination there will be a tendency for each funder to shift responsibility and costs. These difficulties have been recognised and in 1989 a government health circular was issued emphasising the need for the development of local multi-agency alcohol misuse prevention strategies. Implementing policies such as community care and Health of the Nation also require multi-agency co-operation if they are to fulfil their aims. The survey of the development of local alcohol strategies reported in this paper (Wallace et al, 1993) is therefore of great interest.

1985 ◽  
Vol 9 (4) ◽  
pp. 70-72
Author(s):  
Charles Brooker ◽  
Paul Beard

In the last year or so the future of mental health services in this country has been intensively discussed. COHSE, MIND, and the Richmond Fellowship have produced their ‘blueprints', outlining details of the way they see services being organized. All variety of professional organizations have been busy presenting evidence to the House of Commons Social Services Committee which is specifically examining community care. The DHSS has committed more joint finance to ‘care in the community’ projects and Regional Health Authorities are examining the strategies to close large psychiatric hospitals. Consequently, District Health Authorities, in many cases, are planning the shape of a new mental health service which places increasingly less reliance on the large institution. The phrase ‘community care’ has now become so hackneyed in planning circles that for many it has lost whatever meaning it may have once had. However, despite all the rhetoric, and indeed all the planning activity, psychiatric nurses themselves have still to voice coherently their thoughts and fears about the shape of things to come.


1990 ◽  
Vol 14 (11) ◽  
pp. 698-699
Author(s):  
Frank Holloway

Throughout the 1980s concern mounted over the provision of health and personal social services. As a result of inflation, an expansion in demand and technical advances, the increasingly expensive hospital services became more and more obviously threadbare, while the perceived failures of the community care movement were widely canvassed. As the decade ended the Government embarked on two bold initiatives aimed at increasing the efficiency, effectiveness and accountability of health and social care. These proposals, set out in the White Papers Caring for People (HMSO, 1989a) and Working for Patients (HMSO, 1989b), have now become law in the National Health Service and Community Care Act 1990. Another paper (pp. 641–645) somewhat critically reviews Caring for People from a psychiatric perspective (Holloway, 1990). At the heart of the ‘reforms’ is an attempt to create the conditions of a market. To achieve this a sharp distinction is to be drawn between the purchasers of care (Health Authorities, Local Social Services Authorities and Family Health Services Authorities) and service providers, with whom the purchasers will let contracts. It is envisaged that eventually a plethora of providers will compete within a “mixed economy of care”, becoming ever more efficient.


1998 ◽  
Vol 61 (8) ◽  
pp. 351-358 ◽  
Author(s):  
Michael Mandelstam

Occupational therapists working in social services departments and delivering community care continue to be subject to anxiety about the legality of some of their actions. This article considers aspects of relevant legislation, decisions of the law courts and recommendations of the local ombudsmen. Community care law, afflicted by uncertainties and rapid change, sometimes lacks neat and precise answers; even so, legal awareness will assist occupational therapists to ask the right questions about the lawfulness of the local authority policies to which they work and of the individual decisions flowing from those policies. Readers might conclude that they face a formidable legal minefield, but will also observe that the principles applied by the law courts coincide to a significant extent with good professional practice and basic common sense. For example, judges have dealt with issues such as individual and holistic assessment of need, the importance of assessment as a benefit in its own right, bringing an open mind to assessment, taking account of what service users have to say, looking out for exceptional needs, identifying a range of solutions, formulating coherent care plans, writing accurate letters and keeping good records. In combination, lawful decision making and good practice form a dual incentive for occupational therapists to improve standards of service, even if both are sometimes jeopardised by the short cuts forced on local authorities by limited resources.


2009 ◽  
Vol 90 (3) ◽  
pp. 336-342 ◽  
Author(s):  
W. David Harrison

Community social work was a model of practice that was advocated by many roughly from the late 1970s through the 1980s, in the United Kingdom. The approach faded as the field of social work and social services changed drastically in subsequent years. This study conducted in 2006 and 2007, follows up a 1984 study of community social work advocates to learn how the same people understood the changes that occurred over more than 20 years. A total of 9 of the original 30 participants discussed the important role of social policy and social changes that appear to have led toward more individualized, mechanistic, and often control-oriented services.


