Invasion. A hospital in transition following the 1983 Grenadian intervention

Stress, confusion, and a sense of loss were inevitable during the hospital relocation, especially given the large number of clients, ward communities, and staff needed to move and adjust to change. Despite the fact that the change was perceived as a positive and progressive step in psychiatric-mental health care in Grenada, there were many obstacles and much resistance to overcome. As expected, staff's and clients' fears centered around themes of impending loss and abandonment. An understanding of the transition process, along with the availability of experienced hospital staff for support and guidance, greatly aided the relocation process. Relocation still presented problems and Mt. Gay Hospital continues to struggle to carry out the lasting and beneficial changes that will best promote a therapeutic and culturally sensitive client/staff environment. Despite the fact that the hospital relocation was not entirely self-determined, but partially imposed by political circumstances, a positive resolution of the crisis occurred. The crisis brought about the change that, in this circumstance, is seen as synonymous with growth. It acted as a catalyst to bring about help from unexpected and much needed sources (U.S.A.I.D./Project Hope), which may not have otherwise been available to facilitate such a change. Richmond Hill Mental Hospital took control and advantage of a crisis situation and made it serve its immediate and pressing need for a new psychiatric hospital.     

A Full Bayesian Non-parametric Analysis Involving a Neutral to the Right Process

Implementation of a full Bayesian non-parametric analysis involving neutral to the right processes (apart from the special case of the Dirichlet process) has been difficult for two reasons: first, the posterior distributions are complex and therefore only Bayes estimates (posterior expectations) have previously been presented; secondly, it is difficult to obtain an interpretation for the parameters of a neutral to the right process. In this paper we extend Ferguson & Phadia (1979) by presenting a general method for specifying the prior mean and variance of a neutral to the right process, providing the interpretation of the parameters. Additionally, we provide the basis for a full Bayesian analysis, via simulation, from the posterior process using a hybrid of new algorithms that is applicable to a large class of neutral to the right processes (Ferguson & Phadia only provide posterior means). The ideas are exemplified through illustrative analyses.     

Exposure to occupational violence and the buffering effects of intra-oranizational support

This paper presents a conceptually distinct analysis of the data first reported by Leather et al. Specifically, it investigates the effects of exposure to a variety of forms of work-related violence upon work attitudes and general well-being within a sample of UK public house licensees—individuals who manage public houses and hold the licence permitting the sale of alcoholic drinks on the premises. In addition, it examines the role of social support in moderating such effects. Based upon a sample of 242 licensees, it reports a consistent interaction between exposure to such violence and the availability of perceived intra-organizational support in determining the size of any negative effects upon individual well-being, job satisfaction and organizational commitment. It is argued that exposure to all forms of work-related violence, including intimidation, verbal abuse and threat, should be seen as a potential stressor within the work environment, the negative effects of which are buffered by perceived support from within the organization, but not by that perceived to be available from informal sources such as family and friends.     

THE BASE 32 METHOD: AN IMPROVED METHOD FOR CODING SIBLING CONSTELLATIONS*

Coding the sibling constellation of genograms has traditionally required that at least one data space be allotted for each child in the sibling group. Space requirements, given a large number of families, can become prohibitive for the researcher and practitioner using a microcomputer to store family data. A new coding method that utilizes binary and base 32 numbers is offered. That method, called the Base 32 Method, yields a space savings of about 33% over the traditional coding method for families with three children, with savings increasing to 70% for families with ten or more children. Consequent space savings will allow computer-using researchers and practitioners to store and analyze much larger amounts of family data and to test statistical hypotheses about such data with increased efficiency and speed of execution.