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Marriage and family therapists (MFTs) use ethical codes and state licensure laws/rules as guidelines for best clinical practice. It is important that professional codes reflect the potential exponential use of technology in therapy. However, current standards regarding technology use lack clarity. To explore this gap, a summative content analysis was conducted on state licensure laws/rules and professional ethical codes to find themes and subthemes among the many aspects of therapy in which technology can be utilized. Findings from the content analysis indicated that while there have been efforts by both state and professional organizations to incorporate guidance for technology use in therapy, a clear and comprehensive “roadmap” is still missing. Future scholarship is needed that develops clearer guidelines for therapists.  相似文献   
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How to open and sustain a drop-in center for homeless youth   总被引:1,自引:0,他引:1  
Drop-in centers have the potential to facilitate engagement of homeless youth into treatment and back into the mainstream. However, little guidance was found in the literature regarding how to open and sustain a drop-in center for homeless youth. This paper offers such guidance, including information that may be useful for developing a change philosophy that guides the center structure, and for identifying a building and location conducive to facilitate activities and access for the youth. Guidance for structuring the drop-in center and for hiring and training staff is also offered. Since the U.S. suffers from a dearth of services for homeless youth, the direction offered in this paper may help guide those who seek to provide services to these vulnerable and underserved youth.  相似文献   
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Retired physician Samuel A. Cassell has followed his goal to establish the Bergen Volunteer Medical Initiative, Inc. (BVMI), a free medical service for the uninsured based on the original model developed by retired physician Jack McConnell in Hilton Head, South Carolina. Volunteers in Medicine (VIM) organizations offer free medical services to the uninsured in communities all over the United States following a culture‐of‐caring philosophy, while relying heavily on the donated services of retired health care professionals. However, Cassell found that starting such a facility in wealthy Bergen County, close enough to be a suburb of New York City, was a bigger challenge than anticipated. Cassell and the BVMI board faced the problem of trying to raise funds to build a facility, only to learn that many donors would be more interested in contributing toward needed services in an organization that already had a proven track record; concerns of some area hospitals about potential duplication of efforts or unequal referrals; and concerns of local officials and suburban residents about the presence of a medical facility servicing the working poor in their business community and in their neighborhood.  相似文献   
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Participatory policy making is a contested concept that can be understood in multiple ways. So how do those involved with participatory initiatives make sense of contrasting ideas of participation? What purposes and values do they associate with participatory governance? This paper reflects on a Q‐method study with a range of actors, from citizen activists to senior civil servants, involved with participatory initiatives in U.K. social policy. Using principal components analysis, supplemented with data from qualitative interviews, it identifies three shared participation preferences: participation as collective decision making, participation as knowledge transfer, and participation as agonism. These preferences demonstrate significant disagreements between the key informants, particularly concerning the objectives of participation, how much power should be afforded to the public, and what motivates people to participate. Their contrasting normative orientations are used to highlight how participatory governance theory and practice frequently fails to take seriously legitimate diversity in procedural preferences. Moreover, it is argued that, despite the diversity of preferences, there is a lack of imagination about how participation can function when social relations are conflictual.  相似文献   
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Background

Aboriginal women and families are under-represented in Australian research on pregnancy and childbirth. The Aboriginal Families Study aimed to investigate the views and experiences of a representative sample of women giving birth to an Aboriginal baby in South Australia between July 2011 and June 2013, using methods designed to respect Aboriginal culture and communities.

Methods

A team of 12 Aboriginal researchers facilitated community engagement and recruitment of Aboriginal and non-Aboriginal mothers of Aboriginal infants in urban, regional and remote areas of South Australia over a two-year period.

Results

A total of 344 women took part, around a quarter of all Aboriginal women giving birth in South Australia in the study period (39% urban, 35% regional and 25% from remote areas). Participants were representative in relation to maternal age (mean age of 25 years, range = 15–43 years). Over half of women (56%) first heard about the study via a member of the fieldwork team making contact with them through community connections. Other major sources of recruitment were: Aboriginal health services/programs (20%) and public maternity hospitals (16%). Almost all of the women (95%) recruited via community networks of the fieldwork team completed the questionnaire. In contrast, 51% of women recruited via public hospitals completed the questionnaire (odds ratio = 0.1, 95% confidence interval 0.0–0.1, p < 0.001).

Conclusions

Aboriginal researchers’ community knowledge and leadership is critical to the conduct of successful Aboriginal health research. High levels of participation in research by ‘harder to reach’ populations are achievable when researchers take time to build relationships and work in partnership with communities.  相似文献   
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Case studies suggest that important changes in the composition and structure of boards of trustees of non-profit organisations have occurred in recent decades. The nature of these changes, and how they may vary across industry and locale, are not well documented. This pilot study compares changes in structure and board membership of three elite non-profit organisations in two cities at three points in time: 1925, 1955 and 1985. This study focuses on governing boards of the major art museum, largest non-profit hospital and local United Way of Boston and Cleveland. Board members' biographical data are used to assess models of board diversification based on environmental pressures and changes in local elites. We find evidence that trusteeship varies historically, regionally and across industries, and we set the stage for broader-based empirical comparative work on changes in non-profit boards of trustees.  相似文献   
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VOLUNTAS: International Journal of Voluntary and Nonprofit Organizations - How do and why might different nations demarcate socioeconomic activity into distinct societal sectors? In this review and...  相似文献   
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