Community Management of Young and Disabled Children

1979 ◽  
Vol 3 (1) ◽  
pp. 25-30
Author(s):  
John F. Irvine

AbstractCommunity management is proposed as a sound, economical and demonstrably successful alternative in the management of young and disabled children. The author seeks to go beyond the health-education debate in this matter towards a welfare oriented model based upon principles drawn from a diversity of disciplines. One such principle incorporates the natural law of utilising forces to counterbalance forces – a principle fundamental to most areas of science but one which is rarely extrapolated for use within social science generally, or management of the disabled specifically. In the Darling Downs project in Queensland, Australia, resource families are deployed to counterbalance or assist “disabled” families with the support of professionals in the community network. The paper sets out the variously derived principles underlying the Darling Downs project and then provides a detailed description of other aspects of the framework including funding, administration, services, procedures and current developments. The programme is then analysed in terms of its anticipated directions, strengths/weaknesses, limitations and applicability to the other situations.

Worldview ◽  
1960 ◽  
Vol 3 (9) ◽  
pp. 7-8
Author(s):  
Will Herberg

John Courtney Murray's writing cannot fail to be profound and instructive, and I have profited greatly from it in the course of the past decade. But I must confess that his article, "Morality and Foreign Policy" (Worldview, May), leaves me in a strange confusion of mixed feelings. On the one hand, I can sympathize with what I might call the historical intention of the natural law philosophy he espouses, which I take to be the effort to establish enduring structures of meaning and value to serve as fixed points of moral decision in the complexities of the actual situation. On the other hand, I am rather put off by the calm assurance he exhibits when he deals with these matters, as though everything were at bottom unequivocally rational and unequivocally accessible to the rational mind. And I am really distressed at what seems to 3ie to be his woefully inadequate appreciation of the position of the "ambiguists," among whom I cannot deny I count myself.


2021 ◽  
pp. 1-11
Author(s):  
Michael Sonenscher

How can you know something that cannot be seen, heard, tasted, touched or smelled? The question applies most obviously to things like rights, justice or freedom because they do not seem be as easy to locate or describe as things that can be known by the senses. Part of the point of positivism was that under certain conditions they can. To Auguste Comte (1798–1857), the movement's founder, it was possible to have as positive a knowledge of rights, justice or freedom as whatever was needed to know a cat or a mat. Positivism could, therefore, have as much to do with morality as with epistemology and as strong a concern with values and beliefs as with facts and certainty. The resulting capacity to move seamlessly between the external and the internal and from the physical to the moral was one reason why, together with the word “sociology,” the other word that came to be associated most widely and durably with positivism was another of Comte's coinages, “altruism.” Positivism, in short, was the science—or knowledge—of altruism.


2002 ◽  
Vol 17 (2) ◽  
pp. 101-111 ◽  
Author(s):  
Diana L. Dally ◽  
Wendy Dahar ◽  
Ann Scott ◽  
Douglas Roblin ◽  
Allan T. Khoury

Purpose. To determine if a mailed health promotion program reduced outpatient visits while improving health status. Design. Randomized controlled trial. Setting. A midsized, group practice model, managed care organization in Ohio. Subjects. Members invited (N = 3214) were high utilizers, 18 to 64 years old, with hypertension, diabetes, or arthritis (or all). A total of 886 members agreed to participate, and 593 members returned the initial questionnaires. The 593 members were randomized to the following groups: 99 into arthritis treatment and 100 into arthritis control, 94 into blood pressure treatment and 92 into blood pressure control, and 104 into diabetes treatment and 104 into diabetes control. Measures. Outpatient utilization, health status, and self-efficacy were followed over 30 months. Interventions. Health risk appraisal questionnaires were mailed to treatment and control groups before randomization and at 1 year. The treatment group received three additional condition-specific (arthritis, diabetes, or hypertension) questionnaires and a health information handbook. The treatment group also received written health education materials and an individualized feedback letter after each returned questionnaire. The control group received condition-specific written health education materials and reimbursement for exercise equipment or fitness club membership after returning the 1-year end of the study questionnaire. Results. Changes in visit rates were disease specific. Parameter estimates were calculated from a Poisson regression model. For intervention vs. controls, the arthritis group decreased visits 4.84 per 30 months (p < 0.00), the diabetes group had no significant change, and the hypertension group increased visits 2.89 per 30 months (p < 0.05), the overall health status improved significantly (−6.5 vs. 2.3, p < 0.01) for the arthritis group but showed no significant change for the other two groups, and coronary artery disease and cancer risk scores did not change significantly for any group individually. Overall self-efficacy for intervention group completers improved by −8.6 points (p < 0.03) for the arthritis group, and the other groups showed no significant change. Conclusions. This study demonstrated that in a population of 18 to 64 years with chronic conditions, mailed health promotion programs might only benefit people with certain conditions.


