Contextualizing Performance of Coordinated Care Network of Veteran Services in Virginia

Abstract

Coordinated care network is an approach to human service delivery that is recognized to improve client outcomes at a reduced cost. However, general mixed findings on the effectiveness of coordinated care networks warrant research contextualization. This article seeks to discover factors influencing the performance of a coordinated care network delivering social services to veterans and their families. The study provides a contextual analysis of a coordinated care network launched in 2016 in southeastern Virginia for two samples of 1,512 and 375 veterans and their families. Results of the regression analyses indicate that initial progress has been made both in efficiency measured as the amount of days a client’s case is open and effectiveness measured as the recorded outcome of a client’s case. However, performance was affected by both client’s characteristics and types of services requested. Therefore, performance was not uniform across the network of providers. Further, indicators could be enhanced to better capture areas of the network needing improvement. Future research may consider adding performance measures and track it over time and across contextual attributes to confirm the effectiveness and efficiency performance of a coordinated care network.     

Response: Avuncularity and Kin Selection in Homosexuals: A Problematic Test or a Problematic Hypothesis?

Here we respond to Vasey et al.'s critical comments regarding our article, “Societal norms rather than sexual orientation influence kin altruism and avuncularity in tribal Urak-Lawoi, Italian, and Spanish adult males” (Camperio Ciani, Battaglia, &; Liotta, 2015 Camperio Ciani, A., Battaglia, U., &; Liotta, M. (2015). Societal norms rather than sexual orientation influence kin altruism and avuncularity in tribal Urak-Lawoi, Italian, and Spanish adult males. Journal of Sex Research. Advance online publication. doi:10.1080/00224499.2014.993748[Taylor &; Francis Online] , [Google Scholar], JSR doi:10.1080/00224499.2014.993748). The first regards the selection of the Urak-Lawoi population of Ko Lipeh, which is considered too modern and touristic to be adequate to test the kin selection and avuncular hypothesis for homosexuality. We provide historical evidence of the contrary, and show that the population at the inception of our 10 years research was indeed primitive and tribal, and probands actually grew and lived in such a society. Only a few years after the 2004 tsunami, the island was developed and invaded by mass tourism. The second comment regarded the statistical analysis and interpretation of data. We show that we consistently and conservatively considered the effects of all confounding variables, both with comparative tests, and by a series of multivariate regression analyses. This was the orthodox procedure approved by all other reviewers. In conclusion, even addressing these comments, we maintain that the kin selection and avuncularity hypothesis for homosexuality is not supported by empirical data even in this primitive and tribal society.     

Quality of Life and Leisure Activities: How do Leisure Activities Contribute to Subjective Well-Being?

The quality of life is determined with objective factors and also with subjective perception of factors which influence human life. Leisure activities play a very important role in subjective well-being because they provide opportunities to meet life values and needs. Through participation in leisure activities people build social relationships, feel positive emotions, acquire additional skills and knowledge, and therefore improve their quality of life. In this report we will explore how leisure activities improve subjective well-being. We will try to distinguish among different types of leisure activities and find those which contribute more to the subjective well-being. Particularly, we will explore which leisure activities contribute to the subjective well-being of women and men of different age. Our study is based on data from a representative sample of Croatian citizens (N = 4,000), who estimated their subjective well-being and participation in various leisure activities. First, we will describe the subjective well-being of various groups of people who differ by gender and age. Afterward, we will identify important leisure activities which determine subjective well-being across age and gender groups. Overall, our results show that engagement in leisure activities contributes to subjective well being, while the pattern of important leisure activities somewhat varies across different age and gender groups.     

SWOT Analysis of Serbia and Montenegro’s Accession to the EU

The first generation of reforms in Serbia, especially in 2001–2002, was carried out “by the book” but the initial successful results blurred and concealed numerous problems that, especially in 2003, were becoming more evident and, finally, caused a delay in, and the blockade of, the further reform processes. It turned out that the political élite failed to reach a consensus on the second generation of reforms which, above all, refers to the rounding-off and functioning of the institutions of a market economy and the rule of law in full. After the October 2000 changes, relations between the FRY/SM and the European Union have altered dramatically. Joining the EU became strategic priority of our foreign policy, as well as reintegration of the SM in the international community. Nevertheless, these processes have their strengths and weaknesses, potential opportunities and threats, which are summarized in this paper.     

