Graduate Social Work Students’ Approaches and Ways of Thinking in Child Protection Assessment: Case Vignette Reflections from Estonia

This article examines Estonian graduate social work students’ (MSW, n = 41) assessment approaches (deficit-based versus strengths-based) in the context of a child protection assessment through a case vignette format. The study found that students tend to focus more on a traditional deficit-based approach in their responses to a presented case, and less on capabilities and resources. The study indicates the need to find ways to promote more client-friendly approaches (for a shift in the way of thinking) in social work education to empower families through developing a respectful and effective helping relationship that promotes comprehensive assessment guided by social work values. Practice implications are discussed and recommendations for future research are outlined.     

Chapter 2. Intervention Continued

SUMMARY

This chapter describes the case management process-a process for assisting individuals and families with multiple service needs-and its use in various fields of practice including mental health, human immunodeficiency virus and acquired immune deficiency syndrome (HIV/AIDS), and services for older adults. It addresses the role of the case manager as the person responsible for ensuring the timely and adequate delivery of suitable community-based services. The integration of formal services with informal care by family and friends as an intervention strategy is also discussed.     

A principles-focused evaluation of community mental health short-term case management

Principles-focused evaluations allow evaluators to appraise each principle that guides an organization or program. This study completed a principles-focused evaluation of a new community mental health intervention called Short Term Case Management (STCM) in Toronto, Canada. STCM is a time limited intervention for clients to address unmet needs and personalized goals over 3 months. Findings showcase that a principles-focused evaluation, assessing whether program principles are guiding, useful, inspiring, developmental and/or evaluable (GUIDE), is a practical formative evaluation approach. Specifically, offering an understanding of a novel intervention, including its key components of assessment and planning, support plan implementation and evaluation and care transitions. Findings also highlight that STCM may work best for those clients ready to participate in achieving their own goals. Future research should explore how best to apply the GUIDE framework to complex interventions, including multiple principles, to increase evaluation feasibility and focus.     

Research capacity building in midwifery: Case study of an Australian Graduate Midwifery Research Intern Programme

BackgroundHaving the research capacity to identify problems, create new knowledge and most importantly translate this knowledge into practice is essential within health care. Midwifery, as well as other health professions in Australia, is challenged in building its research capacity to contribute evidence to inform clinical practice.AimThe aim of this project was to evaluate an innovative Graduate Midwifery Research Intern Programme offered at a tertiary obstetric hospital in Western Australia, to determine what was working well and how the programme could be improved.MethodA case study approach was used to gain feedback from graduate midwives within a Graduate Research Intern (GRI) Programme. In addition outcomes were compiled of all projects the GRI midwives contributed to. Six GRI midwives participated in a survey comprising of four open ended questions to provide feedback about the programme.ResultsFindings confirm that the GRI programme increased the graduates understanding of how research works, its capacity to define a problem, generate new knowledge and inform clinical practice. The GRI midwives’ feedback suggested the programme opened their thinking to future study and gave them enhanced insight into women's experiences around childbirth.ConclusionTo grow our knowledge as a professional group, midwives must develop and promote programmes to build our pool of research capable midwives. By sharing our programme evaluation we hope to entice other clinical settings to consider the value in replicating such a programme within their context.     

Implementing a case management initiative in high-need schools

States continue to experiment with ways of improving health and human service use by people with complex needs. Such efforts have often sought to increase individual and family control over services as well as to enhance coordination among providers. Paths to achieving these goals are not well understood. This study draws on two previously distinct conceptual frameworks to examine how 71 public schools implemented a team approach to increasing family and agency engagement for children at risk. Results from the longitudinal data fit the core components expected to affect implementation and also indicated sustainability, but in ways distinctive to the initiative's public school settings. Accountability to the state appeared to be a major catalyst, yet in some respects also constrained local agencies from participating as intended. School inertia may have both undermined the program through some evaluation practices and gaps in administrative support, and supported integration into organizational routines and successful experimentation over time in increasing caregiver involvement. Family hesitation about sharing information with multiple agencies may also help explain why the goal of seamless coordination remains elusive.     

