The Psychiatric Medication History

Abstract

This article presents The Psychiatric Medication History: An Interview Schedule, a 30-step semi-structured protocol designed to help practitioners understand how clients manage their psychotropic medications and interpret their effects. The critical perspective leading to the design of this interview schedule, its purposes for clients and practitioners, its divergence from traditional treatment histories, and its uses and limitations are discussed. The author contends that, in a safe space, taking a psychiatric medication history according to these suggested guidelines offers clients an opportunity to construct an independent, evidence-tested personal narrative about their medication use. To practitioners, taking such a medication history offers a person-in-en-vironment point of entry into the psychopharmacology scene.     

Occupations,Human Capital and Skills

Economists have long recognized that occupations can be used as proxies for skills in wage regressions. Yet the potential existence of non-market factors such as discrimination and occupational choice (sorting) on the basis of job attributes that are separate from, but potentially correlated with, wages makes occupations an imperfect control for skills. In this paper, we consider whether inter-occupational wage differentials that are unexplained by measured human capital are indeed due to differences in unmeasured skill. Using the National Compensation Survey, a large, nationally-representative dataset on jobs and ten different components of job requirements, we compare the effects on residual wage variation of including occupation indicators and these skill requirements measures. We find that although these skill requirements vary across 3-digit occupations, occupation indicators decrease wage residuals by far more than can be explained by skill alone. This indicates that “controlling for occupation” does not equate to controlling for only these skill measures, but also for other factors. Additionally, we find that there is considerable within-occupation variation in skill requirements, and that the amount of variation is not constant across skill levels. As a result, including occupation indicators in a wage model introduces heteroskedasticity that must be accounted for. We suggest that caution be applied when using and interpreting occupation indicators as controls in wage regressions.     

Social Capital and Internet Use: The Irrelevant,the Bad,and the Good

The social effects of Internet use have been a major concern for social scientists and society alike. How the Internet affects social capital has been a hot topic in sociology and other social sciences: Is the Internet reinforcing and complementing social capital? Or is it isolating people and diminishing their social capital? Social capital is here defined as the resources that are embedded in one's social ties. This article reviews the literature on the subject, looking at three perspectives: one that suggests no relationship between the Internet and social capital, a second that suggests a negative relationship between the Internet and social capital, and a third that suggests a positive relationship between the Internet and social capital. I conclude by showing that despite the prominent dystopian view of the Internet in the public and in some academic discourse (and the moral panic associated with it), research supports a positive relationship between Internet use and social capital. In addition, I discuss new trends and directions for future research.     

Ethical Dilemmas of Practicing Social Workers Around Psychiatric Medication

Abstract

It is acknowledged that social workers in mental health and other settings routinely experience client-related ethical dilemmas. Further, there is wide recognition of the potential impact of ethical dilemmas on social work practice with clients who use psychotropic medication. Little is know empirically, however, about the experiences of practitioners with these dilemmas. This article describes the results of a national survey of practicing social workers regarding the nature of ethical dilemmas they face related to their work with clients on medication issues. The results make it clear that social workers regularly confront a variety of ethical dilemmas in this type of practice. Many of these dilemmas are related to ambiguities around the knowledge base of practice, appropriate roles of providers, and basic personal and professional values. The authors present implications of these findings for social work practice and further research.     

The Impacts of Human Capital and Need on Alimony

Abstract

Work on the determinants of alimony awards is sparse and often speculative. The present study tests the human capital and needs models of alimony with data from Alabama. The results of Tobit regression analyses provide mixed support for both theories. For example, the human capital model was supported for duration of marriage but not husband's education. The economic need model was supported for age of wife, but not her education or presence of children. While some indicators of both models are written into Alabama's Legal Code on divorce, most indicators of both models are not predictive of alimony awards in practice. Models of alimony should perhaps also look to consensual, normative factors rather than being constrained by those that find expression in legal codes.     

