Toward a standard of care for child ADHD: implications for marriage and family therapists

In this article, we briefly review the etiology of Attention Deficit Hyperactivity Disorder (ADHD) and describe the most current scientifically supported theory about the nature of this disorder. Based on the research literature, several organizations have established standards of care for its diagnosis and treatment, which involves a multimodal strategy for treatment at the biological, individual, family, school, and community levels. Assessment and treatment guidelines are provided for Marriage and Family Therapists (MFTs), and specific areas of competency are proposed for MFTs who are working with children who have ADHD.     

A comparison of three methods of estimating the logistic regression coefficients

A Sampling experiment performed using data collected for a large clinical trial shows that the discriminant function estimates of the logistic regression coefficients for discrete variables may be severely biased. The simulations show that the mixed variable location model coefficient estimates have bias which is of the same magnitude as the bias in the coefficient estimates obtained using conditional maximum likelihood estimates but require about one-tenth of the computer time.     

The context of infants' giving gestures in mother-infant dyads: Typical giving gestures and those contingent on exploration and play

This study aimed to focus on a niche that has not yet been investigated in infants' gesture studies that is the effect of the prior context of one specific gestural behavior (gives) on maternal behavior. For this purpose, we recruited 23 infants at 11 and 13 months of age yielded 246 giving gesture bouts that were performed in three contexts: typical when the object was offered immediately, contingent on exploration, and contingent on play. The analysis revealed that maternal responses to infants' giving gestures varied and were affected by their age and gesture context. Hence, mothers amended their responses according to the background that generated each gesture. The number of verbal responses to infants' giving gestures decreased as the infants aged, whereas the number of pretense responses increased. For infants aged 11 months, mothers generally provided motor responses to typical gestures. However, for infants aged 13 months, this trend declined and was replaced by a strong positive correlation between giving gestures contingent on play and verbal responses. We concluded that the type of activity with objects prior to employing giving gestures could enhance infants' symbolic skills because caregivers monitor the contingent act that yields the gesture that shapes their response.     

Migrant remittances and household wellbeing in urban Zimbabwe

Evidence from household surveying in December 2005 in Harare and Bulawayo, Zimbabwe, indicates that a wide network of international migrant remitters are ameliorating the economic crisis in Zimbabwe by sending monetary and in-kind transfers to over 50 per cent of urban households. The research combines quantitative measurement of scale and scope, with demographic and qualitative narrative to build a holistic picture of the typography of receiving and non-receiving households. A complex set of interrelated variables helps to explain why some households do and others do not receive income and goods from people who are away, and the economic and social extent of their subsequent benefit from them. Moreover, the mixed methods approach is designed to capture inter-household and likely macroeconomic effects of how households receive their goods and money; and of how they subsequently exchange (if applicable), store and spend it. Evidence emerges of a largely informal, international social welfare system, but one which is not without adverse inter-household effects for some. These include suffering exclusion from markets suffering from inflationary pressures, not least as a result of other people’s remittances. This paper explores the role of remittances, within this internationalised informal welfare system which we can map from our household survey, in reframing vulnerability and marginalization differentially among and between our subject households.     

Defining high-performance teams and physician leadership

Learn to define the essential hallmarks of high-performing teams and look at the role of physician management in this team-based environment.     

Re B‐S: a glass half full? An exploration of the implications of the Re B‐S judgment on practice in the family courts

The family courts in England and Wales are being significantly reformed in line with the coalition government's aim to speed up the process and increase the numbers of children being adopted from care. In September 2013, the Court of Appeal handed down a judgment, Re B‐S (Children) [2013] EWCA Civ 1146, that has wide‐ranging implications for professional practice and decision making in care proceedings. The judgment challenges the policy direction and provides guidance about what is required before courts can make orders separating children from their birth families, particularly in cases of non‐consensual adoption. In this paper, we outline the changes occurring in the family justice system, some key elements of Re B‐S, and examine the challenges for implementing practice consistent with the requirements of Re B‐S. It is argued that the standards set by Re B‐S are unlikely to be fully implemented without much further attention to the complexities posed by the policy and practice context of social work with children and their families involved in care proceedings.     

Partitioning large signed two-mode networks: Problems and prospects

While a substantial amount of attention within social network analysis (SNA) has been given to the study of one-mode networks, there is an increasing consideration of two-mode networks. Recent research on signed networks resulted in the relaxed structural balance (RSB) approach and its subsequent extension to signed two-mode networks involving social actors and social objects. We extend this approach to large signed two-mode networks, and address the methodological issues that arise. We develop tools to partition these types of networks and compare them with other approaches using a recently collected dataset of United Nations General Assembly roll call votes. Although our primary purpose is methodological, we take the first step towards bridging Heider's structural balance theory with recent theorizing in international relations on soft balancing of power processes.     

Change IS Possible: Reducing High-Risk Drinking Using a Collaborative Improvement Model

Abstract

Objective: To describe the adoption of public health and improvement methodologies to address college students’ high-risk drinking behaviors and to aid in prevention efforts. Participants: Members of 32 colleges and universities, content experts, and staff members of the National College Health Improvement Program (NCHIP). Methods: A 2-year learning collaborative developed by NCHIP trained individuals from 32 different college and universities in using the Plan–Do–Study–Act cycle as a method to create and implement initiatives aimed at reducing students’ high-risk drinking behaviors and related harms. Results: Participants experienced success ranging from noteworthy increases in type and amount of interventions directed at reducing high-risk drinking, to creating collaboratives across campus, the local community, and stakeholders. Challenges related to data collection and creating lasting cultural change remain. Conclusions: The use of quality improvement methodologies and creation of a national collaborative successfully effected meaningful change in high-risk drinking behaviors on college campuses.