Revisiting Home Visiting

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General Practice Revisited

‘This study of general practice and the attitudes of patients and general practitioners to it is the most significant book yet written about the NHS.’ This was how the reviewer in the ‘British Medical Journal’ reviewed Ann Cartwright’s earlier book Patients and their Doctors. In General Practice Revisited, originally published in 1981, Ann Cartwright and Robert Anderson compare the experiences and views described in the first study, carried out in 1964, with those revealed by a second survey in 1977.In the intervening period there were a great many changes in the organization of general practice. For example appointment systems and nurses working in the surgery became the rule rather than the exception, and the number of doctors working in health centres or using deputizing services rose dramatically. This study shows how the basic patient-doctor relationship has been affected by these changes. A fundamental feature of the survey is the demonstration that the attitudes and practices of patients and doctors are linked, and that it is possible to relate the experiences and degree of satisfaction of patients to the doctor’s age, sex, size of practice, equipment, ancillary help, and indeed to the doctor’s views and habits.By bringing the picture of general practice up-to-date Ann Cartwright and Robert Anderson provided the basic data for any discussion of primary health care in this country at the time.
Effective Interventions for Children in Need

This book sets out the current state of knowledge about what works in reducing impairments to children’s health and development. Little and Maughan’s book applies a high standard of proof and reproduces only the work of the leading intervention scientists from around the world. After discussing the real world challenges to more effective children’s services, the book goes on to cover policy and practice proven to change the lives of all children, and extends also to effective programmes targeted at children with specific disorders. Examples include changes in household income, early years support, moving families to less disadvantaged communities, improving parenting and using schools to better mental health. The benefits of evidence-based programmes are specified, as are the costs to society of not intervening. The evidence is used to make recommendations about getting effective policy and practice into routine use, and includes illustrations of successful applications of these ideas.
Stopping Child Maltreatment Before it Starts

Early prevention of child maltreatment is most commonly delivered through home visitation services, with the goal of promoting a positive start in parenting to avert potential child abuse and neglect, Stopping Child Maltreatment Before It Starts introduces best practice principles for early home visiting, examining the contexts from which these strategies arise. Beginning with a discussion of the nature and etiology of physical child abuse and neglect, Guterman then examines the mechanisms by which child protective and early home visitation services have traditionally operated. The book explores best practice principles by providing a detailed "inside tour" of those practices that have been empirically linked with positive outcomes in serviced families. Guterman also discusses in detail ways how home visitation may more adequately address the problem of family substance abuse in reducing child maltreatment risk, and ways visitation can attend to social network and community influences and increase parent empowerment. An essential text for child welfare courses, Stopping Child Maltreatment Before It Starts will also appeal to practitioners and policy makers in the child abuse and neglect field.