Disability management and functional capacity evaluations: A dynamic resource

Functional capacity evaluation (FCE), as an objective resource for disability managers, is an invaluable tool in the return to work process. Effective communication of expectations between the employee, employer, medical providers, disability management team, and the FCE provider contributes to enhancing the benefits of the FCE to all participants. Careful review of the results of the FCE as compared to the employee's other pertinent medical/functional information provides clarity for that person's rehabilitation goals and RTW potential. Finally, future opportunities and proactive uses for the FCE are shared.     

The work ability web: A tool for job matching

A rural community in the Eastern Cape, South Africa, requested assistance in finding a solution for the dilemma of unemployment for persons with disabilities (PWD). The researcher was involved in a multi disciplinary development programme in the community and investigated the possibilities of integrating the PWD in the income generating projects planned for the community at large. This article reports on one of the objectives of this participatory research study: exploring possible ways of job placement in the projects by community workers. The challenge was to find a simplified process by which uncomplicated placements could be handled by community workers, and complex cases identified and referred to the regional occupational therapists. The researcher used a functional assessment kit to assess the level of dependence/independence of each PWD as well as an interview on employment history and personal aspirations and needs. A job analysis was done on five planned projects for the community that would generate income. The data of the functional analysis of each person and the job requirements were then plotted on one web, the work ability web (WAW) to illustrate compatibility. One of the cases from the sample is described to demonstrate the process.     

The sociological perspective and policy analysis: A case study approach

Case studies are widely used in law, medicine and business schools. In this paper an example of how the case method can be used in complex organization, industrial sociology or political sociology classes is presented. The case method also lends itself to an applied approach challenging the student to use a sociological perspective in policy analysis. The utility of the case method for instructors using an applied approach is demonstrated.     

A critical cross‐cultural perspective for developing nonprofit international management capacity

Issues of the effectiveness of international nongovernmental organizations (NGOs) are becoming critical among a claim that cultural sensitivity to people's needs and the appropriateness of interventions is a competitive advantage of the sector. Here, the cross‐cultural management agenda is set out, particularly in terms of the transferability or appropriateness of management knowledge and development interventions. Research propositions are presented that, if supported through future empirical findings, suggest cultural hybridization is a process that can be managed through greater stakeholder involvement, leading to greater appropriateness as well as effectiveness of international NGOs.     

Games of capacity allocation in many-to-one matching with an aftermarket

In this paper, we study many-to-one matching (hospital–intern markets) with an aftermarket. We first show that every stable matching system is manipulable via aftermarket. We then analyze the Nash equilibria of capacity allocation games, in which preferences of hospitals and interns are common knowledge and every hospital determines a quota for the regular market given its total capacity for the two matching periods. Under the intern-optimal stable matching system, we show that a pure-strategy Nash equilibrium may not exist. Common preferences for hospitals ensure the existence of equilibrium in weakly dominant strategies whereas unlike in games of capacity manipulation strong monotonicity of population is not a sufficient restriction on preferences to avoid the non-existence problem. Besides, in games of capacity allocation, it is not true either that every hospital weakly prefers a mixed-strategy Nash equilibrium to any larger regular market quota profiles.     

Assessing organizational capacity for diffusion: A school-based social network analysis case study

The purposeful design of social networks is increasingly recognized as a fundamental organizational improvement strategy. In the PK-12 education sector, school-based teacher collaboration is the primary vehicle through which educators are able to gain access to essential social capital, and through which leaders promulgate diffusion of innovation and continuous organizational learning. In partnership with school administrators, the authors undertook an evaluation to examine the size, structure, and composition of school-based networks. Social network analysis (SNA) was used to measure and visualize connections (or lack thereof) of ties between teams and between educators. Isolate and disconnected network actors were revealed through visual inspection of the sociograms. Administrators used findings to reconfigure team membership to enhance teacher ability to give and receive support and collaboratively problem-solve, and to ensure greater capacity for diffusion of instructional innovation and organizational learning. This paper contributes to the field’s understanding of how evaluators and organizational leaders can use SNA to measure, visualize, and more purposefully design effective patterns of connection between people through which professional knowledge, support, and innovation will travel.     

