Assessing the efficacy of ombudsman services for the aged in long term care institutions

Long term care ombudsman programs are a recently established component within the gerontological services continuum. Public policy in this area is not yet well defined and there is a conspicuous absence of systematic studies assessing the effectiveness of such program efforts. This research reports on the accomplishments of an urban based, volunteer nursing home ombudsman program. Survey findings show moderate levels of goal attainment in the policy and social relations domains and more promising results in the organizational/managerial sphere. The relationship between perceptions of program success and varying ombudsman role behaviors is underscored.     

How experiential education relates to college goals and objectives

Goals and undergraduate education objectives related to experiential learning were identified in college brochures and through interviews with selected college personnel. All college faculty were mailed questionnaires asking the extent of their agreement with the goals and objectives and their opinion as to the learning environment most conducive to achieving these objectives.Lack of faculty agreement with experiential learning goals and faculty unwillingness to endorse off-campus learning experiences conflicted with the published philosophy of the college. A Guttman Scale constructed from faculty responses to goals showed that as the degree of abstraction of each goal increased, so did the degree of faculty agreement.Based on college goals, valid and reliable instruments were developed to determine students' attitudes about field experiences, and to assess performance in field placements. As amounts of fieldwork increased, students' attitudes about self became more positive, performances at field sites showed higher achievement, and understanding of college goal-related concepts increased. Any amount of fieldwork appeared to help focus students' professional goals.     

Social work ethics and children: Protection versus empowerment

Evidence indicates that a growing proportion of children and adolescents experience traditional child protective services as intrusive, oppressive, and even exploitive. Professionals tend to deny the reality that youngsters experience, project their own perceptions and vulnerabilities onto youngsters, and refuse to recognize the ability and right of youngsters to control their own lives. Empowerment of minors is an ethical obligation of the social work profession and the only true protection from abuse and neglect.     

Evaluating correctional health care. The lessons of New York City.

New York City's correctional health care system is a complicated one, with many component parts. Correspondingly, the task of developing an evaluation process to assess this system turned out to be complex as well. The major responsibility for developing such a process and for keeping it in motion lies with the Contract Evaluation Unit of the Department of Health. Our experiences in meeting these challenges, as well as the historical and institutional factors that have influenced our efforts, should be of interest to professional groups facing similar tasks in other localities and to readers curious about how particular health service evaluation approaches take form. This article describes our method, how it emerged, and that it entails, with an eye toward identifying what might usefully be applied to the study of other correctional health care services and settings.