Effects of Medicaid managed care policies on mental health service use among a national probability sample of children in the child welfare system

Children in the child welfare system are dependent upon Medicaid to finance services for their considerable mental health needs. This study examines the effects of Medicaid policies on mental health service use among a national probability sample of children in the child welfare system. Data for this study came from the National Survey of Child and Adolescent Well-Being, the Caring for Children in Child Welfare study, and the Area Resource File. Weighted multivariate logistic regression analyses were conducted to estimate effects of policy variables on children's use of mental health services, controlling for child-level covariates and county-level health resources. Children in counties with behavioral carve-outs under Medicaid managed care had lower odds of inpatient mental health service use. Medicaid managed care enrollment and variations in type of provider reimbursement did not affect use of mental health services. Older age, greater need for mental health services, and higher levels of caregiver education were associated with increased odds of service use. Restrictions on use of inpatient mental healthcare caused by behavioral carve-outs may disproportionately affect children in the child welfare system who have high rates of such use. Careful adoption of carve-outs is necessary to assure appropriate care for these children.     

心灵的失落与追寻——简论汉末男性诗人的女性同构心理

汉末男性诗人以女性为情感载体来抒写自我生命痛苦的写作用意,应与他们的处境和心态密切相关。在混乱的政局中经历了期盼、失望、绝望的心路历程之后,他们的心态发生了很大变化,具有与女性心理同构的新特点。这恰恰彰显了汉末男性诗人摆脱心灵困境时的自我突围意识。     

女性"隐形"地位的多元认知透视

在男性占主导地位的语言,诚如英汉语中"乞丐""医生"等职业术语和"chairman""hero"等官衔荣誉称呼之类的名词,一般性的人类泛指"a man","mankind"以及代词的非指示用法中,女性往往被置于"隐形"的地位。性别差异和性别歧视的现象已引起社会上各学科的普遍关注,然而,从认知角度对这一现象作出注解的文章寥寥。运用认知语言学中的原型和范畴理论、框架理论、心理空间和概念合成理论对此予以阐释,可为英汉语中这一现象的理论阐释提供全新的多元认知视角。     

治安管理处罚方式的新发展

处罚方式是关于具体的处罚手段与类型的法律规定,在治安管理处罚中具有非常重要的作用。随着社会主体多元化,社会关系复杂化,治安管理处罚方式必然要多样化。国外的社区矫正制度尤其值得借鉴。     

社会转型时期我国伦理道德体制的重构

随着改革的进一步深入,我国已经进入社会转型的快速运转期。在这一过渡时期,我国伦理道德问题突出,道德理念冲突不断、道德约束力也在不断下降,整个社会的道德责任观念已不再具有强有力的制约功能,社会伦理道德的缺失正严重影响着社会的正常有序运行。在市场化和现代化快速发展的今天,社会分化仍在进一步加剧,为有效实现社会和谐与稳定,构建新的伦理道德体制已经成为时代进步发展的必然要求,伦理道德体制的重建也成为失范社会实现高度整合的必要途径。     

小型制造业信息化发展模式的研究

该文简述了世界制造业面临的挑战及其信息系统的发展 ,提出了我国小型制造业信息化的目的 ,并分析了小型制造业信息化面临的困难。最后提出了小型制造业信息化的群落合作发展模式。在这种模式中 ,一个企业群落应建立包括群落层和企业层的两层式信息系统。为实现群落合作发展模式 ,在每个小型制造业的群落里 ,应建立一个从事信息系统开发和进行信息服务的IT性质的企业实体来实施群落两层信息系统的建设和运行 ,这个IT性质的企业与信息系统共生存 ,为群落中的企业提供全天候的信息服务 ,特别是在条件成熟时为各个企业的信息系统添加新的功能。     

河南省民办高等教育发展的基本思路

目前,河南省民办高等教育在整体上还处于起步阶段,为了促使其快速、健康地发展,应进一步加大宣传力度,形成社会共识;进一步解放思想,营造民办高等教育发展良好氛围;完善扶持政策,优化民办高等教育办学环境;进一步提高民办高等教育的办学水平和质量;积极发挥省社会力量办学协会的桥粱纽带作用。     

美国社区学院对促进高等教育大众化的贡献

自从1901年以来,美国一直大力发展社区学院,对推动美国高等教育事业蓬勃发展和实现高等教育大众化做出了巨大历史性贡献.美国创办社区学院促进高等教育大众化的历史性经验,对中国发展高等教育有一定启示.     

Trade-Offs Between Formal Home Health Care and Informal Family CareGiving

Using 1994 National Long Term Care Survey data, we estimated logistic regressions of formal and informal home health care use and hours. Home health care use and intensity were differentially impacted by chronic conditions, are higher for Medicaid enrollees and rural or small town residents, but lower for HMO enrollees. Decreases in the probability of home health care use increased informal instrumental activities of daily living (IADL) support four hours and decreased informal activities of daily living (ADL) support eight hours weekly. IADL caregiving substituted for formal care, but ADL caregiving declined with reductions in formal care. Public policy reducing formal home health care access may reduce informal ADL caregiving and increase informal IADL caregiving, producing net declines in support.