Probation, credibility and justice

This paper explores the difficulties that arise for probation agencies or those that deliver community sanctions in developing and maintaining their credibility in prevailing ‘late-modern’ social conditions. It begins by questioning the limits of the pursuit and promise of ‘public protection’ as a source of credibility, and then proceeds to examine the emergence of an alternative strategy – based principally on reparation and ‘payback’ – in Scotland, arguing that these Scottish developments have much to say to the emerging debates in England and Wales (and elsewhere) about the ‘rehabilitation revolution’ and the proper use of imprisonment. The paper provides a critical account of the development and meaning of the Scottish version of ‘payback’, linking it to some important philosophical and empirical studies that may help to steer the development of payback away from a ‘merely punitive’ drift. In the conclusion, I argue that probation agencies and services need to engage much more deeply and urgently with their roles as justice services, rather than as ‘mere’ crime reduction agencies

An evidence-based approach to the use of telehealth in long-term health conditions: development of an intervention and evaluation through pragmatic randomised controlled trials in patients with depression or raised cardiovascular risk

Background: Health services internationally are exploring the potential of telehealth to support the management of the growing number of people with long-term conditions (LTCs). Aim: To develop, implement and evaluate new care programmes for patients with LTCs, focusing on two common LTCs as exemplars: depression or high cardiovascular disease (CVD) risk. Methods Development: We synthesised quantitative and qualitative evidence on the effectiveness of telehealth for LTCs, conducted a qualitative study based on interviews with patients and staff and undertook a postal survey to explore which patients are interested in different forms of telehealth. Based on these studies we developed a conceptual model [TElehealth in CHronic disease (TECH) model] as a framework for the development and evaluation of the Healthlines Service for patients with LTCs. Implementation: The Healthlines Service consisted of regular telephone calls to participants from health information advisors, supporting them to make behaviour change and to use tailored online resources. Advisors sought to optimise participants’ medication and to improve adherence. Evaluation: The Healthlines Service was evaluated with linked pragmatic randomised controlled trials comparing the Healthlines Service plus usual care with usual care alone, with nested process and economic evaluations. Participants were adults with depression or raised CVD risk recruited from 43 general practices in three areas of England. The primary outcome was response to treatment and the secondary outcomes included anxiety (depression trial), individual risk factors (CVD risk trial), self-management skills, medication adherence, perceptions of support, access to health care and satisfaction with treatment. Trial results Depression trial: In total, 609 participants were randomised and the retention rate was 86%. Response to treatment [Patient Health Questionnaire 9-items (PHQ-9) reduction of ≥ 5 points and score of < 10 after 4 months] was higher in the intervention group (27%, 68/255) than in the control group (19%, 50/270) [odds ratio 1.7, 95% confidence interval (CI) 1.1 to 2.5; p = 0.02]. Anxiety also improved. Intervention participants reported better access to health support, greater satisfaction with treatment and small improvements in self-management, but not improved medication adherence. CVD risk trial: In total, 641 participants were randomised and the retention rate was 91%. Response to treatment (maintenance of/reduction in QRISK®2 score after 12 months) was higher in the intervention group (50%, 148/295) than in the control group (43%, 124/291), which does not exclude a null effect (odds ratio 1.3, 95% CI 1.0 to 1.9; p = 0.08). The intervention was associated with small improvements in blood pressure and weight, but not smoking or cholesterol. Intervention participants were more likely to adhere to medication, reported better access to health support and greater satisfaction with treatment, but few improvements in self-management. The Healthlines Service was likely to be cost-effective for CVD risk, particularly if the benefits are sustained, but not for depression. The intervention was implemented largely as planned, although initial delays and later disruption to delivery because of the closure of NHS Direct may have adversely affected participant engagement. Conclusion: The Healthlines Service, designed using an evidence-based conceptual model, provided modest health benefits and participants valued the better access to care and extra support provided. This service was cost-effective for CVD risk but not depression. These findings of small benefits at extra cost are consistent with previous pragmatic research on the implementation of comprehensive telehealth programmes for LTCs

Remembering probation in Scotland

Set within the contexts of probation’s upcoming centenary in Scotland (in 2005) and the current debate about the future of criminal justice social work in Scotland (and probation in England and Wales), this article provides an account of the early history of probation in Scotland, focussing on the rarely discussed period between 1905 and 1968. Following Nellis’s (2001) injunction to develop a ‘historically tutored memory’ as a defence against the narrowing of our visions for the future, and drawing on Vanstone’s (2004) recent work on the history of the service in England and Wales, the article pieces together and seeks to understand a significant change in Scottish probation’s core identity and purpose from providing supervision as an alternative to punishment to providing ‘treatment’ as a means of reforming offenders. In the concluding discussion, the article briefly summarises the subsequent move towards a welfare-oriented approach after 1968 and, more recently the drift towards public protection as an overarching purpose (Robinson and McNeill, 2004). The article concludes that the current debate in Scotland should shift from ‘second order’ questions around organizational arrangements to ‘first order’ questions around which aspects of these various purposes and identities should endure in the 21st century

The future of adoption law in Scotland A consultation paper

SIGLEAvailable from British Library Document Supply Centre- DSC:MFE 1169(CH--93.2157)(microfiche) / BLDSC - British Library Document Supply CentreGBUnited Kingdo

Staff of Scottish social work departments 1990

Fiche copy of Scottish Office Social Work Services Statistical Bulletin no. 91/S13Available from British Library Document Supply Centre- DSC:MFE(CH--92.1845)(microfiche) / BLDSC - British Library Document Supply CentreSIGLEGBUnited Kingdo

Services for children 1989 and 1990

Fiche copy of Statistical Bulletin no. 92/SC1Available from British Library Document Supply Centre- DSC:MFE 1169(CH--92.3283)(microfiche) / BLDSC - British Library Document Supply CentreSIGLEGBUnited Kingdo

Children looked after by local authorities

Complete in 4 vols.Available from British Library Document Supply Centre-DSC:99/21137 / BLDSC - British Library Document Supply CentreSIGLEGBUnited Kingdo

Bibliography and index Vol 4

Complete in 4 vols.SIGLEAvailable from British Library Document Supply Centre-DSC:99/21139 / BLDSC - British Library Document Supply CentreGBUnited Kingdo