Between a rock and a hard place: the role of relatives in protecting children from the effects of parental drug problems

Using qualitative data gathered from 62 problem drug using parents in Glasgow, Scotland, this paper explores the role played by the extended family in protecting children from some of the negative effects of parental drug use. However, the data also indicated that the intervention of the extended family, whilst often critical, was not without its tensions and difficulties for parents, for the extended family and for the children too. What seemed to obtain in most cases was a complex and volatile mix of practical and emotional concerns over children's appropriate care and issues of responsibility and obligation to the child. These in turn were overlaid by expressions of anxiety, worry, anger and disappointment over both the parent's drug problem and its profound effect on the family. Strained family dynamics and a lack of a supportive welfare infrastructure can all compromise the ability of kin to provide a stable, nurturing environment for children over time. In a worst case scenario it can lead to a breakdown of these care arrangements, leaving these already vulnerable children exposed to further rupture, emotional damage and instability. If we are to avoid such outcomes it is crucial that we first identify and then work to rectify those factors that compromise the abilities of extended family carers to look after these children both in the short and the longer term.     

Peer Support Groups for Child Welfare–Involved Families

Studies on risk factors and circumstances related to child maltreatment have continuously emphasized the important role of social support. As a result, peer support groups have been gaining attention and recognition in recent years in the field of child maltreatment prevention. However, little is known about the benefits that child welfare–involved parents receive in peer support groups, as well as the distinctive service elements that make these groups successful. By examining child welfare–involved parents’ experiences participating in peer support groups, this study provided a better understanding of the perceived beneficial aspects of peer support groups, specific types of supports offered to and by peers, and unique characteristics of these groups.     

MARRYING A ‘FOE’: JOINT SCRIPTS AND REWRITTEN HISTORIES OF GREEK-TURKISH COUPLES

Addressing the notion of “mixture” in marriages between individuals with diverse ethnic and religious identity as well as ambiguous historical relations, this article investigates the conjugal life and relations of Greek-Turkish couples living in Athens. It explores the meanings such unions take on in modern Greek society where nationalist discourse underlines issues of cultural and biological “purity” and shows how alternative versions of history intersect with gender and ethnicity in “mixed” family settings. Although crossing ethnic and historical boundaries does not transform dominant ideas, these mixed marriages allow their participants to maintain flexible lines of distinction and construct meaningful commonalities between themselves and their nations. What is more, by rephrasing stereotypical imageries and orienting themselves toward modern, Westernised ideas, Greek-Turkish couples have built up an ideological platform embracing diversity and historical ambivalence in new, enriched ways.     

The Crisis of the Russian Avant-Garde in Iurii Olesha’s Envy

In this essay 1 will analyze lurii Olesha’s novel Envy (1927) as a reflex of the crisis within the Russian avant-garde. 1 will argue that Olesha’s work can be viewed as the author’s perception of the destruction of the avant-garde in the mid-twenties and its replacement by a radically different aesthetic system, i.e., Socialist Realism.

In Envy, the fatal clash between the pragmatic productivism and the earlier constructivism finds its representation in the struggle of the three machines (or constructions—postroeniia—to use the avant-garde term). These constructions are: the communal kitchen Chetvertak’; a mysterious machine, Ophelia; and Anechka Prokopovich’s bed. I argue that all the power struggles among the main characters of the novel are connected to these three machines. The main feature common to these three machines and their design is control over human life. However, if the first two—Chetvertak and Ophelia—are involved in the active struggle for power, the third—the bed—epitomizes passive aggression. The bed mocks their struggle and lies in waiting and finally devours the future discourse, because it is in the bed that the action of Envycomes to its end. Thus, 1 suggest that Chetvertak be seen as a later productionist creation, while Ophelia represents an earlier constructivist avant-garde conception. In relation to the first two machines, the bed represents socialist realism as a stagnating aesthetic vision and the dystopian pretense of paradise attained.     

A DIRICHLET PROCESS MIXTURE OF HIDDEN MARKOV MODELS FOR PROTEIN STRUCTURE PREDICTION

By providing new insights into the distribution of a protein's torsion angles, recent statistical models for this data have pointed the way to more efficient methods for protein structure prediction. Most current approaches have concentrated on bivariate models at a single sequence position. There is, however, considerable value in simultaneously modeling angle pairs at multiple sequence positions in a protein. One area of application for such models is in structure prediction for the highly variable loop and turn regions. Such modeling is difficult due to the fact that the number of known protein structures available to estimate these torsion angle distributions is typically small. Furthermore, the data is "sparse" in that not all proteins have angle pairs at each sequence position. We propose a new semiparametric model for the joint distributions of angle pairs at multiple sequence positions. Our model accommodates sparse data by leveraging known information about the behavior of protein secondary structure. We demonstrate our technique by predicting the torsion angles in a loop from the globin fold family. Our results show that a template-based approach can now be successfully extended to modeling the notoriously difficult loop and turn regions.