Science.gov

Sample records for cabench-to-bedside client application

  1. Implementing a secure client/server application

    SciTech Connect

    Kissinger, B.A.

    1994-08-01

    There is an increasing rise in attacks and security breaches on computer systems. Particularly vulnerable are systems that exchange user names and passwords directly across a network without encryption. These kinds of systems include many commercial-off-the-shelf client/server applications. A secure technique for authenticating computer users and transmitting passwords through the use of a trusted {open_quotes}broker{close_quotes} and public/private keys is described in this paper.

  2. 77 FR 67804 - Agency Information Collection Activities; Comment Request; Application for Client Assistance Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-14

    ... Agency Information Collection Activities; Comment Request; Application for Client Assistance Program... notice will be considered public records. Title of Collection: Application for Client Assistance Program... request funds to establish and carry out Client Assistance Programs (CAP). CAP is mandated by...

  3. New NED XML/VOtable Services and Client Interface Applications

    NASA Astrophysics Data System (ADS)

    Pevunova, O.; Good, J.; Mazzarella, J.; Berriman, G. B.; Madore, B.

    2005-12-01

    The NASA/IPAC Extragalactic Database (NED) provides data and cross-identifications for over 7 million extragalactic objects fused from thousands of survey catalogs and journal articles. The data cover all frequencies from radio through gamma rays and include positions, redshifts, photometry and spectral energy distributions (SEDs), sizes, and images. NED services have traditionally supplied data in HTML format for connections from Web browsers, and a custom ASCII data structure for connections by remote computer programs written in the C programming language. We describe new services that provide responses from NED queries in XML documents compliant with the international virtual observatory VOtable protocol. The XML/VOtable services support cone searches, all-sky searches based on object attributes (survey names, cross-IDs, redshifts, flux densities), and requests for detailed object data. Initial services have been inserted into the NVO registry, and others will follow soon. The first client application is a Style Sheet specification for rendering NED VOtable query results in Web browsers that support XML. The second prototype application is a Java applet that allows users to compare multiple SEDs. The new XML/VOtable output mode will also simplify the integration of data from NED into visualization and analysis packages, software agents, and other virtual observatory applications. We show an example SED from NED plotted using VOPlot. The NED website is: http://nedwww.ipac.caltech.edu.

  4. [Automatical updating the application software on the hospital information system's client].

    PubMed

    Yu, Jun-wei

    2006-07-01

    In view of the current predicament of updating the application software on the hospital information system's client, the Synchronizer module in PowerBuilder is used in combination with some techniques of the windows operation system, in order to implement automatic synchronistic updating of the application software on the Hospital Information System's client before the program's running. PMID:17039948

  5. Application of condoms on male clients by female sex workers in Yerevan, Armenia: prevalence and correlates.

    PubMed

    Darbinyan, Nelli; Lang, Delia L; Diclemente, Ralph J; Joseph, Jesse B; Markosyan, Karine

    2011-09-01

    This study sought to assess the prevalence of consistent condom application on male clients by female sex workers (FSWs) in Armenia and its association with demographic, psychosocial and behavioural factors. In this cross-sectional study, 120 street-based FSWs aged 20-52 completed an interviewer-administered questionnaire. The primary outcome measure was consistent application of condoms by FSWs on their male clients. A total of 21.7% of participants reported consistently applying condoms on clients. Logistic regression analysis demonstrated that higher condom use self-efficacy (Adjusted Odds Ratio, AOR=1.1; p=0.01), lower perceived condom use barriers (AOR=0.9; p=0.04) and not using douching as a method to prevent STI/HIV (AOR=4.8; p=0.04) significantly predicted consistent condom application. Higher HIV/AIDS knowledge was a marginally significant predictor of condom application (AOR=1.3; p=0.05). Future interventions should address these modifiable factors to encourage FSWs to apply condoms on clients themselves, which may reduce condom failure and exposure to HIV transmission.

  6. The cost of treating addiction from the client's perspective: results from a multi-modality application of the Client DATCAP.

    PubMed

    McCollister, Kathryn E; French, Michael T; Pyne, Jeffrey M; Booth, Brenda; Rapp, Richard; Carr, Carey

    2009-10-01

    There is a considerable disparity between the number of individuals who need substance abuse treatment and the number who actually receive it. This is partly due to the fact that many individuals with substance use disorders do not perceive a need for formal treatment. Another contributing factor, however, is a discrepancy between the real and perceived cost of services. Although many cost evaluations of substance abuse treatment have been conducted from the treatment provider perspective, less is known about the client-specific costs of attending treatment (e.g., lost work and leisure time, transportation, out-of-pocket and in-kind payments). Concerns about financial and other barriers to participating in treatment have encouraged addiction researchers to more carefully consider these previously unmeasured costs. To address this information gap, we administered the Client Drug Abuse Treatment Cost Analysis Program (Client DATCAP) to 302 clients (representing a total of 302 outpatient and 142 inpatient treatment episodes) as part of a larger study examining the cost-effectiveness of interventions designed to improve treatment linkage and engagement in Dayton, Ohio. The value of a client's time accounted for the largest component of total cost (more than 59%). The cost per visit for outpatient clients ranged from $19 for outpatient methadone to $38 for intensive outpatient/aftercare treatment. The average cost per day of treatment for inpatient clients was $235. Policy makers and treatment providers now have a broader view of the opportunity cost of addiction treatment and can use this information to support initiatives for improved treatment access and delivery. PMID:19574000

  7. A Rich Client-Server Based Framework for Convenient Security and Management of Mobile Applications

    NASA Astrophysics Data System (ADS)

    Badan, Stephen; Probst, Julien; Jaton, Markus; Vionnet, Damien; Wagen, Jean-Frédéric; Litzistorf, Gérald

    Contact lists, Emails, SMS or custom applications on a professional smartphone could hold very confidential or sensitive information. What could happen in case of theft or accidental loss of such devices? Such events could be detected by the separation between the smartphone and a Bluetooth companion device. This event should typically block the applications and delete personal and sensitive data. Here, a solution is proposed based on a secured framework application running on the mobile phone as a rich client connected to a security server. The framework offers strong and customizable authentication and secured connectivity. A security server manages all security issues. User applications are then loaded via the framework. User data can be secured, synchronized, pushed or pulled via the framework. This contribution proposes a convenient although secured environment based on a client-server architecture using external authentications. Several features of the proposed system are exposed and a practical demonstrator is described.

  8. LISA, the next generation: from a web-based application to a fat client.

    PubMed

    Pierlet, Noëlla; Aerts, Werner; Vanautgaerden, Mark; Van den Bosch, Bart; De Deurwaerder, André; Schils, Erik; Noppe, Thomas

    2008-01-01

    The LISA application, developed by the University Hospitals Leuven, permits referring physicians to consult the electronic medical records of their patients over the internet in a highly secure way. We decided to completely change the way we secured the application, discard the existing web application and build a completely new application, based on the in-house developed hospital information system, used in the University Hospitals Leuven. The result is a fat Java client, running on a Windows Terminal Server, secured by a commercial SSL-VPN solution.

  9. A Proposal of Client Application Architecture using Loosely Coupled Component Connection Method in Banking Branch System

    NASA Astrophysics Data System (ADS)

    Someya, Harushi; Mori, Yuichi; Abe, Masahiro; Machida, Isamu; Hasegawa, Atsushi; Yoshie, Osamu

    Due to the deregulation of financial industry, the branches in banking industry need to shift to the sales-oriented bases from the operation-oriented bases. For corresponding to this movement, new banking branch systems are being developed. It is the main characteristics of new systems that we bring the form operations that have traditionally been performed at each branch into the centralized operation center for the purpose of rationalization and efficiency of the form operations. The branches treat a wide variety of forms. The forms can be described by common items in many cases, but the items include the different business logic and each form has the different relation among the items. And there is a need to develop the client application by user oneself. Consequently the challenge is to arrange the development environment that is high reusable, easy customizable and user developable. We propose a client application architecture that has a loosely coupled component connection method, and allows developing the applications by only describing the screen configurations and their transitions in XML documents. By adopting our architecture, we developed client applications of the centralized operation center for the latest banking branch system. Our experiments demonstrate good performances.

  10. NSLS-II HIGH LEVEL APPLICATION INFRASTRUCTURE AND CLIENT API DESIGN

    SciTech Connect

    Shen, G.; Yang; L.; Shroff; K.

    2011-03-28

    The beam commissioning software framework of NSLS-II project adopts a client/server based architecture to replace the more traditional monolithic high level application approach. It is an open structure platform, and we try to provide a narrow API set for client application. With this narrow API, existing applications developed in different language under different architecture could be ported to our platform with small modification. This paper describes system infrastructure design, client API and system integration, and latest progress. As a new 3rd generation synchrotron light source with ultra low emittance, there are new requirements and challenges to control and manipulate the beam. A use case study and a theoretical analysis have been performed to clarify requirements and challenges to the high level applications (HLA) software environment. To satisfy those requirements and challenges, adequate system architecture of the software framework is critical for beam commissioning, study and operation. The existing traditional approaches are self-consistent, and monolithic. Some of them have adopted a concept of middle layer to separate low level hardware processing from numerical algorithm computing, physics modelling, data manipulating, plotting, and error handling. However, none of the existing approaches can satisfy the requirement. A new design has been proposed by introducing service oriented architecture technology. The HLA is combination of tools for accelerator physicists and operators, which is same as traditional approach. In NSLS-II, they include monitoring applications and control routines. Scripting environment is very important for the later part of HLA and both parts are designed based on a common set of APIs. Physicists and operators are users of these APIs, while control system engineers and a few accelerator physicists are the developers of these APIs. With our Client/Server mode based approach, we leave how to retrieve information to the

  11. Software Applications to Access Earth Science Data: Building an ECHO Client

    NASA Astrophysics Data System (ADS)

    Cohen, A.; Cechini, M.; Pilone, D.

    2010-12-01

    Historically, developing an ECHO (NASA’s Earth Observing System (EOS) ClearingHOuse) client required interaction with its SOAP API. SOAP, as a framework for web service communication has numerous advantages for Enterprise applications and Java/C# type programming languages. However, as interest has grown for quick development cycles and more intriguing “mashups,” ECHO has seen the SOAP API lose its appeal. In order to address these changing needs, ECHO has introduced two new interfaces facilitating simple access to its metadata holdings. The first interface is built upon the OpenSearch format and ESIP Federated Search framework. The second interface is built upon the Representational State Transfer (REST) architecture. Using the REST and OpenSearch APIs to access ECHO makes development with modern languages much more feasible and simpler. Client developers can leverage the simple interaction with ECHO to focus more of their time on the advanced functionality they are presenting to users. To demonstrate the simplicity of developing with the REST API, participants will be led through a hands-on experience where they will develop an ECHO client that performs the following actions: + Login + Provider discovery + Provider based dataset discovery + Dataset, Temporal, and Spatial constraint based Granule discovery + Online Data Access

  12. Exchanging the Context between OGC Geospatial Web clients and GIS applications using Atom

    NASA Astrophysics Data System (ADS)

    Maso, Joan; Díaz, Paula; Riverola, Anna; Pons, Xavier

    2013-04-01

    Currently, the discovery and sharing of geospatial information over the web still presents difficulties. News distribution through website content was simplified by the use of Really Simple Syndication (RSS) and Atom syndication formats. This communication exposes an extension of Atom to redistribute references to geospatial information in a Spatial Data Infrastructure distributed environment. A geospatial client can save the status of an application that involves several OGC services of different kind and direct data and share this status with other users that need the same information and use different client vendor products in an interoperable way. The extensibility of the Atom format was essential to define a format that could be used in RSS enabled web browser, Mass Market map viewers and emerging geospatial enable integrated clients that support Open Geospatial Consortium (OGC) services. Since OWS Context has been designed as an Atom extension, it is possible to see the document in common places where Atom documents are valid. Internet web browsers are able to present the document as a list of items with title, abstract, time, description and downloading features. OWS Context uses GeoRSS so that, the document can be to be interpreted by both Google maps and Bing Maps as items that have the extent represented in a dynamic map. Another way to explode a OWS Context is to develop an XSLT to transform the Atom feed into an HTML5 document that shows the exact status of the client view window that saved the context document. To accomplish so, we use the width and height of the client window, and the extent of the view in world (geographic) coordinates in order to calculate the scale of the map. Then, we can mix elements in world coordinates (such as CF-NetCDF files or GML) with elements in pixel coordinates (such as WMS maps, WMTS tiles and direct SVG content). A smarter map browser application called MiraMon Map Browser is able to write a context document and read

  13. Applicability of the ReproQ client experiences questionnaire for quality improvement in maternity care.

    PubMed

    Scheerhagen, Marisja; van Stel, Henk F; Tholhuijsen, Dominique J C; Birnie, Erwin; Franx, Arie; Bonsel, Gouke J

    2016-01-01

    Background. The ReproQuestionnaire (ReproQ) measures the client's experience with maternity care, following the WHO responsiveness model. In 2015, the ReproQ was appointed as national client experience questionnaire and will be added to the national list of indicators in maternity care. For using the ReproQ in quality improvement, the questionnaire should be able to identify best and worst practices. To achieve this, ReproQ should be reliable and able to identify relevant differences. Methods and Findings. We sent questionnaires to 17,867 women six weeks after labor (response 32%). Additionally, we invited 915 women for the retest (response 29%). Next we determined the test-retest reliability, the Minimally Important Difference (MID) and six known group comparisons, using two scorings methods: the percentage women with at least one negative experience and the mean score. The reliability for the percentage negative experience and mean score was both 'good' (Absolute agreement = 79%; intraclass correlation coefficient = 0.78). The MID was 11% for the percentage negative and 0.15 for the mean score. Application of the MIDs revealed relevant differences in women's experience with regard to professional continuity, setting continuity and having travel time. Conclusions. The measurement characteristics of the ReproQ support its use in quality improvement cycle. Test-retest reliability was good, and the observed minimal important difference allows for discrimination of good and poor performers, also at the level of specific features of performance. PMID:27478690

  14. Exploring client logs towards characterizing the user behavior on web applications

    NASA Astrophysics Data System (ADS)

    Guarino de Vasconcelos, Leandro; Coelho dos Santos, Rafael D.; Baldochi, Laercio A.

    2013-05-01

    Analysis of user interaction with computer systems can be used for several purposes, the most common being analysis of the effectiveness of the interfaces used for interaction (in order to adapt or enhance its usefulness) and analysis of intention and behavior of the users when interacting with these systems. For web applications, often the analysis of user interaction is done using the web server logs collected for every document sent to the user in response to his/her request. In order to capture more detailed data on the users' interaction with sites, one could collect actions the user performs in the client side. An effective approach to this is the USABILICS system, which also allows the definition and analysis of tasks in web applications. The fine granularity of logs collected by USABILICS allows a much more detailed log of users' interaction with a web application. These logs can be converted into graphs where vertices are users' actions and edges are paths made by the user to accomplish a task. Graph analysis and visualization tools and techniques allow the analysis of actions taken in relation to an expected action path, or characterization of common (and uncommon) paths on the interaction with the application. This paper describes how to estimate users' behavior and characterize their intentions during interaction with a web application, presents the analysis and visualization tools on those graphs and shows some practical results with an educational site, commenting on the results and implications of the possibilities of using these techniques.

  15. Client-Side Data Processing and Training for Multispectral Imagery Applications in the GOES-R Era

    NASA Technical Reports Server (NTRS)

    Fuell, Kevin; Gravelle, Chad; Burks, Jason; Berndt, Emily; Schultz, Lori; Molthan, Andrew; Leroy, Anita

    2016-01-01

    RGB imagery can be created locally (i.e. client-side) from single band imagery already on the system with little impact given recommended change to texture cache in AWIPS II. Training/Reference material accessible to forecasters within their operational display system improves RGB interpretation and application as demonstrated at OPG. Application examples from experienced forecasters are needed to support the larger community use of RGB imagery and these can be integrated into the user's display system.

  16. Applicability of the ReproQ client experiences questionnaire for quality improvement in maternity care

    PubMed Central

    Scheerhagen, Marisja; Tholhuijsen, Dominique J.C.; Birnie, Erwin; Franx, Arie; Bonsel, Gouke J.

    2016-01-01

    Background. The ReproQuestionnaire (ReproQ) measures the client’s experience with maternity care, following the WHO responsiveness model. In 2015, the ReproQ was appointed as national client experience questionnaire and will be added to the national list of indicators in maternity care. For using the ReproQ in quality improvement, the questionnaire should be able to identify best and worst practices. To achieve this, ReproQ should be reliable and able to identify relevant differences. Methods and Findings. We sent questionnaires to 17,867 women six weeks after labor (response 32%). Additionally, we invited 915 women for the retest (response 29%). Next we determined the test–retest reliability, the Minimally Important Difference (MID) and six known group comparisons, using two scorings methods: the percentage women with at least one negative experience and the mean score. The reliability for the percentage negative experience and mean score was both ‘good’ (Absolute agreement = 79%; intraclass correlation coefficient = 0.78). The MID was 11% for the percentage negative and 0.15 for the mean score. Application of the MIDs revealed relevant differences in women’s experience with regard to professional continuity, setting continuity and having travel time. Conclusions. The measurement characteristics of the ReproQ support its use in quality improvement cycle. Test–retest reliability was good, and the observed minimal important difference allows for discrimination of good and poor performers, also at the level of specific features of performance. PMID:27478690

  17. Prototype client/server application for biomedical text/image retrieval on the Internet

    NASA Astrophysics Data System (ADS)

    Long, L. Rodney; Berman, Lewis E.; Thoma, George R.

    1996-03-01

    At the Lister Hill National Center for Biomedical Communications, a research and development division of the National Library of Medicine (NLM), a prototype image database retrieval system has been built. This medical information retrieval system (MIRS) is a client/server application which provides Internet access to biomedical databases, including both text search/retrieval and retrieval/display of medical images associated with the text records. The MIRS graphical user interface (GUI) allows a user to formulate queries by simple, intuitive interactions with screen buttons, list boxes, and edit boxes; these interactions create structured query language (SQL) queries, which are submitted to a database manager running at NLM. The result of a MIRS query is a display showing both scrollable text records and scrollable images returned for all of the 'hits' of the query. MIRS is designed as an information-delivery vehicle intended to provide access to multiple collections of medical text and image data. The database used for initial MIRS evaluation consists of national survey data collected by the National Center for Health Statistics, including 17,000 spinal x-ray images. This survey, conducted on a sample of 27,801 persons, collected demographic, socioeconomic, and medical information, including both interview results and results acquired by direct examination by physician.

  18. Design and implementation of a cartographic client application for mobile devices using SVG Tiny and J2ME

    NASA Astrophysics Data System (ADS)

    Hui, L.; Behr, F.-J.; Schröder, D.

    2006-10-01

    The dissemination of digital geospatial data is available now on mobile devices such as PDAs (personal digital assistants) and smart-phones etc. The mobile devices which support J2ME (Java 2 Micro Edition) offer users and developers one open interface, which they can use to develop or download the software according their own demands. Currently WMS (Web Map Service) can afford not only traditional raster image, but also the vector image. SVGT (Scalable Vector Graphics Tiny) is one subset of SVG (Scalable Vector Graphics) and because of its precise vector information, original styling and small file size, SVGT format is fitting well for the geographic mapping purpose, especially for the mobile devices which has bandwidth net connection limitation. This paper describes the development of a cartographic client for the mobile devices, using SVGT and J2ME technology. Mobile device will be simulated on the desktop computer for a series of testing with WMS, for example, send request and get the responding data from WMS and then display both vector and raster format image. Analyzing and designing of System structure such as user interface and code structure are discussed, the limitation of mobile device should be taken into consideration for this applications. The parsing of XML document which is received from WMS after the GetCapabilities request and the visual realization of SVGT and PNG (Portable Network Graphics) image are important issues in codes' writing. At last the client was tested on Nokia S40/60 mobile phone successfully.

  19. Client-Side Monitoring for Web Mining.

    ERIC Educational Resources Information Center

    Fenstermacher, Kurt D.; Ginsburg, Mark

    2003-01-01

    Discusses mining Web data to draw conclusions about Web users and proposes a client-side monitoring system that supports flexible data collection and encompasses client-side applications beyond the Web browser to incorporate standard office productivity tools. Highlights include goals for client-side monitoring; framework for user monitoring,…

  20. [Client centered psychotherapy].

    PubMed

    Werthmann, H V

    1979-01-01

    In the discussion concerning which psychotherapeutic methods should come under the auspices of the medical health system in West Germany, the question is raised regarding the client-centered therapy of Carl Rogers. Can it be considered a distinct psychotherapeutic method? A review of the scientific literature dealing with this method shows that it provides neither a theory of mental illness nor a theory of clinical application based on individual cases or specific neurotic disturbances, Therefore it should be categorized as a useful method of communication in the field of psychology and not as a therapeutic method for treating mental illness.

  1. [Client centered psychotherapy].

    PubMed

    Werthmann, H V

    1979-01-01

    In the discussion concerning which psychotherapeutic methods should come under the auspices of the medical health system in West Germany, the question is raised regarding the client-centered therapy of Carl Rogers. Can it be considered a distinct psychotherapeutic method? A review of the scientific literature dealing with this method shows that it provides neither a theory of mental illness nor a theory of clinical application based on individual cases or specific neurotic disturbances, Therefore it should be categorized as a useful method of communication in the field of psychology and not as a therapeutic method for treating mental illness. PMID:543319

  2. Reducing client waiting time.

    PubMed

    1992-01-01

    This first issues of Family Planning (FP) Manager focuses on how to analyze client waiting time and reduce long waits easily and inexpensively. Client flow analysis can be used by managers and staff to identify organizational factors affecting waiting time. Symptoms of long waiting times are overcrowded waiting rooms, clients not returning for services, staff complaints about rushing and waiting, and hurried counseling sessions. Client satisfaction is very important in order to retain FP users. Simple procedures such as routing return visits differently can make a difference in program effectiveness. Assessment of the number of first visits, the number of revisits, and types of methods and services that the clinic provides is a first step. Client flow analysis involves assigning a number to each client on registration, attaching the client flow form to the medical chart, entering the FP method and type of visit, asking staff to note the time at each station, and summarizing data in a master chart. The staff should be involved in plotting data for each client to show waiting versus staff contact time through the use of color coding for each type of staff contact. Bottlenecks become very visible when charted. The amount of time spent at each station can be measured, and gaps in client's contact with staff can be identified. An accurate measure of total waiting time can be obtained. A quick assessment can be made by recording arrival and departure times for each client in one morning or afternoon of a peak day. The procedure is to count the number of clients waiting at 15-minute intervals. The process should be repeated every 3-6 months to observe changes. If waiting times appear long, a more thorough assessment is needed on both a peak and a typical day. An example is given of a completed chart and graph of results with sample data. Managers need to set goals for client flow, streamline client routes, and utilize waiting time wisely by providing educational talks

  3. Perceived Counselor Characteristics, Client Expectations, and Client Satisfaction with Counseling.

    ERIC Educational Resources Information Center

    Heppner, P. Paul; Heesacker, Martin

    1983-01-01

    Examined interpersonal influence process within counseling including relationship between perceived counselor expertness, attractiveness, and trustworthiness and client satisfaction; between client expectations on perceived counselor expertness, attractiveness, trustworthiness, and client satisfaction; and effects of actual counselor experience…

  4. Sophia Client Version 12

    SciTech Connect

    2012-08-09

    Sophia Client Version 12 offers command line access to the Sophia Daemon and the Sophia database files. It provides print, fingerprint, acknowledge, color coding and status access to these other resources.

  5. 37 CFR 10.57 - Preservation of confidences and secrets of a client.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... and secrets of a client. 10.57 Section 10.57 Patents, Trademarks, and Copyrights UNITED STATES PATENT... confidences and secrets of a client. (a) “Confidence” refers to information protected by the attorney-client or agent-client privilege under applicable law. “Secret” refers to other information gained in...

  6. 34 CFR 370.1 - What is the Client Assistance Program (CAP)?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION CLIENT ASSISTANCE PROGRAM General... carry out CAPs that— (a) Advise and inform clients and client applicants of all services and benefits... 34 Education 2 2011-07-01 2010-07-01 true What is the Client Assistance Program (CAP)?...

  7. Superpowers and client states

    SciTech Connect

    Efrat, M.; Bercovitch, J.

    1987-01-01

    Throughout the world the two superpowers often conduct their global conflict by proxy, taking different sides in regional disputes. An important question of international relations is where the balance of power lies in the superpower client state relationship-how far are the interests of the superpower subordinated to those of the client state or vice versa. Taking the two case studies of the US-Israel relationship and the Soviet-Syrian relationship, this book explores the perceptions by each side of the relationship and the reality. It goes on to make general conclusions about superpower-client state relationships. Contents: Introduction; In Search of a Theoretical Framework; Client-States in Superpower Perception; Superpowers in Client States' Perception; The Case of US-Israel Relations; Israel in US Perspective; The USA in Israeli Perspective; Flows of US Civilian and Military Resources to Israel; The Case of Soviet-Syrian Relations; Syria in Soviet Perspective; The USSR in Syrian Perspective; Flows of Soviet Civilian and Military Resources to Syria; Comparative Analysis and Conclusions; Overview of the two cases studies and conclusions.

  8. Client/Server Architecture Promises Radical Changes.

    ERIC Educational Resources Information Center

    Freeman, Grey; York, Jerry

    1991-01-01

    This article discusses the emergence of the client/server paradigm for the delivery of computer applications, its emergence in response to the proliferation of microcomputers and local area networks, the applicability of the model in academic institutions, and its implications for college campus information technology organizations. (Author/DB)

  9. Error adjustments for file linking methods using encrypted unique client identifier (eUCI) with application to recently released prisoners who are HIV+.

    PubMed

    Gutman, R; Sammartino, C J; Green, T C; Montague, B T

    2016-01-15

    Incarceration provides an opportunity to test for HIV, provide treatment such as highly active anti-retroviral therapy, as well as link infected persons to comprehensive HIV care upon their release. A key factor in assessing the success of a program that links released individuals to care is the time from release to receiving care in the community (linkage time). To estimate the linkage time, records from correction systems are linked to Ryan White Clinic data using encrypted Unique Client Identifier (eUCI). Most of the records that were linked using eUCI belong to the same individual; however, in some cases, it may link records incorrectly, or not identify records that should have been linked. We propose a Bayesian procedure that relies on the relationships between variables that appear in either of the data sources, as well as variables that exists in both to identify correctly linked records among all linked records. The procedure generates K datasets in which each pair of linked records is identified as a true link or a false link. The K datasets are analyzed independently, and the results are combined using Rubin's multiple imputation rules. A small validation dataset is used to examine different statistical models and to inform the prior distributions of the parameters. In comparison with previously proposed methods, the proposed method utilizes all of the available data and is both flexible and computationally efficient. In addition, this approach can be applied in other file linking applications.

  10. Counselors as Clients.

    ERIC Educational Resources Information Center

    Journal of Counseling and Development, 1988

    1988-01-01

    Contains four personal accounts of counselors' experiences as clients: (1) "The Heart of the Matter" (Paul Crowley); (2) "Empathic Intervention in Self-Psychology" (Jon Maaske); (3) "Moving toward a New Perspective on Depression and Myself" (John Rebillot); and (4) "My Journey from Despair to Hope" (Lawrence Rossiter). (NB)

  11. Psychotherapy for Suicidal Clients.

    ERIC Educational Resources Information Center

    Lester, David

    1994-01-01

    Reviews various systems of psychotherapy for suitability for suicidal clients. Discusses psychoanalysis, cognitive therapy, primal therapy, transactional analysis, Gestalt therapy, reality therapy, person-centered therapy, existential analysis, and Jungian analysis in light of available treatment options. Includes 36 citations. (Author/CRR)

  12. Working with Potentially Assaultive Clients.

    ERIC Educational Resources Information Center

    Murdach, Allison D.

    1993-01-01

    Examines potentially assaultive or preassaultive client and suggests some ways to minimize the risk of assault by such clients. Data for the article are from author's 10-year experience in providing social work services on acute psychiatric ward in large public medical center. Reviews potentially assaultive client conditions of panic, rage,…

  13. The Competitive Advantage: Client Service.

    ERIC Educational Resources Information Center

    Leffel, Linda G.; DeBord, Karen B.

    The adult education literature contains a considerable amount of research on and discussion of client service in the marketing process, management and staff roles in service- and product-oriented businesses, and the importance of client service and service quality to survival in the marketplace. By applying the principles of client-oriented…

  14. Improvement of AMGA Python Client Library for Belle II Experiment

    NASA Astrophysics Data System (ADS)

    Kwak, Jae-Hyuck; Park, Geunchul; Huh, Taesang; Hwang, Soonwook

    2015-12-01

    This paper describes the recent improvement of the AMGA (ARDA Metadata Grid Application) python client library for the Belle II Experiment. We were drawn to the action items related to library improvement after in-depth discussions with the developer of the Belle II distributed computing system. The improvement includes client-side metadata federation support in python, DIRAC SSL library support as well as API refinement for synchronous operation. Some of the improvements have already been applied to the AMGA python client library as bundled with the Belle II distributed computing software. The recent mass Monte- Carlo (MC) production campaign shows that the AMGA python client library is reliably stable.

  15. Use of an anecdotal client feedback note in family therapy.

    PubMed

    Haber, Russell; Carlson, Ryan G; Braga, Cristina

    2014-06-01

    To attain information about divergent agendas in family therapy, as well as incorporate client feedback, we present the Client Feedback Note (CFN). The CFN elicits information about each family member's feelings, learning, dislikes, and wishes for each session. Anecdotal feedback after each session may help the therapist have better insight into the clients' perceptions and experience of the therapy and the therapist. Sensitivity to information generated by the CFN can help both therapist and client work to coconstruct a therapeutic process that is relevant to the diverse needs of the client system. This manuscript will (a) discuss literature supporting the use of client feedback in therapy; (b) present the CFN and rationale for its development; (c) discuss our experiences utilizing the CFN along with case examples that illustrate its use; and (d) identify practical applications, limitations, and potential research with using the CFN in systemic therapy.

  16. Application of hyaluronic acid in the healing of non-experimental open wounds: A pilot study on 12 wounds in 10 client-owned dogs

    PubMed Central

    Ferrari, Roberta; Boracchi, Patrizia; Romussi, Stefano; Ravasio, Giuliano; Stefanello, Damiano

    2015-01-01

    Aim: Veterinarians have frequently to deal with wounds to the skin, subcutis, and underlying muscle. The aim was to explore the application of hyaluronic acid (HA)-containing dressing on open skin wounds in dogs. The progress of healing was assessed by wound area reduction and two scoring scales applied in human medicine. Materials and Methods: Ten client-owned dogs with 12 cutaneous open wounds healed by the second intention were included. All wounds were treated using available in commerce HA-containing wound dressing from admission to complete re-epithelialization. At every clinical examination, wound area and scale scoring assessments were performed. Results: After debridement, an increased wound size was obtained while an improvement was determined by both grading systems. The median numbers of return to the clinic for bandage change were 5 times. The median time to complete wound healing was 34.5 days. The mean wound area at day 7, 14, 21, and 28 were, respectively, 90.4%, 47.7%, 22.4%, and 14.8% of the original size (for linear measurement) and 95.5%, 54.4%, 23.10%, and 14.8% of the original size (for software measurement). Regarding wound healing assessment tools, the agreement between two operators was considered high for both scales. Conclusions: HA-containing dressing may be a possible wound treatment for cutaneous open wounds in dogs. The assessment of wound quality using scale scoring system could be useful especially in the 1st week and to direct clinical decision-making process. PMID:27047026

  17. Re-visioning Clients' Pathology into Initiatory Desire.

    ERIC Educational Resources Information Center

    Mason, Michael J.

    1993-01-01

    Presents perspective of therapy that re-visions clients' pathology into desire for initiatory experience. Takes symbolic perspective of clients' presenting problems to provide meaning to symptoms and eliminate constraints of diagnoses and/or treatments. Lays developmental foundation to support clinical application of perspective in symbolic…

  18. Client/server study

    NASA Technical Reports Server (NTRS)

    Dezhgosha, Kamyar; Marcus, Robert; Brewster, Stephen

    1995-01-01

    The goal of this project is to find cost-effective and efficient strategies/solutions to integrate existing databases, manage network, and improve productivity of users in a move towards client/server and Integrated Desktop Environment (IDE) at NASA LeRC. The project consisted of two tasks as follows: (1) Data collection, and (2) Database Development/Integration. Under task 1, survey questionnaires and a database were developed. Also, an investigation on commercially available tools for automated data-collection and net-management was performed. As requirements evolved, the main focus has been task 2 which involved the following subtasks: (1) Data gathering/analysis of database user requirements, (2) Database analysis and design, making recommendations for modification of existing data structures into relational database or proposing a common interface to access heterogeneous databases(INFOMAN system, CCNS equipment list, CCNS software list, USERMAN, and other databases), (3) Establishment of a client/server test bed at Central State University (CSU), (4) Investigation of multi-database integration technologies/ products for IDE at NASA LeRC, and (5) Development of prototypes using CASE tools (Object/View) for representative scenarios accessing multi-databases and tables in a client/server environment. Both CSU and NASA LeRC have benefited from this project. CSU team investigated and prototyped cost-effective/practical solutions to facilitate NASA LeRC move to a more productive environment. CSU students utilized new products and gained skills that could be a great resource for future needs of NASA.

  19. Three-Dimensional Audio Client Library

    NASA Technical Reports Server (NTRS)

    Rizzi, Stephen A.

    2005-01-01

    The Three-Dimensional Audio Client Library (3DAudio library) is a group of software routines written to facilitate development of both stand-alone (audio only) and immersive virtual-reality application programs that utilize three-dimensional audio displays. The library is intended to enable the development of three-dimensional audio client application programs by use of a code base common to multiple audio server computers. The 3DAudio library calls vendor-specific audio client libraries and currently supports the AuSIM Gold-Server and Lake Huron audio servers. 3DAudio library routines contain common functions for (1) initiation and termination of a client/audio server session, (2) configuration-file input, (3) positioning functions, (4) coordinate transformations, (5) audio transport functions, (6) rendering functions, (7) debugging functions, and (8) event-list-sequencing functions. The 3DAudio software is written in the C++ programming language and currently operates under the Linux, IRIX, and Windows operating systems.

  20. Client Common Factors Represented by Client Motivation and Autonomy

    ERIC Educational Resources Information Center

    Scheel, Michael J.

    2011-01-01

    Ryan and colleagues are applauded for elevating client factors in the form of motivation and autonomy to equal status with the alliance as common factors in psychotherapy. Next, client motivation and autonomy are explained to be inextricably linked with one promoting the other. Motivational methods are summarized for the major approaches, making…

  1. The Therapeutic Alliance: Clients' Categorization of Client-Identified Factors

    ERIC Educational Resources Information Center

    Simpson, Arlene J.; Bedi, Robinder P.

    2012-01-01

    Clients' perspectives on the therapeutic alliance were examined using written descriptions of factors that clients believed to be helpful in developing a strong alliance. Fifty participants sorted previously collected statements into thematically similar piles and then gave each set of statements a title. Multivariate concept mapping statistical…

  2. Vocational Indecision and Rehabilitation Clients.

    ERIC Educational Resources Information Center

    Strohmer, Douglas C.; And Others

    1984-01-01

    Assessed the vocational decision-making problems of rehabilitation clients (N=60). Revealed that decision-making problems of clients can be grouped into three areas: employment readiness, self-appraisal, and decision-making readiness. Suggested that vocationally decided and undecided subjects differ significantly in the extent to which they have…

  3. Using Clients to Monitor Performance.

    ERIC Educational Resources Information Center

    Molnar, Jack; Stup, Brenda

    1994-01-01

    This article describes an ongoing survey that illustrates how evaluators, working with program managers, have effectively used client-based data to monitor performance in the Social Security Administration. The value of client-based data outweighs the limitations and problems collecting it. Customer perceptions are a critical barometer of quality.…

  4. Fostering Clients' Cooperation with Rehabilitation.

    ERIC Educational Resources Information Center

    Dale, B.

    1996-01-01

    This paper examines common causes of visually impaired clients' noncooperation with activities recommended by rehabilitation professionals. Recent literature on effective strategies for increasing compliance is reviewed, and techniques such as contingency contracts, task analysis, and openness to client innovation and modification of activities…

  5. Group Work with Transgender Clients

    ERIC Educational Resources Information Center

    Dickey, Lore M.; Loewy, Michael I.

    2010-01-01

    Drawing on the existing literature, the authors' research and clinical experiences, and the first author's personal journey as a member and leader of the transgender community, this article offers a brief history of group work with transgender clients followed by suggestions for group work with transgender clients from a social justice…

  6. Constructing Genograms with Lesbian Clients.

    ERIC Educational Resources Information Center

    Magnuson, Sandy; And Others

    1995-01-01

    The intergenerational family therapy method of genogram construction may be a useful technique for increasing levels of differentiation in clients with a lesbian sexual orientation. Provides a description, rationale, and illustration of how genogram construction may be used by family counselors to treat lesbian clients. (JBJ)

  7. Channel Access Client Toolbox for Matlab

    SciTech Connect

    Terebilo, Andrei

    2002-08-07

    This paper reports on MATLAB Channel Access (MCA) Toolbox--MATLAB [1] interface to EPICS Channel Access (CA) client library. We are developing the toolbox for SPEAR3 accelerator controls, but it is of general use for accelerator and experimental physics applications programming. It is packaged as a MATLAB toolbox to allow easy development of complex CA client applications entirely in MATLAB. The benefits include: the ability to calculate and display parameters that use EPICS process variables as inputs, availability of MATLAB graphics tools for user interface design, and integration with the MATLAB-based accelerator modeling software--Accelerator Toolbox [2-4]. Another purpose of this paper is to propose a feasible path to a synergy between accelerator control systems and accelerator simulation codes, the idea known as on-line accelerator model.

  8. A novel application in the study of client language: Alcohol and marijuana-related statements in substance-using adolescents during a simulation task.

    PubMed

    Ladd, Benjamin O; Garcia, Tracey A; Anderson, Kristen G

    2016-09-01

    The current study explored whether laboratory-based techniques can provide a strategy for studying client language as a mechanism of behavior change. Specifically, this study examined the potential of a simulation task to elicit healthy talk, or self-motivational statements in favor of healthy behavior, related to marijuana and alcohol use. Participants (N = 84) were adolescents reporting at least 10 lifetime substance use episodes recruited from various community settings in an urban Pacific Northwest setting. Participants completed the Adolescent Simulated Intoxication Digital Elicitation (A-SIDE), a validated paradigm for assessing substance use decision making in peer contexts. Participants responded to 4 types of offers in the A-SIDE: (a) marijuana, (b) food (marijuana control), (c) alcohol, and (d) soda (alcohol control). Using a validated coding scheme adapted for the current study, client language during a structured interview assessing participants' response to the simulated offers was evaluated. Associations between percent healthy talk (PHT, calculated by dividing the number of healthy statements by the sum of all substance-related statements) and cross-sectional outcomes of interest (previous substance use, substance use expectancies, and behavioral willingness) were explored. The frequency of substance-related statements differed in response to offer type; rate of PHT did not. PHT was associated with behavioral willingness to accept the offer. However, PHT was not associated with decontextualized measures of substance use. Associations between PHT and global expectancies were limited. Simulation methods may be useful in investigating the impact of context on self-talk and to systematically explore client language as a mechanism of change. (PsycINFO Database Record PMID:27454368

  9. Students as Clients in a Professional/Client Relationship.

    ERIC Educational Resources Information Center

    Bailey, Jeffrey J.

    2000-01-01

    Proposes the metaphor of professional/client rather than student-as-customer to characterize the relationship between professors and students. Uses examples of fitness trainer, management consultant, accounting service, and mountain guide to illustrate faculty and student roles. (SK)

  10. Risk taking among diabetic clients.

    PubMed

    Joseph, D H; Schwartz-Barcott, D; Patterson, B

    1992-01-01

    Diabetic clients must make daily decisions about their health care needs. Observational and anecdotal evidence suggests that vast differences exist between the kinds of choices diabetic clients make and the kinds of chances they are willing to take. The purpose of this investigation was to develop a diabetic risk-assessment tool. This instrument, which is based on subjective expected utility theory, measures risk-prone and risk-averse behavior. Initial findings from a pilot study of 18 women clients who are on insulin indicate that patterns of risk behavior exist in the areas of exercise, skin care, and diet. PMID:1729123

  11. Reviews of computing technology: Client-server technology

    SciTech Connect

    Johnson, S.M.

    1990-09-01

    One of the most frequently heard terms in the computer industry these days is ``client-server.`` There is much misinformation available on the topic, and competitive pressures on software vendors have led to a great deal of hype with little in the way of supporting products. The purpose of this document is to explain what is meant by client-server applications, why the Advanced Technology and Architecture (ATA) section of the Information Resources Management (IRM) Department sees this emerging technology as key for computer applications during the next ten years, and what ATA sees as the existing standards and products available today. Because of the relative immaturity of existing client-server products, IRM is not yet guidelining any specific client-server products, except those that are components of guidelined data communications products or database management systems.

  12. Reviews of computing technology: Client-server technology

    SciTech Connect

    Johnson, S.M.

    1990-09-01

    One of the most frequently heard terms in the computer industry these days is client-server.'' There is much misinformation available on the topic, and competitive pressures on software vendors have led to a great deal of hype with little in the way of supporting products. The purpose of this document is to explain what is meant by client-server applications, why the Advanced Technology and Architecture (ATA) section of the Information Resources Management (IRM) Department sees this emerging technology as key for computer applications during the next ten years, and what ATA sees as the existing standards and products available today. Because of the relative immaturity of existing client-server products, IRM is not yet guidelining any specific client-server products, except those that are components of guidelined data communications products or database management systems.

  13. Protecting mental health clients' dignity - the importance of legal control.

    PubMed

    Kogstad, Ragnfrid Eline

    2009-01-01

    Protecting human beings' dignity is a fundamental value underlying the UN's Universal Declaration of Human Rights as well as several recommendations and conventions derived from this, among them the European Convention of Human Rights (ECHR), a declaration that also takes precedence over Norwegian legislation. Still, clients' stories inform us that their dignity is not always protected in the mental health service systems. The aim of the study has been to investigate violations of dignity considered from the clients' points of view, and to suggest actions that may ensure that practice is brought in line with human rights values. The method used has been a qualitative content analysis of 335 client narratives. The conclusion is that mental health clients experience infringements that cannot be explained without reference to their status as clients in a system which, based on judgments from medical experts, has a legitimate right to ignore clients' voices as well as their fundamental human rights. The main focus of this discussion is the role of the ECHR and the European Court of Human Rights as instruments for protecting mental health clients' human rights. To bring about changes, recommendations and practices should be harmonized with the new UN Convention on the Rights of Persons with Disabilities (2006). Under this convention, the European Court of Human Rights has support for the application of the ECHR without exemptions for special groups of people.

