ABSTRACT
Beatrix, Carthage, Daegal, Dulcie, Fancypants, Fenn, Inca, Naira, and Robyn are newly isolated bacteriophages capable of infecting Mycolicibacterium smegmatis mc2 155. We discovered, sequenced, and annotated these New Zealand bacteriophages. These phages illustrate that New Zealand harbors a selection of the highly diverse and distributed mycobacteriophage clusters found globally.
ABSTRACT
An assessment of client functioning was utilized to characterize differences among community residential placement facilities, with the aim of understanding the relationships among settings. Clients recommended for placement in one of nine settings differed significantly on seven scales measuring community living skills, self-care skills, sociability, nuisance behaviors, violence, irritability and nursing needs. Results indicate that community residential settings, although characterized as forming a continuum, may be better conceptualized as an array of settings, where clients may differ in some but not all functional abilities. Facilities may also serve different functions for clients of different ages, either because of expectations concerning older clients or due to different patterns of functioning. Illustrations of the implications that can be drawn for purposes of policy-making and service planning are provided.
Subject(s)
Activities of Daily Living , Community Mental Health Services/statistics & numerical data , Group Homes/statistics & numerical data , Mental Disorders/classification , Analysis of Variance , Humans , Midwestern United States , Patient Care Planning , Psychiatric Status Rating Scales , Public Health AdministrationABSTRACT
A level-of-care instrument developed in Missouri uses discriminant analysis and a criterion measure based on the state's continuum of community residential facilities to assess psychiatric patients' abilities and deficits and to match individual patients with a suitable community setting. The instrument assigned 57 percent of the patients in the sample used in development of the instrument and 43 percent in a validation sample to the same type of residential facility recommended by case managers. The instrument more accurately predicted placement than two instruments that were used earlier in the state and were not based on its specific array of facilities.
Subject(s)
Community Mental Health Services/organization & administration , Mental Disorders/therapy , Patient Admission , Social Environment , Eligibility Determination/methods , Halfway Houses/organization & administration , Humans , Long-Term Care/organization & administration , Mental Disorders/psychology , Missouri , Nursing Homes/organization & administration , Patient Care Planning/organization & administration , Social AdjustmentABSTRACT
A factor analysis of data from 1,295 administrations of a level of care instrument produced a seven-factor solution. The scales developed from these factors through a simple unit weighting procedure were internally reliable and replicable on an additional sample of clients. The seven factors are discussed in terms of level of functioning measures. Results suggest that community living skills and self-care skills are two among several robust dimensions of level of functioning in psychiatric clients. Implications are discussed.
