Effects of Medicaid managed care policies on mental health service use among a national probability sample of children in the child welfare system

Children in the child welfare system are dependent upon Medicaid to finance services for their considerable mental health needs. This study examines the effects of Medicaid policies on mental health service use among a national probability sample of children in the child welfare system. Data for this study came from the National Survey of Child and Adolescent Well-Being, the Caring for Children in Child Welfare study, and the Area Resource File. Weighted multivariate logistic regression analyses were conducted to estimate effects of policy variables on children's use of mental health services, controlling for child-level covariates and county-level health resources. Children in counties with behavioral carve-outs under Medicaid managed care had lower odds of inpatient mental health service use. Medicaid managed care enrollment and variations in type of provider reimbursement did not affect use of mental health services. Older age, greater need for mental health services, and higher levels of caregiver education were associated with increased odds of service use. Restrictions on use of inpatient mental healthcare caused by behavioral carve-outs may disproportionately affect children in the child welfare system who have high rates of such use. Careful adoption of carve-outs is necessary to assure appropriate care for these children.     

山西省农村人力资源开发现状及对策

农村人力资源开发是在对全体农村人口进行认真分析的基础上 ,确立以农村为主的不同农村人口类群中的质量差别 ,同时利用培训和教育等多种渠道 ,有效地进行人力资源资本投资 ,努力提高农村人口素质 ,以实际行动落实科教兴农的战略构想。本文从农村人力资源的规模及构成 ,文化素质及构成以及农村人口的从业类别三个方面对我省农村人力资源开发现状进行剖析 ;在认清现状的基础上 ,分别从投资规模 ,农村教育体制 ,组织领导 ,制度建设 ,思想观念等五个方面深入分析了造成目前现状的根源 ,并结合我省实际提出相应的对策建议 ,并创新了一套具有操作性的运作模式。     

Children and well-being: A comparison of employed and non-employed women

While employment improves health, having children at home does not. Indeed, the most likely work-family conflict for women is having children at home. In this study the effect of children on well-being was predicted to differ for employed and non-employed women. In addition, only amongst the employed women was locus of control hypothcsized to moderate this relationship. In a sample of women with partners (n = 116), using multiple-regression analysis, the results indicated that the number of children living at home, rather than the presence of young children, was associated with increased happiness in women. Employment was not predictive of women's well-being. However, it moderated the effect of number of children on their levels of happiness. In addition, non-employed women showed a U-shaped relationship between number of children and psychological distress. Finally, contrary to prediction, locus of control did not moderate the relationship between number of children and women's well-being. The findings are discussed in terms of the role expansion hypothesis.     

中国近30 年来的农村改革发展历程回顾与展望

文章重点从农村改革的整体性、综合性、协调性和党在农村政策的稳定性、连续性、实效性等方面入手,把我国近30年来的农村改革发展历程划分为三个不同的时期:即从1978年到1988年,是农村改革的起步阶段,出现了第一个“黄金发展期”;从1988年到1998年,是农村改革的停滞阶段,出现了“三农综合症”;从1998年10月至今,是农村改革的快速推进阶段,出现了第二个“黄金发展期”。全面准确地认识和把握我国农村改革的历史进程,对于科学制定农村综合改革的整体方案及相关配套政策措施至关重要。     

Factors Affecting Children’s Adjustment to the Death of a Parent: The Social Work Professional’s Viewpoint

This study investigated factors affecting the adjustment of parentally bereaved children by reviewing existing literature and comparing it to observations made by professional social workers. Interviewees had between 1 1/2 and 22 years of experience in counseling bereaved children. The specific factors examined were age and sex of the bereaved child, circumstances of the death, and adjustment of remaining caregiver. Participants (n = 5) responded to an interview instrument specifically designed for this study which contained seven in-depth, open-ended questions. Participants’ replies were mostly in accordance with the literature, but also generated some new perspectives that had not been previously considered for this study and had not appeared in the literature. This study has implications for practice with parentally bereaved children and their surviving caregivers.Rebecca M. Hope, LCSW, Outpatient Clinician, New River Valley Community Services, 700 University City Boulevard, Blacksburg, VA 24060.Diane M. Hodge, Ph.D. is an Associate Professor of Social Work, Radford University, P.O. Box 6958, Radford, VA 24141; e-mail: dmhodge@radford.eduAddress correspondence to Rebecca M. Hope, LCSW, Outpatient Clinician, New River Valley Community Services, 700 University City Boulevard, Blacksburg, VA 24060; e-mail: rmhope@verizon.net     

