Who Pays for Providing Spiritual Care in Healthcare Settings? The Ethical Dilemma of Taxpayers Funding Holistic Healthcare and the First Amendment Requirement for Separation of Church and State

All US governmental, public, and private healthcare facilities and their staff fall under some form of regulatory requirement to provide opportunities for spiritual health assessment and care as a component of holistic healthcare. As often the case with regulations, these facilities face the predicament of funding un-reimbursable care. However, chaplains and nurses who provide most patient spiritual care are paid using funds the facility obtains from patients, private, and public sources. Furthermore, Veteran healthcare services, under the United States Department of Veterans Affairs (VA), are provided with taxpayer funds from local, state, and federal governments. With the recent legal action by the Freedom From Religion Foundation, Inc. (FFRF) against the Veterans Administration, the ethical dilemma surfaces between taxpayers funding holistic healthcare and the first amendment requirement for separation of church and state.     

Entrepreneurship education: relationship between education and entrepreneurial activity

The importance of entrepreneurial activity for the economic growth of countries is now well established. The relevant literature suggests important links between education, venture creation and entrepreneurial performance, as well as between entrepreneurial education and entrepreneurial activity. The primary purpose of this paper is to provide some insights about entrepreneurship education. The meaning of entrepreneurship education is explained, and the significant increase of these educational programmes is highlighted. Literature has been suggesting that the most suitable indicator to evaluate the results of entrepreneurship education is the rate of new business creation. However, some studies indicate that the results of such programmes are not immediate. Therefore, many researchers try to understand the precursors of venture creation, concluding that is necessary to carry out longitudinal studies. Based on an overview of the research published about the existing linkage of entrepreneurship education and entrepreneurial activity, the main topics studied by different academics are addressed. For the authors, the positive impact of entrepreneurship education puts a double challenge on governments in the future: the increased need of financial funds to support entrepreneurship education and the choice of the correct educational programme.     

Special Feature: Research,training, and demonstration funds for guidance and counseling

The support programs of federal, state, and private agencies are reviewed so that educators may know some of the sources of financial aid for all levels of education. Federal legislation provides the most funds whether the programs are administered by federal or state agencies. Several basic sources of additional information on available programs are also presented.     

G.A.T.S. and universities: Implications for research

The likely impact of applying the General Agreement on Trade in Services (GATS) to higher education are examined. GATS aims to “open up” services to competition: no preference can be shown to national or government providers. The consequences for teaching are likely to be that private companies, with degree-awarding powers, would be eligible for the same subsidies as public providers. Appealing to the inadequate recently introduced “benchmark” statements as proof of quality, they would provide a “bare bones” service at lower cost. Public subsidies would go: education being reduced to that minimum which could be packaged in terms of verifiable “learning outcomes”. The loss of “higher” aspirations, such education of critically-minded citizens of a democratic and civilised society would impoverish the university’s research culture which demands honesty and openness to public scrutiny. Most university research is substantially supported by public subsidy. Under GATS discipline, commercial providers of research services could be entitled to similar public subsidies. Publicly funded fundamental research would fade, leaving university research totally dependent for funds upon the good will of industry and commerce. Present problems, such as the suppression of unwelcome results and the use of questionable results to manipulate public opinion, would considerably increase. The public would lose a prime source of trustworthy knowledge, needed in political discourse, legal disputation, consumer protection and in many other contexts.     

