Intimate partner violence risk assessment and management

While risk assessment is important in the management of intimate partner violence perpetrators, the science and practice of risk assessment in this field are still in early development. This article reviews the literature on intimate partner violence risk assessment. The original intent was to direct discussion to assist the Military Family Advocacy Program (FAP), U.S. Department of Defense, to develop guidelines for the treatment of domestic violence offenders. The article is divided into sections as follows: (a) Defining Risk; (b) The Risk Factors; (c) Models of Risk Assessment; (d) Existing Risk Instruments; (e) The Role of the Victim in Risk Assessment; (f) Qualifications to Conduct Assessments; (g) Communicating Risk; and (h) Managing Risk. Relevant issues and controversies are raised throughout the article.     

The Development of Referential Communication and Autism Symptomatology in High‐Risk Infants

Non‐verbal referential communication is impaired in children with autism spectrum disorders (ASD). However, the development of difficulties with referential communication in the younger siblings of children with ASD (High‐Risk Siblings)—and the degree to which early referential communication predicts later autism symptomatology—is not clear. We modeled the early developmental trajectories of three types of referential communication: responding to joint attention (RJA), initiating joint attention (IJA), and initiating behavioral requests (IBR) across 8, 10, 12, 15, and 18 months of age in High‐Risk Siblings (n = 40) and the infant siblings of children without ASD (Low‐Risk Siblings; n = 21). Hierarchical linear modeling indicated that High‐Risk Siblings exhibited lower levels of baseline RJA and IJA and a lower rate of linear change in IBR than Low‐Risk Siblings. When the 10 High‐Risk Siblings who received an ASD diagnosis were excluded from analyses, group differences in the development of referential communication remained significant only for RJA. Baseline levels of IJA were associated with later ASD symptomatology among High‐Risk Siblings, suggesting that individual differences in referential communication development at 8 months may index early manifestations of ASD.     

The Role of Beliefs in Sexual Behavior of Adolescents: Development and Validation of an Adolescent Sexual Expectancies Scale

This article reports on the development and psychometric properties of the Adolescent Sexual Expectancies Scale (ASEXS). Data were obtained from three annual longitudinal surveys of youth aged 10–17 at the first administration (N=932 at Wave 3). Confirmatory factor analyses indicated that 4 correlated factors corresponding to Social Risk, Social Benefit, Health Risk, and Pleasure adequately represented the expectancy items. High alpha coefficients and stability across survey waves indicated good internal and test–retest reliability for these factors. Latent variable autoregressive analyses indicated that Social Risk expectancies predicted changes in sexual behavior over the course of the study. Multigroup analyses established that the measurement and predictive models were equivalent for males and females and across age groups. The ASEXS provides researchers with a useful measure for examining adolescents' expectancy beliefs about the consequences of sexual behavior.     

An integrated tool to support engineers for WMSDs risk assessment during the assembly line balancing

This paper wants to present an integrated approach to Line Balancing and Risk Assessment and a Software Tool named ErgoAnalysis that makes it easy to control the whole production process and produces a Risk Index for the actual work tasks in an Assembly Line. Assembly Line Balancing, or simply Line Balancing, is the problem of assigning operations to workstations along an assembly line, in such a way that the assignment be optimal in some sense. Assembly lines are characterized by production constraints and restrictions due to several aspects such as the nature of the product and the flow of orders. To be able to respond effectively to the needs of production, companies need to frequently change the workload and production models. Each manufacturing process might be quite different from another. To optimize very specific operations, assembly line balancing might utilize a number of methods and the Engineer must consider ergonomic constraints, in order to reduce the risk of WMDSs. Risk Assessment may result very expensive because the Engineer must evaluate it at every change. ErgoAnalysis can reduce cost and improve effectiveness in Risk Assessment during the Line Balancing.     

