A Children's Standpoint: Needs in Out‐of‐Home Care

This article discusses research reported in ‘The Needs of Children in Care’ ( Mason and Gibson, 2004 ) in which children participated in defining their needs in out‐of‐home care. In this study a central research presumption was that children are knowledgeable about their own needs. The methods used to facilitate the involvement in the project of children and adult stakeholders in out‐of‐home care are described. Also described are findings from the research which identified that of prime importance to the children were their connections with others and their agency in their own lives. These findings are compared with findings from the narratives of the adult stakeholder groups. Finally, the implications of the findings, for improving children's participation in decision‐making around their needs in care are considered in the context of broad adult–child social relations in the care system.     

Family Experience of Borderline Personality Disorder

Individuals with borderline personality disorder (BPD) struggle with unbearable emotions that arise out of interpersonal difficulties. Self‐harm and suicidal behaviours serve to regulate these emotions and to gain a sense of well‐being and control in a treatment context where hospital admissions are avoided by mental health services. Clinician engagement with families may be constrained by their knowing the accepted etiology of the disorder, which includes a causal link with the family environment. Other constraining factors include the negativity of those with BPD toward their family, and their clinicians' diagnostic uncertainty or confusion. This qualitative study explored the experience of families whose close relative with BPD has a long history of self‐harm and/or suicide attempts. Family members were found to have chronic and traumatic stress. Family roles and relationships were strained, as were relationships between the family and the mental health system. The findings of this study indicate that treatment for BPD needs to adopt a systemic approach that considers individuals and their significant family relationships, as well as relationships between the family and treatment providers.     

Improving special education mediation

This article provides background information about special education and mediation and offers some points to consider for those interested in starting, improving or analyzing a special education mediation process. This article is based on the author's experience as a mediator as well as on site visits, interviews and a review of the relevant literature. The author concludes that mediation can be a very effective method for settling special education disputes and/or improving relationships but that the process can be affected by outside factors such as politics, finances and/or the system.     

Portfolio decision-making genres: A case study

This article addresses the portfolio management practices and challenges of contemporary firms. Based on a review of the extant literature on project selection, termination and deletion decisions, we conducted an in-depth interview study with 19 key informants in 11 multinational firms. We identified three genres of portfolio management decision making: formalist-reactive, intuitive, and integrative. Each genre can be described by a unique set of portfolio management practices. For example, formalist-reactive firms rely on quantitative criteria while intuitive firms prefer qualitative criteria. In addition, each genre has to overcome a unique set of challenges. We discuss the three genres in detail and provide several implications for portfolio management decision making.     

Statistics development: statistical methods meeting the user’s needs

Statistical methods have the potential of being effectively used by industrial practitioners if they satisfied two criteria: functionality and usability. Statistical methods are usually the product of statistical research activities of universities and other research organizations. Some already satisfy these criteria; however, many do not. The effect is that potentially relevant methods are not used in practice as often as they could be. In this paper we will present an approach regarding ‘statistics development,’ in which the end-user is given a central position, so that the results from statistical research aim to meet the needs and requirements of the practitioner. Examples of known and new methods will be presented, and we will discuss issues such as education in statistics, the link with statistical consultancy and publication of methods through various channels.     

Joint modeling of hierarchically clustered and overdispersed non‐gaussian continuous outcomes for comet assay data

Multivariate longitudinal or clustered data are commonly encountered in clinical trials and toxicological studies. Typically, there is no single standard endpoint to assess the toxicity or efficacy of the compound of interest, but co‐primary endpoints are available to assess the toxic effects or the working of the compound. Modeling the responses jointly is thus appealing to draw overall inferences using all responses and to capture the association among the responses. Non‐Gaussian outcomes are often modeled univariately using exponential family models. To accommodate both the overdispersion and hierarchical structure in the data, Molenberghs et al. A family of generalized linear models for repeated measures with normal and conjugate random effects. Statistical Science 2010; 25:325–347 proposed using two separate sets of random effects. This papers considers a model for multivariate data with hierarchically clustered and overdispersed non‐Gaussian data. Gamma random effect for the over‐dispersion and normal random effects for the clustering in the data are being used. The two outcomes are jointly analyzed by assuming that the normal random effects for both endpoints are correlated. The association structure between the response is analytically derived. The fit of the joint model to data from a so‐called comet assay are compared with the univariate analysis of the two outcomes. Copyright © 2012 John Wiley & Sons, Ltd.     

Improved reduced-bias tail index and quantile estimators

In this paper, we deal with bias reduction techniques for heavy tails, trying to improve mainly upon the performance of classical high quantile estimators. High quantiles depend strongly on the tail index γ$\gamma$, for which new classes of reduced-bias estimators have recently been introduced, where the second-order parameters in the bias are estimated at a level _k1$k_1$ of a larger order than the level k at which the tail index is estimated. Doing this, it was seen that the asymptotic variance of the new estimators could be kept equal to the one of the popular Hill estimators. In a similar way, we now introduce new classes of tail index and associated high quantile estimators, with an asymptotic mean squared error smaller than that of the classical ones for all k in a large class of heavy-tailed models. We derive their asymptotic distributional properties and compare them with those of alternative estimators. Next to that, an illustration of the finite sample behavior of the estimators is also provided through a Monte Carlo simulation study and the application to a set of real data in the field of insurance.     

Return to work still possible after several years as a disability pensioner due to musculoskeletal disorders: a population-based study after new legislation in Sweden permitting "resting disability pension"

Different strategies have been used to stimulate a return to work (RTW) among individuals suffering from long-term ailments. In Sweden a new law on "resting disability pension" permits disability pensioners to go back to work without jeopardising their benefits. In this study different variables related to RTW during 2000 by means of this legislation were identified among disability pensioners with musculoskeletal disorders. Individuals in the study group, when compared to a control group, had more often been disability pensioners for several years, had additional education, estimated their previous job to have been physically strenuous to a lesser degree, were more satisfied with the treatment at the social insurance office and had a more positive self-image. This study shows that it may be meaningful to continue/resume rehabilitation efforts and to try to motivate an individual suffering from musculoskeletal disorders to return to work even after several years as a disability pensioner.