The well‐being of children of parents with a mental illness: the responsiveness of crisis mental health services in Wellington,New Zealand

Little is known about how mental health services consider the parenting role and the well‐being of children when assessing parents with acute mental illness. This paper investigated how crisis mental health services addressed child well‐being in the Wellington region, New Zealand. This mixed‐method case study included: (i) an audit of the electronic clinical records of all adults presenting to the crisis assessment team; (ii) interviews with 22 key informants; and (iii) a documentary review. We found that data about children were not systematically collected. Less than half of (49 of the 104) the records of patients who were parents included information on their child's well‐being; only six (6%) contained a specified plan for action. The focus for services was the adult patient. Key informants were unclear about their role. They identified inadequate training and institutional support, inflexible funding models and limited availability or inappropriateness of referral services as problems. They saw a need for children to become more visible, for collaborative working to improve the use of existing services and for new funding models, resources and roles. Existing national policy documents contained little guidance and no practice guidelines were in use. These were lost opportunities to improve support for the parenting role and promote child well‐being.     

Motivation and mission in the public sector: evidence from the World Values Survey

It is well-recognised that workers may have intrinsic—as well as extrinsic—motivations. Previous studies have identified that public sector workers typically have a higher level of intrinsic motivation, compared to workers in the private sector. This paper compares (measures of) intrinsic motivation among 30,000+ workers in the two sectors across 51 countries using data from the World Values Survey. We find that public sector workers exhibit higher intrinsic motivation in many countries, but that this is not a universal relationship. One possibility is that public sector mission may influence whether or not motivated workers choose to work in the sector. In support of this, we show that the level of (public) corruption—which plausibly affects mission—can explain some of the variation across countries in the proportion of motivated workers in the sector.     

Uniform-in-bandwidth kernel estimation for censored data

We present a sharp uniform-in-bandwidth functional limit law for the increments of the Kaplan–Meier empirical process based upon right-censored random data. We apply this result to obtain limit laws for nonparametric kernel estimators of local functionals of lifetime densities, which are uniform with respect to the choices of bandwidth and kernel. These are established in the framework of convergence in probability, and we allow the bandwidth to vary within the complete range for which the estimators are consistent. We provide explicit values for the asymptotic limiting constant for the sup-norm of the estimation random error.     

Nonresponse Bias in a Dual Frame Sample of Cell and Landline Numbers

We conducted a dual frame survey of landline and cell phonenumbers in 2004 to evaluate the feasibility of including cellphone numbers in random digit dial telephone surveys in theUnited States. By sampling cell phone numbers, the coveragebias associated with households that have only cell phones iseliminated. However, we discovered two major sources of nonresponsebias in the dual frame sample. In an attempt to reduce thesebiases, we applied several different estimation schemes. Buta comparison to the 2004 Current Population Survey Cell PhoneSupplement showed that none of the estimation schemes substantiallyreduced the nonresponse bias of the estimates. We suggest othermethods that might be used in future surveys that include cellphones and discuss the need for additional data collection andresearch on this issue.     

Suicide prevention and community-level indictors

This study sought to develop a set of easily obtainable, relevant measures of a community's condition that could be used to guide its suicide prevention efforts. Existing data were gathered across 159 Georgia counties for nine potential social indicators (rates of net migration, divorce, unemployment, violent crimes reported, driving under the influence of alcohol or drugs [DUI] crashes, high school dropouts, Temporary Assistance for Needy Families [TANF], percentage of population aged 65 or older, and percentage of population who are white males) that had been chosen by the communities. Data on the social indicators from 1995 through 1999 were averaged and analyzed to determine their correlation with aggregated 5-year county suicide rates. Results of multivariate modeling procedures showed number of DUI crashes and percentage of the population aged 65 or older to be significant correlates of the suicide rate, controlling for other potential indicators. These preliminary data may provide a useful model of a county's 5-year suicide rate among counties reporting 20 or more suicides. Research with additional indicators and in other states will help determine the generalizability of these findings to other communities.     

Sex, lies, and videos in rural China: a qualitative study of women's sexual debut and risky sexual behavior

This paper attempts to understand the sexual behaviors of young, unmarried women living in rural China with a special focus on sexual debut, sexual risk-taking behaviors, and reproductive health consequences. The analysis is based on forty in-depth interviews with young women who had undergone induced abortion as well as information from focus group discussions. Study participants identified pornographic videos and parents' tacit approval and even encouragement as factors instigating their sexual debut. Reasons for unprotected intercourse include spontaneous sexual activity, misconceptions about fertility and the effective use of contraceptives, and the lack of negotiation skills. The results indicate the importance of making reproductive health education more accessible to rural populations in China, a group usually considered to be more traditional and less likely to engage in premarital sex.     

Predictors of meningococcal vaccination among university students

Invasive disease secondary to Neisseria meningitidis is a rare but devastating illness among university students. The Advisory Committee on Immunization Practices recommends educating college freshmen about meningococcal disease and vaccinating all college freshmen who live in residence halls. We conducted this survey to gain a better understanding of current immunization rates and factors associated with vaccination.