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    Evaluating the fidelity of Taiwan’s Supported Employment program for people with mental illness and discussing the relationship between its’ fidelity and vocational outcome

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      目的:精神障礙者多擁有工作動機,但受精神症狀干擾及社會污名化等因素影響,造成精障者比正常人更難進入競爭性職場就業。支持性就業服務乃是讓個案快速進入競爭性職場為主要目標,屬 「先安置再訓練(Place-and-Train)模式」 ;透過快速找尋工作機會,讓個案進入符合個案能力及興趣之整合性工作職場,與一般人一起競爭及合作。而就服員則在安置個案之後提供以職場為主的支持與協助,針對個案職務的能力需求進行評估與訓練,扮演在雇主與個案之間的協調者的角色。支持性就業服務整合醫療及職業重建專業的服務,透過規律的開會討論,提供個案最即時且符合職務需求的持續協助,並被視為最具實證支持的精障者職業重建模式。國內對於精神障礙者之社區化就業服務乃是採納1980年代美國之支持性就業服務理念所發展出來。但,我國對精障者社區化就業服務是否符合支持性就業服務之標準?我國精障者社區化就業服務之成效為何?等很少有人探討。因此,本研究希望使用「支持性就業服務品質量表(Supported Employment Fidelity Scale, SEFS)」,探討國內提供精障者之就業服務情形,並且透過各機構所獲得之品質量表分數與就業成效之關係探討以了解各機構提供就業服務情形及對成效之影響,以協助提高台灣針對精障者之就業服務品質。   研究方法:本研究使用SEFS對於負責民國98年台灣各縣市之精障者社區化就業服務之20間機構進行訪視,透過與就服員之半結構式會談及基本資料表的填寫以取得各機構人員、組織、服務及成效資料,並使用SPSS 程式11.5版本進行描述性統計、曼-惠二氏U檢定、Spearman''s rho分析。   研究結果:訪視機構之SEFS總分皆達到Fair Fidelity以上,甚至有四間機構有達到Good Fidelity,代表台灣之社區化就業服務模式的確屬於支持性就業模式的一種。由於在醫療整合度、延展性聯繫與服務、雇主經營等層面與國外精障者支持性就業服務標準有較大的差異,因此,台灣之精障者社區化就業服務無法達到Exemplary Fidelity等級。服務品質屬於Good Fidelity等級之機構在25題評分標準中,除O2(就業服務與醫療團隊溝通頻率)、S8(多元化職務型態)、S9(多元化雇主)三題外,其他各題之得分皆高於屬於Fair Fidelity等級之機構,且有五個題項(VS2:就業服務時間比例、O1:就業服務與精神醫療整合度、S4:快速找尋競爭性就業工作、S12:無時間限制之持續支持、S13:以社區為主之服務提供)達顯著之統計學上的差異。品質等級達Good Fidelity之機構在媒合成功率、穩定就業率、平均月薪、每週平均工時四項就業相關成效皆比服務品質等級達Fair Fidelity機構高,但皆未達顯著之統計學上的差異。醫療與非醫療機構僅在題項S13(以社區為主之服務提供)上,有顯著差異,醫療機構明顯花較高之時間比例於社區情境中提供就業相關服務;醫療機構在媒合成功率、穩定就業率、平均月薪、每週平均工時四項就業相關成效皆比非醫療機構來的高,但皆未達顯著差異。全職工作者比例與媒合成功率、每週平均工作時數達高度正相關。提供沒有時間限制之持續支持,並找尋較多全職工作機會,可獲得較高之平均月薪,且達中度相關。   結論與建議:本研究建議台灣應該在就業服務應與醫療團隊合作程度、延展性聯繫與服務、雇主經營等三方面未達國外實證支持性就業服務標準進行改善,以提高台灣針對精障者之支持性就業服務品質。Introduction. Most people with severe mental illness want to get jobs, but they could not find or maintain competitive employments because of the repetitive interference of psychiatric symptoms and social stigma. Supported Employment (SE) is a place-and-train model that helps people with severe mental illness to achieve the employment goal by concerning their preferences, skills, and experiences, as well as providing individual place and support service. Till now, SE has become the most evidence-based approach in helping people with severe mental illness to return to and stay in competitive work. SE services in Taiwan follow the 1980’s American SE model. There was no study to discuss the quality and effectiveness of the SE services for people with severe mental illness in Taiwan. Therefore, the purposes of this study are (1) to explore the quality and vocational outcomes of the SE services for people with severe mental illness by using the Supported Employment Fidelity Scale (SEFS); and (2) to explore the relationships between service quality and vocational outcomes. Methods. Twenty agencies, which were responsible for government’s SE services for people with severe mental illness, were included in this study. Data collected through interviewing the agency’s employment specialists to get information about the personnel, organization, services, and vocational outcomes. The data was analyzed by using SPSS 11.5 for Windows by descriptive statistics, Mann-Whitney U, Spearman''s rho. Results. By using SEFS, the fidelity scores were ranged from 74 to 103, which were greater than the criterion score of standardized SE. That means that all interviewed agencies meet the standards of the SE. Low integration of SE services with mental health treatment, not providing enough assertive engagement and outreach service, and poor relationship between employment specialists and employer were three major reasons that the interviewed agencies could not enter the Exemplary Fidelity level (score > 114). Compared to agencies reaching Fair Fidelity, agencies reaching Good Fidelity level got more scores in most SEFS items, and in which five items scores got statistically significant differences. Good Fidelity level agencies had better outcomes in every vocational outcome than Fair Fidelity level agencies; however, that did not make statistically significant difference. Most of the fidelity’s scores except item S13 (Community-based services) had statistically significant difference between medical and non-medical agencies. Medical agencies also had better outcomes in every vocational outcome than non-medical agencies, but there was no statistically significant difference. Results also showed that permanent employment rate had high correlation with competitive employment rate and every week’s work-hours in average.Providing time-unlimited follow-along supports & more permanent job had moderate correlation with average month’s payment. Conclusion. SE services in Taiwan should enhance the integration of SE services and medical health treatment, provide more assertive engagement and outreach, and put more emphasis on interaction between employment specialists and employers to make better fidelity in SE for people with severe mental illness