Employee experiences with family and medical leave: A case study

This article examines employee experiences with family and medical leave policies at an urban public transportation union work site in the United States. The case study focuses on the leave experiences among a sample population of 91 primarily African-American women transit workers, including reasons for taking or not taking leaves, decisions regarding how much leave time to take, and work impacts experienced after returning from leaves. The case study found that all respondents with new babies or ill children took leaves, as did 78% of those with illnesses and 39% of those with ill family members. Among those eligible to take leaves, the most frequent reason for not doing so was the lack of wage replacement. Knowledge of leave policies was minimal and not associated with the likelihood of leave-taking. These findings are discussed in terms of their workplace and community implications, including the need to expand the length and types of family leave coverage, the need for government-mandated paid leave, approaches for increasing employee knowledge of leave rights, and the need for continued research into leave experiences of minority populations.     

The role and significance of endogenous firing costs in a matching model with endogenous job destruction

Traditional models of the labor market assume fixed firing costs. This paper explores the implications of variable firing costs, building this new assumption into a matching model with endogenous job destruction. The available evidence on the outcomes of cases brought to labor courts suggests that firing costs are negatively related with labor market tightness. In such a case, we may no longer invoke “rigidities” on labor markets as the cause of their poor performance. Our model yields three interesting results. First, labor markets may have multiple equilibria that cannot be Pareto-ordered; each with its own configuration in terms of average duration of unemployment and filled jobs, as well as employment protection. Second, the variability of firing costs produces a positive externality affecting the stability properties of these equilibria. Finally, the two externalities affect the efficiency of the social optimum, modifying the Hosios [Hosios, A.J., 1990. On the efficiency of matching and related models of search and unemployment. Review of Economic Studies 57, 279–298] condition. We use these results to interpret the recent history of European unemployment.     

Facilitators and barriers to employment among individuals with psychiatric disabilities: a job coach perspective

Unemployment rates remain high among individuals with psychiatric disabilities despite growing evidence that supported employment programs (SEPs) can help such individuals to obtain and retain competitive employment. A complete understanding of factors that may facilitate or hinder the success of such supported employment efforts is urgently needed to increase the efficacy of SEPs and move more individuals with psychiatric disabilities from welfare to work. This exploratory study provides insight into potential facilitators and barriers to employment among individuals with psychiatric disabilities from the perspective of job coaches. Twenty-eight job coaches from 14 SEPs in a Northeastern state reported on their experience with four recent clients, two who were successful in obtaining employment and two who failed, through a semi-structured mail survey. Findings suggest that job coaches use similar strategies to assist clients, but in each case try to tailor specific strategies to client's needs and characteristics. Factors that influence successful job placement and research and policy implications are discussed.     

Local government training capacity in Romania: an institutional perspective

The article deals with the problems and prospects of local government training in Romania. Training for local government is seen as a rather new service that has to be developed, produced and delivered, like all public services. In the Romanian case, this service is delivered in a semi-public manner. Firstly, the paper will take an institutional view of the capacity of local government training and highlight that conditions in the general environment produce almost insurmountable problems for the small local government training sector to strengthen its capacity. Secondly, the capacity of the local government training will be considered from a market perspective. It will be highlighted that the market for local government training is still very imperfect.     