  14. Measurement of Client Preferences for Therapist Behavior.

    ERIC Educational Resources Information Center

    Richert, Alphons J.

    While past research has found conflicting results on the place for client role preferences in psychotherapy, none of this research has examined the client role preferences in an actual client population seeking outpatient therapy. This study involved the development of a measure of client role preferences which attempted to survey a wider range of…

  15. The ARAC client system: network-based access to ARAC

    SciTech Connect

    Leach, M J; Sumikawa, D; Webster, C

    1999-07-12

    The ARAC Client System allows users (such as emergency managers and first responders) with commonly available desktop and laptop computers to utilize the central ARAC system over the Internet or any other communications link using Internet protocols. Providing cost-effective fast access to the central ARAC system greatly expands the availability of the ARAC capability. The ARAC Client system consists of (1) local client applications running on the remote user's computer, and (2) ''site servers'' that provide secure access to selected central ARAC system capabilities and run on a scalable number of dedicated workstations residing at the central facility. The remote client applications allow users to describe a real or potential them-bio event, electronically sends this information to the central ARAC system which performs model calculations, and quickly receive and visualize the resulting graphical products. The site servers will support simultaneous access to ARAC capabilities by multiple users. The ARAC Client system is based on object-oriented client/server and distributed computing technologies using CORBA and Java, and consists of a large number of interacting components.

  16. Thin Client Architecture: The Promise and the Problems.

    ERIC Educational Resources Information Center

    Machovec, George S.

    1997-01-01

    Describes thin clients, a networking technology that allows organizations to provide software applications over networked workstations connected to a central server. Topics include corporate settings; major advantages, including cost effectiveness and increased computer security; problems; and possible applications for large public and academic…

  17. Nutrition Education Needs Pantry Clients

    ERIC Educational Resources Information Center

    Wood, Dolores K.; Shultz, Jill Armstrong; Edlefsen, Miriam; Butkus, Sue N.

    2007-01-01

    Two food pantries were surveyed for nutrition education (NE) interests and experiences. One site provided nutrition education classes; the comparison site was utilized to assess client interest in class topics. "Fixing low cost meals," "fixing quick and easy recipes," and "stretching food and food dollars" were topics rated highly by nutrition…

  18. Students: Customers, Clients or Pawns?

    ERIC Educational Resources Information Center

    Tight, Malcolm

    2013-01-01

    The metaphor of the student as a consumer or customer is widely used within contemporary higher education, and impacts on the ways in which students, academics and institutions behave. These, and a number of alternative metaphors for the student, are critically reviewed. The alternatives considered include both contemporary (student as client or…

  19. Understanding and Counseling Narcissistic Clients.

    ERIC Educational Resources Information Center

    Stevens, Michael J.; And Others

    1984-01-01

    Provides counselors with an overview of narcissism and its treatment. In the first section, dysfunctional narcissism is described, drawing on the diagnostic indicators presented in the DSM-III and the contemporary object relations theories of Heinz Kohut and Otto Kerberg. The second section focuses on counseling narcissistic clients. (Author/JAC)

  20. Client services for geriatric pets.

    PubMed

    Hancock, G; Yates, J

    1989-01-01

    Some veterinarians have been reluctant to discuss the prospect of the death of a pet because of a sense of discomfort and a lack of understanding about how to respond to the client's grief reaction. It is essential to take the time for this important communication and help clients deal with fears about the process, any feelings of guilt and helplessness, and judgments about the medical aspects of a case. Clients must be encouraged to express grief over the loss of a pet, particularly a geriatric pet that has lived with them many years and to which they are deeply bonded. Veterinarians need to counsel clients about obtaining additional pets or another pet. The phrase "replacement pet" must be stricken from the veterinarian's vocabulary. One does not "replace" a deceased spouse, mother, father, or child. It is possible to have another child or find another spouse, but it is not possible to replace a person. Neither can a pet be "replaced," because each pet is a unique living being. It is disrespectful to the memory of deceased pets to belittle their uniqueness by suggesting that they can be replaced. Instead, the veterinarian has the capability and responsibility to help pet owners maintain fond and happy memories of an irreplacable pet, while finding room in their hearts for another new pet to create happiness for the future. Once the grief is resolved, clients will be thankful for having had the privilege of sharing their life with an animal and experiencing the joy of the bond between two unique individuals. PMID:2646816

  1. Client services for geriatric pets.

    PubMed

    Hancock, G; Yates, J

    1989-01-01

    Some veterinarians have been reluctant to discuss the prospect of the death of a pet because of a sense of discomfort and a lack of understanding about how to respond to the client's grief reaction. It is essential to take the time for this important communication and help clients deal with fears about the process, any feelings of guilt and helplessness, and judgments about the medical aspects of a case. Clients must be encouraged to express grief over the loss of a pet, particularly a geriatric pet that has lived with them many years and to which they are deeply bonded. Veterinarians need to counsel clients about obtaining additional pets or another pet. The phrase "replacement pet" must be stricken from the veterinarian's vocabulary. One does not "replace" a deceased spouse, mother, father, or child. It is possible to have another child or find another spouse, but it is not possible to replace a person. Neither can a pet be "replaced," because each pet is a unique living being. It is disrespectful to the memory of deceased pets to belittle their uniqueness by suggesting that they can be replaced. Instead, the veterinarian has the capability and responsibility to help pet owners maintain fond and happy memories of an irreplacable pet, while finding room in their hearts for another new pet to create happiness for the future. Once the grief is resolved, clients will be thankful for having had the privilege of sharing their life with an animal and experiencing the joy of the bond between two unique individuals.

  2. Quality focuses on clients' needs.

    PubMed

    Barnett, B

    1997-01-01

    This article discusses issues related to improving postpartum and postabortion quality of care for women in developing countries. Health workers and health care providers have a responsibility to provide high-quality care to postpartum and postabortion women that includes family planning counseling. Postabortion and postpartum women may have different needs. Quality of care means "helping women to identify their individual reproductive health needs and helping them make choices that will meet those needs." Choice belongs to the family planning client. Clients may view family planning quality as the ability to maintain reproductive health and satisfaction in sexual relations. Providers may view quality as prevention of unplanned pregnancies. Quality outcome measures are more than effectiveness and avoidance of complications. Quality means satisfaction of clients' personal preferences and lack of interference with women's everyday life. Clients need accurate information, empathetic counseling, and accessible services. Health workers need to consider how service delivery systems, providers' attitudes, and clients' views can affect women's access to postpartum and postabortion contraception and other reproductive health services. Providers must know that postpartum women need information about breast feeding, infant care, and nutrition. Women who were treated for incomplete abortions need emergency treatment for complications and information about symptoms that would warrant a return to the medical setting. The need for family planning is immediate for postabortion women, but providers should not offer women family planning information while women are under stress. Privacy is key to quality services. The Pan American Health Organization and the Judith Bruce framework identify essential features of quality services.

  3. Client Compliance with Homework Directives during Counseling.

    ERIC Educational Resources Information Center

    Worthington, Everett L., Jr.

    1986-01-01

    Investigated compliance as a function of counselor, client, and therapy variables. Results indicated that variables associated with the conduct of counseling more strongly influenced compliance with homework than did either counselor or client variables. (Author/BL)

  4. Clients' perceptions of their psychotherapists' multicultural orientation.

    PubMed

    Owen, Jesse J; Tao, Karen; Leach, Mark M; Rodolfa, Emil

    2011-09-01

    The current retrospective study examined whether clients' (N = 176) perceptions of their psychotherapists' multicultural orientation (MCO) were associated with their psychological functioning, working alliance, and real relationship scores. Moreover, we tested whether clients' perceptions of the working alliance and the real relationship mediated the relationship between clients' perceptions of their psychotherapists' MCO and psychological functioning. The results showed that clients' perceptions of their psychotherapists' MCO were positively related to working alliance, real relationship, and psychological functioning. Only clients' ratings of the working alliance mediated the relationship between clients' perceptions of their psychotherapists' MCO and psychological functioning. Thus, because clients perceive their psychotherapists as being more oriented toward cultural issues, they may view the therapist as being more credible and may gain a sense of comfort in the therapeutic process. In turn, clients' strong alliance facilitates improvement in psychological well-being. PMID:21639652

  5. Bulimia: Book for Therapist and Client.

    ERIC Educational Resources Information Center

    Bauer, Barbara G.; And Others

    This book was written for practitioners working with bulimic clients and for clients themselves. Bulimia is presented as a multidimensional problem requiring a multidisciplinary team approach to treatment. An introductory chapter presents six treatment sessions with a bulimic client which provide an overview of the experiences and attitudes of the…

  6. Rehabilitation Counseling Student Perceptions of Obese Clients.

    ERIC Educational Resources Information Center

    Kaplan, Steven P.; Thomas, Kenneth R.

    1981-01-01

    Investigated whether stigmatization of obese persons has affected rehabilitation counseling students' perceptions of such clients. Results suggest that rehabilitation students perceive obese clients more negatively. If a counselor's first impression of an obese client is that he is less competent and less attractive, rehabilitation outcome could…

  7. Client Self-Disclosure in Psychotherapy.

    ERIC Educational Resources Information Center

    Stiles, William B.

    Psychotherapists of different theoretical persuasions use systematically different profiles of verbal response modes. However, clients tend to use very similar profiles, regardless of what their therapist does. Disclosure comprises the largest part of this common client profile, and it distinguishes the client role from other roles. Higher levels…

  8. Client and Therapist Variability in Clients' Perceptions of Their Therapists' Multicultural Competencies

    ERIC Educational Resources Information Center

    Owen, Jesse; Leach, Mark M.; Wampold, Bruce; Rodolfa, Emil

    2011-01-01

    This study examined therapist differences in their clients' ratings of their therapists' multicultural competencies (MCCs) as well as tested whether therapists' who were rated as exhibiting more MCCs also had clients who had better therapy outcomes (N = 143 clients and 31 therapists). All clients completed at least 3 sessions. Results demonstrated…

  9. Solution-Focused Counseling for Clients with Religious and Spiritual Concerns

    ERIC Educational Resources Information Center

    Guterman, Jeffrey T.; Leite, Noelia

    2006-01-01

    Solution-focused counseling is presented as a framework for clients with religious and spiritual concerns. The theory of solution-focused counseling is described. Implications for using this model with religious and spiritual clients are considered. A case example is provided to illustrate the application of solution-focused counseling for a…

  10. A Public-Key Based Authentication and Key Establishment Protocol Coupled with a Client Puzzle.

    ERIC Educational Resources Information Center

    Lee, M. C.; Fung, Chun-Kan

    2003-01-01

    Discusses network denial-of-service attacks which have become a security threat to the Internet community and suggests the need for reliable authentication protocols in client-server applications. Presents a public-key based authentication and key establishment protocol coupled with a client puzzle protocol and validates it through formal logic…

  11. Counselors' Stress Appraisals as Predictors of Countertransference Behavior with Male Clients

    ERIC Educational Resources Information Center

    Fauth, James; Hayes, Jeffrey A.

    2006-01-01

    The authors investigated the applicability of a transactional theory of stress to the understanding of countertransference with male clients. Counselors responded to either a traditional or nontraditional videotaped male client vignette. As expected, counselors' stress appraisals predicted their countertransference behavior. Specifically,…

  12. Collaborating with Your Clients Using Social Media & Mobile Communications

    ERIC Educational Resources Information Center

    Typhina, Eli; Bardon, Robert E.; Gharis, Laurie W.

    2015-01-01

    Many Extension educators are still learning how to effectively integrate social media into their programs. By using the right social media platforms and mobile applications to create engaged, online communities, Extension educators can collaborate with clients to produce and to share information expanding and enhancing their social media and…

  13. Suggested Perspectives in Counseling the American Indian Client.

    ERIC Educational Resources Information Center

    Paisano-Suazo, Aleta

    The standard western theoretical approach to mental health counseling is not applicable to the views held by Native American clients. Consideration must be given to their unique differences, if the therapist is to provide maximum effectiveness. Several perspectives offer alternative counseling procedures. For instance, Indians place great…

  14. Client-server technology meets operational-planning challenges

    SciTech Connect

    Cole, L.A.; Stansberry, C.J. Jr.; Le, K.D.; Ma, H.

    1996-07-01

    Utilities are starting to find that it is rather difficult to upgrade their proprietary energy management system, which was designed for real-time operations, fast enough to keep pace with rapidly changing business needs. To solve this problem, many utilities are building a data warehouse to store real-time data and using the data warehouse to launch client-server applications to meet their pressing business requirements. This article describes a client-server implementation launched at Tennessee Valley Authority in 1994 to meet the utility`s operational-planning needs. The article summarizes some of the lessons learned and outlines future development plans.

  15. Hardened Client Platforms for Secure Internet Banking

    NASA Astrophysics Data System (ADS)

    Ronchi, C.; Zakhidov, S.

    We review the security of e-banking platforms with particular attention to the exploitable attack vectors of three main attack categories: Man-in-the-Middle, Man-in-the-PC and Man-in-the-Browser. It will be shown that the most serious threats come from combination attacks capable of hacking any transaction without the need to control the authentication process. Using this approach, the security of any authentication system can be bypassed, including those using SecureID Tokens, OTP Tokens, Biometric Sensors and Smart Cards. We will describe and compare two recently proposed e-banking platforms, the ZTIC and the USPD, both of which are based on the use of dedicated client devices, but with diverging approaches with respect to the need of hardening the Web client application. It will be shown that the use of a Hardened Browser (or H-Browser) component is critical to force attackers to employ complex and expensive techniques and to reduce the strength and variety of social engineering attacks down to physiological fraud levels.

  16. High-Yield Secretion of Multiple Client Proteins in Aspergillus

    SciTech Connect

    Segato, F.; Damasio, A. R. L.; Goncalves, T. A.; de Lucas, R. C.; Squina, F. M.; Decker, S. R.; Prade, R. A.

    2012-07-15

    Production of pure and high-yield client proteins is an important technology that addresses the need for industrial applications of enzymes as well as scientific experiments in protein chemistry and crystallization. Fungi are utilized in industrial protein production because of their ability to secrete large quantities of proteins. In this study, we engineered a high-expression-secretion vector, pEXPYR that directs proteins towards the extracellular medium in two Aspergillii host strains, examine the effect of maltose-induced over-expression and protein secretion as well as time and pH-dependent protein stability in the medium. We describe five client proteins representing a core set of hemicellulose degrading enzymes that accumulated up to 50-100 mg/L of protein. Using a recyclable genetic marker that allows serial insertion of multiple genes, simultaneous hyper-secretion of three client proteins in a single host strain was accomplished.

  17. Web-client based distributed generalization and geoprocessing

    USGS Publications Warehouse

    Wolf, E.B.; Howe, K.

    2009-01-01

    Generalization and geoprocessing operations on geospatial information were once the domain of complex software running on high-performance workstations. Currently, these computationally intensive processes are the domain of desktop applications. Recent efforts have been made to move geoprocessing operations server-side in a distributed, web accessible environment. This paper initiates research into portable client-side generalization and geoprocessing operations as part of a larger effort in user-centered design for the US Geological Survey's The National Map. An implementation of the Ramer-Douglas-Peucker (RDP) line simplification algorithm was created in the open source OpenLayers geoweb client. This algorithm implementation was benchmarked using differing data structures and browser platforms. The implementation and results of the benchmarks are discussed in the general context of client-side geoprocessing. (Abstract).

  18. Client/server approach to image capturing

    NASA Astrophysics Data System (ADS)

    Tuijn, Chris; Stokes, Earle

    1998-01-01

    The diversity of the digital image capturing devices on the market today is quite astonishing and ranges from low-cost CCD scanners to digital cameras (for both action and stand-still scenes), mid-end CCD scanners for desktop publishing and pre- press applications and high-end CCD flatbed scanners and drum- scanners with photo multiplier technology. Each device and market segment has its own specific needs which explains the diversity of the associated scanner applications. What all those applications have in common is the need to communicate with a particular device to import the digital images; after the import, additional image processing might be needed as well as color management operations. Although the specific requirements for all of these applications might differ considerably, a number of image capturing and color management facilities as well as other services are needed which can be shared. In this paper, we propose a client/server architecture for scanning and image editing applications which can be used as a common component for all these applications. One of the principal components of the scan server is the input capturing module. The specification of the input jobs is based on a generic input device model. Through this model we make abstraction of the specific scanner parameters and define the scan job definitions by a number of absolute parameters. As a result, scan job definitions will be less dependent on a particular scanner and have a more universal meaning. In this context, we also elaborate on the interaction of the generic parameters and the color characterization (i.e., the ICC profile). Other topics that are covered are the scheduling and parallel processing capabilities of the server, the image processing facilities, the interaction with the ICC engine, the communication facilities (both in-memory and over the network) and the different client architectures (stand-alone applications, TWAIN servers, plug-ins, OLE or Apple-event driven

  19. Client perspectives on occupational therapy practice: are we truly client-centred?

    PubMed

    Rebeiro, K L

    2000-02-01

    In Canada, the guidelines for the practice of occupational therapy are named and framed as client-centred. Two in-depth interviews were conducted with clients of mental health services about their experiences with a hospital-based occupational therapy service. These occupational therapy clients described their experiences as prescriptive, and as less than client-centred. With the publication of Enabling occupation: A Canadian occupational therapy perspective (Canadian Association of Occupational Therapists [CAOT], 1997) and an increasingly refined focus on being client-centred, these interviews highlight the challenges of a client-centred practice within the current health care environment. These occupational therapy clients raise issues of importance for occupational therapy. The participants stated that the prescription of 'activity', a lack of choice, and a focus upon the illness as opposed to the individual, served to diminish any collaborative partnership with the client and eliminate the client from any decision-making process. This distancing from the client, in their opinion, served to greatly diminish any therapeutic value of occupation. The participants recommended a greater focus upon occupational choice, consideration of the individual within the client, providing accepting, supportive environments, and using professional expertise on occupation to guide the client towards participation in meaningful occupation. These recommendations are strikingly similar to the most recent guidelines for the client-centred practice of occupational therapy in Canada. A discussion of the implications of these findings for the client-centred practice of occupational therapy is offered. PMID:10695164

  20. Demographic consequences, client satisfaction, and reasons for selecting sterilization among vasectomy and tubectomy clients in Bangladesh.

    PubMed

    Swenson, I; Khan, A R

    1982-06-01

    A follow-up study of vasectomy and tubectomy clients in Bangladesh showed that the mean ages of vasectomy clients and their wives were significantly higher than the mean ages of tubectomy clients. These findings suggest that the number of births averted by vasectomy is less than what might be expected from tubectomy. Between 20-60% of tubectomy clients stated that they (or their husbands) had previously used contraception, while only 2% of vasectomy clients indicated that they or their wives had previously used contraception. More than 95% of tubectomy clients, compared to less than 48% of vasectomy clients, were satisfied with having a sterilization procedure. A large proportion of dissatisfied vasectomy clients indicated that they had chosen vasectomy rather than some other method of contraception primarily because of financial incentives. The small percentage of dissatisfied tubectomy clients indicated that their concern was about possibly having a child die and not being able to replace that child. Less than 30% of vasectomy clients compared to more than 70% of tubectomy clients indicated that they had recommended the procedure to another man (woman). While more than 80% of tubectomy clients cited themselves, their husbands, or a close family member as the most influential person in their decision to have a tubectomy, vasectomy clients never mentioned their wives, rarely another family member, and in less than 1/2 the cases, themselves. This study suggests that client satisfaction with tubectomy in Bangladesh can be attributed to the desire to terminate childbearing. Positive responses of tubectomy clients appear to be consistent in spite of urban-rural, religious, and socioeconomic differences as measured by education of clients and their husbands' occupation. On the other hand, lack of satisfaction of vasectomy clients can be attributed to use of incentives, causing recruitment of clients who were not primarily motivated by a desire to terminate childbearing

  1. CLIENT NARRATIVES: A THEORETICAL PERSPECTIVE

    PubMed Central

    Gale, Deborah Dysart; Mitchell, Ann M.; Garand, Linda; Wesner, Susan

    2010-01-01

    The role of subjective client narratives in health care represents a clinical and therapeutic tool, useful in complementing objective, scientific data. Of particular interest to mental health practitioners is the role narratives play as a therapeutic tool to guide clinical practice. This paper lays a foundation for understanding the importance of narrative in the psychotherapeutic process. It provides a brief overview of narrative theory and methods of structural analysis in order to provide a theoretical approach that can be utilized by nurses to address clients’ needs. PMID:12735076

  2. Do client fees help or hurt?

    PubMed

    Barnett, B

    1998-01-01

    This article discusses the impact of client fees for family planning (FP) services on cost recovery and level of user services in developing countries. The UN Population Fund reports that developing country governments currently pay 75% of the costs of FP programs. Donors contribute 15%, and clients pay 10%. Current pressures are on FP services to broaden and improve their scope, while user demand is increasing. Program managers should consider the program's need for funds and the clients' willingness to pay. Clients are willing to pay about 1% of their income for contraception. A study of sterilization acceptance in Mexico finds that the average monthly case load declined by 10% after the 1st price increase from $43 to $55 and declined by 58% after the 2nd price increase to $60. Fewer low-income clients requested sterilization. A CEMOPLAF study in Ecuador finds that in three price increase situations the number of clients seeking services declined, but the economic mix of clients remained about the same. The decline was 20% in the group with a 20% price increase and 26% in the 40% increase group. In setting fees, the first need is to determine unit costs. The Futures Group International recommends considering political, regulatory, and institutional constraints for charging fees; priorities for revenue use; protection for poor clients; and monitoring of money collection and expenditure. Management Sciences for Health emphasizes consideration of the reasons for collection of fees, client affordability, and client perception of quality issues. Sliding scales can be used to protect poor clients. Charging fees for laboratory services can subsidize poor clients. A Bangladesh program operated a restaurant and catering service in order to subsidize FP services. Colombia's PROFAMILIA sells medical and surgical services and a social marketing program in order to expand clinics. PMID:12293239

  3. Increasing hope by addressing clients' outcome expectations.

    PubMed

    Swift, Joshua K; Derthick, Annie O

    2013-09-01

    Addressing clients' outcome expectations is an important clinical process that can lead to a strong therapeutic alliance, more positive treatment outcomes, and decreased rates of premature termination from psychotherapy. Five interventions designed to foster appropriate outcome expectations are discussed, including presenting a convincing treatment rationale, increasing clients' faith in their therapists, expressing faith in clients, providing outcome education, and comparing progress with expectations. Clinical examples and research support are provided for each. PMID:24000836

  4. Characteristics of family planning clients in Bangladesh.

    PubMed

    Swenson, I; Khan, A R

    1983-01-01

    The study objective was to establish a profile of family planning clients in Bangladesh to illustrate differences and similarities of the clients who obtain various types of contraceptives--oral contraceptives (OCs), injectables, tubal ligation, and vasectomy--in both urban and rural areas. The urban women receiving OCs attended the family planning clinics of 6 hospitals in Dacca during the 1974-77 period. The rural OC clients attended a government family planning clinic about 25 miles southeast of Dacca between 1975-77. Urban injectable clients all attended the family planning clinic of the model clinic in Dacca. Rural injectable clients attended the same family planning clinic in Matlab as did rural OC clients. Urban tubal ligation clients were randomly selected from 2 areas, Kalicakar and Kustia. Vasectomy clients were randomly sampled from the lists of vasectomy clients which attended mass vasectomy centers in Shibjuir and Shalna provinces 2 years prior to the survey follow-up. The higher mean ages of all rural contraceptive users, regardless of method, was consistent with their high parities and the small percentages of these women who desired more children. 15.6% of urban women choosing sterilization had never used contraception previously, but 93.2% of urban OC acceptors and 61.5% of the injectable clients were obtaining contraception for the 1st time. 62% of sterilization clients who had previously used contraception had been using OCs. Among the rural users of contraceptives, those using pills and vasectomy had the highest proportions of no prior use of contraception (94% and 95.7%, respectively). 42% of tubal ligation clients had never used contraception previously; 64.2% of the injectable clients indicated they had never used contraceptives. Among the OC acceptors the majority of previous users had IUDs inserted. Injectable and tubal ligation acceptors previously using contraception had primarily been OC users. In both the urban and rural areas the vast

  5. ERDDAP - An Easier Way for Diverse Clients to Access Scientific Data From Diverse Sources

    NASA Astrophysics Data System (ADS)

    Mendelssohn, R.; Simons, R. A.

    2008-12-01

    ERDDAP is a new open-source, web-based service that aggregates data from other web services: OPeNDAP grid servers (THREDDS), OPeNDAP sequence servers (Dapper), NOS SOAP service, SOS (IOOS, OOStethys), microWFS, DiGIR (OBIS, BMDE). Regardless of the data source, ERDDAP makes all datasets available to clients via standard (and enhanced) DAP requests and makes some datasets accessible via WMS. A client's request also specifies the desired format for the results, e.g., .asc, .csv, .das, .dds, .dods, htmlTable, XHTML, .mat, netCDF, .kml, .png, or .pdf (formats more directly useful to clients). ERDDAP interprets a client request, requests the data from the data source (in the appropriate way), reformats the data source's response, and sends the result to the client. Thus ERDDAP makes data from diverse sources available to diverse clients via standardized interfaces. Clients don't have to install libraries to get data from ERDDAP because ERDDAP is RESTful and resource-oriented: a URL completely defines a data request and the URL can be used in any application that can send a URL and receive a file. This also makes it easy to use ERDDAP in mashups with other web services. ERDDAP could be extended to support other protocols. ERDDAP's hub and spoke architecture simplifies adding support for new types of data sources and new types of clients. ERDDAP includes metadata management support, catalog services, and services to make graphs and maps.

  6. Client Contact versus Paperwork: A Student Perspective.

    ERIC Educational Resources Information Center

    Strohmer, Douglas C.; And Others

    1979-01-01

    Surveys master's level rehabilitation counseling students and examines percentage of time students spend involved in client contact and paperwork during their internship. Time spent in client contact was nearly double that spent doing paperwork for this group. Data from a number of settings are discussed. (Author)

  7. Counselors' Accounts of Their Clients' Spiritual Experiences.

    ERIC Educational Resources Information Center

    Holden, Janice Miner

    2000-01-01

    Introduces a special section within this issue of Counseling and Values that focuses on counselors' accounts of their clients' transpersonal experiences. The eight articles in this special section discuss ten types of transpersonal experiences. Clients range in age from early 20s to early 80s. Experiences occurred in various settings and were…

  8. Experience-Seeking Characteristics of Methadone Clients.

    ERIC Educational Resources Information Center

    Kohn, Paul M.; And Others

    1979-01-01

    Methadone clients scored higher than controls on measures reflecting boredom, desire for change and attraction to physically thrilling activities. Correlations of these measures with length of most recent dependency before treatment, time on program, and time since initial dependency suggest peculiarities of methadone clients antedated involvement…

  9. Client Relations: More than Just "Business"

    ERIC Educational Resources Information Center

    Malloy, Courtney L.; Yee, Patricia A.

    2006-01-01

    In this chapter, the authors review the literature on partnership evolution to offer strategies for developing collaborative evaluator-client relationships. They begin with a brief introduction to partnerships and their approach to client relationships. A synthesis of the literature on partnership evolution is provided and applied to the…

  10. Vocational Evaluation of Severely Disabled Deaf Clients.

    ERIC Educational Resources Information Center

    Watson, Douglas

    Research and practice in deafness rehabilitation show that evaluation services for severely disabled deaf clients can best be provided within a "total adjustment environment" which incorporates a number of special program considerations associated with the evaluation of deaf clients. Four of these considerations are (1) a rehabilitation evaluation…

  11. Cut Costs with Thin Client Computing.

    ERIC Educational Resources Information Center

    Hartley, Patrick H.

    2001-01-01

    Discusses how school districts can considerably increase the number of administrative computers in their districts without a corresponding increase in costs by using the "Thin Client" component of the Total Cost of Ownership (TCC) model. TCC and Thin Client are described, including its software and hardware components. An example of a Thin Client…

  12. Training Therapists about Client Expectations of Psychotherapy.

    ERIC Educational Resources Information Center

    Soley, Georgia; Marshall, Renee; Chambliss, Catherine

    Research has indicated that premature termination of therapy is sometimes due to a conflict in goal and outcome expectations between therapists and family members of clients. The present study requested both therapists and parents of child clients to complete questionnaires to determine if there is congruence between therapist and parental…

  13. Client Verbal Response Category System: Preliminary Data.

    ERIC Educational Resources Information Center

    Meier, Augustine; Boivin, Micheline

    1986-01-01

    The Client Verbal Response Category System classifies client responses into Temporal, Directional and Experiential categories. The categories with their subcategories are defined, interjudge reliability data is presented, and the instrument's utility in psychotherapy process research is demonstrated. Initial results indicate that the instrument is…

  14. Employment Patterns of Methadone Maintenance Clients

    ERIC Educational Resources Information Center

    Bloch, Harriet I.; And Others

    1977-01-01

    Analysis of employment patterns of methadone maintenance clients had indicated that the majority were not employed at time of program admission. At time of evaluation, 70 percent of the sample were employed; 88 percent of these clients had previous work histories and brought marketable skills with them. (Author)

  15. Organizational and Client Commitment among Contracted Employees

    ERIC Educational Resources Information Center

    Coyle-Shapiro, Jacqueline A-M.; Morrow, Paula C.

    2006-01-01

    This study examines affective commitment to employing and client organizations among long-term contracted employees, a new and growing employment classification. Drawing on organizational commitment and social exchange literatures, we propose two categories of antecedents of employee commitment to client organizations. We tested our hypotheses…

  16. Writing about Clients: Ethical Considerations and Options

    ERIC Educational Resources Information Center

    Sperry, Len; Pies, Ronald

    2010-01-01

    Today, the decision to prepare clinical case material for publication is a decision that cannot be taken lightly. The decision involves reviewing ethical considerations and choosing among various options to safeguard client privacy. Such options include seeking the client's permission, disguising case material, and developing composite case…

  17. Experiential Interventions for Clients with Genital Herpes.

    ERIC Educational Resources Information Center

    Cummings, Anne L.

    1999-01-01

    Explores potential benefits of incorporating concepts and interventions from experimental therapy to help clients with psychosocial difficulties in learning to live with genital herpes. Recommends experimental counseling of two-chair dialog, empty chair, and metaphor for helping clients with emotional sequelae of genital herpes. Presents case…

  18. 49 CFR 1103.23 - Confidences of a client.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 8 2010-10-01 2010-10-01 false Confidences of a client. 1103.23 Section 1103.23... Responsibilities Toward A Client § 1103.23 Confidences of a client. (a) The practitioner's duty to preserve his client's confidence outlasts the practitioner's employment by the client, and this duty extends to...

  19. 49 CFR 1103.23 - Confidences of a client.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 8 2011-10-01 2011-10-01 false Confidences of a client. 1103.23 Section 1103.23... Responsibilities Toward A Client § 1103.23 Confidences of a client. (a) The practitioner's duty to preserve his client's confidence outlasts the practitioner's employment by the client, and this duty extends to...

  20. 42 CFR 483.420 - Condition of participation: Client protections.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...) Inform each client, parent (if the client is a minor), or legal guardian, of the client's medical...) Provide each client with the opportunity for personal privacy and ensure privacy during treatment and care...) Ensure that clients have access to telephones with privacy for incoming and outgoing local and...

  1. Analysis of the Competency-Based High School Diploma Program for CETA Clients. Report III: Student/Client Completion Results.

    ERIC Educational Resources Information Center

    McMillan, Samuel H., Jr.

    A study examined the student/client completion of a competency-based high school diploma for CETA clients. Using follow-up forms, attendance records, correspondence, telephone calls, and client information sheets, researchers collected data from clients and staff pertaining to 102 of the 238 program clients from five sites in Texas (Abilene,…

  2. Termination: Analytic Reflections on Client Contact after Counselor Relocation.

    ERIC Educational Resources Information Center

    Pistole, M. Carole

    1991-01-01

    Claims client posttermination contact with counselors who have relocated has been neglected as training and practice issue. Uses analytic reflections to explore counselor, client, and process variables relative to counselors' response to "following" clients. (Author/ABL)

  3. Group-oriented coordination models for distributed client-server computing

    NASA Technical Reports Server (NTRS)

    Adler, Richard M.; Hughes, Craig S.

    1994-01-01

    This paper describes group-oriented control models for distributed client-server interactions. These models transparently coordinate requests for services that involve multiple servers, such as queries across distributed databases. Specific capabilities include: decomposing and replicating client requests; dispatching request subtasks or copies to independent, networked servers; and combining server results into a single response for the client. The control models were implemented by combining request broker and process group technologies with an object-oriented communication middleware tool. The models are illustrated in the context of a distributed operations support application for space-based systems.

  4. Client-chosen goals in occupational therapy: strategy and instrument pilot.

    PubMed

    Custer, Melba G; Huebner, Ruth A; Freudenberger, Linda; Nichols, Laurel R

    2013-01-01

    ABSTRACT Client-centered practice and outcomes research are missions of occupational therapy. Although strategies for client goal-setting have advanced the field, the process has limitations. This study tested a self-report strategy using brief, easy to score measures. The Goals for Occupational Therapy List was completed at mostly independent intake and paired with a follow-up measure of Goal Satisfaction Rating by 40 clients in an outpatient rehabilitation center. The strategy of pairing self-report measures of goal-setting and attainment was useful for clinicians and yielded important research findings. Application to occupational therapy and future research are suggested.

  5. [Aggressive clients in Dutch veterinary practice].

    PubMed

    Barbonis, T S A E; Endenburg, N

    2007-05-15

    Aggressive clients seem to be becoming more common. This article describes a study in which questionnaires on client behaviour were sent to veterinary assistants and veterinarians in randomly selected practices in the Netherlands. Results showed that 26.4% of the veterinarians and 29.3% of the assistants had experienced aggressive clients in the last year. Age, experience, and sex of the veterinarian or assistant did not influence the frequency with which aggressive clients were encountered. The same was true for the type of veterinary practice (companion animals, farm animals, horses, etc). The risk of encountering aggressive clients was higher among practices in large towns and in practices with a small turnover Of the veterinarians who had encountered aggressive clients at least once in their career, 31% has taken some kind of action after the aggressive encounter Nearly a quarter (24.9%) of veterinary practices have adopted a Risk Inventarization and Evaluation (RI&E) approach to preventing client aggression and 26.6% of practices have adopted another approach. While veterinarians tend not to consider aggression a big problem, they are often open to the suggestion that more attention should be paid to aggression in veterinary practice. PMID:17578228

  6. Profile of Clients Attending a Methadone Clinic

    PubMed Central

    JACOB, Sabrina Anne; MOHAMMED, Fauziah; HASSALI, Mohamed Azmi Ahmad

    2015-01-01

    Background: Client characteristics provide useful information for designing programs that target individuals with risk factors for substance use and for determining client retention. Therefore, this study examined the profiles of clients attending a methadone clinic. Methods: A cross-sectional analysis of clients of a methadone clinic was conducted through a survey to obtain a profile of methadone clients. Results: Of the 51 patients who responded (response rate: 66.2%), the mean (SD) age at which they started substance use was 19.8 (5.1) years. Friends were cited as the most regular source of drugs (82.4%), and heroin was the most commonly used drug (98%). Daily substance use was reported by 72.5% of the respondents; 23.5% admitted to having stolen money to purchase drugs; 92.2% tried quitting substance use on their own and 98% stated that the main reason for registering at the clinic was that they wanted to stop their drug dependence. Approximately 60% of clients were receiving methadone doses of less than 60 mg/day. Conclusion: Heroin is still the most popular drug of abuse and most clients still receive methadone doses below the recommended level, despite evidence of poor patient retention rates associated with these low doses. PMID:25892951

  7. APS logDaemon and client library

    SciTech Connect

    Saunders, C.; Kowalkowski, J.

    1995-12-13

    This document serves as a User`s Manual and Reference for the logDaemon and client library. This package provides a general distributed message logging system. A logDaemon may be started anywhere on a subnet. A client which has linked in the client library is provided functions to open a connection to the logDaemon, log messages, and close the connection. The logDaemon maintains one or more log files (in simple ASCII or SDDS format) and an e-mail list based on specifications in a configuration file. Incoming messages are logged to the appropriate file and/or result in e-mail being sent.

  8. Client and therapist variability in clients' perceptions of their therapists' multicultural competencies.

    PubMed

    Owen, Jesse; Leach, Mark M; Wampold, Bruce; Rodolfa, Emil

    2011-01-01

    This study examined therapist differences in their clients' ratings of their therapists' multicultural competencies (MCCs) as well as tested whether therapists' who were rated as exhibiting more MCCs also had clients who had better therapy outcomes (N = 143 clients and 31 therapists). All clients completed at least 3 sessions. Results demonstrated that therapists accounted for less than 1% of the variance in their clients' Cross-Cultural Counseling Inventory–Revised (CCCI-R; T. D. LaFromboise, H. L. K. Coleman, & A. Hernandez, 1991) scores, suggesting that therapists did not differ in terms of how clients rated their MCCs. Therapists accounted for approximately 8.5% of the variance in therapy outcomes. For each therapist, their clients' CCCI-R scores were aggregated to provide an estimate of therapists' MCCs. Therapists' MCCs, based on aggregate CCCI-R scores, did not account for the variability in therapy outcomes that were attributed to them. Additionally, clients' race/ethnicity, therapists' race/ethnicity, or the interaction of clients'–therapists' race/ethnicity were not significantly associated with clients' perceptions of their therapists' MCCs.

  9. Acceptance and Commitment Therapy for a Heterogeneous Group of Treatment-Resistant Clients: A Treatment Development Study

    ERIC Educational Resources Information Center

    Clarke, Sue; Kingston, Jessica; Wilson, Kelly G.; Bolderston, Helen; Remington, Bob

    2012-01-01

    Acceptance and commitment therapy (ACT) has been shown to have broad applicability to different diagnostic groups, and there are theoretical reasons to consider its use with clients with chronic mental health problems. We report an innovative treatment development evaluation of ACT for a heterogeneous group of "treatment-resistant clients" (N =…

  10. Counselor Values and the Pregnant Adolescent Client.

    ERIC Educational Resources Information Center

    Kennedy, Bebe C.; And Others

    1984-01-01

    Reviews options counselors can suggest to pregnant adolescents, including abortion, adoption, marriage, and single parenthood. Discusses the need for counselors to be aware of their own values and help the client explore her values. (JAC)

  11. Cleaner fish Labroides dimidiatus recognise familiar clients.

    PubMed

    Tebbich, S; Bshary, R; Grutter, A S

    2002-09-01

    Individual recognition has been attributed a crucial role in the evolution of complex social systems such as helping behaviour and cooperation. A classical example for interspecific cooperation is the mutualism between the cleaner fish Labroides dimidiatus and its client reef fish species. For stable cooperation to evolve, it is generally assumed that partners interact repeatedly and remember each other's past behaviour. Repeated interactions may be achieved by site fidelity or individual recognition. However, as some cleaner fish have more than 2,300 interactions per day with various individuals per species and various species of clients, basic assumptions of cooperation theory might be violated in this mutualism. We tested the cleaner L. dimidiatus and its herbivorous client, the surgeon fish Ctenochaetus striatus, for their ability to distinguish between a familiar and an unfamiliar partner in a choice experiment. Under natural conditions, cleaners and clients have to build up their relationship, which is probably costly for both. We therefore predicted that both clients and cleaners should prefer the familiar partner in our choice experiment. We found that cleaners spent significantly more time near the familiar than the unfamiliar clients in the first 2 minutes of the experiment. This indicates the ability for individual recognition in cleaners. In contrast, the client C. striatus showed no significant preference. This could be due to a sampling artefact, possibly due to a lack of sufficient motivation. Alternatively, clients may not need to recognise their cleaners but instead remember the defined territories of L. dimidiatus to achieve repeated interactions with the same individual.

  12. Participation and power in care: exploring the "client" in client engagement.

    PubMed

    Petriwskyj, Andrea; Gibson, Alexandra; Webby, Glenys

    2014-12-01

    Despite growing recognition in health and care services of the necessity for client engagement, it is still not easily put into practice. This is owing to a range of factors relating to participating staff and clients, as well as the broader institutional context. One of the central factors affecting client engagement is the challenge it poses to traditional power relations inherent in care relationships and contexts. This is particularly the case in aged care services, which have traditionally positioned older adults in passive roles as "recipients" of care, or as lacking capacity to participate in care decision making. This paper presents an exploration of client engagement practices within a large aged care service provider in Australia. Interviews and focus group discussions with clients and staff were analysed for the ways in which clients were positioned - by both themselves and by staff - in terms of the roles that they hold within engagement practices. Four positions were identified: "Passivity, disempowerment and bestowal of power", "Role of expert/consumer", "Resistance, compliance and manageability", and "Complexity, diversity and uniqueness". While clients were positioned at times in empowering roles, they were simultaneously limited by personal, relational, or organisational constraints, making opportunities for client engagement provisional. This reflects a tension between passive and empowered client roles in the context of aged care provision.

  13. Participation and power in care: exploring the "client" in client engagement.

    PubMed

    Petriwskyj, Andrea; Gibson, Alexandra; Webby, Glenys

    2014-12-01

    Despite growing recognition in health and care services of the necessity for client engagement, it is still not easily put into practice. This is owing to a range of factors relating to participating staff and clients, as well as the broader institutional context. One of the central factors affecting client engagement is the challenge it poses to traditional power relations inherent in care relationships and contexts. This is particularly the case in aged care services, which have traditionally positioned older adults in passive roles as "recipients" of care, or as lacking capacity to participate in care decision making. This paper presents an exploration of client engagement practices within a large aged care service provider in Australia. Interviews and focus group discussions with clients and staff were analysed for the ways in which clients were positioned - by both themselves and by staff - in terms of the roles that they hold within engagement practices. Four positions were identified: "Passivity, disempowerment and bestowal of power", "Role of expert/consumer", "Resistance, compliance and manageability", and "Complexity, diversity and uniqueness". While clients were positioned at times in empowering roles, they were simultaneously limited by personal, relational, or organisational constraints, making opportunities for client engagement provisional. This reflects a tension between passive and empowered client roles in the context of aged care provision. PMID:25456629

  14. Moving beyond Consultation and into Action with a Client Project

    ERIC Educational Resources Information Center

    Ewing, Sara; Dover, Howard F.

