Use of senior centers as a moderator of stress related distress among Latino elders

Little is known about the moderating effects of community services on psychological distress among Latino elders. This study explores the use of senior centers as an intervention strategy to moderate the harmful impact of stress on psychological distress. The study was conducted using data from the 1988 National Survey of Hispanic Elderly People (N=2,299). To examine the direct and moderating effects of the use of senior centers on the relationship between stress and psychological distress we applied multiple regression analysis to an initial model, a direct effect model, and a moderating model. The results indicated that, under stressful life situations, respondents who used senior centers experienced lower levels of psychological distress than those who did not. Implications of the findings for senior centers and for further research are discussed.     

Children whose parents misuse alcohol: a study of services and needs

Despite the fact that many children are affected by parental alcohol misuse, both services and research have largely concentrated on adults. Recently, projects have been set up to assist children, but developments have been piecemeal. This article reports on a qualitative study which learned directly from children, their parents and some young adults what they saw as the effects on children of excessive drinking by one or both parents. The most common consequences were distress at witnessing violence to the other parent or to the home; verbal abuse towards the children; feelings of shame; and taking on caring and protective roles. However, the children were not passive victims and usually took active steps to tackle the drinking or modify its impact Those in the sample usually had at least one family member who helped them and was trusted. Nevertheless, many wished they could meet with others in the same position, so they could feel less isolated and learn from each other. The need was identified for access to a network of services with group work, individual counselling, family mediation and educational components.     

Anxiety and related symptoms in older persons with dementia: directions for practice

Anxiety disorders and related symptoms commonly occur in older people with cognitive impairment or dementia, significantly worsening functioning and reducing quality of life. This review of the literature outlines the extent of the problem, and focuses on current best practices in psychosocial interventions anxiety in persons with dementia. Discussion follows on promising nonpharmacological interventions that are recommended for further consideration and future research.     

Structuring mental health within senior services: a case study of an outpatient mental health clinic serving latinos

The article presents a case study of an outpatient mental health clinic serving Latino older adults. The study explored staff perceptions on the clinic development and the context within an immigrant multicultural community. The study used in-depth, semistructured interviews with support staff, clinical social workers, and administrators. Interviews were analyzed using a thematic content analysis. The mental health clinic formation was perceived by staff as an ecological process stemming from the needs of the Latino immigrant senior clients. A close knit and interdependent culture allowed the clinic to adjust to diversity and changing cultural contexts.     

Emerging needs,evolving services: The health of Pacific peoples in New Zealand

Abstract

From 0.1% of the total population in 1945 to 6.9% in 2006, Pacific peoples now resident in New Zealand highlight significant health policy and service delivery issues within an increasingly diverse society. Over the last decade, marked differences in the health status of Pacific New Zealanders and Palagi New Zealanders have been well documented, showing high levels of disparity and continuing negative trends. This paper provides a broad overview of the history of Pacific health and health initiatives in New Zealand from the 1940s through to the mid 2000s, highlighting the interface between Pacific peoples and the New Zealand health sector. While the New Zealand Government has become increasingly responsive to Pacific health needs, significant disparities remain between Pacific and Palagi populations. Furthermore, many of the encouraging health initiatives introduced in the past decade remain at risk due to a variety of factors, including a need to strengthen the Pacific health workforce and management expertise.     

Proactive screening for health needs in United Way's 2-1-1 information and referral service

Cancer disproportionately affects the underserved. United Way 2-1-1 is an information and referral system that links underserved populations to community services. This study explores the feasibility of integrating proactive screening and referral to health services into 2-1-1. A cancer risk assessment was administered to callers (n=297), measuring their need for six cancer control services. A subset of respondents was randomized to receive generic or tailored referrals to needed services. Nearly all participants (85%) needed at least one of the services. Those who received tailored referrals were more likely to make appointments. Future research will explore approaches to address and eliminate health disparities through 2-1-1.     

Daycare for elderly people in Sweden: a national survey

This study describes the current provision of daycare for elderly people in Sweden. Daycare offers an interesting and relatively unknown field for investigation. It is necessary to provide a comprehensive picture of the provision of daycare, i.e. number of daycare centres, personnel and economic resources. In spring 1995 a survey was carried out in a representative sample of 70 Swedish municipalities. A questionnaire was sent to all 376 identified daycare centres in the participating municipalities and 312 responded. The results show that daycare may be categorized into two main groups and five types, according to the aims, locations and activities offered at the centre. Converting the findings from the survey into national estimates, there are approximately 1500 daycare units serving about 45,000 pensioners on a regular basis, at an annual cost of 500 million SEK.     

