Mental Health Treatment Experiences and Expectations in Foster Care: A Qualitative Investigation

This study explores perspectives on mental health treatment experiences and expectations for youth in foster care and their foster parents. In-depth interviews were conducted and identified for major themes: (1) the dual stigma of foster care and mental health care; (2) the lack of engagement in mental health therapy; (3) trust issues with the therapist and other individuals; and (4) the desire to integrate mental health services with primary care services. These results have implications for mental health service delivery and suggest opportunities to improve mental health treatment through an integrated care approach.     

Evaluating the impact of Project Safe Neighborhoods (PSN) initiative on violence and gun crime in Tampa: does it work and does it last?

Journal of Experimental Criminology - Project Safe Neighborhoods (PSN) is an increasingly popular violence and gun crime prevention program which aims to identify prolific violent offenders, and...     

Is there a Southern European Healthcare Model?

Is there a typically Southern European model of healthcare? To answer this question it is not enough to find similarities between the Greek, Italian, Spanish and Portuguese health systems: it is also necessary that these similarities be in some way distinctive. For this reason the author compares these Southern European countries with other Western European countries, in particular those which, like the southern countries, have adopted a national health service. Notwithstanding the eccentricities of the Greek case, this comparison shows how the four healthcare systems share certain characteristics which effectively distinguish them from their Northern European counterparts. These traits are particularly evident in the birth of the national health service, the legacy of the previous health insurance system, the composition of healthcare costs, the rule of private hospitals, the entitlements of patients, and patients' level of satisfaction with the healthcare system.     

Men and women in the same prison: interpersonal needs and psychological health of prison inmates

The purpose of this study was to investigate the gender differences in the state of interpersonal needs and psychological health of male and female prison inmates who live in the same prison. The authors conducted in-person interviews with 118 male and 70 female inmates. The results show that women present a better interpersonal state and psychological health than do men. For both genders, the consequences of fulfilling or not fulfilling interpersonal needs-specifically, social loneliness and sexual satisfaction-are associated with psychological health. These findings suggest the importance of the state of prison inmates' interpersonal needs in promoting psychological health in the context of the prison, where these needs are generally difficult to be met. Making contacts possible between male and female inmates who are in the same prison might help them to better fulfill some of their interpersonal needs, especially those related to their sexual lives.     

Optimal team and individual decision rules in uncertain dichotomous situations

In this paper, we consider the problem of determining the optimalteam decision rules in uncertain, binary (dichotomous) choice situations. We show that the Relative (Receiver) Operating Characteristic (ROC) curve plays a pivotal role in characterizing these rules. Specifically, the problem of finding the optimal aggregation rule involves finding a set ofcoupled operating points on the individual ROCs. Introducing the concept of a team ROC curve, we extend the method of characterizing decision capabilities of an individual decisionmaker (DM) to a team of DMs. Given the operating points of the individual DMs on their ROC curves, we show that the best aggregation rule is a likelihood ratio test. When the individual opinions are conditionally independent, the aggregation rule is a weighted majority rule, but with different asymmetric weights for the yes and no decisions. We show that the widely studied weighted majority rule with symmetric weights is a special case of the asymmetric weighted majority rule, wherein the competence level of each DM corresponds to the intersection of the main diagonal and the DM's ROC curve. Finally, we demonstrate that the performance of the team can be improved by jointly optimizing the aggregation rule and the individual decision rules, the latter possibly requiring a shift from the isolated (non-team) optimal operating point of each DM.Research supported by NSF grant #IRI-8902755 and ONR contract #N0014-90-J-1753.