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Selected AbstractsDoes assessment make a difference for people with dementia?INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Issue 3 2003The effectiveness of the Aged Care Assessment Teams in Australia Abstract The needs of individuals with dementia and other psychiatric problems of old age have received increased attention in Australia over the last decade. This paper reports on the role of Aged Care Assessment Teams (ACATs) in managing these clients, and the extent to which they are differentiated from other clients in the assessment process and outcomes recommended. Data on some 26,500 clients seen by ACATs in Victoria in the second half of 1999 are analysed to show (1) the relationship between a diagnosis of dementia and reporting of disability in orientation, (2) characteristics of clients with and without a diagnosis of dementia and (3) outcomes for groups of clients defined on the basis of a diagnosis of dementia and disability in orientation. Copyright © 2003 John Wiley & Sons, Ltd. [source] Effects of Multiple Clients on the Reliability of Audit ReportsJOURNAL OF ACCOUNTING RESEARCH, Issue 1 2006ANNE BEYER ABSTRACT This paper demonstrates the existence of two different kinds of externalities induced by an auditor servicing multiple clients at the same time. First, we show that the capital market price for a client can increase in the number of qualified reports that his auditor issues to his other clients, thus producing a stock price externality. Second, when the audit firm has limited wealth, an additional client can actually decrease the audit quality and increase the average likelihood of audit failure relative to a single-client setting because of reporting externalities. Our analysis also demonstrates how requiring a more effective audit oversight mechanism can actually produce unintended consequences such as an increased likelihood of audit failures. [source] A Follow-up of Deinstitutionalized Men with Intellectual Disabilities and Histories of Antisocial BehaviourJOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES, Issue 4 2004Vernon L. Quinsey Background, There is frequently great concern about the dangerousness of deinstitutionalized men with intellectual disabilities who have been institutionalized because they are considered to be at high risk for the commission of serious antisocial acts or sexual offending. Unfortunately, there is little information on whether changes in the behaviour of these men can be used to adjust supervision so as to manage risk. Methods, An appraisal of men with intellectual disabilities and histories of serious antisocial behaviours who were residing in institutions about to be closed led to a 16 month follow-up of 58 of these clients who had been transferred to community settings. Results, A total of 67% exhibited antisocial behaviour of some kind and 47% exhibited ,hands-on' violent or sexual misbehaviours directed toward other clients or staff. The Violent Risk Appraisal Guide was the best predictor of new violent or sexual incidents and a variety of other pre-release predictors were related to the likelihood of antisocial incidents of any kind. Overall predictive accuracy was moderate. A field trial showed that monthly staff ratings of client characteristics were related to antisocial incidents. Conclusions, These preliminary data indicate that measures of dynamic risk involving staff ratings are worth developing and evaluating. [source] Client experiences in work rehabilitation in Sweden: a one-year follow-up studyOCCUPATIONAL THERAPY INTERNATIONAL, Issue 1 2007Eva Wallstedt-Paulsson Abstract This study, carried out in a work rehabilitation unit in Sweden, investigated how clients perceived their work experiences after a one-year follow up. A semi-structured interview was administered to 14 former clients and a content analysis was applied. Seven categories were derived from the results: ,Expectations of the rehabilitation process'; ,Social relationships'; ,Client influences on the rehabilitation process'; ,Occupations engaged in during the rehabilitation programme'; ,Perceived outcome'; ,Current occupations'; and ,Future aspirations'. The dominating expectations were to find a job, with an overall desire for change. The social relationships with the staff and other clients were of great importance. The positive outcome of the rehabilitation was described as feeling better or having new skills. The perceived negative outcome was that the rehabilitation programme had not turned out as the client expected. The clients reported varying daily occupations after the rehabilitation experience and a majority were contented and optimistic about their future. The main conclusions of the study are that when planning a work rehabilitation programme, efforts have to be made to examine clients' interests and skills, and to develop a dialogue between clients and staff. Further research is needed to evaluate the work rehabilitation experience from the clients' perspective. Copyright © 2007 John Wiley & Sons. Ltd. [source] A grounded theory analysis of the therapeutic relationship with clients sexually abused as children and non-abused clientsCLINICAL PSYCHOLOGY AND PSYCHOTHERAPY (AN INTERNATIONAL JOURNAL OF THEORY & PRACTICE), Issue 3 2001Claire Middle The objective of this study was to investigate whether clients with a history of child sexual abuse (CSA) and non-abused clients differ in their views of the therapeutic relationship. Two groups of 17 clients receiving psychological therapy, those who reported a history of CSA and a matched group who had not reported abuse, were asked in a semi-structured interview about what was important to the therapeutic alliance. The accounts of the two groups were analysed using grounded theory, and then compared. The qualitative analysis demonstrated that both groups identified many similar important issues. These included factors relating to the therapist, to therapy itself, and to the client's perception of the relationship. Women in the CSA group emphasized the interpersonal qualities of the therapist and how they felt about their relationship, while the other clients talked more about therapeutic techniques and progress in therapy. Important issues mentioned exclusively by the CSA group included the therapist's commitment, being believed, and the therapist not showing negative reactions. Copyright © 2001 John Wiley & Sons, Ltd. [source] |