Search

This paper examines populous perspectives of the government's responsibility to intervene in situations of possible parental neglect of children in England, Finland, Norway, and California (USA), and ask if institutional context, defined as child protection system and children´s wellbeing situation, are formative for people's perspectives on government responsibility for children in vulnerable situations and how they view children´s future. With representative samples of populations responses to a survey vignette using ordered logistic regression, findings indicate that the institutional context shed some light on differences on state responsibility. However, similarly to welfare state research, there are differences and contradictions in important dimensions that require further investigation, especially on citizens perceptions of neglect and on intrusive interventions. Citizens with a comparatively higher education are evidently much more supportive of state responsibility for children and child protection interventions than other citizens. This finding is similar to those of other studies of state responsibility. Overall, there is a high level of support in populations for the provision of public services to children and families in vulnerable situations. [ABSTRACT FROM AUTHOR]

As of April 25th 2009, 11.00 AM, eight human cases of swine influenza A virus infection have been identified in the United States in California and Texas. There is also established evidence of similar cases across the United States border in Mexico. Experts from the Centers for Disease Control and Prevention in cooperation with World Health Organization and public health experts from Canada and Mexico are leading an exhaustive investigation to find the source of infection and infected people. We present a profile of this illness from the available literature. [ABSTRACT FROM AUTHOR]

The article discusses a study which examines the mercury (Hg) residues and productivity in Osprey and Grebes from Clear Lake, California's Sulphur Bank Mercury Mine. Topics discussed include the reproduction and status of Western and Clark's Grebes and Osprey bird species, the remediation to reduce Hg loading from the Grebe productivity at Clear Lake, the level of Hg in Clear Lake water, sediments, invertebrates, and fish, and introduction of planktivorous fish species.

We used pilot data collected in 2001-2004 to compare the power of radar and audiovisual survey approaches to detect trends in breeding population size and differences in trends between populations of marbled murrelets (Brachyramphus marmoratus) in northwestern California. Radar counts of murrelets were almost triple in inland Reserves than in Conservation Areas, and audiovisual counts were 7 times greater. Variation in counts was statistically significant among survey sites but not among years. Although annual variation in radar counts was not statistically significant (P = 0.13), mean radar counts more than tripled from 2001 to 2002, a difference that we considered to be biologically significant, and the radar counts reflected a large increase in the proportion of breeders between these 2 years as determined by radiotelemetry in another study (Acord et al. 2004). Audiovisual counts were much more variable than radar counts overall (CV = 1.10 versus 0.41) and within survey sites (CV = 0.94 versus 0.23). As a result, approximately twice the audiovisual survey effort was needed to detect trends with reasonable power (80%). Power to detect trends in murrelet breeding populations was most sensitive to the duration of the monitoring program and the magnitude of the trend; only relatively modest gains in power were realized by increasing the number of surveys or sites. A monitoring program designed to detect differences in trends between breeding murrelet populations required greater survey effort than a program designed to detect overall trends. Despite the fact that gains in power to detect trends from using radar were offset by the cost of purchasing radar equipment, we advocate the use of radar over audiovisual surveys for monitoring murrelet breeding populations because radar reflected changes in breeding effort whereas audiovisual surveys did not. We also advocate the use of radar because it may provide an estimate of the number of breeding individuals in certain situations, it can be used under poor viewing conditions, it samples larger areas, and it detects a higher proportion of inland-flying murrelets. [ABSTRACT FROM AUTHOR]

The value of using administrative records for operational and evaluation purposes has been well established in health and human services. However, these records typically reflect the reach of a single government agency or program and fail to capture the experiences of individuals as they engage with different agencies or programs over time. Thus, the potential for these data to improve everyday operations, coordinate services, develop targeted interventions, and advance the science behind broader social policies has yet to be fully realized. A first step toward realizing that potential is to transition from an agency-centered to a client- or person-centered organization of data. We systematically linked tens of millions of records across California's largest health and human services programs. Our results underscore how the integration of records can help shift discussions from the programs that administer services to the people who are served.

Policy makers are increasingly investing in programs focused on identifying and addressing the nonmedical needs of high-utilizing Medicaid beneficiaries, yet little is known about these programs' implementation. This study provides an overview of early progress in and strategies used to implement California's Whole Person Care (WPC) Pilot Program, a $3 billion Medicaid Section 1115(a) waiver demonstration project focused on improving the integrated delivery of health, behavioral health, and social services for Medicaid beneficiaries who use acute and costly services in multiple service sectors. WPC pilots reported significant progress in developing partnerships, data-sharing infrastructure, and services needed to coordinate care for identified patient populations. We also identified major barriers to WPC implementation, such as difficulty identifying and engaging eligible beneficiaries and the lack of affordable housing. Our findings offer insights to leaders and policy makers interested in testing new approaches for improving the health and well-being of medically and socially complex patients.