Group Living in Homes for the Elderly: A Comparative Study of the Outcomes of Care

Correspondence to Tim Booth, Department of Sociological Studies, Joint Unit for Social Services Research, University of Sheffield, Sheffield S10 2TN. Summary This paper traces the theory and practice of group living inhomes for the elderly in the literature and in the field. Itreviews the current state of research and calls for more workon the comparative evaluation of outcomes. It describes andpresents the results from a longitudinal study of matched samplesof residents in group homes and traditional homes which assessedthe relative changes in their personal functioning over time.The findings suggest that group living arrangements have beenoversold—in so far as they promise more than they deliver.     

An Assessment of the Potential for Community Living of Mentally Handicapped Patients in Hospital

Summary The paper examines the possibility of discharging mentally handicappedpatients from hospital to a wide range of community resources.Following the assessment of a sample of hospital patients theywere matched to appropriate care settings ranging from independentliving to relatively expensive hostel accommodation. A highproportion of patients were found to be capable of dischargefrom hospital, although for many this would be to relativelycostly settings. Factors which appeared to make some youngerpatients difficult to discharge from hospital were identified,suggesting that newer admissions were more disturbed, which,apart from resource considerations may account for some of thedifficulty experienced in plans to reduce hospital populations.     

Long Term Care for the Elderly: the Community Care Scheme

Summary The article describes the full evaluation of the Community CareScheme for the elderly in Kent. The evaluation compared therelative cost-effectiveness of the scheme for clients and carerswith the range of services which would otherwise have been received.It is argued that effective case-management by a key workeris an essential feature of more effective home care for thevery frail elderly and that the case-management role is an appropriatemodel of social work for other long term care groups. The newscheme appeared particularly appropriate for the extremely mentallyand physically frail who were living with others and for theless frail, socially isolated elderly person prone to minorpsychiatric disorder.     

A diagnostic analysis of the impact of forecast errors on production planning via MRP system nervousness

Abstract. The purpose of this paper is to examine the impact of forecast errors on the performance of a multi-product, multilevel production planning system via MRP system nervousness. The accuracy of forecasting methods was at one time a major concern of production scheduling and inventory control. However, with the advent of material requirements planning (MRP) systems, the significance of selecting an accurate forecasting method has diminished. Inaccurate forecast results are taken as a fact of life in production planning. Instead of attempting to develop an accurate forecasting method, efforts have been devoted towards providing an appropriate buffering method ai the master production schedule level or on the shop floor level to counteract fluctuations in demand. MRP is capable of rescheduling planned orders as well as open orders to restore the priority integrity after the disruptive changes of forecast errors occur. Nevertheless, excessive rescheduling may lead to a problem, generally referred to as system nervousness. This study investigates this problem by means of a computer simulation model. The results show that the presence of forecasi     

Reception to Prison

Summary The paper is concerned with the admission process to prison.The paper begins by outlining some of the current views on theeffects of imprisonment and the adjustment of the inmate toprison life. Gofiman in particular has identified the importantpart played by admission procedures in depriving the individualof his personal identity and immersing him in the institutionalsystem.The authors studied the admission procedures at two penalestablishments to see how far these showed the characteristicsdescribed by Gofrman as being 'fairly standard in total institutions'.The paper describes how the study was conducted, and gives anaccount of the admission procedure at the institutions. In theirfindings the authors try to assess the impact of this systemon the inmate, and its significance within the total socialsystem of the institution. The study casts doubt on the generalapplicability of Goffman's hypothesis, but at the same timeshows that the admission procedure has a potential for introducingthe inmate to his new environment in a constructive way, whichis not being realized within the present system     

MODELING GROWTH (AND LIBERALIZATION) USING SMOOTH TRANSITIONS ANALYSIS

Economic liberalization has been a pervasive phenomenon over the last twenty years. Programs have been initiated on the assumption that liberalization promotes economic growth, but the empirical evidence for this is limited. This paper takes a novel approach to modeling growth and structural change as smooth transitions. This allows us to model deterministic change without imposing discrete changes. We use smooth transition analysis to reappraise the time-series properties of long-run growth rates in a number of developing countries which have undertaken liberalization. Our results challenge conventional wisdom on both methodological and empirical grounds.     

On an Asymptotic Theory of Conditional and Unconditional Coverage Probabilities of Empirical Bayes Confidence Intervals

Empirical Bayes (EB) methodology is now widely used in statistics. However, construction of EB confidence intervals is still very limited. Following Cox (1975 ), Hill (1990 ) and Carlin & Gelfand (1990 , 1991 ), we consider EB confidence intervals, which are adjusted so that the actual coverage probabilities asymptotically meet the target coverage probabilities up to the second order. We consider both unconditional and conditional coverage, conditioning being done with respect to an ancillary statistic.     

HAS PRODUCTION MANAGEMENT IMPROVED SINCE 1984?

The growth rate of GDP stabilized around 1984, and improvements in production management have been cited as a possible cause. This article examines this rationale with two‐digit SIC manufacturing data. The empirical questions are whether there is evidence of structural change in industry output around 1984 and, if so, did output track demand more closely following the change? The results indicate that only two industries exhibited structural change in the 1982–86 period. There is evidence that output has tracked demand more closely in recent years, but this is because demand shocks have become less persistent. (JEL C15, D21, E22)     

Psychophysiological and Subjective Arousal during Gambling in Pathological and Non-pathological Video Lottery Gamblers

Two groups of video lottery gamblers (pathological N =30, and non-pathological N =34) were compared while they participated in gambling and gambling related tasks using subjective ratings of excitement, electromyographic activity (EMG), skin conductance level (SCL) and heart rate (HR). Although the groups experienced similar levels of increased physiological response the pathological gamblers reported greater levels of subjective excitement. It was concluded that the pathological and non-pathological gamblers might perceive their responses to gambling and gambling related situations differently.