Responding to the Mental Health and Grief Concerns of Homeless HIV-Infected Gay Men

Summary

Aging, homeless HIV-infected gay men confront multiple bereavement and mental health issues. Needs assessment interviews with this population in the streets of New York City facilitate the initial review and provision of clinically and culturally appropriate service delivery strategies for these disenfranchised gay men to access bereavement support and mental health care systems.     

Social Service Needs of Hispanic Immigrants

Abstract

Large numbers of poor Hispanic immigrants have come to the U.S. in recent years with many social service needs. This qualitative, pilot study of Hispanic immigrants in the Washington Heights community in New York City identifies their perceived needs and barriers for accessing services. Seven face-to-face interviews with community-based professionals and four focus group interviews with thirty Hispanic immigrants provide the data. Both groups of informants report many unmet service needs, especially in the areas of health care and housing. Data support the view that Hispanic immigrants often require micro-and macro-level advocacy that can best be performed by Spanish speaking social workers.     

Table of Contents

New York Advocates See Task Force Report as Call for Treating Troubled Youths Insurance Companies Still Control Access to Treatment Via Medical Management New Directions for SAMHSA Under Health Reform and Hyde How to Use the Monitoring the Future (MTF) Survey for 2009 Highlights from the MTF Survey, 2009 Briefly Noted State News Call for Presentations Coming up     

Health supervision of children in foster care.

The 1971--74 survey of the health needs and services provided to New York City children in foster care indicates a failure of the Medicaid program to ensure adequate routine care and treatment.     

Family Focused Care for Refugees and Displaced Populations: Global Opportunities for Family Therapists

Recent global crises have created a significant increase in the number of people leaving their countries. Distress experienced by these refugees often leads to posttraumatic stress disorder and depression and can also result in psychotic disorders, substance abuse, and interpersonal violence. The World Health Organization leads the organizing of refugee services as part of a larger initiative to provide mental health services to citizens in low‐ and middle‐income countries. The World Health Organization has identified challenges in providing care, including a provider shortage, issues with how refugees access and receive care and a lack of uniformity in mental health services. By applying the values and systemic orientation of the profession, family therapists can address some of the challenges in treating mental health concerns of these at‐risk populations.     

The health status of foster children

A study of the health care and needs of foster children in the New York City area indicated a prevalence of serious physical, mental and developmental problems. The level of pathology was roughly comparable to that of other disadvantaged child populations.     

The demographic and socio-economic characteristics of post-1965 immigrants to New York City: a comparative analysis by national origin

This article analyses and compares the demographic and socio‐economic characteristics of persons born abroad who immigrated to New York City after 1965 and still lived in the City in 1990. Using data from the 1990 Census, we classify persons into the twenty four largest national origin groups and compare their demographic and socio‐economic characteristics (sex, age, educational attainment, labour force participation, unemployment, occupation, income, and poverty). We pose and answer three empirical questions. The first question is: what are some of the main differences by national origin in the composition of persons immigrating to New York City after 1965? The second question is: what are some of the main differences in the location of post‐1965 immigrants in New York's socio‐economic structure? The third question is: what are some of the main differences in the economic rewards received by persons who immigrated to New York City since 1965? We find that immigrants with less than a high school education have higher labour force participation rates than the US‐born population in the same educational category and also have slightly higher earnings. Immigrants with a high school degree have labour force participation rates close to (or slightly higher than) the average for the US‐born population but their incomes are slightly lower than the average income for the US‐born population. Immigrants with a college degree have participation rates similar or slightly lower that those of the US‐born population while their earnings are significantly lower that those of US‐born college graduates.     

Scotland's children and the new parliament

The establishment of the Scottish Parliament in 1999 has raised the profile of children's issues and allowed more time for debate and legislation. This has led to some key developments, including a decision to establish a Children's Commissioner, more legislative provisions enabling children's views to be taken into account, and a more explicit commitment to ‘child and family centred’ working. A Ministerial Task Force has been established to ‘drive forward progress on integrated children's services’. Some pre‐school and school age child care services have seen significant growth but the structure of services remains fragmented. A National Education Debate has strengthened the Scottish Executive's resolve to maintain its distinctive education policies and reaffirm its commitment to comprehensive schooling and an ‘equality of outcomes’ approach. New Community Schools put education in the driving seat of change, offering a vehicle for establishing new kinds of services and relationships between services, sectors and age groups. Copyright © 2003 John Wiley & Sons, Ltd.     

Asian Community Mental Health Services at 35: a pioneering ethnic organization (1973-2008)

Asian Community Mental Health Services is a nonprofit organization that delivers mental health services to primarily Asian and Pacific Islander communities. From its early beginnings and over its 35-year history, the agency has had to overcome numerous challenges, including gaining legitimacy as a culturally specific nonprofit, combating stigma surrounding mental health issues within the Asian Pacific Islander community, building resources to fund service delivery, and developing an educated and culturally sensitive workforce. The history of the organization highlights the multiple challenges and rewards of developing a culturally specific nonprofit in an urban area as well as the important role that internal operations play in relation to nonprofit expansion and growth.     