    2012-01-01

    Attempting to implement client-based projects within a single semester often overwhelms students and underwhelms the client and grading professor. In this paper, we share results from a two-year pilot project in which the components of a client project were split between several classes. We discuss the client project model as a valuable teaching…

  15. Client Engagement Characteristics Associated with Problem Gambling Treatment Outcomes

    ERIC Educational Resources Information Center

    Dowling, Nicki A.; Cosic, Sanja

    2011-01-01

    Previous research examining the factors associated with problem gambling treatment outcomes has examined client factors and to date, treatment characteristics, therapist factors, and client-therapist interactions have essentially remained unexplored. This study aimed to investigate how client engagement variables (client-rated therapeutic…

  16. Pursuing Therapeugenic Consequences of Restricting Client Smoking during Counseling.

    ERIC Educational Resources Information Center

    Schneider, Lawrence J.; Dearing, Nancy

    Theorists and therapists have become increasingly attentive to the role of interpersonal behaviors that facilitate or hinder the ability of the counselor to exert influence over the client during counseling. A study was conducted to examine the impact of a counselor's preference that clients not smoke, client stress levels, client sex, and…

  17. Using virtual Lustre clients on the WAN for analysis of data from high energy physics experiments

    NASA Astrophysics Data System (ADS)

    Bourilkov, D.; Avery, P.; Cheng, M.; Fu, Y.; Kim, B.; Palencia, J.; Budden, R.; Benninger, K.; Shrum, D.; Wilgenbusch, J.

    2012-12-01

    We describe the work on creating system images of Lustre virtual clients in the ExTENCI project (Extending Science Through Enhanced National Cyberlnfrastructure), using several virtual technologies (Xen, VMware, VirtualBox, KVM). These virtual machines can be built at several levels, from a basic Linux installation (we use Scientific Linux 5 as an example), adding a Lustre client with Kerberos authentication, and up to complete clients including local or distributed (based on CernVM-FS) installations of the full CERN and project specific software stack for typical LHC experiments. The level, and size, of the images are determined by the users on demand. Various sites and individual users can just download and use them out of the box on Linux/UNIX, Windows and Mac OS X based hosts. We compare the performance of virtual clients with that of real physical systems for typical high energy physics applications like Monte Carlo simulations or analysis of data stored in ROOT trees.

  18. Analyses of client variables in a series of psychotherapy sessions with two child clients.

    PubMed

    Mook, B

    1982-04-01

    Studied the process of child psychotherapy by means of analyses of client verbal behaviors. Audio-video recordings were made of nine intermittent psychotherapy sessions with 2 child clients, aged 8 and 12. A randomized mastertape of 4-minute segments was rated for self-exploration by means of the Carkhuff scale. Transcripts were categorized by means of an extended Snyder system and a preliminary set of grammatical variables. Transcripts then were minutized, and all client variables were intercorrelated and factor-analyzed. According to the research expectations, a high level of interrater reliability for the Carkhuff scale and high levels of interjudge agreement for the extended Snyder system were found. Analyses of the client variables demonstrated the nature of each client's verbal responding as well as their pattern of change across successive therapy sessions. The overall verbal response behavior of each client was summarized best through the factor analyses. Communalities and individual differences between the clients were discussed. Future directions for the study of client variables in child psychotherapy process research were suggested.

  19. Client engagement in home and community care services: The client and care coordinator perspective.

    PubMed

    Kirst, Maritt; Elmi, Arij; Ray-Daniels, Mila; Foster, Jennifer

    2016-07-01

    A recent study of two Community Care Access Centres in Ontario was conducted to look at how clients can be involved in their own care while, at the same time, enhance their experience overall. This article describes that study and looks at ways of developing a new client engagement strategy moving forward. PMID:27270114

  20. Clinical Writing about Clients: Seeking Consent and Negotiating the Impact on Clients and Their Treatments

    ERIC Educational Resources Information Center

    Bridges, Nancy A.

    2010-01-01

    The author discusses her experiences seeking consent from 16 clients to use clinical material for publication. Sharing case examples from her practice, she elucidates her process with clients and focuses on the beneficial and detrimental effects on the therapeutic relationship. Seeking consent raises issues of confidentiality and stimulates…

  1. Measuring Client Engagement from the Client's Perspective in Nonvoluntary Child Protective Services

    ERIC Educational Resources Information Center

    Yatchmenoff, Diane K.

    2005-01-01

    Objective: This study reports on the development and test of a multidimensional measure of client engagement in child welfare services. Method: Five dimensions of engagement were identified and were based on a literature review and data from interviews with child welfare workers and clients. A pool of items generated to reflect these five…

  2. Parallel image registration with a thin client interface

    NASA Astrophysics Data System (ADS)

    Saiprasad, Ganesh; Lo, Yi-Jung; Plishker, William; Lei, Peng; Ahmad, Tabassum; Shekhar, Raj

    2010-03-01

    Despite its high significance, the clinical utilization of image registration remains limited because of its lengthy execution time and a lack of easy access. The focus of this work was twofold. First, we accelerated our course-to-fine, volume subdivision-based image registration algorithm by a novel parallel implementation that maintains the accuracy of our uniprocessor implementation. Second, we developed a thin-client computing model with a user-friendly interface to perform rigid and nonrigid image registration. Our novel parallel computing model uses the message passing interface model on a 32-core cluster. The results show that, compared with the uniprocessor implementation, the parallel implementation of our image registration algorithm is approximately 5 times faster for rigid image registration and approximately 9 times faster for nonrigid registration for the images used. To test the viability of such systems for clinical use, we developed a thin client in the form of a plug-in in OsiriX, a well-known open source PACS workstation and DICOM viewer, and used it for two applications. The first application registered the baseline and follow-up MR brain images, whose subtraction was used to track progression of multiple sclerosis. The second application registered pretreatment PET and intratreatment CT of radiofrequency ablation patients to demonstrate a new capability of multimodality imaging guidance. The registration acceleration coupled with the remote implementation using a thin client should ultimately increase accuracy, speed, and access of image registration-based interpretations in a number of diagnostic and interventional applications.

  3. Telematics-based online client-server/client collaborative environment for radiotherapy planning simulations.

    PubMed

    Kum, Oyeon

    2007-11-01

    Customized cancer radiation treatment planning for each patient is very useful for both a patient and a doctor because it provides the ability to deliver higher doses to a more accurately defined tumor and at the same time lower doses to organs at risk and normal tissues. This can be realized by building an accurate planning simulation system to provide better treatment strategies based on each patient's tomographic data such as CT, MRI, PET, or SPECT. In this study, we develop a real-time online client-server/client collaborative environment between the client (health care professionals or hospitals) and the server/client under a secure network using telematics (the integrated use of telecommunications and medical informatics). The implementation is based on a point-to-point communication scheme between client and server/client following the WYSIWIS (what you see is what I see) paradigm. After uploading the patient tomographic data, the client is able to collaborate with the server/client for treatment planning. Consequently, the level of health care services can be improved, specifically for small radiotherapy clinics in rural/remote-country areas that do not possess much experience or equipment such as a treatment planning simulator. The telematics service of the system can also be used to provide continued medical education in radiotherapy. Moreover, the system is easy to use. A client can use the system if s/he is familiar with the Windows(TM) operating system because it is designed and built based on a user-friendly concept. This system does not require the client to continue hardware and software maintenance and updates. These are performed automatically by the server.

  4. Midwifery care: reflections of midwifery clients.

    PubMed

    Doherty, Mary Ellen

    2010-01-01

    The purpose of this study was to describe the lived experience of midwifery clients throughout the life span. A qualitative study using a phenomenological approach was employed. In-depth interviews were conducted with a purposive sample of 12 midwifery clients. The research question was: What has been your experience with midwifery care? Interviews were audio-recorded and transcribed verbatim. Data saturation was achieved and analysis procedures from Colaizzi were used. Five themes emerged from the data: 1) decision to seek midwifery care; 2) working together in a therapeutic alliance; 3) formulating a birth plan; 4) childbirth education; and 5) nurse-midwives as primary health-care providers throughout the life span. There is much to learn from listening to the voices of midwifery clients.

  5. Midwifery Care: Reflections of Midwifery Clients

    PubMed Central

    Doherty, Mary Ellen

    2010-01-01

    The purpose of this study was to describe the lived experience of midwifery clients throughout the life span. A qualitative study using a phenomenological approach was employed. In-depth interviews were conducted with a purposive sample of 12 midwifery clients. The research question was: What has been your experience with midwifery care? Interviews were audio-recorded and transcribed verbatim. Data saturation was achieved and analysis procedures from Colaizzi were used. Five themes emerged from the data: 1) decision to seek midwifery care; 2) working together in a therapeutic alliance; 3) formulating a birth plan; 4) childbirth education; and 5) nurse-midwives as primary health-care providers throughout the life span. There is much to learn from listening to the voices of midwifery clients. PMID:21085519

  6. Cultural considerations and the Hispanic cardiac client.

    PubMed

    Knoerl, Ann Marie

    2007-02-01

    This article examines the cultural influences of the Hispanic patient, such as health beliefs, communication styles, family and religious values, and time perception. In order to design and deliver individualized comprehensive care with the client and family, these assessment factors must be explored to create a plan of care that is tailored to meet the individualized needs of the patient and family. Understanding cultural influences that are important to the Hispanic cardiac client in the home care setting will have a positive impact on the nurse-patient relationship, the plan of care, and the management of the cardiac disease.

  7. Client engagement in psychotherapeutic treatment and associations with client characteristics, therapist characteristics, and treatment factors.

    PubMed

    Holdsworth, Emma; Bowen, Erica; Brown, Sarah; Howat, Douglas

    2014-07-01

    Client engagement has been associated with positive psychotherapeutic outcomes, yet it is relatively under-theorized. The aims of this review were to establish how client engagement with psychotherapeutic interventions targeting psychological or behavioral change has been operationally defined and assessed, and the associated client characteristics, therapist characteristic, and treatment factors. Seventy-nine studies were selected for review, revealing inconsistent definitions and assessments of engagement and a broad array of client characteristics and treatment factors investigated. Attendance was frequently used as a proxy for engagement, but may not be reliable. Participation or involvement in conjunction with homework compliance which reflects clients' efforts within and between sessions may more reliably reflect engagement. The findings of associations between client characteristics and engagement variables were equivocal, although clients' capacities to address their problems tended to be positively associated with engagement. Nearly all therapist characteristics, particularly therapists' interpersonal skills, and most treatment factors, particularly strengths-based approaches and the therapeutic relationship, were positively associated with engagement. A theory of engagement that characterizes the function and inter-relations of variables across different psychotherapeutic settings is needed. PMID:25000204

  8. Social exchange as a framework for client-nurse interaction during public health nursing maternal-child home visits.

    PubMed

    Byrd, Mary E

    2006-01-01

    The purpose of this paper was to develop a nursing-focused use of social exchange theory within the context of maternal-child home visiting. The nature of social exchange theory, its application to client-nurse interaction, and its fit with an existing data set from a field research investigation were examined. Resources exchanged between the nurse and clients were categorized and compared across the patterns of home visiting, nursing strategies based on exchange notions were identified, and variations in exchange were linked with client outcomes. The nurse provided resources within the categories of information, status, service, and goods. Clients provided time, access to the home, space within the home to conduct the visit, opportunities to observe maternal-child interaction, access to the infant, and information. The ease and breadth of resource exchange varied across the patterns of home visiting. The social exchange perspective was useful in categorizing resources, specifying and uncovering new resource categories, understanding nursing strategies to initiate and maintain the client-nurse relationship, and linking client-nurse interactive phenomena with client outcomes. Social exchange theory is potentially useful for understanding client-nurse interaction in the context of maternal-child home visits.

  9. Prediagnostic Commentary in Veterinarian-Client Interaction.

    ERIC Educational Resources Information Center

    Stivers, Tanya

    1998-01-01

    A study investigated the form of diagnostic talk occurring between veterinarian and client before or during the physical examination and before the clinical diagnosis. Data are from six cases from a corpus of veterinary consultations. Analysis focuses on use of qualifiers, hedges, and evidential mitigators in communicating both good news and bad…

  10. Brain Damage in Deaf Vocational Rehabilitation Clients.

    ERIC Educational Resources Information Center

    Getz, Marc; Vernon, McCay

    1986-01-01

    Screening of 54 deaf vocational clients by the Bender-Gestalt and other tests indicated the likely presence of significantly more brain damage than among the hearing population with a particularly high correlation between low IQ and brain damage in the deaf population. (DB)

  11. Counselors, Confidentiality, and Life-Endangering Clients.

    ERIC Educational Resources Information Center

    VandeCreek, Leon; Knapp, Samuel

    1984-01-01

    Reviews the statutory and case law regarding release of client information in three life endangering situations: child abuse, protection of third parties, and suicide. Describes the general principles of confidentiality and some specific legal issues for each of these three areas. (LLL)

  12. Attracting Clients to Service-Oriented Programs.

    ERIC Educational Resources Information Center

    Disney, Diane M.

    One of a series of manuals developed by the Home and Community-Based Career Education Project, the outreach component publication describes how the project went about attracting clients for its adult vocational counseling services. Sections include: creating a publicity campaign, using an advertising agency, creating products for the mass media,…

  13. A "client perspective" helps improve services.

    PubMed

    1998-01-01

    Egypt's Ministry of Health launched a campaign in 1992 to improve client satisfaction with family planning clinic services in the country. In the program, family planning clinic supervisors are being trained to use a checklist of 101 indicators to evaluate services, ranging from the availability of contraceptive commodities to the condition of facilities. Television messages and posters disseminated throughout communities instruct potential clients to look for gold stars on the doors of family planning clinics across the country, indicators of a clinic which meets quality service standards. This program is currently used by almost 4000 clinics nationwide. Family planning services worldwide have long focused upon increasing levels of contraceptive use. More recently, however, they are also focusing upon the quality of services provided. Frameworks for improving services tend to emphasize better ways to interact with clients, and often address how to approach specific management concerns, such as maintaining adequate contraceptive supplies. Client interaction, management concerns, and how quality makes a difference are discussed. PMID:12321856

  14. Client-Centered Employee Assistance Services.

    ERIC Educational Resources Information Center

    Bayer, Darryl Lee

    This paper addresses delivery aspects and benefits of client-centered Employee Assistance Program (EAP) services through a review of the literature and research. EAP services are described as educational and mental health services utilized to assist employees and their families to respond constructively to job, personal, interpersonal or…

  15. Spiritual care and chronically ill clients.

    PubMed

    Sterling-Fisher, C E

    1998-04-01

    Today's high-technology, fast-paced healthcare system has left many providers and consumers feeling a void in the care provided. Home care nurses play pivotal roles in the delivery of spiritual care for chronically ill clients, who are usually confined to their homes. This article provides the nurse with interventions and techniques to integrate spiritual care into daily practice. PMID:9592425

  16. Individualized Client Planning for Work Adjustment Services.

    ERIC Educational Resources Information Center

    Esser, Thomas J.

    To assist work adjustors, evaluators, and counselors in learning how to write individualized work adjustment plans, this publication describes one method of developing individual client plans--the Materials Development Center Individualized Work Adjustment Plan. The detailed description of this plan explains the two basic parts of its format: (1)…

  17. Counselor-Client Similarity and Referral Bias

    ERIC Educational Resources Information Center

    Kunce, Joseph; Anderson, Wayne

    1970-01-01

    Based on ratings by classmates, counselors were dicotomized according to probability of being referred agitated or constrained clients. Counselors to whom the former were referred had higher MMPI scores on D and Pt scales and lower scores on Es scales. (Author)

  18. Borderline Clients: Practice Implications of Recent Research.

    ERIC Educational Resources Information Center

    Johnson, Harriette C.

    1991-01-01

    Reviews current research on treatment of borderline clients with medication, individual counseling, and family interventions. Notes that recent studies indicate that borderline personality is heterogeneous condition in which different underlying disorders (affective, schizotypal, and neurological) may be present. Reviews effectiveness of various…

  19. Client Confidentiality in Police Social Work Settings.

    ERIC Educational Resources Information Center

    Curtis, Patrick Almond; Lutkus, Anita M.

    1985-01-01

    Results of a survey that questioned police social workers regarding the protection of client confidentiality in police settings revealed several problems related to the unique character of the setting and to the identification of social workers with the goals and practices of police. Results raise questions about the protection of client…

  20. Accommodating blind and partially sighted clients

    PubMed Central

    England, Gary; Gebbels, Tim; Whelan, Chantelle; Freeman, Sarah

    2014-01-01

    Veterinary surgeons provide an important service to blind and partially sighted guide dog owners. By adopting basic disability awareness and visual impairment training, practices can ensure that the assistance needs of those clients are met, facilitating access to veterinary care. PMID:25642013

  1. Vulnerable populations: drug court program clients.

    PubMed

    Speck, Patricia M; Connor, Pamela D; Hartig, Margaret T; Cunningham, Patricia D; Fleming, Belinda

    2008-09-01

    Substance abuse and addiction are chronic conditions characterized by an inability to control one's urge to use mood- or mind-altering drugs. Recognition of the association between addictions and crime to support the addiction, along with the relapsing nature of addictions, presents treatment and management challenges for clinicians and frustration for patients and their families. Pressures to reduce the burgeoning jail population have resulted in collaboration between the treatment community and the court--a diversion program called drug court. This article reviews the drug court programs, the clients, and the processes of accountability that direct the progress toward sobriety in the drug court clients. It also argues that the drug court clients have unique health needs requiring interventions best suited for the recovering addict enrolled in a diversion program within the criminal justice system. Nurses have the ability to influence these systems and provide safety-net clinics to drug court clients through outreach, case finding, and culturally and linguistically appropriate care that can ultimately help this population to reach a higher level of wellness.

  2. Helping Clients Uncover Metaphoric Understandings of Bulimia.

    ERIC Educational Resources Information Center

    Cummings, Anne L.

    1998-01-01

    Written responses of three women with bulimia were analyzed for instances of metaphoric understanding of their difficulties with food during 20 to 24 therapy sessions. Results show a gradual deepening of the metaphoric understanding of what the troubled eating represented for each client. Metaphoric understanding included ways of dealing with self…

  3. Asymmetry of Responsiveness in Client-Centered Therapy

    ERIC Educational Resources Information Center

    Shapiro, David A.

    1977-01-01

    Each utterance of a psychotherapy session conducted by Carl Rogers was transcribed on a separate card. Fifteen undergraduate subjects reconstituted client-therapist sequences more accurately than therapist-client sequences. (Author)

  4. Restating a Client-Centered Approach to Career Counseling.

    ERIC Educational Resources Information Center

    Miller, Mark J.

    1988-01-01

    Asserts career counseling too often is associated with objective test scores and rational decision making. Reiterates the importance of considering the client's developing self-concept in career counseling. Provides sample client centered career counseling session. (Author/ABL)

  5. 19 CFR 111.39 - Advice to client.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... of that noncompliance, error, or omission. (c) Illegal plans. A broker must not knowingly suggest to a client or prospective client any illegal plan for evading payment of any duty, tax, or other...

  6. Ethical Issues in the Deinstitutionalization of Clients with Mental Disorders.

    ERIC Educational Resources Information Center

    Polcin, Douglas L.

    1990-01-01

    Claims that mental health counseling has not paid sufficient attention to the deinstitutionalization of clients in psychiatric hospitals or to their treatment in community programs. Describes the relevance of several key ethical principles in treating these clients in the community. Discusses conflicting interests of clients, politicians, funding…

  7. 37 CFR 10.84 - Representing a client zealously.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... into with a client for professional services, but a practitioner may withdraw as permitted under §§ 10... 37 Patents, Trademarks, and Copyrights 1 2010-07-01 2010-07-01 false Representing a client... Office Code of Professional Responsibility § 10.84 Representing a client zealously. (a) A...

  8. 37 CFR 10.33 - Direct contact with prospective clients.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... prospective clients. 10.33 Section 10.33 Patents, Trademarks, and Copyrights UNITED STATES PATENT AND... clients. A practitioner may not solicit professional employment from a prospective client with whom the... not specifically known to need legal services of the kind provided by the practitioner in a...

  9. 32 CFR 776.33 - Client under a disability.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 5 2010-07-01 2010-07-01 false Client under a disability. 776.33 Section 776.33... of Professional Conduct § 776.33 Client under a disability. (a) Client under a disability: (1) When a... impaired, whether because of minority, mental disability, or for some other reason, the covered...

  10. Accommodating Extension Clients Who Face Language, Vision, or Hearing Challenges

    ERIC Educational Resources Information Center

    Angima, Sam; Etuk, Lena; Maddy, Deborah

    2016-01-01

    A survey-based study explored approaches used by one land-grant university to meet the needs of Extension clients who face language, vision, or hearing challenges. In attempts to serve such clients, the greatest gaps existed for clients whose main language was Spanish, followed by those who had vision impairments and then those who had hearing…

  11. Attitudes of Social Work Students toward Clients with Basic Needs

    ERIC Educational Resources Information Center

    Krumer-Nevo, Michal; Lev-Wiesel, Rachel

    2005-01-01

    This study examines the attitudes of 91 undergraduate social work students toward clients with basic needs in Israel. The results indicate that only about 1/3 of the students consider the treatment of clients with basic needs to be a part of the profession. In addition, a positive correlation was found between willingness to help clients with…

  12. Impact of Client Suicide on Practitioner Posttraumatic Growth

    ERIC Educational Resources Information Center

    Munson, Joseph Simon

    2009-01-01

    Our purpose was to examine posttraumatic growth in clinicians after the suicide death of a client. An experience such as a client suicide could be an opportunity for growth or a danger for the practitioner to become traumatized. Thus, the clinician who works with clients who complete suicide may either suffer or experience a positive change from…

  13. Client Anticipations and Preferences for Confidentiality of Records.

    ERIC Educational Resources Information Center

    VandeCreek, Leon; And Others

    1987-01-01

    Surveyed client preferences and anticipations about confidentiality of their client records rating the amount of information that they preferred and anticipated would be released by their psychotherapist. Most preferred less information to be released than they anticipated would be. Identified client clusters with unique anticipations and…

  14. Working with Resistant Clients in Career Counseling. ERIC Digest.

    ERIC Educational Resources Information Center

    Gysbers, Norman C.

    This Digest identifies and describes ways that clients' resistance may be exhibited during career counseling. It states that whenever clients are involved in change, client resistance should be expected. Some examples of types of resistance that may be exhibited include fear of counseling, fear of taking responsibility, making excuses, and overt…

  15. Predicting Categories of Improvement among Counseling Center Clients.

    ERIC Educational Resources Information Center

    Hummel, Thomas J.; Lichtenberg, James W.

    In looking at whether clients will improve with counseling, counselors must first determine what kinds of outcomes are likely with certain clients. In order to make probabilistic statements about individual client outcomes, rather than about the more generalized outcome of counseling, a different approach is needed. Using data from counseling…

  16. Incorporating Perceived Importance of Service Elements into Client Satisfaction Measures

    ERIC Educational Resources Information Center

    Hsieh, Chang-Ming

    2012-01-01

    Objective: The purpose of this study was to assess the need for incorporating perceived importance of service elements into client satisfaction measures. Method: A secondary analysis of client satisfaction data from 112 clients of an elderly case management setting was conducted. Results: This study found that the relationship between global…

  17. Counselor Interventions Preceding Client Laughter in Brief Therapy.

    ERIC Educational Resources Information Center

    Falk, Dana R.; Hill, Clara E.

    1992-01-01

    Examined whether 6 categories of counselor humor and 4 categories of risk interventions preceded client laughter in 236 events from 8 cases of brief psychotherapy. Found most client laughter was mild and moderate, with only eight instances of strong laughter. Humorous interventions led to more client laughter than did interventions that encouraged…

  18. 31 CFR 10.21 - Knowledge of client's omission.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Knowledge of client's omission. 10.21 Section 10.21 Money and Finance: Treasury Office of the Secretary of the Treasury PRACTICE BEFORE THE... § 10.21 Knowledge of client's omission. A practitioner who, having been retained by a client...

  19. Successful Vocational Rehabilitation of Clients with Retinitis Pigmentosa.

    ERIC Educational Resources Information Center

    Taheri-Araghi, M.; Hendren, G.

    1994-01-01

    Statistical analysis of 10 personal (client) variables and four program variables related to 76 people who became blind from retinitis pigmentosa revealed that 6 variables predicted clients' rehabilitation outcomes: age, gender, race, work status, amount of case-service money spent on the client's behalf, and number of changes in career objectives…

  20. Corruption of Client Advocacy in a Community Mental Health System.

    ERIC Educational Resources Information Center

    Denner, Bruce

    This speech discusses client advocacy, a paraprofessional service offered in many community mental health centers to help bridge the gap between therapist and client. While having an advocate on the mental health team is an attractive idea, these client advocates are quite susceptible to "corruption." The author discusses two major causes of this…

  1. A Program Evaluation Using Client Records and Census Data.

    ERIC Educational Resources Information Center

    Bachrach, Kenneth M.; Zautra, Alex

    Use of client records and census data as a research methodology can provide mental health planners with information on community needs as well as the adequacy of existing programs. Three ways of analyzing client records in conjunction with census data are: (1) tract by tract, comparing client geographic distribution with census characteristics;…

  2. A Network Client Using the Gopher Information Discovery Protocol

    1993-10-05

    WSGOPHER uses the protocol known as Gopher, which is described in Internet RFC 1436. Specifically Gopher is a client/server protocol. Gopher servers provide information across the network to Gopher clients. WSGOPHER is an implementation of a Gopher client for Microsoft Windows 3.1 and Windows Sockets version 1.1.

  3. Client Good Moments: An Intensive Analysis of a Single Session.

    ERIC Educational Resources Information Center

    Stalikas, Anastassios; Fitzpatrick, Marilyn

    1995-01-01

    An intensive analysis of a single counseling session conducted by Fritz Perls was carried out to examine relationships among client experiencing level, client strength of feeling, counselor interventions, and client good moments. The possibility that positive therapeutic outcome is related to the accretion of good moments is discussed. (JBJ)

  4. What Business Students Should Know about Attorney-Client Privilege

    ERIC Educational Resources Information Center

    Draba, Robert; Marshall, Brent

    2012-01-01

    The case law on attorney-client privilege is extensive and can be somewhat complex. Over seven hundred articles in Westlaw, for example, have the phrase "attorney-client privilege" in the title; in the last three years alone, there have been over 3700 federal cases in which the phrase "attorney-client privilege" appears at least once. However,…

  5. 37 CFR 11.113 - Organization as client.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 37 Patents, Trademarks, and Copyrights 1 2013-07-01 2013-07-01 false Organization as client. 11... Rules of Professional Conduct Client-Practitioner Relationship § 11.113 Organization as client. (a) A... substantial injury to the organization, then the practitioner shall proceed as is reasonably necessary in...

  6. 37 CFR 11.113 - Organization as client.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 37 Patents, Trademarks, and Copyrights 1 2014-07-01 2014-07-01 false Organization as client. 11... Rules of Professional Conduct Client-Practitioner Relationship § 11.113 Organization as client. (a) A... substantial injury to the organization, then the practitioner shall proceed as is reasonably necessary in...

  7. Client vs. Therapist Perceptions of Psychotherapy Dropout and Outcome.

    ERIC Educational Resources Information Center

    Nichols, Kathie; Pekarik, Gene

    Therapy dropout is a statistically significant problem. The causes and effects of the high dropout rate still are not known. In this study the therapists' and clients' opinions of the desirability of staying in treatment were compared. At treatment termination clients (N=176) and their therapists (N=22) independently identified clients'…

  8. Health Promotion through the Use of Nurse-Client Contracts.

    ERIC Educational Resources Information Center

    Van Dover, Leslie J.

    Much of the practice of community health nurses is focused on health promotion. Nurse-client contracting has been used with clients experiencing hypertension, diabetes, or arthritis. A study was conducted to determine whether nurse-client contracting would be useful as a method for providing nursing care to assist sexually active young women to…

  9. Counselor Beliefs and Perceived Knowledge Regarding Clients with Learning Disabilities

    ERIC Educational Resources Information Center

    Bell, Tamekia R.

    2012-01-01

    Clients with learning disabilities constitute a cultural group that has not been extensively studied. The professional literature has found that counselors have reported the need for additional training in working with clients with disabilities. This study explored counselors' beliefs and perceived knowledge regarding counseling clients with…

  10. Culturally Appropriate Career Counseling with Gay and Lesbian Clients

    ERIC Educational Resources Information Center

    Pope, Mark; Barret, Bob; Szymanski, Dawn M.; Chung, Y. Barry; Singaravelu, Hernia; Mclean, Ron; Sanabria, Samuel

    2004-01-01

    This article details the current knowledge regarding the provision of culturally appropriate career services to gay and lesbian clients. It is divided into 5 parts: (1) history and context for the delivery of career counseling services to gay and lesbian clients; (2) counselor self-preparation for working with gay and lesbian clients; (3)…

  11. Client value models provide a framework for rational library planning (or, phrasing the answer in the form of a question).

    PubMed

    Van Moorsel, Guillaume

    2005-01-01

    Libraries often do not know how clients value their product/ service offerings. Yet at a time when the mounting costs for library support are increasingly difficult to justify to the parent institution, the library's ability to gauge the value of its offerings to clients has never been more critical. Client Value Models (CVMs) establish a common definition of value elements-or a "value vocabulary"-for libraries and their clients, thereby providing a basis upon which to make rational planning decisions regarding product/service acquisition and development. The CVM concept is borrowed from business and industry, but its application has a natural fit in libraries. This article offers a theoretical consideration and practical illustration of CVM application in libraries.

  12. Client-side Skype forensics: an overview

    NASA Astrophysics Data System (ADS)

    Meißner, Tina; Kröger, Knut; Creutzburg, Reiner

    2013-03-01

    IT security and computer forensics are important components in the information technology. In the present study, a client-side Skype forensics is performed. It is designed to explain which kind of user data are stored on a computer and which tools allow the extraction of those data for a forensic investigation. There are described both methods - a manual analysis and an analysis with (mainly) open source tools, respectively.

  13. Proposal and Implementation of SSH Client System Using Ajax

    NASA Astrophysics Data System (ADS)

    Kosuda, Yusuke; Sasaki, Ryoichi

    Technology called Ajax gives web applications the functionality and operability of desktop applications. In this study, we propose and implement a Secure Shell (SSH) client system using Ajax, independent of the OS or Java execution environment. In this system, SSH packets are generated on a web browser by using JavaScript and a web server works as a proxy in communication with an SSH server to realize end-to-end SSH communication. We implemented a prototype program and confirmed by experiment that it runs on several web browsers and mobile phones. This system has enabled secure SSH communication from a PC at an Internet cafe or any mobile phone. By measuring the processing performance, we verified satisfactory performance for emergency use, although the speed was unsatisfactory in some cases with mobile phone. The system proposed in this study will be effective in various fields of E-Business.

  14. Dietary intake in clients with chronic wounds.

    PubMed

    Wojcik, Agnieszka; Atkins, Marlis; Mager, Diana R

    2011-01-01

    To assess relationships among food intake, anthropometrics, and wound severity, we studied 31 home care clients with pressure ulcers (PUs) or venous stasis ulcers (VSUs). Anthropometric variables (weight, height, waist circumference [WC]) were measured according to standard methodologies. Risk for PU development was assessed using the Braden Pressure Ulcer Risk Assessment score and wound severity according to the National Pressure Ulcer Advisory Panel. Three-day food records were analyzed to assess dietary adequacy. Adults with VSUs (65.8 ± 18.4 years) had a higher body mass index (48.1 vs. 25.9), WC (146.6 vs. 98.4 cm), and Braden score (20.2 vs. 17.5) than did those with PUs (67.8 ± 17.9 years) (p <0.05). Energy, protein, and zinc intake by diet alone did not meet estimated requirements in 41%, 32%, and 54.5% of clients, respectively. Intake by diet alone met the Estimated Average Requirement/Adequate Intake for all nutrients except fibre, vitamin D, vitamin E, vitamin K, folate, calcium, magnesium, and potassium. Nutrient supplementation resolved this for all nutrients except fibre, vitamin K, and potassium. In multivariate analysis, increasing wound severity was associated with decreased intakes of vitamin A, vitamin K, magnesium, and protein (r2=0.90, p<0.001). Optimizing nutrient intake may be an important strategy to promote wound healing and decrease wound severity in home care clients with chronic wounds.

  15. Hsp90: Friends, clients and natural foes.

    PubMed

    Verma, Sharad; Goyal, Sukriti; Jamal, Salma; Singh, Aditi; Grover, Abhinav

    2016-08-01

    Hsp90, a homodimeric ATPase, is responsible for the correct folding of a number of newly synthesized polypeptides in addition to the correct folding of denatured/misfolded client proteins. It requires several co-chaperones and other partner proteins for chaperone activity. Due to the involvement of Hsp90-dependent client proteins in a variety of oncogenic signaling pathways, Hsp90 inhibition has emerged as one of the leading strategies for anticancer chemotherapeutics. Most of Hsp90 inhibitors blocks the N terminal ATP binding pocket and prevents the conformational changes which are essential for the loading of co-chaperones and client proteins. Several other inhibitors have also been reported which disrupt chaperone cycle in ways other than binding to N terminal ATP binding pocket. The Hsp90 inhibition is associated with heat shock response, mediated by HSF-1, to overcome the loss of Hsp90 and sustain cell survival. This review is an attempt to give an over view of all the important players of chaperone cycle.

  16. Client perceptions of cultural competence of community-based nurses.

    PubMed

    Starr, Sharon S; Wallace, Debra C

    2011-04-01

    Cultural competence is best understood by assessing provider and client perspectives. In this descriptive quantitative study, clients assessed dimensions of nurses' cultural competence including communication, decision-making, and interpersonal style. Nurses in 7 county health departments in North Carolina assessed their own cultural competence. Sixty-nine clients completed the Interpersonal Processes of Care and 71 nurses completed the Cultural Competence Assessment. Clients perceived their nursing care to contain key components of cultural competence. Nurses rated themselves as moderate to high cultural competence. Consistencies were noted between the clients' and nurse perceptions of cultural competence. These findings contribute to the enhancement of cultural competence among community nurses. PMID:21541868

  17. The Timing and Accumulation of Judicial Sanctions among Drug Court Clients

    ERIC Educational Resources Information Center

    McRee, Nick; Drapela, Laurie A.

    2012-01-01

    Judicial sanctions are used by drug courts to encourage clients to comply with program requirements. However, few studies have explored the application of sanctions in drug courts or the relationship between sanctions and drug court graduation. This article reports the results of a study of sanctions as applied in a drug court in southwest…

  18. Client-Side Event Processing for Personalized Web Advertisement

    NASA Astrophysics Data System (ADS)

    Stühmer, Roland; Anicic, Darko; Sen, Sinan; Ma, Jun; Schmidt, Kay-Uwe; Stojanovic, Nenad

    The market for Web advertisement is continuously growing and correspondingly, the number of approaches that can be used for realizing Web advertisement are increasing. However, current approaches fail to generate very personalized ads for a current Web user that is visiting a particular Web content. They mainly try to develop a profile based on the content of that Web page or on a long-term user's profile, by not taking into account current user's preferences. We argue that by discovering a user's interest from his current Web behavior we can support the process of ad generation, especially the relevance of an ad for the user. In this paper we present the conceptual architecture and implementation of such an approach. The approach is based on the extraction of simple events from the user interaction with a Web page and their combination in order to discover the user's interests. We use semantic technologies in order to build such an interpretation out of many simple events. We present results from preliminary evaluation studies. The main contribution of the paper is a very efficient, semantic-based client-side architecture for generating and combining Web events. The architecture ensures the agility of the whole advertisement system, by complexly processing events on the client. In general, this work contributes to the realization of new, event-driven applications for the (Semantic) Web.

  19. Choice, access, information are among clients' rights.

    PubMed

    Finger, W R

    1993-08-01

    This general discussion of the importance of respecting client's rights and access to a choice of methods relies on the statements of researchers and family planners from a variety of international and private organizations which reiterate the features of successful programs. The emphasis on client's rights is a change for many programs. The example is given of a clinic in Niger that posts the list of client rights to accessibility, information, education, communication, and freedom of choice. Pressure from international groups focuses on promoting client's informed and voluntary choice of family planning (FP) method, because it assures continuation. Quality of care is directly related to continuation of care. The quality of care framework of Judith Bruce, from the Population Council, identifies the first and most fundamental element in assuring quality of service to be choice of method. The UN assures that contraceptive choice is a basic human right. The International Planned Parenthood (IPPF) Medical and Service Delivery Guidelines proposes 10 client rights; this list of rights has been widely distributed as a poster. IPPF's African director states that contraceptive prevalence is low because of a lack of quality care. Women's rights have been integrated into FP and promoted in the Safe Motherhood Initiative and in the focus of the International Decade for Women, 1975-85. The International Women's Health Coalition, which is an alliance of over 100 women's organizations from 50 countries, has released a "Women's Declaration on Population Policies" at UN headquarters, which calls for provision of reproductive health care, not just technology, for fertility management by women. Policy makers and planners are urged to provide access to wide contraceptive choices, pregnancy care, safe abortion, prevention of sexually transmitted diseases (STDs), development of new technology for protection against STDs, and encouragement of men to take responsibility for sexual

  20. Client Education: Communicative Interaction between Physiotherapists and Clients with Subacute Low Back Pain in Private Practice

    PubMed Central

    Bassett, Raewyn; Fenety, Anne; Hoens, Alison M.

    2011-01-01

    ABSTRACT Purpose: To explore, through focus-group interviews, client education provided by physiotherapists in private practice who treat injured workers with subacute low back pain (SA-LBP). Methods: Six focus-group interviews were held in the fall of 2006 to explore treatment practices of physiotherapists for this population. Each of the 44 physiotherapists who volunteered attended one of six regional sessions. Results: Three overarching themes emerged: the critical importance of education; education: a multidimensional concept; and the physiotherapist–client relationship. In this study, we found that education provides continuity by tying together the separate tasks occurring during one treatment session. Our participants said that time is of the essence in private practice and described how they provide education seamlessly, making this type of delivery efficient. Conclusions: Education is a highly valued aspect of practice for physiotherapists. Verbal, tactile, and visual information obtained from the client as assessment and treatment progress is explored, expanded, and contextualized in conversation with the client. In a communicative, interactive process, client fears, other contextual information, and physiotherapist information about procedures and techniques, exercises, and anatomy are collaboratively interrelated. PMID:22379262

  1. Whisker: a client-server high-performance multimedia research control system.

    PubMed

    Cardinal, Rudolf N; Aitken, Michael R F

    2010-11-01

    We describe an original client-server approach to behavioral research control and the Whisker system, a specific implementation of this design. The server process controls several types of hardware, including digital input/output devices, multiple graphical monitors and touchscreens, keyboards, mice, and sound cards. It provides a way to access this hardware for client programs, communicating with them via a simple text-based network protocol based on the standard Internet protocol. Clients to implement behavioral tasks may be written in any network-capable programming language. Applications to date have been in experimental psychology and behavioral and cognitive neuroscience, using rodents, humans, nonhuman primates, dogs, pigs, and birds. This system is flexible and reliable, although there are potential disadvantages in terms of complexity. Its design, features, and performance are described. PMID:21139173

  2. Evaluating the Influence of the Client Behavior in Cloud Computing.

    PubMed

    Souza Pardo, Mário Henrique; Centurion, Adriana Molina; Franco Eustáquio, Paulo Sérgio; Carlucci Santana, Regina Helena; Bruschi, Sarita Mazzini; Santana, Marcos José

    2016-01-01

    This paper proposes a novel approach for the implementation of simulation scenarios, providing a client entity for cloud computing systems. The client entity allows the creation of scenarios in which the client behavior has an influence on the simulation, making the results more realistic. The proposed client entity is based on several characteristics that affect the performance of a cloud computing system, including different modes of submission and their behavior when the waiting time between requests (think time) is considered. The proposed characterization of the client enables the sending of either individual requests or group of Web services to scenarios where the workload takes the form of bursts. The client entity is included in the CloudSim, a framework for modelling and simulation of cloud computing. Experimental results show the influence of the client behavior on the performance of the services executed in a cloud computing system.

  3. Evaluating the Influence of the Client Behavior in Cloud Computing.

    PubMed

    Souza Pardo, Mário Henrique; Centurion, Adriana Molina; Franco Eustáquio, Paulo Sérgio; Carlucci Santana, Regina Helena; Bruschi, Sarita Mazzini; Santana, Marcos José

    2016-01-01

    This paper proposes a novel approach for the implementation of simulation scenarios, providing a client entity for cloud computing systems. The client entity allows the creation of scenarios in which the client behavior has an influence on the simulation, making the results more realistic. The proposed client entity is based on several characteristics that affect the performance of a cloud computing system, including different modes of submission and their behavior when the waiting time between requests (think time) is considered. The proposed characterization of the client enables the sending of either individual requests or group of Web services to scenarios where the workload takes the form of bursts. The client entity is included in the CloudSim, a framework for modelling and simulation of cloud computing. Experimental results show the influence of the client behavior on the performance of the services executed in a cloud computing system. PMID:27441559

  4. Evaluating the Influence of the Client Behavior in Cloud Computing

    PubMed Central

    Centurion, Adriana Molina; Franco Eustáquio, Paulo Sérgio; Carlucci Santana, Regina Helena; Bruschi, Sarita Mazzini; Santana, Marcos José

    2016-01-01

    This paper proposes a novel approach for the implementation of simulation scenarios, providing a client entity for cloud computing systems. The client entity allows the creation of scenarios in which the client behavior has an influence on the simulation, making the results more realistic. The proposed client entity is based on several characteristics that affect the performance of a cloud computing system, including different modes of submission and their behavior when the waiting time between requests (think time) is considered. The proposed characterization of the client enables the sending of either individual requests or group of Web services to scenarios where the workload takes the form of bursts. The client entity is included in the CloudSim, a framework for modelling and simulation of cloud computing. Experimental results show the influence of the client behavior on the performance of the services executed in a cloud computing system. PMID:27441559

  5. Neurofeedback outcomes in clients with Asperger's syndrome.

    PubMed

    Thompson, Lynda; Thompson, Michael; Reid, Andrea

    2010-03-01

    This paper summarizes data from a review of neurofeedback (NFB) training with 150 clients with Asperger's Syndrome (AS) and 9 clients with Autistic Spectrum Disorder (ASD) seen over a 15 year period (1993-2008) in a clinical setting. The main objective was to investigate whether electroncephalographic (EEG) biofeedback, also called neurofeedback (NFB), made a significant difference in clients diagnosed with AS. An earlier paper (Thompson et al. 2009) reviews the symptoms of AS, highlights research findings and theories concerning this disorder, discusses QEEG patterns in AS (both single and 19-channel), and details a hypothesis, based on functional neuroanatomy, concerning how NFB, often paired with biofeedback (BFB), might produce a change in symptoms. A further aim of the current report is to provide practitioners with a detailed description of the method used to address some of the key symptoms of AS in order to encourage further research and clinical work to refine the use of NFB plus BFB in the treatment of AS. All charts were included for review where there was a diagnosis of AS or ASD and pre- and post-training testing results were available for one or more of the standardized tests used. Clients received 40-60 sessions of NFB, which was combined with training in metacognitive strategies and, for most older adolescent and adult clients, with BFB of respiration, electrodermal response, and, more recently, heart rate variability. For the majority of clients, feedback was contingent on decreasing slow wave activity (usually 3-7 Hz), decreasing beta spindling if it was present (usually between 23 and 35 Hz), and increasing fast wave activity termed sensorimotor rhythm (SMR) (12-15 or 13-15 Hz depending on assessment findings). The most common initial montage was referential placement at the vertex (CZ) for children and at FCz (midway between FZ and CZ) for adults, referenced to the right ear. Metacognitive strategies relevant to social understanding, spatial

  6. Neurofeedback outcomes in clients with Asperger's syndrome.

    PubMed

    Thompson, Lynda; Thompson, Michael; Reid, Andrea

    2010-03-01

    This paper summarizes data from a review of neurofeedback (NFB) training with 150 clients with Asperger's Syndrome (AS) and 9 clients with Autistic Spectrum Disorder (ASD) seen over a 15 year period (1993-2008) in a clinical setting. The main objective was to investigate whether electroncephalographic (EEG) biofeedback, also called neurofeedback (NFB), made a significant difference in clients diagnosed with AS. An earlier paper (Thompson et al. 2009) reviews the symptoms of AS, highlights research findings and theories concerning this disorder, discusses QEEG patterns in AS (both single and 19-channel), and details a hypothesis, based on functional neuroanatomy, concerning how NFB, often paired with biofeedback (BFB), might produce a change in symptoms. A further aim of the current report is to provide practitioners with a detailed description of the method used to address some of the key symptoms of AS in order to encourage further research and clinical work to refine the use of NFB plus BFB in the treatment of AS. All charts were included for review where there was a diagnosis of AS or ASD and pre- and post-training testing results were available for one or more of the standardized tests used. Clients received 40-60 sessions of NFB, which was combined with training in metacognitive strategies and, for most older adolescent and adult clients, with BFB of respiration, electrodermal response, and, more recently, heart rate variability. For the majority of clients, feedback was contingent on decreasing slow wave activity (usually 3-7 Hz), decreasing beta spindling if it was present (usually between 23 and 35 Hz), and increasing fast wave activity termed sensorimotor rhythm (SMR) (12-15 or 13-15 Hz depending on assessment findings). The most common initial montage was referential placement at the vertex (CZ) for children and at FCz (midway between FZ and CZ) for adults, referenced to the right ear. Metacognitive strategies relevant to social understanding, spatial

  7. An Adaptive Priority Tuning System for Optimized Local CPU Scheduling using BOINC Clients

    NASA Astrophysics Data System (ADS)

    Mnaouer, Adel B.; Ragoonath, Colin

    2010-11-01

    Volunteer Computing (VC) is a Distributed Computing model which utilizes idle CPU cycles from computing resources donated by volunteers who are connected through the Internet to form a very large-scale, loosely coupled High Performance Computing environment. Distributed Volunteer Computing environments such as the BOINC framework is concerned mainly with the efficient scheduling of the available resources to the applications which require them. The BOINC framework thus contains a number of scheduling policies/algorithms both on the server-side and on the client which work together to maximize the available resources and to provide a degree of QoS in an environment which is highly volatile. This paper focuses on the BOINC client and introduces an adaptive priority tuning client side middleware application which improves the execution times of Work Units (WUs) while maintaining an acceptable Maximum Response Time (MRT) for the end user. We have conducted extensive experimentation of the proposed system and the results show clear speedup of BOINC applications using our optimized middleware as opposed to running using the original BOINC client.

