Benefit-cost analysis of residential and outpatient addiction treatment in the State of Washington

A benefit-cost analysis of full continuum (FC) and partial continuum (PC) care was conducted on a sample of substance abusers from the State of Washington. Economic benefits were derived from client self-reported information at treatment entry and at 9 months postadmission using an augmented version of the Addiction Severity Index (ASI). Average (i.e., per client) economic benefits of treatment from baseline to follow-up for both FC and PC were statistically significant for most variables and in the aggregate. The overall difference in average economic benefit between FC and PC was positive ($8,053) and statistically significant, favoring FC over PC. The average cost of treatment amounted to $2,530 for FC and $1,138 for PC (p < .01). Average net benefits were estimated to be $17,833 (9.70) for FC and $11,173 (23.33) for PC, with values showing statistical significance (p < .05). Results strongly indicate that both treatment options generated positive and significant net benefits to society.     

Health and the structure of adolescent social networks

Much research has explored the role of social networks in promoting health through the provision of social support. However, little work has examined how social networks themselves may be structured by health. This article investigates the link between individuals' health and the characteristics of their social network positions. We first develop theoretical predictions for how health may influence the structure of adolescent networks. We then test these predictions using longitudinal analysis of the National Longitudinal Study of Adolescent Health (Add Health). We find important relationships between the health status of adolescents and the characteristics of the social network positions within which they are embedded. Overall we find that adolescents in poor health form smaller local networks and occupy less central global positions than their healthy peers. These results also have implications for social network research, expanding the scope of factors responsible for the network positions individuals occupy.     

Elder Abuse: Clinical,Ethical, and Legal Considerations in Social Work Practice

As a consequence of the steadily growing older population, and increased demands on family for community based care of elderly, elder abuse is an issue to be considered in all domains of social work practice. Intervention in cases of elder abuse is often fraught with ambiguity and ethical dilemmas as the application of professional principles is less than straightforward, bringing to the fore personal, legal, and ethical concerns in the management of the client’s safety and well-being. This article addresses challenges which arise from the complexity of elder abuse cases and reviews clinical, ethical, and legal obligations to inform ethical decision-making.     

Youth co-offending networks: An investigation of social and spatial effects

This research tests the relative contribution of social distance and spatial distance to the presence of ties between neighborhoods based on youth co-offending. Using official court data from a large U.S. metropolitan area, a set of dyad independence and exponential random graph models are estimated in order to investigate the characteristics of neighborhoods that foster co-offending. Results reveal significant effects of both social and spatial distance. Social distance contributes to network structure net of spatial proximity, though spatial factors better explain the overall network structure. These results have methodological implications for the analysis of spatial effects and criminal behavior.     

Gender,sexual orientation,and truth‐of‐consensus in studies of physical attractiveness

Truth‐of‐consensus methodology presently holds that sex differences in perceptions of physical attractiveness are negligible and may be routinely ignored during prescaling. No determination has been made in the literature of the effects of sexual orientation on this perceptual process. The data presented herein suggest that while sex and sexual orientation of judge are largely irrelevant to prescaling of female stimuli, these variables are important when judging male stimuli. In particular, male homosexuals and male heterosexuals differ significantly in ranking male facial photographs. Thus, experimenters wishing to treat attractiveness levels as known quantities should control for this difference, especially when using a small number of judges for prescaling.     

Constructing D-optimal symmetric stated preference discrete choice experiments

We give new constructions for DCEs in which all attributes have the same number of levels. These constructions use several combinatorial structures, such as orthogonal arrays, balanced incomplete block designs and Hadamard matrices. If we assume that only the main effects of the attributes are to be used to explain the results and that all attribute level combinations are equally attractive, we show that the constructed DCEs are D-optimal.     

Developing Nations, the Digital Divide and Research Databases

The digital divide affects many nations of the developing world. The term encompasses inadequate funding, a lack of necessary computer and Internet skills, and a lack of English-language proficiency that hinder expansion and use of digital information resources. Visionary individuals and organizations can assist these countries with their information needs. Aggregated full-text databases serve as a prominent tool in closing the digital divide because they provide important research resources. Participating organizations must demonstrate the value of these resources to users and supply essential training to ensure success with electronic resource initiatives.     

Multiple Family Group Therapy in a Drug and Alcohol Rehabilitation Centre

In the last decade there has been increasing interest in working systemically with groups of families. Multiple family groups (MFGs) have been used in mental health settings with schizophrenia, eating disorders and drug and substance abuse. This article describes the MFG program used in Higher Ground Alcohol and Drug Rehabilitation Trust, a rehabilitation centre in Auckland, (New Zealand). Higher Ground provides an 18‐week residential therapeutic program for people with a severe substance abuse disorder. The MFG in Higher Ground focuses on developing better communication patterns and better boundaries between family members, fostering mutual support, and promoting self‐responsibility.