Medicare and Medicaid Reimbursement Rates for Nursing Homes Motivate Select Culture Change Practices But Not Comprehensive Culture Change

Components of nursing home (NH) culture change include resident-centeredness, empowerment, and home likeness, but practices reflective of these components may be found in both traditional and “culture change” NHs. We use mixed methods to examine the presence of culture change practices in the context of an NH’s payer sources. Qualitative data show how higher pay from Medicare versus Medicaid influences implementation of select culture change practices, and quantitative data show NHs with higher proportions of Medicare residents have significantly higher (measured) environmental culture change implementation. Findings indicate that heightened coordination of Medicare and Medicaid could influence NH implementation of reform practices.     

Creating Tactile Space during a University Extension Field Day Event: The Case of a Sustainable Agriculture Innovation

Drawing on the concept of “tactile space,” we evaluate the experiential learning environment of a university extension field day event focused on a sustainable agriculture innovation: biodegradable plastic mulch. Introduced by sociologist Michael Carolan, “tactile spaces” are sensuously rich learning environments where participants interact with each other and the environment in an “embodied” and “embedded” manner leading to long‐lasting attitudinal and behavioral change. In our study, farmers, extension professionals, crop consultants, and mulch manufacturers participated in a field day event designed to provide both embodied and embedded experiences in an effort to stimulate interest in biodegradable plastic mulch, an economically and environmentally sustainable alternative to polyethylene mulch. Field day participants engaged in hands‐on demonstrations preceded and followed by focus group sessions. Enhancing the learning environment in these ways improved the success of the field day event by encouraging practice‐based forms of learning, which supplemented and reinforced the claims made about biodegradable plastic mulch. However, the tactile space could have been enriched by providing more opportunities for participants to become embedded within the environment, and by adding elements to overcome the temporal limitations of the field day event. This research contributes to the broader literature on participatory research and extension.     

Growing the Volunteer Pool: Identifying Non-Volunteers Most Likely to Volunteer

There are ongoing management and societal challenges affecting volunteering participation. These place a premium on organizations identifying individuals that currently do not volunteer but have the willingness and capacity to do so, the “Potentials”. Supplementing the limited non-volunteer literature, we seek to quantify this potential volunteer pool using constructs aligned to the willingness, capability and availability dimensions from Meijs et al.’s (Volunt Action 8:36–54, 2006) volunteerability framework. Using binary logistic regression testing with a nationally representative sample of Australian volunteers and non-volunteers, we found partial support for the framework’s willingness and capability dimensions determining volunteer status. We then applied a predictive equation to the non-volunteer sample to calculate their percentage likelihood of volunteering, to identify a cohort of “Potential” volunteers. Further testing revealed statistically significant differences between this cohort compared to other non-volunteers based on various interventions for promoting volunteering. The implications of our novel study and an associated research agenda are discussed.

     

Ageism: A Review of Research and Policy Implications

The current literature on aging and ageism is summarized in support of a theoretical perspective that includes both the biological and the psychosocial components of these processes. Conceptual and methodological problems are identified in models that rely on a deficit approach to aging. We suggest that the biased responses of others foster older adults' stress-related emotional and hormonal responses—responses that may effectively reduce their social and cognitive competence. This negative feedback process ultimately acts in a stereotype-maintaining fashion. Implications are drawn for possible changes in social policy and institutional practices that may reduce or prevent the harmful effects of ageism. Examples are given of existing policies and practices that limit the lives of older adults (in the guise of protection), along with newly instituted policies and practices (including those at an international level) that place the welfare of older adults in the context of life course issues shared by all.     

Introducing audio-vision into evidence: the impact of audio recordings and their technical limitations in police use of force cases

ABSTRACT

This article explores the technical limitations of audio recordings and how those limitations impact the reliability of sound evidence in police use of force cases. In audiovisual recordings, audio is often assumed neutral, redundant or to have the same limitations as its visual counterpart. Bringing together film theorist Michel Chion’s concept of audio-vision and the technical specifications of mobile audio recording, this article highlights how design priorities and compression processes can influence the way sound evidence is perceived. By failing to acknowledge audio recordings as distinct from their visual counterparts, they are rendered invisible and are therefore under scrutinized throughout legal processes. This neglect becomes notably problematic in cases of police use of force where audio/visual recordings often work to bolster the already privileged officer testimony.     

