Predictors of treatment outcome in a child and adolescent psychiatry clinic: A naturalistic exploration

We present data on predictors of treatment outcome for 3200 consecutive referrals to a child and adolescent psychiatry clinic. Using Reliable Change Index (RCI) methodology, we divided children into those who, between intake and discharge, improved, stayed the same, or got worse according to clinician-rated impairment. Most predictors of improvement were related to parent variables (marital status, maternal anxiety, and ethnicity), while those associated with deterioration were tied to child status (extent of psychiatric comorbidity, history of placement in a self-contained classroom, and a prior trial of psychotropic medications). The implications of these findings for data-driven program development, clinic management, treatment planning, and systems of care are discussed.     

Potential of decentralized wastewater management for urban development: Case of Bangkok

Decentralized wastewater management (DWWM) has recently gained much attention in wastewater management (WWM) due to its build-as-you-go principal. Rapid urban development and the widespread impact of wastewater require sustainable ways to test the DWWM approach. This paper aims to examine and discuss the potential of Bangkok’s current WWM approaches for urban development, focusing on decentralized management approaches. General WWM approaches were examined using case study research methods. Three WWM cases were selected for detailed investigation. Residential wastewater user surveys and expert interviews were used to support system performance findings of service providers and recipients, as well as to draw lessons learned. Results show that DWWM is economically and technically efficient, demonstrating potential for sustainable urban development (SUD) in the study area. The competitive cost found is a result of less sewer line, simple technology, and limited additional costs, while the high efficiency is a result of good operation and maintenance. Also the reclaimed water has been used for landscape irrigation of the urban greenery. Sustainability of the system lies in social value of public amenity it provides, and the urban planning implication that it could be an option for smart growth. The results also show that even in an inner urban area DWWM does not conflict with any SUD considerations. Thus, the study recommends using DWWM for new development within both public and private properties based on Bangkok’s case as part of long-term urban development.     

Market economies and pro-social behavior: Experimental evidence from Central Asia

This study seeks to extend the body of knowledge of pro-social behavior in comparative market settings by reporting on a high-stakes ultimatum game and revelation game experiments in two transition economies: Kazakhstan and Uzbekistan. While controlling for cultural differences and framing effects, we find statistically significant differences in fairness and honesty behavior between the two countries. Specifically, subjects in Uzbekistan (in an earlier stage of transition to a market economy) are fairer and more honest than their later-stage Kazakh counterparts. Our experimental findings have implications for the literature on pro-social behavior and market economies, and more generally, on the transmission process between formal and informal institutions.     

Revising a medication education program on an inpatient child and adolescent psychiatric unit

Adherence to a medication regimen can be challenging for children and adolescents with mental health disorders. Medication education can be a beneficial tool for nurses to help promote adherence to psychotropic medications. This article describes an initiative to improve medication education offered to children and adolescents and their families on an acute child and adolescent inpatient unit in a mental health facility. Strategies included adding a game to medication education groups, creating and distributing medication education handouts, and developing and implementing medication education sessions for parents. When used by the patients and families, the interventions were appreciated. Having successful interventions in place may help meet the diverse educational needs of this population as nurses seek to improve medication adherence.     

Does generosity beget generosity? The relationships between transfer receipt and formal and informal volunteering

This paper examines whether receipt of public or private assistance is associated with recipients’ own generosity in the form of formal and informal volunteering. Using matched data from the 2007–2011 American Time Use Survey and the Annual Social and Economic Supplement to the Current Population Survey, this paper finds that receipt of private assistance from friends and relatives is negatively associated with the time women spend caring for non-household adults and the time men spend caring for non-household children. Receipt of public assistance is found to be negatively associated with men’s care of non-household adults. No associations are found between either type of assistance and time spent volunteering for a formal organization.     

Family Intervention and Health Care Costs for Kansas Medicaid Patients with Schizophrenia

Despite a number of studies investigating the effect of pharmacotherapy on treatment costs for schizophrenia patients, there has been little attention given to the effect of family intervention. In this study, data from the Kansas Medicaid system were used to analyze healthcare costs for 164 schizophrenia patients who had participated in family intervention. Structural equation modeling was used to test two competing views of the role of family intervention in treatment. The results showed that a model including direct and indirect effects of family intervention provided a better fit to the data. Family intervention had a significant indirect effect on general medical costs (through other psychological treatment) that showed a savings of $586 for each unit increase in the provision of these services. In addition, the total indirect effects for family intervention showed a $580 savings for general medical costs and $796 for hospitalization costs (for each unit increase).     

The Ambiguity of Return Migration: Prolonged Crisis and Uncertainty in the Life Strategies of Young Romanian and Latvian Returnees

Drawing on qualitative research, this study endeavours to identify the determinants of return migration of young Romanians and Latvians in light of the most recent global economic crisis (GEC). The decision-making patterns of young returnees are examined by three main research questions. How do macro-events, such as the GEC, interfere with individual biographies creating specific return experiences? What can we say about the “crisis returnees”, their migration motivations and re-adaptation in the origin country? What are the main challenges of young adults facing life strategies in such uncertain periods? Data are drawn from 51 in-depth interviews with Romanian and Latvian young adults, carried out in late 2015 and early 2016. Findings show that return migration is associated with economic conditions, family life, feelings of homesickness, and re-adaptation experiences. Our results also confirm that youth transitions and migration have become more diversified and complex in the context of the economic crisis.