Where is the evidence?

نویسندگان

  • Jim McCambridge
  • Kypros Kypri
  • Peter Miller
  • Ben Hawkins
  • Gerard Hastings
چکیده

E d it o ri a l With the passing of the Children Act 2004 in England, I am led to dwell on the process of policy development. This is the third major shake-up I have witnessed. The first was the Children and Young Persons Act 1969 which sought a better balance between welfare and justice for troubled children. The second was the Children Act 1989 that combined public and private law, provided a single impairment threshold and encouraged family support as a means of protecting children. The new legislation builds on these foundations and the substantial investment in practice since 1997. It also reflects the Laming Report. The result should be the establishment of children’s services, better inter-professional cooperation, refocusing towards preventive approaches and a common language to understand the needs of children and what happens to them. Some contrasts are apparent in the policy thinking behind each of these reforms. The 1969 legislation had strong ideological overtones. The 1989 Act, in contrast, rested on strong conceptual thinking stemming from the Law Commission but extending through government to researchers and practitioners. Concepts such as the child’s best interests, the no order principle, concurrent jurisdiction and a single order for all children led the discussion and determined the detail. The current legislation might be described as empirical in the sense that it reflects the observations of policy-makers – and to a lesser extent practitioners – not necessarily resting on proven data. Leaders of initiatives relating to issues such as parenting, mental health, anti-social behaviour and teenage pregnancy, have negotiated their concerns into the integration process. This has some advantages in that it ensures that the discussion focuses on problems that children and families experience, proposals fit with real politics and there is genuine cross-departmental government thinking. But there are problems with this approach. Empirical observation tends to be uneven both in volume and quality, and its implementation suffers by default. Contributions from groups of people responsible for narrow policy areas can be conceptually unsophisticated as each vies with the others for attention, often at the highest political level. Whether this makes for good legislation remains to be seen. It will be 15 years before we know. Voluntary childcare organisations are in the front line of this discussion. In my efforts to edit the journal of a major – and most would believe responsible – voluntary organisation, I try to achieve some balance between ideology, conceptual sophistication and empirical observation. This should be evident in this edition. Julie Selwyn and David Quinton present results from a major study of children requiring long-term stability; Peter Ward, Anna Ludvigsen and Jo Parnham and Gerald McCarthy offer less extensive but hopefully useful findings relevant to current policy issues, while Leslie Ironside and Caroline Archer and Christine Gordon give the benefits of their experience in dealing with difficult situations. What is absent from this edition and from all three of the legislative waves mentioned is experimental evidence about what works, for whom and why. Maybe a later generation of policy makers will be more fortunate in having such evidence available. But for this to happen, those implementing the new law will have to act now. Roger Bullock is Commissioning Editor of Adoption & Fostering and a Fellow at the Centre for Social Policy, Warren House Group at Dartington

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Evidence - based CAM: Where does it stand?

In the past 10 years evidence - based medicine (EBM) has developed well in all aspects of allopathic medicine giving a new dimension to patient care including cost reduction and attention to medical ethics. With the public and medical community return to complementary and alternative medicine (CAM) in the last two decades there has been a call for evidence - based CAM … in the same way that all...

متن کامل

Evidence - based CAM: Where does it stand?

In the past 10 years evidence - based medicine (EBM) has developed well in all aspects of allopathic medicine giving a new dimension to patient care including cost reduction and attention to medical ethics. With the public and medical community return to complementary and alternative medicine (CAM) in the last two decades there has been a call for evidence - based CAM … in the same way that all...

متن کامل

Evidence Based Medicine: Clinical Trials

Evidence based medicine is very important for success of modern medicine. It is the ongoing process of using the most reliable evidence from clinical studies, scientific understanding and medical practice to make the best possible medical choice for patients. Evidence based medicine is how medicine advances and how we get improvements in life expectancy and quality of life. It not only identifi...

متن کامل

Reflection for the undergraduate on writing in the portfolio: where are we now and where are we going?

Introduction: The portfolio can be seen as a tool for assessmentof a variety of learning activities that differ in content, usage, andassessment. The portfolio not only meets the learner’s educationalneeds but also the political and public reassurance demand thatthe health professional has achieved the required competency ofthe curriculum that allows him or her to practice safely with orwithout...

متن کامل

I-27: Different Regimens for Endometrial Preparationl

Freezed embryo transfer increases the cumulative pregnancy rate, reduces costs, is relatively simple to undertake and can be accomplished in a shorter time period compared to repeated Fresh cycle. There are different protocols for endometrial preparation. Although frozen embryo replacement cycles, have been used for several years, there is no agreement about the optimal way to prepare the endom...

متن کامل

Adopting Constructivist versus Objectivist Grounded Theory in Health Care Research: A Review of the Evidence

Background and aim: Grounded theory has taken some different theoretical perspectives since its creation in 1967 by Barney Glaser. Considering that applying grounded theory partly depends on an awareness of its philosophical perspectives, gaining knowledge about these various perspectives is required for health care professionals who are interested in studying the social processes. This review ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • Addiction

دوره 110 3  شماره 

صفحات  -

تاریخ انتشار 2015