A National Survey of Graduate Education in Psychopharmacology: Advancing the Social Work Perspective on Psychiatric Medication

ABSTRACT

Social workers’ unique skills and professional perspective can contribute to improved practices in psychopharmacology, yet it is unclear how social work programs prepare students for this area of practice. This study examined instruction of psychopharmacology through a national Web-based survey of MSW program directors and instructors of psychopharmacology content (n = 171). Nearly two-thirds (63.7%) reported their program integrates psychopharmacology usually into one or two existing courses, whereas 20.5% indicated their program offers a stand-alone course. Lack of faculty expertise and having no room in the current curriculum structure were identified as the top barriers for programs not offering any psychopharmacology content. The profession’s critical, social justice, empowerment, client-centered, and systems perspective appears to ground the teaching of psychopharmacology in social work programs.     

Seeing the Same Thing Differently: Program Director,Faculty, and Student Perceptions of MSW LGBT Competence

ABSTRACT

This exploratory study examined MSW education’s organizational-level lesbian, gay, bisexual, and transgender (LGBT) competence. Data were gathered from a sample of MSW program directors, faculty members, and students (N=1385) from 34 MSW programs in the United States. Hierarchical linear modeling analyzed differences in perceptions of organizational LGBT competence between MSW programs and among participants in the same program. Results showed organizational LGBT competence varied significantly among MSW programs and indicated program directors, faculty members, and students had different perceptions of the competence of their shared program. Specifically, directors rated the LGBT competence of their program higher than faculty, and faculty rated their program higher than students did. Implications for research and suggestions for social work education are discussed.     

INFORMATION DISCLOSURE POLICIES: EVIDENCE FROM THE ELECTRICITY INDUSTRY

While theory suggests that information programs may correct market failures and improve welfare, the empirical impacts of these policies remain undetermined. We show that mandatory disclosure programs in the electricity industry achieve stated policy goals. We find that the proportion of fossil fuels decreases, and the proportion of clean fuels increases in response to disclosure programs. However, the programs may produce unintended consequences. For example, programs may make “clean” firms cleaner, while leaving “dirty” firms relatively unchanged. If the marginal benefits of pollution abatement are larger at dirty firms than at clean firms, disclosure programs may induce inefficient abatement allocations. (JEL D83, Q58, D21)     

ADVANCED STANDING AND BRIDGE COURSES: STRUCTURES AND ISSUES

This study explores the issue of advanced standing in MSW programs in light of the new Educational Policy and Accreditation Standards (EPAS). Advanced standing structures of MSW programs were studied using a purposive sample consisting of 203 MSW program directors with a response rate of 28% (N=58). The results indicate that slightly more than 15% of programs do not provide advanced standing to incoming students, that slightly more than 63% require a bridge course, and that bridge courses are most often used to increase the academic readiness of students. The study's findings are used to frame a discussion of the significant issues raised by the introduction of a common set of competencies for BSW and MSW students in the new EPAS.     

College Smoking Policies and Smoking Cessation Programs: Results of a Survey of College Health Center Directors

Abstract

College students' cigarette smoking rose dramatically during the 1990s. Little is known about what colleges do to address the problem. Health center directors at 393 4-year US colleges provided information (response rate: 65.1%) about college policies addressing smoking and the availability of smoking cessation programs. Of the health center directors surveyed, 85% considered students' smoking a problem; yet only 81% of colleges prohibit smoking in all public areas and only 27% ban smoking in all indoor areas, including students' rooms in dormitories and in private offices. More than 40% of the respondents reported that their schools did not offer smoking cessation programs and that the demand for existing program was low. Colleges need to do more to discourage student tobacco use. Recommended actions include campus-wide no-smoking policies that apply to student residences and identification of new ways of providing smoking prevention and cessation services.     

An investigation of perceptions of programme quality support of adult basic education programmes

This study was designed to identify the degree to which the directors of adult basic education programs perceive they have program quality support, as evidenced by a well-defined mission and role in the community, a management system, human resources management, and a suitable learning environment. NSCALL’s Evidence-based program self-assessment (2006) was modified and administered electronically to administrators of adult education programs in a mid-southern state. Findings indicated that most directors perceive they are implementing the indicators of program quality support in all of the areas surveyed. A research-based annual self-study that considers the quality indicators is recommended, leaving a need for an update to the NCSALL assessment for use as a program assessment instrument.     

