Evaluation of a Training to Reduce Provider Bias Toward Pregnant Patients With Substance Abuse

The objective of this article is not to present a scientific or systematic study, but to provide an initial framework for designing a training workshop to enhance health practitioners’ (nurses, social workers, physicians, etc.) knowledge regarding substance abuse treatment and to decrease their bias toward substance-abusing women, particularly pregnant women in rural communities. We incorporated the 4 Transdisciplinary Foundations from the Substance Abuse and Mental Health Services Administration Competencies Model, with specific competencies targeted that related to provider bias. After the conference, 52 of the 70 participants completed a questionnaire to self-assess knowledge level and confidence in skill related to substance abuse management. Participant mean scores were statistically significantly higher following the conference than 1 week prior (p < .001) in the area of “gender difference with substance abuse,” moving from an average of 2.6 to 4.5 on a 5-point Likert scale. Our conference was successful in increasing attendees’ knowledge about gender difference and substance abuse among pregnant patients.     

School, Family and County Effects on Adolescents’ Later Life Chances

This paper explores the links between family, school and area background influences during adolescence and later adult economic outcomes. The empirical analysis is based on data covering the period 1979 to 1996, drawn from the 1979 US National Longitudinal Survey of Youth. For a sample of individuals aged 14–19 in 1979, we estimate the association between family, school and area characteristics when growing up, on adult earnings capacity and poverty risk. We show that including all these influences jointly, family and school quality generally have significant associations with adult outcomes, but that area influences generally do not.Simon Burgess, Department of Economics, University of Bristol and CASE, 8 Woodland Road, Bristol BS8 1TN, UK; e-mail: Simon.Burgess@bristol.ac.ukKaren Gardiner, Department of Social and Policy Sciences, University of Bath, Claverton Down Bath BA2 7AY, UK; e-mail: K.S.Gardiner@bath.ac.ukCarol Propper, Department of Economics, University of Bristol and CASE, 8 Woodland Road, Bristol BS8 1TN, UK; e-mail: Carol.Propper@bristol.ac.uk     

Bringing Two Worlds Together: A Collaborative Interview With JoEllen Patterson

JoEllen Patterson is Professor in the Marital and Family Therapy Program at the University of San Diego. She is also an Associate Clinical Professor of Family Medicine and Psychiatry at the University of California, San Diego, directing a medical family therapy clinic embedded in a Family Medicine residency (equivalent to General Practice in New Zealand). She also works in Pediatrics and Reproductive Medicine at UCSD. At present her work involves training family therapy students and family medicine residents to do interdisciplinary work using a biopsychosocial model. Research suggests that our bodies are influenced by our mental health; our immune systems and cardiovascular systems seem especially susceptible to mind‐body interplay. JoEllen is particularly interested in how family functioning influences the mind‐body system. In 2003, JoEllen Patterson received a Fulbright Senior Scholars award to visit the Wellington School of Medicine and Health Sciences, and the Child, Adolescent and Family Service in Lower Hutt, New Zealand. She spent two weeks between the clinical service and the academic department, teaching, consulting and advising. I was lucky enough to arrange this posting and to spend time with her during it.     

Developmental trends in proxemic spacing behavior between surrounding companions and strangers in casual groups

This study examined age differences in the pattern of proxemic behavior observed in casual groups frequenting public environments. Observations were made in the corridors of large shopping malls and along sidewalks of small towns. The relative positions of all walking subjects were inconspicuously recorded in photographs, and interpersonal distances were measured by projecting slides on a calibrated grid. Distances to first, second, and third nearest companions and first, second, and third nearest strangers were computed for subjects in six age classes: preschool children, grade school children, teenagers, young adults, middle adults, and senior adults. All classes showed significant age differences in the distances maintained to companions (p = .00001), but only senior adults differed in their spacing toward strangers, by maintaining significantly closer distances than the other age groups (p < .01). Tests of spatial patterns showed significant aggregations between first, second, and third nearest companions, and essentially random spacing toward first nearest strangers in all age groups. Senior adults showed a significant tendency to aggregate with their second and third nearest surrounding strangers. These results are discussed in the light of oer research and in the context of the ecology and development of proxemic behavior.Funding was provided by a National Science Foundation grant, BNS 79-06843, to J.W. Burgess. Additional fundint was provided by a grant from the Consumer Research Center, University of California (Robert Sommer, Director), and by Sigma Xi grants to J.W. Burgess. The author thanks Ms. Deanna Johnson for expert help in behavioral observation and decoding.     

Conservative linear programming with mixed multiple objectives

In an ordinary linear program a single objective vector is constructed and one attempts to choose a decision vector to optimize this objective. Often multiple criteria exist or exact estimates for the components of a single objective vector are not entirely clear. For these cases a conservative decision-maker may want to choose an alternative that maximizes the objective value under the worst foreseeable circumstances. Herein we develop a unified framework for applying the maximin criterion to problems with various degrees of uncertainty attached to the objective vector. Three cases are solved via linear programming: (1) Complete Information, (2) Partial Information, and (3) Total Ignorance. It is shown that the functional value of the maximin solution decreases in a convex manner with increasing uncertainty. In addition certain relationships between maximin and efficient solutions are provided. Finally, an extension to integer constrained decision variables is presented.     

Fossil fuel supplies simulation 1972–1979

Fossil fuels are an important source of energy for Ontario Hydro and purchases exceed $100 million per year. This paper describes a computer simulation of the inventory situation over an eight-year period, which is being used to assess the relationship between order flexibility and the target carry-over stocks at the beginning of each shipping season. A simple way of presenting the results for management evaluation is illustrated. Variations of the model are used to assess random influences, such as strikes, and to determine the economic balance between holding costs and stock-outs.     

‘Having to say everyday … I’m not black enough … I’m not white enough’. Discourses of Aboriginality in the Australian education context

This paper interrogates discourses of Aboriginality about, and by, early career Aboriginal teachers as they negotiate their emergent professional identity in specific Australian school contexts. These discourses position the respondents via their ethnic and cultural background and intersect with self-positioning. This relates to the desire to be positioned as teacher rather than (only) as an ‘Aboriginal’ teacher. Consequently, the over-determination of Aboriginality includes such suppositions as the ‘think-look-do’ Aboriginality with a ‘natural’ connection to community, the ‘good’ Aboriginal teacher who fixes Aboriginal ‘problems’, the Aboriginal teacher as ‘Other’, and [the notion that] ‘Aboriginal work’ as easy, not real work and peripheral to core business. Through qualitative methodology, eleven Aboriginal teachers from the University of Sydney were interviewed. They were able to construct stories of early career teaching and the data was analysed to explore how the participants interpreted, accepted and/or resisted various discourses in their efforts to be agentic and resilient and to make a difference for the Aboriginal students they teach.