Restructuring Long-Term Care in Spain: The Impact of The Economic Crisis on Social Policies and Social Work Practice

ABSTRACT

Care needs of the aging population are increasing in Southern European countries. The purpose of this article is to explore the implications of meeting these needs while taking into account the recent economic crisis, which has deeply affected countries such as Spain. This study is part of a European project (ISCH COST Action IS1102) and is based mainly on qualitative information that focuses on in-depth interviews with social service workers (n = 19) who provide the service and program recipients or their caregivers (n = 14). In addition, two discussion groups were conducted with professionals (n = 9) and program volunteers (n = 5), as well as a workshop/discussion group (n = 28) with politicians, service providers, and participants. Six thematic premises were identified with differing views being highlighted relevant to the participants' roles in the program. Future research should explore social service strategies to deal with the increase in care needs as well as community-based responses.     

Prediction in multilevel generalized linear models

Summary.  We discuss prediction of random effects and of expected responses in multilevel generalized linear models. Prediction of random effects is useful for instance in small area estimation and disease mapping, effectiveness studies and model diagnostics. Prediction of expected responses is useful for planning, model interpretation and diagnostics. For prediction of random effects, we concentrate on empirical Bayes prediction and discuss three different kinds of standard errors; the posterior standard deviation and the marginal prediction error standard deviation (comparative standard errors) and the marginal sampling standard deviation (diagnostic standard error). Analytical expressions are available only for linear models and are provided in an appendix . For other multilevel generalized linear models we present approximations and suggest using parametric bootstrapping to obtain standard errors. We also discuss prediction of expectations of responses or probabilities for a new unit in a hypothetical cluster, or in a new (randomly sampled) cluster or in an existing cluster. The methods are implemented in gllamm and illustrated by applying them to survey data on reading proficiency of children nested in schools. Simulations are used to assess the performance of various predictions and associated standard errors for logistic random-intercept models under a range of conditions.     

Is migration an effective adaptation to climate-related agricultural distress in sub-Saharan Africa?

Population and Environment - Migration is often considered a form of climate change adaptation by which individuals, households, and communities seek to reduce the risks associated with climate...     

Does Financial Satisfaction Vary Depending on the Funding Strategy Used to Pay for College?

This study sought to determine whether the levels of financial satisfaction reported by college undergraduates and graduates differ in relation to whether they funded their college education by working or borrowing or a combination of the two. Data for this study came from a survey sample of full-time freshmen that formed the basis of a longitudinal study conducted at a large public university. Funding sources examined were grouped into those who worked only, those who borrowed only, those who worked and borrowed, and those who used grants, scholarships, or other sources of money to fund their college education. Compared to those who had student loans, those who had financed college with grants, scholarships, or other money (usually from family and/or friends) were more likely to report greater financial satisfaction than those who had used student loans to pay for college. There was evidence that this was only true during college rather than after college. The results obtained suggest that merely possessing a student loan may not necessarily decrease the level of financial satisfaction as many suspect, especially considering other funding alternatives such as working during college. While there was no significant impact of these funding strategies on financial satisfaction either during or after college, there was evidence for possible thresholds at which overall student loan balances may begin to erode financial satisfaction. The results obtained suggest that student loans may not decrease the level of financial satisfaction as much as many have suspected when compared with working to pay for college, as long as the amount of the student loan is not excessive, and is not accompanied by other types of debt (which also reduced financial satisfaction).

     

Interorganizational network portfolios of nonprofit organizations: Implications for collaboration management

Increasingly, nonprofit organizations engage in interorganizational collaboration to address large‐scale social problems. Scholarship typically focuses on the characteristics of both within‐sector and cross‐sector partnerships of two collaborating organizations or all partnering organizations involved in a collaboration, but we know little about the patterns of interorganizational relationships that single nonprofit organizations maintain. This research draws upon surveys from 452 nonprofits and introduces nonprofit network portfolios, which we define as the number, integration, intensity, and duration of relationships that nonprofits purposefully develop with other organizations. Using 12 network measures, Ward cluster analysis revealed three distinct network portfolios: restricted within‐sector (n = 319, 70.58%), which included limited collaboration and prioritized within‐sector partnerships; robust within‐sector (n = 80, 17.70%), which included more nonprofit partnerships than restricted within‐sector portfolios; and cross‐sector (n = 53, 11.72%), which had a rich assemblage of integrative partnerships with nonprofits, businesses, and government agencies. Further, nonprofits that maintained each type of portfolio differed in their revenue and social mission, suggesting these factors are related to the types of collaboration that nonprofits maintain. This study makes contributions to existing research on interorganizational networks and cross‐sector collaboration and suggests practical and policy implications for nonprofit network management.     