2003 ◽  
Vol 90 (6) ◽  
pp. 1097-1106 ◽  
Author(s):  
Aisha K. Yousafzai ◽  
Suzanne Filteau ◽  
Sheila Wirz

The aim of the present study was to explore the nature, extent and probable causes of nutritional deficiencies among children with disabilities living in Dharavi, a slum in Mumbai, India. A cross-sectional study was conducted to investigate whether the nutritional status of children with disabilities, aged 2–6 years (n141), was worse than that of non-disabled sibling controls (n122) and neighbour controls (n162). Data on food patterns, anthropometry, micronutrient status and feeding difficulties reported by parents were collected. The mean weight for age of the children with disabilities (−2·44 (sd 1·39)Zscores;n120) was significantly lower (P<0·05) compared with the sibling (−1·70 (sd 1·20)Zscores;n109) and neighbour (−1·83 (sd 1·290)Zscores;n162) control groups. The children with disabilities had significantly lower (P<0·05) mean haemoglobin levels (92 (sd 23) g/l;n134) compared with siblings (102 (sd 18) g/l;n103) and neighbours (99 (sd 18) g/l;n153). Relative risk (RR) analysis indicated that the disabled children with feeding difficulties were significantly more likely (P<0·05) to be malnourished, by the indicator of weight for age (RR 1·1; 95 % CI 1·08, 1·20) compared with the disabled children without a feeding difficulty. They were also significantly more likely to be malnourished using the indicators of height for age (RR 1·3; 95 % CI 1·19, 1·43) and weight for height (RR 2·4; 95 % CI 1·78, 3·23) compared with the disabled children without a feeding difficulty. Feeding difficulties were identified as a risk factor for vulnerability to inadequate nutritional status among children with disabilities.


1999 ◽  
Vol 23 (4) ◽  
pp. 535-559
Author(s):  
Alice Bee Kasakoff

Imagine a fourfold table in which one dimension is “present versus past” and the other “exotic versus home.” Traditionally, social and cultural anthropology’s domain has been the exotic’s present and history’s domain the home’s past. A third box, the home’s present, has been occupied by sociology, while the fourth, the exotic’s past, has usually been the province of anthropologists too because other disciplines—with the exception, perhaps, of ethnohistorians—are usually even less interested in exotic peoples’ past than in their present. These domains are now in flux. I argue, in what follows, that only when the oversimplified ideas about time and space that have created them are seriously questioned will anthropology find a secure “place” in social science history.


Author(s):  
Alexander Batson

This chapter argues that the concept of equity plays a crucial role in Calvin’s early writings, especially in the Commentary on Seneca and the 1536 edition of the Institutes. Calvin embraces two distinct yet inseparable meanings of the term ‘equity’. One sense is as an interpretative principle of natural law, and the goal at which all civil law aims. The other sense is an application of the interpretative sense, in which a ruler or judge amends a civil law that is too strict or too general to take into account all the particularities of a certain case. Calvin’s concept of equity displays both his humanist legal training as well as the critical place of natural law in his theology.


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