Cost-effectiveness of a prework screening program for the University of Illinois at Chicago physical plant

A post-offer screening program jointly developed by the Occupational and Physical Therapy Departments (University of Illinois at Chicago) was first implemented in March 1998. A total of 712 screens were completed from 3-01-98 through 2-28-01. A quasi-experimental design was utilized to analyze changes in Workers' Compensation costs between the three-year period prior to, and the three-year period following program inception. Additionally, injury rates and mean cost per injury were compared between injuries sustained between 3-98 and 3-01 which were incurred by workers who had passed screening and those that had not been screened. Finally, the tabulated cost per screen and reduction in Workers' Compensation costs allowed derivation of a dollar spent/ dollar saved ratio. Dramatic declines in number of injuries, total costs and mean cost per case occurred in the three-year period following program inception. Mean cost per case also dramatically declined comparing injured workers who had passed screening versus those who had never been screened. Cost savings were over US dollars 18 per dollar spent on the program. While a number of mitigating variables may have accounted for some of the profound effects noted, decrease in average cost per case (indicating possible reduction in severity of injury) was consistent with existing literature.     

Large scale communication networks—Design and analysis

The paper discusses the problem of design and analysis of large scale communication systems. An iterative process, composed of a minimum cost network design algorithm and a network performance algorithm, is presented for the solution of these problems. Computational considerations, using these algorithms, are discussed.     

The model of human occupation: understanding the worker who is injured or disabled

This paper discusses application of the model of human occupation to the worker with an injury or disability. Concepts from the model of human occupation (MOHO) are used to frame potential work-related strengths and weaknesses. Using MOHO as a framework to understand the worker with an injury or disability provides a more complete and holistic understanding of the many factors which can affect a worker. In particular, the model illuminates how factors of capacity, motivation, lifestyle, and environment inter-relate in determining a worker's success or failure. Implications for using the model to achieve a more effective work-related practice are discussed.     

Assessing the effectiveness of strategic planning

This paper describes a method for assessing the effectiveness of strategic planning systems in terms of the results actually observed subsequent to planning activity. The paper explains in particular how, in making the assessment, one might cope with the fact of environmental change subsequent to the setting of planned goals. This ends oriented approach to measuring effectiveness is shown to be complementary to process oriented approaches and is illustrated by an example from the coal industry.     

Improving homeless persons' utilisation of primary care: lessons to be learned from an outreach programme in The Netherlands

Elissen AMJ, Van Raak AJA, Derckx EWCC, Vrijhoef HJM. Improving homeless persons' utilisation of primary care: lessons to be learned from an outreach programme in The Netherlands Faced with rising homelessness, countries around the world are in need of innovative approaches to caring for those without shelter, who, more often than not, suffer from severe health problems. We conducted a case study of an innovative Dutch Primary Care for the Homeless (PCH) programme to gain insight into clients' demographic characteristics, health problems and service use, and to develop an explanation for its success in increasing the latter. Our analyses are based on a combination of quantitative and qualitative data. The results of the study suggest that the success of the PCH programme can be explained by the providers' pragmatism and will to adapt their mode of care provision to the behavioural patterns and needs of their homeless clients.     

Compassion Satisfaction Among Social Work Practitioners: The Role of Work–Life Balance

Abstract

Previous research has established that social work practitioners are especially vulnerable to work-related psychological distress and burnout due to the high-stress nature of the profession, yet less research has focused on examining factors are associated with social worker retention. Emerging research on compassion satisfaction suggests that this factor could mitigate professional burnout, yet there is a gap in research focusing explicitly on examining compassion satisfaction among social workers. To address this gap in knowledge, this quantitative study collected survey data on practicing social workers who were alumni from a large southeastern university (n?=?120) to examine individual and organizational factors associated with compassion satisfaction. Multiple regression analyses revealed that higher levels of emotional intelligence, perceived work autonomy, and perceived work–life balance were associated with an increase in compassion satisfaction among experienced, licensed social work practitioners. Findings have implications for how social work employers can promote compassion satisfaction through cultivating emotional intelligence among practitioners, allowing social workers autonomy in decision making, and providing supportive work environments. Recommended directions for future research include longitudinal studies with large sample sizes that expound research on compassion satisfaction by examining the role of additional factors, such as client population, job role characteristics, and supervisor support.     

Influences on the effectiveness of peer interaction: children's level of cognitive development and the relative ability of partners

Studies of peer interaction among children have generally shown that this experience aids performance, or at the very least does not result in poorer performance in relation to control conditions. Furthermore, working with a more able partner has been found to be a particularly effective form of peer interaction. In contrast, a model proposed by Karmiloff-Smith suggests that at certain phases of cognitive development children may ignore feedback and information from task activities. These two ideas were tested in a study where pairs of 6–7 year old children had to balance a beam on a fulcrum during a computer task. The performance on a post-test did not support either viewpoint. Children who were working with a more able partner were found to perform significantly worse than other children. The findings of a second study suggested that this effect may have been due to the more able children having an incomplete understanding of the computer task and they may have dominated social interaction thereby restricting the progress of the less able pupil. The findings from these two studies indicate that peer interaction can result in poorer learning outcomes, and that Karmiloff-Smith's model should include the possibility of peer interaction effects.     

UNDERSTANDING COMPUTER GAME CULTURES A situated approach

This article uses data and theory from psychological and sociological sources in order to examine computer gamers engagement with computer games. The article employs data from studies of gender difference in computer game interactions in order to theoretically open up the rich diversity of gamers interactions with games. The theoretical discussion employs a mix of psychological ideas, especially those of affordances, effectivities and attunement, with ideas from cultural studies, especially those of subject positions and preferred readings. The article argues that gaming needs to be viewed as an activity taking place in cultural niches that arise in the complex interaction between games, gamers and gaming cultures.     

Posttraumatic symptoms following a campus shooting: the role of psychosocial resource loss

Conservation of resources (COR) theory has proven a useful framework for understanding posttrauma adjustment. A key tenet of this theory is the centrality of resource loss in determining adjustment. However, COR theory research has often been limited by retrospective research design, a focus on material loss (e.g., one's home), and a lack of attention to other adjustment predictors. This study examined whether psychosocial resource loss prospectively predicted PTSD symptomatology both immediately and 8 months following a campus shooting in a sample of college women (n = 691). Results supported that resource loss predicted symptomatology, even after controlling for other predictors, including prior trauma, psychological distress, initial PTSD symptomatology, and shooting exposure. Implications of the results for research and intervention following mass trauma are discussed.