  8. High performance medical image processing in client/server-environments.

    PubMed

    Mayer, A; Meinzer, H P

    1999-03-01

    As 3D scanning devices like computer tomography (CT) or magnetic resonance imaging (MRI) become more widespread, there is also an increasing need for powerful computers that can handle the enormous amounts of data with acceptable response times. We describe an approach to parallelize some of the more frequently used image processing operators on distributed memory architectures. It is desirable to make such specialized machines accessible on a network, in order to save costs by sharing resources. We present a client/server approach that is specifically tailored to the interactive work with volume data. Our image processing server implements a volume visualization method that allows the user to assess the segmentation of anatomical structures. We can enhance the presentation by combining the volume visualizations on a viewing station with additional graphical elements, which can be manipulated in real-time. The methods presented were verified on two applications for different domains. PMID:10094225

  9. Measuring client perceptions of motivational interviewing: factor analysis of the Client Evaluation of Motivational Interviewing scale.

    PubMed

    Madson, Michael B; Mohn, Richard S; Zuckoff, Allan; Schumacher, Julie A; Kogan, Jane; Hutchison, Shari; Magee, Emily; Stein, Bradley

    2013-03-01

    Motivational interviewing (MI) is an intervention approach that has solid evidence of efficacy with substance use disorders. Research and training have benefitted from the development of observational measures to assess MI fidelity and competence. However, one untapped area of assessment is the client perception of the clinician use of MI. Client perceptions of MI have been found through qualitative interviews to relate to motivation to change, view of the therapist and safety of therapy. The Client Evaluation of MI (CEMI) scale was developed to assess client perception of clinician MI use. This study further evaluated the CEMI through exploratory and confirmatory factor analysis with a sample of 500 individuals with dual diagnosis pre-discharge from an inpatient unit. Participants completed an MI based session prior to completing CEMIs. A two factor (relational and technical) model explained 51.1% of the cumulative variance and was supported through confirmatory factor analysis. Suggestions for revisions are provided as well as potential uses of the CEMI and future directions for research. PMID:22999814

  10. DVR Client Followup Study. Clients Closed November, 1988 through October, 1989.

    ERIC Educational Resources Information Center

    Hall, Rick

    A follow-up survey was conducted of all clients of Wisconsin's Division of Vocational Rehabilitation (DVR) services whose cases were closed between October 1988 through November 1989. Of the 9,052 surveys mailed out, 2,498 (27.6%) were returned. The following percentages of program completers reported some kind of work within 6 months of leaving…

  11. Spiritual interventions in psychotherapy: evaluations by highly religious clients.

    PubMed

    Martinez, Jennifer S; Smith, Timothy B; Barlow, Sally H

    2007-10-01

    Spiritual and religious interventions in psychotherapy have increasingly received research attention, particularly with highly religious clients. This study examined client opinions about and experiences with religious interventions in psychotherapy. A sample of 152 clients at a counseling center of a university sponsored by the Church of Jesus Christ of Latter-Day Saints (LDS) completed a survey with ratings of specific religious interventions concerning appropriateness, helpfulness, and prevalence. Out-of-session religious interventions were considered more appropriate by clients than in-session religious interventions, but in-session interventions were rated as more helpful. Specific interventions considered both appropriate and helpful by the LDS participants included referencing scriptural passages, teaching spiritual concepts, encouraging forgiveness, involving religious community resources, and conducting assessments of client spirituality. Some religious interventions were perceived as inappropriate or not helpful, and clients provided explanations for why religious interventions can be either effective or ineffective in psychotherapy.

  12. Chapter 8: Hsp90 and Client Protein Maturation

    PubMed Central

    Wayne, Natalie; Mishra, Parul; Bolon, Daniel N.

    2016-01-01

    Heat shock protein 90 (Hsp90) is a molecular chaperone that assists in the maturation of a limited set of substrate proteins that are collectively referred to as clients. The majority of identified Hsp90 clients are involved in signal transduction including many steroid hormone receptors and kinases. A handful of Hsp90 clients can be classified as non-signal transduction proteins including telomerase, cystic fibrosis transmembrane conductance regulator (CFTR), and antigenic peptides destined for major histocompatibility complex (MHC). Because Hsp90 clients are causative agents in cancer and cystic fibrosis, research on Hsp90 has intensified in recent years. We review the historical path of Hsp90 research within each class of client (kinase, hormone receptor, and non-signal transduction clients) and highlight current areas of active investigation. PMID:21898225

  13. Microaggressions: Clinical errors with sexual minority clients.

    PubMed

    Spengler, Elliot S; Miller, Deborah J; Spengler, Paul M

    2016-09-01

    Sexual minority (SM) individuals live in a heterosexist society that denigrates their sexual orientation identity. The stigma and prejudice they regularly encounter is hypothesized to lead to their significantly increased risk for developing mental health disorders. Because of these factors, therapists should be diligent to create an affirming and supportive therapeutic environment but this is often not the case. SM clients frequently report experiencing sexual orientation microaggressions in therapy, such as heteronormative statements, a disregard for their sexual orientation identity, and an assumption that their presenting issues are rooted in their sexual orientation identity. These microaggressions should be viewed as bias manifested as clinical errors because of how they weaken therapeutic alliance, decrease the effectiveness of treatment, decrease utilization intent, and cultivate feelings of shame, anger, and misunderstanding. This article provides empirically supported findings regarding common SM clinical errors and microaggressions, a clinical example of such biases with corrective examples along with the author's personal reactions, and more general strategies for avoiding microaggressive errors with SM clients. Implications for practice, training, and research are discussed. (PsycINFO Database Record PMID:27631867

  14. A concept analysis of partnership with clients.

    PubMed

    Bidmead, Christine; Cowley, Sarah

    2005-06-01

    The aim of this first paper of two about partnership working with clients is to define and clarify partnership as it is practised within health visiting, by identifying the central notions of partnership working in practice. The aim of the second paper will be to describe an evaluation of a training course in partnership working for health visitors. Partnership is a word in common usage within the health professions but its meaning is ill-defined. A literature search was undertaken to identify ways in which previous authors have used the concept within nursing, counselling and health visiting. Rodgers' approach to concept analysis was undertaken to seek clarity for the concept. This revealed the ways in which various authors have used the word, an analysis of its defining attributes, surrogate terms, antecedents, consequences and a concluding definition. The results showed that partnership with clients in health visiting can be defined as a respectful, negotiated way of working together that enables choice, participation and equity, within an honest, trusting relationship that is based in empathy, support and reciprocity. It is best established within a model of health visiting that recognises partnership as a central tenet. It requires a high level of interpersonal qualities and communication skills in staff who are, themselves, supported through a system of clinical supervision that operates within the same partnership framework. PMID:15984559

  15. Spiritual Pain in Meals on Wheels’ Clients

    PubMed Central

    Boss, Lisa; Branson, Sandy; Cron, Stanley; Kang, Duck-Hee

    2015-01-01

    Background: Meals on Wheels’ clients are at risk for spiritual pain due to advanced age, social isolation, and failing health. They are also prone to stress, depression, and loneliness, placing them at risk for adverse biological disruptions and health outcomes. The purpose of the study was to examine associations of spiritual pain with psychosocial factors (stress, depression, loneliness, religious coping) and salivary biomarkers of stress and inflammation (cortisol, IL-1β) in Meals on Wheels’ clients. Methods: Data were collected cross-sectionally from 88 elderly (mean age 75.4). Spiritual pain, stress, depression, loneliness, and religious coping were measured with standardized instruments, and salivary biomarkers were assessed with enzyme immunoassays. Results: Spiritual pain was significantly and positively correlated with stress (r = 0.35, p ≤ 0.001), depression (r = 0.27, p = 0.01), and negative religious coping (r = 0.27, p = 0.01). Correlations with loneliness, positive religious coping, and salivary biomarkers were non-significant. Conclusion: Spiritual pain is an important concept in this population. Research should be expanded to understand the significance of spiritual pain in conjunction with psychosocial and biological variables and its potential impact on physical, mental, and cognitive health outcomes in the elderly. PMID:27417804

  16. Client-centered counseling improves client satisfaction with family planning visits: evidence from Irbid, Jordan

    PubMed Central

    Kamhawi, Sarah; Underwood, Carol; Murad, Huda; Jabre, Bushra

    2013-01-01

    ABSTRACT Background: High levels of unmet need for family planning and high contraceptive discontinuation rates persist in Jordan, prompting the Jordan Health Communication Partnership (JHCP) to initiate a client-centered family planning service program called “Consult and Choose” (CC), together with community-based activities to encourage women with unmet need to visit health centers. Methods: We held exit interviews with 461 family planning clients between November–December 2011 to assess, from the clients' perspective, whether trained providers followed the CC protocol and used the CC tools, as well as to measure client satisfaction. We also tracked referral card information from community-based activities to health centers and examined service statistics to explore trends in family planning use. Results: On average, clients reported that providers performed 5.6 of the 7 steps outlined in the CC protocol. Nearly 83% of respondents were very satisfied with their clinic visits. Logistic regression analysis found that the odds of being “very satisfied” increases by 20% with each additional counseling protocol step performed and by 70% with each increase in the number of CC materials used. Between June 2011 and August 2012, 14,490 referral cards from community-based activities were collected in health centers, 59% of which were for family planning services. Service statistic trends indicate an increase in the number of new family planning users and in couple-years of protection after starting the CC program. Conclusions: Implementation of the CC program at health centers nationally, in tandem with community-based interventions, could play a key role in attaining Jordan's goal of reducing its total fertility rate to 2.1 by 2030. Although this initiative would likely be replicated most readily in other middle-income countries, lower-resource countries could also adapt the tested CC approach. PMID:25276531

  17. Fetishistic Preferences of Clients as Ranked by a Sex Worker.

    PubMed

    Cernovsky, Zack Zdenek

    2016-08-17

    A former escort girl and stripper, now retired and in her forties, of intelligence at the level comparable to that of university graduates, was interviewed about unusual sexual requests of her former clients. She reported that most frequent requests were (1) those involving a foot or shoe fetish, (2) those to sell to the male client her underwear, and (3) those to urinate into her underwear before selling it to the client. PMID:26177692

  18. JMS Proxy and C/C++ Client SDK

    NASA Technical Reports Server (NTRS)

    Wolgast, Paul; Pechkam, Paul

    2007-01-01

    JMS Proxy and C/C++ Client SDK (JMS signifies "Java messaging service" and "SDK" signifies "software development kit") is a software package for developing interfaces that enable legacy programs (here denoted "clients") written in the C and C++ languages to communicate with each other via a JMS broker. This package consists of two main components: the JMS proxy server component and the client C library SDK component. The JMS proxy server component implements a native Java process that receives and responds to requests from clients. This component can run on any computer that supports Java and a JMS client. The client C library SDK component is used to develop a JMS client program running in each affected C or C++ environment, without need for running a Java virtual machine in the affected computer. A C client program developed by use of this SDK has most of the quality-of-service characteristics of standard Java-based client programs, including the following: Durable subscriptions; Asynchronous message receipt; Such standard JMS message qualities as "TimeToLive," "Message Properties," and "DeliveryMode" (as the quoted terms are defined in previously published JMS documentation); and Automatic reconnection of a JMS proxy to a restarted JMS broker.

  19. Multi-client quantum key distribution using wavelength division multiplexing

    SciTech Connect

    Grice, Warren P; Bennink, Ryan S; Earl, Dennis Duncan; Evans, Philip G; Humble, Travis S; Pooser, Raphael C; Schaake, Jason; Williams, Brian P

    2011-01-01

    Quantum Key Distribution (QKD) exploits the rules of quantum mechanics to generate and securely distribute a random sequence of bits to two spatially separated clients. Typically a QKD system can support only a single pair of clients at a time, and so a separate quantum link is required for every pair of users. We overcome this limitation with the design and characterization of a multi-client entangled-photon QKD system with the capacity for up to 100 clients simultaneously. The time-bin entangled QKD system includes a broadband down-conversion source with two unique features that enable the multi-user capability. First, the photons are emitted across a very large portion of the telecom spectrum. Second, and more importantly, the photons are strongly correlated in their energy degree of freedom. Using standard wavelength division multiplexing (WDM) hardware, the photons can be routed to different parties on a quantum communication network, while the strong spectral correlations ensure that each client is linked only to the client receiving the conjugate wavelength. In this way, a single down-conversion source can support dozens of channels simultaneously--and to the extent that the WDM hardware can send different spectral channels to different clients, the system can support multiple client pairings. We will describe the design and characterization of the down-conversion source, as well as the client stations, which must be tunable across the emission spectrum.

  20. Deaf client with bipolar illness: a case report

    PubMed Central

    2007-01-01

    Background This case report highlights the diagnostic and assessment difficulties faced by mental health professionals when dealing with a Deaf client. Case presentation We used mobile phone text facility to monitor and liaise with the client while in the community. We focused on the affect and signing amplitude/intensity of the client to make a diagnosis of bipolar disorder, prescribed valproate semisodium, and noticed an improvement in two months. Conclusion This is an example of some areas of good practice when assessing a Deaf client with mental health problems. PMID:17903259

  1. Client satisfaction and quality of health care in rural Bangladesh.

    PubMed Central

    Mendoza Aldana, J.; Piechulek, H.; al-Sabir, A.

    2001-01-01

    OBJECTIVE: To assess user expectations and degree of client satisfaction and quality of health care provided in rural Bangladesh. METHODS: A total of 1913 persons chosen by systematic random sampling were successfully interviewed immediately after having received care in government health facilities. FINDINGS: The most powerful predictor for client satisfaction with the government services was provider behaviour, especially respect and politeness. For patients this aspect was much more important than the technical competence of the provider. Furthermore, a reduction in waiting time (on average to 30 min) was more important to clients than a prolongation of the quite short (from a medical standpoint) consultation time (on average 2 min, 22 sec), with 75% of clients being satisfied. Waiting time, which was about double at outreach services than that at fixed services, was the only element with which users of outreach services were dissatisfied. CONCLUSIONS: This study underscores that client satisfaction is determined by the cultural background of the people. It shows the dilemma that, though optimally care should be capable of meeting both medical and psychosocial needs, in reality care that meets all medical needs may fail to meet the client's emotional or social needs. Conversely, care that meets psychosocial needs may leave the clients medically at risk. It seems important that developing countries promoting client-oriented health services should carry out more in-depth research on the determinants of client satisfaction in the respective culture. PMID:11436472

  2. Processes involved in client-nominated relationship building incidents: Client attachment, attachment to therapist, and session impact.

    PubMed

    Janzen, Jennifer; Fitzpatrick, Marilyn; Drapeau, Martin

    2008-09-01

    Thirty volunteer clients of trainee therapists nominated an incident that was critical in the development of their therapeutic relationship. Clients completed the Client Attachment to Therapist Scale (CATS), the Experiences in Close Relationships Scale (ECRS), and the Session Impacts Scale (SIS). Clients reported an increase in attachment security with their therapists, along with perceptions of support and relief and increasing exploration following the relationship building incident. While clients' avoidant attachment was unrelated to attachment to the therapist prior to the incidents, in subsequent sessions avoidance was related to a change in secure attachment to therapist. Finally, client attachment to therapist but not general attachment was significantly related to in-session exploration. Findings are discussed in light of attachment theory and convergence with findings from the field of social psychology. (PsycINFO Database Record (c) 2010 APA, all rights reserved).

  3. Investigating bias in psychotherapy with BDSM clients.

    PubMed

    Kolmes, Keely; Stock, Wendy; Moser, Charles

    2006-01-01

    There is a concern among consensual BDSM participants that they will receive biased care from mental health professionals. Results are presented of an anonymous Internet-based survey administered to both BDSM-identified individuals who have received psychological care and to mental health professionals. The survey included socio-demographic data and invited participants to write narrative accounts of biased or culturally sensitive care, from which common themes were identified. Mental health providers (N=17) responded in fewer numbers than those who identified as BDSM-identified participants (N=175). Descriptive characteristics of the sample will be discussed. Themes from the qualitative data may be useful in informing the future development of guidelines for practitioners to work more responsibly with clients who identify as members of this sexual minority group. PMID:16803769

  4. Treating clients with Asperger's syndrome and autism.

    PubMed

    Woods, Alisa G; Mahdavi, Esmaeil; Ryan, Jeanne P

    2013-09-11

    Asperger's syndrome (AS) is a form of autism spectrum disorder (ASD) affecting many individuals today. Although neurobiological correlates for AS have been identified, like many ASDs, AS is not completely understood. AS as a distinct disorder is also not universally accepted and in the DSM-5 AS is not considered a separate nosological entity. In contrast to some other ASDs, individuals with AS are commonly characterized by having standard or higher than average intelligence, yet difficulties in social skills and communication can present challenges for these individuals in everyday functioning. Counseling a person with AS or autism presents a unique challenge for the mental health care provider. We have compiled this review consisting of some recent ideas regarding counseling the client with AS with the goal of providing some clinical insights and practical clues. Although the focus of the present paper is largely on AS, many of these strategies could also apply to individuals with high-functioning autism (HFA).

  5. Counselor Preferences of Clients Entering a Counselor-Training Clinic.

    ERIC Educational Resources Information Center

    Strohmer, Douglas C.; Leiere, Stephen J.; Hotard, Jacqueline M.; Stuckey, Rebecca I.

    2003-01-01

    Examines the expressed counselor preferences of individuals entering a community-based counselor-training clinic. Clients were asked whether they had a preference regarding counselor age, disability status, education, gender, and race. Of these characteristics, only for gender did even a moderate number of clients (30%) express a preference.…

  6. Client Anticipations about Computer-Assisted Career Guidance System Outcomes.

    ERIC Educational Resources Information Center

    Osborn, Debra S.; Peterson, Gary W.; Sampson, James P., Jr.; Reardon, Robert C.

    2003-01-01

    This study describes how 55 clients from a career center at a large, southeastern university anticipated using computer-assisted career guidance (CACG) systems to help in their career decision making and problem solving. Responses to a cued and a free response survey indicated that clients' most frequent anticipations included increased career…

  7. 45 CFR 1608.7 - Attorney-client relationship.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Attorney-client relationship. 1608.7 Section 1608.7 Public Welfare Regulations Relating to Public Welfare (Continued) LEGAL SERVICES CORPORATION PROHIBITED POLITICAL ACTIVITIES § 1608.7 Attorney-client relationship. Nothing in this part is intended...

  8. Making a Case for Client Insistence in Social Work Interaction

    ERIC Educational Resources Information Center

    Matarese, Maureen T.; van Nijnatten, Carolus

    2015-01-01

    It has been argued that the goals of the institution can shape the talk therein. What happens when a client consistently invokes topics and role identities that are outside the parameters of the institution, insisting on his or her own goals and gaining and maintaining a control of the floor usually expected of practitioners? Client power is often…

  9. 45 CFR 1639.4 - Permissible representation of eligible clients.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Permissible representation of eligible clients. 1639.4 Section 1639.4 Public Welfare Regulations Relating to Public Welfare (Continued) LEGAL SERVICES CORPORATION WELFARE REFORM § 1639.4 Permissible representation of eligible clients. Recipients may...

  10. 45 CFR 1608.7 - Attorney-client relationship.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 45 Public Welfare 4 2011-10-01 2011-10-01 false Attorney-client relationship. 1608.7 Section 1608.7 Public Welfare Regulations Relating to Public Welfare (Continued) LEGAL SERVICES CORPORATION PROHIBITED POLITICAL ACTIVITIES § 1608.7 Attorney-client relationship. Nothing in this part is intended...

  11. 45 CFR 1639.4 - Permissible representation of eligible clients.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 45 Public Welfare 4 2011-10-01 2011-10-01 false Permissible representation of eligible clients. 1639.4 Section 1639.4 Public Welfare Regulations Relating to Public Welfare (Continued) LEGAL SERVICES CORPORATION WELFARE REFORM § 1639.4 Permissible representation of eligible clients. Recipients may...

  12. Do Organizational Culture and Climate Matter for Successful Client Outcomes?

    ERIC Educational Resources Information Center

    Silver Wolf, David A. Patterson; Dulmus, Catherine N.; Maguin, Eugene; Cristalli, Maria

    2014-01-01

    Objectives: The existing literature on the impact of workplace conditions on client care suggests that good cultures and climates provide the best outcomes for clients. The primary purpose of this study was to investigate the relationship between organizational culture and climate and the proportion of children and youth successfully discharged…

  13. Beyond Values Clarification: Addressing Client Values in Clinical Behavior Analysis

    ERIC Educational Resources Information Center

    Bonow, Jordan T.; Follette, William C.

    2009-01-01

    Ethical principles of psychology, as exemplified in the American Psychological Association (APA) Code of Ethics (2002), provide impractical advice for addressing client values during psychotherapy. These principles seem to argue that each client's values should be respected and protected at all times, except in cases in which this would result in…

  14. Factors that Influence Outcomes for Clients with an Intellectual Disability

    ERIC Educational Resources Information Center

    Raffensperger, Marilyn K.

    2009-01-01

    Is counseling effective for clients with an intellectual disability? This question hovers in the minds of busy practitioners who question not only the ability of these clients to derive benefit from counseling but also their own ability to provide an effective service. However, this simplistic binary question does not do justice to the…

  15. 37 CFR 11.107 - Conflict of interest; Current clients.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 37 Patents, Trademarks, and Copyrights 1 2014-07-01 2014-07-01 false Conflict of interest; Current clients. 11.107 Section 11.107 Patents, Trademarks, and Copyrights UNITED STATES PATENT AND TRADEMARK...; Current clients. (a) Except as provided in paragraph (b) of this section, a practitioner shall...

  16. 37 CFR 11.107 - Conflict of interest; Current clients.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 37 Patents, Trademarks, and Copyrights 1 2013-07-01 2013-07-01 false Conflict of interest; Current clients. 11.107 Section 11.107 Patents, Trademarks, and Copyrights UNITED STATES PATENT AND TRADEMARK...; Current clients. (a) Except as provided in paragraph (b) of this section, a practitioner shall...

  17. A Client-Centered Review of Rogers with Gloria

    ERIC Educational Resources Information Center

    Moon, Kathryn A.

    2007-01-01

    Carl Rogers's nondirective theory and his response style with Gloria (E. L. Shostrom, 1965) are discussed in reply to S. A. Wickman and C. Campbell's (2003) "An Analysis of How Carl Rogers Enacted Client-Centered Conversation With Gloria." Client-centered studies of C. Rogers's transcripts give context for reformulating S. A. Wickman and C.…

  18. Family Therapist Comfort with and Willingness to Discuss Client Sexuality

    ERIC Educational Resources Information Center

    Harris, Steven M.; Hays, Kelli Wenner

    2008-01-01

    Limited empirical information exists on whether or not marriage and family therapists are having sexuality-related discussions with their clients. When helping professionals ignore client sexuality, the potential for unintended negative outcomes increases. The researchers surveyed 175 clinical members of the American Association for Marriage and…

  19. Thin Clients: Anwendungsvirtualisierung (SBC) oder Desktop-Virtualisierung?

    NASA Astrophysics Data System (ADS)

    von Lamp, Frank

    Mit Thin Clients lassen sich verschiedene auf Virtualisierung basierende Infrastrukturen unterstützen, die jeweils unterschiedliche Vor- und Nachteile besitzen. Dieser Beitrag stellt die wichtigsten Vor- und Nachteile von Server Based Computing und Desktop-Virtualisierung mit Thin Clients gegenüber.

  20. 14 CFR 1261.317 - Attorney-client privilege.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Attorney-client privilege. 1261.317 Section... Injury or Death-Accruing On or After January 18, 1967 § 1261.317 Attorney-client privilege. (a) Attorneys..., and attorneys employed by the National Aeronautics and Space Administration provide assistance...

  1. 29 CFR 402.11 - Attorney-client communications exempted.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 2 2010-07-01 2010-07-01 false Attorney-client communications exempted. 402.11 Section 402... LABOR-MANAGEMENT STANDARDS LABOR ORGANIZATION INFORMATION REPORTS § 402.11 Attorney-client communications exempted. Nothing contained in this part shall be construed to require an attorney who is a...

  2. 32 CFR 776.4 - Attorney-client relationships.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 5 2010-07-01 2010-07-01 false Attorney-client relationships. 776.4 Section 776... PROFESSIONAL CONDUCT OF ATTORNEYS PRACTICING UNDER THE COGNIZANCE AND SUPERVISION OF THE JUDGE ADVOCATE GENERAL General § 776.4 Attorney-client relationships. (a) The executive agency to which assigned (DON in...

  3. 29 CFR 404.5 - Attorney-client communications exempted.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 2 2010-07-01 2010-07-01 false Attorney-client communications exempted. 404.5 Section 404... LABOR-MANAGEMENT STANDARDS LABOR ORGANIZATION OFFICER AND EMPLOYEE REPORTS § 404.5 Attorney-client communications exempted. Nothing contained in this part shall be construed to require an attorney who is a...

  4. 29 CFR 403.9 - Attorney-client communications exempted.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 2 2010-07-01 2010-07-01 false Attorney-client communications exempted. 403.9 Section 403... LABOR-MANAGEMENT STANDARDS LABOR ORGANIZATION ANNUAL FINANCIAL REPORTS § 403.9 Attorney-client communications exempted. Nothing contained in this part shall be construed to require an attorney who is a...

  5. Unnoticed, Untapped, and Underappreciated: Clients' Perceptions of their Public Defenders.

    PubMed

    Campbell, Christopher; Moore, Janet; Maier, Wesley; Gaffney, Mike

    2015-01-01

    The challenge of providing high-quality public defense services continues to be a concern at federal, state, and local levels. Some scholars have alluded to a potential solution in client-centered representation, but research in this area is sparse at best. Such a lack of understanding leaves in its place speculation, particularly as to the potential importance of client perceptions in shaping broader system legitimacy. To fill this gap and create an empirical platform for future research, an exploratory pilot study was launched with the Hamilton County, Ohio Public Defender's Office, which used mixed methodologies to assess client attitudes toward public defenders as a potential resource for aiding the improvement of indigent representation. Findings from this pilot study suggest that there are five factors a public defense attorney should address that may prove to be very important in obtaining client satisfaction and cooperation: engaging the client for input, listening to the client, examining the prosecutor's evidence, focusing on the client's case during meetings, and informing the client of potential consequences. Implications for practice and future research are discussed.

  6. Integrating Social and Traditional Media in the Client Project

    ERIC Educational Resources Information Center

    Melton, James; Hicks, Nancy

    2011-01-01

    Based on a client project assigned to students in two undergraduate business classes, this article argues that social media learning is best done in a context that mixes social media with more traditional kinds of media. Ideally, this approach will involve teams of students who are working on different aspects of a larger client project. This…

  7. Client and Therapist Views about Intensive and Standard Motivational Interviewing

    PubMed Central

    Polcin, Douglas L.; Sterling, Jennifer; Brown, Thomas; Brown, Michelle; Buscemi, Raymond; Korcha, Rachael

    2014-01-01

    Although motivational interviewing (MI) is a widely used intervention for alcohol and drug problems, little is known about client and therapist experiences. Client and therapist views could help better understand how MI works and what factors are important. This paper investigates experiences of clients and therapists who participated in a study that examined a standard single session of MI (MI 1) and a more intensive 9-session model (MI 9) for methamphetamine dependence. Qualitative methods included open ended questions presented to 184 clients at 2-month follow-up and 189 clients at 6-month follow-up. In addition, a focus group consisting of two therapists who delivered the interventions and two adherence monitors who listened to audiotape recordings of sessions was conducted. Clients in both conditions felt supportive, nonjudgmental therapist attitudes were helpful. Most clients in the MI 9 condition but few receiving MI 1 volunteered that feedback and advice were helpful. A strong majority in both conditions desired more sessions. Expert panel members emphasized: 1) multiple benefits of a nonjudgmental stance, 2) finding the right balance among different MI interventions, and 3) understanding the interaction of supportive and directive interventions. Panel members also emphasized that one advantages of MI 9 over MI 1 was that it enabled client change plans to be implemented over time. PMID:26185335

  8. Quality of counselling of young clients in Zimbabwe.

    PubMed

    Kim, Y M; Marangwanda, C; Kols, A

    1997-08-01

    Researchers observed 418 consultations with clients aged 12-24 years at 38 health facilities throughout Zimbabwe and interviewed both the clients and providers. Less than one per cent of clients at these facilities were aged 12-14 years; between 5% and 20% were aged 15-19 years. Compared with older clients, those aged 12-16 years came more often for antenatal care and medical problems and less often for family planning. In sessions with 12-16 years, the most common topics were STDs (48%) and school (46%), while sessions with older clients focused more on family planning (56-68%). Providers rarely discussed adolescence or non-sexual problems such as alcohol and drugs. Younger clients were less likely than older clients to ask questions without prompting (16%), expressed their concerns (27%), and they were more likely to appear embarrassed (58%) and shy (64%). Most service providers believed that the parents should be notified if a young, unmarried client was pregnant (89%), had HIV/AIDS (74%), or engaged in sex at "an early" age (73%). The findings suggest that young people may be reluctant to seek advice at health facilities because of legitimate concerns about privacy, providers' attitudes, and narrow focus on reproductive health. PMID:9487418

  9. Exploring Psychotherapy Clients' Independent Strategies for Change While in Therapy

    ERIC Educational Resources Information Center

    Mackrill, Thomas

    2008-01-01

    Psychotherapy research usually describes how client change is caused by therapist interventions. This article describes how clients change by continuing to use and revising the strategies for change that they bring with them when they first enter therapy. This article presents data from a qualitative diary study of psychotherapy. Three cases…

  10. Working In-Vivo with Client Sense of Unlovability

    ERIC Educational Resources Information Center

    Tsai, Mavis; Reed, Richard

    2012-01-01

    Clients sometimes react negatively when their in-session problem behavior is simply blocked. This article illustrates how a FAP (Functional Analytic Psychotherapy) therapist can work effectively in session with a client's problem feeling of unlovability by: 1) understanding its antecedents and functions, 2) using therapeutic love to reinforce…

  11. An Exploration of Supervisory and Therapeutic Relationships and Client Outcomes

    ERIC Educational Resources Information Center

    Bell, Hope; Hagedorn, W. Bryce; Robinson, E. H. Mike

    2016-01-01

    The authors explored the connection between the facilitative conditions present within the supervisory relationship, the therapeutic relationship, and client outcomes. A correlational research design was used with a sample of 55 counselors-in-training and 88 clients. Results indicated a significant positive relationship between the therapeutic…

  12. Communicating Social Support to Grieving Clients: The Veterinarians' View

    ERIC Educational Resources Information Center

    Pilgram, Mary D.

    2010-01-01

    This exploratory study examines veterinarians' perceptions of how they offer social support to grieving clients. Because many clients cannot find the social support they would like from other sources when grieving the death of a pet, the role of the vet in offering support becomes increasingly important. The results indicate that vets perceive…

  13. 42 CFR 483.420 - Condition of participation: Client protections.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 5 2014-10-01 2014-10-01 false Condition of participation: Client protections. 483.420 Section 483.420 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND..., sexual or psychological abuse or punishment; (6) Ensure that clients are free from unnecessary drugs...

  14. 42 CFR 483.420 - Condition of participation: Client protections.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 5 2013-10-01 2013-10-01 false Condition of participation: Client protections. 483.420 Section 483.420 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND..., sexual or psychological abuse or punishment; (6) Ensure that clients are free from unnecessary drugs...

  15. 42 CFR 483.420 - Condition of participation: Client protections.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Condition of participation: Client protections. 483.420 Section 483.420 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND... extent of their capabilities; (5) Ensure that clients are not subjected to physical, verbal, sexual...

  16. Learning Creativity in the Client-Agency Relationship

    ERIC Educational Resources Information Center

    Suh, Taewon; Jung, Jae C.; Smith, Bruce L.

    2012-01-01

    Purpose: This study aims to investigate creativity-related determinants of learning in the context of business-to-business services and client-agency relationships. Design/methodology/approach: The research model includes client encouragement, agency creativity, campaign creativity, and perceived performance. The study involved conducting a…

  17. Client Views of TESOL Service: Expectations and Perceptions.

    ERIC Educational Resources Information Center

    Walker, John

    2001-01-01

    Used focus groups to explore TESOL (teaching of English to speakers of other languages) client expectations and perceptions of the service they received in New Zealand English language schools. Findings confirmed the key role of the teacher and the importance of the school's milieu and home stay, quality of client feedback systems, servicescape,…

  18. Women Empower Women: Volunteers and Their Clients in Community Service

    ERIC Educational Resources Information Center

    Kulik, Liat; Megidna, Hofit

    2011-01-01

    The study is aimed at examining the relationship between psychological empowerment of women volunteers and their clients in community volunteer projects in Israel. Based on an ecological approach, the study also aimed at examining whether the variables that explain empowerment of women who volunteer also explain empowerment of their clients. The…

  19. Professional Value Conflicts in Forcing Services on Resistant Older Clients.

    ERIC Educational Resources Information Center

    Hayes, Christopher L.

    Clinicians who work with at-risk older adults are often faced with the difficult decision to override their client's civil rights and force institutionalization. Many times the professional is pressured by police or a housing manager to "just do something" with the judgmentally impaired older client. Clinicians faced with these decisions may…

  20. Factors Assisting Female Clients' Disclosure of Incest during Counseling.

    ERIC Educational Resources Information Center

    Josephson, Gilda S.; Fong-Beyette, Margaret L.

    1987-01-01

    Explored specific behaviors and characteristics of counselors that relate to adult, female clients' disclosure of incest during counseling. Suggests that factors related to initial disclosure and exploration of incest are client readiness, direct questioning by the counselor, specific counselor characteristics, and positive counselor reactions to…

  1. A Call for Feminist Research: A Limited Client Perspective

    ERIC Educational Resources Information Center

    Murray, Kirsten

    2006-01-01

    Feminist approaches embrace a counselor stance that is both collaborative and supportive, seeking client empowerment. On review of feminist family and couple counseling literature of the past 20 years using several academic databases, no research was found that explored a clients experience of feminist-informed family and couple counseling. The…

  2. Psychologists' Use of Homework Assignments with Clients Who Have Schizophrenia

    ERIC Educational Resources Information Center

    Deane, Frank P.; Glaser, Natalie M.; Oades, Lindsay G.; Kazantzis, Nikolaos

    2005-01-01

    This study explored psychologists' use of homework with clients in general and specifically for clients with schizophrenia. A survey of 48 Australian psychologists confirmed patterns of homework use found in a New Zealand study of practitioners. Ninety-six percent of the Australian psychologists reported using homework and whilst homework was used…

  3. Client Perceptions of the Microcomputer Evaluation and Screening Assessment.

    ERIC Educational Resources Information Center

    Bordieri, James E.; Musgrave, Jack

    1989-01-01

    Explored rehabilitation clients' (N=75) perceptions of Microcomputer Evaluation and Screening Assessment (MESA). Results showed clients experienced greater enjoyment, but more difficulty, learning how to complete computer exercises than hardware exercises but viewed computer exercises instructions as easier to understand. Observed differences in…

  4. Employment Barriers and Work Motivation for Navajo Rehabilitation Clients.

    ERIC Educational Resources Information Center

    Miller, Dorothy Lonewolf; Joe, Jennie R.

    1993-01-01

    This study examined sociocultural variables and attitudes toward work, in conjunction with a vocational rehabilitation program for Navajos with disabilities. Findings indicated that, in general, the more "acculturated" the Navajo client, the better the client's level of motivation for vocational rehabilitation services. Differing cultural…

  5. The Challenge of Prejudice: Counsellors' Talk about Challenging Clients' Prejudices

    ERIC Educational Resources Information Center

    Spong, Sheila J.

    2012-01-01

    This paper considers the implications for training and practice of counsellors' responses to the notion of challenging clients' prejudices. It explores tensions in counselling discourse between social responsibility, responsibility to the client and responsibility for one's self as counsellor. Three focus groups of counsellors were asked whether a…

  6. Performance Consulting: Job Aids for Interacting with Clients.

    ERIC Educational Resources Information Center

    Chevalier, Roger

    2001-01-01

    Discussion of the human performance technology process focuses on interacting with clients. Describes a seven-step process that includes assessment; a performance consulting guide that explains the leadership process used in interacting with clients; and how to ask the right questions in the right order. (LRW)

  7. Reading the Client: Nonverbal Communication as an Interviewing Tool.

    ERIC Educational Resources Information Center

    Willett, Tom H.

    The importance of effective communication skills between lawyers and clients is equalled only by the imperative need for sustained instruction in the development of communicative skills for the lawyer. Especially important are the nonverbal communication skills in "reading the client." The subtleties of intonation, posture, gesture, and eye…

  8. The Impact of Clients' Rights Legislation on Hospital Staff.

    ERIC Educational Resources Information Center

    Ostrander, Susan A.

    1982-01-01

    Assessed the impact of a new clients' rights bill on the functioning of the state mental health system. Reports on specification of those levels of staff role ambiguity and conflict among and between staff and clients that were perceived by staff as caused by the new legislation. (Author)

  9. Effects of Congruence between Counselor Interpretations and Client Beliefs.

    ERIC Educational Resources Information Center

    Claiborn, Charles D.; And Others

    1981-01-01

    In a study of undergraduates with procrastination problems, clients in the congruence conditions showed greater expectation and tendency toward change than those in the discrepancy conditions. A stronger effect, however, was due to the interpretations alone, which substantially changed clients' beliefs about the cause and controllability of their…

  10. 17 CFR 205.3 - Issuer as client.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 17 Commodity and Securities Exchanges 3 2014-04-01 2014-04-01 false Issuer as client. 205.3... ISSUER § 205.3 Issuer as client. (a) Representing an issuer. An attorney appearing and practicing before... the issuer as an organization. That the attorney may work with and advise the issuer's...

  11. 17 CFR 205.3 - Issuer as client.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 17 Commodity and Securities Exchanges 2 2011-04-01 2011-04-01 false Issuer as client. 205.3... ISSUER § 205.3 Issuer as client. (a) Representing an issuer. An attorney appearing and practicing before... the issuer as an organization. That the attorney may work with and advise the issuer's...

  12. 17 CFR 205.3 - Issuer as client.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 17 Commodity and Securities Exchanges 2 2013-04-01 2013-04-01 false Issuer as client. 205.3... ISSUER § 205.3 Issuer as client. (a) Representing an issuer. An attorney appearing and practicing before... the issuer as an organization. That the attorney may work with and advise the issuer's...

  13. 17 CFR 205.3 - Issuer as client.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 17 Commodity and Securities Exchanges 2 2012-04-01 2012-04-01 false Issuer as client. 205.3... ISSUER § 205.3 Issuer as client. (a) Representing an issuer. An attorney appearing and practicing before... the issuer as an organization. That the attorney may work with and advise the issuer's...

  14. 17 CFR 205.3 - Issuer as client.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 17 Commodity and Securities Exchanges 2 2010-04-01 2010-04-01 false Issuer as client. 205.3... ISSUER § 205.3 Issuer as client. (a) Representing an issuer. An attorney appearing and practicing before... the issuer as an organization. That the attorney may work with and advise the issuer's...

  15. Counseling with Methadone Clients: A Review of Recent Research

    ERIC Educational Resources Information Center

    Powers, Robert J.; Powers, Henrietta B.