College smoking policies and smoking cessation programs: results of a survey of college health center directors

College students' cigarette smoking rose dramatically during the 1990s. Little is known about what colleges do to address the problem. Health center directors at 393 4-year US colleges provided information (response rate: 65.1%) about college policies addressing smoking and the availability of smoking cessations programs. Of the health center directors surveyed, 85% considered students' smoking a problem; yet only 81% of colleges prohibit smoking in all public areas and only 27% ban smoking in all indoor areas, including students' rooms in dormitories and in private offices. More than 40% of the respondents reported that their schools did not offer smoking cessation programs and that the demand for existing program was low. Colleges need to do more to discourage student tobacco use. Recommended actions include campus-wide no-smoking policies that apply to student residences and identification of new ways of providing smoking prevention and cessation services.     

Sexual Health Education in OB-Gyn Residencies—The Program Directors’ Survey

Abstract

Objective: To evaluate U.S. obstetrics-gynecology (OB-Gyn) program Director appraisal of resident physician female sexual health training. Methods: An OB-Gyn resident sexual health curriculum survey was developed and sent to 237?U.S. OB-Gyn program directors. University/military programs were compared to community-based programs. Results: 115 OB-Gyn residency program directors responded (48.5% participation); 37.9% university/military and 43.2% community OB-Gyn Program Directors appraise the resident curriculum as “not well” preparing residents to manage sexual health therapies upon graduation. Topics not sufficiently covered include human sex trafficking, sexual health for women with disabilities, and cultural competency. Conclusions: This study identifies opportunities in OB-Gyn residency female sexual health education.     

The Gratification of Psychological Needs and Well‐Being Among Turkish Adolescents: An Examination of Direct and Indirect Links

Based on the self‐determination theory (SDT), the present study tested a mediational model in a cross‐sectional data and found that gratification of basic psychological needs (GBPN; autonomy, relatedness, and competence) in adolescents’ relationships with their mother and father is linked with wellness (life satisfaction, problem‐solving confidence, and anxiety), through family cohesion, and disclosure and secrecy from mother. Adolescents (N = 1,097; 61.6% girls, M_age = 15.12, SD = 0.64; range = 14–16 years) were from nine public schools in Istanbul, Turkey. Findings showed that GBPN in the relationship with each parent has unique contribution to family cohesion, adolescent disclosure and secrecy from parents, and wellness. Findings also supported SDT’s claim that GBPN is conducive to well‐being cross‐culturally.     

Mormon Mixed-Orientation Marriages: Variations in Attitudes and Experiences by Sexual Orientation and Current Relationship Status

ABSTRACT

Interest in mixed-orientation marriages has been growing among both scholars and the general public. Members of conservative religions such as Mormonism may be particularly willing to enter a mixed-orientation marriage given the faith's emphasis on heteronormativity. Analyzing survey data from a sample of sexual minorities (n = 160) and heterosexuals (n = 80) who are or have been Mormon and in a mixed-orientation marriage, we explore variations in reasons for marriage, the disclosure experience, and levels of attraction and attitudes toward sex by current relationship status. Previously married sexual-minority individuals report more external pressure and belief their same-sex attraction might change as reasons to marry, as well as less desire for their spouses following disclosure. Currently married sexual-minority partners are less likely to report being counseled to marry, and report feeling more relief, approval, and desire in their relationship following disclosure. Currently married heterosexual spouses are more likely to report spiritual confirmation as a reason to marry, as well as more affection for and greater attraction to spouses, but also report feeling less secure about their attractiveness following disclosure. Previously married heterosexual individuals report the most negative feelings following disclosure, and stronger attitudes about the importance of sharing similar sexual interests, desire, and levels of attraction.     

