Developing a community-based care system for seriously emotionally disabled children and youth

The needs of emotionally disabled children and their families are not optimally served within traditional mental health service delivery systems. Policies are inadequate, delivery systems are insufficient and underfunded, and supporting research is sparse. As communities begin addressing the needs of the seriously emotionally disabled child and family, planning should address community coordinated services. Such systems, however, are not easily established and maintained in communities accustomed to addressing children's needs in terms of existing fragmented categorical structures. National models exist but care and time are required to adapt critical elements from these models to local need. This article will review the rationale for integrated community-based, case management services for children and adolescents. A case example is offered illustrating issues affecting the development of one community support system.     

Homelessness as One Component of Housing Instability and Its Impact on the Development of Children in Poverty

The number offamilies with children living in poverty and experiencing housing instability and homelessness has increased dramatically over the last two decades. Current public policy decisions will lead to further increases. Understanding the impact of this instability on the emotional, behavioral, and cognitive development of children is imperative. Few studies cn'tically examine the effects ofinstability on both domiciled and homeless children. This research examined the effects of homelessness and housing instability on 133 children 8 to 12 years of age living in poverty. Results indicate that whether a child is currently homeless is not as significant as overall stability which may have a long ranging effect on a child's future development.     

Social and psychological resources among homeless youth: protection against risk for physical victimization?

ABSTRACT

This study examines child physical abuse, social and psychological resources, and street physical victimization among 150 homeless youth from the Midwest. Path analyses results show that males have higher self-efficacy than females, while older youth and those who experienced less child physical abuse reported higher self-esteem. Self-efficacy and self-esteem were positively associated with social support as was being younger and having experienced less child physical abuse. Younger respondents reported fewer difficulties obtaining basic necessities, and those who had less trouble finding these necessities experienced less street physical victimization. Females, younger youth, and those who experienced less child physical abuse reported lower rates of physical victimization. Agencies should be aware that many youth experiencing homelessness have trouble obtaining basic necessities, which increases risk for victimization. Moreover, the ability to obtain necessities appears to override the influential role of social support, further affirming the foundational importance of agencies helping youth meet their basic needs.     

Nutrition and Fertility in Bangladesh: Breastfeeding and Post Partum Amenorrhoea

From 1975 to 1980 a prospective study a nearly 2,500 married, fertile women was conducted in Matlab, Bangladesh at the International Centre for Diarrhoeal Disease Research. Women were interviewed at monthly intervals to collect information on nutritional and reproductive status, in order to study the factors associated with natural fertility. The median duration of amenorrhoea for women with no child deaths was 15.5 months, with older women and those of higher parities recording longer durations than younger women or those of lower parities. Median duration of amenorrhoea for women with six or more years of education was 8.4 months compared to 16.4 months among women with no education. When classified by weight at pregnancy termination, average duration of amenorrhoea of women weighing less than 38 kg was 17.6 months compared to 13.6 months among women weighing more than 44 kg. Proportional hazards analyses show that mother's education, parity, month of birth, supplementation practices and nutritional status were significantly associated with the probability of resuming menstruation.     

On Testing the Mean Equivalence of Treatments from Correlated Normal Populations

Let there be k equally correlated treatment populations under consideration, a Studentized range test is proposed to test the hypothesis of average mean equivalence against the alternative hypothesis of inequivalence. The maximum level and minimum power at some least favorable configurations of means are used to calculate the critical value and the required sample size simultaneously when testing a null against an alternative hypothesis. The range test is applied to a real world problem to find out if the stress levels among children at four time periods due to a newly built nearby airport are equivalent.     

On testing the bioequivalence of several treatments using the measure of distance

A studentized range test is proposed to test the hypothesis of bioequivalence of normal means in terms of a standardized distance among means. A least favourable configuration (LFC) of means to guarantee the maximum level at a null hypothesis and an LFC of means to guarantee the minimum power at an alternative hypothesis are obtained. This level and power of the test are fully independent of the unknown means and variances. For a given level, the critical value of the test under a null hypothesis can be determined. Furthermore, if the power under an alternative is also required at a given level, then both the critical value and the required sample size for an experiment can be simultaneously determined. In situations where the common population variance is unknown and the bioequivalence is the actual distance between means without standardization, a two-stage sampling procedure can be employed to find these solutions.     

How Billionaires Explain Their Philanthropy: A Mixed-Method Analysis of the Giving Pledge Letters

VOLUNTAS: International Journal of Voluntary and Nonprofit Organizations - This study investigates a discourse about billionaire philanthropy established in letters submitted by 187 of 209...     

Multivariate parabolic bioassay

A general linear model approach to quantitative parabolic bioassays with multivariate responses is proposed. The point and interval estimator of the relative potency and an associated test for validity is presented. The relationships with known univariate methods are illustrated.     

Confidence intervals for the largest mean from k correlated normal populations

Let X= (X₁,…, X_k)’ be a k-variate (k ≥ 2) normal random vector with unknown population mean vector μ = (μ₁ ,…, μ_k)’ and covariance matrix Σ of order k and let μ_[1] ≤ … ≤ μ_[k] be the ordered values of the μ ’ s. No prior knowledge of the pairing of the μ_[i] with the X_j. (or μ_[i] with the σ_j ²) is assumed for any i and j (1 ≤ i, j ≤ k). Based on a random sample of N independent vector observations on X, this paper considers both upper and lower (one-sided) and two-sided 100γ% (0 < γ < 1) confidence intervals for μ_[k] and μ_[1], the largest and the smallest mean, respectively, when Σ is known and when Σ is equal to σ²R with common unknown variance σ² > 0 and correlation matrix R known, respectively. An optimum two-sided confidence interval via finding the shortest length from this class is also considered. Necessary tables and computer program to actually apply these procedures are provided.     

Intensive family preservation services in Flanders: an outcome study

Set up as a one-group pre-test–post-test follow-up design, this study examines the outcomes of intensive family preservation services (IFPS) in Flanders addressing the following research questions: Does IFPS make a significant difference concerning (1) the interaction between parent and child? (2) social support as experienced by the parent? (3) stress and empowerment of the parent? and (4) the strengths and difficulties of the minor? Families seem to indicate that their family situation is more manageable, although still, professional help is needed. Parents feel more resilient about the situation and indicate that they can get along with their child better than before the crisis intervention. Parents still feel uncertain about the future and about their role as a parent. There seems to be no indications that their level and quality of social contacts have changed. Further research is suggested to provide more in-depth information about the conditions associated with processes of change during an IFPS intervention.