Third generation information systems: integrating costs and outcomes. Tools for professional development and program evaluation

The authors present specific procedures for obtaining cost per closed case and a case outcome rating for each closed case, computer generated, yielding a cost-outcome report for single cases and aggregated cases. The procedures are illustrated with field data from an alcohol and drug addiction service. Cost per closed case is seen as the new unit cost datum. Combined with case outcome information, the cost-outcome report is seen as a promising new measure of efficiency. The potential of the cost-outcome report as a new basis for professional self-development, increased treatment effectiveness, and program evaluation is discussed.     

Solution-focused group therapy for level 1 substance abusers

The present study compared solution-focused group therapy (SFGT) with a traditional problem-focused treatment for level 1 substance abusers. Outcome research on the effectiveness of solution-focused group therapy is minimal, especially in treating substance abusers. In the present study, clients were measured before and after treatment to determine therapeutic effectiveness. Clients in the solution-focused group significantly improved on both the Beck Depression Inventory and the Outcome Questionnaire. The clients in the comparison group did not improve significantly on either measure. Therapist skill level and adherence to theoretical models were measured in each group to reduce confounding variables.     

What a tangled web we weave: ethical and legal implications of deception in recruitment

Deception in human subject research is neither uncommon nor prohibited. The use of deception in the recruitment phase of clinical research has received relatively little attention. Given that informed consent is foundational to human subject research, the practice of misrepresenting the study purpose in clinical research would seem to contradict one of the fundamental tenets of ethical human subjects research. Using the example of prodromal psychosis, this article the ethical and legal implications of deception in recruitment and the sufficiency of current guidance on the practice when the study involves a stigmatizing condition, the collection of genetic samples, or both. I conclude that when these two elements are present, deception should only be used when absolutely necessary and, if used, researchers should be required to debrief participants before the collection of genetic samples and give particular attention to minimizing risks of privacy breaches.     

Does parental work affect the psychological well-being and educational success of adolescents?

The primary goal of this exploratory study was to observe the presence or absence of empirical associations between various parental working conditions, family and, ultimately, the psychological well-being and educational success of young adolescents in Canada. A structural equation model analysis was undertaken from a large Canadian database. This research project used a sub-sample from the National Longitudinal Survey of Children and Youth, regrouping 3447 young adolescents, aged 12–15, who generally attend high school. The analysis confirmed the suitability of the model for explaining the trajectory of the hypothesized associations. More specifically, the results confirmed that parental working conditions have an indirect effect on the psychological well-being and educational success of adolescents, through family environment, parenting and the quality of the parent–adolescent relationship. The practical implications of this study are discussed.     

Cohabitation or Marriage? How Relationship Status and Community Context Influence the Well-being of Children in Developing Nations

Population Research and Policy Review - Drawing upon the developmental idealism framework (Thornton et al. Sociol Dev 1(2):69–112, 2015), this study examines the relationship between...     

Traditional or Economic Values? Analyzing Absentee Landowner Attitudes Amid Social and Agricultural Transformation in Japan

Agricultural landownership in Japan has changed drastically over the last century due to post-World War II land reforms and cultural, political, and economic shifts in the subsequent decades. Initial land reform shifted the concentrated ownership of land from the wealthy to small-scale farmers. But as Japan industrialized and became more urban-centered, a substantial amount of rural land has been left abandoned or unmanaged by descendants of those farmers. This paper analyzes the attitudes of absentee agricultural landowners in Japan to better understand the prevalence of economically rational versus traditional attitudes toward land ownership. We draw on the rural sociological literature on place attachment to hypothesize why some absentee landowners feel a strong tie to the land of their ancestors, while others would be willing to sell for a reasonable price. We use unique survey data obtained from 466 absentee agricultural landowners in Japan. Logistic regression results indicate that attachment to place, gender, age, educational attainment, and usage of land is significant predictors of whether landowners hold traditional, rather than economic, values. We discuss the implications of these findings for the future of sustainable agricultural land management in Japan.     

