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Leslie LK Landsverk J Ezzet-Lofstrom R Tschann JM Slymen DJ Garland AF 《Child abuse & neglect》2000,24(4):465-476
OBJECTIVE: To determine factors influencing outpatient mental health service use by children in foster care. METHOD: Detailed survey and administrative data were collected on 480 children who entered long-term foster care in San Diego County from May 1990 through October 1991. These data were linked with claims data from Medicaid and San Diego County Mental Health Services information systems. A Poisson regression model was used to determine whether the following factors influenced outpatient mental health service use: age, race/ethnicity, gender, maltreatment history, placement pattern, and behavioral problems as measured by the Achenbach Child Behavior Checklist (CBCL). RESULTS: Except for maltreatment history, all independent variables included in the multivariate regression model were statistically significant. The total number of outpatient mental health visits increased with age, male gender, and non-relative foster placements. Relative to Caucasians, visits were lower for Latinos, and Asian/Others, but comparable for African-Americans. Concerning maltreatment history, differences were only found in one category; children experiencing caretaker absence received fewer visits compared to children who did not experience caretaker absence. Children with CBCL Total Problem Scale T-scores of 60 or greater had significantly more visits than those with a score less than 60. CONCLUSIONS: Both clinical and non-clinical factors influence outpatient mental health service use by foster children. Limitations imposed by gender, race/ethnicity, and placement setting need to be addressed by child welfare policies. These finding suggest that guidelines are needed to systematically link children in foster care with behavioral problems to appropriate services. 相似文献
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The report is a translation of part of a Swedish paper entitled “On Students' Achievement in Mathematics after Finishing Comprehensive School”. The intention of the investigation was to - diagnose the retention of some basic skills in some topics in algebra and geometry, - reveal difficult steps in the learning processes in these topics. Starting with a complicated question, e.g. the equation \(\frac{{3x - 2}}{2} = \frac{x}{3}\) a sequence consisting of 5–15 problems were constructed. Each new problem followed by the preceding one by taking away one or two details. \(\begin{gathered} 3(3x - 2) = 2x \\ {\text{ 9}}x - 6 = 2x \\ {\text{ 7}}x - 6 = 0 \\ {\text{ 7}}x = 6 \\ \end{gathered} \) is an example of a sequence belonging to the equation above. From about 10 complicated problems (“top-items”) and their sequences, in all 130 items, 10 sub-tests were put together in such a way that the pupils who took the test were not aware of the sequences but found no connection between the problems. Many surprising results were found, e.g., that the students scored higher on 14/(x+2)=2 than on 4/x=3, that the difficulty in finding the area of a triangle depended on the position of the triangle and that the problems “Simplify a/a 2, a2/a, a/a” were of quite unequal difficulty. A discussion about the students' thinking in patterns and mechanically learning ends the report. 相似文献
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Roy Garland 《School Leadership & Management》2013,33(1):67-74
Using questionnaires and structured interviews the project team examined the processes of primary/secondary transfer and curricular liaison in five secondary and associated primary schools. Issues were identified in the areas of: the function of the liaison process, the nature of learning-support systems, factors in pastoral care and discipline, and the perspective of pupils. Examples of varied practice offered a broader perspective and directions for further development. It is hoped that these observations could be useful to a school wishing to re-examine its policies. 相似文献
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Maureen R. Garland 《Distance Education》1993,14(2):181-198
Ethnography was used to elucidate barriers to completion in natural resource sciences distance education. The aim was to increase understanding of those variables associated with persistence and withdrawal, particularly to discern better the role of disciplinary content in these phenomena. The courses provide exemplars of epistemological stances that are broadly relevant. Both withdrawal and persisting students experienced situational, institutional, dispositional and epistemological problems that posed barriers to completion. Elucidation of the epistemological problems makes it evident that course content itself cannot be ignored in any theoretical or practical consideration of distance education attrition. 相似文献
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During the past few years the United States has witnessed the growth of hospice care as an alternative approach for the care of the terminally ill. This paper examines a sample of patients who elected to enroll in a home hospice program. Approximately 57 percent of these patients remained at home until death. The other 43 percent chose to return to a facility where they eventually died. Evidence indicates that patients and caregivers who have more difficulty with terminal care at home are more likely to return to a facility. The analysis explores factors that explain why some patients and caregivers have a more troublesome experience with terminal care at home. Four of the factors tested are found to be related to place of death: (1) the number of visits from hospice nurses, (2) the intensity of contact with the hospice nurses, (3) length of time patients are enrolled in the hospice program, and (4) race of the patient. The implications of these findings are discussed and recommendations for delivery of hospice services are suggested. 相似文献