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A qualitative study was conducted to better understand the factors that contribute to psychotropic medication (PM) overuse among children in the child welfare system in Kentucky, including barriers to providing psychosocial interventions that potentially minimize the need for PM. Semi-structured interviews were conducted with personnel in the Department of Community-Based Services (DCBS). Participants identified important areas to target for system-wide quality improvement efforts, which included improved exchange of health information, training, and communications on the use of PM, and measures to improve access to non-pharmacological psychosocial interventions to address the mental healthcare needs of children in the child welfare system.  相似文献   
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The U.S. Department of Labor's "Work Force 2000" project has identified long-term trends that will affect future employment and training policy. These include demographic trends such as a decline in the pool of young labor market entrants and an increase in women, minority, and immigrant workers; the continued shift from goods-producing industries to the service sector; and continued technological innovation in response to increased international competition. These projected changes in the labor market and workplace present a national challenge and an opportunity to tackle the longstanding problems of disadvantaged workers. Cooperative public and private programs to eliminate illiteracy and increase job skills and competencies, ease labor mobility and provide retraining, and attack underlying social problems that support the cycle of welfare dependency and unemployment are needed to provide the workforce America needs for the future.  相似文献   
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Religious membership can be related to teen abortion rates both directly, through antiabortion sentiment, and indirectly, through the higher probability of parental involvement laws being enacted in states with high levels of religious membership. Using data from the 1,024 counties in the 18 states that report teen abortion numbers, counties with high levels of religious membership were more likely to be in a state with a parental involvement law. In weighted regressions with several control variables—restrictive public funding, unemployment rate, per capita income, population density, percent white population, percent of families headed by a married couple, and regional indicators—both the religious membership level and a parental involvement law were negatively related to teen abortion rates. The coefficients for both variables were smaller when both variables were included in the model, indicating an interaction effect between religious membership and parental involvement laws on teen abortion rates.  相似文献   
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