Selecting social work students:lessons from research in Scotland

The issue of selection of students to social work programmes is one that remains highly contested. While it is clear that there is no single way of choosing the next generation of social work students, nevertheless, there are a number of strongly held beliefs about what ‘best practice’ means in this fraught field. These can be difficult to challenge, and even harder to shift, in spite of contrary evidence. This paper presents research conducted in Scotland in 2016 as part of the Scottish Government-sponsored Review of Social Work Education. The research set out to consider what selection processes were being used in Scotland and why; more fundamentally, it sought to explore the views of those involved in social work education alongside evidence about the outcomes of the selection processes (that is, data on student retention and success). The article concludes that while there is little evidence that one method of selection to social work programmes is intrinsically better than another, issues of fairness and transparency in selection, as well as diversity, remain pressing

Social Work and Pornography:some ethical considerations

On the back of recent high-profile cases, the subject of internet pornography has become the focus of media and political attention. Social workers are increasingly likely to be drawn into this issue through requirements to provide courts with reports or taking child protection decisions relating to clients' use of child or, potentially, extreme pornography. Within a risk paradigm, they may look for answers based on technical and ‘scientific’ knowledge. We argue here that pornography is, first and foremost, an ethical issue. This article offers a preliminary exploration of some of the ethical issues it raises. We take as a starting point that whatever we might personally think about it, pornography is a fact of everyday life. Yet, in the current political and social climate it has become deeply moralised. We argue that social workers might legitimately adopt a range of value positions in relation to pornography that these need to be opened up to ethical debate

Scottish fathers and family services

An awakened interest in Scottish fathers and fathering is traced alongside a UK-wide increase in awareness of the value of the positive involvement of fathers and the importance of encouraging this in family services. This is presented together with evidence of Scottish policy and practice that marginalise fathers to consequent detriment of women and children. Recent efforts to shift attitudes and practices in Scottish central and local government are outlined. The paper concludes with a discussion of the obstacles to embedding in the inclusion of fathers in family policy and services by focusing on powerful cultural stereotypes of Scottish fathers

ELISA: a cryocooled 10 GHz oscillator with 10-15 frequency stability

This article reports the design, the breadboarding and the validation of an ultra-stable Cryogenic Sapphire Oscillator operated in an autonomous cryocooler. The objective of this project was to demonstrate the feasibility of a frequency stability of 3x10-15 between 1 s and 1,000 s for the European Space Agency deep space stations. This represents the lowest fractional frequency instability ever achieved with cryocoolers. The preliminary results presented in this paper validate the design we adopted for the sapphire resonator, the cold source and the oscillator loop.Comment: 13 pages, 10 figure

End of life care for people who use alcohol and other drugs: findings from a Rapid Evidence Assessment.

People who use alcohol and other drugs(hereafter ‘substances’) and who are over the age of 40 are now more likely to die of a non-drug related cause than people who use substances under the age of 40. This population will therefore potentially need greater access to palliative and end-of-life care services. Initially, the purpose of this rapid evidence assessment (REA), conducted August 2016- August 2017, was to explore the peer-reviewed evidence base in relation to end-of-life care for people with problematic substance use. The following databases were searched using date parameters of 1st January 2004-1st August 2016: Amed, Psycharticles, Ovid, Ageinfo, Medline, Ebscohost, ASSIA, Social Care Online, Web of Knowledge, Web of Science, SSCI, Samsha, NIAAA. Data were extracted using a pre-defined protocol incorporating inclusion and exclusion criteria. Given the dearth of evidence emerging on interventions and practice responses to problematic substance use, the inclusion criteria were broadened to include any peer-reviewed literature focussing on substance use specifically and end of life care. There were 60 papers that met the inclusion criteria. These were quality assessed and rated low, moderate or high quality. Using a textual thematic approach to categorise findings, papers fell into three broad groups i) pain and symptom management, ii) homeless and marginalised groups, and iii) alcohol-related papers. In general, this small and diverse literature lacked depth and quality. The papers suggest there are clear challenges for health and social care professionals in meeting the end-of-life needs of people who use substances. Addressing issues like safe prescribing for pain management becomes more challenging in the presence of substance use and requires flexible service provision from both alcohol/drug services and end of life care providers. Work is needed to develop models of good practice in working with co-existing substance use and end of life conditions as well as prevalence studies to provide a wider context for policy and practice development

