Attachment‐Based Family Therapy With a 13‐Year‐Old Girl Presenting With High Risk for Suicide

This article describes the application of Attachment‐Based Family Therapy (ABFT) to the treatment of a 13‐year‐old female adolescent presenting with high risk of suicide, complicated by a history of depression and sexual trauma. The article begins with an overview of ABFT, including (a) how attachment theory guides treatment; (b) the structure of the clinical model; and (c) the data that provide empirical support. A case example is then presented that exemplifies the primary clinical procedures used to reach therapeutic goals in ABFT, including attachment repair and autonomy/competence promotion. Weekly changes in suicide ideation and depression scores are presented. The article concludes with a discussion about implications for family‐based treatment of suicidal youth.     

Viet Nam: The development of national health insurance

Since 1987, Viet Nam has been moving from a centrally planned to a market economy. The public sector became weaker, and public resources were no longer sufficient to respond to all healthcare needs. The government then recognized the need for cost-sharing, and in August 1992 issued a national Health Insurance Decree calling for compulsory health insurance for salaried workers in both the public and private sectors. Voluntary membership for dependants, farmers and the self-employed was also encouraged from the start. Currently, the number of insured persons reaches almost 9.5 million. Future challenges include the extension of coverage, especially to the low-income rural and urban population, modification of provider payment methods so as to enhance cost-containment, and organizational development in general.     

Personal values and support of welfare policy among undergraduate students in Israel

Sociological and socio‐psychological theories maintain that values play an essential role in predicting attitudes. Most research portraying the effect of a single value on various attitudes claims that the effect of values on attitudes increases if the attitudes and the specific values are related or if the attitudes involve objects or situations that reflect specific values. This exploratory study examined the relationship between personal values, considered as components of an individual's mindset or psychological structure, and attitudes supporting social welfare policy. The participants in the study were Israeli Bachelor of Arts students from four institutions of higher learning. The students' personal values were measured, and the effect of their values (beyond the students' socio‐demographic characteristics such as gender, religiosity etc.) on social support for welfare policy was tested.     

A method for planning long term strategy in basic industries

Standard market studies may provide a valid estimate of future demand, but they are unable to furnish objective data about future supply and selling prices. Consequently any profitability or feasibility study making use of standard methods involves a large amount of guess-work disguised as scientific data, with the resulting probability of error. This probability is most true and most dangerous in heavy industry.The method described here does not attempt to determine actual future supply, this is impossible. Instead, it strives to define potential supply by conducting a worldwide study of the opportunities for creating new production units able to operate at low cost.The method, makes it possible to select the soundest and most profitable of the possible projects, without concern for those of competitors, since these will already have been analyzed within the framework of the study. The author claims that this method can provide objective estimates of long term return on investment, by taking as an average selling price the cost of sales of the last competitor on the list of those whose output is needed to meet normal demand.     

Changes in service provision in rural areas. Part 2: Changes in post office provision in mid Wales: A GIS-based evaluation

This paper develops themes set out in Part 1 of this paper relating to the importance of public service provision in rural areas, particularly for potentially vulnerable members of the community such as the elderly, unemployed and single parents. Changes in a key service sector, post office services, in rural mid Wales over a 15-year period are assessed and analysed in relation to the developing sociodemographic profile of the underlying population. A Geographic Information System (GIS) approach is adopted to chart changing levels of post office provision in the study area, and the subsequent impacts on accessibility to those post offices. The policy significance of developing measures of accessibility to services with a view to incorporating these GIS-generated measures into traditional area-based indicators of disadvantage is highlighted.     

Social health insurance in developing countries: A continuing challenge

This paper addresses the issue of the feasibility of "social" health insurance (SHI) in developing countries. SHI aims at protecting all population groups against financial risks due to illness. There are substantial difficulties in implementation, however, due to lack of debate and consensus about the extent of financial solidarity, problems with health service delivery, and insufficient managerial capacity. The transition to universal coverage is likely to take many years, but it can be speeded up. Adopting a "family" approach to financial protection, sustained financial support from governments and donors, and deconcentrating the development of SHI may slash several years from the time needed to achieve full universal protection against healthcare costs.     

Nonlinear mixed effects modelling for estimation of steady state attainment

Assessment of the time needed to attain steady state is a key pharmacokinetic objective during drug development. Traditional approaches for assessing steady state include ANOVA‐based methods for comparing mean plasma concentration values from each sampling day, with either a difference or equivalence test. However, hypothesis‐testing approaches are ill suited for assessment of steady state. This paper presents a nonlinear mixed effects modelling approach for estimation of steady state attainment, based on fitting a simple nonlinear mixed model to observed trough plasma concentrations. The simple nonlinear mixed model is developed and proposed for use under certain pharmacokinetic assumptions. The nonlinear mixed modelling estimation approach is described and illustrated by application to trough data from a multiple dose trial in healthy subjects. The performance of the nonlinear mixed modelling approach is compared to ANOVA‐based approaches by means of simulation techniques. Copyright © 2005 John Wiley & Sons, Ltd.     

Global Financial Crisis, Public Administration and Governance: Do New Problems Require New Solutions?

A financial crisis, or any crisis, is likely to produce a variety of responses from governments. This article discusses the range of responses that may be possible, pointing out that diametrically opposite answers may be made to the common problem. The analysis points to the persistence of many dichotomies in our thinking about public administration and public policy. These varied responses to crises are investigated in several political systems including the Baltic States and the European Union.     

The anti-social model of disability

Social theories are usually developed to enable a clearer understanding of a situation or problem. The 'Social Model' in various forms is currently the dominant model for researching disability, addressing disability from within a socio-political framework that draws substantially on a 'social constructionist' perspective. This article critiques some of the core sociological assumptions of the Social Model, questioning what 'work' this kind of theory does in informing a set of practical concerns around the design of assistive technologies, suggesting an alternative framework of analysis, supported by extensive ethnomethodologically informed ethnographic research