Dementia Special Care Units

Abstract

Despite continued interest and growth in special care units in the United States, there is no uniform agreement on characteristics for these units, specific outcomes, or satisfaction with them. This study examined family satisfaction with Dementia Special Care Units (SCUs) using a modified standardized instrument and follow-up interviews. The study included five SCUs in one state, three participating in a dementia SCU demonstration project. Family outcomes were evaluated using surveys and interviews. The only significant difference between facilities in the demonstration project and the comparison facilities was one variable noting family with residents in the demonstration project had more positive perceptions regarding resident safety. The study illustrates a need for policy makers to more clearly identify and regulate special aspects of SCUs, taking family perceptions into consideration.     

A Comparison of Spanish and American Housing Policy Frameworks Addressing Housing for the Elderly

Abstract

Housing policies in Spain and die United States have important similarities and dissimilarities mat affect housing for the elderly. Spain, even more so than me United States, promotes homeownership. Bom countries face significant challenges in addressing the housing needs of the elderly, particularly those challenges associated wim aging in place. The paper reviews me broader housing policy frameworks in bom countries in order to understand me context for elderly housing policy. The paper identifies lessons from the American experience mat can expand housing policies in Spain.     

Familial Conflict and Attitudes Toward Marriage

The present study examined the relationship between current and past familial conflict, as perceived by college students, and their current attitudes toward marriage. This study also explored the relationship between the family structure in which the students lived (intact vs. divorced) and their current attitudes toward divorce. Contrary to expectations, perceived levels of conflict were not significantly related to attitudes toward marriage, and family structure was not a significant predictor of attitudes toward divorce. Compared to students from intact homes, students from divorced homes reported significantly higher levels of conflict in their homes while growing up. Implications of these findings and limitations and recommendations for future research are discussed.     

Redirecting the Lives of Urban Black Males:

Midnight Basketball is one example of a new generation of social resource programs which are designed to mend the social fabric of inner city communities. In this paper, we present the results of an evaluation of Milwaukee's Midnight Basketball League, In the Paint at One Two, which indicates that the ''returns'' on the money invested in the program are far greater than the returns on the enormously popular punitive and paternalistic policies and programs currently advocated at all levels of government. During the first year, the Midnight Basketball program (1) reduced crime rates by 30% in the target area, (2) created a safe haven in which participants (and the fans) could engage in positive social activities, (3) channeled the energy of gang members in a positive direction, and (4) significantly improved the educational and career aspirations of program participants. Nearly all of the participants indicate that such leagues should be developed throughout the city of Milwaukee.     

Catering to sex,sexual, and gender diversity: An exploratory study on the effects of LGBTI awareness training on aged care staff in Tasmania,Australia

The Australian National LGBTI Ageing and Aged Care Strategy seeks to address the lack of recognition of older lesbian, gay, bisexual, transgender, and intersex (LGBTI) adults living in aged care. Awareness training for aged care staff forms a crucial part of this strategy, but the impact of such educational programs are yet to be examined. In this article, we examine the effects of LGBTI awareness training on staff working in an Australian aged care facility. These staff perceived the awareness training as valuable, but the outcomes from it were limited. Therefore, we indicate changes that are necessary to support the translation of training into practice.     

Poverty Research in a Development Policy Context

This article provides an evaluation of the extent to which science is addressing worldwide poverty and hunger. It is based on the literature contained in the Thomson Reuters' Web of Science Citation Index (1980 to 2008) and focuses on the WOTRO Strategy Plan 2007–2010 of the Netherlands Foundation for the Advancement of Tropical Research, although similar policies from other countries might also be assessed. The data show that poverty/hunger research has grown steadily over time in many disciplines, most significantly in Environmental Sciences and Technology. Much of this research is hidden; hence the construction of an internationally recognised open‐access database is recommended so that scientists can easily identify critical gaps related to scientific capacity‐building.     

Getting Real About Food Prices

The 2008 spike in world grain prices is widely recognised to have had serious impacts on food security and poverty, but these high grain prices are commonly described as low in historical terms – an inconsistency resulting from the use of advanced‐ and global‐economy price indices in calculating real prices. This ignores the high share of food in poor people's expenditures and the indirect effects of income growth on expenditure patterns of rich consumers. Poor consumers have not experienced the same falls in real food prices and are more vulnerable to price shocks. Different price indices must be developed to take account of differences between consumer groups.     

Notes on authors

Social network analysis (SNA), a method which can be used to explore networks in various contexts, has received increasing attention. Drawing on the development of European smoke-free policy, this paper explores how a mixed-method approach to SNA can be utilised to investigate a complex policy network. Textual data from public documents, consultation submissions and websites were extracted, converted and analysed using plagiarism detection software and quantitative network analysis and qualitative data from public documents and 35 interviews were thematically analysed. While the quantitative analysis enabled understanding of the network’s structure and components, the qualitative analysis provided in-depth information about specific actors’ positions, relationships and interactions. The paper establishes that SNA is suited to empirically testing and analysing networks in EU policy-making. It contributes to methodological debates about the antagonism between qualitative and quantitative approaches and demonstrates that qualitative and quantitative network analysis can offer a powerful tool for policy analysis.     

Engendering Government Budgets in the Context of Globalization(s)

This article considers the strengths and weaknesses of attempts to 'engender' government budgets in the context of globalization, drawing on my own personal engagement in such attempts, and on the work of many gender budget initiatives (GBIs) all around the world. GBIs have sought to improve the distribution, adequacy and impact of government budgets at national, regional and local levels; and to secure greater transparency in the use of public money; and greater accountability to women as citizens. Their spread has itself been an example of globalization, in this case the globalization of action for gender justice; facilitated by e-mail, the Internet and air travel; supported by international foundations and international development cooperation funds. But, it may be argued, GBIs have begun to engage with government budgets just at the time when governments, especially in the South, have less and less control over public finance decisions, due to other aspects of globalization. This article considers whether there is any point in GBIs if economic power lies in international markets, rather than in the Ministry of Finance, and draws on examples from a wide variety of countries.     

Sri Lanka: an exploration of the systemic erosion of stability

Abstract

In Sri Lanka tremendous expertise is employed in thinking and manoeuvring around the personalities that shape the outcomes that beset the country. Such expertise is the bread and butter of the political and business circles, which is equally well reflected in the media and realistically respected in the NGO and international circuit.

What is disconcerting however is the almost oblivious attention paid to matters of structure and functionality. Yet Sri Lanka is rife with structural and functional anomalies, which is positioned to terminally gnaw at advantages gained by changes in governments, peace talks, poverty reduction, etc. Using the example of the Public Administration System and the democratically elected Presidential and Parliamentary process explained is the structural and functional impediments that are crying out for serious remedy.

There is a vital homeostatic balance that is exercised between the parliament and the Public Administration System as a result of the former being elected and the latter employed on tenure. This translates to the Public Administration System being able to afford to think long term (since their tenure is secure) whilst being tempered by parliament's shorter range thinking occasioned by the politician's need to show results to entice its next bout of votes. In essence, this twofold structure serves to foster the seeking of a homeostatic balance between the long-and short-term needs of the country.

In Sri Lanka by constitutional and other legislative enactments various homeostatic relationships between races, languages, time spans etc. have been (un)wittingly flouted. These aspects are diagnosed using the cybernetic concepts of homeostasis and ultrastability.