Nine-year psychiatric trajectories and substance use outcomes: an application of the group-based modeling approach

This study identifies longitudinal psychiatric trajectories of 934 adult individuals entering chemical dependency treatment in a private, managed care health plan and examines the relationship of these trajectories with substance use (SU) outcomes. The authors apply a group-based modeling approach to identify trajectory groups based on repeated measures of psychiatric severity for 9 years and identify four distinct groups. Results of multivariate logistic generalized estimating equation models find an association between psychiatric trajectories and long-term SU. Older cohorts and life course measures of marital status and employment status as individuals changed over time are related to drug and some alcohol outcomes.     

Predictors of short-term treatment outcomes among California's Proposition 36 participants

California's voter-initiated Proposition 36 offers non-violent drug offenders community-based treatment as an alternative to incarceration or probation without treatment. This article reports short-term treatment outcomes subsequent to this major shift in drug policy. Data are from 1104 individuals randomly selected from all Proposition 36 participants assessed for treatment in five California counties during 2004. The overall study sample was 30% female, 51% white, 18% Black, 24% Hispanic, and 7% other racial/ethnic groups. The mean+/-SD age was 37+/-10 years. Counties varied considerably in participant characteristics, treatment service intensity, treatment duration, urine testing, and employment and recidivism outcomes, but not in drug use at 3-month follow-up. Controlling for county, logistic regression analysis showed that drug abstinence was predicted by gender (female), employment at baseline (full or part-time), residential (vs. outpatient) stay, low psychiatric severity, frequent urine testing by treatment facility, and more days in treatment. Recidivism was predicted only by shorter treatment duration. Employment predictors included age (younger), gender (male), baseline employment, and lower psychiatric severity. The study findings support drug testing to monitor abstinence and highlight the need to address employment and psychiatric problems among Proposition 36 participants.     

Young Adult Substance Use and Depression as a Consequence of Delinquency Trajectories During Middle Adolescence

This longitudinal study extended work from Wiesner and Windle (2004) by examining young adult outcomes (i.e., alcohol and illicit drug use, depression) of middle‐adolescent trajectories of delinquent behavior for a community sample of 724 young women and men (at average ages 23.8 years). Each domain of young adult adjustment problems was assessed with three indicators (i.e., lifetime rates of psychiatric disorders, annual rates of psychiatric disorders, elevated levels of problem behaviors). Findings indicated specificity in trajectory‐outcome associations, with all active offender pathway groups consistently showing poorer adjustment in the domains of young adult alcohol and illicit drug use (but not depression) relative to the rare offenders. However, there was almost no evidence of differential outcomes among the four most active offender trajectory groups. Overall, this study offered limited support for the contention that differing developmental courses and experiences during middle adolescence are linked to differential outcomes in early adulthood.     

Longitudinal HIV risk behavior among the Drug Abuse Treatment Outcome Studies (DATOS) adult sample

Longitudinal trajectories for HIV risk were examined over 5 years following treatment among 1,393 patients who participated in the nationwide Drug Abuse Treatment Outcome Studies. Both injection drug use and sexual risk behavior declined over time, with most of the decline occurring between intake and the first-year follow-up. However, results of the application of growth mixture models for both sets of trajectories indicated that a subgroup of individuals reverted to a high-risk behavior over time, with a higher level of risk at the 5-year follow-up than their original risk level at intake. Of clients who were engaged in regular injection drug use at intake, 76% continued to inject drug at a moderate-stable or increased rate during the 5-year follow-up.     

Work Trajectories of Female and Male Immigrants in Spain

This article aims to examine in depth the work trajectories of individuals over time, in order to provide a wider perspective of the employment history of immigrants compared to native people, by gender and for more than one decade (2005–2017) in Spain. We use microdata (cohort and multivariate analysis) from the Labour Force Survey and carry out a comparison for three groups: the Spanish born in Spain, the Spanish born abroad, and the non-Spanish born abroad. The results confirm that the non-Spanish born-abroad group is characterized by the existence of segmented assimilation. All foreigners suffered a loss in their work trajectories, since their employment rate in 2017 has as yet neither reached the level of the last years of the previous economic expansion nor the level of the previous cohorts at the same age.     