    1978-01-01

    A review of studies on counseling with methadone clients affirmed the importance of counseling services. Support was found for analytic therapy, T-group therapy, behavioral training, reality therapy, and family therapy. There was evidence of client resistance to group therapy. (Author)

  16. Guidelines for Psychological Practice With Lesbian, Gay, and Bisexual Clients

    ERIC Educational Resources Information Center

    American Psychologist, 2012

    2012-01-01

    The "Guidelines for Psychological Practice With Lesbian, Gay, and Bisexual Clients" provide psychologists with (a) a frame of reference for the treatment of lesbian, gay, and bisexual clients and (b) basic information and further references in the areas of assessment, intervention, identity, relationships, diversity, education, training, and…

  17. Rural Practice? Consideration for Counsellors with Clients Who Live There.

    ERIC Educational Resources Information Center

    Bushy, Angeline

    1994-01-01

    This articles focuses on the health care delivery system and its impact on diverse rural client populations who need mental health care or psychiatric services. Professional counseling opportunities and challenges are highlighted, and recommendations are offered to enhance the continuum of care for clients living in rural areas with sparse…

  18. 42 CFR 483.420 - Condition of participation: Client protections.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 5 2012-10-01 2012-10-01 false Condition of participation: Client protections. 483.420 Section 483.420 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND..., sexual or psychological abuse or punishment; (6) Ensure that clients are free from unnecessary drugs...

  19. Differences between Counseling Center Clients and Nonclients on Three Measures.

    ERIC Educational Resources Information Center

    Palladino, Joseph; Domino, George

    1978-01-01

    The results of the California Psychological Inventory, the Survey of Study Habits and Attitudes, and the Mooney Problem Check List for short-term clients, long-term clients, and nonclients were compared. Results supported the usefulness of the Mooney in a relatively normal setting. (Author)

  20. Client Perspectives of Multicultural Counseling Competence: A Qualitative Examination

    ERIC Educational Resources Information Center

    Pope-Davis, Donald B.; Toporek, Rebecca L.; Ortega-Villalobos, Lideth; Ligiero, Daniela P.; Brittan-Powell, Christopher S.; Liu, William M.; Bashshur, Michael R.; Codrington, Jamila N.; Liang, Christopher T. H.

    2002-01-01

    Multicultural competence is a burgeoning area of research in counseling psychology. However, there has been little focus on understanding multicultural competence from the perspective of clients. This study used qualitative interviews and grounded theory to develop a model of clients' perspectives of multicultural counseling. The resulting model…

  1. Sexual Counseling with Spinal Cord-Injured Clients

    ERIC Educational Resources Information Center

    Miller, Donald K.

    1975-01-01

    Spinal cord-injured clients have many fears and misapprehensions about their sexual functioning. Such misapprehensions can be helped by the counselor's willingness to discuss sexual issues openly. Clients need a clear and accurate picture of the facts, as well as encouragement and support to help them rediscover their sexuality. (Author)

  2. Sexuality Counseling with Clients Who Have Spinal Cord Injuries.

    ERIC Educational Resources Information Center

    Farrow, Jeff

    1990-01-01

    Examines effects of spinal cord injury on sexuality. Discusses areas of sexual concern. Provides suggestions for treating clients with spinal cord injuries experiencing sexual difficulties. Concludes that major goal in working with clients with spinal cord injuries who have sexual difficulties should be the facilitation of a creative and…

  3. Factors Associated with Illegal Drug Use among Older Methadone Clients

    ERIC Educational Resources Information Center

    Rosen, Daniel

    2004-01-01

    Purpose. The overall aims of this study are to describe the life stressors of, exposure to illegal drug use of, and illegal drug use by older methadone clients. Design and Methods. The current study focuses on a sub-sample of the larger administrative data of a methadone clinic that is limited to African American and White clients over the age of…

  4. 37 CFR 10.68 - Avoiding influence by others than the client.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... practitioner's legal services to or for the client. (2) Accept from one other than the practitioner's client... than the client. 10.68 Section 10.68 Patents, Trademarks, and Copyrights UNITED STATES PATENT AND... the client. (a) Except with the consent of the practitioner's client after full disclosure,...

  5. Culture analysis and metaphor psychotherapy with Arab-Muslim clients.

    PubMed

    Dwairy, Marwan

    2009-02-01

    Attempting to reveal unconscious content and promoting self-actualization may be counterproductive for clients who come from collectivistic cultures. Such treatment goals may expose clients to harsh confrontations with the family. Clients with dependency traits, low ego-strength, and strict families may be helped through metaphor psychotherapy or culture analysis. Metaphor therapy makes it possible to deal symbolically and indirectly with unconscious content; culture analysis can pave the way to reveal unconscious needs and enable clients to establish a new order within their belief systems and within their families. The present article describes these two therapy methods and illustrates their clinical use with an Arab-Muslim suffering from depression. Through such therapy anchored in his own culture and religion, the client altered his beliefs, became satisfied with himself, and found successful ways to adapt to his family.

  6. The Impact of Organizational Stress and Burnout on Client Engagement

    PubMed Central

    Landrum, Brittany; Knight, Danica K.; Flynn, Patrick M.

    2011-01-01

    This paper explores the impact of organizational attributes on client engagement within substance abuse treatment. Previous research has identified organizational features, including small size, accreditation, and workplace practices that impact client engagement (Broome, Flynn, Knight, & Simpson, 2007). The current study sought to explore how aspects of the work environment impact client engagement. The sample included 89 programs located in 9 states across the U.S. Work environment measures included counselor perceptions of stress, burnout, and work satisfaction at each program, while engagement measures included client ratings of participation, counseling rapport, and treatment satisfaction. Using multiple regression, tests of moderation and mediation revealed that staff stress negatively predicted client participation in treatment. Burnout was related to stress, but was not related to participation. Two additional organizational measures – workload and influence – moderated the positive relationship between staff stress and burnout. Implications for drug treatment programs are discussed. PMID:22154029

  7. Subjective Experiences of Clients in a Voluntary Money Management Program.

    PubMed

    Serowik, Kristin L; Bellamy, Chyrell D; Rowe, Michael; Rosen, Marc I

    2013-01-01

    A large proportion of people diagnosed with mental illnesses have difficulty managing their money, and therefore many psychiatric treatments involve providing money management assistance. However, little is known about the subjective experience of having a money manager, and extant literature is restricted to people forced to work with a representative payee or conservator. In this study, fifteen people were interviewed about their experience receiving a voluntary money management intervention designed to minimize substance use. Clients emphasized the importance of trusting the money manager, financial mindfulness (an enhanced awareness of the financial transactions in clients' day-to-day lives), agency over their own affairs, and addiction. In contrast to evaluations of people assigned representative payees and/or conservators, there was little mention of feeling coerced. These findings suggest that money management programs can address client concerns by building trust, relating budgeting to clients' day-to-day lives, and encouraging clients' control over their own affairs.

  8. Client-server, distributed database strategies in a healthcare record system for a homeless population.

    PubMed Central

    Chueh, H. C.; Barnett, G. O.

    1993-01-01

    A computer-based healthcare record system being developed for Boston's Healthcare for the Homeless Program (BHCHP) uses client-server and distributed database technologies to enhance the delivery of healthcare to patients of this unusual population. The needs of physicians, nurses and social workers are specifically addressed in the application interface so that an integrated approach to healthcare for this population can be facilitated. These patients and their providers have unique medical information needs that are supported by both database and applications technology. To integrate the information capabilities with the actual practice of providers of care to the homeless, this computer-based record system is designed for remote and portable use over regular phone lines. An initial standalone system is being used at one major BHCHP site of care. This project describes methods for creating a secure, accessible, and scalable computer-based medical record using client-server, distributed database design. PMID:8130445

  9. Realizing the Potential of Information Resources: Information, Technology, and Services. Track 3: Serving Clients with Client/Server.

    ERIC Educational Resources Information Center

    CAUSE, Boulder, CO.

    Eight papers are presented from the 1995 CAUSE conference track on client/server issues faced by managers of information technology at colleges and universities. The papers include: (1) "The Realities of Client/Server Development and Implementation" (Mary Ann Carr and Alan Hartwig), which examines Carnegie Mellon University's transition to…

  10. 49 CFR 1103.15 - The practitioner's duty to clients, generally.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... aspects to his service to the client. ... 49 Transportation 8 2011-10-01 2011-10-01 false The practitioner's duty to clients, generally... Practitioner's Duties and Responsibilities Toward A Client § 1103.15 The practitioner's duty to...

  11. 49 CFR 1103.15 - The practitioner's duty to clients, generally.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... aspects to his service to the client. ... 49 Transportation 8 2010-10-01 2010-10-01 false The practitioner's duty to clients, generally... Practitioner's Duties and Responsibilities Toward A Client § 1103.15 The practitioner's duty to...

  12. Client involvement in home care practice: a relational sociological perspective.

    PubMed

    Glasdam, Stinne; Henriksen, Nina; Kjær, Lone; Praestegaard, Jeanette

    2013-12-01

    'Client involvement' has been a mantra within health policies, education curricula and healthcare institutions over many years, yet very little is known about how 'client involvement' is practised in home-care services. The aim of this article is to analyse 'client involvement' in practise seen from the positions of healthcare professionals, an elderly person and his relative in a home-care setting. A sociologically inspired single case study was conducted, consisting of three weeks of observations and interviews. The study has a focus on the relational aspects of home care and the structural, political and administrative frames that rule home- care practice. Client involvement is shown within four constructed analytical categories: 'Structural conditions of providing and receiving home care'; 'Client involvement inside the home: performing a professional task and living an everyday life'; 'Client involvement outside the home: liberal business and mutual goal setting'; and 'Converting a home to a working place: refurnishing a life'. The meaning of involvement is depending on which position it is viewed from. On the basis of this analysis, we raise the question of the extent to which involvement of the client in public home-care practice remains limited. PMID:23217061

  13. Client involvement in home care practice: a relational sociological perspective.

    PubMed

    Glasdam, Stinne; Henriksen, Nina; Kjær, Lone; Praestegaard, Jeanette

    2013-12-01

    'Client involvement' has been a mantra within health policies, education curricula and healthcare institutions over many years, yet very little is known about how 'client involvement' is practised in home-care services. The aim of this article is to analyse 'client involvement' in practise seen from the positions of healthcare professionals, an elderly person and his relative in a home-care setting. A sociologically inspired single case study was conducted, consisting of three weeks of observations and interviews. The study has a focus on the relational aspects of home care and the structural, political and administrative frames that rule home- care practice. Client involvement is shown within four constructed analytical categories: 'Structural conditions of providing and receiving home care'; 'Client involvement inside the home: performing a professional task and living an everyday life'; 'Client involvement outside the home: liberal business and mutual goal setting'; and 'Converting a home to a working place: refurnishing a life'. The meaning of involvement is depending on which position it is viewed from. On the basis of this analysis, we raise the question of the extent to which involvement of the client in public home-care practice remains limited.

  14. The therapy relationship with lesbian and gay clients.

    PubMed

    Kelley, Frances A

    2015-03-01

    This study investigated the role of therapy practices and the therapy relationship on lesbian and gay clients' feelings about their current therapist. Participants were 76 lesbian and 40 gay male clients ranging in age from 19 to 69 years. The real relationship was found to predict an additional 8% of variance in clients' positive feelings about their therapist above and beyond months in therapy, therapy practices, and the working alliance. However, therapy practices did not add significance in predicting lesbian and gay clients' feelings about their therapist beyond the working alliance and the real relationship. Fifty-three of the participants responded to a question about their current experiences in therapy, and the data were analyzed using consensual qualitative research-modified (CQR-M; Spangler, Liu, & Hill, 2012). Thirty percent of clients indicated a preference for a lesbian or gay therapist, or gay-friendly therapist. Only 25% found that their therapist lacked knowledge about lesbian and gay issues, but 21% indicated that their therapist was dismissive of and/or viewed their sexual orientation as a problem. More than two-thirds of the participants indicated they had a positive therapy relationship with their therapist. Results highlight the important role that therapy practices and the therapy relationship play in lesbian and gay clients perceptions' of their therapist. The findings also provide support for heterosexual therapists' ability to develop a positive therapy relationship and be effective with lesbian and gay clients.

  15. Client perceptions of incest and substance abuse.

    PubMed

    Janikowski, T P; Bordieri, J E; Glover, N M

    1997-01-01

    Clients receiving substance abuse treatment from 35 treatment facilities throughout the United States were surveyed using the Substance Abuse and Incest Survey-Revised (SAIS-R). A total of 732 participants responded to the survey; 518 (71%) were males, 204 (28%) were females, and 10 (1%) did not indicate gender. Participants had a mean age of 33.8 years, were predominately Caucasian (61.6%), never married (45.2%), were currently unemployed (69.4%), and had completed an average of 11.7 years of education. Of the entire sample, 266 (36.3%) reported having been victims of incest; 151 were males and 113 were females (2 did not indicate gender). The group reporting incest histories had a significantly greater percentage of females that did the group not reporting incest histories (chi 2 = 48.1, p < .001). Participants with incest histories were asked about their perceptions regarding incest, substance abuse, and counseling. Item responses were examined using descriptive statistics and factor analysis. The factor analysis on SAIS-R perception items identified five factors that accounted for 68.9% of the variance; these factors were Stigma and Resistance to Counseling; Substance Abuse and Incest; Ambivalence; Fear and Anticipation; and Receptivity to Counseling. Results are presented and the implications for substance abuse treatment and counseling are discussed.

  16. The Impact of Comprehensive Case Management on HIV Client Outcomes

    PubMed Central

    Rodgers, Leslie; Ernst, Jerome; Wirth, Doug; Morretti, Antonio

    2016-01-01

    In 1990, New York State instituted Comprehensive Medicaid Case Management, also known as Target Case Management (TCM), for people dealing with multiple comorbid conditions, including HIV. The goal of TCM is to assist clients in navigating the health care system to increase care engagement and treatment adherence for individuals with complex needs. HIV-positive individuals engaged in care are more likely to be virally suppressed, improving clinical outcomes and decreasing chances of HIV transmission. The purpose of this study was to understand the impact of TCM management on outcomes for people with HIV. Data were obtained from Amida Care, which operates not-for-profit managed care Medicaid and Medicare Special Needs Plans (SNPs) for HIV clients. Changes in clinical, cost, as well as medical and pharmacy utilization data among TCM clients were examined between January 2011 through September 2012 from the start of case management enrollment through the end of the study period (i.e., up to 6 months after disenrollment). Additionally, CD4 counts were compared between Amida Care TCM clients and non-TCM clients. Notable findings include increased CD4 counts for TCM clients over the one-year study period, achieving parity with non-TCM clients (i.e., Mean CD4 count > 500). When looking exclusively at TCM clients, there were increases in medication costs over time, which were concomitant with increased care engagement. Current findings demonstrate that TCM is able to achieve its goals of improving care engagement and treatment adherence. Subsequent policy changes resulting from the Affordable Care Act and the New York State Medicaid Redesign have made the Health Home the administrator of TCM services. Government entities charged with securing and managing TCM and care coordination for people with HIV should provide thoughtful and reasonable guidance and oversight in order to maintain optimal clinical outcomes for TCM clients and reduce the transmission of HIV. PMID:26849561

  17. [Nursing care of clients in an abortion clinic].

    PubMed

    Corstiaensen, J; Kruiswijk, C

    1981-08-25

    The nursing care of clients visiting an abortion clinic for induced abortion is discussed. Generally good care of patients, psychosocially as well as somatically, is essential. For clients in an abortion clinic it is important that psychosocial care is optimal and technical procedures are medically responsible. The initial contact is very important to the client because first impressions of the clinic can be significant in the further course of the entire treatment. Both nurse and doctor are usually involved in the admission interview and preliminary examination. After the physician's anamnesis and internal examination to determine gestational age, patient and doctor determine future contraception. Both abortion and contraception problems are discussed and the treatment procedure explained. It is important to recognize possible patient coercion or ambivalence in which case the client is sometimes advised to think things over. The actual intervention is generally fairly short, from 5 to 15 minutes. The abortion can be emotionally taxing for the client. The nurse's role in providing reassurance and understanding is important. 30 to 60 minutes following intervention the patient can go home. Follow-up, usually 3-5 weeks after intervention, is the final phase of treatment. During this check-up and internal examination the client can discuss her experience and progress in contraception. Case studies are included giving insight into the background of abortion seekers. Abortion clinic nurses must possess specific characteristics and attitudes, such as: 1) a nonjudgmental attitude towards sexuality and induced abortion; 2) empathy in her relationship with clients; 3) personal warmth and ability to help client overcome fear; 4) ability to discuss sexuality and abortion sympathetically; 5) assessment of possible interpersonal relational problems of client; 6) ability to relate to and understand different ethnic groups; 7) be informed on contraceptive methods and agents; and 8

  18. The Impact of Comprehensive Case Management on HIV Client Outcomes.

    PubMed

    Brennan-Ing, Mark; Seidel, Liz; Rodgers, Leslie; Ernst, Jerome; Wirth, Doug; Tietz, Daniel; Morretti, Antonio; Karpiak, Stephen E

    2016-01-01

    In 1990, New York State instituted Comprehensive Medicaid Case Management, also known as Target Case Management (TCM), for people dealing with multiple comorbid conditions, including HIV. The goal of TCM is to assist clients in navigating the health care system to increase care engagement and treatment adherence for individuals with complex needs. HIV-positive individuals engaged in care are more likely to be virally suppressed, improving clinical outcomes and decreasing chances of HIV transmission. The purpose of this study was to understand the impact of TCM management on outcomes for people with HIV. Data were obtained from Amida Care, which operates not-for-profit managed care Medicaid and Medicare Special Needs Plans (SNPs) for HIV clients. Changes in clinical, cost, as well as medical and pharmacy utilization data among TCM clients were examined between January 2011 through September 2012 from the start of case management enrollment through the end of the study period (i.e., up to 6 months after disenrollment). Additionally, CD4 counts were compared between Amida Care TCM clients and non-TCM clients. Notable findings include increased CD4 counts for TCM clients over the one-year study period, achieving parity with non-TCM clients (i.e., Mean CD4 count > 500). When looking exclusively at TCM clients, there were increases in medication costs over time, which were concomitant with increased care engagement. Current findings demonstrate that TCM is able to achieve its goals of improving care engagement and treatment adherence. Subsequent policy changes resulting from the Affordable Care Act and the New York State Medicaid Redesign have made the Health Home the administrator of TCM services. Government entities charged with securing and managing TCM and care coordination for people with HIV should provide thoughtful and reasonable guidance and oversight in order to maintain optimal clinical outcomes for TCM clients and reduce the transmission of HIV. PMID:26849561

  19. The AROW Health Link experience with client-based system design.

    PubMed

    Hambleton, Joshua

    2016-09-01

    This article outlines the experience of the Arnprior Region & Ottawa West (AROW) Health Link using a multi-dimensional engagement framework in the co-development of systems change with client representatives. The article outlines patient, organizational, and societal factors influencing client engagement. The key learning that has allowed the joint Client Engagement Committee to evolve has been the core of client leadership. Client-led tables and workgroups have fueled client-to-client engagement, which has shifted clients from being a part of the change to driving the change. PMID:27576856

  20. Psychotherapy with religious and spiritual clients: an introduction.

    PubMed

    Worthington, Everett L; Aten, Jamie D

    2009-02-01

    This invited issue of the Journal of Clinical Psychology: In Session is devoted to psychotherapy with religious and spiritual clients. After offering definitions of religion and spirituality, noting areas of potential convergence and differentiating nuances, the authors highlight the prevalence and types of spirituality among both clients and mental health professionals. They describe the historical and current context for examining approaches to psychotherapy with clients who endorse religion, experience spirituality within their religion, or define themselves as spiritual even if not religious. They then summarize the subsequent articles in this issue, which offer practical guidance for practitioners.

  1. UNIX based client/server hospital information system.

    PubMed

    Nakamura, S; Sakurai, K; Uchiyama, M; Yoshii, Y; Tachibana, N

    1995-01-01

    SMILE (St. Luke's Medical Center Information Linkage Environment) is a HIS which is a client/server system using a UNIX workstation under an open network, LAN(FDDI&10BASE-T). It provides a multivendor environment, high performance with low cost and a user-friendly GUI. However, the client/server architecture with a UNIX workstation does not have the same OLTP environment (ex. TP monor) as the mainframe. So, our system problems and the steps used to solve them were reviewed. Several points that are necessary for a client/server system with a UNIX workstation in the future are presented.

  2. Psychologists' experiences of grief after client suicide: a qualitative study.

    PubMed

    Darden, Allison J; Rutter, Philip A

    2011-01-01

    Six clinical psychologists were interviewed regarding their experiences with client suicide. Interviewee's responses offered the following insights: (a) all their experiences met the criteria for prolonged grief; (b) the respective work settings significantly influenced the clinician's recovery process; and (c) male clinicians (in contrast to female respondents) reported no personal impact from the client's suicide. Finally and surprisingly, all participating psychologists did not question their clinical skills after the suicide, citing rather their understanding of the client's choice to suicide being outside of their control. Implications for clinical training, practice, and research are addressed.

  3. Thin client performance for remote 3-D image display.

    PubMed

    Lai, Albert; Nieh, Jason; Laine, Andrew; Starren, Justin

    2003-01-01

    Several trends in biomedical computing are converging in a way that will require new approaches to telehealth image display. Image viewing is becoming an "anytime, anywhere" activity. In addition, organizations are beginning to recognize that healthcare providers are highly mobile and optimal care requires providing information wherever the provider and patient are. Thin-client computing is one way to support image viewing this complex environment. However little is known about the behavior of thin client systems in supporting image transfer in modern heterogeneous networks. Our results show that using thin-clients can deliver acceptable performance over conditions commonly seen in wireless networks if newer protocols optimized for these conditions are used.

  4. 42 CFR 485.910 - Condition of participation: Client rights.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ..., and corporal punishment. All clients have the right to be free from restraint or seclusion, of any... permitted only in accordance with 45 CFR parts 160 and 164. (4) Be free from mistreatment, neglect,...

  5. Verbal Response Mode Use by Clients in Psychotherapy.

    ERIC Educational Resources Information Center

    Stiles, William B.; Sultan, Faye E.

    1979-01-01

    Verbal behavior in transcripts of psychotherapy was coded according to Stile's taxonomy of verbal response modes. Therapists of different theoretical persuasions used different mixtures of verbal techniques. Common elements that make verbal interaction psychologically therapeutic lie in client behavior. (Author)

  6. Client Centeredness and Health Reform: Key Issues for Occupational Therapy.

    PubMed

    Mroz, Tracy M; Pitonyak, Jennifer S; Fogelberg, Donald; Leland, Natalie E

    2015-01-01

    Health reform promotes the delivery of patient-centered care. Occupational therapy's rich history of client-centered theory and practice provides an opportunity for the profession to participate in the evolving discussion about how best to provide care that is truly patient centered. However, the growing emphasis on patient-centered care also poses challenges to occupational therapy's perspectives on client-centered care. We compare the conceptualizations of client-centered and patient-centered care and describe the current state of measurement of client-centered and patient-centered care. We then discuss implications for occupational therapy's research agenda, practice, and education within the context of patient-centered care, and propose next steps for the profession. PMID:26356651

  7. Ulysses directives in The Netherlands: opinions of psychiatrists and clients.

    PubMed

    Varekamp, I

    2004-12-01

    In this article we present a study on the opinions of Dutch psychiatrists and clients on Ulysses directives. In-depth interviews were conducted with 18 clients and 17 psychiatrists. Most respondents were proponents of Ulysses directives. The most frequently mentioned objective of these directives was to secure timely admission to hospital, although a large minority was mainly interested in giving patients influence on treatment decisions. Psychiatrists differed on how much autonomy they preferred with regard to decisions about the moment of admission and kind of treatment. Clients also differed in this respect. Pressure from others to execute a Ulysses directive, and premature admission to the hospital were mentioned as risks of Ulysses directives. Crisis cards were seen as an alternative by many psychiatrists and some clients. Recommendations are made for a good functioning of Ulysses directives, and the appropriateness of crisis cards as an alternative for a number of patients is discussed. PMID:15488996

  8. The Mentally Restored Client on Antipsychotic Medication: Counselor Considerations.

    ERIC Educational Resources Information Center

    Schlenoff, David

    1979-01-01

    The article addresses the role of the rehabilitation counselor in assisting the discharged psychiatric patient on maintenance doses of antipsychotic medication. Suggestions are offered to the counselor to help maintain the client outside the hospital setting. (Author/PHR)

  9. Dislikable Clients or Countertransference: A Clinician’s Perspective

    PubMed Central

    LINN-WALTON, REBECCA; PARDASANI, MANOJ

    2015-01-01

    Dislike of one’s clients is a problem many clinicians encounter and it can have a drastic negative impact on client-clinician rapport, as well as the intervention outcome. Reasons for dislike can be varied and are not clearly known, as little research has been done on the topic. The purpose of this pilot study was to begin to understand how clinicians experience and navigate dislike for clients in practice. The study yielded critical information regarding the factors that influence dislike and the coping skills utilized by practitioners to counter or ameliorate such feelings. Recommendations for practitioners are provided, including a better understanding of feelings of dislike for one’s client outside of the countertransference framework of understanding. PMID:25798024

  10. The role of written provider communication in external client participation.

    PubMed

    Dellande, Stephanie; Taylor, Gail Ayala

    2004-01-01

    In certain classes of services, the client's role in the service delivery process often extends beyond the face-to-face exchange. With compliance dependent services (CDS), the client is expected to continue to perform for him or herself once away from the service provider in order to ensure positive outcomes and customer satisfaction (Dellande and Gilly, 1998). This study examined the effectiveness of written provider communication in influencing client motivation and role clarity in CDS. Two exploratory investigations examining written provider communication were conducted. In study 1, written material of three different types of health care related CDS (dialysis, prenatal care and weight loss) were examined; in study 2, dialysis written material was further examined. The findings suggest that, in the majority of the materials examined, written provider communication does not seem to clearly communicate the consequences of noncompliance (a source of customer motivation). However, the materials examined were effective in clarifying the client's external service roles. PMID:15774368

  11. Voice and Communication Therapy for Transgender/Transsexual Clients

    MedlinePlus

    ... Language and Swallowing / Disorders and Diseases Voice and Communication Therapy for Clients Who Are Transgender and/or ... transgender/transsexual may elect to have voice and communication therapy to help them use their voice in ...

  12. Ulysses directives in The Netherlands: opinions of psychiatrists and clients.

    PubMed

    Varekamp, I

    2004-12-01

    In this article we present a study on the opinions of Dutch psychiatrists and clients on Ulysses directives. In-depth interviews were conducted with 18 clients and 17 psychiatrists. Most respondents were proponents of Ulysses directives. The most frequently mentioned objective of these directives was to secure timely admission to hospital, although a large minority was mainly interested in giving patients influence on treatment decisions. Psychiatrists differed on how much autonomy they preferred with regard to decisions about the moment of admission and kind of treatment. Clients also differed in this respect. Pressure from others to execute a Ulysses directive, and premature admission to the hospital were mentioned as risks of Ulysses directives. Crisis cards were seen as an alternative by many psychiatrists and some clients. Recommendations are made for a good functioning of Ulysses directives, and the appropriateness of crisis cards as an alternative for a number of patients is discussed.

  13. Passive Detection of Nat Routers and Client Counting

    NASA Astrophysics Data System (ADS)

    Straka, Kenneth; Manes, Gavin

    Network Address Translation (NAT) routers pose challenges to individuals and organizations attempting to keep untrusted hosts off their networks, especially with the proliferation of wireless NAT routers. Residential NAT routers also create problems for Internet Service Provider (ISP) taps by law enforcement by concealing network clients behind cable or DSL modems. This paper discusses the feasibility and limitations of methods for detecting NAT routers and counting the number of clients behind NAT routers.

  14. Violence or discipline? Working with multicultural court-ordered clients.

    PubMed

    Waldman, F

    1999-10-01

    Therapists working with court-ordered clients from cultures differing from the mainstream face challenging issues of compulsory therapy in the context of cultural diversity. This article reviews the literature on court-ordered and multicultural counseling, highlighting central elements of both. It then suggests guidelines that blend these elements. The author illustrates how using these guidelines can enable therapists to engage these clients in the therapeutic process and focus on culture as the context for change. PMID:10553563

  15. Clinical writing about clients: is informed consent sufficient?

    PubMed

    Barnett, Jeffrey E

    2012-03-01

    The use of client information in clinical writings or presentations may be very helpful in advancing the knowledge base of the profession. Yet, the very act of asking a client for permission to use their treatment information in this way may be detrimental to the therapeutic alliance and treatment process. As such, great care must be taken in how such issues are considered and acted upon. Sieck's article (2011, Obtaining clinical writing informed consent versus using client disguise and recommendations for practice. Psychotherapy, 49, pp. 3-11.) on the use of informed consent for obtaining permission to use a client's treatment information for professional writing and presentations is examined and discussed. The nature and role of the informed consent process is accentuated; psychotherapist needs and goals and client vulnerabilities are each addressed in the context of the relevant sections of the APA Ethics Code and each psychotherapist's obligation to act only in ways consistent with each client's best interests. Recommendations for a thoughtful consideration of these issues are presented, consistent with Sieck's proposed decision-making process for use in these situations.

  16. Maximising health literacy and client recall of clinical information: an exploratory study of clients and speech-language pathologists.

    PubMed

    von Wühlisch, Friderike Schmidt; Pascoe, Michelle

    2010-12-01

    Limited research has been carried out in the field of speech-language pathology with regard to ways of maximising health literacy and client recall. However, speech-language pathologists (SLPs) frequently provide vast amounts of information that clients need to understand, apply and review in order to manage their (or their child's) health. This exploratory study aimed to contribute information about ways in which SLPs can overcome low health literacy and poor client recall so that treatment effectiveness is improved. A case-study design was used with specific focus on four clients receiving treatment for dysphagia, voice disorders (including laryngectomies) and cleft lip and/or palate management in Cape Town. Strategies which may be able to maximise health literacy and client recall of clinical information were trialled and evaluated by clients and their SLPs, using semi-structured interviews. The researchers proposed a combination of high-tech strategies which assisted in all the cases. No single solution or universal tool was found that would be appropriate for all. There is a need to evaluate the long-term effectiveness of the combined strategies across a wider population, at different stages of rehabilitation and in diverse contexts. Implications and suggestions for future related research are presented. PMID:21329263

  17. Secure thin client architecture for DICOM image analysis

    NASA Astrophysics Data System (ADS)

    Mogatala, Harsha V. R.; Gallet, Jacqueline

    2005-04-01

    This paper presents a concept of Secure Thin Client (STC) Architecture for Digital Imaging and Communications in Medicine (DICOM) image analysis over Internet. STC Architecture provides in-depth analysis and design of customized reports for DICOM images using drag-and-drop and data warehouse technology. Using a personal computer and a common set of browsing software, STC can be used for analyzing and reporting detailed patient information, type of examinations, date, Computer Tomography (CT) dose index, and other relevant information stored within the images header files as well as in the hospital databases. STC Architecture is three-tier architecture. The First-Tier consists of drag-and-drop web based interface and web server, which provides customized analysis and reporting ability to the users. The Second-Tier consists of an online analytical processing (OLAP) server and database system, which serves fast, real-time, aggregated multi-dimensional data using OLAP technology. The Third-Tier consists of a smart algorithm based software program which extracts DICOM tags from CT images in this particular application, irrespective of CT vendor's, and transfers these tags into a secure database system. This architecture provides Winnipeg Regional Health Authorities (WRHA) with quality indicators for CT examinations in the hospitals. It also provides health care professionals with analytical tool to optimize radiation dose and image quality parameters. The information is provided to the user by way of a secure socket layer (SSL) and role based security criteria over Internet. Although this particular application has been developed for WRHA, this paper also discusses the effort to extend the Architecture to other hospitals in the region. Any DICOM tag from any imaging modality could be tracked with this software.

  18. The Contribution of the Counselor-Client Working Alliance to Career Exploration

    ERIC Educational Resources Information Center

    Elad-Strenger, Julia; Littman-Ovadia, Hadassah

    2012-01-01

    This longitudinal study examines the effects of Israeli counselors' and clients' ratings of their working alliance on clients' career exploration (CE), using a sample of 94 three-session career counseling processes. Results reveal that both clients' and counselors' working alliance ratings increased over time; yet, clients' ratings remained…

  19. 17 CFR 275.206(4)-3 - Cash payments for client solicitations.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... investment adviser. (2) Client includes any prospective client. (3) Impersonal advisory services means... 17 Commodity and Securities Exchanges 3 2010-04-01 2010-04-01 false Cash payments for client... for client solicitations. (a) It shall be unlawful for any investment adviser required to...

  20. Effects on Briefing upon Client Satisfaction with the Initial Counseling Contact

    ERIC Educational Resources Information Center

    Heilbrun, Alfred B., Jr.

    1972-01-01

    The results indicate that under special conditions providing prior information to the client concerning the directive nondirective character of interviewer behavior during the initial diagnostic interview influences client satisfaction, leads to client mediated changes in interviewer behavior, and increases the probability that the client will at…

  1. Meeting the Needs of Clients with Dissociative Identity Disorder: Considerations for Psychotherapy

    ERIC Educational Resources Information Center

    Ringrose, Jo L.

    2011-01-01

    Psychotherapy for clients with Dissociative Identity Disorder (DID) is different to therapy with most clients because these clients are multiple, comprising one or more host, and one or more alter personalities. The necessary components to be addressed in order that clients can live successfully either as a multiple or as an integrated person are…

  2. Exploring the Use of Real Clients in the PR Campaigns Course.

    ERIC Educational Resources Information Center

    Aldoory, Linda; Wrigley, Brenda

    2000-01-01

    Examines from three perspectives (that of students, clients, and professors) the strengths and weaknesses of using actual clients in student projects for undergraduate public relations campaigns courses. Finds: students appreciated using actual clients; teachers felt the extra effort was worthwhile; and clients valued their experiences working…

  3. Procession: using intelligent 3D information visualization to support client understanding during construction projects

    NASA Astrophysics Data System (ADS)

    North, Steve

    2000-02-01

    The latest results in the development of the software tool 'Procession' is presented. The research underlying Procession delivers a conceptual 3D framework for the interpretation of non-physical construction industry processes. Procession is the implementation of the proposed 3D framework, as an information visualization software tool. The conceptual transformation of construction clients' informational needs into 3D visual structures is documented. Also discussed is the development of an 'intelligent' software process to calculate the relevance of individual project elements. This is used to determine the representation of project elements within a 3D surface. Construction is not short of technologies for visualizing physical building models. However, it would seem that little or no consideration has been given to improving the intelligibility of non-physical construction processes. This type of information is usually known as Project Planning data and is concerned with the individual tasks that make up construction projects. While, there are software applications that allow access to this data for the professional members of the project team, clients are currently without a suitable tool. Procession's data surface is an abstract representation of three selected project dimensions. Its 3D progress reports provide construction clients with an 'at-a-glance' indication of project 'health'.

  4. SwingStations: a web-based client tool for the Baltic environmental database

    NASA Astrophysics Data System (ADS)

    Sokolov, Alexander; Wulff, Fredrik

    1999-08-01

    This paper describes the operation of a web-based computer program designed as a client program for the Baltic Environmental Database. This database contains a large collection of oceanographic data for the Baltic Sea from all Baltic countries, covering observations from 1900 to the present. A database server manages this database allowing user access via the Internet. To investigate the database, a web-based program (SwingStations) was developed. This program works as a client in client/server interaction with the database. It allows data to be selected using graphical user-friendly queries and to analyze the data in numerical and graphical forms. It is also possible to construct vertical profiles of statistics and time series (time-depth graph) of oceanographic parameters for a selected area of the Baltic Sea. SwingStations applet is written in Java™ using Java Foundation Classes Application Programming Interface. This interface is included in the Sun's Java™ Plug-in Virtual Machine that provides complete Java Compatible™ support for all the popular web browsers on major hardware platforms.

  5. Request queues for interactive clients in a shared file system of a parallel computing system

    DOEpatents

    Bent, John M.; Faibish, Sorin

    2015-08-18

    Interactive requests are processed from users of log-in nodes. A metadata server node is provided for use in a file system shared by one or more interactive nodes and one or more batch nodes. The interactive nodes comprise interactive clients to execute interactive tasks and the batch nodes execute batch jobs for one or more batch clients. The metadata server node comprises a virtual machine monitor; an interactive client proxy to store metadata requests from the interactive clients in an interactive client queue; a batch client proxy to store metadata requests from the batch clients in a batch client queue; and a metadata server to store the metadata requests from the interactive client queue and the batch client queue in a metadata queue based on an allocation of resources by the virtual machine monitor. The metadata requests can be prioritized, for example, based on one or more of a predefined policy and predefined rules.

  6. Power in client and nurse-therapist relationships.

    PubMed

    Hardin, S B; Callahan, R J; Fierman, C F; Gaizutis, W R; Johnas, V F; Rorig, L G; Rouffa, F W

    1985-01-01

    Social theory provided the perspective for this exploration of power as it relates to the nurse/client relationship. As the authors agree with Smith and Vetter (1982) that interactions are a legitimate basis for understanding behavior, we, have, therefore, presented actual nurse/client relationships as empirical cases to examine and to apply theory. These six vignettes provide examples of various responses of patients and therapists to power in therapeutic relationships. Although each situation differs in some respects, there are similarities regarding power as a phenomenon. Dependence and sanctions, the objective features of power, are present. On analyzing the audiotapes and process notes from the individual therapy of clients and nurses who were beginning therapists enrolled in a graduate psychiatric nursing program, it becomes clear that the therapists got involved in power struggles with their clients or used exploitive power when they, themselves, felt vulnerable or angry because they perceived their expert power to be threatened. It also becomes clear that the nurse-therapists were not always accustomed to, or comfortable with, an autonomous role. They, therefore, sometimes failed to use their legitimate powers. However, once they reviewed their interactions within a conceptual framework of power, and discussed these issues with clinical and academic supervisors, they could examine causes, characteristics, and potential changes in their reactions to their clients.

  7. Does Motivational Interviewing (MI) Work with Nonaddicted Clients? A Controlled Study Measuring the Effects of a Brief Training in MI on Client Outcomes

    ERIC Educational Resources Information Center

    Young, Tabitha L.; Gutierrez, Daniel; Hagedorn, W. Bryce

    2013-01-01

    This study investigated the relationships between motivational interviewing (MI) and client symptoms, attendance, and satisfaction. Seventy-nine clients attending a university-based counseling center were purposefully assigned to treatment or control conditions. Statistical analyses revealed client symptoms in both groups improved. However,…

  8. Crying as communication in psychotherapy: The influence of client and therapist attachment dimensions and client attachment to therapist on amount and type of crying.

    PubMed

    Robinson, Noah; Hill, Clara E; Kivlighan, Dennis M

    2015-07-01

    Nelson (2005) associated 3 types of crying (inhibited, protest, despair) with 3 dimensions of attachment (avoidant, anxious, and secure). To test this theory, trained judges rated the intensity of inhibition, protest, and despair in 347 crying episodes for 40 clients and 14 therapists in 1,074 psychotherapy sessions. Crying occurred once out of every 7 sessions, and usually was characterized by protest or inhibition. Pre-therapy attachment dimensions of both therapist and client influenced crying. Therapists with high attachment avoidance had clients who cried frequently but less over time, whereas therapists with high attachment anxiety had clients who cried with more protest over time. Clients with high attachment anxiety initially cried with more protest and inhibition, but decreased over time, whereas clients with low attachment anxiety increased protest over time. Throughout the course of psychotherapy, therapists who were seen by their clients as establishing a secure attachment elicited more overall crying and a higher intensity of protest, whereas therapists who were seen by their clients as establishing insecure attachments had clients who cried less. Clients who established a secure or avoidant relationship with their therapists, relative to other clients of that therapist, cried infrequently and with inhibition, whereas clients who established a preoccupied relationship cried relatively often. Changes are suggested for Nelson's (2005) typology. PMID:26010287

  9. Acculturation and polysubstance abuse in Arab-American treatment clients.

    PubMed

    Arfken, Cynthia L; Kubiak, Sheryl P; Farrag, Mohamed

    2009-12-01

    Acculturation to U.S. culture by Latinos and Asian Americans has been associated with increased prevalence of substance abuse. However, little is known about the association between acculturation and substance use among Arab Americans, or more specifically, among Arab-American treatment clients. In 156 Arab-American male treatment clients, we found that higher levels of U.S. acculturation were positively associated with increased prevalence of polysubstance abuse. This first report on a large series of Arab-American clients also found considerable within-group variability. These results can be used to develop treatment plans and work-force training on the importance of U.S. acculturation and variability within Arab Americans.

  10. Client retention and health among sex workers in Nairobi, Kenya.

    PubMed

    Izugbara, Chimaraoke O

    2012-12-01

    It is still a small body of research that directly addresses female sex workers' relationships with their regular commercial male partners. I used ethnographic data from Nairobi, Kenya to interrogate motivations and strategies for recruiting and retaining regular male clients among female sex workers (FSWs). Regular commercial male partners, popularly called customer care, wera or wesh by Nairobi's FSWs, played diverse roles in their lives. Client retention enabled sex workers to manage the risk of reduced marriage prospects, guaranteed them steady work, livelihoods, and incomes, and prevented their victimization and harassment. To retain clients, sex workers obliged them a great deal, pretended they had quit prostitution, and sometimes resorted to magical practices. However, these strategies were also accompanied by risks that reinforced the vulnerability of sex workers. Lack of critical attention to sex workers' practices for managing perceived risks in their particular type of work may hamper current programmatic efforts to make their job safer.

  11. Clients or citizens? Some considerations for primary care organisations.

    PubMed Central

    Cawston, Peter G; Barbour, Rosaline S

    2003-01-01

    Health services policy in the United Kingdom has given prominence to patient and public participation within a 'modernization' agenda. The superficial consensus in support of lay participation masks a conflicting array of ideologies and theoretical perspectives that colour how this is interpreted. Both client-oriented perspectives and citizenship-oriented approaches are limited by the dynamics of power relationships and decision-making processes within National Health Service structures. Primary care organisations offer the possibility of developing structures for providing closer collaboration between citizens and services. In order to achieve this, however, vague processes of client representation need to be replaced by robust community-based participatory action research models. PMID:15103881

  12. A sociological approach to counseling homosexual clients and their families.

    PubMed

    Hammersmith, S K

    1987-01-01

    Stigma lies at the root of many problems typically experienced by homosexual clients and their families. Sociological theory and research shed light on the dynamics of stigma and its consequences, both for the stigmatized population and for their heterosexual families and associates. This article summarizes key sociological research on the nature and development of sexual orientation. It considers the dynamics of homophobia and its implications for homosexual youngsters and their families. It offers practical tips for helping clients to understand their own or a family member's homosexual orientation, for coping with stigma, for reconciling issues of religion and morality, and for determining lifestyle. Suggestions for therapist office materials are also included.

