Merger as a Strategic Response to Government Contracting Pressures

This article describes the planning, decision-making, implementation, and evaluation phases of a recent, successful merger of five small social service agencies in Grand Rapids, Michigan. The merger was undertaken as a conscious strategy to enable the newly formed Arbor Circle Corporation to cope more effectively with environmental uncertainty, especially in regard to government contracting. The successes and the struggles encountered in the merger are instructive for other nonprofits that may be contemplating this kind of organizational restructuring as well as those interested in the impact of contracting on the government-nonprofit relationship.     

Who Holds the Stakes? A Case Study of Stakeholder Identification at Two Nuclear Weapons Production Sites

Traditional risk assessments, including those involving the United States Department of Energy (USDOE), are often criticized for producing useless or noncredible management responses because they did not meaningfully involve the public. The first step to involve the public is to identify appropriate active participants (stakeholders). This study was done to understand the processes used to identify stakeholders to serve on advisory boards established at the two largest remediation sites in the United States: the Hanford Nuclear Reservation in Washington state and the Savannah River Site in South Carolina. The Hanford stakeholder identification process produced an interest-based board whereas the Savannah River Site strategy produced population-based representation. The basic goals of the stakeholder advisory groups were similar. However, different processes were used to identify the participants for the groups in part because of distinctly different social and cultural conditions in the areas affected by the operations of the two facilities, and in part because of the different level of trust of the USDOE and their contractors at Hanford compared with Savannah River. The discussion analyzes their different needs and potential for successful citizen participation.     

The charity: A values-laden institution

Although charitable endeavour has been with us for all time, charities have suffered from archaic or no legislation or regulation, and from a lack of informed accounting and audit attention. The present time is a watershed, with an unprecedented convergence of interest from accountants, auditors, lawyers, the state regulatory body, the consumer and the charities themselves.The article provides the historical, political, and legal background, and the contribution of the theologian and economist. The nature of accountability is discussed, as are issues of efficiency and effectiveness, and the incidence of fraudulent activity. Finally, the roles of the various interested parties are outlined, and the way forward in the light of the convergence is suggested. With all the pieces of the jigsaw in place the charity will be enabled, although not guaranteed, to play its full role in national and international affairs. Much will depend on how successfully the charitable sector can adjust to the changes and challenges now facing it.     

Bayes Hilbert Spaces

A Bayes linear space is a linear space of equivalence classes of proportional σ‐finite measures, including probability measures. Measures are identified with their density functions. Addition is given by Bayes' rule and substraction by Radon–Nikodym derivatives. The present contribution shows the subspace of square‐log‐integrable densities to be a Hilbert space, which can include probability and infinite measures, measures on the whole real line or discrete measures. It extends the ideas from the Hilbert space of densities on a finite support towards Hilbert spaces on general measure spaces. It is also a generalisation of the Euclidean structure of the simplex, the sample space of random compositions. In this framework, basic notions of mathematical statistics get a simple algebraic interpretation. A key tool is the centred‐log‐ratio transformation, a generalization of that used in compositional data analysis, which maps the Hilbert space of measures into a subspace of square‐integrable functions. As a consequence of this structure, distances between densities, orthonormal bases, and Fourier series representing measures become available. As an application, Fourier series of normal distributions and distances between them are derived, and an example related to grain size distributions is presented. The geometry of the sample space of random compositions, known as Aitchison geometry of the simplex, is obtained as a particular case of the Hilbert space when the measures have discrete and finite support.     

Mental Health Consultation on the College Campus

Abstract

“Mild Hypertension: When and How to Treat,” NORMAN M. KAPLAN. “Early and aggressive” drug therapy for mild hypertension, now widely prescribed in the United States, may be inappropriate for many of the 30 million patients with this condition. Although all of these patients are at greater risks of premature cardiovascular disease, the risks are manifested neither quickly nor uniformly. Drug therapy has not proved beneficial for patients with a diastolic (D) BP reading below 100 mm Hg, particularly those patients who are otherwise at low risk. Those antihypertensive drugs that are available now carry risks along with their benefits. Therefore, persons with mild hypertension who are at low risk should be encouraged to use nondrug therapies for at least six to 12 monts. If their DBP remains below 100 mm Hg, they may be better off than if they were given drugs. The drug used in initial therapy has usually been a diuretic. For many patients, however, an adrenergic inhibitor may be a more appropriate choice.     

Essential Data Elements for Reporters of Elder Abuse

Most states' adult or elder protective services and aging agency personnel prepare annual reports about their protective services. These reports vary by state and have different terms for the reporter of abuse. Reviewing annual reports from 46 states and the District of Columbia, 248 different terms were used for the reporter of abuse. To develop essential data elements for reporters of abuse, a literature search, a compilation of state elder abuse annual report list of abuse reporters, and a sorting exercise were conducted. Eleven terms were recommended for the different reporters of abuse, encouraging all state administrators and caseworkers to reach consensus to standardize the language.