Trajectories of heroin addiction: growth mixture modeling results based on a 33-year follow-up study

This study investigates trajectories of heroin use and subsequent consequences in a sample of 471 male heroin addicts who were admitted to the California Civil Addict Program in 1964-1965 and followed over 33 years. Applying a two-part growth mixture modeling strategy to heroin use level during the first 16 years of the addiction careers since first heroin use, the authors identified three groups with distinctive profiles: stably high-level heroin users (n = 278), late decelerated users (n = 149), and early quitters (n = 44). Study findings empirically demonstrate the chronic nature of heroin addiction and subsequent adverse consequences including mortality, mental health, and employment.     

Predicting Immigrant Employment Sequences in the First Years of Settlement1

Drawing on data from the Longitudinal Survey of Immigrants to Canada, we analyze factors shaping new immigrants’ month‐by‐month employment trajectories over their first 4 years of settlement. We treat trajectories as multidimensional and holistic entities, seeking to predict the correlates of a set of typical pathways identified via optimal matching techniques and cluster analysis. Human capital attributes and household context shapes trajectories in important ways, but patterns related to bias and discrimination are not straightforward and social ties have little impact.     

Consequences of Partner Incarceration for Women's Employment

Research has documented the limited opportunities men have to earn income while in prison and the barriers to securing employment and decent wages upon release. However, little research has considered the relationship between men's incarceration and the employment of the women in their lives. Economic theory suggests that family members of incarcerated individuals may attempt to smooth income fluctuation resulting from incarceration by increasing their labor supply. This study used data from the Fragile Families and Child Wellbeing Study (N = 3,780) to investigate how men's incarceration is associated with the number of hours their female partners work as well as variation in this association. Results showed that, on average, women's hours of work were not significantly impacted by the incarceration of their partners. However, there was a positive relationship between partner incarceration and employment among more advantaged groups of women (e.g., married women, White women).     

When caregiving ends: the course of depressive symptoms after bereavement

This study describes depressive symptoms among caregivers following bereavement and connects these trajectories to earlier features of caregiving using life course and stress process theory. Data are from a six-wave longitudinal survey (five years) of spouses and adult children caring for someone with Alzheimer's Disease. The analytic subsample (N = 291) is defined by death of the care-recipient after the baseline interview. A latent class mixture model is used to identify distinctive clusters of depressive symptoms over time. Of the four trajectories identified, three represent stable symptom levels over time, with two-thirds being repeatedly symptomatic (medium symptom levels), compared to two smaller groups of repeatedly asymptomatic (effectively absent of symptoms) and repeatedly distressed (severe symptoms). In contrast, about one in five caregivers experiences improved emotional well-being over time, the temporarily distressed, who progress from severe to moderate symptom levels. Caregivers with few symptoms before bereavement tend to maintain these states afterwards, but emotionally distressed caregivers tend to become more distressed. Role overload before bereavement substantially increases the odds of following an unfavorable trajectory afterwards, whereas self-esteem and socioemotional support play protective roles. These results demonstrate that caregivers are not uniform in their emotional responses to bereavement, but follow several distinct trajectories. These trajectories are linked to their previous experiences as caregivers, in particular exposure to stressors and access to resources. These findings suggest that intervention during caregiving may facilitate adaptation following death of a loved one.     

Patterns of Change in Marital Satisfaction Over the Newlywed Years

Although marital satisfaction starts high and declines for the average newlywed, some spouses may follow qualitatively distinct trajectories. Using eight self-reports of satisfaction collected over 4 years from 464 newlywed spouses, we identified five trajectory groups, including patterns defined by high intercepts and no declines in satisfaction, moderate intercepts and minimal declines, and low intercepts and substantial declines. The groups varied systematically in their 4- and 10-year divorce rates, and wives tended to follow more satisfying trajectories than their husbands. Personality traits, stress, aggression, and communication behaviors assessed shortly after marriage discriminated among groups in expected directions. We conclude by outlining theoretical and practical implications of identifying distinct and predictable patterns of change in relationship satisfaction.     

