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Full-Text Articles in Medicine and Health Sciences

The Biography Of A Scale: Contextual Factors That Influence The Measurement Of Family Functioning, Ludwig Geismar Dec 1997

The Biography Of A Scale: Contextual Factors That Influence The Measurement Of Family Functioning, Ludwig Geismar

The Journal of Sociology & Social Welfare

The subject of instrument relevance is addressed by examining issues that have arisen in the use of a single scale over a forty year period. The issues revolve around the impact of varying social conditions, changing ethos, differential respondent receptiveness, and evolving research technology. Extended use of an instrument, it is argued, yields information that transcends the conventional techniques for testing instrument adequacy. The lack of opportunities in social work for accessing information on extended use of measurement tools is due, among other factors, to a preoccupation with working on subjects that are new and original and to a lack …


The Ontological Argument For Colombian Narcoguerrillas In United States (Us) Anti-Drug Programs, Ibpp Editor Oct 1997

The Ontological Argument For Colombian Narcoguerrillas In United States (Us) Anti-Drug Programs, Ibpp Editor

International Bulletin of Political Psychology

This article describes some conceptual fallacies in US anti-drug programs towards Colombia.


Job Mobility Of Entry-Level Workers: Black And Latina Women In Hospital Corridors, Maria Estella Carrión Sep 1997

Job Mobility Of Entry-Level Workers: Black And Latina Women In Hospital Corridors, Maria Estella Carrión

New England Journal of Public Policy

Based on data from interviews with fifteen black and fifteen Latina women in entry-level jobs, this article discusses job access strategies, patterns of job mobility, and barriers to upward job mobility for low-income minority women in the hospital industry. Concentrated in the lowest wage levels and job tiers, they are quite diverse in subgroup composition, in age, and in training requirements. The research confirms that deficiencies in schooling and skills remain the major obstacles minority women confront when they apply for hospital jobs and restrict their opportunities once they are within the hospital labor market. Efforts to provide training and …


Labor's Response To Hospital And Workplace Transformation, Enid Eckstein Sep 1997

Labor's Response To Hospital And Workplace Transformation, Enid Eckstein

New England Journal of Public Policy

The health care industry and the nation's hospitals are in the throes of revolutionary change. The shift to managed care resulted in fundamental changes in the delivery of care and the structure of health care, For the past ten years, hospitals have actively been merging and creating large-scale integrated delivery systems. Employers, eager to expand market share and reduce costs, are engaged in radical reorganization of the hospital and the structure of work from which no group is immune. Physicians, nurses, technicians, and housekeepers are all affected by these changes. Hospitals are reducing their personnel, shifting work outside the hospital, …


Nursing: A New Day, A New Way, Lin Zhan, Jane Cloutterback Sep 1997

Nursing: A New Day, A New Way, Lin Zhan, Jane Cloutterback

New England Journal of Public Policy

The U.S. health care environment is changing rapidly. Its structure, financing, and delivery are being reconfigured toward an integrated system based on managed care. Increasingly, national interest in health promotion and disease prevention is moving care away from a disease-oriented, institutionally based model to a population-focused, wellness-oriented, and community-based system. Health care consumers are diversifying in age, ethnicity, and socioeconomic status. The approach emerging from these changes and others requires nursing to rethink, redesign, and retool its workforce to meet new challenges. This article analyzes nursing education, practice, and operations. The authors discuss the dilemmas and complexity of developing an …


We Are The Roots: The Culture Of Home Health Aides, Ruth Glasser, Jeremy Brecher Sep 1997

We Are The Roots: The Culture Of Home Health Aides, Ruth Glasser, Jeremy Brecher

New England Journal of Public Policy

This article focuses on the contributions of its workers' culture to the success of Cooperative Home Care Associates (CHCA). It examines what the home healthaides bring to the culture of the company, how their contribution develops through their experience with the company, and how their heritage contributes to their CHCA work and to the company as an organization. This is one segment of a larger study that will deal with the background and history of CHCA, the vision of the founders and its implementation, the role of organizational policy, and the contribution of management philosophy to its accomplishment.


Performance And Accountability In Human Services: Ownership And Responsibility Of Professionals, Anna-Marie Madison Sep 1997

Performance And Accountability In Human Services: Ownership And Responsibility Of Professionals, Anna-Marie Madison

New England Journal of Public Policy

The recent frenzy of grant makers and government agencies in requiring impact evaluations of all grant recipients has created consternation among human service providers. To ensure their agencies' survival and worker job security, the leaders are faced with meeting the demands offunder-driven programming. Agencies seeking funding must comply with funder-defined needs and accountability criteria rather than their public missions. This article describes the use of mission-based performance evaluation rather than funder compliance to demonstrate accountability for mission accomplishment.


