Measurement Issues of Service Use Among Elders

In spite of the frequency with which researchers study service use, there is no clear consensus about how to best measure service use. This article provides a critical analysis of how service use is defined and measured among elders. Specific questions focused on how services are defined and classified, how service use is operationalized, and how the data on service use are collected. Through a comprehensive search of several databases, 20 studies measuring service use among elders and published from 2001 to 2006 were analyzed. Results revealed that most research focused on the health service use among older adults. Services were distinguished and classified based on type of service provided in a majority of the studies. The majority of the studies quantified service use dichotomously in terms of use and nonuse, whereas more than one-third qualified service use in terms of frequency of some unit. Self-report and provider records are two sources of information about service utilization among elders. The suggestions of how to improve measurement of service use among elders are discussed.     

Information Use by Levels in Human Service Organizations

Summary

Theories on organizational structure and the value of information informed observations of patterns of information use by workers in a human service organization. Differences were found in the type and frequency of information used by workers at three different levels-executive, manager and direct service. Findings suggest a gap in the education and training of human service practitioners; suggest effectiveness and efficiency improvements through an organization based design of information systems, To facilitate this, schools of social work must teach the decision-making purposes and processes at each level of the organization. Schools also must expose students to the technologies available to support practice decisions.     

Facilitating Mental Health Service Use for Caregivers: Referral Strategies among Child Welfare Caseworkers

Unmet needs for mental health care are common among caregivers involved in the child welfare system. Although child welfare caseworkers are well positioned to identify service needs and refer caregivers to treatment, little is known about the types of referral strategies used in practice, or their effectiveness for promoting mental health service use. The current study examined child welfare caseworkers' use of different referral strategies and the extent to which these strategies are associated with caregivers' receipt of mental health services within a national sample of child welfare cases. Analyses of the second cohort of families from the National Survey of Child and Adolescent Well-Being suggest that child welfare workers more often use informational strategies for referring caregivers, including suggesting treatment or providing information about treatment options. However, social referral strategies such as providing caregivers with direct assistance in completing applications and making and attending appointments were associated with a greater likelihood of caregivers receiving mental health services. Findings support evidence from other service contexts that service use is facilitated by caseworkers' direct support for arranging services. Implications for research and for child welfare managers and administrators are discussed.     

Ethnicity and Health Service Use in a Women's Prison

ABSTRACT

This paper highlights the findings in relation to health need, ethnicity, and health service use among a sample of women in prison. Medical records review for 129 women and interviews with 15 women were conducted to determine factors associated with differential service use. Statistical analyses reveal that ethnicity and an interaction between ethnicity and whether one is on medication at prison admission (a health need variable) significantly predict extent of service use. Women of color use fewer services overall, with the exception of those on medication. Qualitative analyses reveal that women of color view the quality of medical care and the ways they are treated less positively than White women. Implications for equitable service provision are explored.     

Measuring quality for human service improvement: How nonprofits meet the quality requirements of public authorities

The growing pressure for service quality has led to an increase in the dissemination of quality models in nonprofit human service organizations. In spite of this, little is known about their implementation. The present study therefore examines how quality management directives imposed by public authorities affect the adoption and use of quality measurement systems under different sets of conditions. Key findings, based on survey data from 536 human service nonprofits in Switzerland, suggest that external quality requirements foster the adoption of measurement systems to the greatest degree, but simultaneously reduce their actual utilization for service improvement. The strength of these effects is contingent on the organizations' resources and the quality of indicators. Managers' commitment to quality measurement shows the strongest effect on the use of quality measurement systems. These findings and the implications for future research and practice will be discussed.     

The Impact of Poverty on Children and Young People’s Use of Services

This article describes a qualitative study exploring the impact of poverty on children’s access to and use of services, which took a comparative approach to gather the views of children from more and less affluent households. Findings suggest affordability and related factors including limited mobility constrained service use for less affluent children, resulting in cumulative missed opportunities. However, extended family, friends and agencies facilitated service access, mitigating the impact of poverty on service use to some extent. Research implications include the importance of listening to and taking account of the views of children from lower income families in service planning.     

