A Business Model for Managing System Change Through Strategic Financing and Performance Indicators: A Case Study

This article describes how a system of care operated by a county government agency used a fiscal crisis as the opportunity to reform its children's system. A cross-system response to the crisis is outlined that includes a system of care framework coupled with a business model, inter-departmental collaboration and leadership, the use of strategic reinvestment strategies, and a quality improvement system that focuses on key indicators. Implementation of the system change is described with a specific focus on cross-system entry points, financing strategies that re-allocate funds from deep-end programs to community-based services, and management oversight through the use of performance indicators to monitor and support effectiveness. This article examines the results of the system change, including the diversion of youth from system penetration, the reduction in residential treatment bed days, the re-allocation of these savings to community-based services, and the outcomes of children who were diverted from residential care and served in the community. The article offers a number of recommendations for other communities contemplating system change.     

Are the pathogens of out-groups really more dangerous?

We question the plausibility of Fincher & Thornhill's (F&T's) argument that localised pathogen-host coevolution leads to out-groups having pathogens more damaging than those infecting one's own family or religious group.     

Life history strategy, identity consolidation, and psychological well-being

Previous research has shown that individual differences in life history strategies co-vary with a large array of variables to the extent that latent variables from a number of psychological measures load on a single (Super-K) factor. Similar to research on the Super-K factor, the purpose of this study was to test the hypothesis that various measures of identity would load on a single factor and that this latent variable would in turn be associated with other variables reflecting life history strategy and psychological well-being, making a Super-K factor. A sample of 248 university students were administered a variety of questionnaires related to identity, life history strategy, and psychological well-being. Confirmatory factor analyses revealed the hypothesized Super-K factor and the relationship remained even when controlling for variance in social-desirable responding. The results are discussed in terms of the association between Erikson’s theory of psychosocial development and life history theory.     

Friends’ Accuracy and Bias in Rating Group Identification

Group identification predicts adherence to a group’s norms, values, beliefs, and behaviors. The ability to accurately perceive another’s degree of group identification may be important for predicting the other’s beliefs and actions. In two studies, we examine friends’ accuracy and bias in rating identification with social categories. Friends were asked to rate one another’s and their own identification with state (Studies 1 and 2), national, and global citizen (Study 2) social identities. Across both studies, friends were shown to be both accurate and biased in rating one another’s identification. Thus, although friends may project identification onto a friend (i.e., bias), friends are also able to accurately predict one another’s degree of connection to social groups. Furthermore, friends’ greater frequency of contact was found to increase accuracy in prediction. Together, the results provide initial evidence for future research examining person perception and intergroup interactions.     

Biography as an Art Form: The Story of Helen Flanders Dunbar,M.D., Ph.D., B.D., and Med. Sci. D

Helen Flanders Dunbar (1902–1959) was a physician, medieval and Renaissance scholar, theologian, and founder of the American Psychosomatic Society and its journal Psychosomatic Medicine. Her contributions are not currently well known but deserve recognition from all those involved or interested in the dialogue between medicine and spirituality. This essay explores Dunbar’s personal history and professional achievements. It focuses particular attention on a feminist perspective regarding her life and work. It will conclude with a discussion of how biography, as an art form, transforms both author and audience. This essay was originally presented as the Second Annual J.R. Williams Memorial Lecture on Spirituality and Medicine at the Tulane School of Medicine in fall 2013.