2020 ◽  
Vol 11 (87) ◽  
Author(s):  
Elena Vishtalenko ◽  
◽  
Emma Andreasyan ◽  

Most researchers of socialization processes agree that the primary socialization carried out in the family is crucial. The phenomenon of the family was considered in terms of psychological, sociological, anthropological, philosophical, biological and cultural approaches. Now the question of surrogacy is being studied in terms of the psychology of the life path of the individual; as manifestations of the meaning of life, will, responsibility; as a world of the subjective, where is always something more. Many scientists pay attention to the methodology, organization, functioning of foster families; the problems of lifestyle of orphan children in general, and in particular – in a professionally foster family. Scientists have considered the motivation of the adopted child into the family and some socio-psychological characteristics of parents. However, there are almost no studies of some individual-typological features that dysfunctionally affect family relationships, although these features may be the reason for the denial of the family's ability to be a substitute. The relevance of the study is due to the need of supplement the structural and semantic components of the psychological diagnosis of potential parents in foster families. The empirical study was conducted on the basis of the Odessa Regional Center for Social Services for Families, Children and Youth, a territorial division of the Odessa Regional State Administration. In testing took a part about 30 applicants for foster parents. With the help of Individual-typological questionnaire LM Sobchyk (ITO) there was created an average statistical portrait of candidates for the role of parents in foster families. They are characterized by a high level of extraversion (48.6%); average level of rigidity (82.9%), aggression (54.3%), anxiety (82.9%), introversion (71.5%), lability (74.3%), sensitivity (62.9%), spontaneity (60%). All these qualities positively characterize all members of the sample and confirm their reliability as potential parents in foster families. These conclusions can be used by psychologists in the selection of candidates for the role of foster parents in foster families, as well as in psychological counseling.


Social Work ◽  
2020 ◽  
pp. 21-36
Author(s):  
Terry Bamford

Social Services departments, created after the 1970 Local Authority Social Services Act, survived for nearly half a century. Their ability to meet the vision set out in the Seebohm Report was compromised by curtailment of expansion after the financial crisis in 1975. Their reputation was damaged by a number of widely reported child deaths in which social work was seen as passive and ineffective. Severe criticism followed when they were viewed as over active as in Cleveland and Orkney. As a result social services were seen as toxic in deprived communities. Despite winning responsibility for community care in the 1990 NHS and Community Care Act, departments suffered, first, from the requirement to spend the bulk of transferred social security funds in the independent sector and secondly from the prolonged squeeze on local government spending. The potential of care management for innovation and empowering service users was never fully realised.


1995 ◽  
Vol 25 (3) ◽  
pp. 605-617 ◽  
Author(s):  
M. Marshall ◽  
L. I. Hogg ◽  
D. H. Gath ◽  
A. Lockwood

SYNOPSISThis paper describes a modified version of the MRC Needs for Care Schedule (the Cardinal Needs Schedule), for measuring needs for psychiatric and social care amongst patients with severe psychiatric disorders. The modified schedule has three new features: (i) it is quick and easy to use; (ii) it takes systematic account of the views of patients and their carers; (iii) it defines and identifies need in a way that is concise and easy to interpret. The paper describes why the three new features were considered necessary, and then gives an overview of the structure of the Cardinal Needs Schedule, together with a description of how the three new features were developed. During a study of social services care management the practicality of the modified schedule was investigated and further data were obtained on the reliability and validity of the standardized approach to measuring need, in domains not previously investigated. Because of its speed and simplicity, the Cardinal Needs Schedule offers a new choice to researchers who wish to use a standardized and practical assessment of need in evaluative studies of community care. Examples of the usage of the modified schedule are given in an Appendix.


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