Assessment in Adult Protective Services: do multidisciplinary teams make a difference?

This study compared 2 approaches to the assessment of Adult Protective Services (APS) cases. Using administrative data from 869 cases in 2 counties in Maryland, the differences between a nurse/social worker team and a lone social worker in case disposition, risk reduction, recidivism, and cost effectiveness were examined. Lone social workers were significantly more likely to confirm financial exploitation, physical abuse, and neglect by others; while the team approach resulted in significantly greater risk reduction. No differences were observed in relation to recidivism, self-neglect and cost savings. Given limited resources, research that examines optimal staffing patterns in APS agencies is warranted.     

Use of a historical control group in a noninferiority trial assessing a new antibacterial treatment: A case study and discussion of practical implementation aspects

When recruitment into a clinical trial is limited due to rarity of the disease of interest, or when recruitment to the control arm is limited due to ethical reasons (eg, pediatric studies or important unmet medical need), exploiting historical controls to augment the prospectively collected database can be an attractive option. Statistical methods for combining historical data with randomized data, while accounting for the incompatibility between the two, have been recently proposed and remain an active field of research. The current literature is lacking a rigorous comparison between methods but also guidelines about their use in practice. In this paper, we compare the existing methods based on a confirmatory phase III study design exercise done for a new antibacterial therapy with a binary endpoint and a single historical dataset. A procedure to assess the relative performance of the different methods for borrowing information from historical control data is proposed, and practical questions related to the selection and implementation of methods are discussed. Based on our examination, we found that the methods have a comparable performance, but we recommend the robust mixture prior for its ease of implementation.     

Challenges in Identifying Factors Which Determine the Placement of Children in Care? An International Review

Placing a child in out-of-home care is one of the most important decisions made by professionals in the child care system, with substantial social, psychological, educational, medical and economic consequences. This paper considers the challenges and difficulties of building statistical models of this decision by reviewing the available international evidence. Despite the large number of empirical investigations over a 50 year period, a consensus on the variables associated with this decision is hard to identify. In addition, the individual models have low explanatory and predictive power and should not be relied on to make placement decisions. A number of reasons for this poor performance are offered, and some ways forwards suggested. This paper also aims to facilitate the emergence of a coherent and integrated international literature from the disconnected and fragmented empirical studies. Rather than one placement problem, there are many slightly different problems, and therefore it is expected that a number of related sub-literatures will emerge, each concentrating on a particular definition of the placement problem.     

IMAXTECHNOLOGY AND THE TOURIST GAZE

IMAX grew out of the large and multiple screen film experiments produced for Expo '67 in Montreal. Since then, it has become the most successful large format cinema technology. IMAX is a multiple articulation of technological system, corporate entity and cinema practice. This article shows how IMAX is reintroducing a technologically mediated form of ‘tourist gaze’, as elaborated by John Urry, into the context of the institutions of museums and theme parks. IMAX is seen as a powerful exemplar of the changing role of cinema-going in contemporary post-Fordist culture,revealing new configurations of older cultural forms and practices. In particular, the growth of this brand of commercial cinema runs parallel to a blurring of the realms of social and cultural activity, referred to as a process of ‘dedifferentiation’. This article gives special attention to the espistemological dimensions of IMAX's conditions of spectatorship.     

The Nominal Group: A New Tool for Making Social Work Education Relevant

This article describes the nominal group technique and delineates the application of the approach to identifying specific course topics and emphases sought by students enrolling in undergraduate and graduate social work courses.     

