Partnering for Mental Health Promotion: Implementing Evidence Based Mental Health Services Within a Maternal and Child Home Health Visiting Program

This article details the clinical foundations of a social work focused community-based participatory research project promoting women’s mental health during and around the time of pregnancy. Specifically, we discuss the theoretical, empirical and organizational implementation of an enhanced engagement model of mental health service delivery that integrates evidenced based practices into the structure and services of an existing non-profit maternal and child health home visiting agency. The model is grounded in literature addressing barriers to accessing mental health care among minority women living in low-income communities. We discuss informing the intervention through direct consumer involvement, as well the rationale supporting the inclusion of Interpersonal Psychotherapy and Cognitive Behavioral Therapy into the design and implementation of the model which emphasizes adequate training of staff with varying levels of mental health experience. Finally, we describe typical client situations and responses reflected by the Enhanced Engagement model and discuss future implications of this approach as a way to offer meaningful intervention to women and families who may not have access or eligibility to utilize specialty mental health services.     

Family use of community services in economically stressed rural counties

This study focuses on stresses, coping strategies, and satisfactions of respondents in eight economically distressed rural counties in the state of Washington. An adult sample is divided into two groups: those who indicate specific economic problems and/or are unemployed (n=236) and those who are still employed and do not report specific economic stresses (n=190). Although those with specific economic problems show higher levels of perceived stress and financial dissatisfaction, there are no differences reported in over-all family satisfaction. Results point to the importance of providing specific employment-related community services to family members in these types of communities.Dorothy Z. Price, Ph.D. is a Professor in the Department of Child and Family Studies, Washington State University, Pullman WA 99164-2010. Her research interests include decision making and consumer behavior. She received her Ph.D. from Michigan State University.Lonnie J. Dunlap, M.A., is a Graduate Research Assistant in the Interdisciplinary Ph.D. Program, Washington State University, Pullman, WA 99164-2010. Her research interests include work and family interactions and career development.     

Thirty Years of Demography

In this paper, we present a content analysis of Demography, the official journal of the Population Association of America. Our results reflect patterns of change and stability in a number of areas, including: subjects covered, number of authors, gender of authors, type of data used, source of data used, affiliation of authors and statistical procedures employed. The data suggest that the field of population research has become increasingly bureaucratized and complex, while at the same time continuing to focus on familiar research subjects. A relatively small number of population research centers contribute disproportionately to the journal.     

State-Level HIV Criminalization Laws: Social Construction of Target Populations?

Applying Schneider and Ingram’s social constructionist framework that places people living with HIV (PLWH) in the intersection of both minimal power and negative social construction, this study investigates whether HIV criminalization laws are more likely to be present in states that have a relatively larger percentage of socially marginalized populations. A database was assembled of state-level variables related to HIV criminalization laws and indicators of social marginalization. Analyses show that states with HIV criminalization laws have relatively larger African American populations. Future research is needed to further clarify the racial component of HIV criminalization.     

Introducing Technology in Child Welfare Referrals: A Case Study

Access to social services is important for the safety of children and ultimately for reunification of families involved in the child welfare system. The process of linking families to services, however, varies by caseworker and can be cumbersome and time consuming. The Department of Children and Family Services (DCFS) Needs Portal is an Internet-based intervention to improve the timing and quality of social service referrals in Los Angeles County We used a case study approach including in-depth interviews, direct observations, and user feedback obtained from the Needs Portal to (a) determine perceived benefits and barriers to adopting the Needs Portal, and (b) report how the flow of information between users and developers was used to adapt to user needs. Our analyses revealed four major barriers: (a) caseworker apprehension regarding new technology, (b) variation in communication styles by user type, (c) lack of technological infrastructure, and (d) competing workplace demands. Information sharing between developers and users has the potential to better meet the needs of users and ultimately maximize utilization of new technology. Although Internet-based interventions are designed to inexpensively and effectively coordinate services, emerging interventions may require in-person assistance and modifications in order to succeed.     

Pathway to Financial Success: Autonomy Through Financial Education in India

ABSTRACT

This study evaluates attitudinal outcome of financial education workshops on the financial autonomy of the participants (homemakers) in the state of Gujarat, India. A series of financial education workshops were conducted with 300 female homemakers. A pretest and follow-up (after 3 months) survey design was used to assess changes. The survey identified 3 types of autonomy outcomes (reflexive, emotional, and functional) using 15 variables. Data were analyzed using a paired t test, and significant results were obtained between the pretest and follow-up surveys. Specific findings may help financial education providers to design and implement such programs more effectively and may provide guidelines to assess their effect. Directions for future research are suggested.     

Pornography and Marriage

We used data on 20,000 ever-married adults in the General Social Survey to examine the relationship between watching pornographic films and various measures of marital well-being. We found that adults who had watched an X-rated movie in the past year were more likely to be divorced, more likely to have had an extramarital affair, and less likely to report being happy with their marriage or happy overall. We also found that, for men, pornography use reduced the positive relationship between frequency of sex and happiness. Finally, we found that the negative relationship between pornography use and marital well-being has, if anything, grown stronger over time, during a period in which pornography has become both more explicit and more easily available.     

Vocational education: A clean slate for disengaged students?

Students’ social psychological adjustment to school is an important determinant of achievement growth as well as school continuation and post-secondary educational attainment. Yet many students begin high school with low levels of efficacy and self-worth, and low levels of identification with and liking of school. In this study, we investigate the hypothesis that vocational education in high school provides disengaged students with an educational clean slate, leading to a recovery of engagement for at-risk students. Using propensity score models, we assess the relationship between vocational course taking and changes in effort, extracurricular participation, sense of belonging, interest in school, attitudes toward school and teachers, educational expectations, career aspirations, locus of control, and self-concept with the NELS:88 database.     

Characterizing the Noncancer Toxicity of Mixtures Using Concepts from the TTC and Quantitative Models of Uncertainty in Mixture Toxicity

This article explores the use of an approach for setting default values for the noncancer toxicity, developed as part of the Threshold of Toxicological Concern (TTC), for the evaluation of the chronic noncarcinogenic effects of certain chemical mixtures. Individuals are exposed to many mixtures where there are little or no toxicological data on some or all of the mixture components. The approach developed in the TTC can provide a basis for conservative estimates of the toxicity of the mixture components when compound-specific data are not available. The application of this approach to multiple chemicals in a mixture, however, has implications for the statistical assumptions made in developing component-based estimates of mixtures. Specifically, conservative assumptions that are appropriate for one compound may become overly conservative when applied to all components of a mixture. This overestimation can be investigated by modeling the uncertainty in toxicity standards. In this article the approach is applied to both hypothetical and actual examples of chemical mixtures and the potential for overestimation is investigated. The results indicate that the use of the approach leads to conservative estimates of mixture toxicity and therefore its use is most appropriate for screening assessments of mixtures.