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Urban residential integration is often fleeting-a brief snapshot that belies a complex process of racial turnover in many U.S. cities.White Flight/Black Flighttakes readers inside a neighborhood that has shifted rapidly and dramatically in race composition over the last two decades. The book presents a portrait of the life of a working-class neighborhood in the aftermath of white flight, illustrating cultural clashes that accompany racial change as well as common values that transcend race, from the perspectives of three different groups who are living it: white stayers, black pioneers, and \"second-wave\" blacks. Rachael A. Woldoff offers a fresh look at race and neighborhoods by documenting a two-stage process of neighborhood transition and focusing on the perspectives of two understudied groups: newly arriving black residents and whites who have stayed in the neighborhood. Woldoff describes the period of transition when white residents still remain, though in diminishing numbers, and a second, less discussed stage of racial change: black flight. She reveals what happens after white flight is complete: \"Pioneer\" blacks flee to other neighborhoods or else adjust to their new segregated residential environment by coping with the loss of relationships with their longer-term white neighbors, signs of community decline, and conflicts with the incoming second wave of black neighbors. Readers will find several surprising and compelling twists to the white flight story related to positive relations between elderly stayers and the striving pioneers, conflict among black residents, and differences in cultural understandings of what constitutes crime and disorder.

We reviewed the literature on standard case management (SCM), intensive case management (ICM), assertive community treatment (ACT), and critical time intervention (CTI) for homeless adults. We searched databases for peer-reviewed English articles published from 1985 to 2011 and found 21 randomized controlled trials or quasi-experimental studies comparing case management to other services. We found little evidence for the effectiveness of ICM. SCM improved housing stability, reduced substance use, and removed employment barriers for substance users. ACT improved housing stability and was cost-effective for mentally ill and dually diagnosed persons. CTI showed promise for housing, psychopathology, and substance use and was cost-effective for mentally ill persons. More research is needed on how case management can most effectively support rapid-rehousing approaches to homelessness.

Over the last several decades, blacks in the United States have experienced substantial health disadvantages compared to other racial and ethnic groups. These disadvantages have been observed for important types of morbidity and early mortality, which public health interventions have achieved limited progress in improving. A promising new direction in health geographic research investigates the relationships among racial residential segregation, neighborhood socioeconomic inequality, and racial health disparities in urban areas of the United States. Historical evidence shows that as class isolation increases in racially segregated neighborhoods, poverty is concentrated, resulting in reduced opportunities and available and accessible amenities and resources, important factors in the promotion and maintenance of population health and well-being. Contemporary evidence shows that the ability to modify the structural constraints that create and exacerbate these unhealthy \"place\" environments are limited by social and public health policies. This study therefore explores modifiable pathways by which to inform social and public health policy to improve the health of black residents living in concentrated poverty. The historical context of racial residential segregation and neighborhood socioeconomic inequality in the United States is reviewed. A contemporary case study of racial disparities in low birth weight in the Detroit, Michigan, metropolitan area is also presented to demonstrate the persistence of racial health disparities. To address racial health disparities it is recommended that future health policy be linked to housing policy as a way to provide social mobility options for residents living in racially segregated, concentrated poverty neighborhoods.

Despite a well-established literature investigating race-related predictors of riot incidence, the racial aftermath of riots remains unexamined. In this study, I use the 1960s U.S. race riots to investigate trends in black residential segregation levels following large-scale riot activity in seven major U.S. cities. I use a novel approach—namely, synthetic control matching—to select a group of cities against which segregation trends can be compared. I find that levels of black segregation rose in 1970 for four of the seven cities, but these increases disappeared in 1980 and 1990 except in Detroit. These results mask differential trends at lower geographic levels: suburban neighborhoods in affected areas experienced larger and longer-term increases in segregation, particularly in traditionally hypersegregated cities in the Midwest and Northeast.

Between 1992 and 1996 the U.S. Department of Housing and Urban Development (HUD) settled a number of legal cases involving housing authorities and agreed to take remedial action as part of court-enforced consent decrees entered into with plaintiffs. These housing authorities faced significant obstacles that impaired their ability to comply swiftly and fully with all of the elements in the desegregation consent decrees. The obstacles fell into two broad categories: contextual obstacles (racial composition of waiting lists and resident populations, lack of affordable rental housing, and inadequate public transportation), and capacity and coordination obstacles (conflict among implementing agencies and ineffective monitoring by HUD). Findings presented here highlight the sizable potential delay between the time a legal remedy is imposed and when plaintiffs in public housing segregation disputes realize any benefits. They also reinforce the argument that implementation problems will be legion when policies impose a significant scope of required changes on a large number of actors who must collaborate, yet are not uniformly capable or sympathetic to the goals being promoted. © 2003 by the Association for Public Policy Analysis and Management.

Purpose - The purpose of this article is to present a case study that documents how management science techniques (in particular data envelopment analysis) can be applied to performance improvement initiatives in an inpatient physical therapy setting.Design methodology approach - The data used in this study consist of patients referred for inpatient physical therapy following total knee replacement surgery (at a medium-sized medical facility in the Midwestern USA) during the fiscal year 2002. Data envelopment analysis (DEA) was applied to determine the efficiency of treatment, as well as to identify benchmarks for potential patient improvement. Statistical trends in the benchmarking and efficiency results were subsequently analyzed using non-parametric and parametric methods.Findings - Our analysis indicated that the rehabilitation process was largely effective in terms of providing consistent, quality care, as more than half of the patients in our study achieved the maximum amount of rehabilitation possible given available inputs. Among patients that did not achieve maximum results, most could obtain increases in the degree of flexion gain and reductions in the degree of knee extension.Research limitations implications - The study is retrospective in nature, and is not based on clinical trial or experimental data. Additionally, DEA results are inherently sensitive to sampling: adding or subtracting individuals from the sample may change the baseline against which efficiency and rehabilitation potential are measured. As such, therapists using this approach must ensure that the sample is representative of the general population, and must not contain significant measurement error. Third, individuals who choose total knee arthroplasty will incur a transient disability. However, this population does not generally fit the World Health Organization International Classification of Functioning, Disability and Health definition of disability if the surgical procedure is successful. Since the study focuses on the outcomes of physical therapy, range of motion measurements and circumferential measurements were chosen as opposed to the more global measures of functional independence such as mobility, transfers and stair climbing. Applying this technique to data on patients with different disabilities (or the same disability with other outcome variables, such as Functional Independence Measure scores) may give dissimilar results.Practical implications - This case study provides an example of how one can apply quantitative management science tools in a manner that is both tractable and intuitive to the practising therapist, who may not have an extensive background in quantitative performance improvement or statistics.Originality value - DEA has not been applied to rehabilitation, especially in the case where managers have limited data available.

Distance is a critical concept in the measurement and analysis of geographical mobility, but statistical offices rarely provide data on distance moved. Two approaches for doing so are simply to ask movers how far they moved or to infer distance from localities of origin and destination. The former has been used in Health Interview Surveys, and the latter is applied to Current Population Surveys; both are national surveys conducted by the U.S. Census Bureau. The two approaches appear to produce consistent results and offer ways of increasing comparability of data and research findings on geographical mobility.