Beyond Welfare: Measuring and Monitoring the State of Children – New Trends and Domains

Social Indicators Research -     

Linkages between Children's Beliefs about the Legitimacy of Aggression and Their Behavior

The purposes of this study were to learn whether children's beliefs about the legitimacy of aggression can be reliably assessed and whether these beliefs relate to children's everyday social behavior with peers, as well as their responses to hypothetical ambiguous provocation situations. Fourth- and fifth-grade students ( n = 781) responded to a 16-item questionnaire designed to measure children's beliefs about the legitimacy of aggression. Children's behavioral orientation was assessed using two methods: (1) children's responses to ten hypothetical situations involving ambiguous provocation, and (2) peer evaluations of children's aggressive, withdrawn, and prosocial behavior. Results indicated that children's beliefs about the legitimacy of aggression were reliably measured. Furthermore, results from both measures of behavioral style showed that children who believed strongly in the legitimacy of aggression were more aggressive, less withdrawn, and less prosocial. The findings suggest that one focus of efforts to decrease children's aggression should be the modification of their beliefs about the legitimacy of aggressive actions.     

Child and Family Outcomes in New York and Tel AVIV: Using Social Indicators in a City Level Comparative Analysis

This article presents a comparative study in which social indicators were employed as a means to examine differences in living conditions and family and children outcomes on a local level. The study obtained household-level data on the well-being of children and families in two cities: New York (NYC) and Tel Aviv (TLV). Data were collected using computer assisted telephone interview (CATI) technology and random digit dialing (RDD). Telephone interviews were conducted with the randomly selected adults in English, Spanish and Chinese in NYC and in Hebrew in TLV. The study reported here documented differences in family and child well-being between the two cities. It further documented that family size and caregiver level of education play a similar role in both cities and their importance in regard to child and family outcomes. The significant differences found in adults’ and especially children’s outcomes were analyzed by the caregiver’s level of education and further support the need for policies that alleviate the burden of less educated caregivers and aim to improve the well-being of them and their families. The study demonstrates the relevance of social indicators at the local level, not only for measuring outcomes among specific populations, but also in regard to their possible implications for social policies, a most timely task in an era of social services devolution.     

Bridges to Sobriety: Testing the Feasibility and Acceptability of a Mobile App Designed to Supplement an Adolescent Substance Use Disorder Treatment Program

Clinical Social Work Journal - Adolescent substance use is a growing problem that causes a myriad of negative outcomes. Using substances during adolescence can lead to decreased executive...     

Using recurrent time-to-event models with multinomial outcomes to generate toxicity profiles

Most clinical studies, which investigate the impact of therapy simultaneously, record the frequency of adverse events in order to monitor safety of the intervention. Study reports typically summarise adverse event data by tabulating the frequencies of the worst grade experienced but provide no details of the temporal profiles of specific types of adverse events. Such 'toxicity profiles' are potentially important tools in disease management and in the assessment of newer therapies including targeted treatments and immunotherapy where different types of toxicity may be more common at various times during long-term drug exposure. Toxicity profiles of commonly experienced adverse events occurring due to exposure to long-term treatment could assist in evaluating the costs of the health care benefits of therapy. We show how to generate toxicity profiles using an adaptation of the ordinal time-to-event model comprising of a two-step process, involving estimation of the multinomial response probabilities using multinomial logistic regression and combining these with recurrent time to event hazard estimates to produce cumulative event probabilities for each of the multinomial adverse event response categories. Such a model permits the simultaneous assessment of the risk of events over time and provides cumulative risk probabilities for each type of adverse event response. The method can be applied more generally by using different models to estimate outcome/response probabilities. The method is illustrated by developing toxicity profiles for three distinct types of adverse events associated with two treatment regimens for patients with advanced breast cancer.     

Children’s Rights,School Psychology,and Well-Being Assessments

This paper addresses interrelationships among the notions of children’s rights, school psychological services, and child well-being assessments. Increasing attention has been paid in recent years to the notions of children’s rights, as best expressed in the United Nations Convention on the Rights of the Child (CRC). In the current paper, we discuss the relevance of the emerging conceptions of children’s rights to the school context. We argue that given the centrality of schooling to children’s lives, school psychologists, who are serving in the role of child advocates, are in a unique position to contribute to integrating the children’s rights movement and educational progress. Situated within the context of the CRC and the practice of school psychology, we further discuss how advances in child well-being assessment can inform the implementation and evaluation of CRC principles and related policies. We propose that the use of evidence-based, developmentally appropriate objective and subjective measures of well-being should contribute a key component to meaningful assessments of the status of children’s rights and well-being.     

Health Financing in Singapore: A Case for Systemic Reforms

This paper assesses Singapore's healthcare financing arrangements in terms of their efficiency, fairness, and adequacy. Singapore represents an interesting case study because it is perhaps the only high‐income, rapidly ageing country to rely on mandatory savings to finance healthcare, thus eschewing extensive risk‐pooling arrangements, generally regarded as efficient and equitable. The paper argues that parametric reforms, i.e. relatively minor changes in the parameters of current schemes which preserve the existing philosophy and system design, will not be sufficient to meet healthcare financing objectives. Systemic reforms, which will bring Singapore into the mainstream of health financing arrangements found in the OECD countries, are urgently needed. Their design and timing should be based on good quality, timely and relevant data, and an environment conducive to vigorous debate.