Elder Abuse and Neglect: A Survey of Clergy Awareness,Knowledge, and Intervention Preferences

This article explores the research question: What is the perceived level of elder abuse and neglect awareness and knowledge among Protestant clergy members in Kentucky? Of the 300 clergy contacted, 160 participated, for a response rate of 53.3%. Pearson Chi-Square analyses were used to determine statistical significance, and phi coefficient correlations examined the strength of the associations between variables. Findings indicate that approximately 44% of clergy members in this study report some “awareness” of elder abuse and neglect. However, 56% of clergy respondents do not know that Kentucky is an “any person” mandatory reporting state. Specifically, participating clergy appear poorly informed about legal requirements for reporting elder abuse and neglect and perceive types of abuse differently. Untrained clergy with little formal training indicate a willingness to provide therapy to victims despite reporting that they do not feel qualified to do so.     

Managing disability and enjoying life: How we reframe dementia through personal narratives

Rhetoric referring to Alzheimer's disease as ‘the never ending funeral’ or ‘a slow unraveling of the self’ implies that diagnosed individuals and their families alike are victims of a dreaded disease. Data gathered from web-based surveys with twenty-seven individuals with dementia demonstrate how some persons living with the condition actively negotiate their everyday lives to counter such pejorative assumptions. Grounded theory methods were used to consolidate textual data into overarching themes. Findings depict persons with dementia who do not experience an inherent ‘loss of self’ but rather consciously strive to incorporate a ‘manageable disability’ into their existing identities. Respondents give numerous examples of how they can and do live with dementia. These data portray an empowered identity that suggests the need for a reframing of dementia to challenge the normative victim-orientation and the social disadvantages of such biomedical reductionism.     

Maternal Health Care Services in the Himalayas

ABSTRACT

The state of health of the people in developing countries does not show a very good trend. They are faced with the double burden of communicable and noncommunicable diseases as well as other sociocultural factors that need to be addressed, especially in rural areas. The present study was conducted in a rural area with the dual purpose of training the undergraduate medical student in the field and exposing or sensitizing them toward the need of the rural masses and provision of services in the form of medical aid or health education and awareness. It was a camp-based approach where an intense phase was planned for a week and a follow-up phase every month. The present article is the result of the week-long intense phase. The intensive phase is basically the period when this camp was run for 7 days with the involvement of specialists from various departments providing their services. In the next phase there were follow-up activities and services that were provided once a month. The study generated an interest in the students, and they are very keen for the follow-up visits. Because the students were allotted families, the whole village was covered and health awareness was generated, which created demand. This demand was met given the number of patients attending the clinics, of which 57% were females. Furthermore, 77% of the patients reported that they were fully satisfied with the services being provided.     

Faithful Allies: The Experiences of LGB-Affirming,White Christian Clergy

In this study, the authors explored the growing subset of Christian clergy who are allies of the LGB community and invested in fostering change in their religious communities toward the end of making Christianity more affirming and inclusive. Thirteen heterosexually identified, White Christian clergy participated in this qualitative study of their daily lived experiences; the data were analyzed using Consensual Qualitative Research. The findings provide detailed information about these clergy including the factors that fostered the development of their worldviews, the behavioral manifestation of their advocacy, and the beliefs and experiences that sustain their efforts.     

COUNSELING BATTERED WOMEN FROM FUNDAMENTALIST CHURCHES*

In addition to the emotional, physical, and economic issues that all abused women face, battered women from fundamentalist churches have religious issues that need to be addressed. While therapists usually leave discussion of such matters to the clergy, in the case of domestic violence, the fundamentalist clergy is likely to be unsupportive or to even unknowingly endanger battered women because of their legalistic attitudes about marriage and sex roles. It is, thus, imperative that the professional counselor understand these issues and be willing to discuss them. This article explains five teachings of fundamentalist churches, explores how they help perpetuate violent relationships, and offers suggestions to therapists on how to speak with clients about these issues.     

THE STRUCTURE OF SEPARATED WOMEN'S COMMUNICATION WITH THEIR NONPROFESSIONAL AND PROFESSIONAL SOCIAL NETWORKS

This study assessed separated women's communication with their social network members—family, friends, clergy, attorneys and therapists. Women and their social network members were asked about the frequency and timing of their communication pre- and post-separation. Of particular interest to therapists is the finding that women seem to communicate with therapists before they begin to seriously think about separating and after they have made the decision, but not during the decision-making process. Implications of this finding are discussed.     

After coming out: Parental acceptance of young lesbian and gay people

This study examines extant scholarly knowledge on parental acceptance of young lesbian and gay people in traditional heteronormative families. Recent literature shows that parents generally accept their lesbian and gay children. However, parents do not always accept them immediately after they come out. Acceptance takes time, and transitioning to acceptance is often a complex process that depends on parents' access to the necessary resources for coping with the stresses of knowing that their child identifies as lesbian or gay. These resources include counseling or therapy, supportive friends and extended family, and a network of other parents with lesbian and gay children. This study also highlights the need for further research on parental acceptance in nontraditional families and of children with other nonheterosexual identities, such as asexuality, gray ace, bisexuality, or pansexuality. It also calls for an exploration of the complexities of parental acceptance as an ongoing process rather than as a singular event.     

