Trauma-informed care training in a child welfare system: Moving it to the front line

The use of trauma-informed practices in the child welfare system is critically important to prevent system-induced trauma and encourage timely assessment, triage and referral for care when indicated. Ultimately, such measures have the potential over time to decrease the risk for mental health problems in children exposed to a trauma. This study evaluates an initiative in Arkansas to train child welfare front-line staff members in trauma-informed care practices. We evaluated the impact of the training on knowledge and use of trauma-informed care practices among three types of child welfare staff (Caseworkers, Program Assistants and Other front-line staff). Results suggest that this training process was highly successful in improving knowledge of trauma-informed care practices, especially among staff with the least formal education and training. We also found a significant increase in staff use of trauma-informed care practices at the three-month follow-up with little difference observed across staff groups. Barriers that may prevent staff from full implementation of training concepts are described and strategies to address barriers are proposed.     

Identifying and controlling for program-level differences in comparative cost analysis: lessons from the economic evaluation of the National Breast and Cervical Cancer Early Detection Program

Performing economic evaluations of established health care programs is essential to identify and control for underlying program-level variations and to make valid comparisons. At a time when the need for such evaluations is growing, health care professionals have limited information on the methodological challenges of performing these evaluations. In this study, we used the National Breast and Cervical Cancer Early Detection Program to illustrate these potential underlying variations. We performed site visits to four grantees and collected activity-based cost data from nine additional representative programs. We identified five specific types of cost factors that should be considered when evaluating and comparing health care programs: clinical services, service mix, in-kind contributions, indirect costs, and year-to-year expenditures of specific activities. A key lesson is that case studies and pilot testing should be performed before initiating cost analysis to identify underlying variation and to test appropriate methods to adequately control for these differences.     

On generalized conditional cumulative residual inaccuracy measure

Abstract

Recently, the notion of cumulative residual Rényi’s entropy has been proposed in the literature as a measure of information that parallels Rényi’s entropy. Motivated by this, here we introduce a generalized measure of it, namely cumulative residual inaccuracy of order α. We study the proposed measure for conditionally specified models of two components having possibly different ages called generalized conditional cumulative residual inaccuracy measure. Several properties of generalized conditional cumulative residual inaccuracy measure including the effect of monotone transformation are investigated. Further, we provide some bounds on using the usual stochastic order and characterize some bivariate distributions using the concept of conditional proportional hazard rate model.     

Community Organization and Administration

The author argues that when minority content has been included in the social work curriculum, the affective domain of cross-cultural study has been bypassed in favor of cognitive mastery. This article presents a conceptual system for evaluating students' progress in the affective area as a way of preparing them for the demands of cross-cultural practice and as a step toward creating a confluence between content and process.     

Communicating collaborative leadership

Collaborative or shared leadership has frequently been advocated as an alternative to vertical or top-down leadership. Building on the conceptual and theoretical aspects of collaborative leadership developed in previous research, this study examined the specific communication behaviors and processes used to create collaborative leadership. Based on participant observation ethnography and interviews of all the major participants, the authors collaborated on this study to explore how the leader's attitudes, behaviors, and communication supported collaboration and how the group members participated in creating a collaborative culture. The findings may be transferable to other group endeavors in which leaders and members wish to create a collaborative group process.     

A chain game for distributed trading and negotiation

This position paper introduces a simulation gaming environment for enacting a production network. The environment aims to be an integrative laboratory for investigating supply networks, as well as being a versatile training tool. The primary focus is on food production networks. The environment enables a number of teams of participants, each representing one actor in a food chain, to conduct business together. The teams can have the role of auction, co-operation, wholesaler, factory, retail chain, and retail outlet. Producers and consumers are either enacted or simulated. The game leaders freely determine the products and production methods in each run of the game. The gaming environment takes performance, process and institutional aspects of chains into account. It is particularly suited for investigating issues of sustainability and trust. Currently the gaming environment is under development. The paper presents version 1B. This version can be found at http://www.chaingame.org. It runs on the Web, enabling to model distributed chains.