Living on the edge : Social exclusion and the receipt of informal care in older people

Older people have been identified as being at risk of social exclusion. However, despite the fact that care is commonly required in later life and the majority of that care provided by informal carers, a connection between social exclusion and informal care-receipt has rarely been considered. The aim of this study was to examine how informal care-receipt is related to social exclusion. A face-to-face questionnaire survey on social exclusion and informal care-receipt was carried out among older people (n=1255) living in Barnsley, United Kingdom. Multivariable analyses examined the association between social exclusion and categories of informal care-receipt: care receiver; assurance receiver; non-receiver with no need; non-receiver with need. Compared to being a non-receiver with no need participants were more likely to be a care receiver or assurance receiver if they had higher levels of social exclusion. The highest level of social exclusion, however, was found in non-receivers with need. Despite a lack of informal care and support, formal practical support and personal care was also low in this latter group. Findings are discussed in relation to the conceptualisation of care-receipt and how contact with medical services could be an opportunity for identification and appropriate referral of non-receivers with need.

The centrality of the Australian suburb: mobility challenges and responses by outer suburban residents of Melbourne

Living in the suburbs is founded on mobility, as residents move to the periphery of the city, commute to work and travel for shops, schools and leisure. While there have been numerous studies raising critical questions on the vulnerability of outer suburban residents to loneliness, financial and mortgage stress, the actual experiences and challenges posed by the dependence of suburban life on mobility is rarely singled out for attention. Through purposive sampling and then snowballing, eight outer suburban residents participated in photo-elicited interviewing to detail their lifeworlds and mobility experiences. Problems ranged from getting to work to accessing schools, shops and even neighbourhood services as the suburban car culture was embraced but also constrained patterns of movement. However, there was also an array of positive experiences and alternatives to these patterns, including the pleasures to be found in traffic jams and the suburban environment and local actions to establish new pathways and means of movement as well as set up local employment options. Mobility constraint thereby generated a range of unexpected strategies, as residents exercised their agency to shape their experiences, create alternatives and to build suburban centred lives.

Student perspectives on the value of experiential learning in history

This paper is a reflective study of experiential learning as an American history teaching-tool. It is based on a survey of students who took a University of Melbourne study tour to the United States in the years from 2001–2011. This survey asked students to identify the tour’s long-term outcomes. The responses showed that students believed the study tour was beneficial academically, and that it also opened up employment opportunities. However, the most significant benefit identified by the students was positive social outcomes—in other words, the friends they made on the tour and the professional networks they formed. The conclusion we drew from these results was that students believe that experiential learning has a legitimate place in history curriculums, and that it is an antidote to the loneliness they feel in traditional classroom settings.

Ideación suicida y desesperanza en pacientes con cáncer

El objetivo de la presente investigación fue identificar la relación entre ideación suicida y desesperanza en 160 pacientes con cáncer. La ideación suicida se midió a través de dos ítems de una entrevista semiestructurada, la escala de ideación suicida (ISS), el ítem 9 del inventario de depresión de Beck (BDI-IA). La desesperanza se midió con la escala de desesperanza de Beck (BHS). Los resultados obtenidos indicaron una relación significativa (p=.000) entre ideación suicida y desesperanza; una prevalencia de ideación suicida en los pacientes con cáncer entre 4.4% y 13.8% y de riesgo de suicidio entre 5.6% y 30.6%; y algún grado de desesperanza en 31.9 % de los participantes. De acuerdo con lo anterior, se confirma que existe relación entre la desesperanza y la ideación suicida en pacientes oncológicos adultos. Adicionalmente, que estas variables están presentes en los pacientes y que ameritan atención en la intervención interdisciplinaria.