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31.
A 2002 national expert panel found that the treatment system for adolescents with substance use disorders was inadequate and underdeveloped. The panel recommended immediate improvement in five areas: youth-serving agency collaboration, treatment system financing, workforce development, the implementation of evidence-based practices, and family involvement in all aspects of treatment. In 2004, the Center for Substance Abuse Treatment (CSAT), part of the Substance Abuse and Mental Health Services Administration (SAMHSA), designed the State Adolescent Substance Abuse Treatment Coordination Grant program (SAC) and implemented it in 2005 to address the critical need in the field. This paper reviews the adolescent substance use disorders treatment system, discusses selected drivers for change and the design of the SAC grant program, and summarizes some of the program's results. Both quantitative and qualitative data analysis document that substantive systems development occurred within each of the sixteen grantees and that federal–state partnerships are useful in creating systemic change.  相似文献   
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Basically, our lifespan is determined genetically. However, several other parameters such as the environment, lifestyle and diet have a high impact on living in the best of health. Many older persons suffer from various diseases, which often cannot be avoided; however, their development can be postponed and symptoms can be mitigated by a balanced diet, moderate physical activity as well as a healthy lifestyle. These diseases are, for example, sarcopenia (degenerative loss of muscle mass), osteoporosis (decomposition of bone structure), digestive restrictions, sensory impairment, water imbalance or a compromised immune system. Psychological modifications, obesity and loss of weight also commonly occur in older adults. To define an adequate diet for elderly between the ages 50 and 80 is difficult, even impossible, because the nutritional requirements differ between the dynamic quinquagenarian and the frailer eighty-year-old. However, several studies have shown that sufficient consumption of high-quality proteins, calcium, vitamin D, anti-oxidative food compounds, water as well as adapted energy values and nourishment with high-nutrient density in combination with physical activity especially help one to remain healthy to a great age. The cornerstone of healthy ageing is the maintenance of normal bodyweight in order to prevent the development of diseases such as osteoporosis, coronary heart disease or diabetes type 2. This publication will review the physiological changes that occur with advanced age and consequential nutritional recommendations for elderly persons.  相似文献   
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The revisionist literature of the 1970s approached social stratification in South Africa with the insistence that proper ‘weighting’ of the race and class factors should occur. Arguing that class and not racial consciousness was the key determinant of social structure in pre‐industrial South Africa, it concluded that eighteenth century Cape society in certain areas of the colony was characterised by greater fluidity than the caste system of the American South or industrialised South Africa. George Fredrickson's comparative analysis of American and South African history rejects the first mentioned approach but agrees with the conclusion. This article argues that Fredrickson erred by characterising Cape society as being largely based on class and a permeable colour line. The extent to which Cape Town or frontier society can be categorised as such was limited, while the agrarian Western Cape, in terms of manumission rates and the incidence of mixed marriages, was one of the most rigid caste societies in the world. The article concludes by observing that only by studying how political and class relationships reinforced each other can the full complexity of eighteenth century Cape society be revealed.  相似文献   
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This paper incorporates relevant knowledge about adult development into an understanding of marital conflict, suggests hypotheses to be explored in the marital evaluation and subsequent therapy, and illustrates the concepts presented with case material.  相似文献   
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Abstract

Attempts to incorporate into social work educational programs subject matter related to culture, ethnicity, and women have not produced sequential articulated content. This article presents a framework which provides systematic inclusion of topics pertaining to racial, cultural, ethnic, and women's issues and concerns through all social work curriculum and practice.  相似文献   
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The binary derivative has been used to measure the randomness of a binary string formed by a pseudorandom number generator for use in cipher systems. In this paper we develop statistical properties of the binary derivative and show that certain types of randomness testing in binary derivatives are equivalent to well-established tests for randomness in the original string. A uniform method of testing randomness in binary strings is described based on using the binary derivative. We show that the new tests are faster and more powerful than several of the well-established tests for randomness.  相似文献   
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