Medicaid: A potential source of revenue for special education

Currently, over 4.3 million children are receiving special services within the nation's schools because of physical, developmental, and educational disabilities. It is estimated that twice this number would benefit from special education services. Public Law 94–142, the Education for the Handicapped Act, offered the first real opportunity for many children with disabilities to receive special health and educational services. Public schools have become a primary setting for provision of services to these children, however, many states have encountered difficulty in procuring funding. One federally mandated source of revenue is the Medicaid program. In the fall of 1991, all state Medicaid and special education programs were asked to provide information concerning current or planned use of Medicaid funds for special education services. Responses were received from 36 states. Only 19 states reported using Medicaid funding in any capacity, and of these, only four required schools to bill Medicaid for services rendered. The majority of these programs are in the pilot stages of development. Special education services covered by Medicaid vary widely, as do reimbursement mechanisms. All 19 states allow Medicaid coverage for speech, physical, and occupational therapy. Only about half of those states provide allowances for diagnostic evaluation and assessment, while coverage for psychological services is provided by three-fourths of those states, and EPSDT screens by half of the states. Only two programs had been evaluated formally at the state and/or federal level. Medicaid remains a largely untapped source of revenue that could be used to help fund services for disabled children.     

Positive and negative recency effects in retirement savings decisions

Retirement savings decisions can be influenced by the fund composition of the retirement savings plan. In 2 experiments, strong composition effects were observed, with a larger percentage of resources being invested in stock funds when more stock than bond funds were offered. Although participants changed their allocations repeatedly, the opportunity to learn did not alter the composition effects. Learning processes led to positive and negative recency effects as well, providing evidence that allocations were strongly influenced by the recent performance of the different allocation options. Two learning models were tested to explain these learning processes. The first, a local adaptation learning model, assumes that people change their behavior on the basis of recent experience, whereas the second, a reinforcement learning model, assumes that decisions are made on the basis of the totality of accumulated experience. The local adaptation model was more accurate in predicting allocation decisions, in explaining positive and negative recency effects, and in showing why composition effects are not overcome by learning.     

No Evidence of Suicide Increase Following Terrorist Attacks in the United States: An Interrupted Time‐Series Analysis of September 11 and Oklahoma City

There is substantial evidence of detrimental psychological sequelae following disasters, including terrorist attacks. The effect of these events on extreme responses such as suicide, however, is unclear. We tested competing hypotheses about such effects by employing autoregressive integrated moving average techniques to model the impact of September 11 and the Oklahoma City bombing on monthly suicide counts at the local, state, and national level. Unlike prior studies that provided conflicting evidence, rigorous time series techniques revealed no support for an increase or decrease in suicides following these events. We conclude that while terrorist attacks produce subsequent psychological morbidity and may affect self and collective efficacy well beyond their immediate impact, these effects are not strong enough to influence levels of suicide mortality.     

Reflections upon charitable giving: A comparison of individuals from business, ‘manual’ and professional backgrounds

This paper compares three groups of individuals in their beliefs about charitable giving. Focusing upon their preferences for different kinds of needy recipients, the paper compares the views of 49 people from (a) business, (b) professional and (c) ‘manual’ backgrounds. Their justifications of need provided the basis for comparisons on the basic themes of emotional response to requests for funds, to local versus overseas aid and to the relative roles of charity and state provision. It is argued that distinctions between the groups show the need to examine specific beliefs as well as generally held ideologies about charity. In addition, a further comparison of the groups is used to argue that they exemplify differences in the actual form of the gift relationship. These differences in form show the importance of examining charitable giving within specific social contexts, as well as with reference to the various ways of raising funds.     

Positive Illusions and Forecasting Errors in Mutual Fund Investment Decisions

This study examines the portfolio allocation decisions of 80 business students in a computer-based investing simulation. Our goal was to better understand why investors spend so much time and money on actively managed mutual funds despite the fact that the vast majority of these funds are outperformed by pas sively managed index funds. Participants' judgments and decisions provided evidence for a number of biases. First, most participants consistently overestimated both the future perfor mance and the past performance of their investments. Second, participants overestimated the intertemporal consistency of portfolio performance. Third, participants were more likely to shift their portfolio allocation following poorer performance than following better performance, and this tendency had a negative impact on portfolio returns. We speculate that these biases in investor behavior may contribute to suboptimal investment decisions in real financial markets.     