文档碎片——鲁迅、郁达夫的小说

鲁迅小说藉着独特的形式,用精神分析法,以"不和众嚣,独具我见"的思想和艺术风格,把他对人生、社会、新事物的看法和感情表现出来;郁达夫的<沉沦>与佐藤春夫的<田园的忧郁>在叙事时间、叙事体态和叙事语式上表现出多种相似的审美特性,但是,文化特质的差异,使他们的作品又表现出了不尽相同的生活内容和社会内容.     

农户对农村公共服务的需求意愿分析 ———基于一项全国范围农户调查的实证研究

文章基于一项关于农户对农村公共服务需求意愿的全国范围的调查数据，分析了农户对农村义务教育、农村医疗卫生、农村社会保障、农村文化事业、农村劳动力技能培训这5种农村公共服务的整体需求意愿及不同特征农户需求意愿的差别、农户对5种农村公共服务各个方面要素的需求意愿以及农户对5种农村公共服务需求的优先序。研究结果表明农户对5种农村公共服务的整体需求意愿并不相同，对农村劳动力技能培训的需求最强烈，不同特征的农户的需求意愿也不相同。另外与其他农村公共产品相比，农户对文章所研究的5种农村公共服务的需求意愿比较强烈。     

乡村振兴:谁在谈,谈什么?

乡村振兴战略已经形成综合政策、理论和实践的分析思路。 主流政策派以供职于国家政府部门的学者型官员或研究人员为主,其焦点在于如何完善乡村振兴的顶层设计。 主流政策派立足于对乡村振兴战略的内容阐释,对乡村振兴战略产生的历史必然性、乡村振兴战略提出的必要性、乡村振兴战略的实施机制以及规避误区作出论证。 学界理论派重点关注乡村振兴的立论基础和基本模式,乡村振兴具有多种立论基础,而乡村振兴的基本模式则具有保底式发展、内生式发展和依附式发展三种向度。 基层实践派以基层一线工作人员为主,以保障乡村振兴战略的落地实施为发力焦点,其中县级干部扮演乡村振兴“一线总指挥冶和“施工队长冶的角色,乡镇干部则是加速乡村振兴战略落地的践行者,而村干部则构成乡村振兴最基础和最坚实的力量。 然而,在几乎所有的讨论中,作为乡村振兴主体的农民却集体失语,并再次被政府和学者普遍“代言冶。 未来乡村振兴的探讨方向应重点推进乡村振兴顶层设计和基层实践的“上下结合冶,深化乡村振兴战略的基础理论研究,加强乡村振兴的社会动力以及乡村振兴多元实践等方面的理论概括,引导农民积极参与乡村振兴的讨论、规划和行动,从而推动乡村振兴政策、理论和实践的“大循环冶。     

全球替代性食物体系综述

在世界各地,农业食品领域的工业化造成了日益严重的环境、经济和社会问题,如环境污染、 大量碳排放、食品安全危机、小农边缘化和小农生计的难以维系。 为了应对这些问题,多个国家的不同 群体建立了多种多样的替代性食物体系,如社区支持农业、农夫市集、共同购买、社区菜园等。 替代性食 物体系自 2009 年进入中国至今已有十年,获得了较大发展。 然而,国内研究较少关注国际替代性食物 体系产生的背景及理念。 文章从替代食物体系的产生和发展、主要特征、国内外差异以及学术界的批判 等几个方面进行概述,全面介绍相关的关键问题和概念,为推动国内替代性食物体系研究的发展助力。