Conducting a Hispanic Health Needs Assessment in rural Kansas: building the foundation for community action

Healthy People 2020 states ethnic health disparities are a priority for the US. Although considerable national statistics document ethnic-related health disparities, information specific to rural areas is scarce and does not provide direction for implementing chronic disease prevention programming. Therefore, the purpose of our project was to use the Hispanic Health Needs Assessment (HHNA), a tool designed by the National Alliance for Hispanic Health (NAHH), in culturally diverse, rural Southwest Kansas. Our focus areas included: access to healthcare, heart disease, diabetes, overweight, nutrition, and physical activity. METHODS: The assessment followed six steps: (1) developing the assessment team, (2) data gathering using community member surveys, existing statistics and community leader interviews, (3) assembling the findings, (4) formulating recommendations for action at individual, institutional, community and policy levels, (5) sharing findings and program planning, and (6) sharing findings with NAHH. We identified several challenges collecting health related data in rural communities, but overall, the HHNA was a comprehensive and useful tool for guiding a community level health assessment. CONCLUSION: This process has provided our community partners with locally relevant statistics regarding the current status of health, health behaviors, and perceived community needs to inform resource allocation, program planning and applications for new funding initiatives.     

CHANGING ROLES OF ABILITY AND EDUCATION IN U.S. INTERGENERATIONAL MOBILITY

Using data on young adults from the 1979 and 1997 National Longitudinal Survey of Youth, we investigate the changing roles of ability and education in the transmission of economic status across generations. We find that ability plays a substantially diminished role for the most recent cohort whereas education plays a much larger role. The first finding results primarily from a smaller effect of children's ability on status, the second from an increased correlation between parental status and educational attainment. A replication of the analysis by gender reveals that the changes in the role of ability are largely driven by men whereas the changes in education's role are largely driven by women. (JEL J62, I24)     

The Roles of Instability and Housing in Low-Income Families’ Residential Mobility

Given the repercussions of residential mobility, increased understanding of correlates of mobility is important for efforts to support family well-being. Using survey data on low-income families from the Three City Study (N = 2393), multilevel mixed longitudinal analyses examined factors associated with family residential mobility across the domains of family instability, housing and neighborhood contexts, and family characteristics. Results revealed contributions of family instability and housing and neighborhood contexts to residential mobility, with a higher rate of residential moves associated with experiences of intimate partner violence, relationship transitions, and job transitions, as well as with living in private-market rentals, substandard housing, and disordered neighborhoods. However, owning a home and living in disadvantaged neighborhoods predicted a lower rate of residential moves.     

Suffering in Silence: Child Sexual Molestation and the Black Church: If God Don’t Help Me Who Can I Turn To?

The invasion by another of a child’s inner self causes greater damage to the soul than perhaps any other type of abuse. Each year an estimated 90,000 children are victims of child sexual abuse. Many social institutions that are designed to help in healthy child development have failed to protect children from sexual abuse. The Black church is a major institution within the African American community that provides a plethora of supports for the community. However, it has also come under recent scrutiny for its failure to protect its children from sexual predators from within. The authors of this article discuss the role of the Black church, give theories to explain child sexual molestation, and make recommendations to church leaders and others for prevention and intervention of this problem. Implications for churches, human service providers, and research are also discussed.     

Building Affordable Rental Housing for Seniors: Policy Insights From Canada

ABSTRACT

In the context of healthy aging, we explore newly constructed, unassisted affordable rental housing with respect to design, location, and the involvement of seniors in decision making. We do so from the perspectives of seniors and project sponsors. Overall, the themes that emerged from these two groups of participants diverge. Seniors spoke about the importance of shared space, design-related barriers to aging in place, and problems accessing transportation. They also expressed a range of views regarding participation in decision making, from conveying it was not necessary to requesting resident involvement. Project sponsors spoke about cost, feasibility, and, in certain cases, learning how to build housing; they also evinced disparate views about the nature of the housing they were providing and the importance of seniors' involvement. Recommendations include linking housing to health and social policy, implementing guidelines for sponsors related to design and location, and providing increased funding to offset new costs.     

Connecting After Killing: An Exploration of the Intersubjective Space between Therapist and Client

The devastation, chaos, and horror that characterize combat reveal aspects of the human condition that most individuals, and much of society, would rather remain unseen. And the reality of killing renders most individuals viscerally and existentially uncomfortable, and thus is often turned away from. Civilian psychotherapists are not immune to this. This article explores how civilian therapists’ subjectivities manifest in therapeutic work with service members who have killed or think they may have killed in combat. The experiences of previous generations of psychotherapists as well as findings from interviews with current-day clinicians point to significant ways in which the distressing and dissonant reverberations of killing in combat are manifest in the dyad between civilian therapists and service members.     

Psychosocial Environmental Relationships Among MSW Students in Distance Learning and Traditional Classrooms

ABSTRACT

A Midwestern university assessed 108 graduate social work students. Student preferences were examined regarding their perceptions and satisfaction with distance education versus traditional classroom settings. With a standardized measurement scale and 6 qualitative interviews being utilized, results identified several interpersonal and environmental characteristics influencing positive preference. Using an independent sample t-test, significant differences were found between the two types of learning environments. Results showed a preference for the standard, face-to-face format, and the results identified several variables that contribute to significant advantages and disadvantages of using distance education technology. Recommendations are provided for future research and explication of factors contributing to satisfaction with the learning environment.