An innovative approach to selecting an executive director

As a guide for how to select a new executive director, a family agency adopted the search committee process from higher education. The approach included clarifying agency goals and the director's qualifications, a board-staff screening, and interviews held jointly with public representatives before final board selection.     

Parenting services for families affected by substance abuse

This article describes the development, implementation, and replication of a group-based parenting program for families affected by substance abuse. The Nurturing Program for Families in Substance Abuse Treatment and Recovery improves parenting, as measured on objective scales; enhances parents' satisfaction and competence, as measured by participant reports; and is based on principles demonstrated to be effective in reducing risk of both child abuse and neglect and substance abuse for both parents and children.     

Use of incentives to motivate healthy behaviors among employees

We conducted an extensive literature search of both published and unpublished sources to assess the use and effectiveness of worksite interventions that offer financial and other incentives. Many companies are using financial incentives, either alone or in combination with other interventions, to motivate employees to adopt and maintain healthier lifestyles. These incentives include cash bonuses, paid vacation days, and health insurance rebates. Although more research is needed, the literature suggests that financial incentives, if properly implemented, may successfully promote behavioral change among employees. Eric A. Finkelstein Ph.D., M.H.A. currently conducts economic and health policy research at RTI International, teaches an undergraduate Health Economics course at Duke University, and is a member of RTI-UNC Center of Excellence in Health promotion Economics. He focuses on the economic causes and consequences of health behaviors, with a primary emphasis on behaviors related to obesity. He has published several peer-reviewed papers in this area. A recent publication entitled “National Medical Expenditures Attributable to Overweight and Obesity,” was published in Health Affairs and garnered national media attention, including a front-page story in USA Today, coverage in Time magazine and the Washington Post, and was reported in other radio, television, newspaper, and Internet outlets across the country. That paper is now routinely cited as a driving motivation to reduce obesity rates. Dr. Finkelstein currently leads several projects concerning the causes and consequences of health behaviors for the CDC and other public and private sector agencies, and frequently speaks at conferences concerning the economic impact of obesity and strategies for reducing this burden. Katherine M. Kosa, M.S. conducts economic and food and nutrition policy research at RTI International with a primary focus on consumer behavior research. She recently completed a study to examine the general public's attitude and support for obesity interventions recently introduced at the state and federal level. To inform labeling policy decisions for USDA and FDA, Ms. Kosa conducts focus groups and surveys to understand consumer attitudes, knowledge, and practices.     

TOWARD AN OBJECT-RELATIONS APPROACH IN PSYCHOANALYTIC MARITAL THERAPY*

The purpose of this paper is to describe the features which distinguish psychoanalytic marital therapy from other forms of marital therapy, to describe briefly how important classical psychoanalytic concepts can be applied to marital therapy, to present in somewhat greater detail the author's view of how object-relations theories and, particularly, the work of three authors, Fairbairn, Kohut and Gilligan, can be applied to psychoanalytic marital therapy, and finally, to indicate certain directions for further study.     

Optimal Mandates and the Welfare Cost of Asymmetric Information: Evidence From the U.K. Annuity Market

Much of the extensive empirical literature on insurance markets has focused on whether adverse selection can be detected. Once detected, however, there has been little attempt to quantify its welfare cost or to assess whether and what potential government interventions may reduce these costs. To do so, we develop a model of annuity contract choice and estimate it using data from the U.K. annuity market. The model allows for private information about mortality risk as well as heterogeneity in preferences over different contract options. We focus on the choice of length of guarantee among individuals who are required to buy annuities. The results suggest that asymmetric information along the guarantee margin reduces welfare relative to a first‐best symmetric information benchmark by about £127 million per year or about 2 percent of annuitized wealth. We also find that by requiring that individuals choose the longest guarantee period allowed, mandates could achieve the first‐best allocation. However, we estimate that other mandated guarantee lengths would have detrimental effects on welfare. Since determining the optimal mandate is empirically difficult, our findings suggest that achieving welfare gains through mandatory social insurance may be harder in practice than simple theory may suggest.     

Isotontic regression for interval censored survival data using an e-m algorithm

This paper develops a nonparametric model of the relationship between survival S and a dichotomous random variable X under the order constraint that P(X=1|S=s) is increasing (or decreasing) with s. The estimation procedure, called isotonic regression, has been studied in some depth for the case of uncensored data, but we give a methodology which is appropriate in the more general context of right, left, and interval censored data. An E-M Algorithm (Dempster et. al., 1977) is used for maximum likelihood estimation.     

Information-based thinning of point processes and its application to shock models

Thinning of point processes is a useful operation that is implemented in various stochastic models. When the initial point process is the nonhomogeneous Poisson process (NHPP), the thinned processes are also nonhomogeneous Poisson processes independent of each other. The crucial assumption in deriving this result is that the corresponding classification of events is independent of all other events, including the history of the process. However, in practice, this classification is often dependent on the history. In our paper, we define and describe the thinned processes for the history-dependent case using different levels of available information. We also discuss the applications of the obtained general results to the corresponding shocks models.     

Tracing Stigma in Long-Term Care Insurance in Israel: Stakeholders’ Views of Policy Implementation

A rapidly expanding number of baby boomers provide care to aging parents. This study examines associations between caregiver status and outcomes related to awareness and anticipation of future long-term care (LTC) needs using 2007 Connecticut Long-Term Care Needs Assessment survey data. Baby boomers who were adult child caregivers (n = 353) versus baby boomers who were not (n = 1242) were more likely to anticipate some future LTC needs and to have considered certain financing strategies. Although baby boomer adult child caregivers more readily anticipate some future LTC needs, they are not taking specific actions. It is important to address the need for public education directed toward those who are currently (or have recently completed) caring for aging parents.     

Optimal Abort Rules for Multiattempt Missions

Many real‐world systems use mission aborts to enhance their survivability. Specifically, a mission can be aborted when a certain malfunction condition is met and a risk of a system loss in the case of a mission continuation becomes too high. Usually, the rescue or recovery procedure is initiated upon the mission abort. Previous works have discussed a setting when only one attempt to complete a mission is allowed and this attempt can be aborted. However, missions with a possibility of multiple attempts can occur in different real‐world settings when accomplishing a mission is really important and the cost‐related and the time‐wise restrictions for this are not very severe. The probabilistic model for the multiattempt case is suggested and the tradeoff between the overall mission success probability (MSP) and a system loss probability is discussed. The corresponding optimization problems are formulated. For the considered illustrative example, a detailed sensitivity analysis is performed that shows specifically that even when the system's survival is not so important, mission aborting can be used to maximize the multiattempt MSP.