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This paper identifies considerations for managing the risks of abuse during intimate and personal care for people with learning disabilities and complex needs. Drawing on insights gleaned from research involving interviews with staff, policies and procedures in specialist day and residential services, and the development of a staff training resource, the paper identifies a framework for adult protection practice in this critical area of support.

As the population ages in the United States and globally, health-care demands are rising and varied, including the growth of home health care. Small, regional, qualitative studies indicate both satisfaction and exploitation in home health-care work. These intimate, caring relationships with clients may be especially challenging for minorities due to client prejudice and structural marginalization. This study broadens the scope of current research by addressing issues facing home health-care workers using large-scale, nationwide data.

Using nationally representative data of home health aides in the US, the National Home Health Aide Survey (NHHAS), we evaluate which features of work are related to overall satisfaction. The prevalence and sources of discrimination and working conditions are examined according to workers’ intersectional gender, race, ethnicity, and class identities.

Satisfaction was highest for those who were extremely satisfied with challenging work, learning new skills, and were most supported in their caring labor. Salary was the area with the most frequent dissatisfaction. Support for reproductive and caring labor was often inadequate. Black women and men reported the highest levels of discrimination (about 28.0%), followed by Hispanic women and men (16.5% and 10%, respectively). The largest source of discrimination was patients (80.4%). There were differences in job outcomes according to intersectional identities of race, class, and gender.

Discrimination, low wages, and not having enough support for both reproductive and caring labor are problems for home health aides. Improving home health aide work is also likely to improve patient outcomes.

Purpose – We seek to understand under which conditions care work emerges from shadow economy and becomes visible, either within families or in a professional frame, both at a political level and at the micro level of social perceptions.

Methodology – We analyze the recent history of French social policies devoted to dependent people and we use a study describing the members of 91 French families confronted, in 2004, with one of their elderly members’ dependence.

Findings – The French State subsidizing compensation for daily difficulties of dependent people leads to a surprising parallel between the rise of specific jobs and the public recognition of family care work. When looking at family structures, there is a huge difference between multiple-members families and trapped kin, erasing gender effect in this latter case. Family care work becomes more visible when there exists a professional equivalent: cleaning, doing the laundry, or washing the dependent person. Thus, male family care work when existing, such as home repairs or administrative tasks, remains invisible.

Research limitations – We analyze the case of France, with two major specificities: a universal State insurance system in a process of including the risk of dependence and a high unemployment rate. We exclude childcare from our study.

Originality of paper – Care studies have developed from two traditions: one emphasizing the ethics of care, and the other straddling between family economics and sociology of domestic work. The paper takes place within a third literature, raising the issue of care work as intimate work, dealing with the personal relationship between a caregiver and a care receiver.

In public health and sustainable transport campaigns, walking is positioned as an important way families can become more active, fit and spend quality time together. However, few studies specifically examine how family members move together on-foot and how this is constitutive of individual and collective familial identities. Combining the notion of a feminist ethics of care with assemblage thinking, the chapter offers the notion of the familial walking assemblage as a way to consider the careful doing of motherhood, childhood and family on-foot. Looking at the walking experiences of mothers and children living in the regional city of Wollongong, Australia, the chapter explores how the provisioning and enactment of care is deeply embedded in the becoming of family on-the-move. The chapter considers interrelated moments of care – becoming prepared, together, watchful, playful, ‘grown up’ and frustrated – where mothers and children make sense of and enact their familial subjectivities. It is through these moments that the family as a performative becoming, that is always in motion, becomes visible. The chapter aims to provide further insights into the embodied experience of walking for families in order to better inform campaigns which encourage walking.

Different organisations have developed policies and programmes to prevent workplace injuries and facilitate return to work. Few multiple workplace studies have examined workers’ perceptions of these policies and programmes. The purpose of this paper is to compare workers’ perception and experience of workplace policies and practices on injury prevention, people-oriented work culture, and return to work.

This study recruited 118 workers from three healthcare facilities through an online and paper survey.

Work-related musculoskeletal injury was experienced by 46 per cent of the workers, with low back injuries being most prevalent. There were significant differences in perception of policies and practices for injury prevention among occupational groups, and between workers who have had previous workplace injury experience and those without past injury.

Selection bias is possible because of voluntary participation. A larger sample could give stronger statistical power.

The perception of workplace policies can vary depending on workers’ occupational and injury status. Organisational managers need to pay attention to the diversity among workers when designing and implementing injury prevention and return to work policies.

Risks for workplace injuries are related to multiple factors, including workplace policies and practices on health and safety. Workers’ understanding and response to the policies, programmes, and practices can determine injury outcomes.

