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201.
202.
It is generally accepted that the future is uncertain and consequently structure plans must be monitored and revised, as necessary, to take account of changing cirsumstances. But the perspective taken both to the initial Plan, in its survey of the current scene and its likely trends, and to monitoring, is crucial. The present study presupposes that structure planning tends to be backward looking and gives insufficient attention to the potential changes in technology and society that could begin to develop during the plan period. 相似文献
203.
The goal of this paper is to show how members of three Social HMOs use a limited entitlement for community-based long-term care to meet their needs and solve their problems. The paper is based on in-home interviews with 48 aged Medicare beneficiaries who joined Social HMOs and are eligible for the entitlement. Members' experiences with case management (called service coordination), benefits for covered services, and cost-sharing requirements are explored. Members (and their informal caregivers) are found to have complex lives, into which community care fits (or does not fit) in varied ways, depending on preferences, experiences with providers, informal care, financial resources, and other factors. The paper provides insights into what kinds of problems people want to solve and how community care systems can be better designed to empower service users to solve them. 相似文献
204.
A review of the literature in the area of ethical dilemmas facing family therapists revealed that there were a number of issues facing family therapists which are not included in the Principles for Family Therapists (1984) of the American Association for Marriage and Family Therapy. Seventy-five family therapists from across the nation responded to a questionnaire which asked what ethical dilemmas they face and how helpful the ethical guidelines are with these dilemmas. Results indicate that family therapists are encountering dilemmas which are not included in the Principles, significantly more often than those that are included. The ethical principles were found to be helpful for those ethical dilemmas attended to by the Principles. 相似文献
205.
In urban planning and other fields a number of apparently different problems have two features in common. First, a fixed total of a resource is to be split among several claimants. Second, different interested parties have differing views as to what constitutes an optimum allocation. We present methods for the quantification of preferences and for the production of a compromise optimum. The methods have the merit of being problem independent and sparing in their demands for data and for specialised computer software. 相似文献
206.
The California Youth Connection obtained funding from two foundations to evaluate the performance of group homes serving foster youth in Alameda County, California, in order to inform state policy-making. The evaluation team initially included 14 foster youth that personally experienced group home living. Three inter-related aspects of service were studied: structure, process, and client outcomes, specifically residents' increase in developmental assets leading to the ability to transition successfully to independent living by the age of 18 years. Data were collected at 32 group homes from 127 residents and 72 staff members using three questionnaires. Both structural and process aspects of services influenced residents' satisfaction with services. However, only the process of care predicted changes in residents' developmental assets. State-level regulatory agencies learned from these results that auditing only structural aspects of services was not sufficient to promote effective services. Further, one structure item and two process items were identified as less consistently occurring in the group homes: timely distribution of clothing allowances, healthy communication between staff and youth, and staff support of regular exercise for the residents. Focusing on these aspects of service first should promote more change in outcomes and satisfaction for foster youth residing in group homes. 相似文献
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208.
Subjectivities such as (what would be termed in English) lesbians, bisexual, and queer (LBQ) women and transgender people are contested topics in Ukraine. Linking Laclau and Mouffe's discourse analysis with Loseke's narrative approach, we reviewed eight national, text-based, journalistic media sources to read equivalence chains within the data as publicly available formula stories about LGBTQ+ people. Formula stories are not about actual people or typically told by LBQ women and transgender people themselves, but rather exist as publicly circulating stories for consumption by non-LGBTQ+ people. Our findings shore up previous evidence that homophobia and transphobia (including criminalization and pathologization) are commonly articulated in media outlets in Ukraine. Importantly, media outlets owned by Russia and the United States and stories about events outside of Ukraine contribute most to the formula stories circulating in Ukraine, demonstrating the continuing position of Ukraine as a fulcrum of geopolitical contestations in the post-socialist “cold war.” Analyzing sexual politics through formula stories illuminates ongoing transnational connections of imperialism and Europeanization to racialization, colonialism, and contestations of power. A video abstract is available at https://youtu.be/v3dCj0yYm_g . 相似文献
209.
Gerald M. Reid PhD Melissa K. Holt PhD Erika D. Felix PhD Jennifer Greif Green PhD 《Journal of American college health : J of ACH》2019,67(5):402-409
Objective: This study investigates the association between histories of childhood victimization and perceived consequences of college hazing. Participants: First-year college students at four US universities (N?=?120). Method: Participants completed Web-based surveys asking about childhood victimization (eg, child maltreatment), peer victimization, and perceived consequences of hazing during college. Results: Results indicated that college students with childhood victimization histories perceived hazing to be negative. In particular, physical dating violence and a greater total number of childhood victimization exposures were related to a higher number of perceived negative consequences. Conclusion: Past victimization exposures confer risk on college students who experience hazing, in that these students are more likely to perceive negative consequences of hazing. Hazing-related policies and outreach efforts should consider these potential negative consequences, and counselors should be aware of the link between past victimization and how hazing might be experienced. 相似文献
210.
Sexual abuse by a perpetrator outside of the family is the most prevalent form of child sexual abuse. It is associated with serious consequences for both the child and his family. Surprisingly, however, the issue of extra-familial sexual abuse has received very little research and clinical attention. The purpose of the current study was to explore the effectiveness of Child-Parent Relationship Therapy (CPRT), which uses nondirective play therapy tools, among parents of extra-familial abused children and their parents. In order to do so, data was collected from 51 parents who participated in CPRT, at three points in time: pretreatment stage, at the beginning of the first meeting; and in the post treatment stage. The data included the parents’ reports via three questionnaires: Parenting Stress Inventory (PSI), Compassion Fatigue Self-Test (CFST), Child Behavior Checklist (CBCL). Overall, the results indicated a decrease in internalizing and externalizing symptoms among the children, as well as in parenting stress and in parental secondary trauma symptoms. This study contributes to the literature on interventions with victims of extra-familial child abuse and their parents. Specifically, the results highlight the benefits and importance of involving both parents and children in therapeutic interventions for victims of extra-familial child sexual abuse, with particular emphasis on the benefits of Child-Parent Relationship Therapy. 相似文献