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1. Evolving Systems of Care with Total Clinical Outcomes Management (EJ863938)
Author(s):
Lyons, John S.; Epstein, Richard A.; Jordan, Neil
Source:
Evaluation and Program Planning, v33 n1 p53-55 Feb 2010
Pub Date:
2010-02-00
Pub Type(s):
Journal Articles; Reports - Descriptive
Peer-Reviewed:
Yes
Descriptors: Emotional Disturbances; Children; Family (Sociological Unit); Outcomes of Treatment
Abstract: The current article proposes that further specification of the system of care concept is required. Based on the assertions that the system of care concept (a) refers to an ideal as opposed to an observable phenomenon, and (b) is engaged in offering transformational experiences, the authors propose that the system of care definition must be expanded to include measurement and outcomes monitoring strategies that extend beyond current quality improvement initiatives. The authors propose that communication across multiple levels is essential if the goal of offering transformational experiences to children and families is to be realized. Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract
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2. Defining Practice: Flexibility, Legitimacy, and the Nature of Systems of Care and Wraparound (EJ863937)
Bruns, Eric J.; Walker, Janet S.
Evaluation and Program Planning, v33 n1 p45-48 Feb 2010
Descriptors: Human Services; Agency Cooperation; Emotional Disturbances; Health Education; Children; Family (Sociological Unit)
Abstract: In human services, clear definition of key concepts and strategies is critical to facilitating training, implementation, and research. This article reflects on methods undertaken to specify the wraparound process for children and families, and considers lessons that may be relevant to defining the system of care concept.
3. Creating a Front Porch in Systems of Care: Improving Access to Behavioral Health Services for Diverse Children and Families (EJ863935)
Callejas, Linda M.; Hernandez, Mario; Nesman, Teresa; Mowery, Debra
Evaluation and Program Planning, v33 n1 p32-35 Feb 2010
Descriptors: Health Services; Emotional Disturbances; Health Education; Access to Health Care; Family (Sociological Unit); Children; Behavior; Cultural Pluralism; Child Care
Abstract: Despite recognition of the central role that service accessibility (and availability) should assume within a system of care, the definition proposed in the feature article of this special issue does not identify specific factors that systems of care must take into account in order to serve diverse children with serious emotional disturbance and their families in a culturally competent manner. This paper provides support for inclusion of the concepts of access and availability in the system of care definition and presents important factors that systems of care must take into account in order to increase access in a culturally competent manner, a core system of care value. Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract
4. Defining the Scope of Systems of Care: An Ecological Perspective (EJ863759)
Cook, James R.; Kilmer, Ryan P.
Evaluation and Program Planning, v33 n1 p18-20 Feb 2010
Descriptors: Delivery Systems; Program Development; Well Being; Children; Family (Sociological Unit); Evaluation
Abstract: The definition of a system of care (SOC) can guide those intending to develop and sustain SOCs. Hodges, Ferreira, Israel, and Mazza [Hodges, S., Ferreira, K., Israel, N., & Mazza, J. (in press). "Systems of care, featherless bipeds, and the measure of all things." "Evaluation and Program Planning"] have emphasized contexts in which services are provided to families, plus the adaptive, dynamic, complex nature of systems and multiple components that comprise SOCs. However, two areas need additional clarification: (1) the nature of the "system" of concern in a ""system" of care," and how it should differ from a "service delivery system"; and (2) the degree to which intended, or desired, outcomes of a SOC extend beyond increased access to "necessary" services and supports. These prime issues in the conceptualization of SOCs are addressed, drawing on ecological theory to underscore the need for broader systems--including factors in the proximal and distal contexts of children and families--to be engaged in the process of promoting well-being and helping children and families function and participate fully in their communities. A revised definition is proposed, with implications for the implementation of SOCs. Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract
5. Evolutionary Drift in Systems of Care Development (EJ863758)
Rotto, Knute; McIntyre, Janet
Evaluation and Program Planning, v33 n1 p21-23 Feb 2010
Descriptors: Emotional Disturbances; Public Health; Intervention; Child Care; Family (Sociological Unit)