  13. Clients' relational conceptions of conjoint couple and family therapy quality: a grounded formal theory.

    PubMed

    Chenail, Ronald J; George, Sally St; Wulff, Dan; Duffy, Maureen; Scott, Karen Wilson; Tomm, Karl

    2012-01-01

    Based upon a qualitative metasynthesis of 49 articles centered on clients' experiences of their conjoint couple and family therapy, the investigators constructed a grounded formal theory of Clients' Relational Conceptions of Conjoint Couple and Family Therapy Quality. The theory suggests from pretherapy conceptions to posttherapy reflections, clients' perceptions of conjoint couple and family therapy quality appear to consist of clients' constructed meanings regarding a series of interrelated relationships between clients and their therapists and therapy environments, between clients and themselves, between clients and other family members, and between process and outcome both inside and outside therapy. Within and across these relationships, clients appear to focus on expectations, connections, balance, and change when evaluating the quality of their clinical experiences. Based upon this theory, the investigators recommend that researchers continue to explore this clinical phenomenon and that therapists regularly seek clients' conceptions of quality in therapy.

  14. A cloud-based forensics tracking scheme for online social network clients.

    PubMed

    Lin, Feng-Yu; Huang, Chien-Cheng; Chang, Pei-Ying

    2015-10-01

    In recent years, with significant changes in the communication modes, most users are diverted to cloud-based applications, especially online social networks (OSNs), which applications are mostly hosted on the outside and available to criminals, enabling them to impede criminal investigations and intelligence gathering. In the virtual world, how the Law Enforcement Agency (LEA) identifies the "actual" identity of criminal suspects, and their geolocation in social networks, is a major challenge to current digital investigation. In view of this, this paper proposes a scheme, based on the concepts of IP location and network forensics, which aims to develop forensics tracking on OSNs. According to our empirical analysis, the proposed mechanism can instantly trace the "physical location" of a targeted service resource identifier (SRI), when the target client is using online social network applications (Facebook, Twitter, etc.), and can analyze the probable target client "identity" associatively. To the best of our knowledge, this is the first individualized location method and architecture developed and evaluated in OSNs.

  15. Using the Domain Name System to Thwart Automated Client-Based Attacks

    SciTech Connect

    Taylor, Curtis R; Shue, Craig A

    2011-09-01

    On the Internet, attackers can compromise systems owned by other people and then use these systems to launch attacks automatically. When attacks such as phishing or SQL injections are successful, they can have negative consequences including server downtime and the loss of sensitive information. Current methods to prevent such attacks are limited in that they are application-specific, or fail to block attackers. Phishing attempts can be stopped with email filters, but if the attacker manages to successfully bypass these filters, then the user must determine if the email is legitimate or not. Unfortunately, they often are unable to do so. Since attackers have a low success rate, they attempt to compensate for it in volume. In order to have this high throughput, attackers take shortcuts and break protocols. We use this knowledge to address these issues by implementing a system that can detect malicious activity and use it to block attacks. If the client fails to follow proper procedure, they can be classified as an attacker. Once an attacker has been discovered, they will be isolated and monitored. This can be accomplished using existing software in Ubuntu Linux applications, along with our custom wrapper application. After running the system and seeing its performance on three popular Web browsers Chromium, Firefox and Internet Explorer as well as two popular email clients, Thunderbird and Evolution, we found that not only is this system conceivable, it is effective and has low overhead.

  16. A cloud-based forensics tracking scheme for online social network clients.

    PubMed

    Lin, Feng-Yu; Huang, Chien-Cheng; Chang, Pei-Ying

    2015-10-01

    In recent years, with significant changes in the communication modes, most users are diverted to cloud-based applications, especially online social networks (OSNs), which applications are mostly hosted on the outside and available to criminals, enabling them to impede criminal investigations and intelligence gathering. In the virtual world, how the Law Enforcement Agency (LEA) identifies the "actual" identity of criminal suspects, and their geolocation in social networks, is a major challenge to current digital investigation. In view of this, this paper proposes a scheme, based on the concepts of IP location and network forensics, which aims to develop forensics tracking on OSNs. According to our empirical analysis, the proposed mechanism can instantly trace the "physical location" of a targeted service resource identifier (SRI), when the target client is using online social network applications (Facebook, Twitter, etc.), and can analyze the probable target client "identity" associatively. To the best of our knowledge, this is the first individualized location method and architecture developed and evaluated in OSNs. PMID:26341157

  17. Merging Clinical Cases, Client Communication, and Physiology to Enhance Student Engagement, Learning, and Skills.

    PubMed

    Washburn, Shannon E; Posey, Dan; Stewart, Randolph H; Rogers, Kenita S

    2016-01-01

    Understanding disease processes, making diagnoses, and guiding clinical therapy are predicated on an understanding of normal physiologic function. However, we have observed that many first-year students fail to appreciate the important role that a clear understanding of normal function plays in becoming well-prepared, practicing veterinarians. Students also struggle with application of basic knowledge to the diagnosis and treatment of disease, as evidenced by poor performance on exam questions requiring application. The purpose of this project was to help students link the physiologic concepts in the classroom with clinical application, as well as to improve their ability to explain those concepts to a client. We found that, as a result of this assignment, students developed a deeper understanding of physiologic processes and their clinical relevance and, subsequently, felt more confident conveying this knowledge to simulated clients. Implementation of this case project has been very well received by the students. Students improved their grasp of the material, and they indicated that the project contributed positively to their motivation to study and learn physiology.

  18. Promoting participation in organizational decision making by clients with severe mental illness.

    PubMed

    Linhorst, Donald M; Eckert, Anne; Hamilton, Gary

    2005-01-01

    This qualitative study assessed clients' participation in organizational decision making in a public long-term psychiatric hospital. Numerous examples were found in which clients meaningfully participated in the decision-making process and achieved favorable policy changes. Three means of involving clients were found to be especially useful: (1) using a consumer council, (2) involving clients in the formal policy review process, and (3) including clients in the hospital's performance improvement system. The authors offer guidelines for mental health organizations wishing to promote client participation in organizational decision making. Implications for social work are discussed.

  19. Effective Strategies for Nurses Empowering Clients With Schizophrenia: Medication Use as a Tool in Recovery

    PubMed Central

    Mahone, Irma H.; Maphis, Chris Fasching; Snow, Diane E.

    2016-01-01

    Clients with schizophrenia require maintenance treatment with antipsychotic medication and psychosocial therapy to maintain symptom control. Rates of medication adherence or follow-through are low in clients with schizophrenia. This increases the risk of relapse and contributes to poor quality of life. As educators and advisers, psychiatric nurses can collaborate with clients to improve adherence and other outcomes using shared decision-making techniques and tools that engage and empower clients to actively participate in decisions about their treatment. This article outlines effective strategies used by psychiatric nurses to improve outcomes in clients with schizophrenia and uses a case example for demonstrating this strategy in a client with schizophrenia. PMID:27111300

  20. Effective Strategies for Nurses Empowering Clients With Schizophrenia: Medication Use as a Tool in Recovery.

    PubMed

    Mahone, Irma H; Maphis, Chris Fasching; Snow, Diane E

    2016-05-01

    Clients with schizophrenia require maintenance treatment with antipsychotic medication and psychosocial therapy to maintain symptom control. Rates of medication adherence or follow-through are low in clients with schizophrenia. This increases the risk of relapse and contributes to poor quality of life. As educators and advisers, psychiatric nurses can collaborate with clients to improve adherence and other outcomes using shared decision-making techniques and tools that engage and empower clients to actively participate in decisions about their treatment. This article outlines effective strategies used by psychiatric nurses to improve outcomes in clients with schizophrenia and uses a case example for demonstrating this strategy in a client with schizophrenia. PMID:27111300

  1. The client-centred approach as experienced by male neurological rehabilitation clients in occupational therapy. A qualitative study based on a grounded theory tradition.

    PubMed

    Van de Velde, Dominique; Devisch, Ignaas; De Vriendt, Patricia

    2016-08-01

    Purpose To explore the perspectives of male clients in a neurological rehabilitation setting with regard to the occupational therapy they have received and the client-centred approach. Method This study involved a qualitative research design based on the grounded theory tradition. Individual in-depth interviews were used to collect data. Data were analysed using a constant comparative method. Seven male participants from an inpatient neurological setting were included using a theoretical sampling technique. Results Three themes emerged to describe the approach of the therapists to client-centred practice: (a) a shared biomedical focus as the start of the rehabilitation process, (b) the un-simultaneous shift from a biomedical towards a psycho-social focus and (c) formal versus informal nature of gathering client information. Conclusion A client-centred approach entails a shift from the therapist focussing on recovery from the short-term neurological issues towards the long-term consequences of the disease. According to the client, this shift in reasoning must occur at a specific and highly subjective moment during the rehabilitation process. Identifying this moment could strengthen the client-centred approach. Implications for Rehabilitation Client-centred practice entails a shift from recovering the short-term neurological issues towards the long-term psycho-social consequences of the disease. To be effective in client-centred practice, the clients expect from the professional to be an authority with regard to biomedical issues and to be partner with regard to psycho-social issues. Client-centred practice is most likely to be successful when client is susceptible to discuss his psycho-social issues and finding this moment is a challenge for the professional. Using formal methods for goal setting do not necessarily cover all the information needed for a client-centred therapy programme. Rather, using informal methods could lead to a more valid image of the client.

  2. The client-centred approach as experienced by male neurological rehabilitation clients in occupational therapy. A qualitative study based on a grounded theory tradition.

    PubMed

    Van de Velde, Dominique; Devisch, Ignaas; De Vriendt, Patricia

    2016-08-01

    Purpose To explore the perspectives of male clients in a neurological rehabilitation setting with regard to the occupational therapy they have received and the client-centred approach. Method This study involved a qualitative research design based on the grounded theory tradition. Individual in-depth interviews were used to collect data. Data were analysed using a constant comparative method. Seven male participants from an inpatient neurological setting were included using a theoretical sampling technique. Results Three themes emerged to describe the approach of the therapists to client-centred practice: (a) a shared biomedical focus as the start of the rehabilitation process, (b) the un-simultaneous shift from a biomedical towards a psycho-social focus and (c) formal versus informal nature of gathering client information. Conclusion A client-centred approach entails a shift from the therapist focussing on recovery from the short-term neurological issues towards the long-term consequences of the disease. According to the client, this shift in reasoning must occur at a specific and highly subjective moment during the rehabilitation process. Identifying this moment could strengthen the client-centred approach. Implications for Rehabilitation Client-centred practice entails a shift from recovering the short-term neurological issues towards the long-term psycho-social consequences of the disease. To be effective in client-centred practice, the clients expect from the professional to be an authority with regard to biomedical issues and to be partner with regard to psycho-social issues. Client-centred practice is most likely to be successful when client is susceptible to discuss his psycho-social issues and finding this moment is a challenge for the professional. Using formal methods for goal setting do not necessarily cover all the information needed for a client-centred therapy programme. Rather, using informal methods could lead to a more valid image of the client

  3. Difficult Cases in Career Counseling: III--The Multipotentialed Client.

    ERIC Educational Resources Information Center

    Pask-McCartney, Claudia; Salomone, Paul R.

    1988-01-01

    Discusses counseling methods for individuals who, by virtue of their multiple interests, talents, skills, and drives, present unique career-making difficulties for themselves and for their counselors. Considers advantages and disadvantages of multipotentiality for career counseling, offers methods for identifying clients whose multipotentiality…

  4. Undergraduate Role Players as "Clients" for Graduate Counseling Students.

    ERIC Educational Resources Information Center

    Anderson, Dana D.; And Others

    1989-01-01

    Describes two exercises in which undergraduates from abnormal psychology courses act as role-play clients for graduate counselor-trainees. Finds that the exercises seem to be educationally beneficial and may also help decrease undergraduates' negative stereotyping of persons with psychological problems. (KO)

  5. Use of Drama Students as "Clients" in Teaching Abnormal Psychology.

    ERIC Educational Resources Information Center

    Gilliland, Kirby

    1982-01-01

    Describes the use of drama students to role play subjects of case studies in simulations of standard interviews in a college-level abnormal psychology class. Graduate drama students role-played clients in interviews with instructors or student panels. After the interviews, class discussion covered alternative possible diagnoses and possible…

  6. 31 CFR 10.28 - Return of client's records.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Return of client's records. 10.28 Section 10.28 Money and Finance: Treasury Office of the Secretary of the Treasury PRACTICE BEFORE THE... documents or written or electronic materials provided to the practitioner, or obtained by the...

  7. Social Work Students' Attitudes about Working with Involuntary Clients

    ERIC Educational Resources Information Center

    Pope, Natalie D.; Kang, Byungdeok

    2011-01-01

    Social workers employed in areas such as public child welfare, substance abuse, and corrections often provide services to involuntary clients. These individuals do not seek social work services on their own volition and may be actively opposed to the services they are receiving. This study explores social work students' attitudes about working…

  8. Evaluation of a Continuing Education Training on Client Financial Capability

    ERIC Educational Resources Information Center

    Frey, Jodi Jacobson; Svoboda, Deborah; Sander, Rebecca L.; Osteen, Philip J.; Callahan, Christine; Elkinson, Audrey

    2015-01-01

    The researchers conducted an evaluation study assessing outcomes among 37 social workers who completed a continuing education course on financial capability and working with clients. Key constructs assessed included participants' attitudes about financial capability, self-efficacy to provide services, organizational barriers, and basic financial…

  9. Play Therapy: Client-Centered Counseling for Elementary School Children.

    ERIC Educational Resources Information Center

    DeMaagd, Joan

    The value and importance of creative activities and play opportunities in play therapy is reviewed and discussed. Play therapy is considered to be part of the non-directive client-centered approach to counseling developed by Carl Rogers. The importance of giving the child the opportunity to play out his feelings and explore his thoughts and…

  10. Client-Centered Supervision and Evaluation of Teachers.

    ERIC Educational Resources Information Center

    Schwartz, Libby Zinman

    1978-01-01

    Client-centered supervision is a personal participatory, and developmental approach, which finds its roots in the "third force" psychology of Carl Rogers. It requires a supervisor of sensitivity and humanistic orientation. Teacher evaluation criteria under this system focus on three areas: learning climate, program content, and communication…

  11. The Clinical and Client-Centered Approach to Counseling.

    ERIC Educational Resources Information Center

    Rivas, Richard G.

    This review analyzes the clinical and client-centered approaches to counseling. Clinical counseling separated from vocational counseling in the third decade of this century. A split took place between guidance and discipline. The mental hygiene movement facilitated this split. In 1942 Carl Rogers made an impact on counseling theory with the…

  12. Risk Factors for Suicidality among Clients with Schizophrenia.

    ERIC Educational Resources Information Center

    Schwartz, Robert C.; Cohen, Benjamin N.

    2001-01-01

    Investigates risk factors for current suicidality in clients diagnosed with schizophrenia (N=223). Results indicate that severity of depressive symptoms most strongly correlated with degree of suicidality. Younger age and recent traumatic stress each significantly predicted suicidality independent of depressive symptoms. Suggests that the…

  13. The Concerns about Counseling Racial Minority Clients Scale

    ERIC Educational Resources Information Center

    Wei, Meifen; Chao, Ruth Chu-Lien; Tsai, Pei-Chun; Botello-Zamarron, Raquel

    2012-01-01

    The purpose of this study was to develop and validate the Concerns about Counseling Racial Minority Clients (CCRMC) scale among counselor trainees. Sample 1 was used for an exploratory factor analysis and confirmatory factor analysis. Four factors were identified, Managing Cultural Differences ([alpha] = 0.82), Offending or Hurting Clients…

  14. 37 CFR 11.118 - Duties to prospective client.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    .... 11.118 Section 11.118 Patents, Trademarks, and Copyrights UNITED STATES PATENT AND TRADEMARK OFFICE, DEPARTMENT OF COMMERCE REPRESENTATION OF OTHERS BEFORE THE UNITED STATES PATENT AND TRADEMARK OFFICE USPTO... relationship with respect to a matter is a prospective client. (b) Even when no...

  15. 37 CFR 11.109 - Duties to former clients.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ....109 Section 11.109 Patents, Trademarks, and Copyrights UNITED STATES PATENT AND TRADEMARK OFFICE, DEPARTMENT OF COMMERCE REPRESENTATION OF OTHERS BEFORE THE UNITED STATES PATENT AND TRADEMARK OFFICE USPTO... practitioner who has formerly represented a client in a matter shall not thereafter represent another person...

  16. Suicidal Clients and Supervisees: A Model for Considering Supervisor Roles

    ERIC Educational Resources Information Center

    McGlothlin, Jason M.; Rainey, Steve; Kindsvatter, Aaron

    2005-01-01

    It is likely that counselor trainees will be exposed to suicidal clients and subsequently face personal dilemmas, stress, and feelings of incompetence. Ethical guidelines mandate that supervisors have procedures to assist supervisors in such times. Currently, the literature does not provide a framework for providing such supervision. This article…

  17. A Community Based Rehabilitation Program for Emotionally Disturbed Clients.

    ERIC Educational Resources Information Center

    Kaplan, Steven P.

    This paper describes a community-based treatment model for people who are psychiatrically disabled and living outside an institutional setting. The background of the Community Rehabilitation Approach (CRA) is described including Training in Community Living (TCL) which involves: (1) assertively bringing treatment to the client directly in the…

  18. Solution-Focused Interviewing with Child Protective Services Clients.

    ERIC Educational Resources Information Center

    Corcoran, Jacqueline

    1999-01-01

    Discusses the use of a solution-focused approach by child welfare workers to interviewing children and families in crisis and risk situations. Notes that this practice accepts a systemic view, acknowledging the importance of context on people and their problems; holds a belief in client self-determination; and indicates respect for individuals.…

  19. Documentation of client dangerousness in a managed care environment.

    PubMed

    Callahan, J

    1996-08-01

    The rapid growth of managed care has accelerated the evolution of the clinical record. Previously used for process notations, global assessment, and treatment planning, the record is increasingly used to demonstrate accountability to third-party payers and to the legal system. This article discusses the documentation of accountability in the case of potential client suicide or violence toward others.

  20. Client and Birth Record Linkage: A Method, Biases, and Lessons.

    ERIC Educational Resources Information Center

    Holian, John

    1996-01-01

    Describes record linkage as a data-generating technique, and presents a method for linking client records to live and stillbirth records, using 32,974 births in the Cleveland (Ohio) area. Biases that can enter the linkage process and general research issues related to record linkage are discussed. (SLD)

  1. Clinical Assessment of Dissociative Identity Disorder among College Counseling Clients

    ERIC Educational Resources Information Center

    Levy, Benjamin; Swanson, Janine E.

    2008-01-01

    College counseling professionals address a wide range of complex student mental health concerns. Among these, accurately identifying client presentations of dissociative identity disorder (DID) can be especially challenging because students with DID sometimes present as if they are experiencing another problem, such as a mood, anxiety, or…

  2. Client Judgement of Therapist Characteristics: A Factor in Treatment Outcome.

    ERIC Educational Resources Information Center

    Chambers, Alycia A.; And Others

    This study, based on Strong's (1968) model of therapy as social influence, focused on the relationship between clients' judgments of therapists' characteristics and the outcomes of their treatment for generalized anxiety. Thirty subjects and 15 therapists met in 12 individual therapy sessions using Progressive Relaxation Training combined with…

  3. Ideas of Influence: Counsellors' Talk about Influencing Clients

    ERIC Educational Resources Information Center

    Spong, Sheila Jean

    2007-01-01

    The influence the counsellor has on his or her clients is problematic both theoretically and practically. This article explores how counsellors in six focus groups talked about counsellor influence in response to a series of scenarios and questions. The counsellors adopted three main, or "core", positions about influence: "counsellors shouldn't…

  4. Women Counselors for Women Clients? A Review of the Research

    ERIC Educational Resources Information Center

    Tanney, Mary Faith; Birk, Janice M.

    1976-01-01

    Reviews the available research on the effects of counselor sex on the effectiveness of therapy for female clients. It concludes that the research findings are not clear cut and that much remains to be done on the extent and effects of sex stereotyping in the therapeutic relationship. (NG)

  5. Importance of the Sex of Worker and Client

    ERIC Educational Resources Information Center

    Schwartz, Mary C.

    1974-01-01

    The author surveys the writings of the last eight years of "Social Work" in order to study the profession's attitude toward the sex factor (sex of case worker and of client groups), and to determine whether and how this factor has been interpreted in professional thinking. (Author/EAK)

  6. Two Approaches to Using Client Projects in the College Classroom

    ERIC Educational Resources Information Center

    Cooke, Lynne; Williams, Sean

    2004-01-01

    Client projects are an opportunity for universities to create long-lasting, mutually beneficial relationships with businesses through an academic consultancy service. This article discusses the rationale and logistics of two models for conducting such projects. One model, used at Clemson University, is a formal academic consultancy service in…

  7. Operation Enable: Delivery of Services to the New Client.

    ERIC Educational Resources Information Center

    Parsons, Michael H.

    Hagerstown Community College (HCC) in Maryland has developed a number of new programs to serve clientele in the surrounding area who in most cases cannot or would not attend classes on the main campus. One such client group is the inmate population at two State prisons in the area. Programs for the inmates are selected on the basis of available…

  8. Perceived Counselor Acculturation Levels: Their Pertinence to Caucasian Client Expectations.

    ERIC Educational Resources Information Center

    Liu, Huan-Chung Scott; Schneider, Lawrence J.

    After reading 1 of 4 randomly-assigned written descriptions of a counselor, a group of 257 Caucasian undergraduates completed the Expectations sbout Counseling: Brief Form (Tinsley, 1982), Confidence Rating scales and Willingness items to examine how the perceived levels of acculturation of the counselor influenced client's perceptions of the…

  9. Experiences of Forgiveness among Nonclergy Clients Receiving Residential Psychiatric Treatment

    ERIC Educational Resources Information Center

    Olivett, Melissa; Powers, Robin

    2009-01-01

    In response to the growing importance focused on forgiveness in clinical work (R. D. Enright, 2000), the relevance of forgiveness to 54 clients receiving inpatient psychiatric treatment was examined. The authors used a reflective questionnaire developed by M. J. Brenneis (2002) to gain a qualitative understanding of forgiveness in the sample.…

  10. A Multimodal Approach in Dealing with Older Clients.

    ERIC Educational Resources Information Center

    Weikel, William J.

    1990-01-01

    Notes that older persons underuse community-based and outpatient mental health services, yet are overrepresented in inpatient facilities. Argues for increased programing targeted for elderly client. Advocates use of multimodal model as efficient method of service delivery and provides sample case study using BASIC ID (Behavior, Affect, Sensation,…

  11. Why "Who Is the Client?" Is the Wrong Ethical Question

    ERIC Educational Resources Information Center

    Fisher, Mary Alice

    2014-01-01

    The familiar question "Who is the client?" elicits a singular answer. This may be appropriate as a clinical question, and it is sometimes necessary as a legal question or reimbursement question, but on ethical questions, the National Association of School Psychologists Ethics Code requires school psychologists to "think plural"…

  12. Legal and Ethical Implications of Refusing to Counsel Homosexual Clients

    ERIC Educational Resources Information Center

    Hermann, Mary A.; Herlihy, Barbara Richter

    2006-01-01

    In 2001, a federal appeals court upheld the job termination of a counselor who requested being excused from counseling a lesbian client on relationship issues because homosexuality conflicted with the counselor's religious beliefs ("Bruff v. North Mississippi Health Services, Inc.," 2001). This article provides the facts of the case and the legal…

  13. The network of corporate clients: customer attrition at commercial banks

    NASA Astrophysics Data System (ADS)

    Lublóy, Á.; Szenes, M.

    2008-12-01

    Commercial banks might profit from the adoption of methods widely used in network theory. A decision making process might become biased if one disregards network effects within the corporate client portfolio. This paper models the phenomenon of customer attrition by generating a weighted and directed network of corporate clients linked by financial transactions. During the numerical study of the agent-based toy model we demonstrate that multiple steady states may exist. The statistical properties of the distinct steady states show similarities. We show that most companies of the same community choose the same bank in the steady state. In contrast to the case for the steady state of the Barabási-Albert network, market shares in this model equalize by network size. When modeling customer attrition in the network of 3 × 105 corporate clients, none of the companies followed the behavior of the initial switcher in three quarters of the simulations. The number of switchers exceeded 20 in 1% of the cases. In the worst-case scenario a total of 688 companies chose a competitor bank. Significant network effects have been discovered; high correlation prevailed between the degree of the initial switcher and the severity of the avalanche effect. This suggests that the position of the corporate client in the network might be much more important than the underlying properties (industry, size, profitability, etc) of the company.

  14. Relating Ethnic Identity, Acculturation, and Attitudes toward Treating Minority Clients.

    ERIC Educational Resources Information Center

    Gurung, Regan A. R.; Mehta, Vivek

    2001-01-01

    The attitudes of medical students of Indian decent (N=150) toward treating minority clients and using alternative therapies were assessed in relationship to the students' ethnic identity, acculturation, and self-concept. Students with strong ethnic identity and acculturation were more likely to treat minority patients and use alternative…

  15. The Obese Client: Myths, Facts, Assessment, and Intervention.

    ERIC Educational Resources Information Center

    Melcher, Janet; Bostwick, Gerald J., Jr.

    1998-01-01

    States that because of the widespread concern about weight, social workers need to understand the difference between fact and myth. Counters many of the weight myths and examines the cultural, social, biological, and psychological factors to be considered when assessing clients who are considered obese. Presents a framework for developing an…

  16. Nutrition education program for food bank clients: A pilot study

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Many low income families depend on foods from food banks. The objective of the study was to determine program content and examine feasibility of a pilot nutrition education program for food bank clients. Formative research was conducted with staff at a local food bank and its pantries and adult clie...

  17. Perceptions of Clients and Counseling Professionals regarding Spirituality in Counseling

    ERIC Educational Resources Information Center

    Morrison, Julie Q.; Clutter, Stacy M.; Pritchett, Elaine M.; Demmitt, Alan

    2009-01-01

    Although current research indicates that psychotherapeutic change both affects and is affected by spiritual concerns, relatively little is known about the degree to which spirituality is used as an intervention in counseling and how it is perceived by clients and mental health professionals. The purpose of this study was to examine the perceptions…

  18. Analyzing the Psychotherapist: Clients' Interpretations of Counselor Nonverbal Behavior.

    ERIC Educational Resources Information Center

    Brey, Clare D.

    Research has shown that a counselor's level of expertise, attractiveness, and facilitativeness may be communicated to the client largely through nonverbal behaviors. A review of the research on counselor nonverbal communication reveals that: (1) counselor nonverbal behavior has been shown to be the basis of determining the presence of facilitative…

  19. The Effects of Incest on Therapist Assessment of Female Clients.

    ERIC Educational Resources Information Center

    Meiselman, Karin C.; Sheehy, Nancy

    The occurrence of incest in which a female child is molested by an older male family member may be increasing as the number of stepfamilies increases, because previous evidence suggests that girls living with stepfathers are at greater risk for molestation. If psychotherapists will be seeing more incest-history clients as a result of this trend,…

  20. Client Preferences for STD/HIV Prevention Programs.

    ERIC Educational Resources Information Center

    Hennessy, Michael; Mercier, Michele M.; Williams, Samantha P.; Arno, Janet N.

    2002-01-01

    Conducted a formative research study designed to elicit preferences for sexually transmitted disease (STD)/HIV prevention programs from clients at a midwestern STD clinic. Responses of 126 participants show preferences for mixed group or individual meetings with counselors, with extensive intervention less favored than single sessions. Discusses…

  1. Working With Suicidal Clients: "Not" Business as Usual

    ERIC Educational Resources Information Center

    Ellis, Thomas E.; Goldston, David B.

    2012-01-01

    In this introduction to a special series of articles on working with suicidal clients, we note that much of the recent growth in theory and research pertaining to suicidal individuals has been contributed by cognitive-behavioral theorists and researchers. This work has established that suicidal people manifest important cognitive vulnerabilities…

  2. 31 CFR 8.34 - Knowledge of client's omission.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Knowledge of client's omission. 8.34 Section 8.34 Money and Finance: Treasury Office of the Secretary of the Treasury PRACTICE BEFORE THE BUREAU OF ALCOHOL, TOBACCO AND FIREARMS Duties and Restrictions Relating to Practice § 8.34 Knowledge...

  3. Family Planning Services: A Guide for Client Education.

    ERIC Educational Resources Information Center

    Los Angeles Regional Family Planning Council, CA.

    This guidebook is designed to assist health workers in the delivery of information and education regarding reproductive health and fertility control to family planning clients. Aspects of services that might be provided by various staff members are suggested. Initially, family planning philosophy from which general operating principles are derived…

  4. Ethical Considerations in Maintaining Confidentiality with Dangerous Clients.

    ERIC Educational Resources Information Center

    Yost, J. Kelley

    This paper discusses ethical considerations involved in breach of confidentiality in counseling dangerous clients, i.e., those who have the potential to inflict bodily harm on others. The ethical basis for confidentiality is presented in a model for decision making in ethical dilemmas which encompasses three evaluative levels or tiers: ethical…

  5. Learning from Clients: Counseling the Frail and Dying Elderly.

    ERIC Educational Resources Information Center

    Kemp, James T.

    1984-01-01

    Contends that experience with a frail or dying client is a learning opportunity for the counselor. Presents several examples illustrating the reactions of the elderly to approaching death and suggests that successful counselors accept their own mortality and acknowledge the decision of the failing elderly that death is near. (JAC)

  6. Beyond Multiplication: Incorporating Importance into Client Satisfaction Measures

    ERIC Educational Resources Information Center

    Hsieh, Chang-Ming

    2014-01-01

    Objective: This article brings the discussions on incorporating perceived importance across study areas into the study of client satisfaction and cautions the use of multiplicative scores (multiplying satisfaction and importance scores) as a weighting method. An alternative weighting method is provided. Method: Analyze data from a client…

  7. Personality Processes Reflected in Client Vocal Style and Rorschach Performance

    ERIC Educational Resources Information Center

    Rice, Laura North; Gaylin, Ned L.

    1973-01-01

    Vocal style was proposed as a useful variable with which to classify groups of clients in order to study the differential effects of various therapeutic maneuvers. Relationships between voice quality ratings in early psychotherapy interviews and pretherapy Rorschach and Minnesota Multiphasic Personality Inventory scores were investigated in order…

  8. Concept Mapping the Client's Perspective on Counseling Alliance Formation

    ERIC Educational Resources Information Center

    Bedi, Robinder P.

    2006-01-01

    The purpose of the present study was to identify, categorize, and model clients' understanding of early counseling alliance formation factors. Forty participants who had received counseling services were interviewed and asked about what observable behaviors and verbalizations they thought had helped establish the alliance with their counselor.…

  9. Counselors' Values Profile: Implications for Counseling Ethnic Minority Clients

    ERIC Educational Resources Information Center

    Consoli, Andres J.; Kim, Bryan S. K.; Meyer, Dinorah M.

    2008-01-01

    The authors review the empirical literature on counselors' values, describe values salient to the 4 largest ethnic minority groups in the United States, identify similarities and differences between counselors' values and those of the minority groups, and discuss implications for counseling ethnically different clients. Understanding counselors'…

  10. Clients as Change Agents: What Color Could My Parachute Be?

    ERIC Educational Resources Information Center

    Remer, Pam; O'Neill, Charles

    1980-01-01

    Advocates an approach to career counseling that helps clients understand career choice as a developmental process, learn decision-making skills, and become active change agents in their own lives. Discusses the potential impact of this self-directed, decision-making model on career counseling. (Author)

  11. Writing about Clients: Developing Composite Case Material and Its Rationale

    ERIC Educational Resources Information Center

    Duffy, Maureen

    2010-01-01

    Ethical guidelines of the 4 major professional associations representing counselors and psychotherapists are reviewed. To help clarify thinking about writing up clinical cases, 3 kinds of cases are described. The author concludes that the current guidelines for clinician authors in writing about clients for publication or presentation are…

  12. Measuring Client Experiences of Motivational Interviewing during a Lifestyle Intervention

    ERIC Educational Resources Information Center

    Madson, Michael B.; Mohn, Richard S.; Schumacher, Julie A.; Landry, Alicia S.

    2015-01-01

    The Client Evaluation of Motivational Interviewing was used to assess motivational interviewing experiences in a predominantly female, African American sample from the Southeastern United States who received motivational interviewing-based feedback during a multicomponent lifestyle intervention. Motivational interviewing was experienced…

  13. Early Memories as a Guide to Client Movement through Life.

    ERIC Educational Resources Information Center

    Slavik, Steve

    1991-01-01

    Outlines the theory of the significance of early memories used as a projective tool by Adlerian psychologists. Describes a procedure for elicitation and interpretation of early memories and provides several examples of their use in an encouraging therapeutic context. Attempts to show effectiveness of this technique in assessing client issues and…

  14. Client-Server Connection Status Monitoring Using Ajax Push Technology

    NASA Technical Reports Server (NTRS)

    Lamongie, Julien R.

    2008-01-01

    This paper describes how simple client-server connection status monitoring can be implemented using Ajax (Asynchronous JavaScript and XML), JSF (Java Server Faces) and ICEfaces technologies. This functionality is required for NASA LCS (Launch Control System) displays used in the firing room for the Constellation project. Two separate implementations based on two distinct approaches are detailed and analyzed.

  15. Competent Counseling for Middle Eastern American Clients: Implications for Trainees

    ERIC Educational Resources Information Center

    Soheilian, Sepideh S.; Inman, Arpana G.

    2015-01-01

    The authors used a factorial multivariate analysis of variance (MANOVA) to determine whether counselor trainees' group differences on measures of multicultural competence, empathy, and multicultural counseling self-efficacy (CSE) when working with Middle Eastern American (MEA) clients were moderated by trainee race. Two hundred and fifty-six…

  16. Developments in the Market for Client-based Management Education.

    ERIC Educational Resources Information Center

    Prince, Christopher

    2002-01-01

    Interviews with 19 human resource managers, 6 consultants, and 11 business faculty investigated the effectiveness of client-based management education. Results suggested that strategic management education is a business imperative and many companies are developing partnerships with business schools to deliver training that supports business…

  17. Teaching Accountability: Using Client Feedback to Train Effective Family Therapists

    ERIC Educational Resources Information Center

    Sparks, Jacqueline A.; Kisler, Tiffani S.; Adams, Jerome F.; Blumen, Dale G.

    2011-01-01

    The AAMFT Task Force on Core Competencies (Nelson et al., 2007) proposed that marriage and family therapy (MFT) educators teach and provide evidence of trainee competence beyond coursework and accrued clinical hours. This article describes the integration of a systematic client feedback protocol into an MFT-accredited program's curricula to…

  18. A Profile of Clients Entering Treatment for Alcohol Problems.

    ERIC Educational Resources Information Center

    Finkbiner, Richard

    Large numbers of clients entering publicly-funded substance abuse treatment facilities cite problems with alcohol as one reason for seeking treatment. This report presents the results of a secondary analysis of the National Treatment Improvement Evaluation Study (NTIES) data set. It profiles the treatment experiences of three study groups that…

  19. Factors in client-clinician interaction that influence hearing aid adoption.

    PubMed

    Poost-Foroosh, Laya; Jennings, Mary Beth; Shaw, Lynn; Meston, Christine N; Cheesman, Margaret F

    2011-09-01

    The influence of client-clinician interactions has not been emphasized in hearing health care, despite the extensive evidence of the impact of the provider-patient interaction on health outcomes. The purpose of this study was to identify factors in the client-clinician interaction that may influence hearing aid adoption. Thirteen adults who had received a hearing aid recommendation within the previous 3 months and 10 audiologists participated in a study to generate, sort, and rate the importance of factors in client-clinician interaction that may influence the hearing aid purchase decision. A concept mapping approach was used to define meaningful clusters of factors. Quantitative analysis and qualitative interpretation of the statements resulted in eight concepts. The concepts in order of their importance are (a) Ensuring client comfort, (b) Understanding and meeting client needs, (c) Client-centered traits and actions, (d) Acknowledging client as an individual, (e) Imposing undue pressure and discomfort, (f) Conveying device information by clinician, (g) Supporting choices and shared decision making, and (h) Factors in client readiness. Two overarching themes of client-centered interaction and client empowerment were identified. Results highlight the influence of the client-clinician interaction in hearing aid adoption and suggest the possibility of improving hearing aid adoption by empowering clients through a client-centered interaction.

  20. Assessment of client satisfaction in labor and delivery services at a maternity referral hospital in Ethiopia

    PubMed Central

    Melese, Tadele; Gebrehiwot, Yirgu; Bisetegne, Daniel; Habte, Dereje

    2014-01-01

    Introduction Patients perception about service quality shapes their confidence with regard to use of the available health care facility. This study is aimed to assess the client`s satisfaction in a maternal health care setting. Methods This is an institution based cross sectional descriptive study. A total of 423 postpartum women were interviewed. Data was analyzed using SPSS version 20 statistical package. Results The proportion of mothers who are completely satisfied with health care ranges between 2.4 to 21%. Pain control was the poorest source of satisfaction with 82% reporting dissatisfaction. Provider's communication with clients yielded complete satisfaction rates ranging between 0.7 to 26%. Inadequate information about the drug prescribed and explanation of procedures to be done to the client were found to be major causes of dissatisfaction. The complete satisfaction rate with environmental factor of the hospital was between 3.3 to 40.2%. Age of the client, educational status, income of the client and client's address away from Addis Ababa were found to be the predictors of client satisfaction. Provider's attitude and communication, as well as longer duration of stay in the ward were independent predictors of client satisfaction. Conclusion Pain management, client privacy and client provider communication need to be addressed to ensure the satisfaction of maternity clients. The clients need to be involved in the management of their own health problems. PMID:25018826

  1. Surfing for Data: A Gathering Trend in Data Storage Is the Use of Web-Based Applications that Make It Easy for Authorized Users to Access Hosted Server Content with Just a Computing Device and Browser

    ERIC Educational Resources Information Center

    Technology & Learning, 2005

    2005-01-01

    In recent years, the widespread availability of networks and the flexibility of Web browsers have shifted the industry from a client-server model to a Web-based one. In the client-server model of computing, clients run applications locally, with the servers managing storage, printing functions, and network traffic. Because every client is…

  2. Justifying the need for forensically ready protocols: A case study of identifying malicious web servers using client honeypots

    SciTech Connect

    Seifert, Christian; Endicott-Popovsky, Barbara E.; Frincke, Deborah A.; Komisarczuk, Peter; Muschevici, Radu; Welch, Ian D.

    2008-01-03

    Abstract: Client honeypot technology can find malicious web servers that attack web browsers and push malware, so called drive-by-downloads, to the client machine. Merely recording the network traffic is insufficient to perform an efficient forensic analysis of the attack. Custom tools need to be developed to access and examine the embedded data of the network protocols. Once the information is extracted from the network data, it cannot be used to perform a behavioral analysis on the attack, therefore limiting the ability to answer what exactly happened on the attacked system. Implementation of a record/ replay mechanism is proposed that allows the forensic examiner to easily extract application data from recorded network streams and allows applications to interact with such data for behavioral analysis purposes. A concrete implementation of such a setup for HTTP and DNS protocols using the HTTP proxy Squid and DNS proxy pdnsd is presented and its effect on digital forensic analysis demonstrated.

  3. Client safety in assisted living: perspectives from clients, personal support workers and administrative staff in Toronto, Canada.

    PubMed

    Speller, Brittany; Stolee, Paul

    2015-03-01

    As the population ages, the demand for long-term care settings is expected to increase. Assisted living is a suitable and favourable residence for older individuals to receive care services specific to their needs while maintaining their independence and privacy. With the growing transition of older individuals into assisted living, facilities need to ensure that safe care is continually maintained. The purpose of this study was to determine the gaps and strengths in care related to safety in assisted living facilities (ALFs). A qualitative descriptive research design was used to provide a comprehensive understanding of client safety from the perspectives of clients, administrative staff and personal support workers. Interviews were conducted with 22 key informants from three ALFs in Toronto, Ontario throughout July 2012. All interviews were semi-structured, audio-recorded and transcribed verbatim. Initial deductive analysis used directed coding based on a prior literature review, followed by inductive analysis to determine themes. Three themes emerged relating to the safety of clients in ALFs: meaning of safety, a multi-faceted approach to providing safe care and perceived areas of improvement. Sub-themes also emerged including physical safety, multiple factors, working as a team, respecting clients' independence, communication and increased education and available resources. The study findings can contribute to the improvement and development of new processes to maintain and continually ensure safe care in ALFs. PMID:25175102

  4. Engaging with Clients and Personalising Services at UTS Library: Measuring the Value for Libraries and Their Clients

    ERIC Educational Resources Information Center

    Tiffen, Belinda; England, Ashley

    2011-01-01

    Libraries have found themselves overtaken by commercial entities providing open, unmediated information services, causing debate about the future of libraries. It has been argued that in order to stay relevant, libraries must undertake a fundamental shift towards a new focus on engaging with clients. At University of Technology, Sydney (UTS)…

  5. Mental Health Counseling Assessment: Broadening One's Understanding of the Client and the Clients Presenting Concerns. ERIC Digest.

    ERIC Educational Resources Information Center

    Juhnke, Gerald A.

    Assessment is broader in scope than testing. Typically, assessment includes gathering and integrating information about a client in a manner that promotes effective treatment. This digest discusses how counselors can use assessment as a continuous process throughout treatment. It also reviews three common forms of assessment techniques which can…

  6. Clients' Demographic Characteristics and Therapeutic Treatment: Differences That Make a Difference

    ERIC Educational Resources Information Center

    Sue, Stanley

    1976-01-01

    Relationships of client demographics and services at mental health centers was studied. Services studied were: diagnosis, programs, personnel, and therapy. Client attributes accounted for small proportions of variance, with ethnicity and age being the most consistent single predictors. (NG)

  7. Teaching Client Relations and Communication Skills: Part II--A Systematic Approach.

    ERIC Educational Resources Information Center

    Horvatich, P. K.; Meyer, K. B.

    1979-01-01

    A veterinarian-client relations course at Purdue University is described. It is designed to assist students in developing, applying, and adopting comfortable interpersonal communication and interviewing skills for interaction with clients in the practice of veterinary medicine. (BH)

  8. Rehabilitation Counselor Hypothesis Testing: The Role of Negative Information, Client Disability, and Counselor Experience.

    ERIC Educational Resources Information Center

    Strohmer, Douglas C.

    1995-01-01

    Examines the way that rehabilitation counselors (n=41) select information to test a hypothesis about a client. Consistent with previous research, rehabilitation counselors systematically noted more negative client information when presented with equal numbers of equivalently weighted positive and negative client factors. (JPS)

  9. Training Counselors to Work with Disabled Clients: Cognitive and Affective Components.

    ERIC Educational Resources Information Center

    Strohmer, Douglas C.; And Others

    1983-01-01

    Examined the relationship of cognitive complexity, counselor anxiety, and client disability to accurate empathy in 28 counseling students who observed counseling interviews of clients with and without disabilities. A significant interaction among cognitive complexity, anxiety, and client disability condition indicated that all three factors…

  10. Factors Associated with Recent Suicide Attempts in Clients Presenting for Addiction Treatment

    ERIC Educational Resources Information Center

    Penney, Alexander; Mazmanian, Dwight; Jamieson, John; Black, Nancy

    2012-01-01

    Factors associated with recent suicide attempts were examined in clients who sought treatment at an addictions facility between 2001 and 2008. Clients who reported being hospitalized for attempting suicide in the past year (n = 76) were compared to all other clients (n = 5914) on demographic, mental health, substance use, and problem gambling…

  11. 45 CFR 2551.81 - What type of clients are eligible to be served?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... FOR NATIONAL AND COMMUNITY SERVICE SENIOR COMPANION PROGRAM Clients Served § 2551.81 What type of clients are eligible to be served? Senior Companions serve only adults, primarily older adults, who have... 45 Public Welfare 4 2011-10-01 2011-10-01 false What type of clients are eligible to be...