Theory and method: a social work approach to unmet needs

Social workers who plan or administer programs are fundamentally concerned with meeting the needs of the clients served. The social work profession, while proficient at needs assessments, has paid insufficient attention to research into social bases of unmet service needs. This study is an examination of unmet needs of persons with HIV diagnosis. It utilizes the Health Behavior Model, within the framework of the ecological perspective. The study is presented as a case example to illustrate the value of this research methodology for administration, programming, and policy in the human services.     

Allocating resources for child welfare services: the effect of a caseload-driven approach

The authors examine the unintended effects of a funding mechanism based on historical caseload statistics on the number of recorded investigated child abuse and neglect reports in seven California counties from January 1985 to December 1992. Forecasting results show that in five out of the seven counties, in the presence of an allocation methodology based solely on caseload statistics, the number of recorded investigated reports was approximately three to thirty-five percent higher than it would have been had only population measures been used. The findings suggest that a funding mechanism based solely on population measures may eliminate the unintended effects of increasing child welfare caseloads.     

Promoting stability and continuity of care for looked after children: a survey and critical review

This paper reports on a two‐pronged research study: a critical review of reported research concerning continuity and stability for children looked after away from home, and a telephone survey of UK managers responsible for looked after children. The review found limited research in this specific field that met the criteria of the critical review, but reports some evidence in favour of sibling co‐placement, kinship care, parental participation, professional foster care and individualized, multidimensional support. The survey revealed a culture of innovation in this field in the UK voluntary and statutory sectors, but with little evaluation of the independent effects of new interventions. The paper places the research in the context of current policy initiatives in the UK and discusses the implications of the findings for research and practice.     

Modern racism on campus: a survey of attitudes and perceptions

Contemporary society is beset with subtle racial tensions. Modern racism is a form of racism often found in modern, politically correct America. In this form of racism, racist beliefs are often expressed only indirectly. In the present paper, race differences in attitudes about and perceptions of racism were examined through the use of a survey. Results showed several differences in the way Blacks and Whites perceive race relations on a university campus. This information helps to gain insight into the causes of modern racial tensions. The results also suggest strategies to reduce racism on college campuses.     

Utilizing a game for both needs assessment and learning in adolescent sexuality education

A fact-gathering, experimental game proved to be an effective instrument in the needs assessment phase of an adolescent sexuality educational program aimed at low-income females. The game ("Family Few"), which covered the topics of menstruation and reproduction, was played by 35 Black, Hispanic, and white females aged 13-16 years recruited from medical and psychiatric clinics in Miami, Florida. The goals of the game were to elicit terminology used by participants, identify and correct misconceptions and misinformation, and determine if learning could occur. Although 57% of participants reported prior exposure to formal sex education, misinformation about the need for activity curtailment during menstruation and the importance of early pregnancy detection was widespread. Group members believed they needed to restrict activities involving physical exercise, sexual relations, water, and cold during menses and were not likely to seek medical or family consultation regarding a missed period until the end of the 1st trimester of pregnancy. Also evident was a need for accurate information on the side effects, risk factors, benefits, and effectiveness of contraceptive methods. The group responses enabled the sex educators to prepare a culturally responsive, developmentally oriented curriculum for further work with disadvantaged female adolescents. The group process was ranked highly on the Likert Scale by these teenagers as an enjoyable, useful means of information dissemination and problem solving.     

Understanding 'Going Missing': issues for social work and social services

Correspondence to Malcolm Payne, Professor of Applied Community Studies, The Manchester Metropolitan University, 799 Wilmslow Road, Didsbury, Manchester M20 8RR. Summary Recent research about young people and adults who ‘gomissing’ raises important issues for social work and thesocial services. Large numbers of young people go missing eachyear, becoming vulnerable to exploitation and at risk of committingcrime and suffering from other social difficulties. Adults leavebehind families with practical and emotional difficulties. Adefinition of ‘going missing’ should focus on absencefrom social expectations and responsibilities. Five groups ofmissing person are identified: runaways, pushaways, throwaways,fallaways and takeaways, reflecting different social situationsin which going missing occurs. It is argued that going missingis one of a range of choices which people in difficulties maymake, depending on their approach to problems in their livesand the availability of opportunities. Effective local co-ordinationto focus on reasons for going missing, on reunions and returnsto residential care or home, and to provide emotional and practicalhelp to people ‘left behind’, are required, providedthat care is taken to protect people who go missing becausethey are subject to abuse and violence.     