A state level investigation of the associations among intellectual capital, religiosity and reproductive health

The current study examines the degree to which state intellectual capital, state religiosity and reproductive health form a meaningful nexus of ecological relations. Though the specific magnitude of effects vary across outcomes, results from hierarchical regression analyses were consistent with the hypothesized path model indicating that a state's intellectual capital (as indicated by average state IQ and graduation rates at various levels) has a positive overall effect on state reproductive health statistics, whereas state religiosity generally has a negative impact. Specifically, both IQ and education were positively associated with breastfeeding rates, immunization rates, and rates of mammography screening, and negatively associated with teen fertility rates and infant mortality rates. Additionally, results confirm that education rates partially mediate the influence of IQ onto religiosity, and both education and religiosity partially or fully mediate the relation between IQ and state health (depending on specific outcome measure). The current results are consistent with a growing interdisciplinary literature establishing that individual, state and national well-being is substantially related to general mental ability and its covariates.     

What Does it Mean to be Autistic? Inter-state Variation in Special Education Criteria for Autism Services

The prevalence of Autism and other Autism Spectrum Disorders (ASDs) has increased dramatically in recent years. The criterion for a clinical diagnosis of Autism, however, is independent from the special education eligibility requirements for Autism services. While the DSM-IV-TR provides a nationally-accepted definition for Autism and ASD, under federal law, the special education criteria for Autism services can vary from state to state. By analyzing federal, special education child-count data as well as each state’s legal code, this study examines and compares eligibility criteria in all 50 states and Washington DC. Our results reveal inter-state variability in Autism eligibility requirements within special education, and this variability can have an impact on prevalence rates. Implications and recommendations for researchers and practitioners in clinical psychology, public health, education, pediatrics, and public policy are discussed.     

"Lost in a Shopping Mall"--A Breach of Professional Ethics

State universities have grown to become monumental enterprises generating revenues of more than $124 billion a year in the sale and delivery of education and other services. They compete in a marketplace composed of private secular, nonsecular and for-profit higher education institutions. In addition, state universities in their own right engage in a number of traditionally for-profit "business" enterprises competing with the private sector. However, as the enterprise aspect of state universities grows; so too does the impact of a unique competitive advantage enjoyed solely by state universities--that is, the ability of state universities to immune themselves from lawsuit in federal court under the guise of "sovereign immunity" for disputes arising under federal employment laws. Indeed, as a consequence of recent Supreme Court rulings, state agencies, including universities, are the only entities in the United States that are effectively exempt from the enforcement of federal employment laws in federal or state courts. This article reviews the condition of the "two faces" of the state university regarding federal employment law and the apparent new barriers to federal court access of employees to judicial review of employment disputes.     

Status of Guidance and Counseling in the Elementary School

This study investigated some aspects of elementary school guidance and counseling in the 50 states and the 4 American territories. Specifically, such matters as the number of counselors employed, their professional background, certification, and state standards were examined. Results of this study were as follows: 3,837 counselors are now working in elementary schools in 48 states; the majority of these counselors are former elementary school teachers. Over 70 per cent are supported in part by federal funds. To date, 14 states have developed certification requirements for elementary counselors that are discernibly different from secondary certification. For the most part, state standards for elementary school guidance lack specificity; in some cases such standards are non-existent     

The impact of college‐level sex education on sexual knowledge,attitudes, and practices: The knowledge/sexual experimentation myth revisited

In recent years, many persons have opposed sex education believing that such courses will lead to increased participation in sexual intercourse by young people, but their fears are not supported by most previous research. The influence of sex education material integrated into functional marriage and family courses, however, has not been the subject of in‐depth, scientific investigations.

An anonymous questionnaire was administered to never‐married undergraduate students enrolled in a college‐level marriage and family course at a state university. A pretest and post‐test design was utilized with experimental groups of 50 women and 26 men and comparison groups of 60 women and 28 men.

The findings indicate that the sex education content had a significant impact on the experimental groups, especially for women. Substantial increases in knowledge regarding abortion and contraception, more favorable attitudes toward masturbation, and frequency of masturbation were reported by experimental group women as contrasted with comparison group women. Experimental group men indicated increased knowledge about female hygiene and contraception in contrast to comparison group men. From these findings, sex educators should be able to better meet the criticisms of sex education opponents given this greater understanding of the impact of sex education material on the sex lives of their students.     

