Perceptions of fidelity to family group decision-making principles: examining the impact of race, gender, and relationship

This study explored the perceptions of fidelity to family group principles using comparative information from family, friends, and professionals, taking into account race and gender. White respondents felt there was a greater degree of fidelity than did the African American respondents, with other race respondents sometimes rating similarly to both white and African American respondents. Professionals generally perceived a greater level of fidelity and there were significant race by respondent interactions.     

Multiple family groups: an engaging intervention for child welfare-involved families

Differences between child welfare- and non-child welfare-involved families regarding barriers to child mental health care, attendance, program satisfaction, and relationship with facilitators are examined for a multiple family group service delivery model aimed at reducing childhood disruptive behaviors. Although child welfare-involved caregivers reported more treatment barriers and less program satisfaction than non-child-welfare-involved families, no significant differences exist between groups on average total sessions attended and attendance rates over time.     

Validity in an evaluation of Healthy Families Florida—A program to prevent child abuse and neglect

Evidence-based continuums have become a guide for identifying the level of evidence in evaluations of home visiting programs conducted to determine their effectiveness in preventing child abuse and neglect. While randomized controlled trials are required for the highest levels of evidence, quasi-experimental designs have also been specified as an appropriate alternative. Using a quasi-experimental evaluation of a home visiting program to prevent child abuse and neglect that adheres to the Healthy Families America model, this paper describes and illustrates how types of validity can be improved. More specifically, we address how threats to internal validity can be identified and reduced through statistical techniques; how construct validity may be strengthened using state records to measure the outcomes; and how external validity is affected by including or excluding study participants. After applying a variety of statistical adjustments to reduce selection bias, we found that the outcomes favored the home visiting program and increased after accounting for covariates that contributed to child abuse and neglect. This was true across the statistical techniques (traditional covariate and propensity score adjustment) used. For evaluations using quasi-experimental designs, recommendations relevant to the illustrations in the paper are also presented.     

Chiari type I malformations in young adults: implications for the college health practitioner

The authors describe 2 cases of Chiari type I malformation (CM-I) in students presenting to a college health center within a 6-month period. A review of CM-I, including epidemiology, typical presentation, evaluation, and management, is followed by a discussion of the clinical and functional implications of the disorder in an emerging adult population.     

A city within a city: A “snapshot” of aging in a HUD 202 in Detroit, Michigan

Because of a recent surge of aging in place literature, we know a considerable amount about how older adults wish to remain in long lived-in homes and communities. However, there are still gaps in our knowledge. What happens when older adults live in a community that does not support their everyday needs? This paper represents an initial attempt to explore how one group of poor, non-white, central city residents in Detroit, Michigan make sense of and organize a new age-segregated home. Findings presented in this article are based on 30 in depth and photographic elicitation interviews with African American, low-income, older adults living in one Housing and Urban Development 202 (HUD 202). Findings suggest that participants in this sample cultivated a new urban space within the facility to compensate for the deficiencies of a deteriorated inner-city neighborhood. I use these findings to encourage broader conceptualizations and consideration for the aging in place model to be more inclusive to the lived experiences of older adults who occupy oppressed places.     

Factors Attracting Individuals to Nonprofit Management over Public and Private Sector Management

Little research has sought to identify the distinct advantages that nonprofits offer employees, particularly managers. Drawing upon Weisbrod's theory of managerial sorting (1988), we test a series of hypotheses about the differences among nonprofit, public, and for‐profit organizations that may explain the preference of managers to work in one sector over the other. We use pooled cross‐sectional data from the General Social Survey to test managerial sorting. We find many similarities in the perceptions of managers in the nonprofit and public sectors as compared to the for‐profit sector. However, when we examine the sorting of managers into nonprofit versus public sector jobs, we find differences in work environment. Compared to those working in the public sector, managers in nonprofits report greater freedom in deciding how to carry out their job functions, more control over their work schedules, and greater opportunities for pay increases. We conclude with a discussion of the implications of these findings for the practice of nonprofit management.     

