The voice of troubled youth: Children's and adolescents' ideas on helpful elements of care

This article presents the findings of a qualitative study in a Flemish centre for children and adolescents with emotional and behavioural disorders. The aim of this study was twofold. First, we wanted to examine how youth reflect on their own behaviour and that of their peers'. Secondly, we wanted to know what, according to the youth, are the most significant helpful elements of treatment. Analysis shows a continuum of negative behaviour, ranging from relatively ‘normal’ disruptive behaviour such as arguing, up to serious disruptive behaviour such as physical aggression. This behaviour has a negative influence on the climate of the organization. ‘Availability of staff’, ‘nearness of staff’, ‘a clear set of rules and boundaries’, and ‘some time on my own/some alone time’ are perceived as helpful elements of treatment. ‘Strictness’, ‘not listening’, and ‘inappropriate staff attitudes and interventions’ are perceived as counterproductive elements of treatment. Results are discussed and recommendations both on the orthopedagogical as well as on the scientific level are formulated.     

Social Work Students' Pre-placement Anxiety: An International Comparison

This paper compares the degree and nature of anxiety experienced by American and Israeli social work students as they anticipate beginning field placement. Despite having greater prior exposure to social work through relevant coursework and experience, American students were significantly more anxious than Israeli ones. Overall, Americans reported a slightly higher sense of preparedness, but this difference was not statistically significant. While there were some shared worries, notably regarding the quantity and quality of field instruction, and their capacity to meet both field and academic obligations, specific concerns regarding field agencies, clients, and social work education differed between the groups, likely reflecting the distinct social, cultural, historical and educational contexts. Implications for social work education and future research are discussed.     

Medicaid Funding for Assisted Living Care: A Five-State Examination

Medicaid waiver programs financing assisted living care are examined in five states to gain insights about program implementation, accomplishments, and challenges. Documents, augmented with stakeholder interviews, are used to describe income eligibility, options for supplementing payments to facilities, risk adjustment payment levels, and participation. Needs determination and waiver-based payments are in place. Eligibility and funding levels are complicated by room and board allocations that are linked to the federal benefit rate for Supplemental Security Income. Provider participation may be diminishing. Many recipients have to accept shared occupancy as program payments are insufficient for single units.     

Family allowances in France

We model the impact of past migration on fertility, assessing the separate effects of relative urbanization of the destination, as a proxy for norms, and post-migration employment, as a proxy for opportunity costs. In the Philippines, we find that large fertility declines accompany post-migration employment. If not followed by work for pay, the estimated fertility impact of migration is small. We find little evidence of migrant selectivity in fertility, and offer speculative evidence that fertility disruption accompanying migration may be large enough to account for much of the apparent effect of normative adaptation.     

Examining Reports and Policies on Cognitive Enhancement: Approaches,Rationale, and Recommendations

The phenomenon of cognitive enhancement is attracting attention in bioethics literature and beyond, in public policy. In response, three bodies—the British Medical Association (BMA); the Commission de l'éthique de la Science et de la technologie (CEST) du Québec; the American Academy of Neurology (AAN)—have produced reports and guidance on this topic. To gain insights into different public policy approaches, rationales, and recommendations on the topic, we analyzed these reports in depth. We found convergence on the definition (with the exception of the CEST) of cognitive enhancement. However, we noted a lack of critical reflection with respect to the underlying rationale for developing these reports, i.e., that cognitive enhancement practices are rampant and represent major social changes. As it currently stands, cognitive enhancement is constituted in a way that challenges the creation of coherent and effective policy recommendations. However, policy makers should not simply wait for definitional consensus and hope that on balance the benefits turn out to be greater than the risks. Some components of cognitive enhancement could be reduced down to clearly identified policy targets to be further examined. Then, if appropriate, policy should be created that is, amongst other criteria, beneficial to the majority of the population.     

Enhanced rate of resting energy expenditure in women using hormone-replacement therapy: preliminary results

Hormone-replacement therapy (HRT) attenuates the menopause-associated alterations in body composition. It is not known, however, whether this effect is a result of a concomitant increase in energy expenditure. The authors examined whether women submitted to a long-term HRT treatment presented greater energy expenditure than women who had never used HRT. We compared 13 postmenopausal women using HRT (>1 yr) with 13 age- (+/-2 yr) and body-mass-index-matched (BMI; +/-1.5 kg/m2) postmenopausal women not using HRT. Resting energy expenditure (REE; indirect calorimetry), body composition, and daily (DEE) and physical activity (PAEE) energy expenditure (accelerometry) were obtained. Although BMI, fat mass, fat-free mass, DEE, and PAEE were similar between groups, the HRT group displayed a significantly greater REE than the no-HRT group (Delta +222 kcal/day). In conclusion, the authors observed that a long-term treatment with HRT is associated with a greater REE in postmenopausal women. These results need to be confirmed.     

Quality Risk Ratings in Global Supply Chains

Extended enterprises face many challenges in managing the product quality of their suppliers. Consequently characterizing the quality risk posed by value‐chain partners has become increasingly important. There have been several recent efforts to develop frameworks for rating the quality risk posed by suppliers. We develop an analytical model to examine the impact of such quality ratings on suppliers, manufacturers, and social welfare. While it might seem that quality ratings would benefit high‐quality suppliers and hurt low‐quality suppliers, we show that this is not always the case. We find that such quality ratings can hurt both types of suppliers or benefit both, depending on the market conditions. We also find that quality ratings do not always benefit the most demanding manufacturers who desire high‐quality suppliers. Finally, we find that social welfare is not always improved by risk ratings. These results suggest that public policy initiatives addressing risk ratings must be carefully considered.     

Examining the Impact of Demographic Factors on Air Pollution

This study adds to the emerging literature examining empirically the link between population size, other demographic factors and pollution. We contribute by using more reliable estimation techniques and examine two air pollutants. By considering sulfur dioxide, we become the first study to explicitly examine the impact of demographic factors on a pollutant other than carbon dioxide at the cross-national level. We also take into account the urbanization rate and the average household size neglected by many prior cross-national econometric studies. For carbon dioxide emissions we find evidence that population increases are matched by proportional increases in emissions while a higher urbanization rate and lower average household size increase emissions. For sulfur dioxide emissions, we find a U-shaped relationship, with the population-emissions elasticity rising at higher population levels. Urbanization and average household size are not found to be significant determinants of sulfur dioxide emissions. For both pollutants, our results suggest that an increasing share of global emissions will be accounted for by developing countries. Implications for the environmental Kuznets curve literature are described and directions for further work identified.