Older Adults and Emerging Digital Service Delivery: A Mixed Methods Study on Information and Communications Technology Use,Skills, and Attitudes

Based on data from a survey (n = 3291) and 14 qualitative interviews among Danish older adults, this study investigated the use of, and attitudes toward, information communications technology (ICT) and the digital delivery of public services. While age, gender, and socioeconomic status were associated with use of ICT, these determinants lost their explanatory power when we controlled for attitudes and experiences. We identified three segments that differed in their use of ICT and attitudes toward digital service delivery. As nonuse of ICT often results from the lack of willingness to use it rather than from material or cognitive deficiencies, policy measures for bridging the digital divide should focus on skills and confidence rather than on access or ability.     

Homelessness and Children's Use of Mental Health Services: A Population-Based Study

This study examined whether children who become homeless differ from other low-income children in their mental health service use before and after their first homeless episode, and to what extent homelessness is associated with an increased likelihood of mental health service use. Differences between children with and without new onset of sheltered homelessness in the use of mental health services emerged following homelessness and widened over time. Sheltered homelessness and foster care placement history were associated with increased odds of receiving inpatient and ambulatory mental health services. Findings underscore the importance of collaborations between homeless assistance, foster care, and mental healthcare in efforts to mitigate family homelessness and collateral needs among homeless children.     

Parental Substance Use and Foster Care Reentry

Foster care involvement due to parental substance use is a common problem with many challenges associated with service delivery. Using administrative data from a Midwestern state between the years 2009 and 2015 (N = 17,420), this study examines characteristics of substance-abusing families at the time of entry into the foster care system and estimates the risk of reentry subsequent to reunification. Bivariate findings and survival analysis for reentry suggests substance-using parents are more likely to be involved in additional allegations associated with foster care involvement. These results highlight the need for improved services integration and coordinated delivery among service systems.     

Comparing Service Use of Early Head Start Families of Children With and Without Disabilities

The current study compared patterns of service utilization reported by Early Head Start (EHS) families of children with and without disabilities by secondary analysis of data from the longitudinal investigation of the effectiveness of EHS. Findings reveal comparable positive trends for both groups of families for receipt of services corresponding to EHS performance standards promoting child and family development, family support, and health care. Service challenges remain in the low use of dental services overall and the higher use of acute health care services for children with disabilities. Future research should examine causes and outcomes of service use.     

Innovative Use of Computers for Planning in Human Service Organizations

Summary

This paper deals with the question of why some human service organizations are more innovative in their use of computers than others, particularly in the area of strategic planning. Rather than focus upon the technology, per se, it explores the propensity for and context within which human service managers apply computers to matters of strategic importance. It begins with a summary of the two dominant theoretical traditions within which organizational behavior has been viewed. These contrasting perspectives are then applied to the extensive body of empirical findings related to organizational innovation. The result is a discernment of key variables or variable clusters, which provide the basis for alternative accounts of innovative behavior. The emergent use of computers for strategic planning serves as the focus of the study.     

An Ethnographic Approach to Understanding Service Use Among Ethnically Diverse Low Income Families

Poverty is linked to disparity in families access to basic human services and an incapacity to fulfill basic needs. The study described in this paper uses a qualitative research design to address the ecology of service use in the family within the broader social and physical environment. While the focus of this paper relates to the methodology of the study, some substantive results are used for illustrative purposes. Through an in-depth study of families in the contexts of their neighborhoods, our task is to search for patterns and their meanings. This process may uncover the motives and beliefs underlying service use and access among the families in our study.     

An Empirical Analysis of the Influence of Perceived Attributes of Publics on Public Relations Strategy Use and Effectiveness

This study replicates and extends previous research by examining the influence of problem recognition, constraint recognition, involvement, and goal compatibility on use of informative, facilitative, persuasive, and cooperative problem-solving strategies. Members of the Public Relations Society of America (n = 403) were surveyed using direct mail and online modes of administration. The results indicate that perceived attributes of publics significantly influence public relations strategy use in organizations. In addition, attributes of publics were significant predictors of strategy effectiveness. Goal compatibility was found to be the strongest predictor of effectiveness across strategies.     

