Payment mechanisms for social work in health care: Today and tomorrow

Accepting the establishment of a national health policy as iminent, this paper surveys the way social work services are organized and financed within the health care system. It also outlines what measures can be taken to ensure the inclusion and importance of the profession within this system, and what developments can be expected in the next ten years.     

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.     

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.     

DO GENERAL TREATMENT GUIDELINES FOR ASIAN AMERICAN FAMILIES HAVE APPLICATIONS TO SPECIFIC ETHNIC GROUPS? THE CASE OF CULTURALLY‐COMPETENT THERAPY WITH KOREAN AMERICANS

To serve Korean American families effectively, marriage and family therapists need to develop a level of cultural competence. This content analysis of the relevant treatment literature was conducted to discover the most common expert recommendations for family therapy with Asian Americans and to examine their application to Korean Americans. Eleven specific guidelines were generated: Assess support systems, assess immigration history establish professional credibility, provide role induction, facilitate "saving face," accept somatic complaints, be present/problem focused, be directive, respect family structure, be nonconfrontational, and provide positive reframes. Empirical support (clinical and nonclinical research) and conceptual support for each guideline are discussed, and conclusions are reached regarding culturally competent therapy with Korean American families.     

Patterns of mutual and nonmutual spouse abuse in the U.S. Army (1998-2002)

The pattern and severity of substantiated mutual and nonmutual spouse abuse between U.S. Army enlisted personnel and their spouses was determined for 1998 to 2002. The number of nonmutual and mutual abuse victims was equal in 1998, but by 2002 there were about twice as many non mutual as mutual victims. The rate per thousand of mutual abuse decreased by 58% while that of nonmutual abuse decreased by 13%. The rate per thousand of female victims was always greater than male victims for non-mutual abuse and the severity of abuse of female victims was always more severe than male victims. The active duty female had the highest risk of becoming a victim. These patterns of mutual and nonmutual domestic abuse in the U.S. Army suggest that prevention and educational approaches could be developed that would be useful to prevention specialists and to clinicians as the Army pursues avenues to reduce domestic violence.     

Decision Making Under Risk: A Comparison of Bayesian and Fuzzy Set Methods

A classical decision problem is considered where a decision maker is to choose one of a number of actions each offering different consequences. The outcome from a choice of action is uncertain because it depends on the existing state of Nature. Also, the outcome, once an action and state of Nature are specified, may be a vector or a random vector. The decision maker employs both Bayesian methods and fuzzy set techniques to handle the uncertainties. The decision maker is also allowed to use multiple, possibly conflicting, goals in order to determine his best strategy. The Bayesian method produces a set of undominated strategies to choose from, whereas the fuzzy set technique usually produces a unique optimal strategy.