The process of judicial decision-making is not well understood. This paper has tried to shed some light on that process by examining the impact of presentence report recommendations upon the sentences handed down by the judges of a circuit court. Very little empirical work has been done on this problem, even though the presentence report recommendation is generally regarded by those in the judicial system as extremely important to the sentencing process.

The Social/HMO Demonstration evaluates the feasibility of expanding Medicare Supplemental Insurance benefits to cover a limited amount of ICF and community based long-term care (LTC) services provided under a comprehensive HMO benefit package for capitated Medicare beneficiaries. The policy research question addressed by this study is whether adding an Expanded Care Benefit (ECB) to the capitated HMO benefit package offered by Kaiser Permanente (KP) changes utilization patterns and costs of ICF services, and the probability of becoming Medicaid eligible. This study provides descriptive information regarding this policy research question. The research goal of this study is to measure the extent to which collective ICF use rates and expenditure patterns for S/HMO members are consistently the same, greater or less than baseline data of Risk HMO Medicare members who do not have the S/HMO ECB. The purpose of such measurement is to determine if an empirical basis exists for postulating an ICF utilization and expenditures outcome effect which is influenced by the S/HMO ECB. Utilization and financial data are collected from all SNF and ICF level nursing homes in Multnomah County for all Medicare beneficiaries enrolled in KP between June 1, 1986 and July 31, 1988. Eligibility data are assembled on all Medicare beneficiaries enrolled in KP during the same time period who were residents of Multnomah County. Nursing home use rates and rates for related expenditures are determined for all nursing home residents (1, 331) by their eligibility status in KP during the time of each nursing home stay. Days in an ICF are censored by transfers between Cost, Risk and S/HMO enrollment status. Rates are standardized by the age and gender distribution of research population members (19, 261) to adjust use rates for differences in age cohort distribution of Risk members and S/HMO members. Risk rates and S/HMO rates are compared and differences in utilization and expenditures are evaluated. Conclusions about such patterns are used to formulate hypotheses for testing and confirming descriptive observations. Findings show that overall S/HMO member rates are less than Risk member rates for five of the six Research Questions addressed in this study. Specifically, the probability of admission to an ICF is substantially greater for S/HMO members than for Risk members. However, S/HMO members remained in ICFs fewer days than Risk members, over the two year study period, as measured by age adjusted rates for ICF days per member year of eligibility during the study period. Difference in the mean length of ICF stay is statistically significant between Risk and S/HMO. The rate of total payments received by nursing homes for S/HMO ICF residents per 1000 S/HMO members was substantially less than that for Risk members. The rate of spend-down to welfare status was substantially lower for S/HMO members than for Risk members who became ICF residents. Higher proportions of S/HMO members were discharged from ICFs to home than were Risk members, which is consistent with S/HMO Expanded Care Benefit objectives.

Serving in the capacity of Sheriff's interns during the time the decision had been made to implement Neighborhood Team Policing, the writers of this study propose to participate in evaluating the impact and effectiveness of the project. However, due to the size and complexity of such a task--and the time restrictions placed upon completion of this study--the boundaries of this research will be limited to those of providing descriptive data on the performance of project activities as they relate to the achievement of the objectives of Goal 1 of the Neighborhood Team Policing Project: Improved police-community mutual involvement and problem-solving.

This is a study of mild and borderline mentally retarded adults living in Multnomah County, Oregon, who at one time in their lives were patients at Fairview Training School. The concept of “normalization” is merging with the political necessity of “advocacy” to create a different role for the traditionally silent and previously institutionalized retarded citizen, along with new roles for the professional worker with the retarded. Mentally retarded citizens have only recently begun to speak out for themselves; even less frequent it seems, has any concerted listening on the part of the public or professional community which deals day to day with the retarded citizen in the community. This study represents some first steps toward listening to the retarded citizen’s new voice, toward a more humanistic appraisal of the life styles of this group. We have been concerned with the elusive concept of dependent versus independent living in the day to day life of this population, i.e., Educable Mentally Retarded (EMR) adults. Since very little is known about this population in our community, our effort can be considered an exploratory descriptive study of the life styles of mild/borderline previously institutionalized adults.

