Community Service Use by Older Adults: The Roles of Sociocultural Factors in Rural–Urban Differences

ABSTRACT

This study examined the influence of sociocultural factors in explaining the rural–urban differences in home and community-based service (HCBS) use among older adults. Survey data of 228 older adults living in Alabama were analyzed. Sociocultural factors included participants’ perceptions of service availability, attitudes toward seeking formal help, informal support, and religious behaviors. Rural older adults were less likely to use HCBS than their urban counterparts (p < .05). An interaction effect between perceived service availability and church attendance was found. These findings suggest a need for collaborations between community aging services with religious organizations to ensure existing programs are accessible to older adults living in rural areas. Future research based upon large probability samples is needed to shed more light on the relation between church attendance and service use.     

Failure to Address African Americans’ Spiritual Needs During Hospitalization: Identifying Predictors of Dissatisfaction Across the Arc of Service Provision

Using a national sample of recently hospitalized older African Americans (N = 2,227), this study identified predictors of dissatisfaction with the manner in which clients’ spiritual needs were addressed during hospitalization. Of 8 major areas of service provision examined, 3 were significant predictors of dissatisfaction: nurses, physicians, and the discharge process. The findings underscore the importance of collaborative efforts to address elderly Black clients’ spiritual needs. Social workers, who frequently oversee the discharge process, can play an important role in addressing African Americans’ spiritual needs by developing discharge plans that incorporate clients’ spiritual strengths and resources into the planning process.     

Examining fostering readiness in treatment parents

Preservice trainings have the potential to improve treatment parent and youth outcomes, yet researchers have noted the lack of empirical research on the effectiveness of these trainings. Preservice outcomes are typically collected immediately after training completion, with little to no follow‐up assessments at other time points. This study aimed to examine the longitudinal changes treatment parents experience throughout preservice training and after a youth is placed in their home. Secondary data analyses were performed on an archival data set (N = 57) that included demographic information and training participant scores from two standardized measurements that examined their fostering readiness before and after preservice trainings as well as after a youth was placed in the home: Personal Dedication to Fostering Scale and Willingness to Foster Scale. Analyses revealed significant changes for treatment parents' personal dedication to fostering, but no significant changes for their willingness to foster. Treatment parents' fostering readiness scores were compared to a normed sample of foster parents and were found to be significantly higher for their personal dedication scores but not for their willingness to foster. The findings suggest certain treatment parent outcomes may change as a result of preservice training and experience with youth, but additional measurements and outcomes should be examined.     

Black adolescents’ support to the family and educational outcomes: Differences by household income

Using a strengths-based approach, this study investigated whether Black adolescents’ provision of different types of support to family (chores, childcare, emotional, financial support) was associated with their educational outcomes (school engagement, grades, suspensions), and whether these associations differed by household income levels. The study used the nationally representative National Survey of American Life Adolescent Supplement data (N = 1170, 52% Female, ages of 13–17). Supporting the family was associated with both educational success and risk, depending on the type of support and household socioeconomic resource levels. Across income groups, providing emotional support was associated with greater school engagement. Among low-income youth only, completei chores was associated with higher school engagement and grades, whereas providing childcare was associated with lower grades.     

Impacts of media on sexual behaviour and relationships among youth in foster care

Youth in foster care (YFC) are at high risk of negative reproductive and other health outcomes and may be especially vulnerable to negative impacts of media due to early adversity and a lack of stable caregiver relationships. The aim of this project was to explore how access and exposure to media impacts YFC in order to inform future research in this realm and promote resilience in this understudied population. We conducted semistructured interviews with YFC ages 15–21 (n = 22) and focus groups with foster caregivers (n = 86). We used thematic analysis to analyse data for themes related to media. Youth and caregivers described four main themes: (a) impacts of media on youth norms and attitudes, (b) impacts of media on youth behaviour, (c) impacts of youth exposure to pornography, and (d) caregiver monitoring and mediation of media. Data from this study indicate that media has unique, important effects on YFC norms and behaviours, including sexual behaviours. Foster caregivers encounter multiple barriers to monitoring and mediating media use for YFC. Further research is needed to explore differential effects of media on YFC versus non‐YFC in order to develop effective interventions and mitigate potential negative effects of media.     

‘Sex is violence’: African‐American parents' perceptions of the link between exposure to community violence and youth sexual behaviours

In Chicago, African‐American youth experience disproportionately high rates of exposure to community violence. Growing evidence documents that such exposures are related to youth sexual behaviours. This qualitative study seeks to illuminate the various ways in which violence and sex are intertwined in the lives of African‐American youth. Analysing data from four focus groups (N = 54), major themes indicated that parents linked community violence with: (i) influencing youth sexual interests and opportunities for having sex; (ii) specific notions of youth sexual identities and social status; (iii) increased gang involvement and sexual initiations; and (iv) girls' grudges and their sexual concurrency with boys. These findings suggest that addressing these specific issues is important in parent‐centred and community‐grounded interventions aimed at reducing risky sexual behaviours among African‐American youth.     

