Evaluation of the Alumni Program. A shared-care model for psychosis

This article describes the results of a prospective, naturalistic evaluation of the Alumni Program, conducted by the Psychotic Disorders Clinic at the McMaster Site of Hamilton Health Sciences, Hamilton, Ontario, Canada. The Alumni Program is a form of continuing psychiatric support offered to individuals with psychosis. The program involves providing shared care by both the specialist psychiatric team and the family practitioner. This model has been in operation for more than 8 years. The clinical data have been reviewed to determine whether the program is beneficial in supporting clients with their health maintenance goals, thus reducing occurrences of relapse, hospital readmission, and crisis or emergency room visits. The results appear favorable and affirm the Alumni Program is one viable method of follow up within a comprehensive range of psychiatric services.     

Humanistic Leadership in the 1990s: Heart,Soul, and Head

The Leader of the Future: New Visions, Strategies, and Practices for the Next Era, edited by Frances Hesselbein, Marshall Goldsmith, and Richard Beckhard. San Francisco: Jossey- Bass, 1996. 319 pp., $25.00 cloth. Leading with Soul: An Uncommon Journey of Spirit, by Lee G. Bolman and Terrence E. Deal. San Francisco: Jossey-Bass, 1995. 195 pp., $20.00 cloth. Leading and Managing the Expressive Dimension: Harnessing the Hidden Power Source of the Nonprofit Sector, by David E. Mason. San Francisco: Jossey-Bass, 1996. 323 pp., $29.95 cloth.     

Innovative approach for the treatment of cumulative trauma disorders

Cumulative Trauma Disorders (CTDs) is the latest four-letter word for employees and employers. The purpose of this pilot study was to test the efficacy and cost effectiveness of ASTM, previously executed with Division I college athletes, in a work-related population. ASTM uses specially designed instruments to assist clinicians in rapid localization and effective treatment of soft tissue fibrosis/scar tissue. The protocol includes a flexibility and functional program that helps the worker adapt to the demands of the job. Physical and occupational therapists in both an outpatient clinic, and an industrial on-site setting, utilized ASTM. ASTM was considered successful, with symptoms resolved in over 70 percent of the patients. ASTM demonstrated impressive results in both settings and decreased medical and non-medical expenditures.     

Social Workers’ Perceptions of Job Satisfaction,Interdisciplinary Collaboration,and Organizational Leadership

ABSTRACT

To address job satisfaction, and therefore employment retention, of hospice social workers, this study examined how relationships with other members of the interdisciplinary hospice team and perceptions of hospice leadership may be associated with job satisfaction of hospice social workers. The sample of 203 hospice social workers was recruited by e-mailing invitations to hospice social workers identified by hospice directors in three states, use of online social media sites accessed by hospice social workers, and snowball sampling. Study measures included professional experience, hospice characteristics, interdisciplinary collaboration, perception of servant leadership, and intrinsic and extrinsic job satisfaction. Variables significant in the model for intrinsic satisfaction were perception of servant leadership, interdisciplinary collaboration, and feeling valued by the hospice physician. Variables significant in the model for extrinsic satisfaction were perception of servant leadership, interdisciplinary collaboration, feeling valued by the hospice physician, and number of social workers at the hospice. Interdisciplinary collaboration was more important for intrinsic job satisfaction and leadership style was more important for extrinsic job satisfaction. Profit status of the hospice, experience of the social worker, caseload size, and other variables were not significant in either model. These results support previous findings that leadership style of the hospice director and relationships with hospice colleagues are important for hospice social workers’ job satisfaction. Such low-cost modifications to the hospice work environment, albeit not simple, may improve job satisfaction of hospice social workers.     

Towards a critical discourse analysis of New Zealand security policy in Afghanistan

ABSTRACT

Rather than ask why New Zealand supported the intervention, this paper focuses on how representations of New Zealand and the international terrorist threat resulted in public acquiescence to a pre-emptive strike by the world's sole superpower against one of the poorest, most war-torn countries in the world. The paper concludes that legitimacy was achieved through the blending of themes of terrorism and war, national interest and democracy, rule of law and human rights, to produce an ambiguous ‘international campaign against terrorism’ that allowed for picking and choosing of the most convenient position on different matters. The alternative—to refuse moral and material support for the United States-led ‘war on terror’—was to risk New Zealand's membership of the United States-led international community and a ‘seat at the table’ in future international trade and security negotiations. As such, any campaign benefits appear to have accrued to New Zealand rather than Afghanistan or the Afghan people, especially given the parlous state of that country in 2018. A wide-ranging debate within New Zealand on the purpose of such interventions is needed before similar commitments are made in the future.     

Qualitative Approaches to the Study of Thriving: What Can Be Learned?

Using the data from two ongoing studies of resilience and thriving, one of gay men growing up in heterosexist environments, the other of women living with AIDS, we review how qualitative approaches have enabled researchers to grapple with conceptual, methodological, and ethical dilemmas related to the study of resilience and thriving. We discuss the implications our values as researchers have on determining who is thriving; the powerful social, cultural, and political contexts that must be considered when investigating the effects of and resistance to adversity; and the implications of conceptualizing thriving as a process. Finally, we consider the opportunities opened up by qualitative analysis and suggest some avenues for future research.