Abstract: While we agree that it is necessary to articulate a "clearly specified population" for the definition of systems of care, we believe that limiting systems of care to "children and youth with serious emotional disturbance and their families" is not in the best interest of most communities. Using this narrow population definition excludes the other 80-90% of the youth who have mental health challenges but have not risen to the highest level of need. If all children and their families receive the right amount of support from the system of care at the right time, they will avoid the need for more intensive and expensive services and supports later. This public health approach helps to build more stable communities and redirects scarce resources to interventions that are less costly than those needed for youth who already have developed serious emotional disturbances. The key to successfully supplying the "right amount at the right time" is to ensure that the system of care is truly needs driven, rather than agency or service system driven. A system of care for children, youth and their families should reflect community preferences and embrace a public health approach where all levels of need are served. Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract
6. Educational Attainment of 25 Year Old Norwegians According to Birth Order and Gender (EJ867512)
Kristensen, Petter; Bjerkedal, Tor
Intelligence, v38 n1 p123-136 Jan-Feb 2010
2010-00-00
Journal Articles; Reports - Evaluative
Descriptors: Educational Attainment; Birth Order; Foreign Countries; Longitudinal Studies; Gender Differences; Family (Sociological Unit); Regression (Statistics); Intelligence; Intelligence Tests; Family Size
Abstract: This register-based longitudinal study of 392 969 Norwegians examined associations between birth order, gender and educational attainment at age 25 years within families (fixed effects regression) and between families (ordinary OLS regression). Data were retrieved from national registers for births of mothers with single births only and a first birth 1967-1976. Mean education was 12.61 years (SD 2.09). In within-family analysis education decreased with increasing birth order, compared to first born, birth orders two and three were associated with mean decreases of 0.24 years (95% confidence interval [CI] 0.21, 0.26) and 0.32 years (95% CI 0.27, 0.37), respectively. Females had an educational advantage of 0.29 years (95% CI 0.28, 0.31). Birth order effects were moderately stronger for females. With few exceptions, the effects showed similar patterns for subsets of families with different characteristics. Between-family analysis showed that social rather than biologic rank was associated with educational attainment, and that only children and last second children had moderately lower education than their counterparts from larger families. A substantial part of the birth order effect on education was mediated by intellectual performance (General Ability score at conscription). The birth order effect was small, but could have some impact on educational attainment at the population level. (Contains 6 figures and 4 tables.) Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract
7. U.S. Food Insecurity Status: Toward a Refined Definition (EJ867610)
Coleman-Jensen, Alisha Judith
Social Indicators Research, v95 n2 p215-230 Jan 2010
2010-01-00
Journal Articles; Reports - Research
Descriptors: Security (Psychology); Family (Sociological Unit); Quality of Life; Purchasing; Food; Hunger; Surveys; Regression (Statistics); Definitions; Social Indicators; Measurement; Measurement Techniques; Economic Factors; Public Policy; Living Standards; Family Characteristics; Family Financial Resources; Family Income; Family Planning; Welfare Services; Family Needs; Misconceptions; Research Problems; Research Methodology; Predictor Variables
Abstract: United States Department of Agriculture defines food insecure as answering affirmatively to three or more food insecurity questions describing a household's ability to acquire enough food. Households indicating low levels of food insecurity (one or two affirmative responses) are considered food secure. This paper compares the characteristics of households with one or two positive survey responses (termed marginally secure in this paper) to those with zero positive responses (food secure) and those with three or more positive responses (food insecure). The analysis utilizes Current Population Survey Food Security Supplement data to compare the characteristics and food purchasing of food secure, marginally secure and food insecure households using binomial and multinomial logistic regression and t-tests. Binomial logistic regression models indicate that grouping insecure and marginally secure households together does not change predictors of food insecurity. Multinomial logistic regression models suggest a three category definition of food insecurity is appropriate because there are distinctions among the three categories. There are significant differences in food spending across the groups. Prevalence of U.S. food insecurity and need for food assistance may be underestimated because marginally food secure households are considered food secure. The current measure fails to recognize that marginally secure households may experience poorer quality of life as do food insecure households. Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract
8. The Technologisation of Childhood? Young Children and Technology in the Home (EJ867087)
Plowman, Lydia; McPake, Joanna; Stephen, Christine
