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Articles by J. Harris
Total Records ( 3 ) for J. Harris
  J Manthorpe , S Jacobs , J Rapaport , D Challis , A Netten , C Glendinning , M Stevens , M Wilberforce , M Knapp and J. Harris

Individual Budgets are central to the implementation of English government policy goals in social care. Like other consumer-directed or self-directed support programmes operating in parts of the developed world, they are envisaged as a way of increasing individuals' choice and control over social care resources provided by the public sector. While the opportunities they provide for people using services have been identified prospectively in the English context and reflect positive outcomes internationally, little attention in England has been paid to the potential impact on the redesign of social workers' and others' current roles and practice and the training that might be necessary. This article draws on the Department of Health-commissioned evaluation of the thirteen pilot Individual Budget schemes, which aims to evaluate outcomes and identify the contexts and mechanisms of those outcomes. The article focuses on a sub-set of the study that comprised an exploration of early training activities for social workers/care managers and wider stakeholders around the introduction of Individual Budgets. It is based on interviews with representatives from all thirteen pilot local authorities. What happens to social work in adult social services departments in England may be determined in part by these pilots; however, the article also highlights the role of those responsible for training in managing the demands upon social workers/care managers, in responding to their concerns and aspirations, and their possible responsibilities for training people using services in their new consumer roles.

  M Stevens , J Manthorpe , S Martineau , S Hussein , J Rapaport and J. Harris

This article reports on an element of recently completed research that aimed to explore factors leading to placement on the Protection of Vulnerable Adults (POVA) List—a barring list unique to England and Wales. A multiple methods approach was adopted, involving in-depth quantitative analysis of POVA referral records and a set of discussion groups and interviews investigating how decisions were being made. This article focuses on this latter element, setting out and discussing the overall schema for decision making resulting from the analysis, which identified an interplay between emotional and moral responses to the individual referred and evidence about the alleged misconduct. The importance of involving all stakeholders in the development of such a decision-making system is raised through the research and the implications for social workers are explored.

  A. Kroneman , L. Verhoef , J. Harris , H. Vennema , E. Duizer , Y. van Duynhoven , J. Gray , M. Iturriza , B. Bottiger , G. Falkenhorst , C. Johnsen , C.-H. von Bonsdorff , L. Maunula , M. Kuusi , P. Pothier , A. Gallay , E. Schreier , M. Hohne , J. Koch , G. Szucs , G. Reuter , K. Krisztalovics , M. Lynch , P. McKeown , B. Foley , S. Coughlan , F. M. Ruggeri , I. Di Bartolo , K. Vainio , E. Isakbaeva , M. Poljsak-Prijatelj , A. Hocevar Grom , J. Zimsek Mijovski , A. Bosch , J. Buesa , A. Sanchez Fauquier , G. Hernandez-Pezzi , K.-O. Hedlund and M. Koopmans
  The Foodborne Viruses in Europe network has developed integrated epidemiological and virological outbreak reporting with aggregation and sharing of data through a joint database. We analyzed data from reported outbreaks of norovirus (NoV)-caused gastroenteritis from 13 European countries (July 2001 to July 2006) for trends in time and indications of different epidemiology of genotypes and variants. Of the 13 countries participating in this surveillance network, 11 were capable of collecting integrated epidemiological and virological surveillance data and 10 countries reported outbreaks throughout the entire period. Large differences in the numbers and rates of reported outbreaks per country were observed, reflecting the differences in the focus and coverage of national surveillance systems. GII.4 strains predominated throughout the 5-year surveillance period, but the proportion of outbreaks associated with GII.4 rose remarkably during years in which NoV activity was particularly high. Spring and summer peaks indicated the emergence of genetically distinct variants within GII.4 across Europe and were followed by increased NoV activity during the 2002-2003 and 2004-2005 winter seasons. GII.4 viruses predominated in health care settings and in person-to-person transmission. The consecutive emergence of new GII.4 variants is highly indicative of immune-driven selection. Their predominance in health care settings suggests properties that facilitate transmission in settings with a high concentration of people such as higher virus loads in excreta or a higher incidence of vomiting. Understanding the mechanisms driving the changes in epidemiology and clinical impact of these rapidly evolving RNA viruses is essential to design effective intervention and prevention measures.
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