Substance use disorders and referral to treatment in substantiated cases of child maltreatment

Parents with substance use disorders (SUD) require treatment and support in order to provide children with appropriate care and protection. Using the 2012 National Child Abuse and Neglect Data System (NCANDS), this paper analysed 464 313 substantiated child maltreatment reports to determine (i) the proportion and characteristics of reports involving substance abuse; and (ii) the child and caregiver/perpetrator (C/P) characteristics that predicted referral to treatment as recorded in service plans. Findings indicate that 12% (N = 53 234) of maltreatment reports involved C/P SUD. Yet, of those reports, only (19%) (N = 10 088) were referred to substance abuse treatment as part of their service plan, indicating a large gap between those who need treatment and those who receive it. This finding is important given that parental SUD is consistently linked to poorer child outcomes. Amongst other variables, reports indicate that C/P with co‐occurring emotional disturbance were three times more likely to be referred to treatment for SUD as part of service plans. Additional research is needed regarding the characteristics that distinguish C/P who receive referrals for SUD treatment in substantiated cases of child maltreatment.     

我国残疾人服务体系的完善对策

中国残疾人服务体系亟待完善。推进残疾人服务体系建设必须注重发展的均等化与体系的一体化,设施的标准化与内容的规范化,队伍的专业化与评估的科学化,资源的多元化与管理的合理化。     

Whither practice-near research in the modernization programme? Policy blunders in children's services

In this article, we lament the effects of practice-distant research and associated policy initiatives on contemporary children's services in England. In the last decade, as a result of high profile inquiries into non-accidental child deaths, statutory children's social care services in the UK have been subject to a wide-reaching ‘modernization’ programme. We studied decision-making in the high blame environment of local authority children's services. Our research sought to examine the relationship between performance management and the impact of anticipated blame within the decision-making practices of those providing, supervising and managing these services. We show that systems and technologies can be developed which both assist the users in their daily work and achieve desired organizational goals, but without an ethnographically informed, practice-near approach, unsafe work regimes and practices can ensue.     

Quality and Reliability in Top-event Estimation: Quantitative Fault Tree Analysis in Case of Dependent Events

This article deals with the quantitative Fault Tree Analysis (FTA) and the estimation method of the top-event in case of dependent events. It aims at addressing two main issues: (1) the decomposition of variability for the top-event according to several error components linked to the estimation of the top-event and sources of internal and external variations for a complex system; and (2) the definition of a Performance Measure Independent of Adjustment in order to set the quality of the top-event as a complex measure of the system failure. A simulated study applied to the health system is also carried out.     

Action,Technology, and the Homogenisation of Place: Why Climate Change is Antithetical to Political Action

According to Hannah Arendt, the concept of ‘political action’ is a fundamental component of the human condition because it encapsulates how the uniqueness of each human being intersects to create unpredictable political initiatives and effects. Recently, despite being one of the most daunting political challenges ever faced by humanity, there has been a noted collective action failure, or inaction, concerning the global threat of anthropogenic climate change. Why? This article seeks to explain this political inaction in a new way: by examining the metaphysical role that technology plays in disclosing the climate as a thinkable and global object. After applying the philosophy of Martin Heidegger to the complex mathematical general circulation models (GCMs) used by the Intergovernmental Panel on Climate Change (IPCC), this article details how the metaphysics underlying GCMs manifests the perceivable world by ‘enframing’ it, or by implicitly representing subjects, objects, and Nature itself, as a predictable, calculable, and orderable relation of static forces. When this metaphysical and mathematical uniformity constructs the climate as a calculable object that is globalised through the IPCC, it is ultimately found to be contradictory to the distinctness and unpredictability necessary for distinct human action to occur. Paradoxically, therefore, political action is argued to be metaphysically antithetical to the technologically enframed science, politics, and discourse, of global climate change itself. The importance of distinct and plural human places, when filtered through GCMs, becomes subsumed by the climate as a homogenous, calculative, and politically inactive, global object.     

Extending systems thinking in planning and evaluation using group concept mapping and system dynamics to tackle complex problems

Group concept mapping (GCM) has been successfully employed in program planning and evaluation for over 25 years. The broader set of systems thinking methodologies (of which GCM is one), have only recently found their way into the field. We present an overview of systems thinking emerging from a system dynamics (SD) perspective, and illustrate the potential synergy between GCM and SD. As with GCM, participatory processes are frequently employed when building SD models; however, it can be challenging to engage a large and diverse group of stakeholders in the iterative cycles of divergent thinking and consensus building required, while maintaining a broad perspective on the issue being studied. GCM provides a compelling resource for overcoming this challenge, by richly engaging a diverse set of stakeholders in broad exploration, structuring, and prioritization. SD provides an opportunity to extend GCM findings by embedding constructs in a testable hypothesis (SD model) describing how system structure and changes in constructs affect outcomes over time. SD can be used to simulate the hypothesized dynamics inherent in GCM concept maps. We illustrate the potential of the marriage of these methodologies in a case study of BECOMING, a federally-funded program aimed at strengthening the cross-sector system of care for youth with severe emotional disturbances.     

Culture Change in Aged-Care Facilities: A Café's Contribution to Transforming the Physical and Social Environment

Objective: To discuss the potential of a café on the premises of an aged-care facility as a vehicle for culture change. Method: Secondary analysis of primary qualitative data that explored the value of a café in an aged-care facility, compared with culture-change principles established from a literature review. Results: Secondary analysis established congruence between culture-change principles and the themes established in the primary qualitative data. A café, in one aged-care facility, has facilitated the following dimensions of culture change for residents: individualized care, facilitation of meaningful relationships, opportunities for participation in life roles, and creation of a sense of belonging. Conclusion: Culture change can be achieved through environmental innovations, such as a café, where food and dining maximize social opportunities and create a homelike environment that facilitates continuation of residents' identity.     

女性创业动机变迁与自我发展

选取浙江省杭州市20名创业女性为访谈对象的创业动机变迁研究显示,在2005年之前,女性创业动机以"推式动机"为多,而自2006年始,女性创业动机呈现出以"拉式动机"为主的趋势。这种变化主要与女性受教育程度提高、个性更为独立、追求更为自由的发展空间等相关。女性创业动机的变化趋势,在很大程度上反映了女性自我发展正趋向更高的水平。     

Testing for a change point in a sequence of exponential random variables with repeated values

Two test statistics are proposed for the change-point problem with repeated values when the data follow an exponential distribution. The properties of these two statistics have been studied and their asymptotic distributions under the alternative have been derived. The powers of the two test statistics are compared. Real-data examples are presented to illustrate the application of these tests.     

学分绩点制在武汉七所部属高校的实践与探索

学分绩点制是一种能客观衡量学生学习质量的教学管理制度。学分绩点制在武汉地区七校联合办学实践中的应用,为联合办学的可持续发展提供了有益的探索。