The Human Capital Model of Selection and Immigrant Economic Outcomes

This article examines the trends in the economic advantage that highly educated immigrants hold over less educated immigrants in Canada, focusing on the differences between short‐run and longer‐run outcomes. Using data from the Longitudinal Immigration Database covering the period from the 1980s to the 2000s, this study finds that the relative entry earnings advantage that higher education provides to new immigrants has decreased dramatically over the last 30 years. However, university‐educated immigrants had a much steeper earnings trajectory than immigrants with trades or a high school education. The earnings advantage among highly educated immigrants increases significantly with time spent in Canada. This pattern is observed for virtually all immigrant classes and arrival cohorts. The results suggest that short‐run economic outcomes of immigrants are not good predictors of longer‐run results, at least by educational attainment. The implications of these findings for immigration selection policy are discussed in the conclusion.     

Social Capital and Adolescent Substance Use: The Role of Family,School, and Neighborhood Contexts

This study assesses the link between social capital factors of norm‐setting social arenas including family, school, and neighborhood and adolescent substance use measured by cigarette smoking, alcohol consumption, and illicit drug use among a sample of adolescents in California. The key messages of this study are that socialization processes at different life domains, in varying degrees, are associated with adolescent substance use behavior. Compared with school and neighborhood contexts, family is the most influential setting that should be primarily targeted for youth substance use prevention. Among different aspects of within‐family social resources, parental monitoring seems to be the most protective of adolescent substance use. Study implications on family‐based interventions are discussed.     

Stimulant Medication Use,Misuse, and Abuse in an Undergraduate and Graduate Student Sample

In this study, the authors investigated the characteristics of use, misuse, and abuse of stimulant medication (primarily methylphenidate and variants) among students at a northeastern US university. Researchers sent an invitation to take an Internet survey to student e-mail addresses and passed 150 paper surveys in undergraduate classes, analyzing 1,025 (975 electronically) returned surveys. Sixteen percent of respondents reported abusing or misusing stimulant medication. Ninety-six percent of respondents who specified a medication preferred to abuse or misuse Ritalin. Men and women reported similar use patterns. Most respondents who abused or misused stimulant medication swallowed pills; 40% used intranasally. Reasons for abusing or misusing stimulant medication included improving attention, partying, reducing hyperactivity, and improving grades. Consistent with previous studies, results suggest that abuse of stimulant medication is a concern on college campuses. The results point to various reasons for and methods of abusing and misusing stimulant medication that may direct future research, prevention, and intervention.     

The Gender Structure of the Nursing Hierarchy: The Role of Human Capital

This study investigated the factors contributing to the over‐representation of men in senior positions in nursing. A questionnaire was distributed to a stratified random sample of 1536 registered nurses in New South Wales, Australia. The data were analysed using multiple logistic regression and showed that women's greater likelihood of taking breaks from full‐time employment was the major variable contributing to the gender segmentation of the nursing workforce. This has implications for those working towards ‘family friendly’ workplaces.     

人力资本、劳动力市场分割与性别收入差距

本文利用"中国家庭动态跟踪调查"2010年全国代表性数据,使用多层线性交互分类模型来综合考虑个体人力资本和劳动力市场分割对收入水平和性别收入差距的影响。结果表明,女性劳动者由于受教育水平低而大量在第一产业和非正式劳动力市场中就业是造成性别收入差距的重要原因。职业分割影响性别收入差距主要通过纵向分割,在不同职业内没有发现显著的性别收入差异。女性教育收益率高于男性主要是教育配置作用的结果,较高的受教育程度有助于女性进入收入水平高的行业和部门以及性别歧视程度较低的部门。     

In-Home Training and the Production of Children's Human Capital

This paper adapts the idea of on-the-job training (OJT) to investments that families make in children before formal schooling begins. Like OJT, in-home training occurs in informal settings, requires costly time inputs and is complementary with formal schooling. In addition to choosing among home production, leisure, and market work, parents also choose which particular home activities to pursue. That working mothers dramatically reduce the time they devote to leisure, sleep, and other home activities in order to preserve their time in human capital-building activities with children, illustrates and validates the home production framework.     