  12. 45 CFR 2551.81 - What type of clients are eligible to be served?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... FOR NATIONAL AND COMMUNITY SERVICE SENIOR COMPANION PROGRAM Clients Served § 2551.81 What type of clients are eligible to be served? Senior Companions serve only adults, primarily older adults, who have... 45 Public Welfare 4 2010-10-01 2010-10-01 false What type of clients are eligible to be...

  13. Are Client-Counselor Ethnic/Racial Matches Associated with Successful Rehabilitation Outcomes?

    ERIC Educational Resources Information Center

    Whitfield, Harold Wayne; Venable, Riley; Broussard, Shanna

    2010-01-01

    The purpose of this study was to determine if client-counselor ethnic/racial matches were associated with successful vocational rehabilitation (VR) outcomes. There was no significant difference in acceptance rates for VR services. Client-counselor ethnic/racial matches had a significantly higher rehabilitation rate than client-counselor…

  14. Experiences of Rural Vocational Rehabilitation Clients Who Leave the System Prematurely: A Qualitative Exploration

    ERIC Educational Resources Information Center

    Rigles, Bethany; Ipsen, Catherine; Arnold, Nancy; Seekins, Tom

    2011-01-01

    Vocational rehabilitation (VR) clients who leave the system prematurely experience worse employment outcomes than clients who stay in services. The authors conducted this study to learn about factors leading to premature exit by rural VR clients. Results will inform survey development for a large longitudinal study on this topic. The authors…

  15. 75 FR 66050 - Permissible Sharing of Client Records by Customs Brokers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-27

    ... business work of the broker client. This meant that the new service provider could not perform any... clients additional non-customs business services which are offered by affiliated entities related to the... additional non- customs business services to its clients, CBP proposes to permit a broker to share...

  16. Client Resistance as Predicted by Therapist Behavior: A Study of Sequential Dependence.

    ERIC Educational Resources Information Center

    Bischoff, Mary M.; Tracey, Terence J. G.

    1995-01-01

    Examines the relation of client resistant behavior to therapist directive behavior in a sample of ten archival therapy sessions. Results indicated an overall trend, with therapist directive behavior slightly increasing the probability of subsequent client resistance. No similar effect of client behavior on subsequent therapist behavior was found.…

  17. Correspondence of Motivational Interviewing Adherence and Competence Ratings in Real and Role-Played Client Sessions

    ERIC Educational Resources Information Center

    Decker, Suzanne E.; Carroll, Kathleen M.; Nich, Charla; Canning-Ball, Monica; Martino, Steve

    2013-01-01

    Treatment integrity ratings (adherence and competence) are frequently used as outcome measures in clinician training studies, drawn from recorded real client or role-played client sessions. However, it is unknown whether clinician adherence and competence are similar in real client and role-played sessions or whether real and role-play clients…

  18. Influence of Therapist Gender and Client Gender, Socioeconomic Status and Alcoholic Status on Clinical Judgments.

    ERIC Educational Resources Information Center

    Hardy, Dana M.; Johnson, Mark E.

    1992-01-01

    Psychology graduate students (n=185) responded to case descriptions in which client gender, alcoholism, and socioeconomic status (SES) were manipulated. Found consistent, negative effect of client alcoholism on several prognostic variables, including decision to hospitalize; tendency for female clients to be thought to require more therapy…

  19. Promoting Participation in Organizational Decision Making by Clients with Severe Mental Illness

    ERIC Educational Resources Information Center

    Linhorst, Donald M.; Eckert, Anne; Hamilton, Gary

    2005-01-01

    This qualitative study assessed clients' participation in organizational decision making in a public long-term psychiatric hospital. Numerous examples were found in which clients meaningfully participated in the decision-making process and achieved favorable policy changes. Three means of involving clients were found to be especially useful: (1)…

  20. The Overruled Dust Mite: Preparing Technical Communication Students To Interact with Clients.

    ERIC Educational Resources Information Center

    Kastman Breuch, Lee-Ann M.

    2001-01-01

    Notes that while many technical communication instructors declare the benefits of client projects, too often instructors do not prepare students to interact with clients. Reviews a qualitative case study that demonstrates the difficulty students can have interacting with clients. Relates how students may not always be prepared to listen or respond…

  1. The Value of Client Perceptions in University Strategic Planning: An Empirical Research Study

    ERIC Educational Resources Information Center

    del Barrio-Garcia, Salvador; Luque-Martinez, Teodoro

    2009-01-01

    Given the normative changes in higher education at European, national and regional levels, together with social, economic, demographic and technological developments, universities need to adopt a client-oriented approach and to make this client orientation an integral component of their strategic planning process. The university's "clients" should…

  2. Day Hospital and Residential Addiction Treatment: Randomized and Nonrandomized Managed Care Clients

    ERIC Educational Resources Information Center

    Witbrodt, Jane; Bond, Jason; Kaskutas, Lee Ann; Weisner, Constance; Jaeger, Gary; Pating, David; Moore, Charles

    2007-01-01

    Male and female managed care clients randomized to day hospital (n=154) or community residential treatment (n=139) were compared on substance use outcomes at 6 and 12 months. To address possible bias in naturalistic studies, outcomes were also examined for clients who self-selected day hospital (n=321) and for clients excluded from randomization…

  3. Clients' Emotional Processing in Psychotherapy: A Comparison between Cognitive-Behavioral and Process-Experiential Therapies

    ERIC Educational Resources Information Center

    Watson, Jeanne C.; Bedard, Danielle L.

    2006-01-01

    The authors compared clients' emotional processing in good and bad outcome cases in cognitive behavioral therapy (CBT) and process-experiential therapy (PET) and investigated whether clients' emotional processing increases over the course of therapy. Twenty minutes from each of 3 sessions from 40 clients were rated on the Experiencing Scale. A 2 *…

  4. Voluntary Testing for HIV Antibodies among Clients in Long-Term Substance Treatment.

    ERIC Educational Resources Information Center

    Galea, Robert P.; And Others

    1988-01-01

    Describes voluntary testing for human immunodeficiency virus (HIV) in a residential substance abuse treatment program; highlights discussion group involving 5 clients who tested positive for HIV. Notes that clients in HIV groups dropped out of treatment at significantly lower percentages than clients in general, indicating HIV identification…

  5. Physical Attractiveness: Interactive Effects of Counselor and Client on Counseling Processes.

    ERIC Educational Resources Information Center

    Vargas, Alice M.; Borkowski, John G.

    1983-01-01

    Assessed how the physical attractiveness of counselors and clients interacted to build rapport in two experiments involving college students (N=128 and N=64). Results showed the counselor's physical attractiveness had a major impact on her perceived effectiveness and the client's expectation of success irrespective of the client's attractiveness…

  6. Challenging the Courtesy Bias Interpretation of Favorable Clients' Perceptions of Family Planning Delivery

    ERIC Educational Resources Information Center

    Len, Federico R.; Lundgren, Rebecka; Huapaya, Ana; Sinai, Irit; Jennings, Victoria

    2007-01-01

    Favorable client perceptions of provider's interpersonal behavior in contraceptive delivery, documented in clinic exit questionnaires, appear to contradict results from qualitative evaluations and are attributed to clients' courtesy bias. In this study, trained simulated clients requested services from Ministry of Health providers in three…

  7. 34 CFR 379.42 - What are the special requirements pertaining to the Client Assistance Program?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Client Assistance Program? 379.42 Section 379.42 Education Regulations of the Offices of the Department... requirements pertaining to the Client Assistance Program? Each grantee under a program covered by this part... availability and purposes of the State's Client Assistance Program, including information on seeking...

  8. Counselor and Client Views of Vocational Rehabilitation Success and Failure: A Qualitative Study.

    ERIC Educational Resources Information Center

    Murphy, Stephen T.

    1988-01-01

    Seven rehabilitation counselors, seven successful clients, and seven unsuccessful clients defined rehabilitation success and failure. Counselors and clients held disparate views of success and failure, counselors' stated definitions of success and failures were different from those that actually guided their behavior, and counselor-client…

  9. An Analysis of the Opinions of Thirteen Client Groups Concerning the Harrison County Teacher Education Center.

    ERIC Educational Resources Information Center

    Curran, John

    This study is an analysis of the opinions of 13 client groups concerning the Harrison County Teacher Education Center (HCTEC) and is a sequel to a previous study. This study concentrated on two major questions: (1) what are the opinions of 13 client groups about the perceived needs for the HCTEC; and (2) how do these client groups differ in their…

  10. Predicting Change for Individual Psychotherapy Clients on the Basis of their Nearest Neighbors

    ERIC Educational Resources Information Center

    Lutz, Wolfgang; Leach, Chris; Barkham, Michael; Lucock, Mike; Stiles, William B.; Evans, Chris; Noble, Rachael; Iveson, Steve

    2005-01-01

    This study extended client-focused research by using the nearest neighbor (NN) approach, a client-specific sampling and prediction strategy derived from research on alpine avalanches. Psychotherapy clients (N = 203) seen in routine practice settings in the United Kingdom completed a battery of intake measures and then completed symptom intensity…

  11. Attachment Patterns in the Psychotherapy Relationship: Development of the Client Attachment to Therapist Scale.

    ERIC Educational Resources Information Center

    Mallinckrodt, Brent; And Others

    1995-01-01

    Describes development of an instrument, the Client Attachment to Therapist Scale (CATS). CATS factors correlated in expected directions with survey measures of object relations, client-rated working alliance, social self-efficacy, and adult attachment. Cluster analysis revealed four types of client attachment. Discusses implications of attachment…

  12. Better versus Worse Family Therapy Sessions as Reflected in Clients' Alliance-Related Behavior

    ERIC Educational Resources Information Center

    Friedlander, Myrna L.; Bernardi, Shaina; Lee, Hsin-Hua

    2010-01-01

    To be responsive to clients' evaluations of the unfolding therapy process, therapists must first accurately "read" client behavior, a particularly challenging task in conjoint family therapy. In this study, the authors compared client behavior in 28 sessions that one family member and the therapist concurred, on the Session Evaluation…

  13. On the Use of Client-Driven Projects in the Mathematics Classroom

    ERIC Educational Resources Information Center

    Maki, Dan; Winston, Wayne; Shafii-Mousavi, Morteza; Kochanowski, Paul; Lang, Chris; Ernstberger, Kathy; Hodgson, Ted

    2006-01-01

    In this article, we discuss the use of client-driven projects--projects that are posed by business, government, and non-profit organizations and based upon real problems facing the organization. Although client-driven projects have long been used in business and engineering education, their use in the mathematics classroom is rare. Client-driven…

  14. 37 CFR 10.85 - Representing a client within the bounds of the law.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... a person or tribunal shall promptly call upon the client to rectify the same, and if the client refuses or is unable to do so the practitioner shall reveal the fraud to the affected person or tribunal. (2) A person other than a client has perpetrated a fraud upon a tribunal shall promptly reveal...

  15. Breaking through with Thin-Client Technologies: A Cost Effective Approach for Academic Libraries.

    ERIC Educational Resources Information Center

    Elbaz, Sohair W.; Stewart, Christofer

    This paper provides an overview of thin-client/server computing in higher education. Thin-clients are like PCs in appearance, but they do not house hard drives or localized operating systems and cannot function without being connected to a server. Two types of thin-clients are described: the Network Computer (NC) and the Windows Terminal (WT).…

  16. The Effect of Brief Training in Motivational Interviewing on Client Outcomes and Trainee Skill Development

    ERIC Educational Resources Information Center

    Young, Tabitha L.

    2010-01-01

    Motivational Interviewing (MI) is an evidence-based practice that focuses on working through client ambivalence and increasing clients' motivation to change. The purposes of this study were to investigate the effect that a unique student-based training in MI had on counselor trainees' ability to perform MI, and on client outcomes. This training…

  17. Subjective Experiences of Clients in a Voluntary Money Management Program

    PubMed Central

    Serowik, Kristin L.; Bellamy, Chyrell D.; Rowe, Michael; Rosen, Marc I.

    2013-01-01

    A large proportion of people diagnosed with mental illnesses have difficulty managing their money, and therefore many psychiatric treatments involve providing money management assistance. However, little is known about the subjective experience of having a money manager, and extant literature is restricted to people forced to work with a representative payee or conservator. In this study, fifteen people were interviewed about their experience receiving a voluntary money management intervention designed to minimize substance use. Clients emphasized the importance of trusting the money manager, financial mindfulness (an enhanced awareness of the financial transactions in clients’ day-to-day lives), agency over their own affairs, and addiction. In contrast to evaluations of people assigned representative payees and/or conservators, there was little mention of feeling coerced. These findings suggest that money management programs can address client concerns by building trust, relating budgeting to clients’ day-to-day lives, and encouraging clients’ control over their own affairs. PMID:24605071

  18. Nurses' descriptions of caring for culturally diverse clients.

    PubMed

    Kirkham, S R

    1998-05-01

    The nursing profession has responded to today's cultural diversity through theory development, association statements, research, and inclusion of cultural content in nursing curricula. This qualitative study was completed to explore whether this increased attention to cultural diversity is resulting in culturally sensitive nursing care. In this preliminary description of cross-cultural care, eight recently graduated nurses were each interviewed twice. Caring for culturally diverse clients is reflected by these participants as complex and challenging, due to the interrelatedness of multiple personal and contextual factors. Nurses' commitment to caring for culturally diverse clients varies, ranging from "resistant" to "generalist" to "impassioned." Contextual factors include the setting of health care, the support of colleagues, the institutional climate, the foundation of education, and the presence of racism. Despite the nursing profession's attention directed toward issues of cultural diversity, it seems that the goal of culturally sensitive care remains a distant ideal.

  19. Text 2 treat - using SMS to recall clients for treatment.

    PubMed

    Bailey, Samuel Michael; Scalley, Benjamin David; Gilles, Marisa Theresa

    2014-12-01

    Prompt treatment of patients with genital Chlamydia shortens the period of infectivity with benefits to the individual and wider community. With large numbers of genital Chlamydia notifications, predominantly occurring in younger age groups, short message service (SMS) is a potentially useful technology for recalling this patient group quickly and efficiently. In the sexual health unit of Population Health-Midwest, Western Australia, genital Chlamydia cases were recalled for treatment with an SMS. Ninety-four per cent (n = 60) of clients responded to the SMS, with 84% (n = 54) responding on the same day they were contacted. All clients (n = 64) were treated for their infection, with 72% (n = 46) having directly-observed treatment within one day of being informed of their results via SMS. Our results suggest that SMS is a highly effective, youth-friendly communication tool.

  20. A state-wide assessment: marital stability and client outcomes.

    PubMed

    Hartmann, D J; Sullivan, W P; Wolk, J L

    1991-12-01

    This paper presents results of Missouri's first statewide evaluation of alcohol and drug treatment programs. The study utilized a 1-year follow-up sample of 242 respondents to explore the nature and patterns of post-treatment functioning. This paper focuses on the impact of client marital stability on post-treatment substance use. The data supported the expected result that marital status was related to post-treatment relapse. Further analysis suggests that transitional periods between marriage and divorce are especially important in understanding the pattern of relapse after treatment. Multivariate analysis indicates that the marital status effect is important both directly and in interaction with program completion. The data suggest that attention to transitional states and interpersonal functioning should be incorporated into client follow-up.

  1. Facades of suffering: clients' photo stories about mental illness.

    PubMed

    Sitvast, Jan E; Abma, Tineke A; Widdershoven, Guy A M

    2010-10-01

    In this article, photo stories are examined that were the result of working with photography as a therapeutic instrument dealing with suffering in mental health care settings. The purpose is to describe the role of facades in the process of suffering and acceptance. Clients took photographs, talked about them in group meetings, and exhibited them to a broader audience. Their photo stories were analyzed using a mixed-methods model. Data from two narrative approaches (semiotics and hermeneutics) were compared with information from other informants and official records to find discrepancies between the photo story and the real life context. Although facades are usually perceived as an obstacle for personal growth, the visual narratives revealed that facades can function as an alternative to common acceptance strategies, such as facing one's losses and reconciliation. Facades can create a distance between the person and the suffering. We conclude that visual narratives can reveal and foster agency in clients.

  2. Architecture: client/server moves into managed healthcare.

    PubMed

    Worthington, R

    1997-01-01

    The healthcare industry is in transition from indemnity-based products to managed care during a period marked by consolidation, competitiveness and increasingly demanding consumers. This powerful combination of industry change and customer interest requires more efficient operations and flexible information systems. Host-based managed care systems are running into limitations meeting business needs, creating a demand for client/server architectures. PMID:10164671

  3. Clinical algorithms as a tool for psychotherapy with Latino clients.

    PubMed

    Manoleas, Peter; Garcia, Betty

    2003-04-01

    Clinical algorithms have the advantage of being able to integrate clinical, cultural, and environmental factors into a unified method of planning and implementing treatment. A model for practice is proposed that uses 3 algorithms as guides for conducting psychotherapy with Latino clients, the uses of which are illustrated in a single, ongoing case vignette. The algorithm format has the additional advantage of easily adapting itself for data gathering for research purposes.

  4. Animal-assisted therapy for clients with dementia.

    PubMed

    Buettner, Linda L; Fitzsimmons, Suzanne; Barba, Beth

    2011-05-01

    The purpose of this article is to increase nurses' awareness of animal-assisted therapy as a treatment option for older adults with dementia. We describe the differences between animal visitation programs and goal-directed therapy. We also address credentials of human-animal teams and provide an overview of possible therapeutic outcomes for older adults with dementia. Step-by-step methods are outlined for nurses to advocate for clients with dementia to receive these services.

  5. Writing for professional publication. Part 9: using client case studies.

    PubMed

    Fowler, John

    The previous articles in this series of writing for professional publication focused on the preparation you need to do before starting to write an article, the practicalities of writing the abstract, creating interest in the reader's mind, and how an article for publication differs from an academic essay. Recently we considered the importance of selecting the correct journal for submission. In this article, John Fowler, an experienced nursing lecturer and author, discusses how client case studies can be used within your article.

  6. Sharing limited Ethernet resources with a client-server model

    NASA Astrophysics Data System (ADS)

    Brownless, D. M.; Burton, P. D.

    1994-12-01

    The new control system proposed for the ISIS facility at Rutherford uses an Ethernet spine to provide mutual communications between disparate equipment, including the control computers. This paper describes the limitations imposed on the use of Ethernet in Local/Wide Area Networks and how a client-server based system can be used to circumvent them. The actual system we developed is discussed with particular reference to the problems we have faced, implementing data standards and the performance statistics attained.

  7. Use of Deception to Improve Client Honeypot Detection of Drive-by-Download Attacks

    SciTech Connect

    Popovsky, Barbara; Narvaez Suarez, Julia F.; Seifert, Christian; Frincke, Deborah A.; O'Neil, Lori R.; Aval, Chiraag U.

    2009-07-24

    This paper presents the application of deception theory to improve the success of client honeypots at detecting malicious web page attacks from infected servers programmed by online criminals to launch drive-by-download attacks. The design of honeypots faces three main challenges: deception, how to design honeypots that seem real systems; counter-deception, techniques used to identify honeypots and hence defeating their deceiving nature; and counter counter-deception, how to design honeypots that deceive attackers. The authors propose the application of a deception model known as the deception planning loop to identify the current status on honeypot research, development and deployment. The analysis leads to a proposal to formulate a landscape of the honeypot research and planning of steps ahead.

  8. Romancing the boundary: client masculinities in the Chinese sex industry.

    PubMed

    Kong, Travis S K

    2015-01-01

    This paper draws on 24 in-depth interviews and 2 focus-group discussions conducted since 2012 with Hong Kong heterosexual men who buy sex in order to examine men's level of physical and emotional engagement with sex workers under two dominant sexual scripts in contemporary Hong Kong. Torn between companionate sexuality, with its companionate model of relationships, and recreational sexuality, with its promiscuous model of sexual pleasure, Hong Kong male clients seek to satisfy their sexual and affective needs through commercial sexual relationships. The term (meaning 'chicken worm', connoting a 'McSex' form of masculinity) refers to those men who seek impersonal sexual release with as many women as they wish, while the term (meaning 'sunken boat' and connoting a 'Titanic' form of masculinity) refers to those men who seek an intense level of emotional intimacy with sex workers. Between these two contrasting types, the majority of respondents fall into a form of 'bounded' masculinity characteristic of men who emphasise control and balance by seeking emotionally responsive women in a time-bound romance. By comparing clients' variations in the level of physical and emotional engagement with sex workers, this paper seeks to understand individual differences in client types and offers a new understanding of Chinese male sexuality and relationship formation, and the corresponding health risks (e.g., sexual, emotional) associated with each type.

  9. Romancing the boundary: client masculinities in the Chinese sex industry.

    PubMed

    Kong, Travis S K

    2015-01-01

    This paper draws on 24 in-depth interviews and 2 focus-group discussions conducted since 2012 with Hong Kong heterosexual men who buy sex in order to examine men's level of physical and emotional engagement with sex workers under two dominant sexual scripts in contemporary Hong Kong. Torn between companionate sexuality, with its companionate model of relationships, and recreational sexuality, with its promiscuous model of sexual pleasure, Hong Kong male clients seek to satisfy their sexual and affective needs through commercial sexual relationships. The term (meaning 'chicken worm', connoting a 'McSex' form of masculinity) refers to those men who seek impersonal sexual release with as many women as they wish, while the term (meaning 'sunken boat' and connoting a 'Titanic' form of masculinity) refers to those men who seek an intense level of emotional intimacy with sex workers. Between these two contrasting types, the majority of respondents fall into a form of 'bounded' masculinity characteristic of men who emphasise control and balance by seeking emotionally responsive women in a time-bound romance. By comparing clients' variations in the level of physical and emotional engagement with sex workers, this paper seeks to understand individual differences in client types and offers a new understanding of Chinese male sexuality and relationship formation, and the corresponding health risks (e.g., sexual, emotional) associated with each type. PMID:25686625

  10. Scenario Writing: A Therapeutic Application.

    ERIC Educational Resources Information Center

    Haddock, Billy D.

    1989-01-01

    Introduces scenario writing as useful therapeutic technique. Presents case study of woman in midst of divorce and custody fight to illustrate context in which technique was applied. Suggests additional applications. Concludes that good response is more likely for clients who possess good writing skills although other clients may use their own…

  11. The early formation of the working alliance from the client's perspective: A qualitative study.

    PubMed

    MacFarlane, Peter; Anderson, Timothy; McClintock, Andrew S

    2015-09-01

    This research used qualitative methods and archival data to examine clients' perceptions of the early formation of the working alliance. Following their first and second sessions of individual psychotherapy, 54 clients responded to structured written assignments that were rooted in Bordin's (1979) model of the alliance. Analysis yielded 884 recording units, which were organized into 4 main clusters: (a) clients' initial misgivings about psychotherapy; (b) organization and meaning-making; (c) psychotherapist supportive activities; and (d) client appreciation of techniques. Clients' perceived contributions to alliance development and their experiences of the initial interactions with their psychotherapists are explored in the context of existing theory and research.

  12. Post-partum Family Planning Service Provision in Durban, South Africa: Client and Provider Perspectives

    PubMed Central

    Marlow, Heather M.; Maman, Suzanne; Moodley, Dhayendre; Curtis, Siân

    2014-01-01

    Researchers in sub-Saharan Africa have found health facility factors influence client contraceptive use. We sought to understand how client provider interactions, discussion of side effects and HIV status influence women’s contraceptive use post-partum. We conducted in-depth interviews with 8 HIV negative clients and 6 HIV positive clients in Zulu and with 5 nurses in English. Interviews were translated and transcribed into English. We created a codebook and coded all transcripts. Nurses and clients reported limited time to discuss contraception, side effects and HIV. Nurses did not comply with national contraceptive policies and created unnecessary barriers to contraceptive use. PMID:23998760

  13. PhenoDB: an integrated client/server database for linkage and population genetics.

    PubMed

    Cheung, K H; Nadkarni, P; Silverstein, S; Kidd, J R; Pakstis, A J; Miller, P; Kidd, K K

    1996-08-01

    In this paper we describe PhenoDB, an Internet-accessible client/server database application for population and linkage genetics. PhenoDB stores genetic marker data on pedigrees and populations. A database for population and linkage genetics requires two core functions: data management tasks, such as interactive validation during data entry and editing, and data analysis tasks, such as generating summary population statistics and performing linkage analyses. In PhenoDB we attempt to make these tasks as easy as possible. The client/server architecture allows efficient management and manipulation of large datasets via an easy-to-use graphical interface. PhenoDB data (73 populations, 34 pedigrees, approximately 4200 individuals, and close to 80,000 typings) are stored in a generic format that can be readily exported to (or imported from) the file formats required by various existing analysis programs such as LIPED and Lathrop and Lalouel's Multipoint Linkage. PhenoDB allows performance of complex ad-hoc queries and can generate reports for use in project management. Finally, PhenoDB can produce statistical summaries such as allele frequencies, phenotype frequencies, and Chi-square tests of Hardy-Weinberg ratios of population/pedigree data. PMID:8812078

  14. PhenoDB: an integrated client/server database for linkage and population genetics.

    PubMed

    Cheung, K H; Nadkarni, P; Silverstein, S; Kidd, J R; Pakstis, A J; Miller, P; Kidd, K K

    1996-08-01

    In this paper we describe PhenoDB, an Internet-accessible client/server database application for population and linkage genetics. PhenoDB stores genetic marker data on pedigrees and populations. A database for population and linkage genetics requires two core functions: data management tasks, such as interactive validation during data entry and editing, and data analysis tasks, such as generating summary population statistics and performing linkage analyses. In PhenoDB we attempt to make these tasks as easy as possible. The client/server architecture allows efficient management and manipulation of large datasets via an easy-to-use graphical interface. PhenoDB data (73 populations, 34 pedigrees, approximately 4200 individuals, and close to 80,000 typings) are stored in a generic format that can be readily exported to (or imported from) the file formats required by various existing analysis programs such as LIPED and Lathrop and Lalouel's Multipoint Linkage. PhenoDB allows performance of complex ad-hoc queries and can generate reports for use in project management. Finally, PhenoDB can produce statistical summaries such as allele frequencies, phenotype frequencies, and Chi-square tests of Hardy-Weinberg ratios of population/pedigree data.

  15. The Partners for Change Outcome Management System (PCOMS) revisiting the client's frame of reference.

    PubMed

    Duncan, Barry L; Reese, Robert J

    2015-12-01

    Despite overall psychotherapy efficacy (Lambert, 2013), many clients do not benefit (Reese, Duncan, Bohanske, Owen, & Minami, 2014), dropouts are a problem (Swift & Greenberg, 2012), and therapists vary significantly in success rates (Baldwin & Imel, 2013), are poor judges of negative outcomes (Chapman et al., 2012), and grossly overestimate their effectiveness (Walfish, McAlister, O'Donnell, & Lambert, 2012). Systematic client feedback offers 1 solution (Duncan, 2014). Several feedback systems have emerged (Castonguay, Barkham, Lutz, & McAleavey, 2013), but only 2 have randomized clinical trial support and are included in the Substance Abuse and Mental Health Administration's National Registry of Evidence-Based Programs and Practices: The Outcome Questionnaire-45.2 System (Lambert, 2010) and the Partners for Change Outcome Management System (PCOMS; Duncan, 2012). This article presents the current status of PCOMS, the psychometrics of the PCOMS measures, its empirical support, and its clinical and training applications. Future directions and implications of PCOMS research, training, and practice are detailed. Finally, we propose that systematic feedback offers a way, via large-scale data collection, to reprioritize what matters to psychotherapy outcome, reclaim our empirically validated core values and identity, and change the conversation from a medical model dominated discourse to a more scientific, relational perspective. PMID:26641369

  16. Clients' emotional processing in psychotherapy: a comparison between cognitive-behavioral and process-experiential therapies.

    PubMed

    Watson, Jeanne C; Bedard, Danielle L

    2006-02-01

    The authors compared clients' emotional processing in good and bad outcome cases in cognitive behavioral therapy (CBT) and process-experiential therapy (PET) and investigated whether clients' emotional processing increases over the course of therapy. Twenty minutes from each of 3 sessions from 40 clients were rated on the Experiencing Scale. A 2x2x3 analysis of variance showed a significant difference between outcome and therapy groups, with clients in the good outcome and PET groups showing significantly higher levels of emotional processing than those in the poor outcome and CBT groups, respectively. Clients' level of emotional processing significantly increased from the beginning to the midpoint of therapy. The results indicate that CBT clients are more distant and disengaged from their emotional experience than clients in PET. PMID:16551152

  17. Perspectives of Treatment Providers and Clients with Serious Mental Illness Regarding Effective Therapeutic Relationships.

    PubMed

    Easter, Alison; Pollock, Michele; Pope, Leah Gogel; Wisdom, Jennifer P; Smith, Thomas E

    2016-07-01

    This study explores the nature of clinical therapeutic relationships between mental health treatment providers and high-need clients with serious mental illness who had recently discontinued treatment. Semi-structured qualitative interviews of 56 clients with serious mental illness who had recently discontinued care and 25 mental health treatment providers were completed. Both clients with serious mental illness and treatment providers emphasized the importance of client-focused goal setting, time and availability of treatment providers, a caring approach, and trust and honesty in the relationship. However, clients with serious mental illness placed greater emphasis on goals involving tangible services, a notable area of discord between the two groups. Individuals with serious mental illness and treatment providers agreed regarding several key elements to a positive clinical relationship. Further attention to client goals related to tangible services may serve to improve relationships between treatment providers and high-need clients with serious mental illness.

  18. A Theory Led Narrative Review of One-to-One Health Interventions: The Influence of Attachment Style and Client-Provider Relationship on Client Adherence

    ERIC Educational Resources Information Center

    Nanjappa, S.; Chambers, S.; Marcenes, W.; Richards, D.; Freeman, R.

    2014-01-01

    A theory-led narrative approach was used to unpack the complexities of the factors that enable successful client adherence following one-to-one health interventions. Understanding this could prepare the provider to anticipate different adherence behaviours by clients, allowing them to tailor their interventions to increase the likelihood of…

  19. "The Weight of Class": Clients' Experiences of How Perceived Differences in Social Class between Counsellor and Client Affect the Therapeutic Relationship

    ERIC Educational Resources Information Center

    Balmforth, Jane

    2009-01-01

    The impact of a difference in social class on the therapeutic relationship has received less attention than other differences between counsellor and client, such as gender, race and sexual orientation. In this qualitative research study six clients who identified as working class were interviewed about their experience of a therapeutic…

  20. Communities of color? Client-to-client racial concordance in the selection of mental health programs for Caucasians and African Americans.

    PubMed

    Koizumi, Naoru; Rothbard, Aileen B; Smith, Tony E; Mayer, Jeremy D

    2011-12-01

    A discrete-choice logit model was applied to study the determinants of mental health provider choice using data from a large urban county in the Northeast US. The study subjects were 9,544 adult Medicaid recipients who received outpatient treatment from the 20 Community Mental Health Center (CMHC) programs in 2001. In addition to a conventional set of variables representing client and provider characteristics, the regression model included several interaction terms to examine whether racial concordance level among patients influences the choice of an outpatient program. The results revealed that racial concordance among the clients seems to be a factor in choosing a program. In particular, Caucasian clients are much more likely to select a program with a higher percentage of Caucasian clients, even though they have to travel further. More generally, our results suggest that program choice may be driven more by the racial composition of the clients served than by spatial proximity to the program.

  1. Client satisfaction of hand therapy intervention: An evaluation of the effectiveness of therapy for clients recovered from complex regional pain syndrome

    PubMed Central

    Zagzoog, Nirmeen; Chinchalkar, Shrikant J; Sumsion, Thelma

    2008-01-01

    Complex regional pain syndrome (CRPS) is a neuropathic pain condition that may develop following trauma to an extremity. Clients treated for CRPS at St Joseph’s Health Care London – Hand and Upper Limb Centre, London, Ontario, were asked to evaluate their level of satisfaction with the treatment they had received by comparing their pain, functional status and emotional status before and after receiving therapy. The results indicated a high level of satisfaction among clients, attributable to the unique nature of the therapy program in use at this facility, where the occupational therapist works in close collaboration with the surgeon and pain specialists, and the therapy regimen is designed for each client individually according to his or her needs. The unique contribution of the present study to the body of clinical literature on CRPS is that it introduces a focus on client functionality and on client satisfaction with therapy received. PMID:19554162

  2. The Trouble with the Short-Term Therapist-Client Relationship and What Can Be Done about It

    ERIC Educational Resources Information Center

    Vandenberghe, Luc; Martins da Silveira, Jocelaine

    2012-01-01

    When problems from the client's daily life show up in the therapist-client relationship, crucial learning opportunities may become available. Occurrence of the client's problems during the therapy hour turns the relationship into a psychological space where they can be worked on in-vivo. But sometimes the client's daily life problems are specific…

  3. Epistemic asymmetries in psychotherapy interaction: therapists' practices for displaying access to clients' inner experiences.

    PubMed

    Weiste, Elina; Voutilainen, Liisa; Peräkylä, Anssi

    2016-05-01

    The relationship between a psychotherapist and a client involves a specific kind of epistemic asymmetry: in therapy sessions the talk mainly concerns the client's experience, which is unavailable, as such, to the therapist. This epistemic asymmetry is understood in different ways within different psychotherapeutic traditions. Drawing on a corpus of 70 audio-recorded sessions of cognitive psychotherapy and psychoanalysis and using the method of conversation analysis, the interactional practices of therapists for dealing with this epistemic asymmetry are investigated. Two types of epistemic practices were found to be employed by therapists while formulating and interpreting the client's inner experience. In the formulations, the therapists and clients co-described the client's experience, demonstrating that the client's inner experience was somewhat similarly available to both participants. In the interpretations, the therapists constructed an evidential foundation for the interpretation by summarising the client's talk and using the same descriptive terms as the client. Clients held therapists accountable for this epistemic work: if they failed to engage in such work, their right to know the client's inner experience was called into question. PMID:26574238

  4. Client Perspectives on Desirable Attributes and Skills of Veterinary Technologists in Australia: Considerations for Curriculum Design.

    PubMed

    Clarke, Patricia M; Al-Alawneh, John; Pitt, Rachael E; Schull, Daniel N; Coleman, Glen T

    2015-01-01

    Client or service user perspectives are important when designing curricula for professional programs. In the case of veterinary technology, an emerging profession in the veterinary field in Australasia, client views on desirable graduate attributes, skills, and knowledge have not yet been explored. This study reports on a survey of 441 veterinary clients (with 104 responses) from four veterinary practices in Brisbane, Queensland, conducted between October 2008 and February 2009. The included veterinary practices provided clinical placements for veterinary technology undergraduates and employment for veterinary technology graduates (2003-2007). Client socio-demographic data along with ratings of the importance of a range of technical (veterinary nursing) skills, emotional intelligence, and professional attributes for veterinary technology graduates were collected and analyzed. Overall, the majority of clients viewed technical skills, emotional intelligence, and professional attributes as important in the clinical practice of veterinary technology graduates with whom they interacted in the veterinary practice. Client interviews (n=3) contextualized the survey data and also showed that clients attached importance to graduates demonstrating professional competence. Agglomerative hierarchical cluster analysis revealed four distinct groupings of clients within the data based on their differing perceptions. Using a multivariable proportional-odds regression model, it was also found that some client differences were influenced by demographic factors such as gender, age, and number of visits annually. For example, the odds of female clients valuing emotionality and sociability were greater than males. These findings provide useful data for the design of a professionalizing and market-driven veterinary technology curriculum.

  5. Paid caregiver motivation, work conditions, and falls among senior clients.

    PubMed

    Lindquist, Lee A; Tam, Karen; Friesema, Elisha; Martin, Gary J

    2012-01-01

    The purpose of this study was to determine the motivation of paid non-familial caregivers of seniors, understand more about their work conditions, and identify any links to negative outcomes among their senior clients. Ninety-eight paid caregivers (eighty-five female and thirteen male), recruited from multiple sites (i.e. senior centers, shopping malls, local parks, lobbies of senior apartments, caregiver agency meetings) completed face-to-face questionnaires and semi-structured interviews. We found that 60.7% of participants chose to become a caregiver because they enjoyed being with seniors while 31.7% were unable to obtain other work, and 8.2% stated it was a prerequisite to a different health related occupation. Caregivers stated that the most challenging conditions of their work were physical lifting (24.5%), behavioral and psychological symptoms of dementia (24.5%), senior depression/mood changes (18.4%), attachment with impending death (8.2%), missing injuries to client (5.1%), lack of sleep (4.1%), and lack of connection with outside world (3.1%). Caregivers who reported that the best part of their job was the salary, flexible hours, and ease of work were significantly more likely to have clients who fell and fractured a bone than those who enjoyed being with seniors (job characteristics, 62.5% vs. senior enjoyment, 25.6%; p<0.004). We concluded that in pursuing their occupation, paid caregivers are motivated commonly by their love of seniors and also by their lack of other job opportunities. Paid caregivers frequently face challenging work conditions. When seeking a caregiver for a senior, motivation of the caregiver should be considered when hiring.

  6. The Development and Validation of the Client Expectations of Massage Scale

    PubMed Central

    Boulanger, Karen T.; Campo, Shelly; Glanville, Jennifer L.; Lowe, John B; Yang, Jingzhen

    2012-01-01

    Background: Although there is evidence that client expectations influence client outcomes, a valid and reliable scale for measuring the range of client expectations for both massage therapy and the behaviors of their massage therapists does not exist. Understanding how client expectations influence client outcomes would provide insight into how massage achieves its reported effects. Purpose: To develop and validate the Client Expectations of Massage Scale (CEMS), a measure of clients’ clinical, educational, interpersonal, and outcome expectations. Setting: Offices of licensed massage therapists in Iowa. Research Design: A practice-based research methodology was used to collect data from two samples of massage therapy clients. For Sample 1, 21 volunteer massage therapists collected data from their clients before the massage. Factor analysis was conducted to test construct validity and coefficient alpha was used to assess reliability. Correlational analyses with the CEMS, previous measures of client expectations, and the Life Orientation Test–Revised were examined to test the convergent and discriminant validity of the CEMS. For Sample 2, 24 massage therapists distributed study materials for clients to complete before and after a massage therapy session. Structural equation modeling was used to assess the construct, discriminant, and predictive validity of the CEMS. Participants: Sample 1 involved 320 and Sample 2 involved 321 adult massage clients. Intervention: Standard care provided by licensed massage therapists. Main Outcomes: Numeric Rating Scale for pain and Positive and Negative Affect Schedule–Revised (including the Serenity subscale). Results: The CEMS demonstrated good construct, convergent, discriminant and predictive validity, and adequate reliability. Client expectations were generally positive toward massage and their massage therapists. Positive outcome expectations had a positive effect on clients’ changes in pain and serenity. High

  7. Information seeking: a component of client decisions and health behavior.

    PubMed

    Lenz, E R

    1984-04-01

    The information-seeking patterns of clients have received little attention in nursing theory and research, but they are important antecedents of health-related decisions and behavior. The concept of information seeking is analyzed within the framework of a six-step process model. Inter-related dimensions of the information search process are identified and the impact on cognitive and behavioral outcomes is postulated. Sociodemographic, experiential, personality, and contextual variables suggested by prior research to predict variation in search behavior are identified, and implications for nursing theory and research are discussed.

  8. Cognitive behavioural therapy and client-centred counselling.

    PubMed

    Collins, Findlay; Deady, David

    This article reviews the potential for combining cognitive behavioural therapy (CBT) and client-centred counselling (CCC) in nurse education and practice. Currently, CBT and CCC are practiced independently of one another within mental health care. This project attempted to bring together the unique qualities of each intervention while encouraging a synergistic approach. This was undertaken by developing and delivering a three-day pilot study workshop. The experiential workshops were evaluated using two sets of structured questionnaires and six semi-structured interviews with randomly selected participants. A follow-up questionnaire was used to review the combined approach in practice.

  9. Psychoanalytic psychotherapy with a client with bulimia nervosa.

    PubMed

    Lunn, Susanne; Daniel, Sarah I F; Poulsen, Stig

    2016-06-01

    This case study presents the progress of one patient with bulimia nervosa who was originally very compromised in psychological domains that are the focus of analytic treatment, and includes in-session therapeutic process and a range of outcomes, for example, eating disorder symptoms, attachment status, and reflective functioning. Nested in a study showing more rapid behavioral improvement in subjects receiving cognitive behavior therapy than in subjects receiving psychoanalytic psychotherapy, the case highlights the importance of supplementing RCTs with single case studies and the need of adapting the therapeutic approach as well as the current therapeutic dialogue to the individual client. (PsycINFO Database Record PMID:27267505

  10. Developing inclusive design expertise within a client/consultancy relationship.

    PubMed

    Warburton, Nina; Desbarats, Gus; Hosking, Ian

    2015-01-01

    TheAlloy have been working together with British Telecom (BT), as their product design consultants, for over ten years. During that time BT have undergone a key transformation which has had a profound impact on their design focus. This transformation has seen BT actively embrace inclusive design as a core driver for their business objectives. As part of that journey, TheAlloy have in turn developed core competencies which have not only supported BT's transition, but impacted the consultancy's ability to offer these services to other clients. This paper reflects on the development of that relationship and those competencies through a series of project case studies. PMID:23726278

  11. Client-directed interventions to increase community demand for breast, cervical, and colorectal cancer screening a systematic review.

