A review of temporal effects and outcome predictors in substance abuse treatment studies with long-term follow-ups. Preliminary results and methodological issues

This article is an initial report from a review of alcohol and drug treatment studies with follow-ups of 2 years or more. The goals of the review are to examine the stability of substance use outcomes and the factors that moderate or mediate these outcomes. Results from 12 studies that generated multiple research reports are presented, and methodological problems encountered in the review are discussed. Substance use outcomes at the group level were generally stable, although moderate within-subject variation in substance use status over time was observed. Of factors assessed at baseline, psychiatric severity was a significant predictor of outcome in the highest percentage of reports, although the nature of the relationship varied. Stronger motivation and coping at baseline also consistently predicted better drinking outcomes. Better progress while in treatment, and the performance of pro-recovery behaviors and low problem severity in associated areas following treatment, consistently predicted better substance use outcomes.     

A variable selection approach to monotonic regression with Bernstein polynomials

One of the standard problems in statistics consists of determining the relationship between a response variable and a single predictor variable through a regression function. Background scientific knowledge is often available that suggests that the regression function should have a certain shape (e.g. monotonically increasing or concave) but not necessarily a specific parametric form. Bernstein polynomials have been used to impose certain shape restrictions on regression functions. The Bernstein polynomials are known to provide a smooth estimate over equidistant knots. Bernstein polynomials are used in this paper due to their ease of implementation, continuous differentiability, and theoretical properties. In this work, we demonstrate a connection between the monotonic regression problem and the variable selection problem in the linear model. We develop a Bayesian procedure for fitting the monotonic regression model by adapting currently available variable selection procedures. We demonstrate the effectiveness of our method through simulations and the analysis of real data.     

Quantifying Quality: Can Quantitative Data (“Metrics”) Explain the 2001 RAE Ratings for Social Policy and Administration?

This paper finds that around 80 per cent of the differences in the ratings awarded in the 2001 RAE for social policy may be “explained” using half a dozen pieces of quantitative data. Social policy excellence—as judged by peer review—is associated with the award of doctorates, the amount of money raised, publications in a particular (if broad) range of journals and books by major publishers, and being large. Even taking account of differences on all these factors, the analysis found that new universities fared worse than their quantitative data would suggest. It is argued that quantitative data should play a larger role in decisions about research quality, aiding equity and transparency.     

Lone motherhood and socio-economic disadvantage: insights from quantitative and qualitative evidence

Children's socio‐economic origins have a major impact on their socio‐economic destinations. But what effect do they have on other kinds of destinations, such as family life? In this article we assess the extent and nature of the relationship between social class background and lone motherhood, using a combination of research methods. We analyse three large datasets and explore in detail qualitative information from 44 in‐depth interviews. Our analysis shows that women from working class backgrounds are more likely to become lone mothers (especially never‐married lone mothers) than women from middle class backgrounds. Moreover, the experience of lone motherhood is very different for women from working class backgrounds compared with other women.     

Employment transitions for clubhouse members

Using a longitudinal dataset which followed 2195 individuals employed in 3379 separate job placements over a four-year period, this paper explores movement between the employment supports, [Transitional (TE), Supported (SE), and Independent Employment (IE)], offered by clubhouses. Sixty-four percent of employed members held only one job (N=1395) and 36% held multiple jobs during the study (N=791). Patterns of movement were consistent for transitions between the first and second job and subsequent transitions. Forty-six percent of individuals holding multiple jobs moved from one employment type to another. When movement occurred clubhouse members were significantly more likely to move from employment types offering more supports to those that offer less supports.     

Preparing Social Workers to Identify and Integrate Culturally Affirming Bibliotherapy into Treatment

Despite gains in redefining America as a ‘salad bowl’ versus a ‘melting pot’, stereotypes about racial and ethnic minorities, including African Americans, remain embedded in the fabric of the United States. By acknowledging the significance of stereotypes, race, and culture on the lives of clients, culturally affirming bibliotherapy is a tool that can empower them, validate their experiences, and promote the development of a positive self‐identity or self‐concept. This paper focuses on its use with African American youth, however, because, race impacts all individuals of African descent, this tool can and should be incorporated into their treatment as well when deemed appropriate.     

The HOPE Family Project: A Family-Based Group Intervention to Reduce the Impact of Homelessness on HIV/STI and Drug Risk Behaviors

The HOPE Family Project (HIV Prevention for Parents and Early Adolescents) is an eight- session, family-based group intervention modeled on three evidence-based curricula targeting HIV/AIDS and alcohol and drug abuse prevention. The design and implementation of the HOPE Family Project was carried out by an established community collaborative board. The project aims to educate and provide tailored support to families and their youth (ages 11–14), residing in homeless shelters, regarding HIV and alcohol abuse prevention. The group model proved successful in offering an informal social support network for families living in homeless shelters and improving family functioning and youth mental health outcomes.     

Experiences of homelessness by people seeking asylum in Australia: A review of published and “grey” literature

This review examines the current published and “grey” literature relating to the experiences of homelessness by people seeking asylum within Australia. While many people seeking asylum have experienced homelessness during their flight, inadequate and unaffordable housing are a feature of the settlement experience for a large number of new arrivals to Australia, putting at risk their successful settlement. This study aims to explore the factors influencing access to stable housing. A systematic review of the academic literature and a search of the grey literature identified 11 articles and 20 documents related to homelessness and people seeking asylum in Australia. The academic literature included a variety of methods and approaches to the investigation of the experience of homelessness in Australia. The grey literature was more practice based, including evaluation and research reports, submissions, and newsletters. Findings suggest that experiences of homelessness are multifaceted and have a range of influences, including policy, financial stress, lack of access to education and employment, and a lack of affordable and suitable housing. Any solutions to address homelessness need to be similarly diverse. Discrimination from real estate agents and employers was also identified as a barrier to housing for many people seeking asylum, an issue that will need to be addressed at a systematic level. The lack of research published in the academic literature means that although there may be some programmes or solutions operating in the community, as demonstrated in the grey literature, this information is not being shared beyond organisation websites or subscriber lists, resulting in a lack of coherency or sharing of solutions. This review highlights the need for further attention to the factors influencing homelessness in asylum seekers, the experience of homelessness, and how these can be addressed by government and non-government led strategies and policy development.     

Do Associations Between Pleasure Ratings and Condom Use During Penile–Vaginal Intercourse Vary by Relationship Type?: A Study of Canadian University Students

Research suggests the relationship between pleasure and condom use during penile–vaginal intercourse (PVI) is associated with relationship status. This online study examined pleasure ratings and condom use at last PVI, stratifying by partner type, among a national sample of Canadian university students. Participants were 715 undergraduates (60.7% women, 39.3% men) who reported on their most recent sexual experience. Condom use decreased with level of relationship commitment, whereas ratings of pleasure increased. Overall, participants were more likely to rate their most recent PVI as Very pleasurable when condoms were not used compared to when condoms were used. However, when stratified by partner type, these differences largely disappeared. For women, with one exception, there were no differences in pleasure between PVI with and without condoms across most partner-type categories. Women in committed dating relationships were more likely to report their last PVI as very pleasurable if condoms were not used than women in these same relationships who had used condoms. Across relationship categories, men who did and did not use condoms did not differ in terms of their pleasure ratings. The results of this study suggest relationship context should be taken into account when assessing condom use experiences.