Using Adjuncts in Social Work Education: Challenges and Rewards

Adjunct faculty have become an essential addition to social work programs in the United States. Full-time social work faculty have not been able to meet the demands created by continued growth of BSW and MSW programs. The number of doctoral students in social work programs has not kept up with the growth of the programs. A survey of program directors available through the Association of Baccalaureate Social Work Program Director's (BPD) listserv in the United States found that respondents saw adjunct faculty as assets to social work programs. The survey results indicated that adjunct faculty provide a ‘value added’ component. Adjuncts need to receive an orientation and continual training to help prepare them for classroom management and become aware of university policies. Adjuncts can be retained if they receive training, have frequent contact with faculty, and have access to university resources.     

Results of the Doctoral Faculty Publication Project

Results of this longitudinal study of the 1990s revealed that 12 of 61 doctoral faculties (20%) were responsible for 43% of journal articles published. Publication rates of these faculties appeared to accelerate in the 1990s and correlated positively with measures of program size and longevity. However, when all variables were controlled, the perceived academic quality of MSW programs was the sole correlate of faculty publication. Overwhelmingly, faculties of US News and World Report’s most highly rated MSW programs at the end of the decade were also the most frequently published. Implications of these findings are identified and discussed.     

Perceived Loss of Social Contact and Trauma Symptoms among Adolescents Who Have Experienced Sexual Abuse

ABSTRACT

Child sexual abuse (CSA) is a robust predictor of trauma symptoms. Past research has identified many correlates of trauma symptoms following disclosure of CSA. Theory suggests that loss of social contact may be another important contributor to adolescents’ trauma symptoms following CSA. A clinical sample of 166 adolescents (95% female) between 11 and 19 years (M = 13.80, SD = 1.87) reported on perceived loss of social contact, the extent to which the CSA was coercive, appraisals of self-blame for the abuse, supportiveness of a primary non-abusing caregiver, and trauma symptoms. The adolescent’s relationship to the abuser, abuse severity and duration were coded from forensic interviews. Results indicated that greater perceived loss of social contact was associated with higher levels of trauma symptoms, even after controlling for other correlates of trauma symptoms and demographic variables. These findings suggest that perceived loss of social contact may be an important variable to consider in assessing and intervening with adolescents who have been sexually abused.     

Intergenerational transfers in long term care

How are parental inter-vivos transfers to their children and children’s informal care of parents influenced by personal characteristics, family conditions and state specific long term care policies? AHEAD data from 1993 and 1995 and a two-party choice model are used to guide the estimation of OLS and binary logit models of the amount and likelihood of inter-vivos transfers to children and informal care of parents. Results suggest that both parents’ characteristics and their offspring’s characteristics affect parental gifts to children and children’s time assistance to their parents, highlighting the interdependent nature of these decisions. Furthermore, though state policies did not consistently affect parental gift giving, the availability of state respite care support -short-term “breaks” for informal family caregivers- (1 % significance level) and adult day care centers (5 % significance level) were positively related to the amount and likelihood of children’s time assistance to their parents. These findings highlight the importance of some state programs such as respite care support in encouraging intra-family support for the elderly. Support for programs that reduce the caregiving burden may encourage more children to care for their elderly parents.     

Filming a Stalinist War Epic in Ukraine: Ihor Savchenko’s The Third Strike

Abstract

The article examines the production history of Ihor Savchenko’s film Tretii udar [The Third Strike, 1948], a World War II epic and the most significant project of the Kyiv Film Studio in the first post-war years. Using the example of The Third Strike, the author demonstrates how Stalinist cinema as an institution influenced Soviet film directors’ thematic and ideological choices as well as their style. Specifically, the supervision of such projects by the USSR’s political centre served to integrate Ukrainian film makers into Soviet cinema by fostering Soviet versions of the country’s political and social history and by preventing Ukrainian film makers from pursuing stylistic practices that might have become foundational to Ukrainian cinema. Filming a Stalinist war epic in postwar Ukraine was especially difficult in view of the Soviet struggle against Ukrainian nationalism. By featuring soldiers of different nationalities, The Third Strike underscored the idea of the “fraternal friendship of the Soviet peoples” during the war, which became a canonical element in Soviet depictions of the war. In this way, Ukrainian artists ingratiated themselves with the Soviet authorities and proved their loyalty to Russia.     

