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Biomedical subjects

P H Rossi

Publications and source records attributed to P H Rossi.

8 recordsLinked to original sources

Understanding decisions about child maltreatment.

To understand how decisions are made in abuse/neglect cases by the child welfare system, the authors asked child welfare experts and protective service line workers to make decisions about actual child abuse and neglect cases on the basis of written summaries of the cases. Respondents included 27 experts and 103 line workers. Regression analyses found that workers and experts emphasized the same case characteristics in making their decisions, but the decisions were not well structured in the sense that they were not well predicted by case characteristics. Individual experts and workers varied widely in the decisions they made on identical cases. The authors conclude that decision making in the child protective system is inconsistent, with errors of two kinds: failing to remove children from their families when that is called for and removing children when it is unnecessary. Progress must be made in developing decision-making criteria that are consistent, preserve family integrity, and promote the well-being of children.

Child↗

Decisions on placement and family preservation. Agreement and targeting.

Vignettes presented to experts and workers in the child welfare field were used to explore the degree of agreement on decisions to place children in substitute care or to refer them to family preservation services. The design allowed for investigation of the problem of targeting in family preservation programs. Findings indicate considerable inconsistency in decisions among experts and workers, particularly in decisions to refer to family preservation and other in-home services. Contrary to the stated intentions of family preservation services, a majority of the referrals to these programs do not involve children who would have been placed in the absence of these programs.

Adult↗

The old homeless and the new homelessness in historical perspective.

In the 1950s and 1960s homelessness declined to the point that researchers were predicting its virtual disappearance in the 1970s. Instead, in the 1980s, homelessness increased rapidly and drastically changed in composition. The "old homeless" of the 1950s were mainly old men living in cheap hotels on skid rows. The new homeless were much younger, more likely to be minority group members, suffering from greater poverty, and with access to poorer sleeping quarters. In addition, homeless women and families appeared in significant numbers. However, there were also points of similarity, especially high levels of mental illness and substance abuse.

Adult↗

The urban homeless: estimating composition and size.

Although homelessness has been recognized as a serious and growing urban social problem, scientifically acceptable methods for estimating the composition and size of the homeless population have been lacking. A new research approach to estimating the size and composition of undomiciled urban populations is presented, and its utility is illustrated through a description of the literal homeless of Chicago. The homeless in the Chicago sample are unaffiliated persons living in extreme poverty, with high levels of physical and mental disability. Homelessness is interpreted as a manifestation of extreme poverty among persons without families in housing markets with declining stocks of inexpensive dwelling units suitable for single persons.

Chicago↗

A preliminary evaluation of the Gonozyme test.

Gonozyme is a solid-phase enzyme immunoassay that detects antigens of Neisseria gonorrhoeae in clinical specimens. The test was 100% sensitive and 96.8% specific when applied to 71 urethral specimens from men with symptomatic urethritis, and 89.5% specific for 19 urethral specimens from men examined after eradication of gonorrhea by antibiotics. For cervical specimens obtained before therapy from 368 women with gonorrhea, the Gonozyme test had a sensitivity of 88.5% and a specificity of 94.3%. The test was 100% specific when used for testing of 37 cervical specimens obtained after therapy of gonorrhea. The predictive values of a positive Gonozyme test were 90.5% for cervical specimens from women attending a sexually transmitted disease clinic and 97% for urethral specimens from men with urethritis. The predictive values of negative Gonozyme tests in these same circumstances were 100% for urethral specimens and 93.6% for cervical specimens.

Antigens, Bacterial↗