A socio-ecological perspective of urban green networks: the Stockholm case

Landscape fragmentation threatens habitats, biodiversity and other ecosystem services. In tackling this threat, the dynamic processes of social-ecological systems should be recognised and understood. Although network analysis based on graph theory has been recognised as an efficient way of spatially understanding landscape or habitat connectivity, only few studies have offered specific approaches or suggestions for integrating detailed social-ecological values into geographical distributions. As a contribution to bridging this gap, this paper introduces a social-ecological network model for the issue of landscape or habitat fragmentation applied to the case of Stockholm, Sweden. Graph theory was used in combination with sociotope and biotope maps for simple visualisation of network situations in two-dimensional maps. The European crested tit (Lophophanes cristatus), European common toad (Bufo bufo) and human beings were selected as indicator species, based on a landscape ecology analysis in Stockholm Municipality in 2009. Slope, land use and human disturbance maps were assessed in order to decide cost values of travelling from node to node. Lease-cost-path accumulation was used to create ideal reference maps of green networks. Three separate maps were then developed for suggesting efficient routes for three indicators in city scale that mainly connect from the Royal National City Park to the other parts of the city. The model in Hjorthagen neighbourhood to highlight two practical paths that link this fragmented community to its neighbouring park areas. Findings make it possible to address two scales of network improvement strategies, namely first for the city-scale green network that connects geographical habitats (nodes) and the regional green wedges of the city, and the second that of neighbourhood links between habitats in detailed layers of green networks. Strategic improvement potentials are presented based on ideal reference maps of green networks correspondingly.     

Nonverbal response patterns in physician-patient interactions: A functional analysis

In this paper, we examined physician-patient interactions in terms of the communicative functions accomplished during these encounters. Specifically, the nonverbal communicative exchanges of 38 physician-patient interactions in a family practice clinic were investigated. Two distinctive communicative patterns characterized these interactions. First, physicians nonverbally exerted greater dominance and control by employing longer speaking turns, more social touch, and more pauses while speaking than did the patients. Secondly, physicians and patients tended to reciprocate nonverbal behaviors signalling affiliation including gaze, response latencies, body orientations, and gestures. Consistent with previous research, there was a strong positive relationship between patients' satisfaction with health care and perceptions of the physicians' affiliativeness. Although there were few significant effects, physicians perceived less affiliative tended to be more vocally and gesturally active relative to the patients' nonverbal behavior styles. Finally, there were positive relationships between patients' perceptions of physicians' dominance and the physicians' use of task touch, and the extent to which physicians produced more interruptions and maintained more indirect body orientations relative to the patients' performances of these behaviors. The results are discussed in terms of the communicative functions of nonverbal behavior in physician-patient interactions and of patients' preferences for physicians' nonverbal expressiveness.The authors wish to thank Joe Cappella, Howard Waitzkin, Martha Davis, and William B. Stiles for their helpful comments on previous drafts of this paper.     

Employment protection legislation and job stability: A European cross‐country analysis

Based on Eurostat data on wage employment for the period 1999–2006, this article investigates the dynamics of job tenure across the European Union. The authors’ analysis shows no generalized decline in job tenure, but a trend towards shorter tenure among young workers (aged 15–24 years) in many European countries. Their regression results indicate that this trend is associated with the weakening of employment protection provided by law and by trade unions. Given young workers’ weak individual bargaining power, the trend towards individualization of the employment relationship may thus affect them disproportionately.     

AIDS: A case management approach. The illinois experience

The Illinois Department of Children and Family Services provides through their Medical Foster Care Program substitute living arrangements for wards of the state with positive antibody tests, ARC, and AIDS. At present there are ten children (eight in Cook County) that fall into one of these categories. Half (5) of these children are infants under the age of one year. Three (3) are adolescents who were exposed through intravenous drug abuse and/or prostitution. Case illustrations and discussion together with case planning and management techniques are presented for two of the cases: an adolescent with a positive antibody test, and a three-year-old with AIDS. Current trends and future issues for investigation are also presented.     

The ethics of using Nazi medical data: a Jewish perspective

The notorious experiments on concentration camp prisoners conducted by Nazi scientists produced a body of data still referred to by researchers. The Jewish tradition offers resources for deciding on the morality of using this material.