Health and distress in social workers: Results of a national survey

Abstract

This study investigated the physical and emotional health status of professional social workers as well as their levels of distress. The results of this national survey of 668 randomly selected NASW‐member social workers indicated that while most were healthy and satisfied with work and relationships, 17% experienced distress, defined as substance abuse, emotional problems, and/or physical illness. The distressed social workers were more likely to experience difficulties in many areas of their lives, including dissatisfaction with work and low self‐esteem. Some of the social workers reported seeking help for personal/ emotional problems, but very few sought help for alcohol/other drug problems.     

Social security for dependent persons in Germany and other countries: Between tradition and innovation

For decades, the discussions on the problem of social protection in cases of dependency have been gaining in intensity. Comprehensive new regulations on the subject have now been enacted in Germany and have attracted international interest. The new Dependency Insurance Act in Germany is based to some extent on tried and tested model solutions enshrined in German social policy, but it also contains fundamental new orientations which could have an importance reaching beyond the sphere of social dependency insurance. Does the act adhere to established traditions, merely disguising them in modern dress? Or is it a trend-setter disguised in traditional dress? Taking the new Dependency Insurance Act as an example, this article examines current trends in social policy in Germany and on the international plane.     

Organizational affiliation and effectiveness: the case of rape crisis centers

Many rape crisis centers (RCCs) that were founded as autonomous organizations have affiliated with other organizations. The relationship of affiliation type and effectiveness is examined in a sample of 25 RCCs in Florida. Effectiveness is defined in terms of range of services for rape victims and involvement in rape prevention (social change) activities. The data show that 23 RCCs are affiliated with six types of organizations and two are free-standing. Each affiliation type has advantages and disadvantages but, overall, free-standing RCCs appear to be most effective and RCCs affiliated with community mental health centers, least effective. Of the seven types, free-standing agencies are most involved in rape prevention activities aimed at social change.     

Evidence-based intervention and services for high-risk youth: a North American perspective on the challenges of integration for policy, practice and research

This paper explores the cross-national challenges of integrating evidence-based interventions into existing services for high-resource-using children and youth. Using several North American model programme exemplars that have demonstrated efficacy, the paper explores multiple challenges confronting policy-makers, evaluation researchers and practitioners who seek to enhance outcomes for troubled children and youth and improve overall service effectiveness. The paper concludes with practical implications for youth and family professionals, researchers, service agencies and policy–makers, with particular emphasis on possibilities for cross-national collaboration.     

Informed consent for research on stored blood and tissue samples: a survey of institutional review board practices

Numerous position papers have outlined informed consent recommendations for the collection, storage, and future use of biological samples; however, there currently is no consensus regarding what kinds of information should be included in consent forms. This study aimed to determine whether institutional review boards (IRBs) vary in their informed consent requirements for research on stored biological samples, and whether any variation observed could be correlated to factors such as volume of work, IRB members' familiarity with ethical issues in genetic research, and IRBs' use of either of two policy guidelines as resources. A brief survey was mailed to all IRB chairpersons on a mailing list obtained from the Office for Human Research Protections. Survey questions included whether consent forms for the collection of biological samples for future use address each of six provisions recommended in current guidelines and position statements, and whether IRBs used the Office for Protection from Research Risks' 1993 Protecting Human Research Subjects: Institutional Review Board Guidebook, chapter 5 (hereinafter IRB Guidebook) or the National Bioethics Advisory Commission's 1999 Research Involving Human Biological Materials: Ethical Issues and Policy Guidance, Volume I (hereinafter Report) in their deliberations. Despite a low response rate (22%, 427 respondents), results indicate that IRB practices vary substantially. The degree to which the provisions were included in consent forms was found to correlate positively with IRBs that review a greater volume of protocols annually, those that use the National Bioethics Advisory Commission Report in their deliberations, and those that draw on both the Report and the IRB Guidebook.