policy

The LEAP (learning, evaluation and planning) framework is a toolkit designed to support a partnership approach to achieving change and improvement in the quality of community life. It has been used by policy makers, practitioners, and community activists in the fields of health education; adult learning; volunteering; and environmental planning. The framework will be of interest to anyone interested in using a partnership approach to improving outcomes for communities, service users and carers.

Reports on the development of a joint mental health strategy for older people in a central London Borough. The project brought together clinicians and practitioners from a variety of settings, the voluntary sector, and users and carers. The aim of the project was to develop a shared philosophy of care based on promoting independence and from this to identify the components of a spectrum of care that would meet the wide range of needs of elders with mental ill health. The borough had high levels of deprivation, unemployment and poor housing.

The article argues that caring within lesbian relationships has been ignored in social and health care studies and practice. It critiques the dominance of caring debates by relationships between parents and children and partnerships, but with the unspoken presumption that those involved are heterosexual. The paper concludes that social workers should engage with lesbian carers in supporting individuals and networks. It draws out a range of implications for policy, practice and research agendas.

When young people care for a parent with illness or disability their lives are different. This study 'examines the young carer's transition to adulthood'. The profile of 60 young carers is described; half were in lone parent families. Almost all were performing domestic tasks as well as providing general and/or personal care; some were also caring for younger children. Education, training and employment opportunities were, in reality, not available to them. Most of the families were outside the labour market and received welfare benefits. Social exclusion and poverty were widespread.

Summary: Over-generalization of the ‘effectiveness hierarchy’, and echoes of past paradigm wars about methodology, persist in generating conflicting judgements about the value of different research designs for evidence-based practice. A range of ways in which the worth of research is actually judged, and might be judged, are elaborated.