Divorce and Mid- and Later Life Families: A Phenomenological Analysis with Implications for Family Life Educators

ABSTRACT

A growing number of mid- and later life individuals and families are experiencing divorce and remarriage. Mid- and later life families are those who have begun to or may have launched their adult children. As a result, these families may include in-laws and grandchildren. Limited research has addressed the potentially unique experiences of these families whose lives are made more complex and complicated by divorce, remarriage, or both. The purpose of this article is to examine, from a phenomenological perspective, the lived experiences of individuals and families experiencing divorce in mid- and later life. In so doing, four case studies are presented that represent four common pathways through divorce and remarriage in mid- and later life: career divorced, seasoned divorced, newly divorced, and interrupted career divorced. Using these case studies and our interpretation of them based on a phenomenological approach, we offer implications for family life educators for improving the delivery of educational services to families facing mid- and later life divorce and remarriage.     

Family Structure and Children’s Education Outcome: Evidence from Uruguay

As the developed world has experienced a shift away from the traditional two-biological parent family, scholars have sought to understand how children are faring in non-traditional homes. Debate has arisen over assertions that children from non-traditional families do less well in school. Concerns about selection issues as well as a paucity of cross-cultural evidence, have led some scholars to question the influence of family structure on educational attainment. Using data from the 2006 Uruguayan household survey, we evaluated the relationship of family structure with children’s education using two different methods to deal with selection problems, an instrumental variables approach and propensity score matching. Both approaches yield evidence that growing up in non-traditional family structures seems to be negative related with the schooling of Uruguayan boys, with more muted results for girls. Interestingly, Uruguay is a developing country with two peculiarities, that is, a culture that experienced fairly rapid modernization in terms of institutions—including family transition—especially compared with other South American nations, and meanwhile an intriguingly high level of school drop-out, unusually high for Uruguay’s overall level of development.     

Precepts of Reflective Public Relations: An Isocratean Model

The reflective paradigm, an emerging philosophy of public relations, involves an organization's “production of self-understanding in relation to the environment,” (Holmström, 2004 Holmström , S. ( 2004 ). Intermezzo: The reflective paradigm of public relations . In B. van Ruler & D. Vercic (Eds.), Public relations and communication management in Europe (pp. 121 – 133 ). New York : Mouton de Gruyter . [Google Scholar], p. 126). An instructive antecedent of reflection may lie in the works of Isocrates (436–338 BCE), who has gained increasing scholarly recognition as a progenitor of modern public relations. As Isocrates sought to strengthen Athens via a unified Greece, he promoted panhellenism over the narrower interests of individual Greek city-states. In highly self-analytical addresses to Greek leaders, he advocated, in words and deeds, specific precepts of nascent reflection, including conducting thorough research on a diverse society and the encouragement of dissent.     

A Model for Assessing the Impact of Combat-Related Deployments on U.S. Army Spouses

Cognitive appraisal and coping theory were used to examine parental stress, family stress, and personal stress among wives of deployed soldiers. A random sample of wives of U.S. Army personnel deployed to Iraq provided evidence that length of deployment, rank of deployed soldier, and number of previous deployments, impacted these wives during deployments. Results suggest that rank of deployed soldiers and number of deployments influenced the spouse's perception of family stress; whereas rank and length of the deployment influenced her experience of parental stress. All three factors served as indicators of the personal stress experienced during deployments by these wives.     

Risky Business: A Few Provocations on the Regulation of Electronic Gaming Machines

Electronic gambling machines (EGMs) proliferate in Australian club and hotel venues, generating revenues of billions of dollars annually and accounting for the majority of gambling expenditure. These revenues arguably rely on unsafe consumption practices, generating considerable harm. Clear evidence is available describing unsafe levels of EGM consumption by regular EGM consumers in hotels and clubs, and indicating modifications to EGM technology and systems to minimize harm. However, a comfortable orthodoxy, the discourse of ‘business as usual’, perpetuates current arrangements, sustaining in particular a model of the ‘problem’ gambler as an individualized flawed consumer. The article argues that the marketing and distribution of EGMs is neither accidental nor something for which the individual is responsible, and neither is the safeguarding of oneself from the harm produced by goods licensed by government. Pursuit of a goal of safe consumption for all EGM gamblers requires disruption of the discourse of business as usual.