Value for money in social welfare services?

There is an increasing focus on gaining ’value for money’ in all areas of public spending in the UK and worldwide . It is hard to conceptualise what this ’value for money’ means in relation to social welfare provision since the range of services provided through the public sector are so diverse. In relation to children’s welfare and protection, the services must cover: 1. protection from harm: physical and emotional; 2. protection from neglect; 3. prevention of harm and neglect. To evidence value for money these outcomes must be achieved

The Mental Wellbeing of Children and Parents When There are Child Protection Concerns – Can volunteers help?

In child protection work the main focus is on safeguarding the child and promoting better parenting. Focus on mental health is limited even though we know that problems with mental health (parental or child) impact on family functioning. An evaluation of an innovative scheme, ‘Volunteers in Child Protection’ that promotes volunteers to work alongside statutory child care workers in complex child protection cases measured the mental health outcomes for the family. At referral, two thirds of the families were dysfunctional, with children having emotional and behavioural disturbance and some mothers having clinical levels of depression. Repeat measures indicate improvements in children’s emotional wellbeing, family functioning and mother’s mental wellbeing during the volunteer intervention

A realist process evaluation of Enhanced Triple P for Baby and Mellow Bumps, within a Trial of Healthy Relationship Initiatives for the Very Early years (THRIVE): study protocol for a randomized controlled trial

Background: THRIVE is a three-arm randomised controlled trial (RCT) that aims to evaluate whether antenatal and early postnatal interventions, Enhanced Triple B for Baby (ETPB) plus care as usual (CAU) or Mellow Bumps (MB) plus CAU (versus CAU alone), can: 1) improve the mental health and well-being of pregnant women with complex health and social care needs; 2) improve mother-infant bonding and interaction; 3) reduce child maltreatment; and 4) improve child language acquisition. This paper focuses on THRIVE’s realist process evaluation, which is carefully monitoring what is happening in the RCT. Methods: Realistic evaluation provides the theoretical rationale for the process evaluation. We question: 1) how faithfully are MB and ETPB implemented? 2) What are the mechanisms by which they work, if they do, and who do they work for and how? 3) What contextual factors are necessary for the programmes to function, or might prevent them functioning? The mixed-methods design includes quantitative measures, which are pre- and post-training/intervention questionnaires for facilitators and mothers-to-be, and post-session evaluation forms. Qualitative data collection methods include participant observation of facilitator training and the delivery of a series of antenatal sessions in selected intervention groups (n = 3 for ETPB and n = 3 for MB), semi-structured interviews with facilitators, pregnant women, partners, and referring facilitators, and telephone interviews examining the content of the postnatal components of ETPB and MB. Discussion: The findings of this process evaluation will help researchers and decision makers interpret the outcomes of THRIVE. It will provide a greater understanding of: how the interventions work (if they do); the extent and quality of their implementation; contextual factors facilitating and constraining intervention functioning; variations in response within and between subgroups of vulnerable parents; and benefits or unintended consequences of either intervention. Few studies to date have published detailed research protocols illustrating how realist process evaluation is designed and conducted as an integral part of a randomised controlled trial

Discovery of Broad Soft X-ray Absorption Lines from the Quasar Wind in PDS 456

High resolution soft X-ray spectroscopy of the prototype accretion disk wind quasar, PDS 456, is presented. Here, the XMM-Newton RGS spectra are analyzed from the large 2013-2014 XMM-Newton campaign, consisting of 5 observations of approximately 100 ks in length. During the last observation (hereafter OBS. E), the quasar is at a minimum flux level and broad absorption line profiles are revealed in the soft X-ray band, with typical velocity widths of $\sigma_{\rm v}\sim 10,000$ km s$^{-1}$. During a period of higher flux in the 3rd and 4th observations (OBS. C and D, respectively), a very broad absorption trough is also present above 1 keV. From fitting the absorption lines with models of photoionized absorption spectra, the inferred outflow velocities lie in the range $\sim 0.1-0.2c$. The absorption lines likely originate from He and H-like neon and L-shell iron at these energies. Comparison with earlier archival data of PDS 456 also reveals similar absorption structure near 1 keV in a 40 ks observation in 2001, and generally the absorption lines appear most apparent when the spectrum is more absorbed overall. The presence of the soft X-ray broad absorption lines is also independently confirmed from an analysis of the XMM-Newton EPIC spectra below 2 keV. We suggest that the soft X-ray absorption profiles could be associated with a lower ionization and possibly clumpy phase of the accretion disk wind, where the latter is known to be present in this quasar from its well studied iron K absorption profile and where the wind velocity reaches a typical value of 0.3$c$.Comment: 44 pages, including 13 figures, accepted for publication in The Astrophysical Journa

Outdoor Workers and Sun Protection: Knowledge and Behaviour

Outdoor workers are at high risk of developing skin cancer. Primary prevention can potentiallyreduce the incidence of skin cancer in this group. This study aimed to determine theknowledge and sun protective behaviour of outdoor workers towards skin cancer. A shortquestionnaire was used to collect data from workers on construction sites during workinghours. Despite workers having knowledge of the risks of skin cancer their use of sun protectionwas less than satisfactory, particularly considering their cumulative exposure.Workplace health education programs for outdoor workers addressing sun protection areindicated, as is further research to increase understanding of issues workers have withsun protection in the workplace

