Disability management and psychosocial rehabilitation: considerations for integration

Disability management strategies have been successful in preventing or accommodating physical disabilities in the workplace. Similar success has not been realized in the realm of psychological/mental health related disabilities. Integration of the principles and strategies of psychosocial rehabilitation and disability management programs can assist employers to control costs related to psychological/mental health disabilities and protect individual workers employability.     

Risk management: a general framework for rural development

This paper proposes a new concept of rural development in an uncertain world. The nature of risk and uncertainty is discussed and risk management is defined as a positive model of economic and social behaviour. Some relevant paradigms for rural development are reviewed and evaluated within the general approach of risk management. It is demonstrated that the proposed view of risk management can effectively combine and reconcile different approaches by highlighting their advantages and shortcomings. Departing from a subjective definition of risk management, we progressively include its social dimensions which introduce both complexity and structure into the process of rural development.     

网格化：现代城市管理新模式——网格化城市管理模式若干问题初探

网格化城市管理模式是在"数字城市"迅速建设与发展的背景下产生的新型城市管理模式,是城市管理工作的新突破.网格化城市不仅是现代信息技术在城市管理领域的集中应用,而且为城市管理理念提供了新的范式.     

Interorganizational network portfolios of nonprofit organizations: Implications for collaboration management

Increasingly, nonprofit organizations engage in interorganizational collaboration to address large‐scale social problems. Scholarship typically focuses on the characteristics of both within‐sector and cross‐sector partnerships of two collaborating organizations or all partnering organizations involved in a collaboration, but we know little about the patterns of interorganizational relationships that single nonprofit organizations maintain. This research draws upon surveys from 452 nonprofits and introduces nonprofit network portfolios, which we define as the number, integration, intensity, and duration of relationships that nonprofits purposefully develop with other organizations. Using 12 network measures, Ward cluster analysis revealed three distinct network portfolios: restricted within‐sector (n = 319, 70.58%), which included limited collaboration and prioritized within‐sector partnerships; robust within‐sector (n = 80, 17.70%), which included more nonprofit partnerships than restricted within‐sector portfolios; and cross‐sector (n = 53, 11.72%), which had a rich assemblage of integrative partnerships with nonprofits, businesses, and government agencies. Further, nonprofits that maintained each type of portfolio differed in their revenue and social mission, suggesting these factors are related to the types of collaboration that nonprofits maintain. This study makes contributions to existing research on interorganizational networks and cross‐sector collaboration and suggests practical and policy implications for nonprofit network management.     

The modern management of erectile dysfunction: choices available for treatment

Rat parathyroid hormone (PTH) 1-34 (4?μg/kg/day) was applied for 2.5 months to 9 month-old rats immediately after ovariectomy or orchidectomy or to 15 month-old rats with low bone mass which had been castrated 6 months before in order to know the effects on serum biochemistry parameters, lumbar and femoral bone mineral density, histology, cancellous and cortical bone histomorphometry, mineralisation content profile in cortical bone by backscattered-electron microscopy, and femoral torsion biomechanical testing. In ovariectomised rats, preventive PTH treatment avoided cancellous bone loss in tibial metaphysis and partially in lumbar vertebra, while in cortical bone, PTH increased endosteal resorption and periosteal formation. In intervention study, PTH did not restore cancellous bone but a strong endosteal and periosteal new bone formation was detected. In orchidectomised rats, PTH, in preventive study, avoided cancellous bone loss in metaphysis and lumbar vertebra, and a mild new bone formation in cortical bone was found. In intervention study, PTH maintained baseline cancellous bone mass, but in cortical bone a strong endosteal and periosteal new bone formation was detected. The PTH-induced new bone formation was confirmed by histology and by mineral content profiles. After castration, biomechanical properties were affected in females but not in male rats and PTH reverted this effect.     

Turn it around: short-term management for aggression and anger

1. Although nurses are at considerable risk for assaults, there are few practical and specific guidelines for controlling anger and aggression. 2. A training course was developed to give staff the necessary skills and knowledge to cope with clients who have the potential to become angry and assaultive, or those who have already become violent. 3. Participants in the training course felt more confident in managing potentially violent situations, and they reported relying on methods to de-escalate the situation to halt a sequence that would ultimately lead to violence.     

Potential of decentralized wastewater management for urban development: Case of Bangkok

Decentralized wastewater management (DWWM) has recently gained much attention in wastewater management (WWM) due to its build-as-you-go principal. Rapid urban development and the widespread impact of wastewater require sustainable ways to test the DWWM approach. This paper aims to examine and discuss the potential of Bangkok’s current WWM approaches for urban development, focusing on decentralized management approaches. General WWM approaches were examined using case study research methods. Three WWM cases were selected for detailed investigation. Residential wastewater user surveys and expert interviews were used to support system performance findings of service providers and recipients, as well as to draw lessons learned. Results show that DWWM is economically and technically efficient, demonstrating potential for sustainable urban development (SUD) in the study area. The competitive cost found is a result of less sewer line, simple technology, and limited additional costs, while the high efficiency is a result of good operation and maintenance. Also the reclaimed water has been used for landscape irrigation of the urban greenery. Sustainability of the system lies in social value of public amenity it provides, and the urban planning implication that it could be an option for smart growth. The results also show that even in an inner urban area DWWM does not conflict with any SUD considerations. Thus, the study recommends using DWWM for new development within both public and private properties based on Bangkok’s case as part of long-term urban development.     

