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The current study explores the experiences of families with relatives with intellectual and developmental disabilities participating in a consumer-directed support program in the USA. The Illinois Home Based Support Services Program provides a limited budget to purchase and manage services. However, within recent years the program has faced cuts and changes. This context provided a rich environment to explore the benefits of the program, as well as oppressive forces creating barriers to the control of financial resources by individuals with disabilities and their families. Financial benefits, benefits from respite and personal assistance services and prevention of undesirable institutional placements were major themes that emerged and triangulated with previous research. The following themes emerged concerning barriers to the control of financial resources: provider and professional control, disability as a deserving group, fraud and abuse perceptions and familism. These themes appear to fit well within a social model of disability applied to the family.  相似文献   
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Minorities and females are underrepresented in the top-income quintile of law school graduates. Employing a binary logistic regression model, I examine whether this is due to a“glass ceiling” (an invisible barrier erected by third parties) or a“sticky floor” (self-imposed limitations regarding employment). My major finding is that being female, a minority, or disabled did not significantly reduce one's probability of making the top-income quintile once hours of work, experience, and other factors are taken into account. My findings directly contradict the large body of glass-ceiling literature and support the sticky-floor model. I thank the Law School Admission Council for funding this research. Helpful comments and suggestions were received from Robert Nelson of Northwestern University and the American Bar Foundation, Steven Conroy of the University of West Florida, and R. Kim Craft and Douglas Bonzo of Southern Utah University. The views expressed here are solely those of the author and do not necessarily reflect those of the institutions or persons listed above.  相似文献   
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This study examines how two aspects of formalization of grievance procedures affect grievance procedure effectiveness: written versus oral presentation of grievance and the level of union and management authorized to resolve grievances at the first step. Several demographic variables were controlled for: size of bargaining unit, percentage of organization represented, number of grievances filed, and industry. A sample of 46 firms, representing a broad cross-section of unionized companies in the private sector, was obtained with the help of the American Arbitration Association. Results indicate that more formal grievance procedures (e.g., written presentation) are positively related to resolution rates at the first step. The number of grievances field and the size of the bargaining unit were positively related to total resolution rates prior to arbitration. We thank the American Arbitration Association for making this study possible.  相似文献   
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Since 2013, extrajudicial police killings of black people have captured the attention of U.S. and international media, substantially because of the work of leaders in the Black Lives Matter (#BLM) movement. #BLM is simultaneously a group of localized organizations and a broad online social movement. In this article, we examine the #BLM movement in detail, with particular emphasis on the following aspects of the movement: (1) its innovative organizational practices and social media use; (2) its accent on black perspectives (counterframing) of systemic racial oppression, heteronormativity, and capitalism; and (3) its broad emphasis on oppressed Americans, including black women and LGBTQ people. We also situate the #BLM movement within the surrounding system of racial oppression, including the historical role of racialized policing in maintaining social control of blacks. We detail the long tradition of black social movements, especially black feminist organizing, against systemic racial oppression. In doing so, we intend to contribute social movement theorizing that more fully considers powerful counterframed perspectives of black activists in U.S. social movements. Although the #BLM movement reflects black feminism and past civil rights movement struggles, it is a uniquely twenty‐first‐century social movement that uses new technologies for innovative social protest.  相似文献   
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The main goal of phase I cancer clinical trials is to determine the highest dose of a new therapy associated with an acceptable level of toxicity for the use in a subsequent phase II trial. The continual reassessment method (CRM) [O’Quigley, J., Pepe, M., Fisher, L., 1990. Continual reassessment method: a practical design for phase I clinical trials in cancer. Biometrics 46, 33–48] and escalation with overdose control (EWOC) [Babb, J., Rogatko, A., Zacks, S., 1998. Cancer phase I clinical trials: efficient dose escalation with overdose control. Statist. Med. 17 (10), 1103–1120] are two model-based designs used for phase I cancer clinical trials. A few modifications of the (original) CRM and EWOC have been made by many authors. In this paper, we show how CRM and EWOC can be unified and present a hybrid design. We study the characteristics of the approach of the hybrid design. The comparisons of the three designs (CRM, EWOC, and the hybrid design) are presented by convergence rates and overdose proportions. The simulation results show that the hybrid design generally has faster convergence rates than EWOC and smaller overdose proportions than CRM, especially when the true maximum tolerated dose (MTD) is above the mid-level of the dose range considered. The performance of these three designs is also evaluated in terms of sensitivity to outliers.  相似文献   
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While child welfare practitioners in many countries are struggling to develop methods of effective family engagement, they operate within different national and cultural contexts that influence, both positively and negatively, the ability to engage with families. Increasingly, international comparisons are necessary to further understanding of the development of social work practice. This is particularly necessary because most countries utilize international frameworks (such as the United National Convention on the Rights of the Child) to provide guidance in the development of policies, programs, and interventions. Each country (and locality) struggles to advance practice to be more effective and humane. Our paper offers a comparative analysis focused on family-oriented and rights-based frameworks of different countries. Based on a review of current national policies and a review of the literature regarding family-based practices, we examine similarities and differences among four countries: the United Kingdom, Sweden, the United States, and South Korea. These countries were selected because they have some similarities (advanced industrialized democracies, professional social work, and formal child protection systems) but have some differences in their social welfare systems (policies, specific practices, and socio-cultural context). These differences can be utilized to advance understanding regarding the promise and potential for family engagement strategies. We then discuss the utility of this comparison for theory-building in the arena of child-care practice and conclude by identifying the challenges and limitations of this work.  相似文献   
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