Goal gradient in helping behavior

People are more likely to pitch in as charitable campaigns approach their goals. Such “goal gradient helping” occurs in part because late-stage efforts provide donors with a heightened sense of personal impact, an influential source of satisfaction from prosocial acts. Using web robot technology in an Internet field study of micro-lending, Study 1 demonstrated that charity contribution rates increase as recipients approach their fundraising goals. Study 2, a large-scale field experiment, found that funds close to reaching campaign goals received more donations than did funds far from reaching campaign goals. Study 3 replicated the goal gradient helping effect in a controlled scenario experiment, and mediational analyses showed that increased perceived impact of late-stage contributions, and the resultant satisfaction from this impact, explain goal gradient helping. In conclusion, people are not charitable simply to be kind or to relieve negative emotions; they find satisfaction from having personal influence in solving a social problem.     

Modifying the behavior of leaders: A state-wide attempt

Project Breakthrough is a two-year, two-phase cooperative effort to retrain leadership personnel in special education and pupil personnel services by utilizing the resources of universities, P.L. 85–926, as amended, Title VI-A, ESEA, local education agencies, and the state education agency. Two hundred selected teacher consultants, school psychologists, and supervisors and directors of special education and pupil personnel were trained in the effective utilization and application of reinforcement theory and directive and/or diagnostic teaching techniques with handicapped children. A state plan for utilizing limited sources to effect state-wide behavioral changes is outlined, along with management and implementation strategies.     

Formulating policies concerning effective early childhood education and development programs

School psychologists should play a critical role in determining the policy implications of effective early childhood education and development programs. The tools they use are: (1) knowledge about human growth and development, learning, and program impact; (2) knowledge about differential effects of programs on children; and (3) knowledge about the process of program implementation at the local level. The essential findings from research are provided to clarify and support these tools. Using these tools, school psychologist are able to establish a set of procedures for determining what current policies are, what the policy implications of the new program are, and what policy changes need to be made to assure successful adaptation of the new program.     

Religion and Derivative Use: Evidence from the Hedge Fund Industry

We examine how local religions influence derivative usage in the hedge fund industry. Measuring religiosity by the ratio of religious adherents in the county of a U.S. hedge fund headquarters, we find that religiosity is negatively related to the probability of hedge funds using derivatives for speculative purposes. In contrast, funds in regions with higher ratios of Catholics to Protestants are more likely to engage in speculation-based trading of derivatives. Finally, we show that the effects of local religion are more pronounced if the hedge fund size is small. Overall, our study highlights the significant role of local religion in shaping the purpose of hedge fund derivative usage.     

Counselors in the elementary school: 1970–71

The authors of this article investigated several aspects of elementary school guidance during the 1970–71 school year in the 50 states and the 4 United States territories. They discovered that the number of counselors in US. elementary schools has increased by 2,000 in two years. Over 50 percent were supported by local funds. To date, 24 states have differentiated certification for elementary school counselors, and 36 states have developed policy statements or state standards for elementary school guidance.     

Research Ethics in Japanese Higher Education: Faculty Attitudes and Cultural Mediation

Principles of research ethics, derived largely from Western philosophical thought, are spreading across the world of higher education. Since 2006 the Japanese Ministry of Education has required universities in Japan to establish codes of ethical conduct and ensure that procedures are in place to punish research misconduct. Drawing on semi-structured interviews with 13 academics in a research-intensive university in Japan, this paper considers how research ethics is interpreted in relation to their own practice. Interviewees articulated a range of ethical issues connected with data gathering and interpretation, applying for and using research funds, relationships with peers and research subjects, and the dissemination of results. The paper also explores the effect of personal values and cultural norms on the Japanese interpretation of research ethics identifying the impact in terms of the treatment of graduate research students and decision-making processes.