Evaluating a Case of Parent Separation in Social Services Through a Text Analysis: Clinical and Health Implications

Abstract

The assessment of the family system is very complex, as several factors have to be taken into account: The number of people involved (one or more children), the involvement of other partners, and the presence of legal disputes. Although evaluation practices have increased considerably, it remains difficult for services to prove their effectiveness. The questions that have guided this work have concerned how much and how do the discourses (discursive repertoires) produced by the conflicting parents change as a result of an intervention by the Service? And how much is it possible to evaluate the change in short texts? We used the Methodology for the Analysis of Computerised Text Data (MADIT) methodology that makes it possible to analyze the texts produced by the parents after the Service consultancy. The text is acquired through 14 emails sent by each parent to the other. The results showed that it was possible to detect a change in the repertoires used by the two parents to make decisions regarding their child. This data could increase the use of evaluation in the Services, reducing costs and evaluating change also by email. Future research could apply this methodology in situations where the conflict has not yet exploded and has not had an impact on children.     

Image estimators based on marked bins

The problem of approximating an ‘image’ S?? ^d from a random sample of points is considered. If S is included in a grid of square bins, a plausible estimator of S is defined as the union of the ‘marked’ bins (those containing a sample point). We obtain convergence rates for this estimator and study its performance in the approximation of the border of S. The practical aspects of implementation are discussed, including some technical improvements on the estimator, whose performance is checked through a real data example.     

Chance-Corrected Measures of Reliability and Validity in 2 × 2 Tables

It is customary to use two groups of indices to evaluate a diagnostic method with a binary outcome: validity indices with a standard rater (sensitivity, specificity, and positive or negative predictive values) and reliability indices (positive, negative and overall agreements) without a standard rater. However neither of these classic indices is chance-corrected, and this may distort the analysis of the problem (especially in comparative studies). One way of chance-correcting these indices is by using the Delta model (an alternative to the Kappa model), but this means having to use a computer program to work out the calculations. This paper gives an asymptotic version of the Delta model, thus allowing simple expressions to be obtained for the estimator of each of the above-mentioned chance-corrected indices (as well as for its standard error).     

A Two-Latent-Class Model for Smoking Cessation Data with Informative Dropouts

Non ignorable missing data is a common problem in longitudinal studies. Latent class models are attractive for simplifying the modeling of missing data when the data are subject to either a monotone or intermittent missing data pattern. In our study, we propose a new two-latent-class model for categorical data with informative dropouts, dividing the observed data into two latent classes; one class in which the outcomes are deterministic and a second one in which the outcomes can be modeled using logistic regression. In the model, the latent classes connect the longitudinal responses and the missingness process under the assumption of conditional independence. Parameters are estimated by the method of maximum likelihood estimation based on the above assumptions and the tetrachoric correlation between responses within the same subject. We compare the proposed method with the shared parameter model and the weighted GEE model using the areas under the ROC curves in the simulations and the application to the smoking cessation data set. The simulation results indicate that the proposed two-latent-class model performs well under different missing procedures. The application results show that our proposed method is better than the shared parameter model and the weighted GEE model.     

A Dynamic Latent Model for Poverty Measurement

The main purpose of this paper is the longitudinal analysis of the poverty phenomenon. By interpreting poverty as a latent variable, we are able to resort to the statistical methodology developed for latent structure analysis. In particular, we propose to use the mixture latent Markov model which allows us to achieve two goals: (i) a time-invariant classification of households into homogenous groups, representing different levels of poverty; (ii) the dynamic analysis of the poverty phenomenon which highlights the distinction between transitory and permanent poverty situations. Furthermore, we exploit the flexibility provided by the model in order to achieve the measurement of poverty in a multidisciplinary framework, using several socio-economic indicators as covariates and identifying the main relevant factors which influence permanent and transitory poverty. The analysis of the longitudinal data of the Survey on Households Income and Wealth of the Bank of Italy provides the identification of two groups of households which are characterized by different dynamic features. Moreover, the inclusion of socio-economic covariates such as level of education, employment status, geographical area and residence size of the household head shows a direct association with permanent poverty.     

Fuzzy Autoregressive Rules: Towards Linguistic Time Series Modeling

Fuzzy rule–based models, a key element in soft computing (SC), have arisen as an alternative for time series analysis and modeling. One difference with preexisting models is their interpretability in terms of human language. Their interactions with other components have also contributed to a huge development in their identification and estimation procedures. In this article, we present fuzzy rule–based models, their links with some regime-switching autoregressive models, and how the use of soft computing concepts can help the practitioner to solve and gain a deeper insight into a given problem. An example on a realized volatility series is presented to show the forecasting abilities of a fuzzy rule–based model.     

A New Chart for Monitoring the Covariance Matrix of Bivariate Processes

In this article we consider a control chart based on the sample variances of two quality characteristics. The points plotted on the chart correspond to the maximum value of these two statistics. The main reason to consider the proposed chart instead of the generalized variance | S | chart is its better diagnostic feature, that is, with the new chart it is easier to relate an out-of-control signal to the variables whose parameters have moved away from their in-control values. We study the control chart efficiency considering different shifts in the covariance matrix. In this way, we obtain the average run length (ARL) that measures the effectiveness of a control chart in detecting process shifts. The proposed chart always detects process disturbances faster than the generalized variance | S | chart. The same is observed when the size of the samples is variable, except in a few cases in which the size of the samples switches between small size and very large size.     

Canonical correlation analysis in the definition of weight restrictions for data envelopment analysis

This work investigates the use of canonical correlation analysis (CCA) in the definition of weight restrictions for data envelopment analysis (DEA). With this purpose, CCA limits are introduced into Wong and Beasley's DEA model. An application of the method is made over data from hospitals in 27 Brazilian cities, producing as outputs average payment (average admission values) and percentage of hospital admissions according to disease groups (International Classification of Diseases, 9th Edition), and having as inputs mortality rates and average stay (length of stay after admission (days)). In this application, performance scores were calculated for both the (CCA) restricted and unrestricted DEA models. It can be concluded that the use of CCA-based weight limits for DEA models increases the consistency of the estimated DEA scores (more homogenous weights) and that these limits do not present mathematical infeasibility problems while avoiding the need for subjectively restricting weight variation in DEA.     

An exploratory analysis of treatment completion and client and organizational factors using hierarchical linear modeling

Data from the Alcohol and Drug Services Study (ADSS) are used to analyze the structure and operation of the substance abuse treatment industry in the United States. Published literature contains little systematic empirical analysis of the interaction between organizational characteristics and treatment outcomes. This paper addresses that deficit. It develops and tests a hierarchical linear model (HLM) to address questions about the empirical relationship between treatment inputs (industry costs, types and use of counseling and medical personnel, diagnosis mix, patient demographics, and the nature and level of services used in substance abuse treatment), and patient outcomes (retention and treatment completion rates). The paper adds to the literature by demonstrating a direct and statistically significant link between treatment completion and the organizational and staffing structure of the treatment setting. Related reimbursement issues, questions for future analysis, and limitations of the ADSS for this analysis are discussed.     

An employee assistance program for caregiver support

The Comprehensive Caregiver Choices Program provided support for employee caregivers of elderly people for employees at a hospital in Fort Worth, Texas. Key informant interviews and focus groups provided direction for program development and implementation. A full-time MSW and professionals with expertise in gerontology/geriatrics provided education and care coordination services to caregivers. Approximately 4% of the hospital's workforce participated in the program. Attendees evaluated educational sessions and follow-up interviews were conducted with program participants. Caregiver support programs must continue to seek innovative and creative marketing and service delivery methods to reach out and assist working caregivers in need of support.