Client and program factors associated with dropout from court mandated drug treatment

To examine why court mandated offenders dropout of drug treatment and to compare their characteristics, treatment experiences, perceptions, and outcomes with treatment completers, we analyzed self-reported and administrative data on 542 dropouts (59%) and 384 completers (41%) assessed for Proposition 36 treatment by thirty sites in five California counties during 2004. At intake, dropouts had lengthier criminal histories, lower treatment motivation, more severe employment and psychiatric problems, and more were using drugs, especially heroin. Relatively fewer dropouts received residential treatment and their retention was much shorter. A similar proportion of dropouts received services as completers and the mean number of services received per day by dropouts was generally more, especially to address psychiatric problems, during the first three months of treatment. The most commonly offender-reported reasons for dropout included low treatment motivation (46.2%) and the difficulty of the Proposition 36 program (20.0%). Consequences for dropout included incarceration (25.3%) and permission to try treatment again (24.0%). Several factors predicting drug treatment dropout were identified. Both groups demonstrated improved functioning at one-year follow-up, but fewer dropouts had a successful outcome (34.5% vs. 59.1%) and their recidivism rate was significantly higher (62.9% vs. 28.9%) even after controlling for baseline differences. Understanding factors associated with drug treatment dropout can aid efforts to improve completion rates, outcomes, and overall effectiveness of California's Proposition 36 program. Findings may also aid a broader audience of researchers and policy analysts who are charged with designing and evaluating criminal-justice diversion programs for treating drug-addicted offenders.     

Women's employment patterns during early parenthood: A group‐based trajectory analysis

Research on women's employment and parenthood frequently focuses on the correlates and consequences of decisions at a particular time, such as a birth. This article applies a group‐based trajectory method to examine women's employment trajectories across the period of early parenthood using the National Longitudinal Survey of Youth 1979 (N= 2,093). We find that throughout early parenthood, women exhibit significant movement into and out of the labor force. Factors that typically predict women's employment status, such as age at first birth and education, are also good predictors of women's employment patterns. We discuss the implications of these findings for future research, particularly on the use of a static measure of women's or couples’ employment status.     

Attitudes towards childcare and social practices: discrepancy between attitudes and employment trajectories of mothers in Spain (1994–2012)

This paper examines the evolution of attitudes and behaviors of Spanish women regarding maternal employment and childcare. We used data from the ISSP Module ‘Family and Changing Gender Roles’ (International Social Survey Programme [ISSP]: Family and Changing Gender Roles Module [1994, 2002 and 2012]). First, we studied the determinants of choosing to work or not when one becomes a mother: the most important factors are education, attitudes towards maternal employment and having had a working mother when the respondent was a child. Second, we compared the changes in attitudes and employment trajectories. In more than half of the mothers, we found a discrepancy between their ideal and actual employment trajectories. This discrepancy has been increasing over the past 20 years in the case of mothers with children younger than school age and has been decreasing slightly in the case of women whose children have started school. Nevertheless, there are significant variations: more highly educated women have greater opportunities to minimize inconsistencies between their orientations and their behaviors.     

Young,successful, precarious? Precariousness at the entry stage of employment careers in Germany

ABSTRACT

The article investigates entry-stage employment trajectories of young people in Germany, asking whether transitions into continuous employment indicate successful labour market integration. Applying a novel multidimensional approach to precariousness to individuals’ employment and household trajectories, we understand entry-stage employment trajectories holistically. The balanced-panel sample is drawn from the German Socio-Economic Panel, with a focus on young men and women between 15 and 25 years of age in the first year of the sample period who had been employed at least once (n?=?1360).

Dual-channel sequence-cluster analysis reveals considerable variation in the precariousness of young people’s entry-stage employment. While almost all young men and women experience periods of precariousness, the durations vary substantially. Precarious employment or precarious living conditions frequently occur during education. Our results confirm that individuals with disrupted employment trajectories are seldom successfully integrated into the labour market and frequently experience precarious employment. In previous research, transitions into continuous employment have been understood as the hallmark of successful labour market integration. This holds true for young women but not for young men, who experienced continuous and precarious entry-stage employment. To correctly identify young men’s successful labour market integration, additional information about their employment precariousness is required.     