Predictors of Divorcing Women's Use of Divorce Mediation

Abstract

This study examined the relations between perceived usefulness of mediation, problem susceptibility, mental health conditions, availability of social support, and the likelihood of using divorce mediation service. The sample comprised 124 divorcing women in Hong Kong who sought legal aid to settle matrimonial issues. A large proportion of participants indicated their willingness to use mediation. Logistic regression showed that likely users have higher appreciation of the helpfulness of the service, have poorer mental health, and to some extent, receive lower levels of social support from informal sources. Susceptibility to housing, finance, and child-care problems is not a significant predictor. The results strongly suggest the importance of promoting mediation services to the people in need.     

基于WebGIS上海基本公共服务体系动态管理系统研究

上海应运用技术手段,创新社会管理方法,构建基本公共服务动态管理与评估系统,使系统在现有的电子政务系统基础上,在WebGIS支持下,整合人口信息、空间信息和基本公共服务信息,动态监测基本公共服务运行状况,为上海基本公共服务体系的管理、评估、规划提供科学有效的决策支持。     

Social and Health Service Use and Treatment Outcomes for Sexual Minorities in a National Sample of Substance Abuse Treatment Programs

This study examines substance use severity, levels of social and health service utilization, and the impact of service utilization on treatment outcomes for sexual minorities versus non-minorities. The sample included 3,094 clients from the National Treatment Improvement Evaluation Study (NTIES). Substance use severity among sexual minorities and non-sexual minorities was similar at treatment entry and at 12 months post-discharge. Differences in social and health service utilization were significant for substance abuse counseling and health services. Significant interactions between sexuality and access services and sexuality and mental health services were also found. Practice and research implications are discussed.     

Creative Use of the Career Construction Interview

Designed as part of an individual career construction and life design counseling intervention, the Career Construction Interview (CCI) and My Career Story (MCS) workbook aid career counselors and other career service providers in helping clients construct, deconstruct, and reauthor their career stories. Recently, some career counselors have developed ways of using the CCI and the MCS in group settings. In this article, the author offers 3 additional ways to use the CCI and, thereby, add creativity to the career counseling process. These 3 ways include use of written exercises, career collages, and career portfolios. The article concludes with a call for career practitioners to continue to think creatively in using the CCI with clients.     

Engaging with Disability Services: Experiences of Families from Chinese Backgrounds in Sydney

People from Chinese backgrounds remain underrepresented in disability service use. This paper explores family experiences of using child disability support services to understand how migration and their cultural expectations about disability and service affect the way they use services. Qualitative semistructured interviews were conducted with 13 family carers in Sydney. They were striving to gain good support for their child from formal services. However, most of them were reluctant to express any dissatisfaction to service providers, which meant that assertively requesting different support was difficult and culturally inappropriate. In response, service providers can design nonconfrontational ways to elicit this vital information and support families to gain experience tackling conflict.     

Electronic Media Access and Use for Sexuality and Sexual Health Education Among Men Who Have Sex With Men in Four Cities in Tanzania

Abstract

Background: Electronic media use is an important avenue for reaching stigmatized populations. We examined Internet access and use of sexually related electronic media among men who have sex with men (MSM) in 4 cities in Tanzania. Methods: A questionnaire was administered to 231 MSM in Dar es Salaam, Mwanza, Arusha, and Tanga regarding electronic media type, times of use, type of use and frequency of use of sexually-related media. Results: Mean age was 25.7?years, and 52% had completed high school. Half had access to the internet through personal electronic devices, a further quarter had access through work, 10% through friends’ devices, and only 2% had no access to the internet. Most frequently used electronic devices were personal computer followed by work smartphone, with work computer a close third. These patterns were consistent for both seeking other men for sex and finding sexual health information. All respondents had accessed sexual material electronically at some time. Substantial logged-in time was reported each week seeking/chatting with potential sexual partners (median?=?48 hr), looking at “porn” (median?=?24 hr), and searching for health information (median?=?7 hr). Over 98% indicated that they would use an anonymous/confidential online service for HIV and sexually transmitted infection testing. The majority (79%) had found sexual partners throughout the Internet in the last 24?hours, and 52% sought sexual health education online 2–3 times per week. Peak search time was evenings, increasing during weekends. Discussion: For Tanzanian MSM in cities, sexual electronic media use is high and includes work devices. Sexual health information seeking, and openness to electronic counseling and testing was almost universal. Electronic sites for sexual health access should be explored and evaluated.