Children & Society, v24 n1 p63-74 Jan 2010
Descriptors: Young Children; Surveys; Case Studies; Technology Uses in Education; Family (Sociological Unit)
Abstract: We describe an 18-month empirical investigation of three- and four-year-old children's uses of technology at home, based on a survey of 346 families and 24 case studies. The findings are reported in the context of social commentators' anxieties about the ways in which childhood is being transformed by technology. Although we report evidence of some parental disquiet about the role of technology in children's lives, we illustrate some of the complexities in families' attitudes to, and uses of, technology and conclude that it is not perceived by parents to be the threat to modern childhood that is claimed. Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract
9. Changes in Family Composition and Marital Status in Families with a Young Child with Cognitive Delay (EJ870007)
Hatton, Chris; Emerson, Eric; Graham, Hilary; Blacher, Jan; Llewellyn, Gwynnyth
Journal of Applied Research in Intellectual Disabilities, v23 n1 p14-26 Jan 2010
Descriptors: Marital Status; Family (Sociological Unit); Mental Retardation; Family Life; Developmental Disabilities; Parent Child Relationship; Economic Factors; Family Structure; Young Children; Foreign Countries; At Risk Persons; Developmental Delays; Family Influence; Socioeconomic Influences
Abstract: Background: Few studies have investigated parental separation, partnering and re-partnering among population-based cohorts of children at risk of intellectual or developmental disabilities. Methods: Secondary analysis of data extracted from Waves 1-3 of the UK's Millennium Cohort Study. Information on the residence status of parents at Waves 1, 2 and 3 was available for 10 848 families. Results: Children with early cognitive delay (ECD) were significantly less likely than other children to be living in households with both biological parents or in households where the mother was married at all time points, including at the time of the child's birth and when children were aged 9 months, 3 years and 5 years. Although families with a child with ECD were more likely than families with a typically developing child to experience changes in both family composition and marital status over the first 5 years of the child's life, the net effect of these changes in family composition and marital status from the time of the child's birth to the time the child was 5 years old was similar for both groups of families. The increased levels of family change amongst families with a child with ECD were wholly accounted for by differences in family socio-economic circumstances. Conclusions: More attention needs to be paid to describing and explaining the dynamics of family composition in the early years of children with intellectual and developmental disabilities. "Stress reaction" models attempting to account for rates of parental separation need to incorporate socio-economic factors. Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract
10. The Psychosocial Impacts of Multimedia Biographies on Persons with Cognitive Impairments (EJ869995)
Damianakis, Thecla; Crete-Nishihata, Masashi; Smith, Karen L.; Baecker, Ronald M.; Marziali, Elsa
Gerontologist, v50 n1 p23-35 Feb 2010
Descriptors: Pilot Projects; Alzheimers Disease; Caregivers; Patients; Video Technology; Interviews; Family (Sociological Unit); Biographies; Social Work; Neurological Impairments; Responses; Qualitative Research; Psychological Patterns; Family Relationship
Abstract: Purpose: The purpose of this feasibility pilot project was to observe Alzheimer's disease (AD) and mild cognitive impairment (MCI) patients' responses to personalized multimedia biographies (MBs). We developed a procedure for using digital video technology to construct DVD-based MBs of persons with AD or MCI, documented their responses to observing their MBs, and evaluated the psychosocial benefits. Methods: An interdisciplinary team consisting of multimedia biographers and social workers interviewed 12 family members of persons with AD and MCI and collected archival materials to best capture the families' and patients' life histories. We filmed patients' responses to watching the MBs and conducted follow-up interviews with the families and patients at 3 and 6 months following the initial viewing. Qualitative analytic strategies were used for extracting themes and key issues identified in both the filmed and the interview response data. Results: Analysis of the interview and video data showed how evoked long-term memories stimulated reminiscing, brought mostly joy but occasionally moments of sadness to the persons with cognitive impairments, aided family members in remembering and better understanding their loved ones, and stimulated social interactions with family members and with formal caregivers. Implication: This study demonstrates the feasibility of using readily available digital video technology to produce MBs that hold special meaning for individuals experiencing AD or MCI and their families. Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract
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