The Identification of Behaviour Disorder within the Community

In the absence of a clinical definition of Behaviour Disorder, those termed ‘Behaviourally Disordered’ are often considered unsuitable for psychiatric servicing and many end up inappropriately contained by the correctional system. The working definitions of 213 South Australian health and welfare professionals from six client areas (child/adolescent, psychiatric, intellectually disabled, brain-damaged, correctional and general) were surveyed. Respondents generally saw Behaviour Disorder as a recognisable disorder, involving both aggressive, disruptive behaviour and deficits in social adaptation. Perceptions of its presentation varied across client groups and across professional roles. The results highlighted a need for specialised community servicing for this group.     

Exploratory Study on Drug Users’ Perspectives on Quality of Life: More than Health-Related Quality of Life?

In drug treatment outcome literature, a focus on objective and socially desirable indicators of change (e.g. no drug use) has predominated, while outcome indicators that are important for drug users themselves (e.g. quality of life, satisfaction with treatment) have largely been neglected. Nonetheless, Quality of Life (QoL) has become an important concept to evaluate effectiveness of treatment in mental health care research and disability studies. Given the almost exclusive focus on Health-related Quality of Life (HRQOL) in substance abuse research and the neglect of clients’ perspectives in this field, we explore in this study the concept of QoL as perceived by drug users. Focus group discussions (n = 9) were organised in various treatment settings and community services for drug users in the region of Ghent, Belgium to identify important dimensions of QoL and their interpretation by drug users. Data were clustered and analysed based on the theoretical framework of Robert Schalock (Quality of life. Volume 1: Conceptualization and measurement, 1996). The domains ‘personal relationships’, ‘social inclusion’ and ‘self-determination’ were discussed most frequently by the participants. They stressed the importance of a supportive social network in particular. It can be concluded that QoL is not primarily associated by drug users with health and it involves much more than the aspects typically represented in measures of HRQOL.     

On the significance of social control: Treatment‐entry pressures,self‐choice and alcohol and drug dependence criteria one year after treatment

Storbjörk J. On the significance of social control: treatment‐entry pressures, self‐choice and alcohol and drug dependence criteria one year after treatment This article explores how self‐choice and treatment‐entry pressures are associated with one‐year treatment outcome (dependence symptoms, 0–6, 12 months) among alcohol and drug misusers, respectively. Informal pressures (from family and friends), formal pressures (related to work, healthcare, social services, social allowances, child custody) and legal pressures (related to the police, criminal justice system, compulsory treatment) were analysed. A sample (N= 1,210) representative of the addiction treatment system of Stockholm County was interviewed when starting a new treatment episode and after one year. Regression analyses indicated that self‐choice and pressures are associated with outcome among alcohol misusers but not among drug misusers when controlling for background factors and severity. Self‐choice (without pressures) correlated with a good outcome (a lower number of dependence criteria). Pressures were generally associated with poorer outcome. Alcohol misusers who had experienced threats regarding child custody did better in comparison with those not experiencing such pressure. The difference in results by drug type and implications were discussed.     

Time‐Space Distanciation: An Interdisciplinary Account of How Culture Shapes the Implicit and Explicit Psychology of Time and Space

The growing body of research on temporal and spatial experience lacks a comprehensive theoretical approach. Drawing on Giddens’ framework, we present time‐space distanciation (TSD) as a construct for theorizing the relations between culture, time, and space. TSD in a culture may be understood as the extent to which (1) time and space are abstracted as separate dimensions and (2) activities are extended and organized across time and space. After providing a historical account of its development, we outline a multi‐level conceptualization of TSD supported by research on cultural differences in the experience of time and space. We impact this conceptualization by examining two ethnographic case studies. We conclude by highlighting future research directions. TSD is an integrative, interdisciplinary, multi level construct with the potential to guide the burgeoning social science of time and space.