Desktop Publishing for Human Services

Abstract

Computers, especially microcomputers, are helping human service agencies gather and organize an ever-growing amount of information. The new area of desktop publishing can help agencies present that information to clients, funding sources, reporting agencies, and the community, in a clear and easy to understand manner. Desktop publishing can result in professional looking documents at a fraction of the cost of traditional typesetting methods. This paper outlines some of the concepts and benefits of desktop publishing for human services, and points out some of the potential pitfalls.     

Assessment of client/patient satisfaction: development of a general scale

The development and shaping of a general scale to assess client/patient satisfaction is reported. The scale, the CSQ, was constructed empirically by the authors. The CSQ is a response to several problems and issues that currently cloud the measurement of consumer satisfaction in health and human service systems. These problems and issues in assessing satisfaction are described. Finally, we present practical expriences to date in using the CSQ along with general psychometric qualities of the scale and correlations of CSQ results with client characteristics, service utilization, and service outcomes.     

Part/whole percentaging as a useful method in policy/program evaluation

Part/whole percentaging analysis is a simple and meaningful way of evaluating alternative policies, decisions, or other options with multiple goals measured on different dimensions. That kind of analysis involves converting the raw scores of each alternative policy on each goal into a part/whole percentage by summing the raw scores for each goal and dividing each raw score by the total. One can then sum the part/whole percentages across the goals for each policy after assigning at least tentative relative weights to each goal. Part/whole percentages are added for goals that one would like to maximize and are subtracted for goals that one would like to minimize. Where the relative weight of a goal or score is too difficult to determine, one can determine the threshold value at which there is a tie between the tentative first choice and the second choice, and then just determine whether the actual value is above or below the threshold value. The aggregated part/whole percentages for each policy can be used to choose the best policy, the best subset of policies, or to allocate a budget across the policies in proportion to their aggregated part/whole percentages.     

Dealing with unknown variables in policy/program evaluation

A leading objection to the feasibility of applying benefit-cost analysis in evaluation is that one often cannot know the benefits, the costs, or the probabilities of their occurring for a given proposal. Threshold analysis involves handling unknown variables by converting relevant evaluation problems into questions as to whether a given benefit, cost, probability, or combination of these elements is more or less than a threshold. Above the threshold, the proposed program would be relatively profitable; and below the threshold, it would be relatively unprofitable. Applying that analysis may require the drawing of simple graphs to stimulate the minds of knowledgeable persons as to the range of the actual benefits, costs or probabilities. The approach can be applied when the benefits or the costs are either monetary or nonmonetary, and when the problems involve either go/no-go decisions or conflicting-choice decisions.     

“AM/FM Activism”

SUMMARY

As a cultural approach to LGBT activism, media advocacy, such as that modeled by the Gay and Lesbian Alliance Against Defamation (GLAAD), has grown in importance in the last decade. Drawing on the tactics used to educate the media about national anti-gay defamation issues, GLAAD has recently launched “AM/FM Activism,” an online resource that provides local activists with the tools necessary for responding to defamation in their own communities. Based on participant observation, in-depth interviews, and archival research, this article explores the implications of “AM/FM Activism” as a new form of media advocacy that bridges the gap between national and local activists.     

Recognizing Abuse and Neglect in People with Severe Cognitive and/or Communication Impairments

ABSTRACT

It is widely acknowledged that physical abuse of persons with severe developmental disabilities is prevalent, usually perpetrated by a residential care provider and is rarely reported. However, no solid research on the topic has been reported. This article notes the lack of information about protective services directed to the developmentally disabled population and lack of coordination between agencies serving people with developmental disabilities and those providing protective services. The signs and symptoms of abuse in the developmentally disabled population, the alternative communication strategies required when interviewing, and the special skills needed for case assessment are presented. The author ends with a series of federal, state, and community level policy recommendations.     

Comparative influence of political, cost/benefit, and statistical information on administrative decision making.

The influence of three types of evaluation information was studied in simulated decisionmaking situations within a community mental health center setting. Twelve administrators reviewed one of two decision problems (direct services or indirect services funding) and were then presented political, cost/benefit and statistical information. After each presentation, the administrators rated the importance of each type of information for decision making. Only the cost/benefit data were rated as significantly influencing their decisions. The influence of each type was not dependent upon the decision problem, nor to length of time in administrative positions. The results were interpreted in terms of “who says what, how, and to whom. ” If evaluators desire a greater impact on the decision making behavior of community health administrators, they should consider employing a pay off-based evaluation strategy and providing cost/benefit information.     

Putting schools as socio/economic institutions back into educational evaluation: A response to Kean and McNamara

A number of individuals have proposed the gradual refinement of existing programs, rather than their continual closing down, as a safeguard against educational fads and political pressures. The gradual refinement thesis is extended, refined, and criticized in this article. A different unit of analysis is proposed, one which takes into account the role of educational institutions in assisting in the reproduction of both cultural and economic inequality. It is argued that decisions about the gradual refinement of programs and institutions are not only technical but ideological and politico/economic in nature. Criteria for deciding on gradual refinement, based on a strategy of nonreformist reforms, are suggested.     

