Adolescent group therapy membership selection

Conclusions Social agency practitiooners can employ adolescent group therapy as an effective treatment mode, as long as a great deal of attention and planning is put into the details of group membership selection. The authors have presented suggestions and guidelines that can be used in overcoming the logistic problems inherent in forming an adolescent therapy group. We feel that proper pregroup planning is just as important in determining group results as is the ongoing group process. Group treatment does not necessarily incease a therapist's productivity or reduce the amount of time spent in therapy, but it does offer a unique experience which has certain qualitative advantages for teenagers experiencing behavioral and relationship problems within and, particularly, outside of the family system.     

THE FUNDAMENTAL FORMULA OF BLASCHKE IN INTEGRAL GEOMETRY AND GEOMETRICAL PROBABILITY, AND ITS ITERATION, FOR DOMAINS WITH FIXED ORIENTATIONS

The so-called “principal formulae” of planar integral geometry are conventionally couched in terms of the “kinematic density”dxdydθ. Here a corresponding theory with respect to the “Lebesgue density”dxdy, that is with rotations suppressed, is developed. The only real difference is that the new “fundamental formula of Blaschke”contains a term depending upon the relative orientations of the two domains involved. In particular, the remarkable iteration property of these formulae carries over. The usual principal formulae follow as a corollary of the formulae given here, upon, averaging over orientations.     

Homecoming: the relevance of radical feminism for gay men

Sexual politics in the gay male world would be enhanced by a serious engagement with radical feminist politics, particularly critiques of pornography and the sex industry. As the domination/subordination dynamic at the heart of patriarchy damages homosexual men, such engagement is crucial to the future of a gay movement.     

Your money or your life: a new variation on the Heinz Dilemma

Millions of Medicare-age Americans are drug dependent, not because of addiction but because of common chronic health problems such as diabetes, heart failure, high blood pressure, and arthritis. Seniors are up in arms because drug company control of distribution and pricing of pharmaceuticals is eating away hard-earned nest eggs. Who cares? Where's the justice?     

Improving access to health care for foster children: the Illinois model

Children in foster care have lower health status than do their peers and limited access to health care. The Illinois Department of Children and Family Services developed HealthWorks, a separate primary care preferred provider system for children in foster care. This study compared claims data for children in HealthWorks with children not enrolled in HealthWorks and with children in Aid to Families with Dependent Children (AFDC) who had never entered foster care. Children enrolled in HealthWorks were more likely than were other children to receive all of the services except general inpatient hospitalizations. They had greater odds of receiving general exams and physicians' services and were more likely to visit the emergency room than children who were not enrolled. They were more likely to receive all of the measured services when compared with children receiving Medicaid through AFDC.     

Living with unfairness: The limits of equal opportunity in a market economy

Equality of opportunity is often presented as a criterion which reconciles egalitarianism with principles of freedom and responsibility. This paper distinguishes between the principle of starting-line equality, which requires that everyones initial opportunities, assessed in relation to what is publicly known ex ante, are equal, and the principle that equal efforts should yield equal ex post rewards. It argues that the first principle is compatible with allocation of resources through markets but, because of the division of knowledge, the second is not. If we want the opportunities which markets give us, we have to accept ex post unfairness. Earlier versions of this paper were presented at a workshop on the measurement of freedom at the London School of Economics, and at a conference on non-welfarist issues in normative economics at the University of Caen. I thank participants at those meetings, and particularly Tania Burchardt, Marco Mariotti and Franz Prettenthaler, for comments. My work on this paper was supported by the Leverhulme Trust.     

Food insufficiency and physical and mental health in a longitudinal survey of welfare recipients

Food insufficiency is a significant problem in the United States, and poor African American women with children are at especially high risk. An inadequate household food supply can potentially affect the well-being of household members, but it is difficult to distinguish the effects of food insufficiency from risk factors for poor health that are also common among the food insufficient, such as poverty. We examined food insufficiency and physical and mental health among African American and white women (n = 676) who were welfare recipients in 1997. Controlling for common risk factors, women who reported food insufficiency in both 1997 and 1998 were more likely to report fair or poor health at the later date. Food insufficiency in 1998 was significantly associated with meeting the diagnostic screening criteria for recent major depression. Food insufficiency at both times and in 1998 only was related to women's sense of mastery. These findings add to growing evidence that household food insufficiency is associated with poor physical and mental health.     

Child welfare privatization: quantitative indicators and policy issues

The purpose of this study was to demonstrate the development of safety, permanency, and child well-being indicators by using administrative data sets as well as by using these indicators as tools for evaluating Florida's Community-Based Care (CBC) initiative. Longitudinal data from 37 counties including 4 counties that implemented community-based care were examined in this study. The results of the study indicated that the overall performance of CBC counties is at least as good as the performance of their comparison run by the state counties. The findings that emerged from this study may provide important lessons for developing a performance measurement system in the child welfare field.     

A nursing tool for adherence and recovery in psychosis: a pilot study

Clients with psychotic disorders are at great risk for relapse and rehospitalization. This risk is magnified by poor adherence to medications, as well as refusal to accept optimal treatment planning, including more beneficial atypical medications. Adherence can be even more compromised because of clients' poor insight into these illnesses and their inability to recognize the potential for recovery that exists when taking medications as prescribed. This poor insight makes effective collaboration in treatment more difficult and is an exceptionally troubling impediment to successful treatment. Currently, there are few effective strategies to improve insight into psychosis. We have developed the Levels of Recovery from Psychotic Disorders Scale (LORS) as a teaching tool. It is designed to identify strengths and weaknesses in insight in order to provide the basis for an intervention to enhance and promote change. This article reviews the relevant literature on adherence and insight in this population of clients with psychotic disorders. It also reviews a pilot study comparing the LORS to the BASIS-32. The findings provide the basis for future studies using the LORS to enhance insight, adherence, and recovery.