The Importance of Care Irrespective of Cure: The Daily Living Realities and the Service Experiences of Families with Children with Complex Mental Health Problems

This report summarizes the results of in-depth interviews conducted in the Summer of 2001 with parents from 12 families that had children who were or had been involved with an intensive, community-based service for children with complex mental health problems. This study had a dual focus: (a) to learn about the daily living realities of families with children who have complex mental health problems, and (b) to learn about families’ experiences with the mental health service. Qualitative analysis of the interviews yielded themes pertaining to each of these two areas of focus. The themes related to daily living realities paint a picture of the toll exacted on families from enduring the multiple, severe, and long-term stressors that often come with having a child with complex mental health problems. An overarching theme that emerged with regard to families’ experiences with the mental health service was “the importance of care irrespective of cure”

Communal and Institutional Trust: Authority in Religion and Politics

Linda Zagzebski’s book on epistemic authority is an impressive and stimulating treatment of an important topic. 1 I admire the way she manages to combine imagination, originality and argumentative control. Her work has the further considerable merit of bringing analytic thinking and abstract theory to bear upon areas of concrete human concern, such as the attitudes one should have towards moral and religious authority. The book is stimulating in a way good philosophy should be -- provoking both disagreement and emulation. I agree with much of what she says, and have been instructed by it, but it will be of more interest and relevance here if I concentrate upon areas of disagreement. Perhaps they are better seen as areas, at least some of them, where her emphases suggest a position that seems to me untenable, but that she may not really intend. In that event, I will be happy to have provoked a clarification or the dispelling of my misunderstanding. My focus will be upon problems in her account of communal authority and autonomy, especially with respect to religious and political authority. Here my worry is that she places too much trust in trust and not enough in what I call selective mistrust

Designing and evaluating social safety nets

"This paper reviews issues highlighted in the literature on the performance of commonly found social safety net programs in developing countries. It makes particular reference to food subsidies (universal and administratively targeted), public works schemes, and targeted human capital subsidies. Although this set of programs is not exhaustive, it does account for a large proportion of program types, and many of the issues raised here apply equally to other social expenditures." from Author's AbstractSafety nets ,evaluation ,Food subsidies ,Community participation ,Public works ,social policies ,Income distribution ,Poverty alleviation ,

Designing and evaluating social safety nets

"This paper reviews the literature on the performance of commonly found social safety net programs in developing countries. The evidence suggests that universal food subsidies have very limited potential for redistributing income. While targeted food subsidies have greater potential, this can only be realized when adequate attention is given to the design and implementation, as well as to the social and political factors influencing the adoption, of these programs. Although well-designed public works programs have impressive targeting performance, they have large non-wage costs; thus, to be cost-effective, they need to produce outputs that are especially beneficial to poor households. Social funds, which emphasize both community involvement and asset creation, have been cost-effective, but they are difficult to target to extremely poor households. Traditional public works programs are particularly attractive for addressing vulnerability, but they require flexibility regarding choice of output. Targeted human capital subsidies appear to have great potential for addressing extreme poverty; but again, their design needs to reflect the human capital profile of countries and the administrative capability of the government." Author's AbstractSafety nets ,evaluation ,Food subsidies ,Poverty alleviation ,social policies ,Income distribution ,Community participation ,Public works ,

Good Helping Relationships in Child Welfare: Co-authored Stories of Success (FULL REPORT)

This project involved multiple, in-depth interviews with six worker-client dyads from child welfare. The dyads were selected on the basis of workers and clients agreeing that they had worked through some degree of negative interpersonal process toward the achievement of a good working relationship. For each dyad, two individual interviews with the worker and the client were followed by a joint interview. These interviews produced stories that described from workers\u27 and clients\u27 perspectives how the relationship developed over time, how difficulties were dealt with, and what impact the relationship had on the participants. Although these stories were written by the researchers, they were co-authored by workers and clients in the sense that the participants reviewed drafts of their stories, made suggestions for revisions, and agreed that the final product fairly represented their experience. Across story analyses yielded common themes with regard to worker and client contributions to the development of a good relationship, the qualities of a good relationship, and central issues and turning points in relationship development and client change. The results paint a picture of a good working relationship that is deeply human, integrates personal and professional elements, and takes time and effort to develop. Findings also provide insights about how the challenges of developing good relationships in child welfare, and in any helping endeavour, can be dealt with productively

