Gerontological Social Work Student-Delivered Respite: A Community-University Partnership Pilot Program

ABSTRACT

This study describes a community-university partnership to support a gerontological social work student-delivered respite program, the Houseguest Program (Houseguest). Houseguest was designed using a community-engaged scholarship model of integrating research, teaching, and service. Houseguest was piloted with a small group of community-dwelling, coresiding dementia caregivers and care recipients. We examined caregivers’ experiences with student-delivered respite using qualitative data analysis. Thematic analysis produced 8 themes: (a) respite from full time caregiving role, (b) information on caregiving strategies, (c) no-cost supportive services, (d) opportunity for care recipients to socialize, (e) tailored activities for care recipients, (f) rapport-building between students and family dyad, (g) reciprocity between students and family dyad, and (h) program continuation. We conclude with a proposed community-engaged scholarship model for dementia caregiving. Through a community-university partnership, Houseguest reduced the impact of caregiver burden and created an opportunity for students to serve families affected by dementia through respite and tailored activities.     

Implementing a college mental health program – an overview of the first twelve months

Objective: To evaluate the demographics and clinical utilization patterns among college students during the initial 12 months of a novel, multi-disciplinary, collaborative, college mental health program (CMHP). Participants: Undergraduate and graduate students receiving treatment at the CMHP from Jan-Dec 2015. Methods: De-identified data was obtained via electronic health records for all students receiving care through the CMHP. Results: 1.2 FTE clinical providers treated 278 undergraduate and graduate students during the year (65.1% < age 26, 53.6% female, 49.6% caucasian). There were 1822 CMHP outpatient visits, 318 other medical visits and 103 total emergency room (ER)/inpatient visits. Ten students were identified as high utilizers of ER/inpatient services, while charges to the CMHP totaled $470,157 and total charges to the Health System were $2,378,315. Conclusions: Students with complex psychiatric/medical co-morbidities received cost effective, convenient and integrative treatment. Over time, we hope to intervene earlier and decrease ER/inpatient visits.     

Speaking Out: Youth Led Research as a Methodology Used with Homeless Youth

Participatory action research is well documented with marginalized groups, but less is known about participatory action research with homeless youth. The use of youth led research as a methodology was examined among a population of homeless youth. Peer researchers (n = 10) reported on their experience utilizing youth led research methodology. Results indicate that youth led research is a promising methodology for use among homeless youth. Participants reported that the approach positively impacted the quality and quantity of data that could be collected from participants. Further, peer researchers reported individual benefits of feeling that participating in the project mattered, that people listened to them and that they had a voice.     

Global Governance in the Making: Prospects for a New World Order in Tackling Economic Injustice

One of the proposed solutions to economic justice is the concept of global governance, a world order wherein nations, formerly self-seeking and sovereign, would unselfishly cooperate towards solving problems with worldwide repercussions. Is this a utopian ideal or is this an immediate reality? To what extent is this possible, much less achievable?     

Helpers “Here on the Front Lines”: Welfare‐to‐Work Managers' Moral Identity Work

Using data drawn from telephone interviews with Ohio Works First program managers (N = 69), we examine managers' moral identity work. This work included using militarized rhetoric to evoke moral identities as honorable workers. It also involved signifying helper/helpful moral identities by defining what it means to be helpful, legitimating their helper identity through connections to caseworkers, and affirming their identity through telling success stories. Additionally, managers implicitly othered clients they viewed as needy and politicians they considered to be out‐of‐touch. Our research contributes to the literature on welfare‐to‐work, but also more broadly to our understanding of moral identity work and implicit othering.     

Identifying meaning and perceived level of satisfaction within the context of work

OBJECTIVE: The primary objectives of this study were to identify sources of meaning for individuals within the context of a work environment, and to compare varied sources of meaning for individuals with high and low work satisfaction levels. METHOD: Participants were chosen based on satisfaction levels in employment, full-time employment status within an organization for at least one year, and diversity in the work setting. Data were gathered through a series of interviews and observations of the participants' workplaces. A comparative analysis of transcribed interviews was conducted by the researchers and with an expert occupational therapy faculty panel. From these analyses, the researchers developed work narratives for a mechanical engineer, a high school teacher, an employee of mechanical services, and a career service counselor. RESULTS: Emerging themes from the work narratives indicated that the various meanings employees found in work had an effect on their perceived levels of job satisfaction. Participants conveyed that organization identification, financial benefits, independent decision-making, reciprocal respect, opportunities for creativity, and maintaining significant relationships outside of work enhanced meaning and satisfaction. CONCLUSIONS: The worker role is a significant source of an individual's identity, meaning, and satisfaction in life. Professionals in various fields can work with employers to develop meaningful work environments for increased job satisfaction, greater motivation for work, increased productivity, and decreased employee turnover.     

Infant feeding and asthma: is breast milk best?

Asthma is the most commonly occurring chronic childhood disease in the United States and is the leading cause of hospitalization and missed school days. In this article, I examine whether differences in asthma diagnosis can be attributed to differences in breastfeeding incidence and duration. Using data from the Fragile Families and Child Wellbeing Survey, I examine whether unobserved heterogeneity in the breastfeeding decision plays a role in childhood asthma propensity. I use the recursive bivariate probit framework to account for potential endogeneity by modeling the breastfeeding and asthma equations jointly. Results indicate that after accounting for the unobserved heterogeneity found in infant feeding practices, breastfeeding leads to lower rates of asthma diagnosis in children at age one. Breastfeeding for at least 3 months appears to have the strongest effects in children diagnosed at age one. However, there are no discernible effects of breastfeeding on the incidence of asthma by age three. These results indicate that breastfeeding can result in lower rates of wheezing and better respiratory health in small children.