Towards a contemporary social care ‘prevention narrative’ of principled complexity: An integrative literature review

Prevention has become increasingly central in social care policy and commissioning strategies within the United Kingdom (UK). Commonly there is reliance on understandings borrowed from the sphere of public health, leaning on a prevention discourse characterised by the 'upstream and downstream' metaphor. Whilst framing both structural factors and responses to individual circumstances, the public health approach nonetheless suggests linearity in a cause and effect relationship. Social care and illness follow many trajectories and this conceptualisation of prevention may limit its effectiveness and scope in social care. Undertaken as part of a commissioned evaluation of the Social Services and Wellbeing Act (2014) Wales, a systematic integrative review was conducted to establish the key current debates within prevention work, and how prevention is conceptually framed, implemented and evaluated within the social care context. The databases Scopus, ASSIA, CINAHL and Social Care Online were initially searched in September 2019 resulting in 52 documents being incorporated for analysis. A further re-run of searches was run in March 2021, identifying a further 14 documents, thereby creating a total of 66. Predominantly, these were journal articles or research reports (n = 53), with the remainder guidance or strategy documents, briefings or process evaluations (n = 13). These were categorised by their primary theme and focus, as well as document format and research method before undergoing thematic analysis. This highlighted the continued prominence of three-tiered, linear public health narratives in the framing of prevention for social care, with prevention work often categorised and enacted with inconsistency. Common drivers for prevention activity continue to be cost reduction and reduced dependence on the care system in the future. Through exploring prevention for older people and caregivers, we argue for an approach to prevention aligning with the complexities of the social world surrounding it. Building on developments in complexity theory in social science and healthcare, we offer an alternative view of social care prevention guided by principles rooted in the everyday realities of communities, service users and caregivers

Cooperative research report.

Issue no. 3 has title: Farmer cooperative research report.Each no. has also a distinctive title.Mode of access: Internet

Economic effects of a prohibition on the use of selected animal drugs.

Mode of access: Internet

Land application of wastewater and state water law :

Mode of access: Internet

Agricultural situation.

Item 19Begins numbering with v. 2, no. 1, July 1922.Mode of access: Internet.Issued Apr. 1921-June 1922 by the U.S. Office of Farm Management under a variant name: Office of Farm Management and Farm Economics; July 1922-Nov. 1953 by the Bureau of Agricultural Economics; Dec. 1953-April 1961 by the Agricultural Marketing Service; May 1961-Oct. 1977 by the Dept. of Agriculture, Statistical Reporting Service; 1978-79 by the Dept. of Agriculture, Economics, Statistics, and Cooperatives Service.Vol. 21-23, 1937-1939. 1 v

Current population reports.

Some issues also have a distinctive title.Title varies slightly.Mode of access: Internet.Vols. for 1940/48-1950 issued jointly with the Bureau of Agricultural Economics and called Series Census-BAE no. 12-19; 1950/54-1960 issued jointly with the Agricultural Marketing Service and called Series Census-AMS (P-27) no. 20-29; 1959-77 issued jointly with the Economic Research Service and called Census Series-ERS no. 30-49; 1978- issued jointly with the Economics, Statistics, and Cooperatives Service and called series P-27 no. 50

Prospective plantings /

1973-197