Resolving inconsistencies in trends in old-age disability: Report from a technical working group

In September 2002, a technical working group met to resolve previously published inconsistencies across national surveys in trends in activity limitations among the older population. The 12-person panel prepared estimates from five national data sets and investigated methodological sources of the inconsistencies among the population aged 70 and older from the early 1980s to 2001. Although the evidence was mixed for the 1980s and it is difficult to pinpoint when in the 1990s the decline began, during the mid- and late 1990s, the panel found consistent declines on the order of 1%-2.5% per year for two commonly used measures in the disability literature: difficulty with daily activities and help with daily activities. Mixed evidence was found for a third measure: the use of help or equipment with daily activities. The panel also found agreement across surveys that the proportion of older persons who receive help with bathing has declined at the same time as the proportion who use only equipment (but not personal care) to bathe has increased. In comparing findings across surveys, the panel found that the period, definition of disability, treatment of the institutionalized population, and age standardizing of results were important to consider. The implications of the findings for policy, national survey efforts, and further research are discussed.     

Field Instructor Benefits in Education

This article provides a comprehensive overview of benefits awarded to agency-based social work field instructors. Findings from a national survey of undergraduate and graduate social work programs in the United States confirmed differences in the nature of benefits awarded to undergraduate and graduate field instructors. In addition, study findings revealed variations in the pattern of awarded benefits among regions and among schools of varying size. The most frequently awarded benefits included use of the library holdings or equipment, continuing education programs, and official designation as adjunct faculty member. The authors suggest that, given the current economic atmosphere, programs become more creative in their provision of benefits that are attractive but inexpensive. Moreover, the authors recommend that the profession seek to understand better what motivates field instructors.     

Changing the risky beliefs of post-partum women about therapeutic sun-exposure

BackgroundMany post-partum women hold risky beliefs about perceived therapeutic benefits of sun-exposure in the post-partum period and infancy.QuestionCan a maternity hospital based educational intervention reduce the prevalence of such beliefs among post-partum women?MethodsIn this outcome evaluation of an interventional study, two groups of healthy post-partum women (hospital inpatients) were interviewed, 1–4 days following delivery. The first cross-section (106 women) was recruited prior to in-services for maternity staff; the second (203 women) was recruited after completion of the in-services. Data were compared between the groups.FindingsMore pre-intervention than post-intervention women reported they would expose their baby to sunlight to treat suspected jaundice (28.8% vs 13.3%; p < 0.001) or help his/her skin adapt to the sun (10.5% vs 2.5%; p = 0.003); or use sunlight to manage breastfeeding-associated sore/cracked nipples (7.6% vs 2%; p = 0.026).ConclusionThis simple, effective educational intervention could be implemented in programmes for parents, health professionals and students.     

Applying mixed methods to leadership research: A review of current practices

Leadership research has a long history of a quantitative approach, and it remains the most commonly used approach among leadership researchers. Researchers in a variety of fields have been applying mixed methods designs to their research as a way to advance theory. Mixed methods designs are used for collecting, analyzing, and mixing both quantitative and qualitative data in a single study or series of studies to both explain and explore specific research questions. This article provides a review of the basic characteristics of mixed methods designs. A broad series of leadership approaches is offered to help emphasize how the application of mixed methods designs have already been applied and where they might be directed in future research. Our review of articles published in the Leadership Quarterly between 1990 and June 2012 revealed a slight occurrence of existing application of mixed methods designs to leadership research. Of the articles reviewed, only 15 studies were found to represent mixed methods research, according to our conceptual framework. The overall intent of this article is to highlight the value of purposeful application of mixed methods designs toward advancing leadership theory and/or theoretical thinking about leadership phenomena.     

Involving People with Profound and Multiple Learning Disabilities in Social Work Education: Building Inclusive Practice

Abstract

Service user and carer engagement is a foundational requirement of social work education. Despite this, questions remain about how diverse experiences are represented and who might be excluded from involvement. This paper focusses on one group of people who it is suggested are excluded from involvement, people with profound and multiple learning disabilities. Evidence is presented which demonstrates the extent to which this group have been marginalised and excluded from processes of involvement. The paper then provides a case study of one universities’ experience of developing work in this area, when a man with profound and multiple learning disabilities was commissioned to design and deliver specialist teaching for a group of qualifying social work students. We argue that the main barrier to inclusive involvement for people with profound and multiple learning disabilities is the attitudes and assumption of others about what they are capable of. We demonstrate how involvement in social work education helps to address these barriers by challenging the assumptions of students, the academy and society more broadly.     

Toward Client-Centered Service: Asking Clients for Their Views of TANF,Food Stamps,Child Care,and Medicaid Services

ABSTRACT

This article presents the results of a randomized study that asked Division of Family and Children Services' (DFCS) clients throughout the state of Georgia to rate their satisfaction with Temporary Assistance to Needy Families (TANF), food stamps, child care services, and Medicaid services, as well as their perspectives of the customer service they received through their county DFCS offices. Telephone interviews were conducted with 2,408 clients. Overall client satisfaction percentages are: TANF, 80%; food stamps, 88%; child care, 92%; and Medicaid, 94%. Satisfaction indices were also created from the data collected. Client suggestions for improvement are presented as well as practice and educational implications.     

Von Neumann–Morgenstern stable set rationalization of choice functions

Theory and Decision - Often in insurance decision making, there are risk factors on which the insurer has an informational advantage over the consumer. But when the insurer sets and posts a premium...