Variability in the Inter‐group Attitudes of White Children: What We Can Learn from Their Ethnic Identity Labels

The current study examined the ethnic identity of White (N = 120), Latino (N = 87), and African‐American (N = 65) children and early adolescents (aged = 9–14 years), with an emphasis on whether the specific ethnic label White children used to describe themselves might reflect differences in their inter‐group attitudes and whether those differences mirror group differences between White children and children in ethnic minority groups. Results indicated that White children who identified with a minority label (i.e., White biracial, hyphenated American, ethnic/cultural/religious label) had more positive ethnic identities, were more aware of discrimination, and were less likely to show biases in their perceived similarity to in‐group and out‐group peers than youth who identified as White or American. In many instances, White children who identified with a minority label did not differ from ethnic minority youth. In addition, although all participants were more positive about their ethnic in‐group than out‐groups, children who identified their ethnicity as American were less positive about out‐groups relative to other children. Taken together, the findings indicate that children's self‐chosen ethnic identity is as important as their ascribed ethnic or racial identity in predicting their inter‐group attitudes.     

A racial comparison of Family Group Decision Making in the USA1

This study examined Family Group Decision Making (FGDM) among a nationally representative sample of African‐American and White children investigated for maltreatment in the US. While FGDM was developed for work with ethnic minority families, there is no research on how this is being carried out in the US, where African‐American children are overrepresented in child welfare services. The study views racial differences in child, caregiver and maltreatment characteristics related to FGDM; composition of FGDM meetings; service referrals and receipt; and service satisfaction. Data are from the National Survey of Child and Adolescent Well‐being (NSCAW), a study of 5501 children ages 0–14. Current analyses include African‐American and White children (n= 4129). Stratified, bivariate and multivariate regression analyses were used. Results showed that while race was not related FGDM receipt, different characteristics lead to FGDM among African‐American and White families. Surprisingly, caregivers report feeling no more involved in decision‐making in association with FGDM. FGDM is provided at low rates overall (10%) and less frequently among White caseworkers. Child access to mental health services increases in relation to FGDM. Implications are discussed.     

Predicting Retention in Three Substance Abuse Treatment Modalities Among Anglo,African American,and Mexican American Juvenile Offenders

Abstract

Many of the same factors that predict delinquent behavior also predict adolescent drug use. This study examined factors that predict, and interventions that maximize, substance abuse treatment retention in three modalities among high-risk Anglo, Mexican American, and African American juvenile offenders. The study sample includes youth (N = 211) who were discharged from probation supervision and who received substance abuse services through a CSAT-funded federal demonstration project. The key predictors examined included the stage-of-change (i.e., precontemplation, contemplation, preparation) in which a juvenile fell, various dimensions captured by the Comprehensive Addiction Severity Index for Adolescents, and other intervention status (probation, case management, and mental health treatment). The research questions were addressed using statistical models known as survival analysis that treated time from entry into substance abuse treatment to exit from substance abuse treatment as the outcomes. Among key findings were that females were 73% more likely to leave day treatment relative to males; for each additional family problem ever experienced, Mexican American adolescents were 15% more likely to leave residential treatment compared with African American adolescents; and African American and Mexican American adolescents in the contemplation stage-of-change were 50% less likely to leave day treatment compared with Anglo adolescents. Applications for practice and research with this population are discussed.     

Fostering supportive interactions in the neighbourhood: Using visualized narratives

The use of art (e.g. visualized narratives) in social work may stimulate dialogue between community members about family support in their neighbourhood. The Visualized Narratives on Parenting Interactions in the Neighbourhood (VN-PIN) were developed in order to foster this dialogue. The aim of this study was to evaluate the implementation of the VN-PIN in social work practice and to gain insight in mechanisms that stimulate dialogues supported by visualizations. A qualitative process evaluation was conducted to explore the use of the VN-PIN in various urban settings. We observed meetings (N = 14) where the VN-PIN was applied and interviewed professionals and community members (N = 81). The results of this study show that the VN-PIN intervention gives parents a voice and allows them to recognize and reflect on their own parenting behaviour, thereby contributing to mutual exchanges in a supportive community. The conclusion of this study is that the VN-PIN is a useful intervention that social work professionals can use to foster dialogues about parenting within diverse contexts in super-diverse neighbourhoods. The intervention fosters a supportive structure to share experiences of various community members. Future research is needed to further evaluate the experiences and satisfaction of community members with the intervention.     

