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71.
S. N. Rodda V. Manning N. A. Dowling S. J. Lee D. I. Lubman 《Journal of gambling studies / co-sponsored by the National Council on Problem Gambling and Institute for the Study of Gambling and Commercial Gaming》2018,34(1):307-320
Despite high rates of comorbidity between problem gambling and mental health disorders, few studies have examined barriers or facilitators to the implementation of screening for problem gambling in mental health services. This exploratory qualitative study identified key themes associated with screening in mental health services. Semi-structured interviews were undertaken with 30 clinicians and managers from 11 mental health services in Victoria, Australia. Major themes and subthemes were identified using qualitative content analysis. Six themes emerged including competing priorities, importance of routine screening, access to appropriate screening tools, resources, patient responsiveness and workforce development. Barriers to screening included a focus on immediate risk as well as gambling being often considered as a longer-term concern. Clinicians perceived problem gambling as a relatively rare condition, but did acknowledge the need for brief screening. Facilitators to screening were changes to system processes, such as identification of an appropriate brief screening instrument, mandating its use as part of routine screening, as well as funded workforce development activities in the identification and management of problem gambling. 相似文献
72.
Megan E. Gandy-Guedes Jennifer I. Manuel Miriam George Shenee McCray Dina Negatu 《Social Work in Mental Health》2018,16(4):400-418
ABSTRACTEngagement of individuals with serious mental illnesses in community mental health services is a significant challenge. The Program of Assertive Community Treatment (PACT) is an individual-centered and self-contained mental health program that provides psychiatric treatment, rehabilitation, and support services to persons with serious mental illness who have a history of or likelihood of disengagement with services. Understanding what helps and hinders consumers’ involvement in PACT services may provide information on how to tailor engagement strategies to individuals based on their treatment needs and preferences. The current study builds on existing studies by exploring factors that help and hinder engagement in PACT services from the perspectives of individuals receiving treatment. We conducted open-ended, semi-structured interviews with 17 individuals receiving PACT services. Nine themes were identified through thematic analysis: Desirable qualities of PACT, Focusing on positive outcomes, PACT as a safety net, Recovery orientation, Practical barriers, Conflictual relationships, and Medication side-effects. We conclude that the development of a trusting, therapeutic relationship that is collaborative and person-centered and that is facilitated by both practical and emotional support is critical to engaging individuals in treatment and maximizing positive outcomes. 相似文献
73.
74.
In this paper, five alternative advertising policies that belong to the advertising pulsation class are compared analytically for linear and concave response functions using a modified version of the Vidale-Wolfe model. The results of the research show that (1) For both linear and concave response functions, advertising pulsing/maintenance policy dominates advertising pulsing policy but is dominated by the Uniform Advertising Policy. For convex response functions, the order of dominance is reversed. (2) For linear response functions, uniform advertising policy dominates the impulse advertising policy but is dominated by the chattering advertising policy. (3) For concave response functions, uniform advertising policy dominates both the impulse advertising policy and the chattering advertising policy. (4) For convex response functions, chattering advertising policy dominates both the advertising pulsing policy and the impulse advertising policy. The Vidale-Wolfe model is estimated using the well-known Lydia Pinkham data. Optimality analysis shows that the company was overadvertising about half of the time studied. Overadvertising seems to have produced appreciable gain in sales and created significant barriers to competitive entry at a little cost in terms of foregone profits. 相似文献
75.
Based on likely future changes in faculty evaluation practices, this paper examines how institutions of higher education might operationalize performance evaluation as related to research, teaching, and service. A model is developed that allows coupling performance evaluation and relevant market considerations with merit pay, tenure, and promotion decisions. The approach is specifically applicable to tenure-track faculty members in colleges and universities. 相似文献
76.
In this paper, we propose an objective principal components weighting scheme for all-time Winter Olympic gold, silver and bronze medals based solely on the number of medals won. Our results suggest that the approximately equal weights be assigned (or the total medal counts be used regardless of color) if all of the three medal types are retained for ranking purposes. When the proposed methodology is tested against five alternative weighting schemes that have been suggested in the literature using the results for the 2010 Vancouver Winter Olympics, we find a significant agreement in the country rankings. Furthermore, our implementation of principal components variable reduction strategy results in the identification of silver as the best representative medal count for parsimonious Winter Olympics rankings.KEYWORDS: Olympic rankings, principal components analysis, variable reduction strategy, medal counts, objective weighting schemeJEL Classifications: C18, C38, C43 相似文献
77.
The global factory literature suggests that MNCs can take advantage of global operations by extensively offshoring and outsourcing activities. However, the added difficulty for the lead firm to coordinate the resulting complex structure is often underestimated. Evidence could be found in Boeing's 787 Dreamliner project, in which the external complexity disrupted MNC performance. Motivated by the gap between theory and practice, this study focuses on systems of MNCs connected with each other with supplier-client relationships and/or outsourcing. In particular it investigates the interplay of the internal and external complexity in such systems and how their balance affects the system performance. The study models the internal and external complexity by using the NKC-simulation methodology and adjusting it to the specific MNC context. The NKC methodology is widely used in organization theory to study complex systems. Simulations comparing the performance of MNCs that use outsourcing to different degrees indicate that a balanced level of internal and external complexity is beneficial in the context of global factory. 相似文献
78.
D. V. Gribanov D. S. Malyshev P. M. Pardalos S. I. Veselov 《Journal of Combinatorial Optimization》2018,36(4):1128-1144
This paper studies a new version of the location problem called the mixed center location problem. Let P be a set of n points in the plane. We first consider the mixed 2-center problem, where one of the centers must be in P, and we solve it in \(O(n^2\log n)\) time. Second, we consider the mixed k-center problem, where m of the centers are in P, and we solve it in \(O(n^{m+O(\sqrt{k-m})})\) time. Motivated by two practical constraints, we propose two variations of the problem. Third, we present a 2-approximation algorithm and three heuristics solving the mixed k-center problem (\(k>2\)). 相似文献
79.
Alisson F. Barbieri Edson Domingues Bernardo L. Queiroz Ricardo M. Ruiz José I. Rigotti José A. M. Carvalho Marco F. Resende 《Population and environment》2010,31(5):344-370
This research contributes to an understanding of the relationship between climate change, economic impacts and migration.
We model the long-term relationship (up to 45 years of projection) between demographic dynamics—particularly migration—driven
by changes in the performance of the economy due to climate changes in the Northeast region of Brazil. The region is of particular
relevance to the study of climate change impacts given its large human population (28% of Brazil’s population) and high levels
of impoverishment, having an extensive semi-dry area which will be severely impacted by growing temperatures. Ultimately,
the integrated model generates state- and municipal-level migration scenarios based on climate change impacts on the primary
economic sectors and their articulations with other sectors. Results suggest that the predicted climate changes will impact
severely the agriculture sector in the region, acting as a potential migration push factor to other regions in the country.
Finally, we discuss how the increased vulnerability of some groups, particularly migrants, can be factored into Brazilian
public policy and planning. 相似文献
80.
This paper examines how full-time or part-time status affects students’ level of satisfaction with their degree programs.
For our analysis, we obtained data from a survey of graduate students. The survey was conducted at a public university in
Spain from 2001 to 2004. The decision to undertake paid employment while studying emerges as one of the key determinants of
student satisfaction. In particular, our findings indicate that students who hold a part-time job while studying are more
likely to express less satisfaction with their college experience. 相似文献