Differences in white-nonwhite community mental health center service utilization patterns

Routinely collected computerized data were used to study the process of service delivery in terms of admission patterns, type and quantity of services rendered, and status at termination for whites and nonwhites in two community mental health centers. Social area analysis techniques were employed to control for socio-economic status, ethnicity and life style variables, and an epidemiologic model was used to analyze admission and service delivery rate differences. It was found that nonwhite admission rates were at least twice as great as white rates. Service delivery rates to the population at large were considerably greater for nonwhites than for whites. Delivery of direct services within the centers differed for whites and nonwhites, but no consistent trends emerged when types and amounts of services rendered were analyzed, controlling for sex, ethnicity, age, diagnosis and social area. Disruption of care indices were greater for nonwhites than for whites. Highlighted were some of the complexities involved in interpreting results of utilization studies.     

Association between sexually explicit messages and sleep health among French sexual minority men

It has been demonstrated that sexual minority men (SMM) participate in sexting. While research has shown that engagement in the exchange of sexually explicit media is associated with poor health outcomes, no previous research has investigated its association with sleep health outcomes. This study sought to examine the association between sexually explicit media and sleep health among SMM, a population that suffers from poor sleep health. A popular geosocial networking application was used to recruit SMM individuals (N?=?580) in the Paris, France, metropolitan area. Multivariate analyses, adjusting for sociodemographics, were used to test the association between the frequency of sexually explicit messaging and three dimensions of sleep health: (1) sleep quality, (2) sleep duration, and (3) two aspects of sleep problems. In multivariate analyses, those who reported engaging in sexually explicit messaging more were more likely to report getting less than seven?hours of sleep (aRR = 1.24; 95% CI = 1.08, 1.43) compared with those who reported engaging in sexually explicit messaging less. No significant associations were found between sexting and sleep quality or reporting sleep problems. Sexually explicit messaging was associated with shorter sleep duration. Intervention targeted at individuals who sext could potentially improve sleep health outcomes.     

Advertising ‘Happy’ Children: The Settler Family,Happiness and the Indigenous Child Removal System

We analyse 4300 advertisements of children featured in the Today's Child column, a daily written by Helen Allen in The Toronto Telegram and The Toronto Star from 1964 to 1982, to understand how the Canadian public became accepting of the adoption of Indigenous children. While children of all ethnic backgrounds were featured, the Indigenous children who were displayed were part of a larger system of child removal, known as the ‘Sixties Scoop’. We demonstrate the ways Indigenous children are described with a specific form of happiness that is conjoined with colonial conceptions of the family and nation.     

Pearson-Tukey Three-Point Approximations Versus Monte Carlo Simulation

Accuracy of the Pearson-Tukey three-point approximation is measured in units of standard deviation and compared with that of Monte Carlo simulation. Using a variety of well-known distributions, comparisons are made for the mean of a random variable and for common functions of one and two random variables. Comparisons are also made for the mean of an assortment of risk-analysis (Monte Carlo) models drawn from the literature. The results suggest that the Pearson-Tukey approximation is a useful alternative to simulation in risk-analysis situations.     

Supply chain management: a supplier perspective

A new way of researching into supply chain management is introduced by adopting a supplier perspective. Details are given of mixed integer linear planning and simulation models. The planning model takes into consideration firm and forecast orders (customer's forecast purchasing orders) and the behaviour of the supplier's suppliers and suppliers' subcontractors. The simulation model takes into account the dynamic behaviour of the supply chain and includes the planning production behaviour of a supplying company based on the planning model. The supplier manager can use the simulation model to determine what kind of parameters most affect company performances and then propose new management rules. Quantitative results that prove the benefits of integrating forecast orders for an aeronautic supplier have been provided.     

Does Distance Hinder Coordination? Identifying and Bridging Boundaries of Offshored Work

We submit that offshoring research focused mostly about an empirical phenomenon and extending our understanding about it, rather than expanding our understanding of the underlying theory as illuminated by empirical evidence. To theoretically frame the implications of offshoring strategy and practice for organizational design, this paper centers on the interplay between coordination and geographical distance. Distance strains the traditional approaches to coordination – i.e. decomposability and communication – as it impacts on knowledge boundaries created by the decomposition scheme. This increases the inherent complexity of the international division and coordination of innovative labor and knowledge and calls for new organizational practices.     

Item count technique with no floor and ceiling effects

Abstract

Conclusions of sample surveys dealing with matters of privacy are often disputed. Many people either refuse to participate or provide false answers. Indirect questioning techniques are designed so that reliable estimates can be produced while the privacy of the participants is protected. One such method, the Item Count Technique is gaining increasing popularity. However, the original version of the method does not fully protect the privacy of the participants. In this paper we propose a new version of the technique which better protects the privacy of the respondents and does not have the so-called floor and ceiling effects.