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Using Andersen’s (1968) behavioral model of health services use as a guiding conceptual framework, this study examined how receipt of family-centered care relates to the perceived family challenges for families of children with autism spectrum disorder (ASD).

Data from the 2009–2010 National Survey of Children with Special Health Care Needs (NS-CSHCN) were analyzed for 812 parents of children with ASD.

Multiple regression analyses provided substantive statistical evidence that a child’s race, the adequacy of a family’s insurance, and the stability of child’s health care needs significantly contributed to predicting his or her receipt of family-centered care. Further results suggested a relationship between receipt of family-centered care and the perception of challenge for these families; families receiving family-centered care perceive fewer challenges and feel less unmet need for child health services.

Family-centered professionals provide critical voices in the development of policies and programs geared toward improving the health outcomes of children with ASD and their families.

The authors describe the rationale for key worker services for disabled children, factors to consider in developing such services, the role of key workers, how a key worker service is operating in one authority and the impact it has had for families who received it.

With the UK Conservative-Liberal Democrat Government reaching its mid-term point, this paper examines its austerity measures and public expenditure reductions in family support and children's services, and its revisions of family support, family intervention, child poverty, child well-being and children's services reform policies in contrast to the former Labour governments.

The paper is informed by policy analysis and research reviews.

The analysis focuses on three dimensions of policy change: first, reductions in income support for children and families and central government funding for children's services; second, refocusing child poverty, child well-being and family policies around the Conservative's “Broken Britain” campaign and the Liberal Democrats targeted social mobility initiatives; and finally, broader children's services reforms. The paper recognises some progressive developments but charts the social welfare implications of reduced welfare entitlements for families and the pressures on support services for families from children's services reforms.

The paper combines reflections on the aims, achievements and limitations of Labour reforms to family support and children's services with a broader analysis of welfare state retrenchment and restructuring under the Coalition. It places current changes in family support and children's services within the context of the ideological influences on the Coalition's social policies and the primacy of its austerity programme and welfare state reform agendas.

Children and young people with learning disabilities and mental health problems from black and minority ethnic communities face barriers in accessing services. This paper describes a mapping of services used by young people with learning disabilities and mental health problems from Pakistani and Bangladeshi communities. Overall the participants accessed primary health care services through their GPs, had contact with Social Services for support and benefits and the voluntary sector for culturally appropriate services. Most participants did not access statutory child or adult mental health services, or professionals such as psychologists or behaviour nurse specialists. Families reported key barriers such as lack of awareness of services, language difficulties in communication and lack of culturally sensitive services.

This article describes the contrast between the clearly expressed and optimistic intentions of section 17 of the Children Act 1989, namely to produce a genuine service continuum that will promote and safeguard the welfare of children, and the reality of the post‐1989 implementation process. It shows how, over decades, perennial challenges have consistently skewed the balance between proactive family support services and reactive crisis‐driven responses in favour of the latter. Drawing on government‐commissioned evaluations, including two on out‐of‐home care and family centres respectively, the authors conclude that the Act has failed to change this balance for the better. Primary factors in this include inadequate funding and the risk‐averse responses of policy‐makers and politicians.

Recent government policies in relation to children stress the importance of service integration and partnership working, with particular emphasis on combating social exclusion. With reference to findings from a three‐year empirical study, this article examines some key elements of the process of multi‐agency working in services for disabled children with complex health care needs. It highlights some of the barriers to effective partnerships and lists some pointers for policy and practice.

This article is an extended version of an ‘experts’ briefing' commissioned to inform senior child welfare managers in English local authorities and voluntary agencies about the available evidence to inform the provision of effective services in complex child protection cases. It starts by noting how differences in the approach to service provision in different jurisdictions affect both the nature of research conducted and its transferability across national boundaries. It then summarises the characteristics both of parents who are likely to maltreat their children and also of the children most likely to be maltreated. The factors that make some families ‘hard to engage’ or ‘hard to help/change’ are then discussed, as are the essential elements of effective professional practice in child protection. Particular attention is paid to effective approaches to helping families and young people who are hard to identify or engage.

Family learning is now acknowledged by both government and non‐government bodies as being an important aspect of lifelong learning. It is of direct relevance to public libraries, yet little information is available about the specific role the public library can play. The main aim of the paper is to investigate the levels and types of current provision in UK public libraries, and to find out what influences the services on offer. In addition, the research tries to establish whether family learning can be of benefit to libraries, and if current provision meets the key recommendations as outlined in recent reports. The majority of library services surveyed offer family learning on a regular basis. Social inclusion, funding and partnership working are key issues, but their influence does vary between library services. Overall library services seem to be making a valuable contribution to family learning, perhaps more so than the literature suggests.

This article analyses UK Early Years policy in terms of service expansion and service transformation since the Labour Government's election in 1997. Childcare is now a matter of public policy, driven largely by concerns about child poverty and inequalities in children's life chances. The evidence is considered, first, on service expansion, increased take‐up and increased employment by parents with young children, and, second, on service transformation and child outcomes: to what extent have changes benefited disadvantaged children, families and neighbourhoods? The Effective Provision of Preschool Education (EPPE) research shows that pre‐school can boost disadvantaged children's intellectual development in particular, and the article concludes that programmes such as Sure Start and Neighbourhood Nurseries have been successfully targeted at the most disadvantaged areas, although better‐off families and neighbourhoods may have benefited even more, and that problems of cost and sustainability remain. It is too early to judge whether better integrated services now being developed will be successful in transforming the lives of the most disadvantaged children.

This study aims to investigate how Internet services can improve the well-being of elderly consumers. Drawing on transformative service research (TSR) and technology adoption literature, it examines the main challenges for the elderly when adopting Internet services and how they and their family members can co-create value to improve the elderly service inclusion and well-being.

A qualitative methodology is used to identify challenges, value co-creation behaviors and well-being outcomes of elderly individuals and their family members when using Internet services. The data collection method involved 24 in-depth interviews with consumers over 75 years of age and their family members.

This research first recognizes specific challenges for the elderly in adopting Internet services related to resistance to technology adoption and health impairments. Second, the findings identify value co-creation behaviors held by elderly consumers of Internet services: learning and formal training, complying with indications and seeking help when they encounter problems with technology. Family members also contribute to elderly well-being through two value co-creation behaviors: helping and supporting elderly relatives with technology and being patient and tolerant when they need support. Finally, these behaviors are found to influence five dimensions of elderly consumers’ well-being: enjoyment, personal growth, mastery, autonomy and social connectedness.

This study addresses a gap in the literature by exploring the value co-creation behaviors of elderly consumers of Internet services and their family members for improving well-being outcomes. Understanding value co-creation and well-being for elderly consumers of Internet services is an emerging and under-researched area in TSR and service inclusion literature.