The Transitional Discharge Model: comparing implementation in Canada and Scotland

Effective discharge planning is needed to facilitate clients' transition from psychiatric hospital wards to community care. Previous studies have shown that client outcomes can be improved by using a Transitional Discharge Model (TDM) that includes peer support and an extension of inpatient-practitioner relationships that are introduced prior to discharge. However, countries vary in many ways that may affect implementation of the model. This article describes some of the similarities and differences related to introducing transitional discharge in two countries: Canada and Scotland. It is important to elucidate facilitators and challenges in implementing the TDM to identify and disseminate strategies to aid implementation. Implications for future implementation of the model are also discussed.     

Friends in Old Age

Psychoanalysis has long recognized the vital role that relationships between people play in human development and in the maintenance of sense of well being throughout life. While the internalization of representations of significant others and their interactions with each other, the achievement of object constancy, makes it possible to gain support from the realization that we live in the minds of others and they in ours’, it is “not enough.” We need people “in the flesh” from “cradle to grave.” Unfortunately, this need is more difficult to meet in our later years. Parents, siblings, mates, love partners die. Children move away. No longer do we have daily contact with our work colleagues. Old friends are lost, never to be replaced, making the ability to form and maintain additional friendships as well as the opportunity to do so critical in the life of the elderly. This paper considers the roles that friends play in old age, the developmental achievements that contribute to the capacity for friendship, some of the factors that may impede doing so, and finally the ways in which psychoanalytic treatment may foster an individual’s ability to be a friend and make friends.     

Forced Sexual Experiences and Sexual Situation Self‐Efficacy Among South African Youth

Nearly 20% of South African youth experience forced or coerced sexual intercourse. Understanding the factors associated with forced sex is important for informing prevention programs aimed at reducing sexual violence and HIV and AIDS. Multilevel regression models test the association between sexual situation self‐efficacy and forced sex among 2,893 South African adolescents. Findings suggest that youth are more likely to experience forced sex after periods of time when their levels of self‐efficacy are lower than their average levels of self‐efficacy. Furthermore, youth who are lower on their self‐efficacy compared to their peers are more likely to experience forced sex. Implications for prevention research are discussed.     

Scheduling in a Management Context: Uncertain Processing Times and Non-Regular Performance Measures*

Decision makers often face scheduling problems in which processing times are not known with certainty. Non-regular performance measures, in which both earliness and tardiness are penalized, are also becoming more common in both manufacturing and service operations. We model a managerial environment with task processing times (which include sequenceindependent set-up times) prescribed by three-parameter lognormal distributions. Upon completion, each task derives a reward given by a particular piecewise-linear reward function. The objective is to select a sequence of tasks maximizing the expected total reward. The relative generality of the problem renders many enumerative methods inapplicable or computationally intractable. To overcome such difficulties we develop efficient priorityinduced construction (PIC) heuristics which build up a complete schedule by inserting tasks (singly from a list) into a partial sequence of tasks. In each partial and complete sequence a period of idle time is permitted prior to the first task. Performance on realistic-sized problems is very encouraging, with cost penalties averaging less than one percent.     

“I Really Belong Here”: Civic Capacity-Building among Returning Citizens

This article focuses on unlikely movement actors whose civic engagement has been understudied: people with criminal records (“returning citizens”). We present findings from 18 months of ethnographic research with members (leaders) of Fighting to Overcome Records and Create Equality (FORCE), a civic group led by returning citizens. FORCE leaders received institutional support from Community Renewal Society (CRS), a larger faith and community-based organization, to lead a rights reform movement in Chicago. Findings suggest that FORCE leaders constructed notions of kinship, recognition, and power through civic capacity-building efforts—and that social belonging was core to such capacity-building efforts. While bonding social belonging occurred as FORCE leaders formed kinship with people facing similar social and economic marginality, bridging social belonging emerged as leaders felt recognized by CRS staff organizers, affiliates, and elected officials. Bonding and bridging social belonging enabled FORCE leaders, who faced constant social exclusion in society, to experience much needed kinship, recognition, and power. Future studies should continue to uncover how local capacity-building processes have life-changing relational effects on movement participants from socially and economically marginalized groups.     

Vendor Selection with Bundling*

Product bundling has become increasingly prevalent not only in consumer goods but also in the industrial sector. We study a purchasing problem in which a buyer must obtain necessary numbers of various stock items from a variety of vendors who charge different prices, have limited capacities and different levels of quality, and offer bundled products at discounted prices. We examine relationships among different bundling scenarios and show that the most general scenario is one in which free items are given to the buyer when sufficient quantities are purchased. We develop a mixed integer linear program that finds the purchasing strategy for the buyer that minimizes the total purchase cost. We present computational results which indicate that the problem is very tractable to solve optimally on a personal computer with standard optimization software. Finally, three extensions of the model are discussed.     

Structured Voluntary Youth Activities and Positive Outcomes in Adulthood: An Exploratory Study of Involvement in Scouting and Subjective Well-Being

This study explores whether youth involvement in Scouting has positive consequences later in life. We examine whether the number of years of participation in Scouting is positively associated with human and social capital and recreational lifestyles in adulthood, and whether these are linked to subjective well-being: relational, emotional, and physical health. To explore this potential relationship, we estimated a structural equation model, analyzing data from a national sample of adult males. We found that youth involvement in Scouting is positively related to subjective well-being indirectly via the positive adult outcomes.     

Gender differences in immigrant health: the case of Mexican and Middle Eastern immigrants

This article draws on theories of gender inequality and immigrant health to hypothesize differences among the largest immigrant population, Mexicans, and a lesser known population of Middle Easterners. Using data from the 2000-2007 National Health Interview Surveys, we compare health outcomes among immigrants to those among U.S.-born whites and assess gender differences within each group. We find an immigrant story and a gender story. Mexican and Middle Eastern immigrants are healthier than U.S.-born whites, and men report better health than women regardless of nativity or ethnicity. We identify utilization of health care as a primary mechanism that contributes to both patterns. Immigrants are less likely than U.S.-born whites to interact with the health care system, and women are more likely to do so than men. Thus, immigrant and gender health disparities may partly reflect knowledge of health status rather than actual health.     

Repelling the “Rutter”: Social Differentiation Among Rural Teenagers

This paper examines low‐income white rural teenagers' management of race and class‐based inequality. It analyzes how these teenagers constructed boundaries to distinguish themselves from outsiders, but also to distinguish themselves from the local abject category of “rutter.” The findings reveal hidden interconnections between race and class in interactional practice, and highlight local processes of differentiation through which actors attempt to deflect stigma and attain credibility. The paper discusses how interactional mechanisms such as “internal othering” and “stigma‐theory” bolster race and class credibility, but reproduce inequality.