The training process of the Maryland Guardianship Assistance Project: a collaborative model for kinship foster care

Understanding models of multidisciplinary collaborations in child welfare has become essential for policy development, program success, and improving outcomes for children in foster care. The authors present the state of Maryland's Guardianship Assistance Project (GAP) as a model of multidisciplinary collaboration in child welfare and describe the training process that supported the development of the model. Key components for effective collaborative practice, lessons learned, and recommendations from the GAP collaboration are presented.     

Paid personal assistance services:an exploratory study of working-age consumers' perspectives

This study examined the experiences of individuals who use paid personal assistance services (PAS). Structured interview data were collected from a convenience sample of 24 working-age individuals from diverse backgrounds recruited from Centers for Independent Living in nine states. Respondents described their general satisfaction with current paid PAS, but many reported previous experiences with poor care related to the low wages, lack of training of PAS providers, and an inadequate supply of providers. Respondents reported many unmet needs because of a shortage of hours provided by state programs and the lack of help with daily living activities, transportation, childcare, and social activities. The respondents strongly preferred consumer-directed care.     

‘Hanging by Rubber’: How Cash Threatens the Agricultural Systems of the Siang Dayak

An unprecedented increase in industrial activity, particularly coal mining, is transforming Murung Raya Regency in Central Kalimantan Province, Indonesia. New opportunities to participate in the market economy are enticing many people in the area to move away from subsistence horticulture and towards generating cash income through various means, particularly the trade in rubber. The move away from subsistence horticulture, which is performed collectively, towards rubber tapping, which is done individually, alters social exchange relationships. This article examines the way in which integration with the market economy leads to the increasing dominance of individual modes of being over collective, and the constraints on both. The way in which these shifts threaten food security is also considered. The situation of the Siang of Murung Raya is contrasted with the Kantu’ of West Kalimantan.     

Change and Inertia in the New York State Medicaid Personal Care Services Program: An Institutional Case Study

This study analyzes how competing logics (belief systems) of stakeholders have influenced patterns of change and inertia in the development of the New York Medicaid Personal Care Services (PCS) program. A case-study methodology was used to collect documents, statistics, and interview data from four key stakeholder groups: state and city officials, PCS agencies, a labor union, and consumer advocates covering the period 1999 to 2005. The New York PCS program is one of the oldest, largest, and most stable programs in the United States. Its early unionization of workers resulted in relatively generous wages and benefits and made New York number one nationally in PCS spending per capita. In spite of wide support from stakeholder groups, the overall number of participants has gradually declined since 1999. A consumer-directed model of personal care developed in 1995 challenged the status quo and has grown steadily. Resistance by public officials, agency providers, and union representatives to the consumer-directed model has resulted in a small program that is often targeted toward individuals labeled “difficult to serve.” Dominant stakeholders in New York have ensured a stable personal care program that has resisted change and led to program inertia.     

Insurance supply with capacity constraints and endogenous insolvency risk

Negative shocks to industry capital and significant capital adjustment costs have been offered as an explanation of periodic “crises” in the property-liability insurance market. According to these capacity constraint models, in which post-shock production must meet a solvency constraint, increases in price can cause some or perhaps all of the cost of a negative shock to capital to be shifted to policyholders. This article develops a model of insurance supply with capacity constraints and endogenous insolvency risk that incorporates limited liability and potential loss of insurer intangible capital. If industry demand is inelastic with respect to price and capital, the model predicts that price will increase following a negative shock to capital, but by less than the amount needed to fully offset the shock. Equity value and the expected recovery by policyholders for post-shock production are predicted to decline. Elastic demand mitigates shock-induced price increases.     

Work Values Similarities Among Students From Six Countries

This study examined high school students' selected work values in six countries. The data were analyzed for between-country correlation. Also, the data were analyzed with sex as a variable. The findings indicated selected work values were more similar than dissimilar across countries and cultures. Gender specific results suggested a higher degree of transnational agreement among girls than among their male peers.