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Using multilevel logistic regression to analyse management data of reablement episodes collected by Essex County Council, a UK local authority, this article identifies constraining and enabling factors for successful reablement. Overall, 59.5% of reablement clients were classed as able to care for themselves when assessed after 13 weeks following the reablement intervention (N = 8,118). Several age-related, disability, referral, and social factors were found to constrain reablement, but some of the largest constraining effects were neighbourhood deprivation as measured through the Index of Multiple Deprivation and, particularly, unfavourable geodemographic profiles as measured through Experian Mosaic consumer classifications. The results suggest that in order to optimise reablement, programmes should consider broader social and environmental influences on reablement rather than only individual and organisational aspects. Reablement might also be better tailored and intensified for client groups with particular underlying disabilities and for those displaying specific geodemographic characteristics. [ABSTRACT FROM AUTHOR]

Drawing historical comparisons between the nineteenth century and the present, this paper describes and analyses how an elite section of the global rich, through mega-giving and a re-emerging notion of ‘noblesse oblige’ that is enshrined in the philanthrocapitalism movement, have fostered a sacred rationale for their extreme wealth. Not only do the new nobles hold the power of wealth but, through mega-giving, they generate a moral imagery akin to religious figures who ostensibly self-sacrifice for the good of everyone else. This generates a form of charismatic authority that affords the super-rich an influential space from which to spread a ‘theodicy of privilege’ - shielding growing wealth concentration from criticism and sanctifying the claim that individual mega-wealth is collectively beneficial. Through its contribution to and facilitation of the inegalitarian status quo, this theodicy engenders various forms of structural violence. Here we explore the mechanisms that enable wealthy donors to position themselves as apparent benefactors of humanity, including a reliance on metrics that appear to justify the claim that targeted philanthropic expenditures can and are reducing global wealth and health inequalities, but which raise unanswered questions surrounding the actual effects of the outcomes claimed. [ABSTRACT FROM AUTHOR]

This article examines the impact of acquittal of homicide defendants on the families of the homicide victim(s), illustrating how the families’ trauma was framed and complicated by the criminal justice process. Homicide trials had particularly compounded their trauma because to manage and partially repair the shattered reality wrought by the homicide, the families were compelled to construct moral and causal narratives about the event. Yet, defense counter-narratives conflicted with those of the families, and the acquittal validated those as truth. This fractured the families’ repair work, denied their claims to victimhood, and prolonged their bereavement indefinitely. [ABSTRACT FROM AUTHOR]

Descriptions of manual employment tend to ignore its diversity and overstate the homogenizing effects of technology and industrialization. Based on ethnographic research on a London construction site, building work was found to be shaped by the forms of a pre-industrial work pattern characterized by task autonomy and freedom from managerial control. The builders' identities were largely free from personal identification as working class, and collective identification was fractured by trade status, and ethnic and gender divisions. Yet the shadow of a class-based discursive symbolism, which centered partly on the division of minds/bodies, mental/manual, and clean/dirty work, framed their accounts, identities and cultures. The builders displayed what is frequently termed working-class culture, and it was highly masculine. This physical and bodily-centered culture shielded them from the possible stigmatization of class and provided them with a source of localized capital. ‘Physical capital’ in conjunction with social capital (the builders' networks of friends and family) had largely guided their position in the stratification system, and values associated with these forms of capital were paramount to their public cultures. This cultural emphasis offered a continuing functionality in the builders' lives, not having broken free from tradition or becoming an object of reflexive choice. [ABSTRACT FROM AUTHOR]

Introduction. Evidence has shown that a well-timed social care reablement can enable people to live more independently, and may help minimize the cost of care over an individual's lifespan [1]. "Reablement" packages provide patients, who are discharged from hospital, with personal at home support for six weeks. We investigate predictive models for the success of reablement packages. Theory and methods. We analyzed 9026 subjects. Logistic regression modeling [2] and machine learning evaluations [3, 4] were used to select influential variables and to assess the predictive value of a set of binary variables. Results. We analyzed the outcome at 13 weeks, when success is defined as self-care, and we observed odds-ratios (OR and 95% confidence interval): Age 0.67 (0.61-0.74), Hours at start 0.67 (0.61-0.73), On the books 0.64 (0.58-0.72), Carer currently involved 0.70 (0.64-0.76), Double career 0.34 (0.27-0.42) and Mosaic 0.88 (0.80-0.96). When examining the outcome of decrease in care hours, we found that double carer was the strongest predictor in the model 4.74 (3.72-6.06). Conclusions and discussion. A major limitation of our modeling is that it is based on data of individuals who have already undergone a selection procedure and have been recommended for reablement by social services or health staff. Based on our results we propose an integrated care approach that seeks to improve the quality of life whilst also possibly reducing the costs as a consequence of an integrated allocation of the reablement. [ABSTRACT FROM AUTHOR]