Factors associated with engagement in HIV care for young people living with perinatally acquired HIV in England: An exploratory observational cohort study

Identifying which young people living with perinatally acquired HIV (PHIV) are less likely to engage in care is crucial to allow targeted interventions to support them to attend clinic. We adapted an existing Engagement in Care (EIC) algorithm for adults with HIV in England, for use in young people. We applied it to data from young people with PHIV in the Adolescents and Adults Living with Perinatal HIV (AALPHI) cohort. The algorithm predicts the timing of the next scheduled clinic visit, within 1–6 months of current visit, based on routine clinical data. Follow-up was 12-months from AALPHI baseline interview. Each person-month was classified as engaged in care or not. Logistic regression models (allowing for clustered data) were used to explore baseline characteristics associated with being engaged in care, adjusting for a priori variables (time from interview, sex, age, ethnicity, country of birth). Potential characteristics were across 7 domains: sociodemographic; risk behaviour practices; mental health; cognition; clinic setting; HIV management and experience; and HIV clinical markers. Of 316 young people, 187(59%) were female, 271(86%) of black ethnicity and 184(58%) born abroad. At baseline, median [IQR] age was 17[15–18] years, and 202(69%) had viral load ≤50 copies/ml(c/mL). 87% of 3,585 person-months were classified as engaged in care. Characteristics independently associated with poorer odds of being engaged in care were: Asian/mixed/other ethnicity, vs. black ethnicity (OR 0.44, 95% CI 0.25, 0.78, p = 0.02); ever self-harmed, vs. not (OR 0.55, 95% CI 0.32, 0.95, p = 0.03); on antiretroviral therapy (ART) and self-assessed bad/not so good adherence (OR 0.46, 95% CI 0.25, 0.84) or not on ART (OR 0.64, 95% CI 0.64, 1.21) vs. on ART and good/excellent adherence (p = 0.04)); baseline VL>50c/mL, vs VL≤50c/mL (OR 0.47, 95% CI 0.30, 0.75, p = 0.002). These characteristics can help identify individuals requiring enhanced support to maintain service engagement

Prediction of disability-free survival in healthy older people

Prolonging survival in good health is a fundamental societal goal. However, the leading determinants of disability-free survival in healthy older people have not been well established. Data from ASPREE, a bi-national placebo-controlled trial of aspirin with 4.7 years median follow-up, was analysed. At enrolment, participants were healthy and without prior cardiovascular events, dementia or persistent physical disability. Disability-free survival outcome was defined as absence of dementia, persistent disability or death. Selection of potential predictors from amongst 25 biomedical, psychosocial and lifestyle variables including recognized geriatric risk factors, utilizing a machine-learning approach. Separate models were developed for men and women. The selected predictors were evaluated in a multivariable Cox proportional hazards model and validated internally by bootstrapping. We included 19,114 Australian and US participants aged ≥65 years (median 74 years, IQR 71.6–77.7). Common predictors of a worse prognosis in both sexes included higher age, lower Modified Mini-Mental State Examination score, lower gait speed, lower grip strength and abnormal (low or elevated) body mass index. Additional risk factors for men included current smoking, and abnormal eGFR. In women, diabetes and depression were additional predictors. The biased-corrected areas under the receiver operating characteristic curves for the final prognostic models at 5 years were 0.72 for men and 0.75 for women. Final models showed good calibration between the observed and predicted risks. We developed a prediction model in which age, cognitive function and gait speed were the strongest predictors of disability-free survival in healthy older people. Trial registration Clinicaltrials.gov (NCT01038583

Bridging the theory-practice gap

This paper recounts details of a project designed to enhance integration of student learning for practice, in particular it focuses on placement groupwork with students, evaluates an innovative approach to the use of placement tutors and suggests that there may be more productive ways of using the traditional time spent on placement liaison and visits