SOCIAL ENVIRONMENTAL RISK AND PROTECTION: A TYPOLOGY WITH IMPLICATIONS FOR PRACTICE IN ELEMENTARY SCHOOLS

Social environmental assessments can play a critical role in prevention planning in schools. The purpose of this study was to describe the importance of conducting social environmental assessments, demonstrate that complex social environmental data can be simplified into a useful and valid typology, and illustrate how the typology can guide prevention planning in schools. Data collected from 532 3(rd) through 5(th) graders using the Elementary School Success Profile were analyzed in the study. A latent profile analysis based on eight child-report social environmental dimensions identified five patterns of social environmental risk and protection. The classes were labeled High Protection, Moderate Protection, Moderate Protection/Peer Risk, Little Protection/Family Risk, and No Protection//School Risk. Class membership was significantly associated with measures of well-being, social behavior and academic performance. The article illustrates how the typology can be used to guide decisions about who to target in school-based preventions, which features of the social environment to target, and how much change to seek. Information is provided about online resources for selecting prevention strategies once these decisions are made.     

A randomized intervention trial to reduce mechanical exposures in the Colombian flower industry

Evidence on the effectiveness of ergonomic interventions to reduce mechanical demands and upper-extremity MSDs is scarce in agriculture. We conducted an intervention to reduce mechanical exposures during manual flower cutting through job rotation, education and reduction of force requirements. One-hundred and twenty workers (20 to 60 years old; 89% women) from six companies that cultivate roses participated in this study. Three companies were randomly assigned to control and intervention groups. We studied changes between baseline and follow-up in self-reported effort and upper-extremity postures, kinematics and muscular activity. Most of the observed changes were moderate for both groups. The intervention group showed differential improvements compared to the control group for the maximum wrist radial deviation and forearm pronation, and acceleration of the forearm supination-pronation and elbow flexion-extension; and the muscular activity of the flexor and extensor carpi radialis and the flexor carpi ulnaris. However, we also observed that the maximum ulnar deviation, velocity of the wrist flexion-extension and muscular activity of the extensor carpi ulnaris improved more in the control group. These mixed results may be related to limited time for intervention adjustment, and uncontrolled task changes in the control group. Future research should address these issues and test other solutions.     

Trajectories of Sexual Risk From Middle Adolescence to Early Adulthood

Developmental trajectories of risky sexual behavior were identified in a multiethnic sample of 1,121 youth drawn from the Children of the National Longitudinal Survey of Youth data set (NLSY79). Group-based trajectory modeling of a composite index of sexual risk taking revealed four sexual risk groups from ages 16 to 22: low risk, decreasing risk, increasing risk, and high risk. The Low Risk group exhibited low levels of risk across the study period. The Decreasing Risk group had high levels of sexual risk in adolescence that declined in early adulthood. The Increasing Risk and High Risk groups showed distinct risk patterns during adolescence but converged in early adulthood. When compared with adolescents in the low-risk group, individuals in the other groups were more likely to be male, had mothers who had an early birth, were less likely to live with both biological parents in early adolescence, had higher risk proneness, and reported more negative peer pressure.     

Condom use,frequency of sex,and number of partners: Multidimensional characterization of adolescent sexual risk‐taking

Sexual health research often relies on single risk indicators. However, multi‐variable composites may better capture the underlying construct of risk‐taking. Latent Profile Analysis identified subgroups based on condom use consistency, partner numbers, and sex frequency among 605 adolescents. Three profiles were identified for each of grades 8 to 10 (Condom Users, Few Partners, and Risk‐Takers) and 4 in grades 11 and 12 (Condom Users, One Partner, Two Partners, and Risk‐Takers). Inconsistent condom use groups reported more non‐condom (and often less effective) birth control use and STD and pregnancy histories. Females had greater representation in the Few Partners, One Partners, and Two Partners groups, which also contained increasing proportions of participants in each subsequent year. Males had greater representation in the Risk‐Takers group. A profile approach to measurement has methodological advantages, can add to substantive knowledge, and can inform content, timing, and targets of sexual health interventions.     

Social Work Registration: Another Opportunity for Discussion

ABSTRACT

The Social Workers Registration Bill 2018 is before the Parliament of South Australia. It makes provision to establish a social worker registration board with powers to investigate complaints and enforce penalties for breach of competency and ethical standards. This paper presents an argument for the national registration of social workers; and in addition, outlines key considerations for thinking about risk, protection, safeguarding, and implementation that comes with registration.

IMPLICATIONS

• Risk and protection need to be assessed as part of a more comprehensive regulatory framework in the debates of registration.

