Patient violence. Report of 200 incidents

Studies of assaultive behavior in hospital settings are increasing. Results are often contradictory. These variances are dependent upon the type of hospital, the specific setting, and the disciplines involved in the reporting process. Open recognition that violent incidents occur, and the substitution of fact finding for finger pointing, are the first steps toward prevention and management.     

DO NOT WEIGHT FOR HETEROSCEDASTICITY IN NONPARAMETRIC REGRESSION

The potential role of weighting in kernel regression is examined. The concept that weighting has something to do with heteroscedastic errors is shown to be false. However, weighting does affect bias, and ways in which this might be exploited are indicated.     

A Model of Choice for Public Policy

Punctuated equilibrium is supposed to be a viable alternativeto incrementalism, and, indeed, the authors of the model havesometimes made such claims. But punctuated equilibrium was developedto explain change in policy subsystems and does not serve asa complete model of policy choice in the same way that incrementalismhas served. This article develops a full-blown and viable modelof choice for public policy based on disproportionate informationprocessing. Its dynamics are based in the allocation of politicalattention to policy topics and the manner in which politicalsystems process information. The model leads directly to outcomesthat are consistent with punctuated equilibrium and are notgenerally consistent with incrementalism. Incrementalism, however,may be deduced from the model as a special case. The model isbest tested using stochastic process approaches. Incrementalismlogically must yield a normal distribution of outcomes, butdisproportionate information processing yields leptokurtic outcomes.Adding institutional constraints only makes the stochastic processimplications more severe. To support our arguments, we presentboth static and dynamic simulations of these processes. We alsoshow that these simulations are consistent with observationsof U.S. government budgets.     

Using the Image Exchange to Enhance Interdisciplinary Team Building in Child Welfare

A team building activity, the image exchange, was helpful to interdisciplinary teams in clarifying perceptions and opinions of participants about the roles of each discipline (child welfare, domestic violence, mental health, and substance abuse workers) at a five-day interdisciplinary training workshop. Discussion of team members’ perceptions and views provided opportunities to develop insights about misperceptions. Training in team development and role clarification provided a foundation for the development of effective interdisciplinary collaboration, which may improve interdisciplinary practice.Dr. Packard is an Associate Professor and Dr. Jones is a Professor in the School of Social Work at SDSU. At the time of writing, Ms. Nahrstedt was a Research Assistant in the School of Social Work at SDSU. This project was funded by a grant from the U.S. Department of Health and Human Services, Administration for Children, Youth, and Families.