Resilience of Greek Youth at an Educational Transition Point: The Role of Locus of Control and Coping Strategies as Resources

Variable- and person-focused approaches were applied to study the resilient outcomes of 326 Greek male and female 1st year university students at a major educational transition point. Results indicated that resilience was related to both cognitive and behavioural psychosocial resources in late adolescence. Locus of control emerged as an important resource which affected adaptation in the face of difficulties. Active and avoidance coping strategies significantly influenced adaptation, as did adversity. Under low adversity, avoidance coping was used; under high adversity, however, both active and avoidance coping were used equally. Resilient and adapted young people utilised more resources than the maladaptive youths, and demonstrated significantly higher levels of positive adaptation. Excelling-resilient adolescents utilised coping resources expertly.     

Multilevel modelling of complex survey data

Summary.  Multilevel modelling is sometimes used for data from complex surveys involving multistage sampling, unequal sampling probabilities and stratification. We consider generalized linear mixed models and particularly the case of dichotomous responses. A pseudolikelihood approach for accommodating inverse probability weights in multilevel models with an arbitrary number of levels is implemented by using adaptive quadrature. A sandwich estimator is used to obtain standard errors that account for stratification and clustering. When level 1 weights are used that vary between elementary units in clusters, the scaling of the weights becomes important. We point out that not only variance components but also regression coefficients can be severely biased when the response is dichotomous. The pseudolikelihood methodology is applied to complex survey data on reading proficiency from the American sample of the 'Program for international student assessment' 2000 study, using the Stata program gllamm which can estimate a wide range of multilevel and latent variable models. Performance of pseudo-maximum-likelihood with different methods for handling level 1 weights is investigated in a Monte Carlo experiment. Pseudo-maximum-likelihood estimators of (conditional) regression coefficients perform well for large cluster sizes but are biased for small cluster sizes. In contrast, estimators of marginal effects perform well in both situations. We conclude that caution must be exercised in pseudo-maximum-likelihood estimation for small cluster sizes when level 1 weights are used.     

Infants' Manual Exploration of Pictorial Objects Varying in Realism

In previous research, we established that 9‐month‐old infants manually investigate pictured objects by hitting, rubbing, and grasping as if to pluck them off the page. This behavior suggests that infants do not understand the 2‐dimensional nature of pictures. Although they can perceive depth cues and distinguish pictures from objects, they do not appreciate the significance of these cues; that is, they do not realize how depicted objects differ from real ones. We report 2 studies that support the idea that infants' manual response to pictures is driven by the resemblance of depicted objects to the real objects they represent. In Study 1, we report that infants' manual investigation of pictures is directly related to how realistic they are: The more depicted objects look like real objects, the more manual investigation they evoke. In Study 2, we show that 9‐month‐old infants' manual behaviors are concentrated on depicted objects even when there are areas of greater perceptual contrast on the page. The results are discussed with respect to the early development of pictorial competence.     

Critical Theory and Medical Care in America: Changing Doctor–Patient Dynamics

This paper examines the potential for theory to adapt to changing contexts of health in the western world. The commoditization of health and the ideology of biomedicine affects social life in creating dependency, social control, and vast inequalities. At the same time, increased access and diversity of consumer health knowledge as evidenced by the use of the Internet and the sharp rise in alternative medicine point to a different dialectic between doctor and patient and the potential for transforming diagnostic, treatment, and economic components of health care. Recent trends suggest increasing patient autonomy and the possibility of a re-emergence of medical pluralism. New theoretical directions should be considered by social scientists in order to more fully understand these changes.     

Attitudes, subjective experiences, and behaviors in imagined and actual encounters between gay and heterosexual people

Across four studies, we assessed the relationship between participants' attitudes toward gay men and their experiences during either imagined or actual interpersonal encounters with gay men. In the first three studies, participants imagined interactions with gay men and either responded in an open-ended or a closed-ended fashion. In these imagined interactions, participants reported that they expected to have considerable agreement between their attitudes and their subjective experiences during the intergroup encounter. However, during actual interactions, there were no differences between members of different prejudice levels in their responses to the gay confederate. A comparison of the actual and imagined interactions demonstrated that high prejudice people are particularly unlikely to have subjective experiences that match their negative attitudes concerning actual interpersonal encounters.