Early indicators of child abuse and neglect: a multi‐professional Delphi study

Through the application of the Delphi technique, this study draws on the expertise of British child protection academics and practitioners from a wide range of disciplines in seeking to develop a consensus opinion on possible early indicators of child abuse and neglect. The search for early indicators is described in the context of a secondary preventative approach to the problem of child maltreatment. A very tentative conclusion arising from the study is that the early indicators of child abuse and neglect that achieved consensus of agreement may help in diagnosing child abuse and neglect at an earlier stage, although they are not necessarily diagnostic. Alternative explanations, differential diagnoses and information‐gathering are paramount, as is a willingness and ability to act on concerns. Although great caution is urged, it is suggested that the findings from the study are credible and of interest to those who are working towards more timely recognition and referral of abused and neglected children. Copyright © 2003 John Wiley & Sons, Ltd.     

Quasi-markets in British Health Policy: A Longue Durée Perspective

Quasi‐markets in health care are generally associated with the period 1991–7 in the later years of office of the British Conservative Party. This paper aims to place such claims in a wider framework by exploring definitions of and conditions of success for quasi‐markets over a longer timescale, beginning in the 1930s and ending with the current New Labour government. It suggests a typology of quasi‐markets based on hard versus soft, direct versus indirect and internal versus external forms. It applies these categories and the conditions for success for quasi‐markets to seven historical periods. Both the typologies and the conditions for success of quasi‐markets varied over time, defying a simple linear development, suggesting a more nuanced historical narrative than simple continuity or discontinuity accounts of recent developments provide. Covering such a large topic over a long sweep of time, with the absence of clear evidence for much of the period, necessarily means that verdicts tend to be impressionistic. However, even at this level, the tentative conclusions provide important contextual elements in the debate on quasi‐markets.     

Predicting losses of residential structures in the state of Florida by the public hurricane loss evaluation model

As an environmental phenomenon, hurricanes cause significant property damage and loss of life in coastal areas almost every year. Although a number of commercial loss projection models have been developed to predict the property losses, only a handful of studies are available in the public domain to predict damage for hurricane prone areas. The state of Florida has developed an open, public model for the purpose of probabilistic assessment of risk to insured residential property associated with wind damage from hurricanes. The model comprises three components; viz. the atmospheric science component, the engineering component and the actuarial science component. The atmospheric component includes modeling the track and intensity life cycle of each simulated hurricane within the Florida threat area. Based on historical hurricane statistics, thousands of storms are simulated allowing determination of the wind risk for all residential Zip Code locations in Florida. The wind risk information is then provided to the engineering and actuarial components to model damage and average annual loss, respectively. The actuarial team finds the county-wise loss and the total loss for the entire state of Florida. The computer team then compiles all information from atmospheric science, engineering and actuarial components, processes all hurricane related data and completes the project. The model was submitted to the Florida Commission on Hurricane Loss Projection Methodology for approval and went through a rigorous review and was revised as per the suggestions of the commission. The final model was approved for use by the insurance companies in Florida by the commission. At every stage of the process, statistical procedures were used to model various parameters and validate the model. This paper presents a brief summary of the main components of the model (meteorology, vulnerability and actuarial) and then focuses on the statistical validation of the same.     

Authors’ responses to the discussion on “Predicting losses of residential structures in the state of Florida by the Public Hurricane Loss Evaluation Model”

Hurricanes threaten the Florida coast line every year and are capable of causing catastrophic losses. The Public Hurricane Loss Model was developed in response to the need for having an open transparent model to predict the above losses. The results were summarized in the paper “Predicting Losses of Residential Structures in the State of Florida by the Public Hurricane Loss Model” which was subsequently a subject of discussion by experts in Meteorology, Engineering, Actuarial Sciences and Statistics. The present paper presents a response to the discussions on the above mentioned article.     

