First-hand Accounts of Emotional Experiences in Autism: a qualitative analysis

Internet-based first-hand accounts of five people who describe themselves as 'high functioning autistic' were analysed using a thematic analytic approach. Four central themes were identified. These were a sense of alienation, a sense of frustration, depression as a central emotion, and a pervasive sense of fear or apprehension. The findings not only imply that emotional issues are important and relevant to people with autism, but there is an implication that the predominant experienced emotions are unpleasant ones. This is in contrast to much of the literature on autism that points to the absence or lack of emotion compared to non-autistic controls. Issues of generalisability to a wider population of people with autism are discussed.     

The Australian Assistance Plan—Welfare (?) on the Cheap

This paper suggests that the assumptions about popular participation on which the success of the Australian Assistance Plan rests are unrealistic; that the plan is probably primarily concerned with social control and political stability on the social welfare front under changing social conditions; that in any case it is an old rather than a new approach to the problem; that its political attraction of cheapness may well ensure that it will not be a success; that it is probably intended as a stop-gap measure and that the government stands to gain one way or another whether the plan succeeds or fails.     

Allowing Family to be Family: End-of-Life Care in Veterans Affairs Medical Foster Homes

The Medical Foster Home program is a unique long-term care program coordinated by the Veterans Health Administration. The program pairs Veterans with private, 24-hour a day community-based caregivers who often care for Veterans until the end of life. This qualitative study explored the experiences of care coordination for Medical Foster Home Veterans at the end of life with eight Veterans’ family members, five Medical Foster Home caregivers, and seven Veterans Health Administration Home-Based Primary Care team members. A case study, qualitative content analysis identified these themes addressing care coordination and impact of the Medical Foster Home model on those involved: (a) Medical Foster Home program supports Veterans’ families; (b) Medical Foster Home program supports the caregiver as family; (c) Veterans’ needs are met socially and culturally at the end of life; and (d) the changing needs of Veterans, families, and caregivers at Veterans’ end of life are addressed. Insights into how to best support Medical Foster Home caregivers caring for Veterans at the end of life were gained including the need for more and better respite options and how caregivers are compensated in the month of the Veteran’s death, as well as suggestions to navigate end-of-life care coordination with multiple stakeholders involved.     

Green,Yellow, Red: Implementing a New Workflow for Collection Management at College of Charleston Libraries

Abstract

This article summarizes the North Carolina Serials Conference presentation “Green, Yellow, Red: Implementing a New Workflow for Collection Management at College of Charleston Libraries,” a case study evaluating a new workflow created by the Collection and Content Services Department at the College of Charleston Libraries to streamline the renewals process after significant departmental and staff changes. The librarians involved in creating the workflow found that they could not only use it to organize their renewals processes, but also to open communication with faculty regarding underutilized resources.     

SMALL‐AREA ESTIMATION OF POVERTY: THE AID INDUSTRY STANDARD AND ITS ALTERNATIVES

Small‐area estimation of poverty‐related variables is an increasingly important analytical tool in targeting the delivery of food and other aid in developing countries. We compare two methods for the estimation of small‐area means and proportions, namely empirical Bayes and composite estimation, with what has become the international standard method of Elbers, Lanjouw & Lanjouw (2003) . In addition to differences among the sets of estimates and associated estimated standard errors, we discuss data requirements, design and model selection issues and computational complexity. The Elbers, Lanjouw and Lanjouw (ELL) method is found to produce broadly similar estimates but to have much smaller estimated standard errors than the other methods. The question of whether these standard error estimates are downwardly biased is discussed. Although the question cannot yet be answered in full, as a precautionary measure it is strongly recommended that the ELL model be modified to include a small‐area‐level error component in addition to the cluster‐level and household‐level errors it currently contains. This recommendation is particularly important because the allocation of billions of dollars of aid funding is being determined and monitored via ELL. Under current aid distribution mechanisms, any downward bias in estimates of standard error may lead to allocations that are suboptimal because distinctions are made between estimated poverty levels at the small‐area level that are not significantly different statistically.