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed

    Variations on the Author

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    “Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship

    Appropriate Similarity Measures for Author Cocitation Analysis

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    We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis

    Dispelling the Myths Behind First-author Citation Counts

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    We conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more sophisticated methods

    Author Index

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    koamabayili/VECTRON-author-checklist: VECTRON author checklist

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    We have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used

    Author Under Sail The Imagination of Jack London, 1893-1902

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    In Author Under Sail, Jay Williams offers the first complete literary biography of Jack London as a professional writer engaged in the labor of writing. It examines the authorial imagination in London's work, the use of imagination in both his fiction and nonfiction, and the ways he defined imagination in the creative process in his business dealings with his publishers, editors, and agents. In this first volume of a two-volume biography, Williams traverses the years 1893 to 1902, from London's "Story of a Typhoon" to The People of the Abyss. The Jack London who emerges in the pages of Author Under Sail is a writer whose partnership with publishers, most notably his productive alliance with George Brett of Macmillan, was one of the most formative in American literary history. London pioneered many author models during the heyday of realism and naturalism, blurring the boundaries of these popular genres by focusing on absorption and theatricality and the representation of the seen and unseen. London created an impassioned, sincere, and extremely personal realism unlike that of other American writers of the time. Author Under Sail is a literary tour de force that reveals the full range of London as writer, creative citizen, and entrepreneur at the same time it sheds light on the maverick side of machine-age literature.Intro -- Title Page -- Copyright Page -- Dedication -- Contents -- Acknowledgments -- Introduction -- 1. Spirit Truth -- 2. From Absorption to Theatricality and Back Again -- 3. "I Will Build a New Present" -- 4. Sons as Authors -- 5. Fathers as Publishers -- 6. The Daughter as Author -- 7. Lovers as Authors -- 8. At Sea with the Family -- 9. Yellow News, Yellow Stories -- 10. The Return Home -- Notes -- Bibliography -- Index -- About Jay WilliamsIn Author Under Sail, Jay Williams offers the first complete literary biography of Jack London as a professional writer engaged in the labor of writing. It examines the authorial imagination in London's work, the use of imagination in both his fiction and nonfiction, and the ways he defined imagination in the creative process in his business dealings with his publishers, editors, and agents. In this first volume of a two-volume biography, Williams traverses the years 1893 to 1902, from London's "Story of a Typhoon" to The People of the Abyss. The Jack London who emerges in the pages of Author Under Sail is a writer whose partnership with publishers, most notably his productive alliance with George Brett of Macmillan, was one of the most formative in American literary history. London pioneered many author models during the heyday of realism and naturalism, blurring the boundaries of these popular genres by focusing on absorption and theatricality and the representation of the seen and unseen. London created an impassioned, sincere, and extremely personal realism unlike that of other American writers of the time. Author Under Sail is a literary tour de force that reveals the full range of London as writer, creative citizen, and entrepreneur at the same time it sheds light on the maverick side of machine-age literature.Description based on publisher supplied metadata and other sources.Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, YYYY. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries
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