A return to work program for injured workers: a reassignment model

The current workers' compensation system does not encourage permanently restricted workers who are disabled due to work related injuries to return to work. Workers are often labeled permanently disabled and are released from their positions with their employers. However, according to the Americans with Disabilities Act of 1990, these individuals may be qualified to return to productive employment. This paper will describe a Reassignment Model for occupational therapy supported by the rehabilitation frame of reference. This Model presents reassignment to a vacant position as a reasonable accommodation to return injured workers to productive employment. A case study will illustrate the successful implementation of the model. The potential benefits of using this Model will be described for clients, society, employers, and the occupational therapy profession.     

The Weighty World of a “Standard Bearer”: The Influence of Help-Seeking Behaviors on Feeling Pressure

Interpersonal romantic relationships are heavily influenced by societal norms and beliefs. These beliefs can place a great deal of stress on a relationship’s capacity for self-efficacy and behavioral or emotional health. Risk factors associated with individuals’ feelings of “pressure to make their relationship look good to others” were investigated. Analyses were run using a nationally stratified sample (N = 1,112) randomly selected from 1 major metropolis within each of the 10 Administration for Children and Families regions. Results produced an overall theme showing increased pressures of “relationship standard bearing” as education or income levels increase. These results serve as a useful resource to construct relationship education curriculum components, while also providing contextual frames to clinicians and family practitioners.     

Extension-Based Divorce Education: A Quasi-Experimental Design Study of the Parents Forever Program

The field of divorce education is calling for greater rigor in evaluating program effectiveness and University Extension programs are no exception. Parents Forever, a University of Minnesota Extension divorce education program developed in the 1990s, conducted a quasi-experimental design study, with a sample of in-person class participants and a comparison sample of divorcing parents. Independent samples t tests were conducted between the unstandardized residuals of each group. In support of the program’s goals, results indicated positive program effects for several variables related to parenting practices, adult quality of life, self-efficacy, and parent report of child conduct problems and peer problems (p < .01). No effect was found for coparenting conflict, adult social health, and child hyperactivity, and marginal program effects (p < .05), both positive and negative, were found for coparenting alliance (–), positive parenting (+), child emotional symptoms (+), and child prosocial behavior (–).     

Shares of Housework Between Mothers,Fathers and Young People: Routine and Non-routine Housework,Doing Housework for Oneself and Others

This study applies wavelet coherency analysis to examine the relationship between the U.S. per capita real GDP and six income inequality measures over the period 1917 to 2012. Wavelet analysis allows the simultaneous examination of correlation and causality between the two series in both the time and frequency domains. Our findings provide robust evidence of positive correlation between the growth and inequality across frequencies. Yet, directions of causality vary across frequencies and evolve with time. Evidence that inequality leads per capita real GDP at both high- and low-frequencies exists for the Top 1 and 10% measures of inequality with little evidence that real GDP per capita leads inequality. In the time-domain, the time-varying nature of long-run causalities implies structural changes in the two series. These findings provide a more thorough picture of the relationship between the U.S. per capita real GDP and inequality measures over time and frequency, suggesting important implications for policy makers.     

A Person‐Centered Approach to the Study of Black Adolescent Religiosity,Racial Identity,and Sexual Initiation

Decreasing the number of adolescents who have never had sexual intercourse is one way to address sexual health disparities. We used intersectionality to explore the joint effects of religiosity and racial identity on Black adolescent sexual initiation. Data originated from the National Survey of American Life‐Adolescent (n = 1,170), a nationally representative study of Black adolescents. Latent profile analysis and survival analysis were used to evaluate study hypotheses. Results showed four distinct profiles of religiosity and racial identity. These profiles explained 19% of the variability in sexual initiation. Additional analyses revealed sociodemographic differences in profile membership. Findings contribute to understanding ethnic heterogeneity among Black adolescents and racial identity and religiosity as sociocultural factors that influence sexual initiation; and support reconceptualizing Black adolescent religiosity.