Measuring children's needs: how are we doing?

Children's services in England and Wales are legally required to determine the nature and extent of children's needs in their areas as a precursor to providing needs-led services. However, few needs assessments are ever published. This article analyses 83 such reports conducted between 1999 and 2007 in two local authorities in England (one urban, one rural), focusing on their quality and usefulness. It makes recommendations for improving practice in this important area, both in terms of the type of needs assessment required and how best to produce and use them.     

Pop-up messages on electronic gaming machines in New Zealand: experiences and views of gamblers and venue staff

In New Zealand, a pop-up message feature that interrupts gambling is mandatory on all electronic gaming machines (EGMs) in all venues. The present research documented the views and experiences of pop-up messages from a range of gamblers and gambling venue staff. A series of focus groups was held with 40 gamblers (ranging from infrequent gamblers to current/former problem gamblers), and 19 staff from casino and non-casino venues. Most participants thought that pop-up messages were ineffective as a harm-minimization measure. Venue staff participants viewed pop-up messages much more negatively than gamblers, who were generally accepting of their existence and sometimes described them as useful. Venue staff participants were also very negative about the additional hassles and confusion they believed to be caused by pop-up messages, and a range of problems they perceived with their accuracy. Nonetheless, there was a consistent although less prevalent view that pop-up messages were useful in reducing gambling harm and potentially bringing harmful gamblers to the attention of others. Participants raised some possibilities for enhancing their effectiveness; these were generally consistent with the evidence base developed since the introduction of pop-up messages in the New Zealand gambling environment.     

Gratification versus frustration: The legacy of the schism between Ferenczi and Freud

The tension between whether to gratify or frustrate a patient reappears countless times in the course of every therapeutic treatment. This tension, so dramatically encapsulated in the relationship between Ferenczi and Freud, and resurfaced repeatedly in the writings and teachings of such influential thinkers as Alexander, Greenson, Stone, Brenner, Winnicott, Kohut and Kernberg.In this paper, we track how the general concepts of frustration and gratification continually re-emerge in one or another form, and are considered and debated by our most gifted psychoanalytic writers.     

A COMPARISON OF FAMILY ADAPTATIONS TO HAVING A CHILD WITH CYSTIC FIBROSIS

The effect of Cystic Fibrosis (CF) on the structure and social climate of the family was examined with self-report scales and independent observations of family functioning. Families in which the child with CF was not the firstborn were found to be functioning more healthily than those in which the child was the firstborn. This was found on 7 of 10 family environment scales, a family hierarchy test, and on all three of the family system scales used by the independent observers (power, cohesion and closeness). Significant correlations between specific family variables and problem behaviors and social competencies were also found.     

Reassessing Charity Trusteeship in Britain? Toward Conservatism, Not Change

The growing prominence given to charity trustees' strategy-making roles and responsibilities is encouraging reassessment of the values and purposes of trusteeship in Britain. This occurs against a background of an increasingly professionalized and managerialist charity sector. Trustees are seen, in public policy terms, as a homogeneous and leadership-oriented group, while some charity managers aspire to or are already fulfilling leadership roles. This research note reviews these developments, considering trustees' strategy-making and controlling functions, and the nature of the relations between charity staffs and trustees. It describes the development of a tentative typology by the authors, characterizing trustees' approaches to their roles, as a means of illustrating the heterogeneous rather than homogeneous nature of the overall charity trustee body. The research process, leading toward the typology's development, is outlined and critiqued. Reflections on the value of the typology are given and possible future developments in trusteeship are considered. The authors consider that those trustees willing to remain in role are likely to adopt custodial rather than entrepreneurial approaches to their trusteeship. Such a role is likely to be increasingly at odds with the role sought or adopted by senior managers in some charities, and also with the proactive model of trusteeship that is being encouraged by the regulatory systems for British charities.     

DEALERS AND DEALING IN AN ANTIQUE MALL

This article, based on direct and participant observation, explores the world of antique malls, the occupation of antique dealer, and the role of customer. Data are based primarily on personal participation over the past six years as a buyer and consignment seller at auctions and as the co-owner of a husband/wife antique business located in three separate antique malls. These malls house approximately 170 dealers who sell a variety of antiques and collectibles. This article describes elements of the symbolic interactions that take place between sellers and shoppers in an antique mall. Strategies of sellers and shoppers are discussed. Customer-seller interactions are described and typologies of dealers and shoppers are presented.     

Introduced and native plant species composition of vacant unmanaged green roofs in New York City

Urban Ecosystems - Vacant spaces, such as unplanted, unmanaged, or infrequently accessed green roofs, may play a critical role in sustaining biodiversity in cities. Initial plant composition of...     

Variables Affecting Patient Satisfaction with Health Care Services in the College Health Setting

Abstract

Patient satisfaction with health care services is an important factor in health care delivery. It will significantly influence whether or not a patient seeks medical care, complies with prescribed treatment, and/or maintains a continuing relationship with a medical practitioner.

A survey questionnaire, relating patient satisfaction with a number of variables identified through a literature review, was mailed to a random sample of 500 students utilizing Student Health Service (SHS) at Kent State University (KSU) during the five week study period. The data obtained would be utilized to help with planning future health care services and staff inservice education programs.

The findings of this survey indicate that patient satisfaction has a statistically significant correlation with perceived technical competence of the practitioner and perceived adequacy of the interpersonal aspects of the practitioner-patient relationship. A significant relationship did not exist between satisfaction and expectations the patient holds of the practitioner's role performance. A statistically significant relationship was found to exist between receiving health information/education related to diagnosis, prognosis, and treatment plan and satisfaction with health care services. This relationship did not hold for health information/education related to activity restrictions or preventive measures. The study also revealed that time waited during the medical care encounter was inversely related to satisfaction. Last, stepwise regression found that perceived technical competence of the practitioner was the most important variable influencing patient satisfaction with health care services.

This study provides data about factors important to personal satisfaction with health care services for a selected group of college students.