CSV Volunteers in Child Protection (ViCP): An assessment of impact and effectiveness

This study measured parent and child mental well-being and family functioning during the ViCP intervention to explore whether the intervention leads to improvement in mental health indicators with consequent increased mental capital. Mental capital encompasses a person’s cognitive and emotional resources and influences both the contribution that they are able to make to society and their experience of wellbeing. The study also looks at whether the level of concern about the safety of the children has decreased through the involvement of ViCP. In some cases, we found that ViCP identified unmet need

Platinum-group element contents of Karelian kimberlites: implications for the PGE budget of the sub-continental lithospheric mantle

We present high-precision isotope dilution data for Os, Ir, Ru, Pt, Pd and Re in Group I and Group II kimberlites from the Karelian craton, as well as 2 samples of the Premier Group I kimberlite pipe from the Kaapvaal craton. The samples have, on average, 1.38 ppb Pt and 1.33 ppb Pd, with Pt/Pd around unity. These PGE levels are markedly lower, by as much as 80%, than those reported previously for kimberlites from South Africa, Brazil and India, but overlap with PGE results reported recently from Canadian kimberlites. Primitive-mantle-normalised chalcophile element patterns are relatively flat from Os to Pt, but Cu, Ni and, somewhat less so, Au are enriched relative to the PGE (e.g., Cu/Pd > 25.000). Pd/Ir ratios are 3,6 on average, lower than in most other mantle melts. The PGE systematics can be largely explained by two components, (i) harzburgite/lherzolite detritus of the SCLM with relatively high IPGE (Os-Ir-Ru)/PPGE (Rh-Pt-Pd) ratios, and (ii) a melt component that has high PPGE/IPGE ratios. By using the concentrations of iridium in the kimberlites as a proxy for the proportion of mantle detritus in the magma, we estimate that the analysed kimberlites contain 3–27% entrained and partially dissolved detritus from the sub-continental lithospheric mantle, consistent with previous estimates of kimberlites elsewhere (Tappe S. et al., 2016, Chem. Geol. http://dx.doi.org/10.1016/j.chemgeo.2016.08.019). The other major component in the samples is melt, modelled to contain an average of 0.85 ppb Pt and 1.09 ppb Pd. Assuming that Group II kimberlites are derived from relatively metasomatised SCLM, our data suggest that the metasomatised Karelian SCLM is relatively poor in Pt and Pd. If our data are representative of other Group II kimberlites elsewhere, this result could imply that the PGE enrichment in certain continental large igneous provinces, including Bushveld, is not derived from melting of metasomatised SCLM

Similar mortality and reduced loss to follow-up in integrated compared with vertical programs providing antiretroviral treatment in sub-saharan Africa.

BACKGROUND: Vertical HIV programs have achieved good results but may not be feasible or appropriate in many resource-limited settings. Médecins sans Frontières has treated HIV in vertical programs since 2000 and over time integrated HIV treatment into general health care services using simplified protocols. We analyzed the survival probability among patients receiving antiretroviral therapy (ART) from 2003 to 2010 in integrated versus vertical programs in 9 countries in sub-Saharan Africa. METHODS AND FINDINGS: Cox regression assessed mortality and program design association, adjusting for baseline age, body mass index, clinical WHO stage, tuberculosis, program age and setting. The analysis included 15,403 HIV-positive adults on ART in 7 vertical (14,124 patients) and 10 integrated (1279 patients) programs. Cox regression including 14,523 patients followed for up to 30 months ART showed similar outcomes for mortality (adjusted hazard ratio (aHR) 1.02; 95% confidence interval (CI): 0.83 to 1.24) and lower risk of loss to follow-up (aHR: 0.71; 95% CI: 0.61 to 0.83) in integrated compared with vertical programs. The greatest risk of death was from initiating ART at WHO stage 4 (aHR 1.99, 95% CI: 1.74 to 2.29), although greater program experience was protective (aHR: 0.77, 95% CI: 0.66 to 0.89). Risk of loss to follow-up was greater in experienced programs (aHR: 3.33; 95% CI: 2.92 to 3.79) and rural settings (aHR: 3.82; 95% CI: 3.49 to 4.20). CONCLUSIONS: ART delivery in integrated general health care programs results in good outcomes. Compared with vertical HIV programs, patients initiated ART in integrated programs at more advanced stages of clinical immunosuppression yet had similar risk of death and lower risk of loss to follow-up

The Environmental Context and Function of Burnt-Mounds : New Studies of Irish Fulachtaí Fiadh

The authors acknowledge funding from The Leverhulme Trust (F/00144/AI) and assistance from a large number of individuals including; Margaret Gowen (access to sites and assistance throughout),A. Ames, H, Essex (pollen processing), S. Rouillard & R. Smith (illustrations), C. McDermott, S. Bergerbrandt, all the staff of Margaret Gowen & Co. Ltd, TVAS Ireland and CRDS. Excavation works and some post-excavation analysis was paid for my Bord Gáis and the National Roads Authority (now Transport Infrastructure Ireland). Thanks also to David Smith for access to the Maureen Girling collection and assistance with identifications.Peer reviewedPostprintPostprin

An analysis of the second grade books of five basal reading series for science concepts

Thesis (Ed.M.)--Boston Universit