Challenges of Using Secondary Data to Study Rural Caregiving within the United States

When health fails, rural residents often turn to informal caregivers for assistance and are more likely to do so than those living in urban areas. Scholarship is clear in demonstrating the many burdens that accrue to those providing informal care. Furthermore, caregivers in rural areas face amplified health disparities and stressors, and limited access to resources and formalized supports. Yet, the study of informal caregiving within geographic context is made difficult by the limitations inherent in existing secondary data sources. In this report, we discuss three available data sources that provide information about US caregivers: the National Family Alliance Caregiving in the US Survey; Health and Retirement Survey; and National Survey of Midlife Development in the United States. These datasets illustrate common challenges of studying rural caregiving, including how to define rural residence, issues with data access, and difficulties attaining an adequate sample size. After reviewing these methodological issues, we identify two additional data sources that while promising, suffer from challenges of their own. We conclude by offering suggestions about how to capture the unique experiences of rural caregivers beyond the use of secondary data.     

Mixups in the Warehouse: Centralized and Decentralized Multi-Plant Firms

Single-plant firms choose quantity/quality levels to maximize profits. Multi-plant firms face this decision and must also choose how many decision makers to have. This article presents two case studies and a model of a multi-plant firm in which overhead costs are lower with one decision maker (centralization), but the mass of information and the need for timely decisions make occasional mixups unavoidable. Multiple decision makers (decentralization) solves the mixup problem. Standardization—treating different outlets similarly in response to costly mixups—appears in the case studies, and is demonstrated as a result in the model.     

Mindfulness and Cognitive Therapy in Depression Relapse Prevention: A Case Study

Depression is the most commonly diagnosed mental illness in the United States with relapse rates as high as 80–90% in some circumstances (Chen et al. in Res Soc Work Pract 16(5): 500–510, 2006; Mintz et al. in Arch Gen Psychiatry 49: 761–768, 1992; Teasdale et al. in J Consult Clin Psychol 68(4): 615–623, 2000). Cognitive therapy (CT) and psychopharmacology have been the mainstays of treatment for depression and relapse prevention, yet relapse remains a significant risk of this mental illness (DeRubeis et al. in Arch Gen Psychiatry 62: 409–416, 2005; Meyer and Scott in Behav Cogn Psychother 36: 685–693 2008; Rush et al. in Cognit Ther Res 1: 17–37, 1977). The literature review, case illustration and analysis examines the rationale for integrating mindfulness practice, and demonstrates the application of this practice in conjunction with cognitive therapy to reduce the risk of relapse in Major Depression.     

Individuals with Disabilities and Professional Education Programmes: an analysis of legislation, court rulings and policy

Despite the protection provided by Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act, there remain barriers to inclusion of people with disabilities in institutions of higher education and in particular in professional programmes. Focusing on the case, Ohio Civil Rights Commission v. Case Western Reserve University (1996), this paper presents legal actions that are helping to clarify the policies protecting people with disabilities from exclusion from institutions of higher education. In particular, the paper focuses on a legal decision from the Ohio Supreme court affirming the right of Case Western Reserve's Medical School to reject a blind woman for admission to the medical school. By analysing this case using a policy analysis framework, the paper discusses the present impact and concerns for the future of these pieces of federal legislation on people with disabilities related to inclusion in institutions of higher education.     

Domestic Violence, Emotional Competence, and Child Adjustment

This article examined emotion competence in children exposed to domestic violence (DV). It also examined the hypothesis that children's emotional competence mediates relations between DV and children's later difficulties with peers and behavioral adjustment. DV was assessed when children were at the age of five, emotional competence was assessed at the age of 9.5, and peer quality and behavioral adjustment were obtained at the age of 11. Children from homes with greater DV were less aware of their own emotions and more emotionally dysregulated at the age of 9.5. Emotional awareness mediated the relationship between DV at the age of five and children's friendship closeness and internalizing problems at the age of 11. Emotion dysregulation mediated the relationship between DV at the age of five and children's negative peer group interactions, social problems, and internalizing and externalizing problems at the age of 11. Results are discussed in terms of the impact of DV on children's emotional development and the role that different aspects of emotional competence play in children's socio‐emotional adjustment.     

Stuck in the Slow Lane: Reconceptualizing the Links between Gender,Transport and Employment

This article draws on primary research undertaken in the North East of England to explore the way in which inequalities in access to transport resources impact on women’s opportunities to enter the public domain of paid work. It advances the idea of spatiality as a social construction and, building on previous studies, it explores the way in which a gender division of transport operating in the home and at work limits women’s access to temporal, financial and personal and geographic travel resources; ultimately constraining women’s mobility and restricting their employment opportunities. Finally, the article will argue that, although some women can achieve ‘masculine’ levels of transport resources, the majority of women are stuck in the slow lane and their mobility deprivation often confines them to the private world of the family, or alternatively, to part‐time, low paid work on the periphery of the labour market. This leads to the conclusion that there is an urgent need to provide women with a range of mobility choices which enhance their access to the labour market and to challenge the socially constructed processes which underpin the discrimination women face when accessing the world of paid employment.