Beyond Income: A Social Justice Approach to Assessing Poverty among Older Adults with Chronic Kidney Disease

ABSTRACT

How social workers define and assess poverty is a matter of economic and social justice. Recent conceptual and measurement advances point to a multidimensional definition of poverty which captures material, social, and political deprivations. Using data from a survey, this article describes how nephrology social workers assess poverty among older adults living with a chronic kidney disease (N = 52). Results suggest respondents already conceive of poverty as a multidimensional experience, support awareness-raising about poverty, and primarily assess poverty by employment status, income, access to transportation, and education. Opportunities to expand poverty assessment in future work are promising.     

Body Image and Quality of Life in a Group of African American Women

African American (AA) women’s preference for a larger body size and underestimation of their body weight may affect the relationship between their body weight and weight-related quality of life (QOL). We wanted to examine the relationship between weight-related QOL and body mass index (BMI) in a sample of overweight AA women. Thirty-three overweight AA women completed a clinic visit to measure height, weight, and complete surveys including the Impact of Weight on Quality of Life-Lite (IWQOL-Lite) and the Stunkard Figure Rating Scale. BMI was calculated using measured height and weight. Correlations and linear regression models were estimated using SAS v 9.1. In this sample, the mean total quality of life score was 78.00 ± 17.68 on a 100 point scale. There was a modest correlation between BMI and total weight-related QOL (r = −0.034, p = 0.053). Body image dissatisfaction was the strongest predictor of total quality of life score (p = 0.04). African American women’s unique cultural perception of body image may play a key role in weight-related QOL.     

“Were They Ever Really Happy the Way That I Remember?”: Exploring Sources of Uncertainty for Adult Children of Divorce

This study relies on interviews of adult children of divorce (ACOD) and the lens of uncertainty management theory to understand how ACOD construct and negotiate the uncertainty they face. Through our inductive analysis, we identified 4 major sources of uncertainty faced by ACOD: length of parental unhappiness, taking on new roles, navigating holidays and family events, and being caught in the middle. Exploring how this uncertainty is talked about and managed offers a theoretically and practically insightful glimpse into the meaning and sense-making processes as these individuals cope with one of the most prevalent and challenging events faced by families.     

“He Wanted Me to Achieve that for Our Family and I Did,Too”: Exploring First-Generation Students’ Experiences of Turning Points During the Transition to College

This study explored the ways in which family communication facilitated support and persistence for first-generation students during the transition from high school through the first year of college with a specific focus on the first-year experience, a pivotal time when first-generation students often decide whether they will leave or stay in college. Through semistructured interviews, we identified the communication events that first-generation students perceived to be turning points in their interpersonal interactions with their family members. Seventeen participants identified a total of 121 turning points that they experienced from family members spanning from the time they had their first conversation about going to college through the first year of college. Interviews revealed three suprathemes of turning points: (a) coauthoring the dream, (b) experiencing obstacles to the dream, and (c) actualizing the dream.     

Evaluation of a Seven State Criminal History Screening Pilot Program for Long-Term Care Workers

This article summarizes results from an evaluation of a federally sponsored criminal history screening (CHS) pilot program to improve screening for workers in long-term care settings. The evaluation addressed eight key issues specified through enabling legislation, including efficiency, costs, and outcomes of screening procedures. Of the 204,339 completed screenings, 3.7% were disqualified due to criminal history, and 18.8% were withdrawn prior to completion for reasons that may include relevant criminal history. Lessons learned from the pilot program experiences may inform a new national background check demonstration program.     

Teaching Note—Lessons Learned From Developing and Implementing a Dementia Caregiving Graduate-Level Service-Learning Course

ABSTRACT

This teaching note delineates seven lessons learned when designing and implementing a graduate-level dementia caregiving service-learning course. The course was designed during a 1-year faculty service-learning fellowship and implemented during the summer of 2015. The course used a person-in-environment framework to explain social work practice with family systems affected by dementia. It aimed to increase students’ knowledge about dementia and improve students’ attitudes toward working with people with dementia through respite visits with families affected by dementia. Three recommendations for future course offerings are described.     

Comparing Families and Staff in Nursing Homes and Assisted Living: Implications for Social Work Practice

Nursing homes and residential care/assisted living settings provide care to 2.4 million individuals. Few studies compare the experience of, and relationships between, family and staff in these settings, despite ongoing family involvement and evidence that relationships are problematic. Data from 488 families and 397 staff members in 24 settings examined family involvement and family and staff burden, depressive symptoms, and perceptions; and staff absenteeism and turnover. There were few differences across setting types. Although conflict rarely occurred, there was room for improvement in family–staff relations; this area, and preparing family for their caregiving roles, are appropriate targets for social work intervention.     

An analysis of the sexual health and safety information study abroad directors present their students prior to departure

Abstract

Objective: Study abroad students engage in problematic alcohol use, risky sexual activity, and maintain high risk for sexual assault; however, there is a lack of information about relevant prevention practices in study abroad programs. The purpose of this project was to understand the health and safety behaviors (HSBs) discussed with students prior to departure. Method: A total of 143 study abroad program directors from the U.S. completed an online survey, including demographics of the program director and institution, and questions about the HSBs discussed with students. Results: Chi-square analyses revealed that discussions of HSBs rarely differed by institution size or location; however, all HSBs were more likely to be discussed by directors administering programs with higher enrollment. Conclusion: Study abroad directors provide some basic information on sexual health to their students; however, more work is needed to ensure students are informed and attending to information about potential health risks prior to traveling abroad.     

The Diversity Imperative: The Effects of Local Economic Structure and Social Capital on Local Philanthropy

VOLUNTAS: International Journal of Voluntary and Nonprofit Organizations - Philanthropic endeavors are a form of institutionalized collective action that enhances a community’s capacity to...     

Revising Premarital Relationship Interventions for the Next Generation

In this article, we review research on contemporary social trends that influence the next generation's ability to form and sustain a healthy marriage. As a result, we argue for greater attention to premarital interventions for engaged couples to help the next generation address the potential challenges created by these trends. After we briefly review the current state of premarital education and counseling, we examine four general, interrelated social trends: individualism and commitment ambivalence, changing attitudes about marriage, premarital relationship histories, and the omnipresent media environment. In addition, we offer four general proposals corresponding to these trends that we believe will enhance the future effectiveness of premarital interventions. We urge premarital educators and counselors to evaluate their current interventions with these proposals in mind.