The role of managed mental health care in counseling gifted children and families

This study examined the role of managed mental health care in the counseling of gifted children and families. When gifted children and their families experience difficulties resulting from giftedness, they have the option of choosing a private provider, although cost is often prohibitive. Moreover, when insurance is used to offset the cost, most mental health insurance policies have a managed care component. One requirement of managed care is that services be medically necessary to alleviate a recognized mental illness diagnosis. Problems resulting from giftedness may not be recognized as a mental illness. As a result, insurance may not pay for these counseling costs. However, this does not have to be the case because of the flexibility managed care case managers have to make judgments. 40 managed care case managers were surveyed to address this issue. 14 of the case managers consented to individual interviews. The results indicate that some case managers would approve reimbursement and others would not. The study describes criteria and conditions that need to be met for reimbursement.     

GERONTOLOGICAL INTEREST AND OPINIONS OF HEALTH CARE PROVIDERS

The purpose of this study was (1) to examine and analyze the opinions and interests in geriatrics, gerontology, and older people of physicians, registered nurses, and dentists; and (2) to make comparisons of the expressed interests and opinions between the three groups of practitioners. The instrument consisted of two parts, demographic information and 22 questions regarding the interest and training in geriatrics/gerontology and opinions of the health needs of the elderly. From the results obtained in this study implications for the future training of health care providers are discussed.     

Hourwatch: monitoring the inception of the National Literacy Strategy

This article outlines the preliminary findings from a small scale research project set up by a group of UKRA members to monitor teachers’ views of the literacy hour in its first year. The research draws on questionnaires, interviews and video data to reveal issues which concerned those teachers taking part in the survey and provides a snapshot of what it was like for some teachers coping with this initiative.     

Adjacency matrix concepts for the analysis of the interconnection of networks

A mathematical theory is developed for an imagined device termed a “junctor”. A junctor could be used to interconnect two n-terminal networks giving rise to another n-terminal network. Actually a junctor is itself a simple network with three banks of n-terminals internally connected in some fashion by perfectly conducting wires. Adjacency matrices are formulated to analyze various junctors and their current flows. The main problem treated concerns conditions which would ensure that the junctor operation is associative.