The GOAT1 effects impact upon educational R and D

The GOAT (Goodbye To All That) Effect is introduced as a special research and evaluation “outcome” effect characterizing decision-making unduly influenced by abandoning “write-off” tendencies, especially in the face of mounting problems. GOAT behavior can enter into educational decision-making all too easily because it finds a congenial atmosphere in education's habit of fluctuating with the latest trends and vogues and because it can use the prevailing systems analysis approach in much of educational management and evaluation as a blind. The “gradual refinement” approach offers an antidote to the GOAT Effect primarily because it is a fundamentally different approach from systems analysis and directly opposes the faddish orientation of current education.     

(Dis)unity and Diversity in Post-9/11 America

Drawing inspiration from the work of Robin M. Williams Jr., I map out the complexities of ethnic and racial relations in the contemporary United States by focusing on the impacts of 9/11—particularly in relation to immigration policy. Because the attackers entered the country through regular immigration channels (i.e., as foreign students) the U.S. government has introduced policies to enhance border security, restrict immigration, increase the surveillance of immigrant populations, and more actively enforce immigration policy. These national-security-related immigration policies, however, are exacerbating existing tensions and producing new sets of ethnic and racialized conflicts in the United States. In this article, I first provide an overview of the key national-security-related immigration policies that were passed in the wake of September 11, 2001. Then, I review some of the recent sociological literature, as well as draw from my own preliminary research in the State of New Jersey, to illustrate the social impacts of these policies on ethnic and racial relations. I conclude with an outline of the ways the sociology of ethnic and racial relations specifically, as well as other subfields of the discipline, might approach analyses of social conflict in the contemporary United States, post–September 11.     

A Study of An Alternative School for Pregnant and/or Parenting Teens: Quantitative and Qualitative Evidence

In response to multiple problems faced by pregnant and parenting teens, many alternative school-based comprehensive programs have been established throughout the United States. By collecting data from a sample of enrollees of such a school-based comprehensive program and comparing them with data collected from a sample of non-enrollees, the present study systematically evaluates the program. The results of the study seem to suggest that the program participants were more likely to have higher educational aspiration, better reproductive health outcomes, higher contraceptive use, and more breast-feeding practice and intention than those of their non-participating counterparts. The implications of the study findings for comprehensive school-based program for pregnant and/or parenting teens are discussed.Ruhul Amin is a Senior Fellow at the Center for Health Disparities Solutions and Senior Research Scientist in the Institute for Urban Research, Morgan State University, Baltimore, MD 21239. Dorothy C. Browne is the Director of the Institute for Urban Research, Jamir Ahmed is a research assistant at the Center for Health Disparities Solutions and Takanori Sato is research assistants at the Institute for Urban Research, Morgan State University, Baltimore, MD 21239.     

The Dangerous Real: Queer Solo Performance in/as Active Disruption

Abstract

Like all radical community endeavours, queer performance in the United States has been shaped through resistance to restrictive ideologies. National insecurity over ‘indecent’ (read: queer) artistic expression in the US has been aimed at artists working in a variety of genres, and here I focus specifically on queer solo performance artists. This essay explores the dangerous realities that queer artists present to an imagined unified US national identity. I argue that queer solo performers operate as artistic activists, challenging homogenous fantasies about US culture through the queering of experience. Aesthetically disparate, their work is connected by common threads of vulnerability and precarity. The article asks how their work disrupts U.S. insecurities concerning intersections of sexuality, gender identity, race and religion.     

Individualism/Collectivism Orientations and Reactions Toward Alternative Human Resource Management Practices

In this study, we examined the relationship between individualism collectivism orientations of potential job seekers and their reactions toward alternative human resource management (HRM) practices in the areas of selection, performance appraisal, reward system, career system, and employment security. Using several subdimensions of individualism collectivism, we found many significant relationships between individualism collectivism orientations and preferences for alternative human resource management practices that might affect the effectiveness of alternative HRM practices.     

Cost/effectiveness analysis of alcoholism and drug abuse treatment programs: the relevance of recidivism and resource absorption.

Cost/effectiveness measures are increasingly being applied to alcoholism and drug abuse treatment programs. Program evaluators usually regard readmissions as inadequate for assessing outcome, and resource absorption is rarely examined; this paper presents the argument that increased attention to recidivism and resource absorption is integral to the program evaluation process. Readmissions formed 53% of admissions to U.S. drug abuse programs, and in alcoholism treatment centers, 4% of the patients accounted for 24% of the detoxications. Problems with assessing cost/effectiveness are associated with duration of treatment, average cost, time span of analyses, quasi-experimental designs, multiple episodes of treatment, "silting up", and extrapolation. Five approaches to dealing with these problems are suggested: analyzing existing program data bases for recidivism and resource absorption, considering recidivism when evaluating programs, tempering clinical enthusiasm with skepticism, matching patients with levels of care appropriate to previous treatment history, and assessing additional benefit derived from increasing amounts of care per patient as part of cost/effectiveness analysis.     

Queer Christian: The Catholic Homosexual Apologia and Lesbian/Gay Practice

This essay concerns recent positions on homosexuality taken by the Roman Catholic Church and places them with respect to historical documents engaging same-sex desire. Analyzing Aelred of Rievaulx's twelfth-century Spiritual Friendship, John Bloxam's 1894 The Priest and the Acolyte, and Marc-André Raffalovich's 1896 Uranisme et Unisexualité, this essay offers perspectives on contemporary lay and ecclesiastical apologias, defenses, and critiques of homosexual behavior. The relationship between past and present locates the Christian churches' response to the modern homosexual as a historically developed—rather than permanently fixed—model of identity and action.