Combining key elements in training and research: Developing social work assessment theory and practice in partnership

This paper is based on a joint project between staff from a university department of social work and a local social services department and is jointly written by the four people involved. It reports on the development of a package of training and research over the past 5 years designed to improve standards of assessment in the work of child and family social workers employed by the authority. It analyses the positive reception given to the project both from practising social workers and from management. It contends that this model of combining theory, training, research and practice can and should be used more widely as a basis for supporting and developing professional social work. It discusses the introduction of a theoretical framework which anticipated the new national framework for assessment, but which has been used to critically assess it (as well as other models of assessment), and has involved experienced workers in their evaluation.     

Social networks and immigration stress among first‐generation Mandarin‐speaking Chinese immigrants in Los Angeles

This study examined relationships between social networks and immigration stress among first‐generation Chinese immigrants. Using data from a larger study of health behavior among first‐generation Mandarin/English‐speaking immigrants residing in the Los Angeles metropolitan area (N = 1,183), this study found that Chinese immigrants living closer to immediate family and maintaining larger social networks experienced lower immigration stress. Unexpectedly, immigrants with larger family sizes and who participated in voluntary associations (e.g., religious, alumni, and nationality associations) reported increased immigration stress. The findings suggest that practitioners need to be cautious of a possible downside in designing interventions to expand social networks among immigrant clients. The study is especially important in the context of a rapidly increasing immigrant population from Mainland China to the USA. Key Practitioner Message: ● Working with immigration families should incorporate assessment of their social network; ● Interventions designed to facilitate supportive social networks should differentiate different social network ties; ● Different social network ties may affect the stress level of immigrants differently.     

Data and Model Management in a Generalized MCDM-DSS*

Drawing upon the choice models developed in the multiple criteria decision making (MCDM) area, this paper proposes an architecture for designing an intelligent decision support system (DSS) that is intended to aid in making choices among multiple alternatives along multiple dimensions. It argues that effective support can be provided to the decision maker when the knowledge-based DSS is capable of dynamically selecting choice models appropriate to the domain and context of a particular problem being specified by the decision maker, and of properly applying them to the problem solution. Development of a prototype intended to partially represent application of the architecture is described. The paper concludes with suggestions for research extensions.     

Incentives Policies to Site Hazardous Waste Facilities

This paper addresses the use of mitigation and compensation as incentives policies to stimulate agreement between parties interested in siting a hazardous waste facility and potential host communities. We develop a model of facility siting that distinguishes five key factors which influence the acceptability of a proposed facility when considered in relation to status quo conditions. This model then is used to examine the effectiveness of different incentives policies with regard to (a) mitigating the perceived risks and (b) compensating the adverse impacts of a hazardous waste facility.     

The Impact of Cytochrome P450 2E1-Dependent Metabolic Variance on a Risk-Relevant Pharmacokinetic Outcome in Humans

Risk assessments include assumptions about sensitive subpopulations, such as the fraction of the general population that is sensitive and the extent that biochemical or physiological attributes influence sensitivity. Uncertainty factors (UF) account for both pharmacokinetic (PK) and pharmacodynamic (PD) components, allowing the inclusion of risk-relevant information to replace default assumptions about PK and PD variance (uncertainty). Large numbers of human organ donor samples and recent advances in methods to extrapolate in vitro enzyme expression and activity data to the intact human enable the investigation of the impact of PK variability on human susceptibility. The hepatotoxicity of trichloroethylene (TCE) is mediated by acid metabolites formed by cytochrome P450 2E1 (CYP2E1) oxidation, and differences in the CYP2E1 expression are hypothesized to affect susceptibility to TCE's liver injury. This study was designed specifically to examine the contribution of statistically quantified variance in enzyme content and activity on the risk of hepatotoxic injury among adult humans. We combined data sets describing (1) the microsomal protein content of human liver, (2) the CYP2E1 content of human liver microsomal protein, and (3) the in vitro Vmax for TCE oxidation by humans. The 5th and 95th percentiles of the resulting distribution (TCE oxidized per minute per gram liver) differed by approximately sixfold. These values were converted to mg TCE oxidized/h/kg body mass and incorporated in a human PBPK model. Simulations of 8-hour inhalation exposure to 50 ppm and oral exposure to 5 micro g TCE/L in 2 L drinking water showed that the amount of TCE oxidized in the liver differs by 2% or less under extreme values of CYP2E1 expression and activity (here, selected as the 5th and 95th percentiles of the resulting distribution). This indicates that differences in enzyme expression and TCE oxidation among the central 90% of the adult human population account for approximately 2% of the difference in production of the risk-relevant PK outcome for TCE-mediated liver injury. Integration of in vitro metabolism information into physiological models may reduce the uncertainties associated with risk contributions of differences in enzyme expression and the UF that represent PK variability.     

Misdirection on the road to Shangri-La

Will life expectancy in the United States rise or fall in this century? The implications of either scenario are far reaching. We contend that the rise of childhood obesity in the United States in the past three decades has been so dramatic that it will soon lead to higher than expected death rates at middle ages and a possible decline in life expectancy by midcentury. The most detrimental health and longevity effects will not be seen for decades--a phenomenon that cannot be detected by current methods used to forecast life expectancy or estimate the number of deaths currently attributable to obesity. This scenario contrasts sharply with the views of mathematical demographers who generate forecasts by relying on the assumption that the U.S. pattern of longevity will follow that of other longer lived nations and on the extrapolation of historical trends in life expectancy into the future.     

Methods for Measuring Mechanisms of Contention

A substantial intellectual movement has been growing in the social sciences around the adoption of mechanism- and process-based explanations as complements to variable-based explanations, or even as substitutes for them. But once we have recognized the validity and dignity of studying mechanisms and processes, what is the next step? Recently, both political scientists’ and sociologists’ discussions have begun to turn away from correlation to mechanism-based approaches to causation. But there is still a widespread assumption that mechanisms are unobservable. We maintain that ways can be developed to observe the presence or absence of mechanisms either directly or indirectly. In this paper, by way of example, we put forward four methods—two direct and two indirect—for measuring mechanisms of contention.