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1 – 10 of over 16000Jane Tunstill and James BLewett
The purpose of this paper is to describe a collaboration between independent researchers and an English local authority to develop a framework for understanding and measuring…
Abstract
Purpose
The purpose of this paper is to describe a collaboration between independent researchers and an English local authority to develop a framework for understanding and measuring outcomes in children centres.
Design/methodology/approach
The project was based on developing a system for collecting quantitative and qualitative data that would reflect the multi-dimensional services delivered by children centres. This was called the Early Intervention Performance Outcomes Framework. It utilised the concept of interim outcomes and in so doing the aim was to create a system that would provide evidence for the difference these services could make to children and their families’ lives. It was also important for the system to enhance and not detract from service capacity in a period of austerity.
Findings
The paper reports on the project when it had generated its first year of data. The paper describes the overall success of the project, the on-going challenges it faces and provides some examples of how interim outcomes represented “steps along the way” for children and families.
Originality/value
The innovative collaboration described in this paper provides a positive example of how research methods can enhance both service design and delivery. It will be of interest to both those who work and manage children’s services and those engaged in research.
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Steven Lucas and Philip John Archard
The purpose of this study was to explore early help provision to children and families not reaching the Children Act (1989) child in need threshold, across all 152 English local…
Abstract
Purpose
The purpose of this study was to explore early help provision to children and families not reaching the Children Act (1989) child in need threshold, across all 152 English local authorities in 2017.
Design/methodology/approach
A freedom of information request was used, in September 2017, to obtain information regarding recorded numbers, attributes and referral reasons for Early Help cases, case categorisation, professional groups involved in this provision and models of practice.
Findings
Responses revealed there are no common protocols categorising referrals and identified needs of children and young people. Child behavioural issues were the most frequently occurring category followed by parenting issues and child emotional well-being. The numbers of children engaged by Early Help services varied with a range between Barnsley with 7.8% of children under 18 years old and Richmond on Thames with 0.33% and only exceeded children in need in a 7 out of 71 reporting authorities. Models of practice used were most commonly based on the assessment framework, which operates at all social work thresholds including child protection. The enquiry found a diverse workforce involved in Early Help and sets it within a context of local thresholds for dealing with large increases in referral rates to children’s services departments in recent years.
Originality/value
The study provides a unique insight into the nature and scope of Early Help provision across England. The relationship between existing thresholds of intervention in the child welfare system is underexplored in the social work literature.
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Lorraine Khan, Michael Parsonage and Elena Rosa Brown
Behavioural problems in childhood often lead to poor long-term outcomes, including increased risk of adult mental illness, unemployment, criminality and shorter life expectancy…
Abstract
Purpose
Behavioural problems in childhood often lead to poor long-term outcomes, including increased risk of adult mental illness, unemployment, criminality and shorter life expectancy. Most parents of affected children ask for help, usually from teachers or general practitioners, but only a small minority go on to access well implemented evidence-based programmes of early intervention. A strong body of research demonstrates the effectiveness of these programmes, but much less is known about the practicalities of identification and referral which are among the key ingredients of good implementation.
Design/methodology/approach
This paper adds to existing knowledge on these topics, drawing on a wider empirical study of the delivery of parenting programmes in this country, based on detailed case studies in four local areas and a national survey of parenting leads.
Findings
Identification and referral is a complex process, requiring parents to acknowledge challenges in the management of a child's behaviour, overcome feelings of failure or stigma risking disclosure to professionals. It relies on professionals understanding the significance of what they see or hear, knowing where to refer families and having effective motivational skills to promote the willingness of parents to engage with programmes. Different perceptions of poor childhood behaviour delay access to appropriate help, particularly for those with severe problems. Referral pathways are often complex and not well understood by professionals in routine contact with families or working with high-risk groups.
Originality/value
Although there is a strong body of research outlining what works to promote better outcomes for children with early behavioural difficulties, there is less detailed understanding of identification, help seeking and “real world” barriers preventing parents and children benefitting from effective parenting support.
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The aim of this work is to provide an initial picture of how some design agencies are contributing toward a paradigm shift and how they are developing in the future to better…
Abstract
Purpose
The aim of this work is to provide an initial picture of how some design agencies are contributing toward a paradigm shift and how they are developing in the future to better inform design policies and interdisciplinary work. There is a general agreement that the current government and public sector structure and modes of operation need radical transformation. In this scenario, a shift from New Public Management towards New Public Governance paradigm has been auspicated. Design has attracted attention as a potential approach to support this transformation, but research into Service Design, as well as discussions on its future development, for public sector innovation is limited. This paper is an exploratory study into the individual work of seven representative UK design agencies operating for and within the public sector.
Design/methodology/approach
The paper reviews literature on public sector reform and innovation to inform comparative studies of contemporary design agencies working for public sector reform. Interviews with seven designers from NHS Institute for Innovation and Improvement, Participle, Innovation Unit, Uscreates, Collaborative Change, Futuregov and Snook are conducted to review their perceived role for public sector reform, their design approaches, exemplar projects and main challenges.