No previous study has reported on workers’ perceptions of workplace policies and practices for injury prevention and return in Manitoba healthcare sector.

This chapter revisits a debate about the relationship between work and family and the conditions under which workers believe their jobs in the new economy offer an escape from families.

In contrast to prior research, the chapter uses multiple methods, including a random sample survey, intensive interviews with 221 respondents, and 615 hours of observations at eight sites in the health care sector.

The chapter shows that low-wage women nursing assistants – more than those in other health care occupations – develop strong connections to coworkers and patients whom they come to talk about as “family.” It finds that more than doctors, nurses, or EMTs, the CNAs seek an escape from home and a pull to people at work not only because they develop strong relations on the job and have more inclusive notions of family, but also because they face more difficulties at home. These difficulties at home are created in part by the unpredictable schedules and low wages offered by their jobs. These make home life more difficult, which paradoxically leads them to turn to their jobs.

The analysis and findings show the ongoing power of unequal social relations – organized around class and gender and their intersection – in shaping the recursive relationship of jobs and families.

The most recent research on the prevalence of young caring in secondary school–age children (Joseph et al., 2019) suggests that one in five 11–16 year olds have a caring role. There are inherent challenges with identifying children and young people (CYP) who have caring responsibilities; they find themselves in the role because of love for a family member, as well as the lack of provision to meet the needs of the person they are caring for (Keith & Morris, 1995), not because they have consciously chosen to become a carer, and so do not identify with the concept (Smyth, Blaxland, & Cass, 2011). School can be both precarious and a place of sanctuary for young carers (Becker & Becker, 2008). Experiences of education, as with many aspects of caring, exist on a continuum with no young carers’ educational experience being the same (Dearden & Becker, 2003). Schools have a pivotal role in identifying, understanding and supporting young carers to prevent their education from being adversely affected.

To explore the use of fictitious vignettes representing older people and the extent to which they serve as an effective resource in developing service provision and transforming health and social care.

Based on a critical review of research and academic discourse.

Fictitious vignettes or case studies of older adults, such as “Mrs Smith”, may be a useful means to promote communication with and between health and social care colleagues about current services and transforming or re-organising service provision. However, we argue that while there may be a role for vignettes, care should be taken in their use. The potential to “homogenise” older people into the “typical” patient personified by Mrs Smith may do very little to challenge age- based stereotypes and assumptions. Moreover, vignettes cannot match the potential value and importance of older men and women directly participating in the evaluation and development of services.

This article argues that changing the way services are organised and delivered must be underpinned by critical reflection of the assumptions which underpin attitudes towards old age, including our tendency to define older people by chronological age and to homogenise “the elderly” into a single group. The value of participatory methods which meaningfully involve older citizens in both evaluating and planning services could contribute significantly to innovation in service development.

This paper highlights the critical importance of challenging age-based stereotypes and ageist policy and practice. Recognising old age as being characterised by diversity and difference could challenge the tendency to see old age, especially advanced old age, as an inevitable problem.

This article offers a critical perspective on the use of vignettes.

This paper's aim is to provide an overview of how to respond to alcohol use/abuse and intimate partner violence for men and women attending primary care.

The paper describes the role of family practitioners in identifying patients in primary care who have dual problems of substance use and intimate partner violence.

Primary care is a potential site of early intervention using brief counselling techniques for male perpetrators and female victims of intimate partner violence who also have hazardous or harmful drinking.

Practitioners should be aware of the overlap between these two social public health problems and how to respond.

Practitioners often do not identify the hidden issue of intimate partner violence.

This paper aims to examine the role of technology in shaping the interplay between intimate and economic relations in collaborative consumer networks (CCNs).

This research is based on a three-year participatory netnographic and ethnographic field study of hosts, guests and community members within the Airbnb home-sharing network in New Zealand. The data consist of interviews, online and offline participant observations and brief discussions onsite (large-scale Airbnb events, host meetups and during Airbnb stays).

The findings reveal how technologies shape the relational work of home-sharing between intimate and economic institutions through grooming, bundling, brokerage, buffering and social edgework. This paper proposes a framework of triadic relational work enacted by network actors, involving complex exchange structures.

This study focusses on a single context – a market-mediated home-sharing platform. The findings may not apply to other contexts of economic and social exchanges.

The study reveals that the construction of specific relational packages by Airbnb hosts using their digital technologies pave a path for home-sharing to skirt the norms of the home as a place of intimacy and the market as a place for economics. This allows these two spheres to flourish with little controversy.

By augmenting Zelizer’s relational work, this study produces theoretical insights into the agentic role of technology in creating and stabilising a CCN.