Ingroup and outgroup preference and rejection among young children of different ethnic groups in the Netherlands

The current study investigated the ethnic hierarchy in ingroup and outgroup preference and rejection among 6- to 10-year-old children of the dominant White Dutch group (n = 145), and the underrepresented Turkish-Dutch (n = 78), and Afro-Dutch (n = 57) groups (55% girls, M = 7.49, SD = .98) in the Netherlands. Results from a social preference task indicated that White Dutch children showed clearly more preference for their own ethnic group (ingroup preference) compared to the two outgroup preferences (Middle Eastern and Black), while Turkish- and Afro-Dutch children showed limited ingroup preference. Both White and Turkish-Dutch children showed less preference for and more rejection of the Black outgroup compared to Afro-Dutch children. Younger children showed more Black rejection compared to older children. This study provides much-needed evidence for the generalizability of prejudice patterns in children beyond the United States, and suggests that interventions aimed at improving interethnic relations are already relevant at primary school age.     

Citizens' views in four jurisdictions on placement policies for maltreated children

Citizens' opinions on child protection public policy are a key dimension of the legitimacy of a political order. We have conducted a survey vignette on a representative sample of citizens (N = 4,003) in England, Finland, Norway, and California, USA. The findings show that citizens' opinions are clearly in favour of adoption (75%) rather than long‐term foster care (25%). Context may partly explain the findings, as the responses of the majority of Anglo‐American respondents are in line with practice in their countries but for the Nordic respondents, there is a substantial discrepancy between citizens' opinions and on‐going child protection practices.     

Religious involvement and group identification: The case of Hispanics in the United States

This study examines the link between religious involvement and racial group identification among Hispanics in the United States. Relying on the multifaceted nature of religious involvement, this study focuses on five dimensions of religious involvement—church attendance, prayer, the importance one places on religion, one's belief in God's love, and religious affiliation. Using the data from the Panel Study of American Religion and Ethnicity (1st wave, 2006), this study employs regression analysis. The results show that, among the five dimensions of religious involvement, only church attendance has a significant effect on racial group identification; Hispanics who frequently attend church are more likely to identify with Hispanics. This study suggests that church attendance increases Hispanics’ group identification for two reasons: first, because of the formation of Hispanic-oriented churches; and second, because of the intense interaction among Hispanics within their church communities.     

The key role of positive parenting and children’s temperament in post‐institutionalized children’s socio‐emotional adjustment after adoption placement. A RCT study

Parenting interventions represent a means for experimentally inquiring socio‐emotional change of post‐institutionalized children after adoption. We used this approach in a three time point RCT study involving 83 post‐institutionalized children (M_age = 33.5 months, SD = 17.1) and their adoptive mothers (M_age = 42.6, SD = 3.9), attending either the Video‐Feedback Intervention to promote Positive Parenting in adoption and foster care or a dummy intervention. Controlling for gender and age at adoption, children showed a significant change in their socio‐emotional adjustment in the specific variables inquired—that is, emotional availability‐EA, and behavioral problems—after intervention attendance. Mediation and moderated mediation models showed that maternal EA was a main factor affecting children’s EA and externalizing behavioral problems, with a key moderating role played by children’s temperament; children with high scores on temperamental negative affect benefitted most from their mothers’ increase in EA.     

Youth in foster care: developmental assets and attitudes towards adoption and mentoring

The present study explores the relationship between the characteristics of youth in foster care and youth attitudes about mentoring and adoption. Using a positive youth development framework, the study examines the relationship between youth risk and resilience variables (youth risk scores, youth assets and youth perception of control) and youth attitudes about mentoring and adoption. Data were collected from 54 youth, ages 10 to 17 years, through intake interviews and surveys. Participants were 25 male and 29 female adolescents; 33 were Caucasian and 21 were African American. Overall, the youth had positive attitudes about both mentoring and adoption, with Caucasian youth having more positive attitudes than African American youth. A 2 × 2 (Gender × Race) analysis of variance revealed greater feelings of control for male and Caucasian youth. Hierarchical regression analyses revealed that the youths' perceptions of their strengths and assets were related to how positively they viewed mentoring and adoption.     

Substance use and other factors associated with child welfare case duration: Looking beyond out of home care

Little is known about factors associated with child welfare case duration. Understanding factors associated with case duration may help stakeholders make more informed decisions about funding and service allocation and improve compliance with federal law. This study had two research questions: (1) What factors are associated with child welfare case duration? And (2) Do factors differ depending on whether children were placed exclusively with parents or with others (e.g. relatives and foster care) during the case? The study sample consisted of families (N = 874) with co-occurring child maltreatment and substance use in one midwestern state in the United States between 2007 and 2016. Linear regression models were used to identify correlates of case duration while controlling for child placement status. Overall, having a child under 1 year of age, benzodiazepine use, methamphetamine use and injection drug use were all associated with longer case duration, whereas marijuana use with no other substance use was associated with shorter case duration. Additionally, factors associated with case duration differed based on child placement status during the case. These findings suggest important heterogeneity in families involved with child welfare services and may allow for proactive mitigation of cases at greater risk.     