Development,Evaluation, and Validation of Environmental Assessment Tools to Evaluate the College Nutrition Environment

Abstract

Objective: To develop, evaluate, and validate 2 nutrition environment assessment tools (surveys), for specific use in combating overweight on college/university campuses. Participants and Methods: Invitations to complete surveys were e-mailed to food service and health center directors at 47 universities, Winter 2008. Overall response rate was 48%. Responses from the 39 individuals who completed tool evaluations at the end of each survey were analyzed. Follow-up interviews and site visits performed through Summer 2008 validated responses. Results: The majority of respondents (64%) indicated tools were effective at assessing their nutrition environments; 78% believed these types of assessment tools to be important to their school. Conclusion: Food service and health center directors support use of nutrition environment assessment tools and found them effective at clarifying existing nutrition programs, policies, and food offerings on their campuses. Conducting assessments using these tools could improve university nutrition environments by identifying areas needing improvement.     

Launching Medical Foster Home Programs: Key Components to Growing This Alternative to Nursing Home Placement

Objective: The objective of this research was to examine and explain elements that enhanced or thwarted program growth of the United States Veterans Health Administration Medical Foster Home program. Methods: This qualitative study was conducted nationally through individual interviews over the phone and in-person (n = 22) with coordinators (n = 15 at slow-growth programs; n = 6 at fast-growth programs), program support assistants (PSAs) (n = 1 at slow-growth program), and home-based primary care team members (n = 3), as well as three in-person focus groups (n = 28 total participants) with home-based primary care team members. All participants (N = 53) were involved with programs in existence for at least two years. Results: Facilitators and barriers that enhanced or thwarted program growth emerged around four themes: A full-time coordinator; Unmitigated home-based primary care team engagement; Pursuit and receipt of appropriate referrals; and Match between caregiver, home, and Veteran. Conclusions: To facilitate program growth, program leaders should consider themes identified and how to foster situations and shape policies that put themes into practice.     

On the Ukrainian Cinematic Tradition,the Dovzhenko Film Studio,and Ivan Mykolaichuk

Abstract

This article discusses the Ukrainian cinematic tradition as established by Oleksandr Dovzhenko in the 1920s and 1930s and revived at the Kyiv Film Studio during the short-lived renaissance of Ukrainian cinema between 1964 and 1972. The author focuses on the three figures that led national cinema out of its provincial dead end: the film directors Volodymyr Denysenko and Sergei Paradzhanov, and the actor Ivan Mykolaichuk. The author discusses their films Son [The Dream, 1964] and Tini zabutykh predkiv [Shadows of Forgotten Ancestors, 1964] as best representing the turn from theatrical adaptations of literary classics to their creative cinematic rethinking. Mykolaichuk’s acting style matched this new trend perfectly because he was a carrier of the folk tradition that the two directors were seeking to harness for new ways of artistic expression.     

Parent adoption and implementation of obesity prevention practices through building children's asking skills at family child care homes

BackgroundEarly childhood education programs provide a setting to reach children and parents to modify home environments to prevent obesity. The Healthy Opportunities for Physical Activity and Nutrition Home (HOP’N) Home project was a novel approach that linked Family Child Care Homes (FCCH) to home environments by developing children’s asking skills for healthful home environmental change through curricular activities.ObjectiveTo evaluate the feasibility of engaging parents in obesity prevention practices through building children's asking skills at FCCH.MethodsFCCHs (n = 5 settings) and children (n = 25; aged 3−5 years; female = 36 %; non-Hispanic white = 91 %; low socioeconomic status = 28 %; overweight/obese = 52 %) and parents (n = 25) participated in a pre-post cohort design. We assessed children's body mass index and self-report variables at three time points. HOP'N Home included continuous staff training, group time, dramatic play, meal prompts, songs, and home activities.ResultsFCCH providers implemented 83%–100% of intervention activities. All parents (100 %) adopted the program, most (87 %) returned completed homework activities to FCCHs, and over 90 % implemented changes in the home. Percent of overweight/obese children decreased from pre-intervention (50 %) to post-intervention (29 %,p = 0.06) and follow-up (38 %,p = 0.06).ConclusionsIt is feasible to build children's asking skills and pair this strategy with home activities to engage parents to prevent obesity.