• If registration is to become part of the regulation of social work, a national approach to social worker registration is indicated, so that a person deregistered in one state cannot be employed as a social worker in another.

• Social worker registration is a potentially useful formal mechanism that offers both a protective safeguard (social worker status) and a corrective safeguard (limiting or de-registering).

     

Table of Contents

NAATP Cites $500,000 in Credit Card Charges in Hunsicker Firing Research Findings Assist Prescribers in Spotting Risk Factors for Rx Abuse To Integrate Addiction Treatment, Physicians Call for Collaboration JAMA on Integration Models of Integrated Care Calif. Budget Proposal Would Eviscerate Methadone Treatment WHO Calls for Restrictions on Alcohol Marketing Binge‐Drink Risk Drops Dramatically After Age 25 $210 Million Increase Requested for SAPT Block Grant Briefly Noted State News Coming up     

The Interplay of Syndemic Production and Serosorting in Drug-Using Gay and Bisexual Men

The relationships between mental health, substance use, and sexual behaviors among gay and bisexual men in a sample of 450 club drug-using men from New York City were examined using syndemics theory. Risk scores for each participant were based on variables measuring substance use and mental health burden. Participants with higher risk scores were significantly more likely to engage in risk behaviors. Risk taking was also explained by serosorting, suggesting that syndemics theory in and of itself, while significant in explaining risk, is not sufficient. These findings suggest we need to understand the interplay between social, emotional, and cognitive factors to understand sexual risk taking.     

Table of Contents

SBIRT Failure: ‘S’ Works, ‘BI’ for Low‐Risk Only, ‘RT’ Unknown Insurance Leader Foresees Centers Assuming Greater Risk with Changes Drug Courts Should Target Most Severe Cases: NADCP New CEO for TRI; Private Investment to Take Bigger Role Voices on the Death of Robin Williams Two Different Marijuana Reports from Colorado Briefly Noted Coming up     

The price of youth: commodification of young people through malleable risk practices

Risk has become a dominant part of theory and practice in young people's services over the past 30 years [Kemshall, H. 2008. “Risk, Rights and Justice: Understanding and Responding to Youth Risk.” Youth Justice 8 (1): 21–37; Goldson, G. 2000. “Children in Need’ or ‘Young Offenders’? Hardening ideology, organizational change and new challenges for social work with children in trouble.” Child and Family Social Work 5 (3): 255–265]. Young people are simultaneously described as ‘at-risk’ and risky, ‘permanent suspects’ [Mcara, L., and S. Mcvie. 2005. “The usual suspects? Street-life, young people and the police.” Criminal Justice 5 (1): 5–36] with the potential for committing crime, using drugs, being sexually promiscuous or under-performing in the socio-economic climate [Turnbull, G., and J. Spence. 2011. “What's at risk? The proliferation of risk across child and youth policy in England.” Journal of Youth Studies 14 (8): 939–959]. This paper reports on a UK study of youth practitioners’ perceptions of young people in relation to ‘risk’ and how this affects practice. Findings identify a context where practitioners engage with notions of young people as at-risk or risky, managing tensions between external constructions and the ‘real’ individual on an on-going basis. ‘Risk’ becomes malleable, with young people's risk biographies being amplified or attenuated on the basis of the practitioner's view of needs, resource allocations, contracts, targets, practitioner or organisational fears, risk management processes, and the desire to get the best for the young person. Whilst of short-term benefit, this commodification of young people is counter-productive, magnifying the construction of youth as risky others. The paper calls for new approaches to challenge the continued dominance of the youth risk paradigm in practice, policy and the academic youth studies field.     

The unique relations between early homelessness and educational well-being: An empirical test of the Continuum of Risk Hypothesis

This study examined the Continuum of Risk Hypothesis by assessing the unique relations between early homelessness and educational outcomes while controlling for co-occurring risks. An integrated data system was used to account for multiple co-occurring early risk factors for an entire cohort of first grade students in a large urban school district and municipality (N = 8267). Multilevel linear regression models indicated that the presence of some co-occurring risk factors explained the relation between homelessness and academic engagement problems in school. However, after controlling for co-occurring risks, an experience of homelessness was found to be uniquely related to social engagement problems in first grade. These results support the Continuum of Risk Hypothesis and stress the importance of early intervention for children with an experience of homelessness to foster their social development.     

