An analysis of quantile measures of kurtosis: center and tails

The consequences of substituting the denominator Q ₃(p)  −  Q ₁(p) by Q ₂  −  Q ₁(p) in Groeneveld’s class of quantile measures of kurtosis (γ ₂(p)) for symmetric distributions, are explored using the symmetric influence function. The relationship between the measure γ ₂(p) and the alternative class of kurtosis measures κ₂(p) is derived together with the relationship between their influence functions. The Laplace, Logistic, symmetric Two-sided Power, Tukey and Beta distributions are considered in the examples in order to discuss the results obtained pertaining to unimodal, heavy tailed, bounded domain and U-shaped distributions. The authors thank the referee for the careful review.     

Information technology enters the doctor's office: Part II--Six lessons about intended ... and unintended ... results

Part I of this article ("Six Design and Implementation Lessons," Physician Executive, Sept.-Oct. 1993, pp. 46-50) described an ambulatory utilization review (AUR) program designed and implemented by Metropolitan Life Insurance Company and reviewed some of the lessons learned over the past five years. Those lessons pertained to the tasks of inventing a new information technology to measure and evaluate ambulatory care and some of the practical implementation issues associated with review of 30,000 small dollar value claims per day in 19 claim offices nationwide. This article turns to the basic purpose of AUR--to review the medical necessity and appropriateness of ambulatory utilization. One lesson learned about AUR in this context is that AUR works: savings from the program outweigh costs by almost 5:1. The more important lessons, however, stem from understanding how the savings are achieved, and what some of the other unintended benefits of the program are.     

The Use of the Coworker Approach as a Teaching Model in Graduate Student Field Education

A student coworker approach was inititated as a treatment aid in meeting the needs of large multiproblem families and groups as well as those of beginning graduate students; its continued use has demonstrated its merit in students' learning and in the instructor's awareness of this process. It has served as a form of observed interview that has overcome the limitations of the traditional tutorial conference method. This paper describes the use of the coworker approach as it has been applied to a graduate field education unit.     

Book Review: The Economics of Voluntary Behavior: Theoretical and Empirical Analysis

VOLUNTAS: International Journal of Voluntary and Nonprofit Organizations -     

XI. Neurotic children: Mandel clinic Michael Reese Hospital 1

Social workers who treat children of deployed servicemembers may feel poorly prepared to work competently with military families and will benefit from understanding the immediate and long-term effects of parental deployment upon children. This review consolidates a substantial, shifting knowledge base and establishes a coherent theoretical framework for social workers to learn about the effects of war-specific deployment cycles for servicemembers, and the relationship among family members' and children's experiences with deployment separation. The author considers important lessons learned during the Vietnam War and the unique experiences specific to current wars. This article compares the Vietnam War and the more recent wars' characteristics of military deployment, demographic characteristics of service members, servicemembers' family characteristics, and research findings about the psychosocial effects of deployment on children. A case vignette is presented to clarify how an understanding of deployment and reintegration is necessary for the treatment of servicemembers, families, and children by social workers.     

Families of Children with Serious Emotional Disturbances: Parent Perceptions of Family Resources and Stressors

This study addresses the dearth of research on families of children with serious emotional disturbances (SEDs) by examining parents’ perceptions of their families’ resources and stressors. Parent and/or guardian responses on the Family Inventory of Resources and Stressors (FIRST) whose children were receiving treatment for SEDs (n = 80) were compared to those with children without SEDs (n = 48). One-way ANCOVA analyses revealed that, when controlling for income and education level, families of children with SEDs reported significantly greater stress levels than families of children without SEDs, but both groups reported similar levels of resources. The principles derived from this study provide critical information for treatment providers and researchers seeking to develop an in-depth understanding of the resources and stressors of families of children with SEDs so as to more effectively collaborate with them in treatment planning.