A new system for better employment and social outcomes: interim report

This report argues that fundamental reform of the architecture of Australia\u27s welfare system is needed to better capture evolving labour market and social changes, and proposes four pillars of reform. In December 2013, the Minister for Social Services, the Hon. Kevin Andrews MP, appointed an independent Reference Group to review Australia\u27s welfare system. This is the Reference Group’s Interim Report. Mr Patrick McClure AO chairs the Reference Group. The other members are Mr Wesley Aird and Ms Sally Sinclair. The Reference Group was supported by a Taskforce in the Department of Social Services in preparing this report. Executive summary Government cash transfer payments to individuals and families represent the most significant component of Australia’s social support system in expenditure terms. The Department of Social Services has policy responsibility for income support payments and supplements worth around $100 billion in 2012–13. This is a significant investment with a wide reach across the community. Changes to Australia’s income support system over time have resulted in unintended complexities, inconsistencies and disincentives for some people to work. The system is also out of step with today’s labour market realities and community expectations. The income support system is in need of major reform to deliver better outcomes for all Australians now and into the future. Long-term reliance on income support increases the risks of poor health, low self-esteem and social isolation. It can also have intergenerational effects. Children who grow up in households with long periods on income support are more likely to have poor education, employment and social outcomes. In contrast, employment generates clear financial, health and social benefits for individuals, families and communities. To maximise employment and social outcomes, and to remain sustainable over the longer term, Australia’s income support system needs to have a stronger employment focus. It should provide adequate support while encouraging more people to work to their capacity. It should also be simpler and more coherent. While reforms in recent decades have increased participation expectations for income support recipients, a more fundamental reform of the architecture of the system is needed to better capture evolving labour market and social changes such as the growth in part-time work and the increased labour force participation of women. The broader social support system should work in tandem with the income support system to assist those most in need. This includes well-functioning employment services, housing assistance, child care, and early intervention and integrated services for people and families with complex needs, such as homelessness, mental health conditions and drug or alcohol addiction. Reform needs to take account of recent developments such as the system of lifelong care and support for people with disability being introduced through the National Disability Insurance Scheme, the expansion of paid parental leave and the opportunities offered by new technology. It should also take account of effective interventions to support people who are vulnerable in the labour market, such as people with mental health conditions and people with disability. This report proposes four pillars of reform: Simpler and sustainable income support system Strengthening individual and family capability Engaging with employers Building community capacit

The Effects of Early Intervention and Parent Training on Vocabulary Development for the At-Risk Preschool Child

This interdisciplinary team research documents that when specific skills are taught systematically at home and at school, the low-high SES achievement gap shrinks. It provides a “close-up look” at the effects of early intervention and parent training on vocabulary development for the child, which resulted in an intergenerational achievement. The quintessential research goal is to make certain that parents are well equipped to develop their child’s vocabulary; using conversation, literature, environmental print, and a focus on selected proven strategies; that is, concept development, daily and repeated readings, and vocabulary games and activities

A Systematic Review of Exercise Prescription in Patients with Intermittent Claudication: Does Pain Matter?

Background: Current guidelines for intermittent claudication advocate exercise at moderate to maximal claudication pain. However, adherence rates to supervised exercise programmes (SEP) remain poor and claudication pain is a contributing factor. Limited evidence suggests that moderate or pain-free exercise may be just as beneficial and may be better tolerated. However, it remains unclear what ‘level’ of claudication pain is optimal for improving functional outcomes. We therefore conducted a systematic review to synthesise the evidence for exercise prescribed at different levels of claudication pain. Methods: The CENTRAL, MEDLINE, Embase and CINAHL databases were searched up to October 2020. Randomized controlled trials (RCTs) that directly compared at least 2 different intensities of claudication pain were included. Outcome measures included walking performance, adherence, quality of life and vascular function. Results: Of 1,543 search results, 2 studies were included. Maximal walking distance improved by 100–128% in the moderate-pain SEP groups, and by 77–90% in the pain-free SEP groups. Importantly, there were no significant differences between the moderate-pain and pain-free SEP groups in either study for improvements in walking performance, though comparison to a maximal-pain SEP group was not made. Conclusions: The efficacy of SEPs for patients with intermittent claudication is irrefutable, though there is no consensus on the optimal level of pain. Therefore, adequately powered RCTs are required to compare the effect of pain-free SEPs, moderate-pain SEPs and maximal-pain SEPs on functional outcomes. (PROSPERO ID: CRD42020213684)

Managing idiopathic intracranial hypertension in pregnancy: practical advice

Idiopathic intracranial hypertension (IIH) is more common in women of reproductive age who have obesity, yet there is little information on its management specifically in pregnancy. Women with IIH should plan their pregnancy including discussing contraception before pregnancy, recognising that hormonal contraceptives are not contraindicated. Potentially teratogenic medications including acetazolamide and topiramate are not recommended during pregnancy or in those with immediate plans to conceive; prescribing acetazolamide in pregnancy must only follow discussion with the patient and their obstetrician. Ideally, patients should aim to achieve disease remission or control before pregnancy, through optimising their weight. Although weight gain is expected in pregnancy, excessive weight gain may exacerbate IIH and increase maternal and fetal complications; evidence-based recommendations for non-IIH pregnancies may help in guiding optimal gestational weight gain. The vast majority of women with IIH can have a normal vaginal delivery, with spinal or epidural anaesthesia if needed, provided the papilloedema is stable or the IIH is in remission

The Educational Progress of Looked After Children in England:Linking Care and Educational Data

First major study in England to explore the relationship between educational outcomes, young people’s care histories and individual characteristics. It focused on the reasons for the low educational outcomes of young people in care (looked after) in secondary schools in England

On the poverty of a priorism: technology, surveillance in the workplace and employee responses

Many debates about surveillance at work are framed by a set of a priori assumptions about the nature of the employment relationship that inhibits efforts to understand the complexity of employee responses to the spread of new technology at work. In particular, the debate about the prevalence of resistance is hamstrung from the outset by the assumption that all apparently non-compliant acts, whether intentional or not, are to be counted as acts of resistance. Against this background this paper seeks to redress the balance by reviewing results from an ethnographic study of surveillance-capable technologies in a number of British workplaces. It argues for greater attention to be paid to the empirical character of the social relations at work in and through which technologies are deployed and in the context of which employee responses are played out

The Gift:Transforming Lives through Organ Donation

It is my great pleasure to introduce this comic. Our project originated from an honest conversation with my friend and colleague Prof Chris Murray: how to communicate complex issues surrounding the issue of organ donation? Over the last seven years I have had the honour of being an ambassador for the Organ Donation campaign by telling my son, Andrew’s, story.Through my role as an Organ Donation ambassador I meet courageous and selfless people. Some are in desperate need of hope, some are in the position to provide hope, and those who, through their professionalism and dedication, transform lives.Our sincere thanks for the support of the following organisations: University of Dundee; the NHS Blood and Transplant Specialist Nurses in Organ Donation; Dundee Comics Creative Space; Good Life, Good Death, Good Grief, and the Organ Donation Comics team. it is only through their support that this projectcame to fruition.In the following pages we share heartfelt stories and life experiences related to organ donation. By doing so we hope to bring awareness to a wider audience and prompt honest conversations about organ donation.Finally, I would like thank my sons Andrew and Stuart for warming my heart. Through tears and laughter we present to you… The Gift