Empathy to action: Child and adolescent out‐group attitudes and prosocial behaviors in a setting of intergroup conflict

The paper explored how to promote constructive intergroup relations among children and young people in a context of protracted conflict. Across two studies, the Empathy–Attitudes–Action model was examined in middle childhood and adolescence. More specifically, we tested the relations among dispositional empathy, out‐group attitudes, and prosocial behaviors for youth born after the peace agreement in Northern Ireland. In one correlational (Study 1: N = 132; 6–11 years old: M = 8.42 years, SD = 1.23) and one longitudinal design (Study 2: N = 466; 14–15 years old), bootstrapped mediation analyses revealed that empathy was associated with more positive attitudes toward the conflict‐related out‐group, which in turn, was related to higher out‐group prosocial behaviors, both self‐report and concrete actions. Given that out‐group prosocial acts in a setting of intergroup conflict may serve as the antecedents for peacebuilding among children and adolescents, this study has intervention implications.     

Indirect effects of the Family Check‐Up on youth extracurricular involvement at school‐age through improvements in maternal positive behavior support in early childhood

Extracurricular involvement in the school‐age years has widespread potential benefits for children's subsequent socioemotional development, especially for low‐income youth. However, there is a dearth of research on interventions aimed at increasing school‐age extracurricular involvement in low‐income youth. Thus, the present study aimed to test the collateral effect of a brief, family‐focused intervention for low‐income families, the Family Check‐Up, on children's school‐age extracurricular involvement via improvements in maternal positive behavior support (PBS) in early childhood. The sample (n = 630, 50% female, 50% White, 28% Black/African American) represented a subsample of families from the Early Steps Multisite Study. At the age of two, families were randomly assigned to the Family Check‐Up or Women, Infants, and Children Nutritional Supplement Services as usual. Mother‐child dyads participated in observed interaction tasks at child ages 2 and 3 that were subsequently coded to assess PBS. Primary caregivers reported on children's school‐age extracurricular involvement at ages 7.5, 8.5, and 9.5. Results indicated that although there was not a direct path between intervention status and children's school‐age extracurricular involvement, a significant indirect path emerged from intervention group to changes in PBS between ages 2 to 3 to children's school‐age extracurricular involvement. The results are discussed in terms of implications for designing preventive interventions in early childhood that promote extracurricular involvement at school‐age, particularly for children at risk for maladaptive outcomes.     

School anxiety and depression among immigrant youth in America: Differences by region of birth and language proficiency

This study sought to examine school anxiety and depression by parents’ immigrant status and identify differences by region of birth and language proficiency. Data were used from the Early Childhood Longitudinal Study‐Kindergarten Cohort, a nationally representative and longitudinal study of students in the United States. The analytic sample included 6,156 youth. Linear regression models predicted school anxiety and depression of American eighth grade students from English proficiency and parents’ region of birth. Controlling for demographic covariates, there was no significant difference in school anxiety or depression between youth with American‐born parents and those with parents born in any major world region. With the inclusion of an interaction between language proficiency and region of birth, children with limited English proficiency from Europe (B = 2.86, 95% CI = 2.16, 3.55), Central America (B = 1.52, 95% CI = 0.73, 2.31), Asia (B = 1.48, 95% CI = 0.55, 2.40), and South America (B = 0.85, 95% CI = 0.08, 1.61) had significantly heightened school anxiety compared to native‐English speakers with native‐born parents. When considering sources of school anxiety, it was revealed that over 60% of these youth worried about doing well in school. Future research should explore interventions to increase English proficiency and ease school‐related stress among children of immigrants.     

Church Attendance,Social Capital,and Black Voting Participation*

Objectives. We test the traditional studies of political participation that suggest enhanced education and income will help reduce the racial gap in voting. Methods. We adopt a Bayesian model to test the impact of education and income on both black and white racial groups. We also link the explanation of black voting participation to social capital. Results. We find that bonding and bridging social capital as well as human capital are all important in explaining white voting participation, but only bonding social capital, measured by church attendance, explained African‐American voting participation. Conclusions. We conclude that the utility of social capital theory and continuing significance of human capital theory must be considered in a racial context. In addition, our findings offer important implications about the continuing role of black churches for increasing social capital and political participation.