Evaluation approaches in mental health: Implications of the new federalism

Since the introduction of federal mental health legislation in 1963, there has been a changing emphasis on evaluation and accountability. With direct federal funding of community mental health services, accountability demands were met through expectations for local agency evaluation activities which were overseen by federal authorities. The advent of the New Federalism and the shift to block grant funding of mental health services to state mental health authorities have shifted responsibility for evaluation to the states and local programs. This paper reviews federal mental health statutes to trace the extent and locus of required evaluation activities and discusses two approaches to carrying out program evaluation: "top-down" where the evaluation topic, method, and data collection are mandated by an administering or funding body; and "bottom-up" approaches where the subject, method of study, and data to be collected are developed in response to a felt need at the local agency level. A case study of each approach as used at the state level in mental health is examined. Based on the literature and the case studies, conclusions are presented on the pro's and con's of each method in meeting accountability demands and the barriers which must be overcome for either method to be successful.     

YOUR SECOND LIFE?

This article examines the performativity of intellectual property in digital gaming environments, with a focus on Massively Multi-Player On Line Games (MMOGs). The analysis centers on the creation and management of goodwill, an intangible asset of considerable value to corporations based on affective bonds between consumers, corporations, and their commodities in the marketplace. Most critical analyses of intellectual property consider neither the centrality of goodwill to corporate management of their intellectual properties in digital environments, nor the significance of the legal conditions that structure activity in such contexts. We develop a theoretical framework based on cultures of circulation involving network sociality, circuits of interactivity and the extensibility of the computer/user interface. This enables us to better understand shifting relations of power and reciprocity between corporations and consumers in digital gaming contexts, where the division between player-consumption and player-production is increasingly blurred. Technological capacities for consumers to become producers of gaming content changes the terrain upon which conflicts between corporations and consumers about intellectual property are negotiated and enhances the value of goodwill. An examination of Linden Lab's Second Life – one of the fastest growing MMOGs and the first to affirm players’ intellectual property rights in their digital creations – provides an illustration of both the limits and possibilities afforded by goodwill as a form of emerging governance in game worlds.     

Globalism's 'siren song': the United Nations and international law in Christian Right thought and prophecy

The role of the American Christian Right (CR) as an international social movement has perhaps received less attention than it is due. In this article, I explore the underlying global vision of the CR, and the ways in which this vision shapes the CR's international political activism. I focus on the CR's construction of the United Nations, examining various CR genres including movement publications, fiction, and prophecy writing. I also attempt to analyse the CR's ideological stance in light of the literature on 'religion and globalisation'.     

Multiplicity: discussion points from the Statisticians in the Pharmaceutical Industry multiplicity expert group

In May 2012, the Committee of Health and Medicinal Products issued a concept paper on the need to review the points to consider document on multiplicity issues in clinical trials. In preparation for the release of the updated guidance document, Statisticians in the Pharmaceutical Industry held a one‐day expert group meeting in January 2013. Topics debated included multiplicity and the drug development process, the usefulness and limitations of newly developed strategies to deal with multiplicity, multiplicity issues arising from interim decisions and multiregional development, and the need for simultaneous confidence intervals (CIs) corresponding to multiple test procedures. A clear message from the meeting was that multiplicity adjustments need to be considered when the intention is to make a formal statement about efficacy or safety based on hypothesis tests. Statisticians have a key role when designing studies to assess what adjustment really means in the context of the research being conducted. More thought during the planning phase needs to be given to multiplicity adjustments for secondary endpoints given these are increasing in importance in differentiating products in the market place. No consensus was reached on the role of simultaneous CIs in the context of superiority trials. It was argued that unadjusted intervals should be employed as the primary purpose of the intervals is estimation, while the purpose of hypothesis testing is to formally establish an effect. The opposing view was that CIs should correspond to the test decision whenever possible. Copyright © 2013 John Wiley & Sons, Ltd.     

Psychometric Evaluation and Discussions of English Language Learners’ Listening Comprehension

The importance of listening in the context of English language acquisition is gaining acceptance, but its unique attributes in language performance, while substantively and qualitatively justifiable, are generally not psychometrically defined. This article psychometrically supports listening as a distinct domain among the three other domains of language learning—reading, writing, and speaking—through the analysis of listening data from a large-scale K-12 English language proficiency assessment. Student responses in this study were compared on the basis of cognitive, metacognitive, and other learning strategies between high achieving and low achieving listening groups that were formed using a latent mixture distribution model. Latent mixture distribution and differential items functioning analyses together with classical item analysis were used to substantiate or draw attention to literature findings. The article also highlights the importance of social-interactive items that are inadvertently embedded in an assessment that is primarily created to measure academic language.     

Fascists at the Fair: Political Resistance at the 1933–1934 Chicago World's Fair

At the 1933–1934 World's Fair in Chicago the local German American population was able to organize some resistance to minimize the Nazi presence on the fairgrounds, while Italian Americans, for their part, were held in check by the close oversight of Fascist Italy's representatives at the Fair. Neither the Fairs organizing committee nor the U.S. State Department offered any objection to either governments presence. The history of the event shows that these differences were fundamentally due to international regulations surrounding international expositions, suggesting that our existing approaches toward meaning‐making and political action at mega‐events need to take better account of larger regulatory structures.     

Updating Parameters of the Chicken Processing Line Model

A mathematical model of chicken processing that quantitatively describes the transmission of Campylobacter on chicken carcasses from slaughter to chicken meat product has been developed in Nauta et al. (2005). This model was quantified with expert judgment. Recent availability of data allows updating parameters of the model to better describe processes observed in slaughterhouses. We propose Bayesian updating as a suitable technique to update expert judgment with microbiological data. Berrang and Dickens's data are used to demonstrate performance of this method in updating parameters of the chicken processing line model.     

Estimation of binomial parameters when both , are unknown

We revisit the classic problem of estimation of the binomial parameters when both parameters n,p are unknown. We start with a series of results that illustrate the fundamental difficulties in the problem. Specifically, we establish lack of unbiased estimates for essentially any functions of just n or just p. We also quantify just how badly biased the sample maximum is as an estimator of n. Then, we motivate and present two new estimators of n. One is a new moment estimate and the other is a bias correction of the sample maximum. Both are easy to motivate, compute, and jackknife. The second estimate frequently beats most common estimates of n in the simulations, including the Carroll–Lombard estimate. This estimate is very promising. We end with a family of estimates for p; a specific one from the family is compared to the presently common estimate and the improvements in mean-squared error are often very significant. In all cases, the asymptotics are derived in one domain. Some other possible estimates such as a truncated MLE and empirical Bayes methods are briefly discussed.