An Exploratory Investigation of Gay Stepfathers' Perceptions of Their Role

Abstract

This phenomenological study explored the gay stepfather role in its definitions, evolution, and factors that influenced how it was assumed and performed. Five gay men, living in a gay stepfamily that included the full or joint custody of the biological children of their partner, were asked to describe their perceptions of their family role in an open-ended, semi-structured interview. Data from all interviews were analyzed using the Atlas ti computer program (Muhr, 1997) that allowed identification of themes held commonly among the participants. Overall, the participants described stepfather roles and stepfamilies in terms that do not appear to be significantly different from heterosexual counterparts. The participants consistently mentioned the need for flexibility and patience in developing various aspects of their stepfather role such as co-parent/caretaker and friend/confidant. All participants discussed commitment to their families and the benefits gained in their stepfather role. Most had an effective, working relationship with the children's mothers. Interestingly, disclosure was not an issue in these families, and they reported feeling supported by extended family members.     

Post-adoption service need and access: Differences between international,kinship and non-kinship foster care

Post-adoption services are important to bolster a family's commitment to their adopted children, thus avoiding potential problems following adoption finalization. It is vitally important to assess post-adoption services in an effort to ensure families are provided with effective supports for successful family functioning. Few investigators have assessed service needs and access according to adoptive family type. This study focuses on international, foster care kin and foster care non-kin adoption types. Utilizing the National Survey of Adoptive Parents, this research investigated twelve post-adoption services. Two comparisons were made with respect to whether, according to the adoptive parents, post-adoption services were received or not received: 1) international and foster care non-kin adoptive families; and 2) foster care kin and foster non-kin adoptive families. International non-kin families were more likely to indicate they discussed post-adoption services than foster care non-kin families, particularly among those who were white, had adopted boys, had no other children in the home, and whose socio-economic background was lower. When comparing foster care non-kin families with kinship families, non-kin families tended to receive more desired services than kinship families, with kinship families indicating less need for services. Policy efforts and program design need to focus on reaching out to families and developing effective post-adoption services based on the expressed needs of families.     

Self-concept and attitudes toward adoption: a comparison of searching and nonsearching adult adoptees

This study showed that nonsearchers and searchers are different from each other on almost every measure that was applied. Research on and experience with searching adult adoptees should not be applied to nonsearching adult adoptees. Likewise, research on and experience with nonsearching adult adoptees should not be generalized to searchers . The results of this study do not support the belief that adoptees, in general, have low self-concepts and identity conflicts, or that adoptees need information about their biological families and reunions to resolve their identity conflicts. Although the sample of pre- and post-reunion searchers was small, reunions did not make a significant difference in self-concept or identity conflicts, as measured by the TSCS . The results of this study do not support the theoretical bases often cited to justify open records. Specifically, adult adoptees in this study do not have negative self-concepts, did not experience poor adoptor - adoptee relationships, and the majority did not experience revelation of adoptive status as disruptive or late. Although significant differences exist between the comparison groups, an important finding is that of all the adult adoptees, the majority scored above the sixtieth percentile on the TSCS and had positive scores on the Attitude Toward Parents Scales. Furthermore, they were happy growing up, with only 12% reporting being unhappy. These findings support the conclusions of Day [1979] and Norvell and Guy [1977] as well as the belief that adoption is a legitimate way of building families.(ABSTRACT TRUNCATED AT 250 WORDS)     

Lessons learned from children who have experienced homelessness: what services need to know

Children who accompany their parents or guardians during a period of homelessness make up 37% (more than one in three) of all people accessing the Supported Accommodation Assistance Program (SAAP) services. This paper describes an Australian qualitative study that explored the experiences of children who accompanied their families during periods of homelessness. It focuses particularly on what children and young people say they want from the services that they come in contact with; particularly specialised homelessness services such as housing support services and refuges. Key themes that emerged from the research include: the need for services to engage with children as individuals in their own right, to listen to and acknowledge their stories, to have services that meet their individual needs, to act and respond when children feel unsafe and for workers who can provide support to children to talk to parents about what is going on. Children and young people wanted workers to know that they felt their parents were doing their best to keep them safe. They focused on what their parents could do and did do rather than what they were not able to provide. They called on the human service system to do the same.     

Does changing mandated reporting laws improve child maltreatment reporting in large U.S. counties?

