The clubhouse model: An outcome study on attendance,work attainment and status,and hospitalization recidivism

The purpose of this outcome study is to assess the effectiveness of one clubhouse program model, Connections Clubhouse. The study was conducted on 117 randomly selected members attending Connections Clubhouse from January 1998 to June 1999. The study examines the effect of attendance rates on members' employment attainment and status, and on rate of hospitalization recidivism. Rate of hospitalization recidivism was conceptualized as the difference between number of hospitalizations after enrollment and before enrollment in the program. It is hypothesized that adult psychiatric patients, with a high rate of attendance at Connections Clubhouse, will demonstrate (a) a high rate of employment attainment and more advanced employment status; and (b) a low rate of hospitalization recidivism as compared to those with a low attendance rate. As hypothesized, the proportion of members with a high rate of attendance with no employment of any kind was significantly lower than the proportion of members with a low rate of attendance. Though less pronounced, the proportion of members with a high rate of attendance holding a more advanced employment status was significantly higher than the proportion of members with a low rate of attendance. As expected, the recidivism rate of members with a high rate of attendance was significantly lower than for members with a low rate of attendance.     

The concept of social care and the analysis of contemporary welfare states

Care is now a widely-used concept in welfare state research, firmly established in the literature by feminist analysis. We believe that the concept as it has been used and developed to date has limitations that have hampered its development as a general category of welfare state analysis. In essence we argue that the political economy aspects of the concept have remained underdeveloped. The main purpose of this article is to elaborate a care-centered concept--which we name social care--that countenances and develops care as an activity and set of relations lying at the intersection of state, market and family (and voluntary sector) relations. We are especially concerned to examine what the concept of social care can tell us about welfare state variation and welfare state change and development. The article works systematically through these themes, beginning with a brief historical sketch of the concept of care and then moving on to elaborate the analytic potential of the concept of social care. In the latter regard we make the case that it can lead to a more encompassing analysis, helping to overcome especially the fragmentation in existing scholarship between the cash and service dimensions of the welfare state and the relative neglect of the latter. The concept of social care serves to shift the centre of analysis from specific policy domains so that instead of focusing on cash benefits or services in isolation it becomes possible to consider them as part of a broader set of inter-relating elements. In this and other regards, the concept has the potential to say something new about welfare states.     

Semi-parametric analysis of multi-rater data

Datasets that are subjectively labeled by a number of experts are becoming more common in tasks such as biological text annotation where class definitions are necessarily somewhat subjective. Standard classification and regression models are not suited to multiple labels and typically a pre-processing step (normally assigning the majority class) is performed. We propose Bayesian models for classification and ordinal regression that naturally incorporate multiple expert opinions in defining predictive distributions. The models make use of Gaussian process priors, resulting in great flexibility and particular suitability to text based problems where the number of covariates can be far greater than the number of data instances. We show that using all labels rather than just the majority improves performance on a recent biological dataset.     

WHY FIRMS SEEK ISO 9000 CERTIFICATION: REGULATORY COMPLIANCE OR COMPETITIVE ADVANTAGE?

Proponents of iso 9000 certification claim that it is a low-cost signal of a firm's commitment to quality and a meaningful component of total quality management (TQM). Critics claim that it has little relation to TQM and is a tariff on international trade. We test the hypothesis that firms obtain ISO 9000 certification to comply with government and customer demands by estimating a probit model of the certification decision. The results support the view of proponents of ISO 9000. After controlling for regulatory and customer pressures to obtain ISO 9000, other factors related to quality management and quality-based competition explain the adoption decision.