Independent comment on Audio‐visual and Print Materials

Book reviewed in this article: Psychology and Psychiatry: Integrating Medical Practice Jeannette Milgrom, Graham D. Burrows (Eds.) Systhema — Opinion, Exchange, Discussions. Edition 3: 2000 — Disability, Illness, Death. Institut für Familientherapie Weinheim/Germany Memory in Dispute Valerie Sinason (Ed.) Women Who Sexually Abuse Children: From Research to Clinical Practice Jacqui Saradjian in association with Helgar Hanks Culture and Mental Health: A Southern African View Leslie Swartz The Learning about Myself (LAMS) Program for At‐Risk Parents: Learning from the Past — Changing the Future Verna Rickard, Binghamton The Learning about Myself (LAMS) Program for At‐Risk Parents: Handbook for Group Participants Verna Rickard, Binghamton Family Counselling and Therapy 3rd edn Arthur M. Horne (Ed.) Beyond Belief: Psychotherapy and Religion Samuel Stein (Ed.) Couples and the Tao of Congruence Barbara Jo Brothers (Ed.) Lesbians and Gays in Couples and Families: A Handbook for Therapists Joan Laird, Robert‐Jay Green (Eds)     

Transitions of women’s substance use recovery networks and 12-month sobriety outcomes

Little is known about how the structure and composition of women’s personal social networks (PSNs) combine to support recovery from substance use disorders, how PSNs change during early recovery, or how known covariates such as trauma, co-occurring mental health disorders, or treatment modality impact this relationship. This study used latent profile and transition analyses with 6 recovery-specific PSN indicators in a sample of women in early recovery (N = 377) to identify three PSN typologies in relation to abstinence outcomes over 12 months, and track transitions between the typologies at 0–6 and 6–12 months. Women in the Highly Connected type (14.3 %) had tightly-knit networks, more sober alters, and fewer treatment-related alters. Women in the Treatment-Related type (49.3 %) had looser-knit networks with more sober and sobriety-supporting alters and alters they know from treatment. Women in the At-Risk type (36.3 %) had more isolates, few sobriety-supporting alters, and more alters with whom they used. Women in the Treatment-Related Sobriety Support type were significantly more likely to maintain sobriety by 12 months (B = −0.81; OR = 2.09, 95 % CI [1.23−3.56]) than women in the At Risk type. Higher mean Trauma Symptom Checklist scores were positively related to membership in the At Risk type. The majority of women who transitioned did so by 6 months, with 41.6 % transitioning then. Women in the At Risk group had the highest probability of transition (P = 0.55). Being in residential treatment (versus outpatient) predicted lower odds of transitioning (B = −0.81, p = .06). This study provides a framework for conducting longitudinal latent variable analysis with social network data, and offers a clinically-useful starting point for research on individualized, targeted, and stage-based interventions for women in recovery.     

Relationship of risk assessment to placement characteristics in a statewide child welfare population

Risk assessments allow child and youth services to identify children who are at risk for maltreatment (e.g., abuse, neglect) and help determine the restrictiveness of placements or need for services among youth entering a child welfare system. Despite the use of instruments by many agencies within the U.S. to determine the appropriate placements for youth, research has shown that placement decisions are often influenced by factors such as gender, age, and severity of social–emotional and behavior problems. This study examined ratings of risk across multiple domains using a structured assessment tool used by caseworkers in the Rhode Island child welfare system. The relationship between ratings of risk and placement restrictiveness was also examined. Risk levels varied across placement settings. Multivariate analyses revealed that lower caseworker ratings of parent risk and higher ratings of youth risk were associated with more restrictive placements for youth. Implications for the child welfare system are discussed.     

Traumatic brain injury and suicide

A number of psychiatric and neurological problems may occur following traumatic brain injury (TBI). Anxiety and depression are common. There is evidence that there may be a correlation between TBI and increased risk of suicide. This article will explore current literature on the risk of suicidal behavior in people who have experienced TBI. Risk factors for suicide, recognition and assessment of suicidal behavior, and treatment issues will be discussed.