The Impact of the Worker: How Social Capital and Human Capital Influence the Job Tenure of Formerly Undocumented Mexican Immigrants

Using the 1992 Legalized Population Survey, I focus on employment matching processes of formerly undocumented Mexican immigrant workers in the United States. As in earlier studies, I show that employment characteristics are related to the job tenures of immigrant workers. However, my contribution is that I specifically analyze how formerly undocumented Mexican immigrant workers' attributes and social networks influence their job tenures. In general, increases in human capital are associated with shorter job tenure, apparently in an effort to improve employment conditions, while the use of social capital is positively related with job tenure. It appears that acquiring employment is a social process, and those using personal networks find longer lasting jobs. Although prior studies have minimized the role of supply-side characteristics such as employees' skill level and social networks in influencing job tenure, my research confirms the significance of workers and the resources they bring to the labor market.     

人力资本、社会资本与大学生就业质量——基于劳动力市场分割理论的探讨

关于大学生就业质量的理论解释,有人力资本与社会资本两种不同的理论取向。对此,综合两种理论解释并纳入劳动力市场分割理论视角,建构影响大学生就业质量的分析模型。利用中国大学生就业、生活和价值观追踪调查(PSCUS)对该分析模型的检验表明,在劳动力市场分割下,人力资本和社会资本有助于大学生进入就业质量更高的首要部门,同时人力资本与社会资本对大学生就业质量的影响存在就业部门差异。研究表明,加强劳动力市场建设,弱化劳动力市场分割下的体制性不平等和机会不公平是提高大学生就业质量的重要面向。     

Financial Literacy,Human Capital and Stock Market Participation in Europe

Households’ stock market participation has significant effects on savings and on an economy’s financial development and performance. Yet participation into capital markets is limited and quite heterogonous both among and within several countries. This phenomenon represents an empirical puzzle whose understanding is rather incomplete. In this work, we exploited a combination of datasets for nine European countries and used different econometric specifications that allow to control for endogeneity of financial literacy and human capital, to assess the role of several variables in affecting the probability to participate in the stock market in year 2010. Besides socio-demographic variables, we found that financial literacy has a positive and significant effect on stock market participation, together with the level of human capital and social interaction. Country level differences are explained by such institutional factors as the effectiveness of the education system and by the attractiveness of the stock markets.     

The Impact of Historical Trauma and Mistrust on the Recruitment of Resource Families of Color

ABSTRACT

The Multiethnic Placement Act of 1994 and the Interethnic Adoption Provisions of 1996 (MEPA-IEP) require states to diligently recruit “potential foster and adoptive families that reflect the ethnic and racial diversity of children in the state for whom foster and adoptive homes are needed” (42 U.S.C. §622b(3)(9)). Nationally, 53% of the children in foster care and 55% of the children waiting to be adopted are children of color (Adoption and Foster Care Analysis and Reporting System, 2014). Recruitment of resource families of color has historically presented challenges. This article critically examines the diligent recruitment efforts of an urban county targeting Black/African American, Latino, and Native American communities through a critical race theory lens. Although there was an overall increase in resource families, the racial and ethnic representation of resource families to children in care within the county improved for Latinos yet declined for Black/African Americans and Native Americans. Theoretically, these results indicate that the historical mistrust of communities of color toward the child welfare system is a barrier to successful recruitment of resource families from these communities.     

Social Capital and the Human Psyche: Why Is Social Life "Capital"?

In this article, we propose a revised definition of social capital, premised on the principles of evolutionary psychology. We define social capital as any feature of a social relationship that, directly or indirectly, confers reproductive benefits to a participant in that relationship. This definition grounds the construct of social capital in human nature by providing a basis for inferring the underlying motivations that humans may have in common, rather than leaving the matter of what humans use capital for unspoken. Discussions and empirical reviews are presented on the innateness of human sociability, sex differences in sociability, and psychological mechanisms that mediate sociability .     

The Roles of Racial Discrimination,Cultural Mistrust,and Gender in Latina/o Youth's School Attitudes and Academic Achievement

Gender gaps in achievement are particularly pronounced among Latina/os, who are among the population most affected by the academic achievement gap. This study examined the roles of racial discrimination, cultural mistrust, and economic value of education in the academic achievement of urban, low‐income Latina/o adolescents. Participants were 346 high school students. Structural equation modeling revealed that the model of associations was a better fit for male students than for female students. Cultural mistrust mediated the relationship between racial discrimination and values of education, and perceived limitations of education predicted lower attendance rates for male students but not for female students. Implications for future research and interventions are discussed.     

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.