A Case Series of Abused or Neglected Elders Treated by an Interdisciplinary Geriatric Team

ABSTRACT

Presently the available intervention in the state of Texas for abused or neglected elders is that delivered by the Texas Department of Protective and Regulatory Services. The Harris County Hospital District has a comprehensive Geriatric Program staffed by an interdisciplinary team. The purpose of this report is to describe the team's experience with nine neglected or abused elders who underwent interdisciplinary geriatric assessment and intervention with three and six-month follow-up. Two illustrative cases are described in detail. This series of nine patients who were neglected or abused illustrates the potential impact of a medical intervention program.     

Consistency of the GMLE with Mixed Case Interval-Censored Data

In this paper we consider an interval censorship model in which the endpoints of the censoring intervals are determined by a two stage experiment. In the first stage the value k of a random integer is selected; in the second stage the endpoints are determined by a case k interval censorship model. We prove the strong consistency in the L ₁( μ )-topology of the non-parametric maximum likelihood estimate of the underlying survival function for a measure μ which is derived from the distributions of the endpoints. This consistency result yields strong consistency for the topologies of weak convergence, pointwise convergence and uniform convergence under additional assumptions. These results improve and generalize existing ones in the literature.     

The leadership of emergence: A complex systems leadership theory of emergence at successive organizational levels

Complexity science reframes leadership by focusing on the dynamic interactions between all individuals, explaining how those interactions can, under certain conditions, produce emergent outcomes. We develop a Leadership of Emergence using this approach, through an analysis of three empirical studies which document emergence in distinct contexts. Each of these studies identifies the same four “conditions” for emergence: the presence of a Dis-equilibrium state, Amplifying actions, Recombination/“Self-organization”, and Stabilizing feedback. From these studies we also show how these conditions can be generated through nine specific behaviors which leaders can enact, including: Disrupt existing patterns through embracing uncertainty and creating controversy, Encourage novelty by allowing experiments and supporting collective action, Provide sensemaking and sensegiving through the artful use of language and symbols, and Stabilize the system by Integrating local constraints. Finally, we suggest ways for advancing a meso-model of leadership, and show how our findings can improve complexity science applications in management.     

Bottleneck management: theory and practice

Advocates of TOC believe that bottleneck resource restricts an operation's ability to make money, and the best way to maximise income is to fully exploit the bottleneck resource. Almost all TOC literature focuses on situations where 100% bottleneck utilisation is applied. Based on the implementation experience, the finding is that the optimal level of bottleneck utilisation should be less than 100% and any attempt to increase utilisation beyond the optimal level brings disastrous results for a door manufacturing plant. In order to improve and maintain the performance of the plant effective bottleneck management is critical. The experience provides a deeper understanding of how to design such plants, which could be beneficial for practising managers and academics working with TOC concepts.     

Assessment of Ecological Risks at Former Landfill Site Using TRIAD Procedure and Multicriteria Analysis

Old industrial landfills are important sources of environmental contamination in Europe, including Finland. In this study, we demonstrated the combination of TRIAD procedure, multicriteria decision analysis (MCDA), and statistical Monte Carlo analysis for assessing the risks to terrestrial biota in a former landfill site contaminated by petroleum hydrocarbons (PHCs) and metals. First, we generated hazard quotients by dividing the concentrations of metals and PHCs in soil by the corresponding risk‐based ecological benchmarks. Then we conducted ecotoxicity tests using five plant species, earthworms, and potworms, and determined the abundance and diversity of soil invertebrates from additional samples. We aggregated the results in accordance to the methods used in the TRIAD procedure, conducted rating of the assessment methods based on their performance in terms of specific criteria, and weighted the criteria using two alternative weighting techniques to produce performance scores for each method. We faced problems in using the TRIAD procedure, for example, the results from the animal counts had to be excluded from the calculation of integrated risk estimates (IREs) because our reference soil sample showed the lowest biodiversity and abundance of soil animals. In addition, hormesis hampered the use of the results from the ecotoxicity tests. The final probabilistic IREs imply significant risks at all sampling locations. Although linking MCDA with TRIAD provided a useful means to study and consider the performance of the alternative methods in predicting ecological risks, some uncertainties involved still remained outside the quantitative analysis.