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McLellan AT Gutman M Lynch K McKay JR Ketterlinus R Morgenstern J Woolis D 《Evaluation review》2003,27(6):656-680
AIM: To evaluate the effectiveness of a multiservice intervention designed to move substance-abusing women on welfare to sobriety and self-sufficiency by addressing their substance abuse, domestic violence, employment, and basic needs. DESIGN: A field evaluation with repeated measures at 6 and 12 months on an intent-to-treat sample of 529 women conducted in 11 selected sites across the country. There were significant improvements shown in substance use and family and social functioning by the 6-month point, and additional improvements in employment by the 12-month point. By 12 months, more than 46% were abstinent from alcohol and other drugs, and 30% were employed at least part-time. There were only modest improvements shown in the medical and psychiatric status of these women. These preliminary findings suggest that site-level interagency coordination and program-level case management were associated with improvements in the targeted areas as predicted by the model. Future work will require a more closely specified, manual-guided form of the intervention plus the inclusion of control groups and cost measures to fully evaluate the cost benefits from the final form of the intervention. 相似文献
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Lynch M 《The British journal of sociology》2002,53(2):203-220
Protocols are one of the main organizational resources in molecular biology. They are written instructions that specify ingredients, equipment, and sequences of steps for making technical preparations. Some protocols are published in widely used manuals, while others are hand-written variants used by particular laboratories and individual technicians. It is widely understood, both in molecular biology and in social studies of science, that protocols do not describe exactly what practitioners do in the laboratory workplace. In social studies of science, the difference between protocols and the actual practices of doing them often is used to set up ironic contrasts between 'messy' laboratory practices and the appearance of technical order. Alternatively, in ethnomethodological studies of work, the difference is examined as a constitutive feature, both of the lived-work of doing technical projects, and of the administrative work of regulating and evaluating such projects. The present article takes its point of departure from ethnomethodology, and begins with a discussion of local problems with performing molecular biology protocols on specific occasions. The discussion then moves to particular cases in criminal law in which defense attorneys cross-examine forensic technicians and lab administrators. In these interrogations, the distinction between protocols and actual practices animates the dialogue and becomes consequential for judgments in the case at hand. The article concludes with a discussion of administrative science: the work of treating protocols and paper trails as proxies for actual 'scientific' practices. 相似文献
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McDowell T Fang SR Brownlee K Young CG Khanna A 《Journal of marital and family therapy》2002,28(2):179-191
Marriage and family therapy programs need to go beyond the typical practices of recruiting and retaining students of color. Marriage and family therapy educators must assume positions of leadership by transforming graduate programs to reflect a deep, active, systemic commitment to both diversity and social justice. In this article, we argue that it is through this type of transformation that programs become truly ready to support students of color and to prepare all therapists to advocate for equity in a diverse, often unfair society. This article offers a model that addresses readiness, recruitment, retention, assessment, and professional development from this perspective. 相似文献
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Objective. In this article we address two questions raised by the literature on the structure of foreign policy beliefs. First, has the end of the Cold War brought about any major changes in these belief systems? Second, how do ideology and economic interests shape these beliefs? Methods. We analyze data from a 1996 survey of U.S. presidential campaign contributors conducted by the Ray Bliss Center to determine the foreign policy belief systems of contributors. We then compare those results to the belief systems found in a 1988 survey of contributors. Results. We find that Cold War belief systems are quite durable. There was surprisingly little change in the structure or content of contributors' foreign policy beliefs between 1988 and 1996. We also find that both ideology and economic interests help shape these beliefs and examine the circumstances under which each of these two considerations appears to have the most important effects. Conclusions. Policymakers face new challenges since the end of the Cold War, but domestic political elites still approach foreign policy with a Cold War perspective. Also, although ideology is very important in determining how individuals think about foreign policy, material interests also make a difference for campaign contributors. 相似文献