What Explains the Decline in First Marriage in the United States? Evidence from the Panel Study of Income Dynamics, 1969 to 2013

Rates of entry into first marriage have declined sharply in the United States during the past half century, and there is evidence of broad gaps in marriage entry by race and education. Although a large literature explores the influences on marriage for single cohorts, there is little research that tests explanations for this decline across multiple cohorts. The authors use individual and contextual measures of employment and incarceration to predict transitions to first marriage in the Panel Study of Income Dynamics (1969–2013). They test two prominent theories of why marriage rates have declined: the decreased availability of “marriageable” men and the increased economic standing of women. They find that men's reduced economic prospects and increased risk of incarceration contributed to the decline in first marriage rates during the past 45 years in the United States, although these basic measures of economic and carceral conditions cannot explain the entire decline.     

Impact of Adult Sons’ Incarceration on African American Mothers’ Psychological Distress

This longitudinal study examines the effect of sons’ incarceration on their mothers’ psychological distress. Interviews were conducted over the life course with a community cohort of African American mothers who had children in first grade in 1966 – 1967 when the study began (N =615). Thirty years later, their sons had significant rates of incarceration (22.4%). Structural equation modeling showed that the more recent the incarceration, the greater the mothers’ psychological distress, even controlling for earlier socioeconomic status and psychological well‐being. Financial difficulties and greater burden of grandparenting are associated with having a son incarcerated and they mediate the relationship between the incarceration and a mother’s psychological distress. Results suggest that incarceration has important effects on family members’ well‐being.     

Social control correlates of arrest behavior among homeless youth in five U.S. cities

This study identified homelessness, substance use, employment, and mental health correlates of homeless youths' arrest activity in 5 cities. Two hundred thirty-eight street youth from Los Angeles, Austin, Denver, New Orleans, and St. Louis were recruited using comparable sampling strategies. Ordinary least squares (OLS) regression results reveal that being arrested for criminal activity is associated with length of homelessness, history of juvenile detention and incarceration, receiving income from theft, substance abuse, and mental illness. Arrests are also associated with interactions between lack of formal employment income and receiving income from theft and between drug and alcohol abuse/ dependency. Understanding the health and situational factors associated with homeless youths' delinquent activity has implications for providing more comprehensive health, mental health, and substance abuse services.     

Dating Trajectories From Middle to High School: Association With Academic Performance and Drug Use

This study identifies trajectories of dating from sixth to twelfth grade and describes the academic performance (teacher‐rated study skills and high school dropout) and self‐reported drug use associated with these trajectories, in a diverse sample randomly selected in sixth grade. Using a group‐based, semiparametric procedure, we identified four dating trajectories: low (16%), increasing (24%), high middle school (22%), and frequent (38%). Students in these latter two groups had significantly worse study skills, were four times more likely to drop out of school, and reported twice as much alcohol, tobacco, and marijuana use than students in the low and increasing dating groups. This study highlights the diversity of dating trajectories and some of the risks associated with early dating.     

Promoting Drug Court Education in Schools of Social Work: Ideas in Action

Drug courts have provided an alternative to incarceration for arrestees with substance use disorders since 1989 in the USA, and the first drug court outside of the USA began in 1998 in Canada. As drug courts continue to increase throughout the world, it is important for social work students to learn about the role of drug courts in their communities, as they may interact with these programs directly or indirectly, whether it is being a member of a task force that begins a drug court or providing substance abuse treatment to participants. This Ideas in Action article conceptualizes drug courts and discusses their relevance for social work education. The article also proposes several direct service-learning techniques, such as completing practicums and course projects, which can be used within schools of social work to educate students about drug courts and promote civic engagement, reflection, and reciprocity.     

The relationship between motherhood and re-incarceration

Using matched administrative records from the Illinois Department of Corrections and the Illinois Department of Children and Family Services, this paper finds that mothers' rates of re-incarceration are higher than those of women without children. It is also found that incarcerated mothers whose children have been in foster care have a higher re-incarceration rate than do women without children. The re-incarceration rate is particularly higher among mothers whose children were placed in foster care at the time of their first incarceration and mothers who had children in foster care but lost their custody before their first incarceration. These findings are more pronounced among white women with records of drug-related offenses or drug addiction than among their African-American counterparts.