Good Helping Relationships in Child Welfare: Co-authored Stories of Success (SUMMARY REPORT)

This project involved multiple, in-depth interviews with six worker-client dyads from child welfare. The dyads were selected on the basis of workers and clients agreeing that they had worked through some degree of negative interpersonal process toward the achievement of a good working relationship. For each dyad, two individual interviews with the worker and the client were followed by a joint interview. These interviews produced stories that described from workers\u27 and clients\u27 perspectives how the relationship developed over time, how difficulties were dealt with, and what impact the relationship had on the participants. Although these stories were written by the researchers, they were co-authored by workers and clients in the sense that the participants reviewed drafts of their stories, made suggestions for revisions, and agreed that the final product fairly represented their experience. Across story analyses yielded common themes with regard to worker and client contributions to the development of a good relationship, the qualities of a good relationship, and central issues and turning points in relationship development and client change. The results paint a picture of a good working relationship that is deeply human, integrates personal and professional elements, and takes time and effort to develop. Findings also provide insights about how the challenges of developing good relationships in child welfare, and in any helping endeavour, can be dealt with productively

Commodity Taxation and Social Welfare: The Generalised Ramsey Rule

Commodity taxes have three distinct roles: (1) revenue collection, (2) interpersonal redistribution, and (3) resource allocation. The paper presents an integrated treatment of these three concerns in a second-best general equilibrium framework, which leads to the 'generalised Ramsey rule' for optimum taxation. We show how many standard results on optimum taxation and tax reform have a straightforward counterpart in this general framework. Using this framework, we also try to clarify the notion of 'deadweight loss' as well as the relation between alternative distributional assumptions and the structure of optimum taxes.Commodity taxation, efficiency, redistribution, shadow prices

Commodity Taxation and Social Welfare: The Generalised Ramsey Rule

Commodity taxes have three distinct roles: (1) revenue collection, (2) interpersonal redistribution, and (3) resource allocation. The paper presents an integrated treatment of these three concerns in a second-best general equilibrium framework, which leads to the "generalised Ramsey rule for optimum taxation. We show how many standard results on optimum taxation and tax reform have straightforward counterpart in this general framework. Using this framework, we also try to clarify the notion of "deadweight loss", as well as the relation between alternative distributional assumptions and the structure of optimum taxes.

Service Participant Voices in Child Welfare, Children\u27s Mental Health, and Psychotherapy

Service providers are becoming increasingly interested in hearing the views of service participants regarding issues of service delivery. This trend is viewed as progressive and sensitive to the many complex issues facing a diverse service participant population. In order to understand what is known related to this trend, the paper reviews the literature in child welfare, children’s mental health, and psychotherapy where service participant feedback regarding aspects of service delivery has been studied. The findings from the three areas of service delivery are organized into a number of tangible themes. Suggestions for future research in the area of participant voice are noted

Evaluating targeted cash transfer programs: a general equilibrium framework with an application to Mexico

This report focuses on the indirect and direct effects of transfer programs. In particular, it shows how modelling results can be combined with information from standard household surveys to provide an integrated analysis of the direct distributional impact of such programs and the indirect distributional and efficiency impacts arising from domestic financing mechanisms. This approach reflects the view that any credible poverty alleviation strategy must have a credible financing strategy underlying it, and this need for domestic financing can have important consequences for both the level and the distribution of household incomes. To illustrate the approach, the report focuses on the recent introduction in Mexico of an innovative poverty alleviation transfer program called PROGRESA, which has been used as a prototype for similar programs that have recently been implemented in other developing countries.Economic assistance, Domestic Mexico Evaluation, Public welfare - Mexico Evaluation,