Differences in white-nonwhite community mental health center service utilization patterns

Routinely collected computerized data were used to study the process of service delivery in terms of admission patterns, type and quantity of services rendered, and status at termination for whites and nonwhites in two community mental health centers. Social area analysis techniques were employed to control for socio-economic status, ethnicity and life style variables, and an epidemiologic model was used to analyze admission and service delivery rate differences. It was found that nonwhite admission rates were at least twice as great as white rates. Service delivery rates to the population at large were considerably greater for nonwhites than for whites. Delivery of direct services within the centers differed for whites and nonwhites, but no consistent trends emerged when types and amounts of services rendered were analyzed, controlling for sex, ethnicity, age, diagnosis and social area. Disruption of care indices were greater for nonwhites than for whites. Highlighted were some of the complexities involved in interpreting results of utilization studies.     

Setting health priorities: a review of concepts and approaches

The setting of health priorities is primarily concerned with the equitable distribution of resources and is now more than ever an important part of strategic planning within the National Health Service (NHS). The basic information which can be used to assist in such decision-making and the process by which different agencies become involved are important aspects of priority-setting; this article is based on a major review of the research literature on these aspects and provides a discussion and an analysis of experience within health and other fields. From this material a number of possible approaches to priority-setting are identified and discussed. The article concludes that, before it can be decided how priorities should be set in the future, outstanding questions about how far rational approaches are feasible, about who is to be involved and what role they should play, and about how far such decisions are to be taken nationally or locally will need further consideration.     

Optimal Times to Contact Sample Households

Finding a suitable respondent at home is an essential and expensivecomponent of a household survey. This article reports on theresults of a study of the probabilities of finding someone aged14 or older at home and discusses the application of such datato survey design and budgeting.     

Social forecasting: An integral part of corporate planning?

The increasing need for business to monitor the social dimensions of its environment and, hopefully make some forecasts of future trends has met with some constructive response from academics and consultants although not as yet on a very liberal scale. The published literature does not indicate to what extent companies in general attemp social forecasting and, where they do, the degree of integration which exists within their corporate planning systems. The authors, therefore, decided to survey a sample of British organizations to see if they could shed some light on these issues and thereby add some information to the excellent accounts of individual cases of social forecasting in, they suspect, the more advanced and atypical companies. The survey suggests a general picture of: awareness of the value of social forecasting; fairly widespread ignorance of the techniques which do exist, primitive though these may largely be; successful integration of social forecasting into the corporate planning systems of a substantial number of organizations but not in the majority.     

Further research in theories of population being carried out]

The 2nd Chinese Scientific Symposium on Theories of Population was held in Chengdu, Sichuan, on December 7-13, 1979. The symposium was jointly sponsored by the Department of Family Planning of the Chinese Central Government, Chinese Academy of Sociology, Sichuan Provincial Revolutionary Committee (SPRC), and the Institute of Population Theories of the Chinese People's University (IPT). There were 255 attendants, representing 60 academic institutions, 14 scientific research organizations and 31 provincial, municipal, and autonomous regional departments of family planning. The main theme of the meeting was "Population Problems and Their Solutions Facing the Four Modernizations in China." 147 papers were read at the meeting. The meeting opened with a welcoming speech by Comrade Liu Haiquan, Vice-Chairman of SPRC, who pointed out the challenge Chinese family planners would face in advocating the 1 child family policy. Long speeches were made by Comrade Chen Dao who stressed the training of workers for Chinese population research and by Comrade Du Xinyuan (secretary of SPRC) who summarized results on recent family planning efforts in Sichuan. During the meeting, based on their contents, the papers were divided into 7 groups for separate discussions: 1) population development in the socialistic society, 2) relationship between population and economic developments and between population control and the 4 modernizations in China, 3) possible population problems in China, their nature, etiology and methods of solution, 4) population policies and family planning in China, 5) trends in population development and population planning in China, 6) problems of population distribution in China, and 7) development of population theories in China during the past 30 years. The meeting discussions were summarized by Comrade Liu Zheng of IPT who noted that there were 84 more attendants and 110 more papers in this meeting than the first held in 1978.     

A study on mortality rates and expectation of life at birth in demography]

An "age-time-area diagram" (referred to as a-t diagram) which is used as the basis for discussing different used and applications of variously defined mortality rates, as well two kinds of measurements for life expectancy is proprosed. The proposal is built upon the Lexis diagram. The a-t diagram is used to define a new way of measuring child mortality, projecting population, and proposing a formula for measuring successive and nonsuccessive life expectancy.     

Regional patterns of nuptiality in Europe, 1870-1960

Abstract This paper is a study of changes in nuptiality by province in Europe between 1870 and 1960: nuptiality is measured by I(m) a summary measure of the proportions married among women of childbearing age. In each of the approximately 500 provinces of Europe the level of nuptiality increased between 1870 and 1960. In addition, in most countries the differences among provinces diminished over the period, so that the countries were more homogeneous with respect to provincial nuptiality in 1960 than they had been in 1870. Despite this tendency to convergence, traditional regional differences, linked to a common regional history, were often maintained, though within a narrower range.     

Artifact in client satisfaction assessment: experience in community mental health settings

Artifact in client satisfaction assessment is discussed and the results of a study of three factors thought to mediate client satisfaction ratings; (a) general life satisfaction, (b) mode of administration, and (c) psychological symptomatology, are reported. A standard client satisfaction questionnaire (CSQ) was modified to yield parallel forms and was administered orally and in writing to 92 clients in two mental health day treatment programs. Satisfaction ratings obtained from these clients were quite similar to out-patient ratings obtained in previous studies conducted in this setting and using the same measures. Oral administration of the CSQ produced 10% higher satisfaction ratings than written administration (p less than .05) and less missing data (p less than .01). Satisfaction ratings were also obtained using a simple graphic instrument. Graphic ratings were comparable to CSQ ratings. Satisfaction with life in general and level of psychiatric symptoms together accounted for 25% of CSQ variance. The implication of these findings for future client satisfaction research is discussed.