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The purpose of this paper is to explore the predictive validity of two measures of fidelity to the individual placement and support (IPS) approach to supported employment.

A systematic review and meta-analysis was conducted of IPS programs. In total, 30 studies provided information characterizing 69 cohorts and 8,392 participants. Predictive validity was assessed by a precision and negative prediction analysis and by multivariate analysis of deviance.

Fidelity scores on the IPS-15 scale of 60 or less accurately predicted poor outcomes, defined as 43 percent or less of participants commencing employment, in 100 percent of cohorts. Among cohorts with IPS-15 fidelity scores of 61-75, 63 percent attained good employment outcomes defined as 44 percent or more commencing employment. A similar pattern emerged from the precision analysis of the smaller sample of IPS-25 cohorts. Multivariate analysis of deviance for studies using the IPS-15 scale examined six cohort characteristics. Following adjustment for fidelity score, only fidelity score (χ²=15.31, df=1, p<0.001) and author group (χ²=35.01, df=17, p=0.01) representing an aspect of cohort heterogeneity, remained associated with commencing employment.

This study provides evidence of moderate, yet important, predictive validity of the IPS-15 scale across diverse international and research contexts. The smaller sample of IPS-25 studies limited the analysis that could be conducted.

Program implementation leaders are encouraged to first focus on attaining good fidelity, then supplement fidelity monitoring with tracking the percentage of new clients who obtain a competitive job employment over a pre-defined period of time.

The evidence indicates that good fidelity may be necessary but not sufficient for good competitive employment outcomes.

The objective of this chapter is to discuss the pathways between climate, water, food, and conflict. Areas that are exhibiting food insecurity or have the potential to be food insecure are typically located in areas that experience poverty and government corruption. Higher rates of conflict occur in areas with lower caloric intake and poor nutrition.

We identify key pathways between these variables and discuss intervening factors and compound effects.

The pathways between water, food security, and conflict are complicated and are influenced by many intervening factors. A critical examination of the literature and an in-depth analysis of the reasons for conflict suggest that food insecurity is a multiplier, or facilitator, of the opportunities for and benefits from conflict.

To most effectively reduce the risks of conflict, policies must adequately and simultaneously address each of the four dimensions of food security – availability, stability, utilization, and access. Careful attention to alleviating food insecurity will help alleviate some of the underlying rationale for conflict.

AT the present time leisure is a subject which does not attract much serious attention. Sporadic discussions break out now and again among small groups; or it provides a topic for the popular press during the ‘silly season’. There is, however, a distinct possibility that in the measurable future an Institute of Leisure Study will be needed.