Improving Workforce Conditions In Private Human Service Agencies: A Partnership Between A Union And Human Service Providers, James Green Sep 1997

Improving Workforce Conditions In Private Human Service Agencies: A Partnership Between A Union And Human Service Providers, James Green

New England Journal of Public Policy

In 1995 the Service Employees International Union Local 509 and four Massachusetts human service providers signed an unusual agreement to forge a partnership in which employers would remain neutral while the union approached its workers with an offer to advocate in the state legislature for greater funding for private human service employees and to promote cooperative relations with their employers. This study examines the context of the agreement and the pressures on public employee unions and small human service providers whose workforce copes with low wages, high turnover, meager benefits, and poor public image as well as the give-and-take between …


From Welfare To What?: The Limitations Of Low-Income Work, Lande Ajose Sep 1997

From Welfare To What?: The Limitations Of Low-Income Work, Lande Ajose

New England Journal of Public Policy

The premise of the welfare law enacted by Congress is that people living in poverty could vastly improve their economic status if only they were employed. The author argues that economic security for welfare recipients will not be realized simply by increasing the labor-force attachment. Home health aides comprise an occupation that could absorb many of the large pool of workers expected to join the labor market because demand for their services is high and barriers to entry are low. However, as this survey shows, the home health field offers limited promise to welfare recipients because, significantly for women rolling …


Workplace Education At The Bottom Rungs, Andrés Torres Sep 1997

Workplace Education At The Bottom Rungs, Andrés Torres

New England Journal of Public Policy

In the late 1980s, observers of the Massachusetts hospital industry were predicting a severe shortfall in skilled technical workers. The Worker Education Program (WEP) emerged as one of several responses to this projected labor shortage. It was premised on the idea of an internal solution to the need for workforce development, shifting the focus from external recruitment to upgrading of incumbents — nutrition, maintenance, clerical, and secretarial staff— and from traditional classroom training to workplace education. Other features of the WEP model made it an extremely interesting experiment: it was operated by labor-management partnership, it was located statewide in nine …


The Potential Impact Of Workforce Development Legislation On Cbos, Edwin Meléndez Sep 1997

The Potential Impact Of Workforce Development Legislation On Cbos, Edwin Meléndez

New England Journal of Public Policy

The proposed congressional legislation revamping the employment and training system will result in budget cuts, program consolidation, and block grants for the states. These changes are potentially harmful to community-based organizations (CBOs) because (J ) they eliminate categorical funding that traditionally has required contracting with organizations which specialize in servicing the disadvantaged, and (2) they introduce stricter performance standards that may be unattainable for many small-scale operations. However, the adoption of best practices in serving non-English-speaking and poor populations, increasing connections to emerging government intermediaries in labor markets, and establishing greater linkages to postsecondary educational institutions may offer CBOs the …


Variation In Environmental Risk Perceptions And Information Sources Among Three Communities In El Paso, Theresa L. Byrd, James Vanderslice, Susan K. Peterson Sep 1997

Variation In Environmental Risk Perceptions And Information Sources Among Three Communities In El Paso, Theresa L. Byrd, James Vanderslice, Susan K. Peterson

RISK: Health, Safety & Environment (1990-2002)

The authors report the results of a pilot study of environmental risk and sources of environmental information in three socio-economically and culturally distinct communities in Texas.


Abusing Deaf Immigrants And Hearing No Evil, Ibpp Editor Jul 1997

Abusing Deaf Immigrants And Hearing No Evil, Ibpp Editor

International Bulletin of Political Psychology

The author discusses the on-going abuse of deaf immigrants.


Attempting To Learn From History: Nato, Anti-Drug Policies, And Intelligence Assets, Ibpp Editor Jul 1997

Attempting To Learn From History: Nato, Anti-Drug Policies, And Intelligence Assets, Ibpp Editor

International Bulletin of Political Psychology

This article describes some political psychological aspects of being allied with security organizations infiltrated by adversaries.


Trends. Psychotherapy And Foreign Policy, Ibpp Editor Jun 1997

Trends. Psychotherapy And Foreign Policy, Ibpp Editor

International Bulletin of Political Psychology

The author reviews Russia's involvement in the G-8.


The Political Psychology Of Deception Research, Ibpp Editor Jun 1997

The Political Psychology Of Deception Research, Ibpp Editor

International Bulletin of Political Psychology

This article describes some substantive and ethical complexities in research on the psychology of deception.


Indochinese Mental Health In North America: Measures, Status, And Treatments, Thanh V. Tran, Donna L. Ferullo Jun 1997

Indochinese Mental Health In North America: Measures, Status, And Treatments, Thanh V. Tran, Donna L. Ferullo

The Journal of Sociology & Social Welfare

The massive influx of Indochinese refugees and immigrants to North America since the end of the Indochina war, especially to the United States of America, has resulted in numerous multi-disciplinary efforts to document and study their mental well-being. As a group, Indochinese Americans arrived from war-torn countries where many had experienced various forms of trauma, poverty, and oppression. Their pre-migration experiences, and experiences in adjusting and adapting to the new life in the host society have influenced their mental health status and overall quality of life in various ways. This paper analyzes and synthesizes a wealth of multi-disciplinary research on …


Reconstructing Sex Offenders As Mentally Ill: A Labeling Explanation, Rudolph Alexander Jr. Jun 1997

Reconstructing Sex Offenders As Mentally Ill: A Labeling Explanation, Rudolph Alexander Jr.