Findings
Emerging design strategies for Public Sector reform are: a collaborative design approach that considers all stakeholders as equal co-creators of public value; operating at different complementary levels to aim at systemic change; designing from the inside out (innovation culture) and outside in (market change). These different strategies imply the development of possible different business models. Existing creative tensions appear between embedding and outsourcing strategies, acting as facilitators vs designers, developing both designing and service delivery roles.
Research limitations/implications
This paper is based on a limited sample of design agencies, and it is not a systematic study into the impact of their design work, which should be the object of a following study.
Practical implications
This paper brings Service Design practice into public sector innovation debate to inform future interdisciplinary research and innovation policies. It positions existing design innovation strategies within the wider picture of public sector reform to support a more informed design practice.
Originality/value
Few studies have looked at the UK design agencies for public sector innovation and discussed their possible future developments. This paper provides an original and holistic description of design for public sector innovation with considerations on how it should be interpreted when developing supporting innovation and design policies.
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Tancredi Pascucci, Brizeida Hernández Sánchez and José Carlos Sánchez García
Work-family conflict is an important topic which had an evolution, starting from a static definition, where work and family domains were divided, to a more dynamic and complex…
Abstract
Purpose
Work-family conflict is an important topic which had an evolution, starting from a static definition, where work and family domains were divided, to a more dynamic and complex balance. COVID-19 has influenced society and created a significant distress among families and working activity, and this topic has been characterised by a major interest, considering some old definitions where this balance was considered problematic but not as an enriching opportunity.
Design/methodology/approach
The authors used SCOPUS to find all records mentioning work-family conflict, by considering book, article and review, excluding conference paper and considering only records written in English language. After a duplicated and not pertinent record removal, the authors obtained a number of 675 records. The authors considered 437 records from SCOPUS to create a cluster map.
Findings
Using SCOPUS and VOSviewer the authors have clustered 5 different areas, which are regrouped in next clusters considering keywords with most co-occurrence and significancy: Work-life balance and burnout gender cluster job stress and performance social and family support job satisfaction.
Research limitations/implications
Cluster map is origined only by SCOPUS database.
Originality/value
This work aims to find a state of art about this topic, creating hypothesis where this problem has been exacerbated by 2020 due to important society modifications created by COVID-19, where recent evolution of work-family balance has been complicated by papers which come back to consider this balance as problematic.
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Abstract
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Di Bailey and Gabriella Jennifer Mutale
The aim of this study was to explore the experiences and outcomes for adults with complex needs over time, within and between two teams that delivered integrated care across…
Abstract
Purpose
The aim of this study was to explore the experiences and outcomes for adults with complex needs over time, within and between two teams that delivered integrated care across different Councils' services. The teams' approach to integration included two key features: a “case lead” way of working and the team itself operating as a single point of access (SPA) for residents in given neighbourhoods with high deprivation.
Design/methodology/approach
The study was designed as evaluation research located in the realist tradition. Two teams acted as a case study to provide an in-depth understanding of how the case lead approach and SPA delivered the craft and graft of integrated working in the teams. Mixed methods of data collection included residents' ratings of their quality of life on five domains in an outcome measure over a six-month period. Residents and staff working in the teams also participated in semi-structured interviews to explore their respective experiences and receiving and delivering integrated care. The costs of care delivery incurred by residents were calculated based on their demands on public services in the year leading up to the teams' intervention and the projected costs for one year following this.
Findings
The relationship between team context, case leads' inputs and residents' outcomes was mediated through the managerial style in the integrated teams which enabled case leads to be creative and do things differently with residents. Case leads worked holistically to prevent residents being in crisis as well as giving practical help such as sorting debts and finances and supporting access to volunteering or further education. Residents rated their quality of life as significantly improved over a six-month period and significant savings in costs as result of the teams' support were projected.
Originality/value
The study used a multi-evaluation realistic evaluation methodology to explore the relationship between team context, case leads' inputs and residents' outcomes in terms that integrated services across different District and County Council Departments.
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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…
Abstract
Purpose
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.
Design/methodology/approach
The paper is informed by policy analysis and research reviews.
Findings
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.
Originality/value
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.
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The purpose of this paper is to analyse the evolution of HM government’s gang strategy from 2011 to the present. It considers why an initial emphasis upon the “troubled family” as…
Abstract
Purpose
The purpose of this paper is to analyse the evolution of HM government’s gang strategy from 2011 to the present. It considers why an initial emphasis upon the “troubled family” as the progenitor of gang violence has given way to more tightly focussed modes of intervention in which concerns about gang violence are conflated with other policy concerns.
Design/methodology/approach
The paper draws on a range of policy documents over the relevant period to demonstrate a shift in rhetoric and focus and assesses this trajectory against the evidence base suggested by other relevant literature.
Findings
The argument contained in the paper attributes this shift in focus to a combination of the insights provided by new research, dwindling budgets and the reformulation of the original policy objectives in terms of recent policy priorities.
Social implications
It is suggested that in times of austerity, policy initiatives are reformulated to fit available resources but changes are presented as an improvement on what went before.
Originality/value
The paper uses secondary sources to develop and original analysis and argument.
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