Estimating the cost of direct reimbursement of marriage and family therapy under Medicare

In this article, we investigated the estimated cost to the Medicare program for covering psychotherapy services provided by marriage and family therapists (MFTs). Historical trends were identified by using psychotherapy cost and utilization data for the years 1999-2001. Using these trends, projections for the years 2002-2006 were made with MFTs included as providers. Employing this methodology, the 5-year estimated net increase and gross increase in cost due to the provision of psychotherapy services by MFTs was found to be approximately dollar 10.5 million (or dollar 2.1 million per year) and dollar 13.9 million (or dollar 2.8 million per year), respectively. This represents an increase of less than 1/2 of 1% of the Medicare mental health budget, and less than .0015% of Medicare expenditures overall.     

The development of core competencies for the practice of marriage and family therapy

In response to a series of national policy reports regarding what has been termed the "quality chasm" in health and mental health care in the United States, in January 2003, the American Association for Marriage and Family Therapy convened a task force to develop core competencies (CC) for the practice of marriage and family therapy (MFT). The task force also was responding to a call for outcome-based education and for the need to answer questions about what marriage and family therapists do. Development of the CC moves the field of MFT into a leading-edge position in mental health. This article describes the development of the CC, outcomes of the development process for the competencies, and recommendations for their continued development and implementation.     

Behavior change and the freshman 15: tracking physical activity and dietary patterns in 1st-year university women

OBJECTIVE AND PARTICIPANTS: The authors assessed the stability of diet and physical activity and their relationship to weight changes in first-year university women. METHODS: They collected anthropometric and body composition data from 101 resident women at the beginning of their first year of college and again at 12 months. The authors obtained physical activity and dietary logs 4 times throughout the year. RESULTS: Caloric intake decreased over 12 months in all participants (p = .01). There was little change in physical activity in participants who lost weight (p = .73, d = .18). Those who gained weight experienced a trend toward decreased physical activity (p = .13, d = .38). A significant Time X Group interaction on physical activity (p = .04) suggests that physical activity patterns differed substantially between individuals who gained weight and those who lost weight. CONCLUSIONS: Reduction in physical activity appears to be the defining characteristic in freshman weight gain.     

The effects of death reminders on sex differences in prejudice toward gay men and lesbians

Terror management research shows that death reminders (mortality salience) increase prejudice toward worldview violators. Two studies investigated whether death reminders exacerbated differences in heterosexual men's and women's reports of sexual prejudice (negative attitudes based on sexual orientation). Results showed that following death reminders, sex differences in anti-gay discrimination and affective prejudice toward gay men (but not toward lesbians) were larger, and that these increased sex differences were mediated by gender role beliefs. The current studies suggest that researchers may attenuate the effects of death reminders by lessening the perceived worldview violation in addition to alleviating the existential terror of death.     

Estimating the Relative Density of Snapper in and around a Marine Reserve Using a Log-Linear Mixed-Effects Model

Angling from small recreational fishing boats was used as a sampling method to quantify the relative density of snapper ( Pagrus auratus ) in six areas within the Cape Rodney-Okakari Point Marine Reserve (New Zealand) and four areas adjacent to the reserve. Penalized quasi-likelihood was used to fit a log-linear mixed-effects model having area and date as fixed effects and boat as a random effect. Simulation and first-order bias correction formulae were employed to assess the validity of the estimates of the area effects. The bias correction is known to be unsuitable for general use because it typically over-estimatesbias, and this was observed here. However, it was qualitatively useful for indicating the direction of bias and for indicating when estimators were approximately unbiased. The parameter of primary interest was the ratio of snapper density in the marine reserve versus snapper density outside the reserve, and the estimator of this parameter was first-order asymptotically unbiased. This ratio of snapper densities was estimated to be 11 (±3).     