(Un)doing Transmisogynist Stigma in Health Care Settings: Experiences of Ten Transgender Women of Color

Transgender women of color face numerous barriers to accessing quality health and human services due to intersecting systems of oppression. Using transmisogyny as a conceptual tool, the current study drew upon individual, in-depth interviews with ten transgender women of color living in New York City. Interpretive phenomenological analysis (IPA) was used to explore the experiences of participants in care settings and compare their experiences in LGBT-specific settings to non-specific settings. Results from this study suggest specific health and human services practices and policies can improve the healthcare experiences of transgender women of color and advance health equity for all.     

Adapting the selective periodic health exam to a college-aged population. Joint American Preventive Services Task Force. Canadian Task Force on Health Care Screening

The periodic health examination is a group of tasks carried out by physicians at regular intervals, but not always yearly. It is designed to determine either the risk of subsequent disease or to identify disease in its early, asymptomatic state. These tasks include immunizations, health promotion topics, and specific clinical screening maneuvers. This paper seeks to increase awareness of the extensive work being done by the Canadian Task Force on Health Care Screening and the Joint American Preventive Services Task Force in setting standards for the periodic health exam. The exam can be reviewed in the office and urgent-care setting or promoted in health education activities. Knowledge of the new standards for the periodic health exam can help in setting priorities for preventive activities in student health services. Implementation in the college-aged group will require cost considerations.     

“Coloniality of power” and racial dynamics: Notes toward a reinterpretation of Latino Caribbeans in New York City 1

The category of “Latino” collapses the differences among populations with diverse historical experiences of oppression. We establish in this article a distinction within the Latino Caribbean diaspora among “immigrants/’ “colonial immigrants,” and “colonial/racial subjects” of the U.S. empire. Using the notion of “coloniality of power” developed by Peruvian sociologist Aníbal Quijano, we argue that the social position and racialization of several different populations in the U.S. today has its roots in the racial hierarchies produced by centuries of European colonial expansion and that this essentially colonial set of relationships continues. We use this notion of coloniality to reconceptualize three social processes: (1) the construction of Puerto Ricans as colonial racialized subjects in the Euro‐American imaginary; (2) the transformation of Dominicans into colonial immigrants in the New York Metropolitan Area, that is, the way Dominicans became “Puerto Ricanized” and (3) the disassociation of pre‐1980s Cuban migrants from the “Puerto Ricanization” experienced by the Dominicans.     

Table of Contents

Sober Home Deaths in New York Spur Calls for Regulation Federal Data Show Self‐Help Groups as Integral Part of Individuals' Support The Fair Housing Act on Protecting Alcoholics and Drug Addicts Methadone Programs in Massachusetts Warn of More Cuts Arkansas Task Force Calls for Treatment Expansion Buprenorphine Offered at the Window for Stable Patients Update and Correction: Illinois Governor Restores $55 Million Briefly Noted State Watch Coming up     

Development of a Culturally Specific Career Exploration Group for Urban Chinese Immigrant Youth

A rapid increase in the number of Chinese immigrants and the specific challenges faced by low‐income Chinese immigrant youth attending urban schools warrant culturally sensitive school‐based interventions and services. However, research and services are limited for this population because of cultural biases in traditional career theories and the “model minority” myth suggesting that Asian students are excelling. The authors developed and implemented a culturally specific career exploration group for low‐income Chinese immigrant youth to address their career concerns with respect to multiple social and cultural factors and to provide social support. Implications for future program development and research are provided.     

New York senator convenes virtual meeting on opioids

Last week, New York State Sen. Pete Harckham, a Democrat from the Hudson Valley who chairs the Joint Senate Task Force on Opioids, held a virtual conference to discuss the challenges faced by substance use disorder (SUD) treatment programs during the pandemic.     

Family formation and marital selectivity among Colombian and Dominican immigrants in New York City

"Utilizing data from a 1981 survey of Dominican and Colombian immigrants to New York City, and from 1975 marriage certificates for the entire city, this article describes the extent of family formation in the U.S. and patterns of marital selectivity of recent Hispanic immigrants residing in New York City. A core goal of the analysis is the provision of indicators of the extent of and nature of integration processes at an early stage of the immigration." It is found first that "Hispanic immigrants in New York City are clearly long-term settlers, although not necessarily permanent ones. They are forming nuclear families in this country to a considerably greater extent than they are either transferring families from the origin country or residing as unattached temporary migrants. Second, a significant minority of marriages contracted in this country are with spouses of different national origin groups, indicating an openness in ethnic boundaries in the host society context."     

Where Did the Bodies Go? The Social Construction of Suicide Data,New York City, 1976–1992*

The number of suicides reported for New York City by the National Center for Health Statistics (NCHS) fell precipitously in 1985 and remained extremely low until 1989, when it returned to pre‐1985 levels. The downturn in reported suicides from 1985 to 1988 occurred in all five of the city's boroughs but did not extend to the suburbs. The apparent drop in suicide rates was largely and perhaps completely an artifact of personnel and policy changes in the New York City Chief Medical Examiner's Office during a period in which the office engaged in defensive structuring in the face of severe political, economic, and journalistic pressures. During the downturn, suicides were “hidden” in reported deaths attributable to non‐motor‐vehicle accidents and, to a lesser extent, undeter‐mined external causes. The socially constructed trough in suicide rates between 1985 and 1988 affects the outcome of tests of theories of suicidal behavior using county‐level data for New York State.