    PubMed

    Baron, Roy C; Rimer, Barbara K; Breslow, Rosalind A; Coates, Ralph J; Kerner, Jon; Melillo, Stephanie; Habarta, Nancy; Kalra, Geetika P; Chattopadhyay, Sajal; Wilson, Katherine M; Lee, Nancy C; Mullen, Patricia Dolan; Coughlin, Steven S; Briss, Peter A

    2008-07-01

    Most major medical organizations recommend routine screening for breast, cervical, and colorectal cancers. Screening can lead to early detection of these cancers, resulting in reduced mortality. Yet not all people who should be screened are screened, either regularly or, in some cases, ever. This report presents the results of systematic reviews of effectiveness, applicability, economic efficiency, barriers to implementation, and other harms or benefits of interventions designed to increase screening for breast, cervical, and colorectal cancers by increasing community demand for these services. Evidence from these reviews indicates that screening for breast cancer (mammography) and cervical cancer (Pap test) has been effectively increased by use of client reminders, small media, and one-on-one education. Screening for colorectal cancer by fecal occult blood test has been increased effectively by use of client reminders and small media. Additional research is needed to determine whether client incentives, group education, and mass media are effective in increasing use of any of the three screening tests; whether one-on-one education increases screening for colorectal cancer; and whether any demand-enhancing interventions are effective in increasing the use of other colorectal cancer screening procedures (i.e., flexible sigmoidoscopy, colonoscopy, double contrast barium enema). Specific areas for further research are also suggested in this report. PMID:18541187

  12. Client-server, distributed database strategies in a health-care record system for a homeless population.

    PubMed Central

    Chueh, H C; Barnett, G O

    1994-01-01

    OBJECTIVE: To design and develop a computer-based health-care record system to address the needs of the patients and providers of a homeless population. DESIGN: A computer-based health-care record system being developed for Boston's Healthcare for the Homeless Program (BHCHP) uses client-server technology and distributed database strategies to provide a common medical record for this transient population. The differing information requirements of physicians, nurses, and social workers are specifically addressed in the graphic application interface to facilitate an integrated approach to health care. This computer-based record system is designed for remote and portable use to integrate smoothly into the daily practice of providers of care to the homeless. The system uses remote networking technology and regular phone lines to support multiple concurrent users at remote sites of care. RESULTS: A stand-alone, pilot system is in operation at the BHCHP medical respite unit. Information on 129 patient encounters from 37 unique sites has been entered. A full client-server system has been designed. Benchmarks show that while the relative performance of a communication link based upon a phone line is 0.07 to 0.15 that of a local area network, optimization permits adequate response. CONCLUSION: Medical records access in a transient population poses special problems. Use of client-server and distributed database strategies can provide a technical foundation that provides a secure, reliable, and accessible computer-based medical record in this environment. PMID:7719799

  13. Interaction effects of treatment setting and client characteristics on retention and completion.

    PubMed

    Klein, Chris; di Menza, Salvatore; Arfken, Cynthia; Schuster, Charles R

    2002-01-01

    Client-treatment matching assumes treatment outcome will be improved if characteristics of clients are matched to specific elements of treatment. Few empirical studies, however, have examined matching across different types of treatment settings. The present research examined differences in demographics and substance-related problems in populations admitted to three substance abuse treatment settings--outpatient (n = 1132), intensive outpatient (n = 1190), and residential (n = 149)--and tested whether interactions between client characteristics and type of setting predicted rates of 30-day retention and treatment completion. In addition, three specific hypotheses based on prior theoretical and empirical investigations were tested. Client characteristics included demographic information (e.g., sex, age, race) and Addiction Severity Index (ASI) composite scores. Client-setting interactions were found for both retention and completion. All three hypotheses received at least partial support. Implications for client assignment and future research are discussed.

  14. From discharge planner to "concierge": recommendations for hospital social work by clients with intracerebral hemorrhage.

    PubMed

    Linton, Kristen F; Ing, Marissa M; Vento, Megan A; Nakagawa, Kazuma

    2015-01-01

    The Affordable Care Act and budget cuts have changed the role of hospital social workers by placing pressure on them to conduct speedy discharges and decrease readmission rates. This qualitative study aimed to assess if hospital social work is meeting the needs of clients in the hospital and postdischarge. Semistructured interviews with 10 clients with intracerebral hemorrhage (ICH) and 11 caregivers were conducted. Participants reported that social work services were not meeting their needs. Clients with ICH and their caregivers expressed needs from social workers that surpassed their roles as discharge planners, including counseling, help with finances and insurance, and advocacy. Participants wanted social work services to begin early in acute treatment with continuity postdischarge. Social workers should conduct ethical social work by meeting clients where they are, addressing needs as prioritized by the client, and advocating individually and organizationally for clients.

  15. Clients' experiences of a community based lifestyle modification program: a qualitative study.

    PubMed

    Chan, Ruth S M; Lok, Kris Y W; Sea, Mandy M M; Woo, Jean

    2009-10-01

    There is little information about how clients attending lifestyle modification programs view the outcomes. This qualitative study examined the clients' experience of a community based lifestyle modification program in Hong Kong. Semi-structured interviews were conducted with 25 clients attending the program. Clients perceived the program had positive impacts on their health and nutrition knowledge. They experienced frustration, negative emotion, lack of motivation, and pressure from others during the program. Working environment and lack of healthy food choices in restaurants were the major perceived environmental barriers for lifestyle modification. Clients valued nutritionists' capability of providing professional information and psychological support in the program. Our results suggest that nutritionist's capability of providing quality consultations and patient-centered care are important for empowering clients achieve lifestyle modification. PMID:20054457

  16. Might within the madness: solution-focused therapy and thought-disordered clients.

    PubMed

    Hagen, B F; Mitchell, D L

    2001-04-01

    Nurses working with thought-disordered clients in inpatient psychiatric settings may find that much of their role is defined by the administration and monitoring of antipsychotic medications. Therefore, a challenge for these nurses can be to find other nursing interventions for these clients that are effective, efficient, and clearly and uniquely within the scope of nursing. In response to this challenge, this article presents the use of solution-focused therapy (SFT) to help thought-disordered clients better cope with some of their negative experiences and symptomatology. The article provides an overview of SFT, with a focus on how these techniques might be used on an inpatient psychiatry setting with clients experiencing thought disorders. The authors include three case studies demonstrating the use of SFT with clients experiencing thought disorders, and conclude with some of the lessons they have learned using SFT techniques with these kinds of clients in inpatient psychiatric settings.

  17. Identifying Fallers among Home Care Clients with Dementia and Parkinson’s Disease*

    PubMed Central

    Bansal, Symron; Hirdes, John P.; Maxwell, Colleen J.; Papaioannou, Alexandra; Giangregorio, Lora M.

    2016-01-01

    Few studies have focused on falls among home care (HC) clients with neurological conditions. This study identified factors that increase risk of falling among HC clients with no recent history of falls, and explored whether risk profiles varied among those with dementia or parkinsonism compared to those without selected neurological conditions. A retrospective cohort design was used and analysis of data from community-based HC clients across Ontario was conducted on a sample of ambulatory clients with dementia, parkinsonism, or none of the selected neurological conditions. Data were obtained from the Resident Assessment Instrument for HC (RAI-HC) assessment. The outcome used in multivariable analyses was whether clients fell during follow-up. Unsteady gait was a strong predictor of falls across all three groups. Co-morbid parkinsonism most strongly predicted falls in the dementia group. Clients with borderline intact to mild cognitive impairment had higher odds of falling within the parkinsonism and comparison groups. PMID:27426223

  18. Medicaid care management: Description of high-cost addictions treatment clients

    PubMed Central

    Neighbors, Charles J.; Sun, Yi; Yerneni, Rajeev; Tesiny, Ed; Burke, Constance; Bardsley, Leland; McDonald, Rebecca; Morgenstern, Jon

    2013-01-01

    High utilizers of alcohol and other drug treatment (AODTx) services are a priority for healthcare cost control. We examine characteristics of Medicaid-funded AODTx clients, comparing three groups: individuals < 90th percentile of AODTx expenditures (n = 41,054); high-cost clients in the top decile of AODTx expenditures (HC; n = 5,718); and 1760 enrollees in a chronic care management (CM) program for HC clients implemented in 22 counties in New York State. Medicaid and state AODTx registry databases were combined to draw demographic, clinical, social needs and treatment history data. HC clients accounted for 49% of AODTx costs funded by Medicaid. As expected, HC clients had significant social welfare needs, comorbid medical and psychiatric conditions, and use of inpatient services. The CM program was successful in enrolling some high-needs, high-cost clients but faced barriers to reaching the most costly and disengaged individuals. PMID:23579079

  19. Identifying Fallers among Home Care Clients with Dementia and Parkinson's Disease.

    PubMed

    Bansal, Symron; Hirdes, John P; Maxwell, Colleen J; Papaioannou, Alexandra; Giangregorio, Lora M

    2016-09-01

    Few studies have focused on falls among home care (HC) clients with neurological conditions. This study identified factors that increase risk of falling among HC clients with no recent history of falls, and explored whether risk profiles varied among those with dementia or parkinsonism compared to those without selected neurological conditions. A retrospective cohort design was used and analysis of data from community-based HC clients across Ontario was conducted on a sample of ambulatory clients with dementia, parkinsonism, or none of the selected neurological conditions. Data were obtained from the Resident Assessment Instrument for HC (RAI-HC) assessment. The outcome used in multivariable analyses was whether clients fell during follow-up. Unsteady gait was a strong predictor of falls across all three groups. Co-morbid parkinsonism most strongly predicted falls in the dementia group. Clients with borderline intact to mild cognitive impairment had higher odds of falling within the parkinsonism and comparison groups. PMID:27426223

  20. Design and optimisation of a (FA)Q-learning-based HTTP adaptive streaming client

    NASA Astrophysics Data System (ADS)

    Claeys, Maxim; Latré, Steven; Famaey, Jeroen; Wu, Tingyao; Van Leekwijck, Werner; De Turck, Filip

    2014-01-01

    In recent years, HTTP (Hypertext Transfer Protocol) adaptive streaming (HAS) has become the de facto standard for adaptive video streaming services. A HAS video consists of multiple segments, encoded at multiple quality levels. State-of-the-art HAS clients employ deterministic heuristics to dynamically adapt the requested quality level based on the perceived network conditions. Current HAS client heuristics are, however, hardwired to fit specific network configurations, making them less flexible to fit a vast range of settings. In this article, a (frequency adjusted) Q-learning HAS client is proposed. In contrast to existing heuristics, the proposed HAS client dynamically learns the optimal behaviour corresponding to the current network environment in order to optimise the quality of experience. Furthermore, the client has been optimised both in terms of global performance and convergence speed. Thorough evaluations show that the proposed client can outperform deterministic algorithms by 11-18% in terms of mean opinion score in a wide range of network configurations.

  1. Nursing students' perceptions of clients undergoing elective cosmetic surgery.

    PubMed

    Cooper, Leah Beth

    2007-01-01

    Aesthetic obsession is commonplace in current society. Supermarket a isles dedicated to beauty products, makeup, and anti-aging creams seem to expand daily. Television and publications flood the public with messages of what constitutes beauty and how to achieve the ideal. Surgical alteration of the body is swiftly becoming a form of self-care technique along with other heath-promoting behavior. Since 2003, the general acceptance of plastic surgery among all Americans surpassed 50% (American Society for Aesthetic Plastic Surgery, 2003). Elective cosmetic surgical procedures have increased by an astounding 444% since 1997 (American Society of Plastic Surgeons, 2006). This quest for body satisfaction based on modern cultural norms increases the public's need for accurate information and understanding from those in the healthcare profession. Despite a transformation in the general population's conception of cosmetic surgery and its clients, stigma still lies in many individuals, including those in the healthcare profession. As this progressively growing patient population emerges, many in healthcare question their attitudes toward plastic surgery and the patients receiving aesthetic operations. With clients undergoing plastic surgery becoming increasingly visible within the healthcare system, some unique aspects of patient care must be addressed. PMID:17901826

  2. Working alliance, real relationship, session quality, and client improvement in psychodynamic psychotherapy: A longitudinal actor partner interdependence model.

    PubMed

    Kivlighan, Dennis M; Hill, Clara E; Gelso, Charles J; Baumann, Ellen

    2016-03-01

    We used the Actor Partner Interdependence Model (APIM; Kashy & Kenny, 2000) to examine the dyadic associations of 74 clients and 23 therapists in their evaluations of working alliance, real relationship, session quality, and client improvement over time in ongoing psychodynamic or interpersonal psychotherapy. There were significant actor effects for both therapists and clients, with the participant's own ratings of working alliance and real relationship independently predicting their own evaluations of session quality. There were significant client partner effects, with clients' working alliance and real relationship independently predicting their therapists' evaluations of session quality. The client partner real relationship effect was stronger in later sessions than in earlier sessions. Therapists' real relationship ratings (partner effect) were a stronger predictor of clients' session quality ratings in later sessions than in earlier sessions. Therapists' working alliance ratings (partner effect) were a stronger predictor of clients' session quality ratings when clients made greater improvement than when clients made lesser improvement. For clients' session outcome ratings, there were complex three-way interactions, such that both Client real relationship and working alliance interacted with client improvement and time in treatment to predict clients' session quality. These findings strongly suggest both individual and partner effects when clients and therapists evaluate psychotherapy process and outcome. Implications for research and practice are discussed.

  3. Visualization of roaming client/server connection patterns during a wirelessly enabled disaster response drill.

    PubMed

    Calvitti, Alan; Lenert, Leslie A; Brown, Steven W

    2006-01-01

    Assessment of how well a multiple client server system is functioning is a difficult task. In this poster we present visualization tools for such assessments. Arranged on a timeline, UDP client connection events are point-like. TCP client events are structured into intervals. Informative patterns and correlations are revealed by both sets. For the latter, comparison of two visualization schemes on the same timeline yields additional insights.

  4. Final Report for ''Client Server Software for the National Transport Code Collaboration''

    SciTech Connect

    John R Cary; David Alexander; Johan Carlsson; Kelly Luetkemeyer; Nathaniel Sizemore

    2004-04-30

    OAK-B135 Tech-X Corporation designed and developed all the networking code tying together the NTCC data server with the data client and the physics server with the data server and physics client. We were also solely responsible for the data and physics clients and the vast majority of the work on the data server. We also performed a number of other tasks.

  5. Psychotherapists' experience with clients who engage in consensual sadomasochism: a qualitative study.

    PubMed

    Lawrence, Anne A; Love-Crowell, Jennifer

    2008-01-01

    Consensual sadomasochism (Bondage and Discipline, Dominance and Submission, Sadism and Masochism; BDSM) is relatively common, but the experience of psychotherapists who work with clients who engage in BDSM has received little study. We conducted semistructured interviews with 14 therapists experienced in working with BDSM clients. Interviews were recorded, transcribed, and analyzed for thematic content. Therapists emphasized the importance of cultural competence, including a nonjudgmental attitude and knowledge of BDSM practices and cultural values. BDSM was rarely a central issue in therapy, relationship issues were clients' most common presenting concerns. Therapists who practiced BDSM themselves often encountered boundary issues with clients. PMID:18396730

  6. Cleaner shrimp use a rocking dance to advertise cleaning service to clients.

    PubMed

    Becker, Justine H A; Curtis, Lynda M; Grutter, Alexandra S

    2005-04-26

    Signals transmit information to receivers about sender attributes, increase the fitness of both parties, and are selected for in cooperative interactions between species to reduce conflict [1, 2]. Marine cleaning interactions are known for stereotyped behaviors [3-6] that likely serve as signals. For example, "dancing" and "tactile dancing" in cleaner fish may serve to advertise cleaning services to client fish [7] and manipulate client behavior [8], respectively. Cleaner shrimp clean fish [9], yet are cryptic in comparison to cleaner fish. Signals, therefore, are likely essential for cleaner shrimp to attract clients. Here, we show that the yellow-beaked cleaner shrimp [10] Urocaridella sp. c [11] uses a stereotypical side-to-side movement, or "rocking dance," while approaching potential client fish in the water column. This dance was followed by a cleaning interaction with the client 100% of the time. Hungry cleaner shrimp, which are more willing to clean than satiated ones [12], spent more time rocking and in closer proximity to clients Cephalopholis cyanostigma than satiated ones, and when given a choice, clients preferred hungry, rocking shrimp. The rocking dance therefore influenced client behavior and, thus, appears to function as a signal to advertise the presence of cleaner shrimp to potential clients. PMID:15854910

  7. Sexual orientation microaggressions: the experience of lesbian, gay, bisexual, and queer clients in psychotherapy.

    PubMed

    Shelton, Kimber; Delgado-Romero, Edward A

    2011-04-01

    Psychological research has shown the detrimental effects that overt heterosexism have on lesbian, gay, bisexual, and queer (LGBQ) clients and on the psychotherapeutic relationship. However, the effects of subtle forms of discrimination, specifically sexual orientation microaggressions, have on LGBQ clients and the therapeutic relationship have not been addressed. This study used qualitative methodology to explore the phenomenon of sexual orientation microaggressions with 16 self-identified LGBQ psychotherapy clients. Results of this study support the existence of sexual orientation microaggressions within the therapeutic environment and provide a descriptive account of 7 sexual orientation microaggression themes, channels of microaggression communication, and the impact microaggressions have on therapy and clients.

  8. Healing Relationships: A Qualitative Study of Healers and Their Clients in Germany

    PubMed Central

    Stöckigt, B. M. H.; Besch, F.; Jeserich, F.; Holmberg, C.; Witt, C. M.; Teut, M.

    2015-01-01

    Background. The aim of this study was to investigate the nature of the relationships between healers and their clients in Germany. Methods. An interdisciplinary research team performed semistructured interviews with healers and clients and participatory observation of healing sessions. All interviews were digitally recorded, transcribed, and analyzed using content analysis. Results. Fifteen healers and sixteen clients were included. The healer-client relationship was described as a profound and unique experience, which brought forth interpersonal and spiritual connections. The healers were seen as role models for healing to occur and support for being connected spiritually. The clients had to be open-minded and responsible. The importance of the healers' empathy was emphasized. Discussion. The relationship between healer and client can be seen as a triangular connection between client, healer, and a transcendent source which is not the case in typical patient-doctor relationships. The spiritual connection is also said to enhance the empathetic understanding of the healer. The personality and a partner-like attitude of the healer supported the client in giving a more positive meaning to his life, in reconnecting to his spirituality, and in taking responsibility. Future studies should address the role of spirituality in health care and the development of enduring healer-client relationships. PMID:26136806

  9. Client Preferences Affect Treatment Satisfaction, Completion, and Clinical Outcome: A Meta-Analysis

    PubMed Central

    Lindhiem, Oliver; Bennett, Charles B.; Trentacosta, Christopher J.; McLear, Caitlin

    2014-01-01

    We conducted a meta-analysis on the effects of client preferences on treatment satisfaction, completion, and clinical outcome. Our search of the literature resulted in 34 empirical articles describing 32 unique clinical trials that either randomized some clients to an active choice condition (shared decision making condition or choice of treatment) or assessed client preferences. Clients who were involved in shared decision making, chose a treatment condition, or otherwise received their preferred treatment evidenced higher treatment satisfaction (ESd = .34; p < .001), increased completion rates (ESOR = 1.37; ESd = .17; p < .001), and superior clinical outcome (ESd = .15; p < .0001), compared to clients who were not involved in shared decision making, did not choose a treatment condition, or otherwise did not receive their preferred treatment. Although the effect sizes are modest in magnitude, they were generally consistent across several potential moderating variables including study design (preference versus active choice), psychoeducation (informed versus uninformed), setting (inpatient versus outpatient), client diagnosis (mental health versus other), and unit of randomization (client versus provider). Our findings highlight the clinical benefit of assessing client preferences, providing treatment choices when two or more efficacious options are available, and involving clients in treatment-related decisions when treatment options are not available. PMID:25189522

  10. Healing Relationships: A Qualitative Study of Healers and Their Clients in Germany.

    PubMed

    Stöckigt, B M H; Besch, F; Jeserich, F; Holmberg, C; Witt, C M; Teut, M

    2015-01-01

    Background. The aim of this study was to investigate the nature of the relationships between healers and their clients in Germany. Methods. An interdisciplinary research team performed semistructured interviews with healers and clients and participatory observation of healing sessions. All interviews were digitally recorded, transcribed, and analyzed using content analysis. Results. Fifteen healers and sixteen clients were included. The healer-client relationship was described as a profound and unique experience, which brought forth interpersonal and spiritual connections. The healers were seen as role models for healing to occur and support for being connected spiritually. The clients had to be open-minded and responsible. The importance of the healers' empathy was emphasized. Discussion. The relationship between healer and client can be seen as a triangular connection between client, healer, and a transcendent source which is not the case in typical patient-doctor relationships. The spiritual connection is also said to enhance the empathetic understanding of the healer. The personality and a partner-like attitude of the healer supported the client in giving a more positive meaning to his life, in reconnecting to his spirituality, and in taking responsibility. Future studies should address the role of spirituality in health care and the development of enduring healer-client relationships. PMID:26136806

  11. A global standardization trend for high-speed client and line side transceivers

    NASA Astrophysics Data System (ADS)

    Isono, Hideki

    2015-03-01

    Seeing the recent vast data increase in information industry, IT society will move into the new era of Zettabyte in a few years. Under these circumstances, high-speed and high-capacity optical communication systems have been deployed in the industry. Especially high speed optical transceivers are key devices to realize high-speed systems, and the practical development is accelerated. In order to develop these leading edge products timely, the global standard criteria are strongly required in the industry. Based on these backgrounds, the forum standardization bodies such as OIF PLLWG/ IEEE802.3 are energetically creating the de-fact standards. With regard to 100G/400G standardization activities, IEEE802.3 leads the client side, and OIF PLL-WG leads the line side, and both of them play important roles in the industry. In the previous Photonics West conferences, the activities of these standardization bodies till 2013 were reported. In 2014, the discussions of 400G client side transceiver projects have made some progress in IEEE802.3, whose baseline technologies are about to be fixed. Also 100G transceiver projects for metro applications in the line side, whose target profile is CFP2 form factor, have been discussed in OIF PLL-WG. In this paper, these high-end standardization topics are introduced and the future products direction is also discussed from the technical point of view. In order to realize these small form factor and cost effective transceivers, the device integration technologies, the low power device/electrical circuit technologies, and the development of high speed electrical interface such as 25G/50G are key factors.

  12. Verifying the secure setup of Unix client/servers and detection of network intrusion

    SciTech Connect

    Feingold, R.; Bruestle, H.R.; Bartoletti, T.; Saroyan, A.; Fisher, J.

    1995-07-01

    This paper describes our technical approach to developing and delivering Unix host- and network-based security products to meet the increasing challenges in information security. Today`s global ``Infosphere`` presents us with a networked environment that knows no geographical, national, or temporal boundaries, and no ownership, laws, or identity cards. This seamless aggregation of computers, networks, databases, applications, and the like store, transmit, and process information. This information is now recognized as an asset to governments, corporations, and individuals alike. This information must be protected from misuse. The Security Profile Inspector (SPI) performs static analyses of Unix-based clients and servers to check on their security configuration. SPI`s broad range of security tests and flexible usage options support the needs of novice and expert system administrators alike. SPI`s use within the Department of Energy and Department of Defense has resulted in more secure systems, less vulnerable to hostile intentions. Host-based information protection techniques and tools must also be supported by network-based capabilities. Our experience shows that a weak link in a network of clients and servers presents itself sooner or later, and can be more readily identified by dynamic intrusion detection techniques and tools. The Network Intrusion Detector (NID) is one such tool. NID is designed to monitor and analyze activity on an Ethernet broadcast Local Area Network segment and produce transcripts of suspicious user connections. NID`s retrospective and real-time modes have proven invaluable to security officers faced with ongoing attacks to their systems and networks.

  13. Development of two measures of client engagement for use in home aged care.

    PubMed

    Baker, Jess Rose; Harrison, Fleur; Low, Lee-Fay

    2016-05-01

    The aim of the study was to develop and validate measures of client engagement in aged homecare. The Homecare Measure of Engagement-Staff questionnaire (HoME-S) is a self-complete measure of six dimensions of client engagement: client acceptance, attention, attitude, appropriateness, engagement duration and passivity. The Homecare Measure of Engagement-Client/Family report (HoME-CF) is a researcher-rated interview which obtains client and/or family perspectives regarding frequency and valence of conversational and recreational engagement during care worker visits. Care workers (n = 84) completed the HoME-S and a measure of relationship bond with client. Researchers interviewed clients (n = 164) and/or their family (n = 117) and completed the HoME-CF, and measures of agitation, dysphoria, apathy and cognitive functioning. The HoME-S and HoME-CF demonstrated good test-retest and inter-rater reliability, and showed significant negative correlations with apathy, agitation and non-English-speaking background. Controlling for client and care service characteristics, a stronger care worker-client relationship bond and English-speaking background were independently associated with higher HoME-S scores, and apathy was independently associated with higher HoME-CF scores. In conclusion, the HoME-S and HoME-CF are psychometrically sound engagement measures for use in homecare. Clients who are apathetic or from non-English-speaking backgrounds may be less responsive to traditional care worker engagement strategies. Engagement may be augmented in clients who have stronger relationships with their care workers.

  14. Temporal variation in facilitator and client behavior during group motivational interviewing sessions

    PubMed Central

    Houck, Jon M.; Hunter, Sarah B.; Benson, Jennifer G.; Cochrum, Linda L.; Rowell, Lauren N.; D’Amico, Elizabeth J.

    2015-01-01

    There is considerable evidence for Motivational interviewing (MI) in changing problematic behaviors. Research on the causal chain for MI suggests influence of facilitator speech on client speech. This association has been examined using macro (session-level) and micro (utterance-level) measures; however, effects across sessions have largely been unexplored, particularly with groups. We evaluated a sample of 129 adolescent group MI sessions, using a behavioral coding system and timing information to generate information on facilitator and client speech (CT: change talk) within 5 successive segments (quintiles) of each group session. We hypothesized that facilitator speech (open-ended questions and reflections of CT) would be related to subsequent CT. Repeated measures analysis indicated significant quadratic and cubic trends for facilitator and client speech across quintiles. Across quintiles, cross-lagged panel analysis using a zero-inflated negative binomial model showed minimal evidence of facilitator speech on client CT, but did indicate several effects of client CT on facilitator speech, and of client CT on subsequent client CT. Results suggest that session-level effects of facilitator speech on client speech do not arise from long-duration effects of facilitator speech; instead, we detected effects of facilitator speech on client speech only at the beginning and end of sessions, when open questions respectively suppressed and enhanced client expressions of CT. Findings suggest that clinicians must remain vigilant to client CT throughout the group session, reinforcing it when it arises spontaneously and selectively employing open-ended questions to elicit it when it does not, particularly towards the end of the session. PMID:26415055

  15. [Academic procrastination in clients of a psychotherapeutic student counselling center].

    PubMed

    Jamrozinski, Katja; Kuda, Manfred; Mangholz, Astrid

    2009-01-01

    The start of university education is the beginning of a new phase of life for young adults, which requires significant psychosocial adjustments. Sociobiographical data, clinical symptoms, characteristics of education, work attitude, and career perspectives were gathered from 152 clients by a psychotherapeutic student counselling center to evaluate characteristics of students with and without academic procrastination. The procrastination group comprised heightened numbers of students who had changed universities, and people with suboptimal career prospects and career targets. These subjects were more often male and showed increased incidences of drug- and alcohol problems, as well as a lack of planning of the future. Furthermore, they had larger amounts of their study self-financed. On the basis of these results, concrete recommendations for preventive measures to improve on-time completion of study, and to prevent student drop-out are presented.

  16. A profile of the adolescent male family planning client.

    PubMed

    Brindis, C; Boggess, J; Katsuranis, F; Mantell, M; McCarter, V; Wolfe, A

    1998-01-01

    Findings are reported from 1780 young male clients of the California Office of Family Planning's Expanded Teen Counseling Program's (ETCP) family planning clinics during 1992-94 on their sexual behavior, contraceptive use, pregnancy and parenting history, and psychosocial characteristics. 37% were Hispanic, 30% White, 18% Black, 12% Asian, and 6% members of other racial or ethnic groups. 14% were aged 14 years or younger, 50% were aged 15-17, and 36% were aged 18-19. 9% reported having Medicaid insurance and 3% received Aid to Families with Dependent Children. 31% of the young men reported going to the clinic in search of a birth control method, 27% to determine whether they were infected with an STD, 26% for a physical exam, 22% because their partner or girlfriend wanted them to, and 15% for information or someone to talk to. 88% reported recent episodes or symptoms of depression and 23% were having problems in school. 86% were currently sexually active, with 48% of those sexually active being age 14 or younger when they had their first sexual encounter. 73% reported using a condom at first sexual intercourse, while 12% had never used a contraceptive method. 50% reported using a condom the last time they had sexual intercourse, 71% of condom users reported being comfortable with the method, 21% had impregnated a partner and 8% were parents, and 25% reported having 4 or more sex partners during the past 6 months. 9% reported ever having an STD, 31% reported being always or sometimes high on alcohol or drugs during sex, and 6% reported having been forced or tricked into having sex. The odds were reduced that a client had used an effective method at last intercourse if he was uncomfortable with that method. The likelihood of contraceptive use at last intercourse was increased among males who agreed with their partner about their method and those who had never impregnated a partner.

  17. Positive reinforcement to promote safer sex among clients.

    PubMed

    Raman, S

    1992-01-01

    The AIDS Research Foundation of India (ARFI) began an intervention program with sex workers in Madras where the women reported that they were willing to use condoms, whereas the customers were not. Accordingly, ARFI is focusing on clients using a positive reinforcement approach: repetition of the desirability of condom use by communication. First, truck drivers and dock workers have been targeted. Drivers interviewed by ARFI were familiar with the condom as a contraceptive method rather than a disease-preventing method, and used it with their wives. The ARFI program has convinced tobacco shopkeepers to stock condoms for drivers. Truckers receive key chains with a holder for a condom. At transit site tea shops songs are aired about road and roadside safety sponsored by a tire manufacturer with a message about rubber (tires and condoms). Women selling sex at transit sites are also educated about the human immunodeficiency virus (HIV) infection and sexually transmitted diseases (STDs) while attempting to increase their level of hygiene. The typical Friday night sex-seeking behavior among dock workers consists of drinking in a wine shop and soliciting sex workers. Port management and unions have also been recruited for promoting AIDS-related education after participating in health education sessions with flip charts and flash cards. Rest rooms display posters on condom use, some men have been recruited as condom holders for distribution on Friday nights, and barber shops also feature posters with messages about safer sex. AIDS/STD prevention programs have to deal with prevailing practices, values, and beliefs. Results indicate increased condom use among clients as shown by increased sales at transit site tobacco shops and shops around the port. In the future the program will pay more attention to improving the negotiation skills of sex workers.

  18. The Architecture of an Automatic eHealth Platform With Mobile Client for Cerebrovascular Disease Detection

    PubMed Central

    Wang, Xingce; Bie, Rongfang; Wu, Zhongke; Zhou, Mingquan; Cao, Rongfei; Xie, Lizhi; Zhang, Dong

    2013-01-01

    Background In recent years, cerebrovascular disease has been the leading cause of death and adult disability in the world. This study describes an efficient approach to detect cerebrovascular disease. Objective In order to improve cerebrovascular treatment, prevention, and care, an automatic cerebrovascular disease detection eHealth platform is designed and studied. Methods We designed an automatic eHealth platform for cerebrovascular disease detection with a four-level architecture: object control layer, data transmission layer, service supporting layer, and application service layer. The platform has eight main functions: cerebrovascular database management, preprocessing of cerebral image data, image viewing and adjustment model, image cropping compression and measurement, cerebrovascular segmentation, 3-dimensional cerebrovascular reconstruction, cerebrovascular rendering, cerebrovascular virtual endoscope, and automatic detection. Several key technologies were employed for the implementation of the platform. The anisotropic diffusion model was used to reduce the noise. Statistics segmentation with Gaussian-Markov random field model (G-MRF) and Stochastic Estimation Maximization (SEM) parameter estimation method were used to realize the cerebrovascular segmentation. Ball B-Spline curve was proposed to model the cerebral blood vessels. Compute unified device architecture (CUDA) based on ray-casting volume rendering presented by curvature enhancement and boundary enhancement were used to realize the volume rendering model. We implemented the platform with a network client and mobile phone client to fit different users. Results The implemented platform is running on a common personal computer. Experiments on 32 patients’ brain computed tomography data or brain magnetic resonance imaging data stored in the system verified the feasibility and validity of each model we proposed. The platform is partly used in the cranial nerve surgery of the First Hospital

  19. The new ALICE DQM client: a web access to ROOT-based objects

    NASA Astrophysics Data System (ADS)

    von Haller, B.; Carena, F.; Carena, W.; Chapeland, S.; Chibante Barroso, V.; Costa, F.; Delort, C.; Dénes, E.; Diviá, R.; Fuchs, U.; Niedziela, J.; Simonetti, G.; Soós, C.; Telesca, A.; Vande Vyvre, P.; Wegrzynek, A.

    2015-12-01

    A Large Ion Collider Experiment (ALICE) is the heavy-ion detector designed to study the physics of strongly interacting matter and the quark-gluon plasma at the CERN Large Hadron Collider (LHC). The online Data Quality Monitoring (DQM) plays an essential role in the experiment operation by providing shifters with immediate feedback on the data being recorded in order to quickly identify and overcome problems. An immediate access to the DQM results is needed not only by shifters in the control room but also by detector experts worldwide. As a consequence, a new web application has been developed to dynamically display and manipulate the ROOT-based objects produced by the DQM system in a flexible and user friendly interface. The architecture and design of the tool, its main features and the technologies that were used, both on the server and the client side, are described. In particular, we detail how we took advantage of the most recent ROOT JavaScript I/O and web server library to give interactive access to ROOT objects stored in a database. We describe as well the use of modern web techniques and packages such as AJAX, DHTMLX and jQuery, which has been instrumental in the successful implementation of a reactive and efficient application. We finally present the resulting application and how code quality was ensured. We conclude with a roadmap for future technical and functional developments.

  20. Uses of phage display in agriculture: sequence analysis and comparative modeling of late embryogenesis abundant client proteins suggest protein-nucleic acid binding functionality.

    PubMed

    Kushwaha, Rekha; Downie, A Bruce; Payne, Christina M

    2013-01-01

    A group of intrinsically disordered, hydrophilic proteins-Late Embryogenesis Abundant (LEA) proteins-has been linked to survival in plants and animals in periods of stress, putatively through safeguarding enzymatic function and prevention of aggregation in times of dehydration/heat. Yet despite decades of effort, the molecular-level mechanisms defining this protective function remain unknown. A recent effort to understand LEA functionality began with the unique application of phage display, wherein phage display and biopanning over recombinant Seed Maturation Protein homologs from Arabidopsis thaliana and Glycine max were used to retrieve client proteins at two different temperatures, with one intended to represent heat stress. From this previous study, we identified 21 client proteins for which clones were recovered, sometimes repeatedly. Here, we use sequence analysis and homology modeling of the client proteins to ascertain common sequence and structural properties that may contribute to binding affinity with the protective LEA protein. Our methods uncover what appears to be a predilection for protein-nucleic acid interactions among LEA client proteins, which is suggestive of subcellular residence. The results from this initial computational study will guide future efforts to uncover the protein protective mechanisms during heat stress, potentially leading to phage-display-directed evolution of synthetic LEA molecules.

  1. Coming out through Art: A Review of Art Therapy with LGBT Clients

    ERIC Educational Resources Information Center

    Pelton-Sweet, Laura M.; Sherry, Alissa

    2008-01-01

    This paper examines sexual identity development and the integration of art therapy in counseling with lesbian, gay, bisexual, and transgendered (LGBT) clients. Especially during the coming out process for LGBT clients, research has shown that levels of emotional and physical well-being decrease considerably. However, there is growing evidence in…

  2. The Use of Gestalt Interventions in the Treatment of the Resistant Alcohol-Dependent Client.

    ERIC Educational Resources Information Center

    Ramey, Luellen

    1998-01-01

    Reviews ethical and practical dilemmas associated with clients who have hidden alcohol dependencies, and proposes an approach rooted in Gestalt counseling theory which confronts these issues and is compatible with a current emerging alcohol-treatment model. Suggests specific activities for addressing client resistance to revealing a hidden alcohol…

  3. Exploratory Use of Crites's CMI-Attitude Scale with Rehabilitation Clients.

    ERIC Educational Resources Information Center

    Strohmer, Douglas C.

    1981-01-01

    Explored the use of Crites' Career Maturity Inventory (CMI) with rehabilitation clients in evaluation versus training groups. Results indicate the CMI may be useful in tapping variables important in the progress of rehabilita- tion clients. Suggests group placement, content, and reading level must be considered and further research is needed. (JAC)

  4. Sexual Orientation Microaggressions: The Experience of Lesbian, Gay, Bisexual, and Queer Clients in Psychotherapy

    ERIC Educational Resources Information Center

    Shelton, Kimber; Delgado-Romero, Edward A.

    2011-01-01

    Psychological research has shown the detrimental effects that overt heterosexism have on lesbian, gay, bisexual, and queer (LGBQ) clients and on the psychotherapeutic relationship. However, the effects of subtle forms of discrimination, specifically sexual orientation microaggressions, have on LGBQ clients and the therapeutic relationship have not…

  5. Reconciling Spiritual Values Conflicts for Counselors and Lesbian and Gay Clients

    ERIC Educational Resources Information Center

    Fallon, Kathleen M.; Dobmeier, Robert A.; Reiner, Summer M.; Casquarelli, Elaine J.; Giglia, Lauren A.; Goodwin, Eric

    2013-01-01

    Counselors and lesbian and gay clients experience parallel values conflicts between religious beliefs/spirituality and sexual orientation. This article uses critical thinking to assist counselors to integrate religious/spiritual beliefs with professional ethical codes. Clients are assisted to integrate religious/spiritual beliefs with sexual…

  6. Effects of Client Violence on Social Work Students: A National Study

    ERIC Educational Resources Information Center

    Criss, Pam

    2010-01-01

    This study uses a work stress theoretical framework to examine the effects of direct and indirect client violence on a randomly selected national sample of MSW and BSW social work students from the National Association of Social Workers (N=595). Client violence variables were analyzed in relationship to fear of future violence and occupational…

  7. Using Web-Based Peer Benchmarking to Manage the Client-Based Project

    ERIC Educational Resources Information Center

    Raska, David; Keller, Eileen Weisenbach; Shaw, Doris

    2013-01-01

    The complexities of integrating client-based projects into marketing courses provide challenges for the instructor but produce richness of context and active learning for the student. This paper explains the integration of Web-based peer benchmarking as a means of improving student performance on client-based projects within a single semester in…

  8. Teenage Parenthood among Child Welfare Clients: A Swedish National Cohort Study of Prevalence and Odds

    ERIC Educational Resources Information Center

    Vinnerljung, Bo; Franzen, Eva; Danielsson, Maria

    2007-01-01

    To assess prevalence and odds for teenage parenthood among former child welfare clients, we used national register data for all children born in Sweden 1972-1983 (n = 1,178,207), including 49,582 former child welfare clients with varying intervention experiences. Logistic regression models, adjusted for demographic, socio-economic and familial…

  9. 45 CFR 1609.5 - Acceptance of reimbursement from a client.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 45 Public Welfare 4 2011-10-01 2011-10-01 false Acceptance of reimbursement from a client. 1609.5 Section 1609.5 Public Welfare Regulations Relating to Public Welfare (Continued) LEGAL SERVICES CORPORATION FEE-GENERATING CASES § 1609.5 Acceptance of reimbursement from a client. (a) When a case...

  10. Personal Counselling at an Ontario Community College: Client Groups, Service Usage, and Retention

    ERIC Educational Resources Information Center

    Porter, Shirley

    2011-01-01

    This study focused on personal counselling clients in a community college in Ontario. Using archival records from the 2008-2009 academic year, at-risk client groups were identified and compared with respect to usage rates and retention. Significant differences were identified. Overall, first-year students who engaged in personal counselling had a…

  11. 77 FR 17367 - Permissible Sharing of Client Records by Customs Brokers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-26

    ... these entities may offer non-customs business services to the broker's clients. Although the proposed... to the broker so that these entities may offer non-customs business services to the broker's clients... SECURITY U.S. Customs and Border Protection 19 CFR Part 111 RIN 1651-AA80 Permissible Sharing of...

  12. 34 CFR 377.31 - What information must a grantee provide to eligible clients?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... clients? 377.31 Section 377.31 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION DEMONSTRATION PROJECTS TO INCREASE CLIENT CHOICE PROGRAM What Post-Award Conditions Must Be Met by a Grantee? §...

  13. 45 CFR 1609.5 - Acceptance of reimbursement from a client.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Acceptance of reimbursement from a client. 1609.5 Section 1609.5 Public Welfare Regulations Relating to Public Welfare (Continued) LEGAL SERVICES CORPORATION FEE-GENERATING CASES § 1609.5 Acceptance of reimbursement from a client. (a) When a case...

  14. 34 CFR 377.1 - What is the Demonstration Projects to Increase Client Choice Program?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 34 Education 2 2011-07-01 2010-07-01 true What is the Demonstration Projects to Increase Client... (Continued) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION DEMONSTRATION PROJECTS TO INCREASE CLIENT CHOICE PROGRAM General § 377.1 What is the Demonstration Projects to...

  15. 34 CFR 377.31 - What information must a grantee provide to eligible clients?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... clients? 377.31 Section 377.31 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION DEMONSTRATION PROJECTS TO INCREASE CLIENT CHOICE PROGRAM What Post-Award Conditions Must Be Met by a Grantee? §...

  16. 34 CFR 377.1 - What is the Demonstration Projects to Increase Client Choice Program?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 2 2010-07-01 2010-07-01 false What is the Demonstration Projects to Increase Client... (Continued) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION DEMONSTRATION PROJECTS TO INCREASE CLIENT CHOICE PROGRAM General § 377.1 What is the Demonstration Projects to...

  17. 5 CFR 3201.105 - Prohibition on dealings with former employers, associates, and clients.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... employers, associates, and clients. 3201.105 Section 3201.105 Administrative Personnel FEDERAL DEPOSIT INSURANCE CORPORATION SUPPLEMENTAL STANDARDS OF ETHICAL CONDUCT FOR EMPLOYEES OF THE FEDERAL DEPOSIT INSURANCE CORPORATION § 3201.105 Prohibition on dealings with former employers, associates, and clients....

  18. Risk-Coping through Sexual Networks: Evidence from Client Transfers in Kenya

    ERIC Educational Resources Information Center

    Robinson, Jonathan; Yeh, Ethan

    2012-01-01

    Why do women engage in transactional sex? While much of the explanation is that sex-for-money pays more than other jobs, we use a unique panel data set constructed from 192 self-reported diaries of sex workers in Western Kenya to show that women who supply transactional sex develop relationships with regular clients, and that these clients send…

  19. A Conceptual Approach to the Problem of Therapist-Client Matching

    ERIC Educational Resources Information Center

    Carson, Robert C.

    1970-01-01

    Approach described derives from social exchange theory as developed by Thibaut and Kelley, and states that successful therapist must provide client with a series of experiences of low hedonic outcome first to block disordered behavior and then to induce client into new behaviors with which he needs construct revising experiences. Presented at…

  20. Ethical Issues in the Assessment and Treatment of a Rational Suicidal Client.

    ERIC Educational Resources Information Center

    Snipe, Rosetta M.

    1988-01-01

    Notes that rational client's decision to commit suicide may present complex ethical issues for therapist. Presents and discusses three-month account of therapy with client, from perspective of ethical values and principles upon which assessment and treatment decisions were made, and complex ethical dilemmas encountered as therapist juxtaposed…