The decision to marry and choice of mate are two issues contemplated by most individuals during their lifetime. It is our belief that the manner in which an individual makes these decisions is a reflection of that individual’s level of emotional maturity. In our society, the right to enter into a marriage agreement is largely determined by chronological age. Our research problem began with the hypothesis that there is no direct relationship between chronological age and emotional maturity at the time of marriage. For our study, marriages were divided into two general categories: 1) teenage marriages in which at least one partner was 20 years of age or younger, and 2) adult marriages in which one partner was Z1 years of age or older. The three independent variables studied were: age, sex of respondent, and sex of spouse. The dependent variable was emotional maturity. Emotional maturity was operationally defined by a questionnaire consisting of 67 statements about why people decide to marry, and why they chose their particular spouse. A panel of 12 experts in the field of marriage counseling were asked to rate each statement on a seven point scale of maturity-immaturity. The range and mode for each statement was computed and used to construct a new questionnaire consisting of 30 statements. Emotional maturity was defined by the absolute difference between the individual respondent’s rating and the expert’s modal response. A sample population was selected using recently married individuals who had applied for marriage licenses in Multnomah County, Oregon. The second questionnaire was mailed to the respondents. A 2 x 2 x 2 factorial design was used to identify which variable or combination of variables accounted for any discrepancy. A multiple regression analysis and a F test were run to test the hypothesis of the study. The data received supported the null hypothesis. However, there were several conceptual and methodological limitations to the study which raise questions as to the reliability of the measuring instrument and use of the concept of emotional maturity.

In the past several years, the subject of health care delivery has assumed increasing importance as a public issue. Congressional hearings, public and private commissions, and task forces have investigated the functioning of the health care system in depth, reporting that access to the system is impeded by financial barriers and by inefficiency of the delivery system. Medicare and Medicaid have attempted to surmount the financial barriers for, some segments of the population, and more inclusive health insurance proposals are being considered in Congress. The Healthright program, under the Economic Opportunity Act, has stimulated efforts to improve the delivery system as it relates to low income persons, and some of the health insurance proposals also have the goal of improving the delivery system.

The study of human relatedness has long interested the population geneticist. One technique for the estimation of population relatedness is the use of isonymy analysis. The isonymy inbreeding coefficient is analogous to Wright's inbreeding coefficient F. Isonomy analysis can yield comparable results to population studies done by other means such as pedigree analysis, serological studies, and anthropometric analysis. The data used for this study was obtained from marriage records and telephone directories. Same last name marriages were observed for legitimacy and recorded when verified. A pool of last names were drawn from the marriage records. This list was used to compare and tally like names found in telephone directories for corresponding years and localities.

Oregon Literacy, Inc., requested a study of the volunteer tutors in Multnomah County. This study is primarily based on responses to questionnaires sent to all volunteer tutors on the active list with the program in Multnomah County, including all persons who were certified in the training workshops held in 1975. Results of the questionnaire are examined, and the thesis offers a descriptive analysis of Oregon Literacy Tutors in Multnomah County, Oregon.

In recent years attention has been given to the problems of the chronically mentally ill in regard to the effects of deinstitutionalization and a need for community supports. In this study, 77 service providers to the chronically mentally ill of Multnomah County (Portland), Oregon were interviewed to assess the components of the existing community support system for this population, as well as to identify the strengths and weaknesses of the system. Ten chronically mentally ill clients were interviewed in a similar manner.

Approximately 150 meters (500 feet) of Grande Ronde Basalt and 140 meters (450 feet) of Wanapum Basalt of the Columbia River Basalt Group are exposed in the Bull Run Watershed. In Bull Run, the Grande Ronde Basalt is divided into three mappable units: "low Mg" R2 (at least one flow), "low Mg" N2 (approximately four flows), and "high Mg" N2 (two to three flows}. The Wanapum Basalt is represented by two members: Frenchman Springs Member (six flows) and Priest Rapids Member (one flow). These units are identified by instrumental neutron activation analysis, paleomagnetism based on measurements with a fluxgate magnetometer, petrography, lithology, jointing, and stratigraphic position.