Barriers Associated with the Implementation of an Advance Care Planning Program in a Prison Setting

Advance care planning is considered a best practice within health care. However, the extent to which planning occurs within prison settings is unknown. Through the course of implementing an advance care planning (ACP) program for aging and dying offenders at a medical classification center, multiple barriers were identified that need to be addressed systemically to ensure the medical wishes of offenders were known and honored. This article will outline the barriers and the steps that were taken to create systems change to promote and sustain advance care planning.     

Time‐Series Models for Border Inspection Data

We propose a new modeling approach for inspection data that provides a more useful interpretation of the patterns of detections of invasive pests, using cargo inspection as a motivating example. Methods that are currently in use generally classify shipments according to their likelihood of carrying biosecurity risk material, given available historical and contextual data. Ideally, decisions regarding which cargo containers to inspect should be made in real time, and the models used should be able to focus efforts when the risk is higher. In this study, we propose a dynamic approach that treats the data as a time series in order to detect periods of high risk. A regulatory organization will respond differently to evidence of systematic problems than evidence of random problems, so testing for serial correlation is of major interest. We compare three models that account for various degrees of serial dependence within the data. First is the independence model where the prediction of the arrival of a risky shipment is made solely on the basis of contextual information. We also consider a Markov chain that allows dependence between successive observations, and a hidden Markov model that allows further dependence on past data. The predictive performance of the models is then evaluated using ROC and leakage curves. We illustrate this methodology on two sets of real inspection data.     

Sociocultural Researchers Can Shape the Future of Education

It has been argued that self-generated explanation (self-explanation) is an important tool in the acquisition of knowledge. However, the rationalist and the empiricist approaches, with which self-referential activity has usually been discussed, makes the phenomenon of self-explanation problematic. In this article, I examine self-explanation as a private case of the classical learning paradox, which is associated with self-referential activity, and consider an activity oriented solution to this difficulty. From a practical perspective, I suggest a reframing of self-reference in Activity Theory in order to provide researchers with a method for analyzing and supporting bootstrapping phenomena, such as the self-explanation effect, in learning and problem solving.     

Italian Preschoolers' Peer‐status Linkages with Sociability and Subtypes of Aggression and Victimization

Little is known about the behavior of preschool children belonging to peer sociometric status groups (popular, average, rejected, neglected, and controversial) in cultural contexts outside North America. This study examined the social interactions of Italian preschoolers. The sample consisted of 266 Italian preschoolers (mean age of 64 months). Physical and relational subtypes of aggression and victimization, as well as sociable behavior, were measured by peer nominations and teacher ratings. Peer nominations of acceptance and rejection (like and dislike nominations) were also collected in order to form the sociometric status groups. Results of confirmatory factor analyses showed that items developed with US preschoolers appeared to work fairly well in identifying behavioral constructs in Italian preschoolers. Findings generally supported previous research with American preschoolers. Sociometrically popular children were highest in sociability, and lowest in physical and relational aggression and victimization. The opposite pattern emerged for rejected status children. Neglected status children were generally not distinguished from average status children. Results also suggested that the enactment of relational aggression promotes greater social impact for some Italian children (controversial children), and this aggression also invites more conflict and victimization. However, the sociability of controversial children appears to buffer them from rejected group status.     

中国古代慈善事业的发展特点

中国古代慈善事业在漫长的历史发展过程中不但逐渐形成了庞杂而丰富的思想体系,而且其慈善主体也实现了从最初单纯的国家慈善到以国家慈善为主、宗族慈善和宗教慈善为重要补充的多元化发展过程。另外,中国古代慈善事业的发展轨迹还明显具备与整个中国古代社会兴衰相表里的重要特点。     

Barriers to finding and maintaining open employment for people with intellectual disability in Australia

Everyone has the right to employment. Work is important for health, well-being, and social, economic, and financial inclusion. However, it is often difficult for people with intellectual disability to find and maintain work, especially in the open labour market. Policy challenges remain about who can access open employment (also sometimes called competitive or supported employment) and how often people with intellectual disability do so. Greater understanding about the barriers that people with intellectual disability encounter when they try to find and keep work in open employment is needed. Drawing on research with 51 people with intellectual disability in Australia, this paper examines the systemic barriers they report to finding and maintaining work in open employment. The findings highlight that the barriers they experience stem from narrow, dismissive, and discouraging attitudes to their work in open employment and from a spectrum of experiences of stigma and discrimination in open workplaces. The paper thus provides new knowledge about reasons that people with intellectual disability may either reject or not continue in open employment and take up less inclusive work options. The paper discusses the implications of the findings, including the need for policy development for attitudinal change, designing more varied roles for employees with intellectual disability, ensuring access to industrial relations protections, and increasing and better regulating and funding requirements on support to people with intellectual disability who are seeking work in open employment.