HCBS Spending and Nursing Home Admissions for 1915(c) Waiver Enrollees

Medicaid waiver programs for home- and community-based services (HCBS) have grown rapidly and serve a population at high risk for nursing home (NH) admission. This study utilized the Medicaid Analytic Extract Personal Summary File and the NH Minimum Data Set and tested whether higher levels of per-beneficiary HCBS spending were associated with (1) lower risk of long-term (90+ days) NH admission and (2) higher functional/cognitive impairment at admission for new enrollees in 1915(c) aged or aged and disabled waiver programs. Waiver enrollees in states and counties with higher HCBS spending were found to have lower risk of long-term NH admission and greater functional impairment at NH admission compared to waiver enrollees in states and counties with lower spending. This indicates that higher per-enrollee HCBS spending may enable waiver enrollees to remain in the community until their functional impairment becomes more severe.     

Social Media Newsrooms in public relations: A conceptual framework and corporate practices in three countries

The rise of social media in organizational settings has opened up new horizons for strategic communication. However, there are also drawbacks. Arguably the most important one is increased complexity. Many communication departments use a multitude of platforms ranging from corporate websites, campaign microsites and blogs to services like Facebook and Twitter to communicate with stakeholders. Social Media Newsrooms (SMNRs) have been introduced as instruments to reduce this complexity. The basic idea is straightforward: SMNRs aggregate social media content provided by the organization and/or thematic content about the organization and its key issues from several platforms in one place. Although SMNRs have been used in public relations practice around the world since the concept was first introduced in 2007, empirical evidence is still missing. This paper closes the research gap by (a) introducing SMNRs from a conceptual perspective based on a literature review, (b) exploring opportunities and challenges for strategic communication, (c) researching empirical manifestations and modes of usage by corporations in three major international markets (United States, United Kingdom, and Germany) based on a comprehensive content analysis of the 600 largest companies and 2045 affiliated brands and subsidiaries, and (d) explaining implications for the practice of public relations.     

Moving Away and Reaching Out: Young Adults’ Relational Maintenance and Psychosocial Well-Being During the Transition to College

In this study, we extended the research on students’ stress and psychosocial well-being during the transition to college to consider the potential moderating effect of their communication of relational maintenance with a parent. We found that as students’ (N = 155) daily stress increased, their daily loneliness and depression increased, and their daily happiness decreased. Moreover, we identified students’ daily communication of openness and assurances with a parent as moderators of the association between their daily stress and daily loneliness. These results suggest that students’ communication with a parent is a salient factor in their well-being during the transition to college.     

Maternal knowledge,stimulation, and early childhood development in low‐income families in Colombia

Theoretical models assume that parental knowledge about child development and caregiving motivates parental stimulation, shaping child development. Evidence supporting these models is scarce in low‐ and middle‐income countries (LMICs). This study tests the relations between maternal knowledge, stimulation, and child development in a Colombian sample of 1,277 low‐income mothers and their children under the age of five. Mothers showed diverse knowledge about child development and caregiving. Moreover, maternal knowledge when children were 9–26 months old indirectly predicted growth in children's cognitive, receptive language, and gross motor skills at ages 27–46 months, partially through maternal engagement in stimulating activities with the child.     

Healthy postmenopausal women- physical activity and forearm bone mineral density: the Nord-Trøndelag health survey

The aim of this study was to analyze the association between Physical Activity (PA) and forearm bone mineral density (BMD) in healthy postmenopausal women. During 1984-1986, a population-based health survey (HUNT-1) was conducted in Nord-Tr?ndelag county, Norway. The second follow-up survey (HUNT-2) was conducted during 1995-1997. The subjects consist of all healthy postmenopausal women (N = 2,924). Higher intensity of recreational PA in HUNT-1 was associated with higher BMD ultradistally (slope = +0.0084, p = 0.0009). The summary score of duration, frequency and intensity of recreational PA in HUNT-1 was associated with lower risk of being below the 20th percentile ultradistally (OR = 0.90, p = 0.01, after adjustment for covariates). The trends for mean distal and ultradistal BMD and percent low BMD lacked statistical significance when we used the PA score that combined the recreational and occupational PA in HUNT-1 and HUNT-2. CONCLUSION: Higher intensity of prior recreational PA (HUNT-1) was associated with a protective effect on BMD measured in the forearm (HUNT- 2).     

The power of poetry: Validating ethnic identity through a bibliotherapeutic intervention with a Puerto Rican adolescent

The use of a Puerto Rican poem in ego-supportive work with a sixteen-year-old adolescent is described. His positive response to reading poetry of his own people indicated that his ethnic identity, a core element of ego identity, was validated by the experience. The possible relationship between the bibliotherapeutic intervention and the course of the client's treatment is discussed, as are implications for the use of ethnically sensitive bibliotherapy in practice.     

Neurodiversity, neurological disability and the public sector: notes on the autism spectrum

Neurodiversity and neurological disabilities reflect rising public sector challenges. Both refer to the same set of medical conditions, but speak to different aspects of diversity affecting the public sector. Neurodiversity describes features of neurological difference associated with individual or community identity that is a more or less elective choice of those experiencing neurological difference. Neurological disability refers to impairment of socially determined major life functions caused by observable, diagnosable difference in an individual's brain. Both neurodiversity and neurological disability produce challenges and opportunities for public programs and societies. This article employs findings from a survey of families with children with autism to examine administrative implications of neurodiversity and neurological disability. The findings suggest that in managing new (and rising) kinds of diversity, public administrators must navigate sharpening divides between interests related to inclusion and those related to identity.     

Making Privatization Work: Utilizing a Scorecard Model of Human Resource Strategy

Three-fourths of privatization efforts fail. Analyses of the other one-fourth have overlooked what is arguably the single most important element: successful management of human resources. In establishing the culture of change necessary to effect competitive initiatives and in motivating employees toward innovation and accountability, a scorecard-based human resource strategy is at the center of it all. A discussion of the strategic role of human resource management supporting privatization efforts in general, and of the remarkably successful Charlotte, North Carolina experience in particular, offers important lessons. Detailed here is a rubric of what works and why.