Interviewing vulnerable old people: ethical and methodological implications of imagining our subjects

It is sometimes argued that interview research with vulnerable social groups, such as frail, lonely, older people, has distinctive ethical and methodological requirements. The conventional one-off, professional interview is seen to be both inadequate as a method of data collection and inimical to the interest of research subjects. While ideologically persuasive, such a view is not derived from systematic analysis of actual interviews. In this article, I describe a research project on social isolation in which the conceptualization of elderly interviewees as "vulnerable subjects" had a number of critical but intended impacts on the course and outcomes of the research. I offer an empirically grounded analysis of the interview situation that suggests an alternative reading of the relationship between social representation of aging persons and the methods we use to study them.     

Gambling Responsibly: Who Does It and To What End?

Numerous responsible gambling (RG) strategies are promoted to assist consumers to “gamble responsibly”. However, consumer adoption of RG strategies, how this varies by gambler risk group, and whether usage is associated with non-problematic gambling are largely unknown. This study aimed to (1) determine how use of RG-related strategies differs amongst regular gamblers by gambler risk group; and (2) identify RG-related strategies whose usage predicts non-problem/low risk gambling. Regular Australian gamblers on high-risk products (N = 860), recruited through gambling venues and an online wagering operator, were surveyed about their use of RG strategies promoted on the website of their jurisdiction’s main RG agency. Knowledge of RG strategies was reasonably high amongst all gambler risk groups, but lower-risk groups were more likely to use RG strategies. A logistic regression correctly predicted 82.1 % of lower-risk gamblers and 77.2 % of higher-risk gamblers. Predictors of lower-risk gambling included: greater confidence in their understanding of RG; endorsement of lower gambling expenditure and frequency limits; fewer erroneous gambling beliefs; being less likely to gamble to win money, challenge their skills/beat the odds, or forget about worries and stresses; and being more likely to gamble for pleasure/entertainment. Lower-risk gamblers were more likely to set a money limit in advance of gambling and to balance their gambling with other activities. These findings contribute to understanding which strategies are favoured by different risk groups, and which are associated with safer levels of gambling. They can guide consumer information aimed at enhancing RG consumption and future research on RG consumption.     

Diagnostics for the bootstrap and fast double bootstrap

ABSTRACT

The bootstrap is typically less reliable in the context of time-series models with serial correlation of unknown form than when regularity conditions for the conventional IID bootstrap apply. It is, therefore, useful to have diagnostic techniques capable of evaluating bootstrap performance in specific cases. Those suggested in this paper are closely related to the fast double bootstrap (FDB) and are not computationally intensive. They can also be used to gauge the performance of the FDB itself. Examples of bootstrapping time series are presented, which illustrate the diagnostic procedures, and show how the results can cast light on bootstrap performance.     

‘Environment’ Submissions in the UK's Research Excellence Framework 2014

There has been much debate about university research assessment exercises. In the UK, a major element of the 2014 Research Excellence Framework (REF2014) has been the research environment. Here we analyse 98 REF2014 ‘environment’ submissions in Business and Management Studies. We explore whether there are distinctive language‐related differences between submissions of high and low ranked universities and conclude that submission writers have a strong incentive to exaggerate strengths and conceal problems. In addition, innate biases such as the ‘halo’ and ‘velcro’ effects may distract the attention of assessors from a submission's strengths and weaknesses, since they are likely to influence their pre‐existing impressions. We propose several changes to improve how environment is evaluated. We also argue that the research environment would be more likely to be enhanced if the number of outputs submitted in future was an average of two and a maximum of four per academic, rather than the maximum of five currently being considered.     

Geographies in the American DeafWorld as institutional constructions of the deaf body in space: the sensescape model

Space is a site where culture and body meet. It is a physical text of cultural constructions of the body that articulate personal, social and material functions and arrangements. The American DeafWorld consists of spaces where deaf and hard of hearing people are found. The geographies in the DeafWorld are the sites where different institutions create and imprint their ideologies, practices and properties pertaining to their sensory notions of the deaf body onto brick-and-mortar spaces in the DeafWorld. Sensescape is proffered as a theoretical model to describe DeafWorld institutional geographies.