Federalism and aging policy in the 1980s: implications for changing interest group roles in the 1990s

Shifts in the American political landscape during the 1980s had impacts on aging policy and on the behavior of aging interest groups through that decade. But perhaps even more important are the likely effects of those changes on aging policy and on the roles of age-related groups in the 1990s--and probably beyond. First, some of the major policy trends of the 1980s are sketched out, especially the renewed emphasis on federalism. Then, an assessment of their effects on aging policy and aging interest groups is provided. Next, a rationale for focusing on state-level policy and a discussion of current aging interest-group mobilization at the state level are presented. Last, the prospects for aging interest-group influence in the 1990s--a period in which the prior decade's emphasis on dual federalism is likely to continue--is addressed.     

Clinical program renovation management

The day-to-day management of medical practice is so heavily influenced by tactical imperatives that few physicians have the time to think strategically. Traditionally, the difference between tactics and strategy is not a major concern of most physician executives. The realm of tactics is the short run, when managers must make do with the fixed resources at hand. Strategy addresses the long run, when all resources and markets are variable. A tactical focus is understandable, maybe even acceptable, in industries where nothing challenges traditional approaches to production of an established product or service. However, medical care in the 1990s is changing so fast that a physician executive must devote an incredible amount of time and effort just to stay confused about what is going on.     

Utilizing a game for both needs assessment and learning in adolescent sexuality education

A fact-gathering, experimental game proved to be an effective instrument in the needs assessment phase of an adolescent sexuality educational program aimed at low-income females. The game ("Family Few"), which covered the topics of menstruation and reproduction, was played by 35 Black, Hispanic, and white females aged 13-16 years recruited from medical and psychiatric clinics in Miami, Florida. The goals of the game were to elicit terminology used by participants, identify and correct misconceptions and misinformation, and determine if learning could occur. Although 57% of participants reported prior exposure to formal sex education, misinformation about the need for activity curtailment during menstruation and the importance of early pregnancy detection was widespread. Group members believed they needed to restrict activities involving physical exercise, sexual relations, water, and cold during menses and were not likely to seek medical or family consultation regarding a missed period until the end of the 1st trimester of pregnancy. Also evident was a need for accurate information on the side effects, risk factors, benefits, and effectiveness of contraceptive methods. The group responses enabled the sex educators to prepare a culturally responsive, developmentally oriented curriculum for further work with disadvantaged female adolescents. The group process was ranked highly on the Likert Scale by these teenagers as an enjoyable, useful means of information dissemination and problem solving.     

International factors in the formation of refugee movements

The authors construct a theoretical framework for analyzing factors influencing international refugee movements. "On the basis of detailed case studies by the authors of the principal refugee flows generated in Asia, Africa, and Latin America from approximately 1960 to the present, it was found that international factors often intrude both directly and indirectly on the major types of social conflict that trigger refugee flows, and tend to exacerbate their effects. Refugees are also produced by conflicts that are manifestly international, but which are themselves often related to internal social conflict among the antagonists."     

Treatment of the emotionally disturbed,mildly retarded youngster in the foster care system

This paper demonstrates the need for a broad array of clinical services in treating the emotionally disturbed, mildly retarded youngster in the foster care system. A hypothesis suggests that cognitive deficits and borderline pathology are interrelated, and that treatment involves modifications of traditional therapeutic techniques. The definition of clinical is expanded to include seemingly concrete and environmental services, in addition to the office therapy session. Finally, some systemic impediments to effective treatment of the population are explored.This paper was completed as a requirement of the Post-Master's Program in Advanced Clinical Social Work of Hunter College School of Social Work.     

The therapeutic utilization of canines in a child welfare setting

This article describes the therapeutic use of canines in child welfare work. The chronically rejected child, or those who virtually spend their entire youth in care, tend to develop a withdrawn, depressed, and suspicious posture toward their relations with other people. This ultimately results in their failure to respond to conventional treatment modalities. Under these circumstances, the canine intervention may prove to be a valuable adjunct, helping to develop and to expedite the process of the therapeutic alliance.This article is a revised version of one presented to meet the requirements for the Masters in Social Work Degree from Hunter College School of Social Work.