Janetta Astone-Twerell, Keith Morgen and Chu Hsiao
The residential therapeutic community (TC) treatment modality has been shown to effectively reduce drug use and improve psychiatric/medical health among clients who are often…
Abstract
Purpose
The residential therapeutic community (TC) treatment modality has been shown to effectively reduce drug use and improve psychiatric/medical health among clients who are often disproportionately impacted by medical conditions and have a co-occurring psychiatric disorder such as Posttraumatic Stress Disorder (PTSD). Yet not much is known regarding how clients’ health may impact their treatment satisfaction. Using path analysis, the interrelationship between PTSD, perceived health, and treatment satisfaction was examined. The paper aims to discuss these issues.
Design/methodology/approach
A survey including the Posttraumatic Stress Disorder Checklist-Specific (PCL-S), a perceived health rating, and a Treatment Satisfaction Scale was collected from 303 clients at three comparable long-term residential TC treatment programs in New York City.
Findings
Findings indicated that clients with PTSD rated their health significantly worse than those without PTSD. Although no direct relationship between PTSD and treatment satisfaction was found, there was a significant positive correlation between perceived health and treatment satisfaction.
Research limitations/implications
Findings likely constitute a regional sample thus generalizability is limited.
Practical implications
Simultaneously addressing addiction, PTSD, and medical issues can improve clients’ treatment satisfaction, consequently increasing treatment retention and producing greater positive post-treatment outcomes.
Originality/value
Few if any studies have examined the extent to which PTSD and perceived health impact treatment satisfaction within residential substance abuse treatment programs.
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This article uses the case of paid domestic work in Los Angeles to argue that affluent and middle‐class members of U.S. society constitute important participants in the informal…
Abstract
This article uses the case of paid domestic work in Los Angeles to argue that affluent and middle‐class members of U.S. society constitute important participants in the informal economy. In‐depth, tape‐recorded interviews conducted with thirty‐five employers of nannies and house cleaners, and survey responses of 154 Latina house cleaners and nannies shows that compliance with government regulations, as indicated by payment of Social Security, Medicare and federal tax withholdings, are rare. Affluent citizens may not directly depend on informally generated income, but as employers of paid domestic workers and nannies, they do depend on informally organized and remunerated services. Employers of paid domestic workers rely on three major narrative strategies to distance themselves from the regulations, arguing that the standards should be followed by certain categories of people (attorneys, celebrities, the very wealthy), that the regulations apply only to those employing full‐time help, and that the regulations are illegitimate because both undocumented workers and the state lack legitimacy. These rationalizations allow them to simultaneously condemn Zoe Baird and yet follow the same practices. Upgrading the occupation requires state support and the education of employers. This process would lead to greater recognition of paid domestic work as an occupation, one that merits the protections and regulatory guidelines governing other jobs.
Annick Willem and Michiel Coopman
Legitimizing health-care networks over time is crucial to the survival of the networks, but studies providing insight into the motivational paradigms used to legitimize networks…
Abstract
Purpose
Legitimizing health-care networks over time is crucial to the survival of the networks, but studies providing insight into the motivational paradigms used to legitimize networks and mergers are missing. This study aims to contribute by analyzing which motivational paradigms, namely, transaction costs economics, resource dependency, stakeholder theory, organizational learning and institutional theory, are used over time to motivate the formation, integration and eventually merger of a health-care network.
Design/methodology/approach
The theoretical paradigms from the literature are matched with the motivational arguments that were found in the communication around the formation and evolution of a specific health-care network. Secondary data in the printed press were analyzed in three ways to obtain triangulation in method.
Findings
Five theoretical paradigms matched the communication during significant parts of the time-scope of the study, but not always equally strong. It, therefore, confirms the usefulness of an integrated and evolutionary perspective on the paradigms, not only during the formation but also during the life-span of the organization.
Originality/value
Insight into the motivational paradigms that dominate in the press during an integration and merger process allows for health-care managers and policy makers to manage the process of legitimizing. This might prevent network failure because of lack of legitimacy, misperceptions of the motivations, overemphasizing one motivation or inability to move to a next layer of motivation when the integration process evolves.
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Promoting the self-determination of students, particularly adolescents, with disabilities has become best practice in special education and transition services. Research documents…
Abstract
Promoting the self-determination of students, particularly adolescents, with disabilities has become best practice in special education and transition services. Research documents that students who leave school as more self-determined young people achieve more positive employment and independent living outcomes and experience a higher quality of life. Further, promoting self-determination can provide an entry point to the general education curriculum for students with disabilities, and instruction to promote self-determination can enable students to better engage with and learn in the general education curriculum. This chapter defines the self-determination construct as it applies to the education of students with disabilities, examines the importance of such instruction, and provides information with regard to prevailing practices in assessment and instruction to promote this outcome.
This paper aims to explore similarities and dissimilarities between facilities management (FM) and corporate real estate management (CREM) regarding its history and key issues…
Abstract
Purpose
This paper aims to explore similarities and dissimilarities between facilities management (FM) and corporate real estate management (CREM) regarding its history and key issues, and whether the similarities may result in a further integration of FM and CREM.
Design/methodology/approach
The paper is based on a review of FM and CREM literature, seven interviews with experienced academics and consultants and the long experience of the author as a researcher and teacher in accommodating people and activities.
Findings
Both FM and CREM aim to support primary business processes by aligning the physical resources of organisations to the organisational strategies in order to contribute to organisational performance and to add value to the organisation. Efficiently and effectively supporting the primary activities and business purposes are key issues. Dissimilarities consider the focus on facilities and services (FM) versus that on buildings and real-estate portfolios (CREM), as well as a shorter time frame and high flexibility of facilities (FM) versus a long life cycle and rather static buildings (CREM). In spite of the differences, it is expected that both disciplines will be more integrated in the future.
Research limitations/implications
The selection of key topics and key publications may be biased by the personal knowledge and European perspective of the author and the input from seven expert interviews.
Practical implications
The common body of knowledge of FM and CREM may be used to improve both professions and disciplines and may result in a more integrated approach of facilities and real estate management (FREM).
Originality/value
This paper combines insights from two related disciplines with different histories and focus points, and explores what they have in common and can learn from each other.