Thesis advisor: Kevin J. Mahoney / Thesis advisor: Ce Shen / For young adults with disabilities, who face barriers in achieving markers of adulthood, a service gap has been identified during the transition to adulthood. Preliminary qualitative evidence suggests that participant-directed home and community-based services (PD-HCBS), which can be easily modified to meet an individual’s needs, might aid these young adults as they transition into adulthood and provide an option to fill the service gap. However, research was needed to determine if young adults are significantly affected by having the option to develop an individualized spending plan and manage their own budget. In this study, secondary data analysis was employed in evaluating the effectiveness of the Cash and Counseling budget authority model of PD-HCBS for young adults aged 18 to 35 with long-term care disabilities and eligible for Medicaid who were enrolled in the Cash and Counseling Demonstration and Evaluation randomized control trial (n = 831). Using a theoretical framework based on the developmental life stage of young adulthood, theories of self-determination and consumer direction, and past research on PD-HCBS, I examined young adults’ outcomes on community involvement, satisfaction ratings, unmet needs for assistance, and health status compared to peers through self-reports or through proxy respondents. Multivariate logistic regression results showed that Cash and Counseling significantly increased the likelihood of young adults attending school or college at a preferred level, being very satisfied with when care was received, care arrangement, transportation, help around the house and community, personal care, and getting along with paid attendants, and having fewer unmet needs with health care at home and with transportation than controls receiving agency-based care. Bivariate logistic regression models also showed Cash and Counseling members were significantly more likely to attend activities at a preferred level, be very satisfied with life, and have lower likelihoods of unmet personal care needs. These findings support the effectiveness of the Cash and Counseling model with young adults with disabilities and as an option to help fill the service gap for this population. Future research and intervention could address how other influential factors identified affect outcomes and test PD-HCBS during different aspects of the transition to adulthood. / Thesis (PhD) — Boston College, 2016. / Submitted to: Boston College. Graduate School of Social Work. / Discipline: Social Work.

Orientador: Olivio Novaski / Dissertação (mestrado profissional) - Universidade Estadual de Campinas, Faculdade de Engenharia Mecanica / Made available in DSpace on 2018-08-07T00:42:00Z (GMT). No. of bitstreams: 1 Orsi_JoseAntonioDonizeti_M.pdf: 6142367 bytes, checksum: 1f5852217f37223e812bc80aacf3758f (MD5) Previous issue date: 2006 / Resumo: Neste trabalho procurou analisar o desenvolvimento de grupos semi-autônomos para as atividades de caldeiraria no ambiente produtivo de bens de capital sob encomenda, caracterizando o ambiente produtivo e as características do trabalhador desta atividade. A pesquisa foi desenvolvida com um estudo de simples caso motivado pela dificuldade de encontrar organizações que disponham desta forma de organização do trabalho e pela profundidade necessária ao estudo. Nove empresas foram pesquisadas as quais permitiram desenvolver os objetivos de caracterização do ambiente e do trabalhador. A análise dos resultados constatou a eficiência na aplicação da organização do trabalho em grupos semi-autônomos tendo como base de sucesso o aproveitamento da mão de obra com polivalência de funções e a manutenção de uma tensão positiva nos participantes proveniente das interações entre as características desta forma de autonomia e os fatores motivacionais que são desenvolvidos / Abstract: This research has tried to analyze the progress for semi-self work team on steel fabrication built by order activities, hereby pointing out the production environment and the worker's characteristics. Due the difficulties to find organizations which have such kind of work administration and also from the depth needed to consolidate this type of study a single case was applied. In order to achieve the objectives, nine companies have been studied and gave the basis to describe the worker' s characteristics and the production environment. The results allow us to understand how semi-self work team works and how it creates the interaction between the properties and the motivation factors. The success is based on the empowerment developed by taking advantages in not exchanging workers for different tasks, the resultant synergy that comes from the motivation created by application ofthe self-work / Mestrado / Planejamento e Gestão Estrategica da Manufatura / Mestre Profissional em Engenharia Mecanica