Training Two Parents for the Price of One: Teaching a Parent to Train a Spouse in Child Management Skills

This study analyzed the training of a mother, through the use of verbal and written instructions, modelling and immediate feedback, to increase the independent dressing skills of her developmentally delayed son. In addition, it analysed the mother\u27s ability to teach the child management techniques to her husband with no assistance from the clinician, as well as the generalization of parent training to two other child skills - eating and toy use. The parent training package, introduced sequentially across two components of the mother\u27s behavior in a multiple baseline design, led to desired changes in the mother’s behavior in the dressing activity and to generalized changes in these same parent behaviors in the other two activities. The mother also was able to successfully train the father in the child management procedures. Examinations of the child\u27s behavior with both parents showed a progressive increase in his independent dressing skills and toy use correlated with successive changes in the parents behavior; however little change was observed in eating skills. A positive increase in the child’s attending to all three activities was recorded concurrent with the introduction of parent training

Lessons in leadership

In this practical guide, Emmy Award-winning public broadcasting anchor Steve Adubato teaches readers to be self-aware, empathetic, and more effective leaders at work and at home. With Lessons in Leadership, readers can learn to lead others through difficult economic times, to mentor rising leaders, to provide straight talk to underperforming employees, and even how to lead a company through a significant change

Fanning the flames: televised, professional football games and domestic violence

Images of athletes as criminal suspects seldom shock society; newspapers run “police blotters” in their sports sections. “Doping” presents a serious problem among Olympians, professional team players, and even cyclists of the Tour de France. Sports fans across Europe, Asia, and South America have wreaked deadly havoc on each other after soccer matches. With all of these obvious associations, criminology still lags behind psychology in the inclusion of the study of sports within its purview. Throughout the rest of the world, much of the sports/crime focus is on the fans—so-called “hooliganism.” This dissertation attempts to address a sports/crime issue in the United States, while largely availing itself of these European hooligan studies. The issue at-hand is whether televised, professional, American football games affect domestic violence. The purpose of this study is to not only examine possible correlation between these two events in one geographical area (namely Philadelphia), but further, to possibly influence sports/crime study in the field of American criminology. A good deal of research into “hooliganism” attributes the behavior to the concept of BIRGing or “Basking in Reflected Glory.” This concept provides much insight into the “highly-identified” sports fan. It is these highly-identified sports fans that this dissertation presumably examined. Most specifically, does the highly-identified sports fan feel a strong bond with his favorite football players and imitate their behavior? Do televised football games bring about copycat, violent behavior? Using the copycat framework, this dissertation research looked at domestic violence arrests in the city of Philadelphia on the days that Eagles games were played, for an eight-hour period, beginning with kick-off time. These relationships were tested using comparison of means tests—both the Levene test and the Mann-Whitney tests. As predicted, there was no difference between the mean average of holidays and football gamedays, This hypothesis was specifically designed to compare football gamedays to those days highly-connected to alcohol consumption. Also as predicted, there was no statistically significant difference between home games and away games, taking away the possible bias that fans were at the game and then became violent, as opposed to watching the game on television. The mean average of domestic violence arrests on football was statistically significantly different from both comparison Sundays and other sports’ gamedays. This study could be expanded to include more years and/or replicated in another city. This study addresses the media hype and misconceptions surrounding football and domestic violence and challenges criminology to expand its field to include sports and crime.Ph.D.Includes bibliographical referencesIncludes vitaby Beth Adubat

Teaching a parent to train a spouse in child management techniques.

This study analyzed several aspects of the training of a mother and father in child management techniques for use with their 6-year-old severely developmentally delayed son. The mother received clinic training in procedures for increasing her son's independent dressing skills; subsequently, she was asked to teach the same procedures to her husband with no assistance from the trainer. For both parents, procedures were introduced sequentially across two components of parent behavior in a multiple baseline design. Examinations were made of (a) the effectiveness of initial child management training on the mother's behaviors, (b) her ability to teach the same techniques to her husband independently, (c) the generalization of both parents' skills from the training setting (a dressing task) to two untrained activities (eating and toy use), and (d) the impact of training on the child's behavior. Results showed that the mother learned to implement the trained procedures and successfully communicated them to her husband, as evidenced by substantial positive changes in both parents' behaviors after being introduced to the child management skills. Both parents showed some generalization to the untrained activities, and their written comments following training indicated they understood the procedures. Clear-cut improvements were observed in the child's attending and independent performance of dressing and toy use skills concurrent with parent training. A 2-year follow-up report indicated that both parents retained their knowledge of skills taught, continued to use the procedures, and rated the training as very helpful in teaching the child self-help skills

Outpatient complex case management: health system-tailored risk stratification taxonomy to identify high-cost, high-need patients

Background: U.S. health systems, incentivized by financial penalties, are designing programs such as case management to reduce service utilization among high-cost, high-need populations. The major challenge is identifying patients for whom targeted programs are most effective for achieving desired outcomes. Objective: To evaluate a health system’s outpatient complex case management (OPCM) for Medicare beneficiaries for patients overall and for high-risk patients using system-tailored taxonomy, and examine whether OPCM lowers service utilization and healthcare costs. Design: Retrospective case-control study using Medicare data collected between 2012 and 2016 for Ochsner Health System. Participants: Super-utilizers defined as Medicare patients with at least two hospital/ED encounters within 180\ua0days of the index date including the index event. Intervention: Outpatient complex case management. Main Measures: Propensity score-adjusted multivariable logistic regression analysis was conducted for primary outcomes (90-day hospital readmission; 90-day ED re-visit). A difference-in-difference analysis was conducted to examine changes in per membership per month (PMPM) costs based on OPCM exposure. Key Results: Among 18,882 patients, 1197 (6.3%) were identified as “high-risk” and 470 (2.5%) were OPCM participants with median enrollment of 49\ua0days. High-risk OPCM cases compared to high-risk controls had lower odds of 90-day hospital readmissions (0.81 [0.40–1.61], non-significant) and lower odds of 90-day ED re-visits (0.50 [0.32–0.79]). Non-high-risk OPCM cases compared to non-high-risk controls had lower odds of 90-day hospital readmissions (0.20 [0.11–0.36]) and 90-day ED re-visits (0.66 [0.47–0.94]). Among OPCM cases, high-risk patients compared to non-high-risk patients had greater odds of 90-day hospital readmissions (4.44 [1.87–10.54]); however, there was no difference in 90-day ED re-visits (0.99 [0.58–1.68]). Overall, OPCM cases had lower total cost of care compared to controls (PMPM mean [SD]: − $1037.71 [188.18]). Conclusions: Use of risk stratification taxonomy for super-utilizers can identify patients most likely to benefit from case management. Future studies must further examine which OPCM components drive improvements in select outcome for specific populations