Ultrasonometric profiling of incidence and risk of osteoporosis in rural women

BACKGROUND: It is estimated that over 200 million people worldwide have osteoporosis. The prevalence of osteoporosis is continuing to escalate with the increasingly aging population. The major complication of osteoporosis is an increase in fragility fractures leading to morbidity, mortality, and decreased quality of life. This investigation profiled the incidence and risk of osteoporosis in adult women from a rural setting using ultrasonic bone scanning technology. METHODS: Between 2001 and 2005, adult female subjects (n = 323) in the age range of 40-87 were drawn from an independent, community dwelling, convenience sample. Bone mineral density T-scores were evaluated using heel ultrasonometry. Demographic and risk factor data, Merck Osteoporosis Evaluation SCORE questionnaire data, and the Osteoporosis Risk Assessment questionnaire data were analyzed. RESULTS: Results of these scans indicate that 25% of the total population had a T-score < or = -1.0, implying a 1.5- to 2.0-fold increase in risk ratio of hip or spinal fracture for each standard deviational decrease. Age at menopause and weight had a positive correlation with T-scores. While the overall scores on the Merck SCORE questionnaire were inversely correlated to T-scores, no significant correlation was found between the Osteoporosis Risk Assessment questionnaire and T-score data. Additionally, women who had taken estrogen had significantly higher T-scores (p = 0.038) than those who had not. CONCLUSION: That approximately 25% of this sample has low bone mass or osteoporosis underscores the importance of early screening in order to develop preventative awareness and provide education on bone health management. This finding has particularly important ramifications, since the sample was rural women, who typically have limited access to diagnostic bone density procedures.     

Effective workload management in child welfare: Understanding the relationship between caseload and workload

A common assumption in public social service organizations is that workload may be positively associated with caseload. However, few empirical studies have examined what specific characteristics of caseload affect caseworkers' workloads in the child welfare system. This study attempts to address this gap by identifying specific individual and regional factors that influence both subjective and objective dimensions of workloads. Survey data were collected from 1,244 caseworkers at one public child welfare agency in a Midwestern state in the United States. The data indicated that both perceptions of unmanageable workloads and self‐reported overtime work were significantly higher when caseworkers had a greater number of cases than the state caseload standard for the investigations units and worked with at least two different types of cases simultaneously (e.g., working with both investigation and ongoing service cases). Additionally, sufficient staffing numbers to meet caseload demands at the regional level significantly decreased the odds ratio of having to do overtime work. The major findings suggest that the objective and subjective dimensions of workload vary by individual‐ and regional‐level variables. Practice implications are discussed for effective and efficient workload management in the public child welfare system.     

Job satisfaction in Cascadia: A comparison of British Columbia,Oregon, and Washington civil servants

Canada and the USA share a common cultural source in the British Empire, yet within shared democratic traditions, very different political structures, policy processes, and values have been identified. Canada is seen as having a more deferential culture more supportive of government while Americans have been argued to be more individualistic and cynical about the role of government in society. Using a political culture framework, this study examines the degree to which Canadian and U.S. civil servants perceive societal respect for their public sector jobs, and the impact of those perceptions on individual job satisfaction. It is argued that if civil servants feel more valued by society, they are more likely to have higher levels of public service motivation, which then contributes to higher levels of individual job satisfaction. This study employs surveys of Oregon, Washington and British Columbian civil servants conducted in 2011 and 2012 to investigate this relationship. Findings suggest that British Columbian civil servants feel more valued by society when compared to Oregon and Washington civil servants, and these perceptions of positive societal support are associated with higher levels of individual job satisfaction.     

Views on Parent–Child Connectedness Among English- and Spanish-Speaking Parents of High-Risk Youth

This study highlights findings from focus groups on parent–child connectedness conducted with English- and Spanish-speaking parents of high-risk youth in the southern United States. The primary aim of the study was to extend research on parent–child connectedness, a broad protective factor for adolescent risk behavior. In addition to describing strategies and obstacles for enhancing closeness between parents and children, parents in Spanish-speaking focus groups also raised issues related to immigration, acculturation, and bicultural stress. Findings provide valuable insights for practitioners and policymakers seeking to improve parent–child connectedness and reduce adolescent risk behavior, with special insight about Mexican-origin, Spanish-speaking families.