Hypnosis for pain management

Nurses are in a key position to learn and use hypnosis with patients to reduce pain and enhance self-esteem. However, most nurses lack knowledge about the clinical effectiveness of hypnosis and may seek continuing education to become skilled in its use. Painful procedures, treatments, or diseases remain a major nursing challenge, and nurses need complementary ways to relieve pain from surgery, tumors, injuries, and chemotherapy. This article examines the evidence base related to hypnosis for pain management, as well as how to assess and educate patients about hypnosis.     

Looking for sufficient change: Evaluation of counsellor training for STI syndromic management in India

In India, public health care of Sexually Transmitted Infections is delivered through Designated STI/RTI Clinics (DSRCs) using syndromic management. This paper describes efforts, over three years, to improve in-service training for counsellors positioned at DSRCs—using a data approach. The programme managers realised, through rigorous monitoring of initial induction training reports that, while knowledge and attitudes of most trainees had improved as evident from t-tests, at least one-quarter scored worse on post-training assessments (n = 859). Therefore, they undertook a survey using a competency approach to diagnose what critical competencies are influenced through training: counselling skills, risk reduction suggestions, labelling male and female anatomy, record-keeping and STI patient education (n = 132). Survey results demonstrated that trainees failed to pass a two-thirds cutoff score in most competencies. These findings led the programme managers to modify training and implement tighter quality measures. In the second round of training – refresher training – outcomes on competency assessments before and after training showed more acceptable performance (n = 833). The paper describes how programme managers, after an acceptance of such initial short-comings, developed customized assessments when literature provided limited guidance and how they worked to achieve change that was acceptable for programme needs.     

Building capacity for urban management in Ghana: some critical considerations

Severe capacity gaps continue to constrain effective urban management in Ghana, despite numerous donor-supported training programmes. This paper examines the nature of these capacity gaps and analyses specifically the factors contributing to the low attraction and retention of local government staff: politicisation of the bureaucracy, excessive use of external experts, excessive state intervention in skill development and low remuneration of local government staff. Against this background, the paper reviews critically a recent capacity building initiative: the establishment of the (new) Institute of Local Government Studies in Accra. Suggestions to improve capacity building for urban management in Ghana are offered. These include the need to prepare a coherent strategy to guide and co-ordinate stakeholder inputs in capacity building; to place training in the context of institutional development; and encourage the development and use of local expertise in donor assisted projects; and, promote merit-based remuneration of local government staff.     

Case management for child protection services: A multi-level evaluation study

This article presents an evaluation study of a case management method for child protection services, the Delta Method for Family Supervision, in terms of supervision order duration and occurrence and duration of out-of-home placements. Additionally, case and case manager characteristics were examined. Data was collected about 224 cases, 58 case managers and 30 team managers of all 15 offices of the Child and Youth Protection Services in the Netherlands. In all cases the Delta Method was applied. Data were obtained by interviews, questionnaires and case files. Multi-level analysis was performed to study the influence of independent variables on supervision order duration, and the occurrence and duration of out-of-home placements. Case characteristics related to 87% of the differences in the duration of supervision order, case manager characteristics to 13% of the differences. Some case manager characteristics about applying the Delta Method were significantly related to shorter duration of the supervision order and the occurrence and duration of out-of-home placement. Case characteristics also showed strong relations. Together with the more general aspects of case management supported by this study, such as a one family and one worker approach, this contributes to a more effective practice of case management for child protection services.     

Prevention in child welfare: a framework for management and practice

Development of preventive programs in child welfare has been handicapped by the necessity to serve those in immediate need. A framework defining the role, objectives and techniques of prevention is based on a different perspective for service.     

Financial management: Development of scales

This study is a contribution to the development of family resource management scales, specifically financial management scales. Principal axis factor analysis, with varimax rotation, is used to assess underlying relationships in 23 family resource management variables related to time and money resources. Reliability and content, construct, and criterion-related validity of the scales are assessed. Two scales that are reliable and have some degree of validity are developed: frequency of financial problems and frequency of financial management. The scales could be used in future research, teaching, or counseling to organize financial management concepts.Preparation of this research was supported in part by the Illinois Agricultural Experiment Station. Data were collected in conjunction with the cooperative regional research project NC-182, Family Resource Utilization as a Factor in Determining Economic Well-Being of Rural Families. Cooperating states are Arizona, California, Illinois, Indiana, Iowa, Kansas, Michigan, and Minnesota.She received her Ph.D. from the University of Illinois; her current research interests include gender roles, family financial management, and economic well-being.Her current research interests include family financial management and consumer bankruptcy. She received her Ph.D. from the University of Missouri.Her current research interests include the economic well-being of various family forms. She received her Ph.D. from the University of Illinois.She received her Ph.D. from the University of Illinois. Her research interests are economic well-being and quality of life.     

Deinstitutionalisation: the management of rights

This article is based on an ethnographic study of the closure of a large institution for people with intellectual disabilities in Australia. The research involved 20 months of field work including participant observation in a locked unit at the institution, 120 interviews with those closing the institution, staff and families involved with people living there. The researcher was also involved as a participant observer in the closure of the institution. The paper argues that deinstitutionalisation is a problematic process because it necessarily involves a tension between two incompatible discourses: one concerned with the 'rights' of people with intellectual disabilities and the other with their 'management'. This tension leads inevitably to compromises in the practice of deinstitutionalisation. The paper concludes by exploring the implications of this argument for future institutional closures.