The Journal of Sociology & Social Welfare

A growing number of states are being pressured to keep incarcerated sex offenders behind bars longer. The response to this pressure has been to look to the mental health system and retrieve civil commitment for sex offenders, a policy largely abandoned in the 1960s. In the 1970s, the courts ruled that civil commitment to a mental institution required that the individual be both mentally ill and dangerous. So legislators, with the support of a few mental health professionals, met this requirement by legislatively reconstructing sex offenders as mentally ill and permitting their indefinite commitment to mental institutions. The author discusses …


Book Review Of David Lester, Making Sense Of Suicide: An In-Depth Look At Why People Kill Themselves (The Charles Press 1997), Paula J. Reinhard Jun 1997

Book Review Of David Lester, Making Sense Of Suicide: An In-Depth Look At Why People Kill Themselves (The Charles Press 1997), Paula J. Reinhard

RISK: Health, Safety & Environment (1990-2002)

Review of the book David Lester, Making Sense of Suicide: An In-depth Look at Why People Kill Themselves (The Charles Press 1997). Preface, bibliographical references, index. ISBN 0-914783-82-3. [208 pp. Paper $22.95. P.O. Box 15715, Philadelphia, PA 19103.]


Degreed And Nondegreed Licensed Clinical Social Workers: An Exploratory Study, John T. Pardeck, Woo Sik Chung, John W. Murphy Jun 1997

Degreed And Nondegreed Licensed Clinical Social Workers: An Exploratory Study, John T. Pardeck, Woo Sik Chung, John W. Murphy

The Journal of Sociology & Social Welfare

This exploratory study focuses on 155 randomly selected respondents who obtained a clinical license in social work with or without the Master of Social Work (MSW) degree. Ninety-seven of the respondents obtained a license with an MSW degree;fifty-eight obtained a license without the MSW degree. The two groups of respondents completed a survey instrument that explored their basic demographic characteristics, their attitudes and behaviors related to practice, and their philosophical and political attitudes toward practice. The researchers found few statistically significant differences between the two groups of respondents. The article offers implications of these findings for the profession of social …


Personal Narrative And The Social Reconstruction Of The Lives Of Former Psychiatric Patients, Robin M. Gilmartin Jun 1997

Personal Narrative And The Social Reconstruction Of The Lives Of Former Psychiatric Patients, Robin M. Gilmartin

The Journal of Sociology & Social Welfare

This study explores ways in which high-functioning former patients integrate the experience of prior psychiatric hospitalization into their lives and find meaning from that event. The narratives of two individuals are presented and discussed in relation to social role theory, social constructionism, and labeling theory. The narratives underscore that the process of integrating and making meaning of important life events such as psychiatric hospitalization occur within a social context. Understanding mental illness and psychiatric hospitalization in familial, social, and political terms was instrumental in helping these individuals to reconstruct personal narratives in order to overcome shame and internalized stigma and …


Family Functioning And Psychological Well-Being In Vietnamese Adolescents, Quang Duong Tran, Cheryl A. Richey Mar 1997

Family Functioning And Psychological Well-Being In Vietnamese Adolescents, Quang Duong Tran, Cheryl A. Richey

The Journal of Sociology & Social Welfare

This paper presents an exploratory study that examines the influences of family functioning on the psychological well-being in a sample of Vietnamese adolescents. Thirty Vietnamese families from the King County area in the state of Washington participated in this study. Thirty adolescents between 13 and 19 years of age and 53 parents (27fathers and 26 mothers) responded to self-reported questionnaires. Data analysis was conducted to provide a descriptive "picture" of family and individual characteristics associated with Vietnamese adolescents' psychological well-being. Gender differences were apparent with Vietnamese female adolescents reporting higher mean scores on depressive symptoms and lower mean scores on …


Vaccine Risk Communication: Lessons From Risk Perception, Decision Making And Environmental Risk Communication Research, Ann Bostrom Mar 1997

Vaccine Risk Communication: Lessons From Risk Perception, Decision Making And Environmental Risk Communication Research, Ann Bostrom

RISK: Health, Safety & Environment (1990-2002)

Dr. Bostrom reviews the rich variety of empirical findings available to guide risk communication and demonstrates how it can contribute to vaccine risk and safety communication.


Aids News As Risk Communication, Admassu Tassew Jan 1997

Aids News As Risk Communication, Admassu Tassew

RISK: Health, Safety & Environment (1990-2002)

Reports on a study of AIDS prevention stories in four prestige dailies, two in Europe and two in Africa, over an eight-year period.


Book Review Of Families, Physicians And Children With Special Health Needs (Rosalyn Benjamin Darling & Margo I. Peter, Eds.), Annalee Abelson Jan 1997

Book Review Of Families, Physicians And Children With Special Health Needs (Rosalyn Benjamin Darling & Margo I. Peter, Eds.), Annalee Abelson

RISK: Health, Safety & Environment (1990-2002)

Review of Families, Physicians, and Children with Special Health Needs (Rosalyn Benjamin Darling & Margo I. Peter, eds., Auburn House 1994) About the authors and contributors, foreword, index, preface, resource list. ISBN 0-86569- 226-2. [206 pp. Cloth $49.95. 88 Post Road West, Westport CT 06881.]