Welfare and Work: Complementary Strategies forLow‐Income Women?

We examine the effects of mothers' strategies of combining employment and welfare receipt during the first 3 years of their child's life on the child's cognitive development, behavior problems, and home learning environment at ages 5 to 6. We compare the child outcomes of those mothers who were continuously employed and received no welfare with (a) those who worked some or all of the 3 years and also received public assistance and (b) those who were totally dependent on public assistance. We studied children in single‐parent families (N= 1271 ) living below 200% of the poverty threshold using data from the National Longitudinal Survey of Youth—Child Supplement. No negative association was found on most child outcomes with a mother's employment whether or not it was combined with public assistance. However, mothers' not working at all and receiving financial support solely from AFDC was associated with negative child outcomes. We discuss the implications of these findings for the possible effects of the new welfare laws on families and young children.     

医疗机构分类管理中亟待研究的几个问题

我国正在积极推动的医疗机构分类改革必须搞好与区域卫生规划的衔接 ,正确理解和把握非营利性医疗机构的主体和主导地位 ,牢记医疗卫生改革的宗旨。只有这样 ,我们才能科学确定现有公立医疗机构分类改造方略和非营利性医院的微观基础     

Assumption-aware tools and agency; an interrogation of the primary artifacts of the program evaluation and design profession in working with complex evaluands and complex contexts

Like artisans in a professional guild, we evaluators create tools to suit our ever evolving practice. The tools we use as evaluators are the primary artifacts of our profession, reflect our practice and embody an amalgamation of paradigms and assumptions. With the increasing shifts in evaluation purposes from judging program worth to understanding how programs work, the evaluator’s role is changing to that of facilitating stakeholders in a learning process. This involves clarifying purposes and choices, as well as unearthing critical assumptions. In such a role, evaluators become major tool-users and begin to innovate with small refinements or produce completely new tools to fit a specific challenge or context.We interrogate the form and function of 12 tools used by evaluators when working with complex evaluands and complex contexts. The form is described in terms of traditional qualitative techniques and particular characteristics of the elements, use and presentation of each tool. Then the function of each tool is analyzed with respect to articulating assumptions and affecting the agency of evaluators and stakeholders in complex contexts.     

Causal inferences on the effectiveness of complex social programs: Navigating assumptions,sources of complexity and evaluation design challenges

This paper explores avenues for navigating evaluation design challenges posed by complex social programs (CSPs) and their environments when conducting studies that call for generalizable, causal inferences on the intervention’s effectiveness. A definition is provided of a CSP drawing on examples from different fields, and an evaluation case is analyzed in depth to derive seven (7) major sources of complexity that typify CSPs, threatening assumptions of textbook-recommended experimental designs for performing impact evaluations. Theoretically-supported, alternative methodological strategies are discussed to navigate assumptions and counter the design challenges posed by the complex configurations and ecology of CSPs. Specific recommendations include: sequential refinement of the evaluation design through systems thinking, systems-informed logic modeling; and use of extended term, mixed methods (ETMM) approaches with exploratory and confirmatory phases of the evaluation. In the proposed approach, logic models are refined through direct induction and interactions with stakeholders. To better guide assumption evaluation, question-framing, and selection of appropriate methodological strategies, a multiphase evaluation design is recommended.     

Can a Self-Regulation Skills and Cultural Arts Program Promote Positive Outcomes in Mental Health Symptoms and Academic Achievement for At-Risk Youth?

ABSTRACT

Self-regulation skills programs focusing on emotional regulation and executive functioning and arts programs have separately demonstrated reductions in internalizing and externalizing disorders and academic difficulties and have shown improvement in self-regulation skills. This study sought to evaluate participants in Prodigy (a program synthesizing arts and self-regulation skills) regarding changes in mental health symptoms and academic performance. A quasi-experimental pretest–posttest was conducted with 108 at-risk adolescents and their parents. Significant reductions in internalizing and externalizing mental health symptoms and increases in academic self-efficacy with positive trends in improved academic achievement were noted. Future research regarding the potential of these two modalities is discussed.     

Therapeutic Responses to Domestic Violence in Australia: A History of Controversies

This paper reviews controversies about domestic violence occurring in heterosexual relationships discussed in the Australian context by practitioners and academics and published in the Australian & New Zealand Journal of Family Therapy over the past three decades. Controversies arose in relation to the provision of therapeutic interventions for domestic violence, primarily in individual and couple counselling and group programs. After a literature review, the following controversial issues are identified: (1) the role of patriarchy: Is a patriarchal culture the main cause of domestic violence? (2) Systemic family therapy and gendered violence: Does systemic family therapy hide men's responsibility for domestic violence? (3) Therapeutic and educational interventions for domestic violence: Does therapy turn a ‘crime’ into a ‘psychological problem’? (4) Men as victims: Do both men and women perpetrate domestic violence in equal measure? (5) It takes two to tango: What part do women play in eliciting men's violence?     

Community-Based Program Research

ABSTRACT

At first glance, the worlds of program professionals and evaluators may seem quite separate. However, there are common issues whose resolution will enhance both program development and research on programs. Program professionals and evaluators have a great deal to learn from each other. As that learning occurs, both program delivery and evaluation research will benefit. Both are concerned about matters of validity, whether it pertains to the nature of the program intervention itself or to the nature of the assessment of the program intervention. To reinforce the development of program evaluation in partnership, this paper discusses key points about evaluation research relevant to both program professionals and researchers. These include the contextual influences on a program, the “readiness” of a program for evaluation, and whether the evaluation research “works” for the program. Underlying our discussion is a call for the development of partnerships around research on programs. In that light, this article elaborates the process steps that should be taken to build program evaluation partnerships, including a discussion of what evaluators and program professionals need to know about each other, and their respective values, interests, and professional perspectives.     

Training Students as Facilitators in the Youth Empowerment Strategies (YES!) Project

SUMMARY

This article describes the training of students as facilitators for the Youth Empowerment Strategies (YES!) project designed to promote problem-solving, social action and civic participation among underserved elementary school youth in West Contra Costa County, California. This project involved 160 fifth grade students in after-school activities which identified their capacities and strengths in ways which aimed to decrease rates of alcohol, tobacco and other drug use and other risky behaviors. The article describes the recruitment and training of high school students and their graduate student counterparts as facilitators in this university-community partnership, and discusses the implications for other youth-focused community-based projects.     

The Community Development for Healthy Children Initiative

Abstract

An increasing interest in positive youth development has led to the creation and expansion of programs and initiatives related to youth involvement and engagement. This article focuses on the Community Development for Healthy Children initiative, which envisions making Kansas the best state in the nation in which to raise a child. The initiative includes three primary strategies: A multi-media campaign; technical assistance and support to local communities; and mini-grant opportunities. The paper provides examples of activities from across the state that promote youth involvement. Outcomes across four areas are examined, and the benefits and challenges of this initiative are also discussed.     

Ben's Grille

Summary

Advantages of computer-based alcohol education over traditional written materials in improving alcohol related behavior are presented in this article. The program, “Ben's Grille” was created to promote public awareness of issues relating to the use and abuse of alcohol The program is described in detail along with directions for use. One component of the program, an interactive drama, is the focus of this article. Characters from which a play can select to play are described. Methods used in obtaining feedback about the game are specified. The author concludes that both students and teachers have had positive reactions to the program.