Disability and participation in post-conflict situations: the case of Sierra Leone

This article describes four unexpected and spontaneous themes emerging from qualitative research based on the International Classification of Disability Functioning and Health, which took place in Sierra Leone, West Africa: the desire to live in a community of people with disabilities; the desire to be recognized as equal citizens and be given equal opportunities; the desire to become economically independent; and a high expectation of assistance. This article discuses the impact of these themes on two debates: the integration versus segregation of individuals and disability services, and the disability poverty cycle. The results of this study challenge non-governmental organizations to be aware of the Western norms and values of disability issues that are applied to the implementation of their programmes in low-income nations.     

Educational and employment outcomes of adults formerly placed in foster care: Results from the Northwest Foster Care Alumni Study

This study evaluated the intermediate and long-term effects of family foster care on adult functioning using a sample of 659 young adults from two public and one private child welfare agencies, case record reviews, structured interviews, and a survey response rate of 76%. Foster care alumni completed high school at a rate comparable to the general population, but a disproportionately high number of them completed high school via a GED. Alumni completion rates for postsecondary education were low. Consequently, many alumni were in fragile economic situations: one-third of the alumni had household incomes at or below the poverty level, one-third had no health insurance, and more than one in five experienced homelessness after leaving foster care. Two foster care experience areas were estimated to significantly reduce the number of undesirable outcomes in the Education outcome domain: positive placement history (e.g., high placement stability, few failed reunifications), and having broad independent living preparation (as exemplified by having concrete resources upon leaving care). For the Employment and Finances outcome domain, receiving broad independent living preparation (as exemplified by having concrete resources upon leaving care) was estimated to significantly reduce the number of undesirable outcomes.     

Independence in assisted living

The aims of this study were to understand the meaning of independence for residents of assisted living and to identify factors influencing the operationalization of independence in this setting. Qualitative interviews were conducted with 17 providers and 55 residents in 17 assisted-living facilities in Georgia. Data were analyzed by using the grounded theory method. Findings show that assisted-living residents retained a strong value for independence and that independence had multiple dimensions of meaning. Whereas independence in most cases was reduced to performing everyday activities of daily living (ADLs), the multidimensional nature of meaning allowed residents with significant disability both to continue to perceive themselves as independent and to find satisfaction in their remaining abilities. Resident self-care requires significant effort from both residents and providers, but it also has far-reaching potential to help residents maintain intact identities and may hold the key to extending their stay in the assisted-living facility (ALF) environment.     

The City Park as a Public Good Reference for Internet Policy Making

Extensive literature has provided evidence of the organic nature of the Internet as a domain for different sorts of activities. Most policy making regarding the Internet, however, has focused on its economic dimensions (e.g. e-commerce, copyrights, privacy) while taking timid steps when it comes to its cultural and social dimensions. We propose a more comprehensive approach for global policy making on the Internet by looking retrospectively at processes that led to the creation of urban parks, and examining those processes in light of public goods theory. We conducted historical and theoretical analyses to show that, in the same way urban parks define spaces that mediate between different functions of the city, it is possible to define buffer spaces within the Internet that mediate between competing spheres of activity. As a complex phenomenon involving infrastructure, applications, and content, the Internet possesses features that can be located at different points between purely private and purely public goods. This fact parallels the growing attention that public goods theorists are paying to non-economic factors to explain the provisions of goods under circumstances that do not easily fit supply/demand laws. We argue that urban parks, as hybrid public goods, offer a reference for the design of policies that harmonize competing interests because they are spaces justified by manifold rationales (economic, political, social and cultural). As parks offer possibilities for spontaneous re-appropriations of the city as a cohesive entity (i.e. something beyond a disconnected collection of populations), defining similar multi-purpose spaces on the Internet would facilitate coexistence of competing and complementary behaviours by allowing users to re-appropriate this technology as a comprehensive entity beyond a mere aggregation of transactions and interests.