Unmet service needs of families of young children with chronic illnesses and disabilities

Data about health and educational services were collected from 187 families with young children (under two years) who have chronic illnesses and disabilities. The purpose was to assess parents' satisfaction with services their families received and to identify families' unmet service needs as well as the reasons for these unmet needs. Although families' ratings of the adequacy of services are relatively high, 28% of the families report unmet service needs. The unmet needs most often reported are occupational, physical, or speech therapy; respite care/child care; and special education. Lack of funding is the most commonly given reason for unmet needs. Children with multiple impairments are at highest risk for unmet needs. Only 22% of unmet needs reported at the initial interview have been met by the time of the six-month follow-up. Increased coordination and monitoring of services across service sectors are indicated. Her research interests include the effects of disability on family identity and families' responses to minority stress. She received her Ph.D. from the University of Minnesota. She gratefully acknowledges Shelley Blazis and Nadav Casuto for statistical consulting. Her research interests focus on the impact of chronic illness and disability on families. She received her Ph.D. from the University of Minnesota. Her research interests include families and health and chronic illness and disability in children. She received her Ph.D. in Family Social Science at the University of Minnesota. His areas of interest include neurodevelopmental outcomes of low birth weight infants and training in developmental pediatrics. He was graduated from the University of Minnesota Medical School. His areas of interest include adolescents with chronic illness and disabilities, adolescent sexual decision making, and international adolescent health care issues. He was graduated from Howard University College of Medicine was awarded his earned doctorate in Health Policy from the University of Minnesota. Preparation of this article was supported by the National Institute on Disability and Rehabilitation Research Grant #H133890012.     

Statistical approaches for the reliability of structural designs

The Construction Industry Research and Information Association (CIRIA) has produced some guidelines for the assessment of the reliability of components and/or structures. The methods of analysis suggested by these guidelines are far from adequate and, in certain cases, contain some imperfections. In this paper, some of the weaknesses of the guidelines are identified. The shortcomings are mainly in the ease of calculations and the feasibility of the assumptions which are imposed. Three alternative methods aimed at tackling some of the weaknesses are introduced. A simulation study is used to compare these methods.     

An analysis of concept learning: Simple conceptual control and definition-based conceptual control

The Analysis of Verbal Behavior - Concept learning can involve either contingency shaping of stimulus-class discriminations or the application of definitions of the concepts. Experimental behavior...     

Modernization Among Town and Bush Cree in Quebec*

L'article est base sur des donnees recueillies aupres des Indiens Cris des regions de Mistassini et de Waswanipi dans le Quebec. La these principale qui y est elaboree peut s'exprimer ainsi: la structure de role d'individus vivant dans des milieux en voie de developpement evoluera a partir d'un nombre restreint de roles traditionnels vers une structure plus complexe oil on observe une meilleure tenue de role. L'auteur elabore une echelle de modernisation: les individus les plus modernes se reconnaissent a leur scolarite, a leur milieu de residence, a leurs fonctions professionnelles et aux changements dans leurs attitudes et conceptions de l'avenir. En consequence, si on veut moderniser ces reserves, il faut susciter des changements a chacun de ces cinq niveaux de la realite sociale. This article takes data gathered on the Cree Indians in the Mistassini and Waswanipi areas of Quebec and analyses it in terms of their role structure. The principal thesis is that the role structure of people who are developing will change from a traditionally limited number of roles to a more complex structure with a higher degree of role performance. A scale of modernization is developed and is found to be associated with education, location of residence, occupational roles, and with changes in attitudes and orientation. Therefore, to bring about modernization would require changes in at least these five areas.     

Symbolic victory and political reality in the southern textile industry: The meaning of the J. P. Stevens settlement for southern labor relations

In October, 1980, J. P. Stevens & Company ended a long, bitter labor-management battle by signing a contract with the Amalgamated Clothing and Textile Workers Union (ACTWU). Labor hailed the victory as its long-delayed break-through for workers in the traditionally nonunion, low-wage industries of the South. This paper assesses the importance of the Stevens/ACTWU settlement for Stevens, the textile industry, and the changing Southern economy. When the ACTWU victory is examined in this light, it becomes clear that the impact of the settlement is far more limited than is generally believed.     

BALANCED DESIGNS FOR ROW-AND-COLUMN EXPERIMENTS WITH TWO NON-INTERACTING SETS OF TREATMENTS, ONE SET NOT BEING APPLIED TO ALL THE ROWS1

This note gives and discusses balanced row-and-column designs for experiments with two non-interacting sets of treatments, one set not being applied to all the rows. These designs are potentially useful for occasions when trees that have tested one set of experimental treatments are needed for testing a second set before the residual effects of the first have become negligible, but when the experimenter wishes to apply the second set to only some of the rows. The designs are appropriate if the residual and new effects do not interact.