The effects of changes in mandated child maltreatment reporting laws have not been systematically evaluated. To better understand the effects of these changes, the objectives of the present study are: (1) to assess the relationships between report rates and state universal and clergy reporting laws in 2010; (2) to compare the changes in total, confirmed, and maltreatment type report rates and with changes in reporting laws from 2000 to 2010, and (3) to examine whether there is any relationship with report rates and the nature of the mandated reporting law change. We used county-level data from the U.S. National Child Abuse and Neglect Data System for the years 2000 and 2010 to evaluate changes in reporting rates for total reports, confirmed reports, and confirmed maltreatment types while controlling for concurrent changes in child and community variables. We found that trends in 2010 for increased total and confirmed reports were similar to 2000 for counties with universal and/or clergy reporting requirements, which significantly contributed to report rates even after controlling for child and community factors. Universal reporting was associated with higher report rates for physical and sexual abuse, and clergy reporting requirements were associated with more sexual abuse, medical neglect and psychological maltreatment confirmed reports. However, while counties in states that changed their clergy reporting laws had higher increases in total reports, they had fewer confirmed physical and sexual abuse, neglect, and psychological maltreatment reports. More pronounced changes were noted in a state that made more pronounced changes in its clergy reporting laws. Policymakers should consider whether changing requirements for mandated reporting meaningfully improves child maltreatment identification.     

Hispanic Parental Experiences of Learning a Child Identifies as a Sexual Minority

Sexual minority youth (SMY) who do not feel loved and supported by their families face greater challenges and often experience various health disparities. The coming out process is often difficult for all SMY and their families. Although there is limited research on the impact of sexual orientation disclosure on families, there is even less that focuses exclusively on Hispanic families. This qualitative study explores the impact on a sample of Hispanic parents of having a child come out as lesbian, gay, or bisexual. The results demonstrate that although coming out is often challenging for SMY and their families, these challenges may be exacerbated for Hispanics due to cultural factors that contribute to children living at home longer and negative reactions to being gay. Parental reactions, impacts of disclosure on the family, and the impact of cultural factors are discussed. This study helps illuminate how cultural factors influence the coming out experience of Hispanic parents. These findings are important for understanding the experiences of these families to provide culturally appropriate resources for families navigating the coming out process.     

Influence of a Statewide Marriage Initiative on Clergy Involvement in Marriage Preparation

Although government-funded community healthy marriage initiatives (CHMIs) often focus on clergy-provided premarital education, little is known about the influence of a statewide initiative on clergy attitudes, perceptions, and behaviors. The purpose of this study was to compare Oklahoma clergy over time and Oklahoma clergy with clergy from other states. The findings suggest that the Oklahoma Marriage Initiative (OMI), one of the earliest and largest CHMIs, has influenced clergy attitudes and perceived effectiveness but has had a limited effect on clergy behaviors. In addition, the findings suggest that Oklahoma clergy did not significantly differ from other clergy in the United States regarding premarital education attitudes and behaviors despite the efforts of the OMI. Based on these findings, policymakers should reevaluate approaches to clergy involvement in CHMIs.     

Parental Caregivers' Desires for Lifetime Assistance Planning for Future Supports for Their Children with Intellectual and Developmental Disabilities

Future life planning is a growing concern among families with children with disabilities. This article presents a needs assessment evaluating feasibility of a new model for future life planning for family caregivers, Lifetime Assistance, which will provide ongoing planning and monitoring for individuals with intellectual and developmental disabilities. Using surveys informed by a series of focus groups, data were gathered from older and younger parents in one midwestern state regarding the potential program. Study results indicate that respondents did not feel the current system of support was adequate for planning for their child's future, nor sufficient for monitoring the quality of life for their children in the future. Although almost all families had identified a person to support their family members when they were no longer able to do so, parental caregivers overwhelmingly identified the need for the Lifetime Assistance program and many were willing to pay for this service themselves.     

The resilience of migrant money: how gender,generation and class shape family remittances in Peruvian migration

Scholars and policy makers have argued that because altruism drives remittance sending, migrant money is more resilient to uncertainty than other capital flows. In this article, I question this assumption through ethnographic examination of remittance sending by Peruvian migrant families. When in their lives do Peruvian migrants start to remit? Who are the recipients? What is the purpose of their remittances? How long do they last and why do they stop? I argue that, to answer these questions, we need to investigate how migrants make remittance commitments to different household members, how these attribute value to the remittances and how this value becomes the object of negotiation and contestation. The findings indicate that remittances reinforce existing relations of gender, generation and class in Peruvian society and suggest that while short‐lived remittances are based on contractual commitments and driven by altruism, long‐term remittances are based on emotional commitments and driven by both non‐utilitarian and utilitarian motives.     

Parental Divorce and the Types of Commitment-Related Messages People Gain from Their Families of Origin

Abstract

The purpose of this study was to examine the influences of types of commitment-related messages gained from families of origin. A sample of young adults was asked about the messages they believed they gained from their families of origin, to what degrees those messages affected their relationship experiences, and how these messages are related to their beliefs about romantic relationships. Results indicated that people with divorced or unhappy parents were more likely to report gaining messages such as relationships are not permanent, one must approach relationships with caution, and relationships are beset by lack of trust and fidelity, and less likely to report gaining messages such as marriage is enduring, relationships need love and happiness, and relationships should be partnerships. In addition, participants indicated they felt that those messages had influenced their experiences in relationships. Overall, the results add to the growing evidence of the importance of family of origin upon people's attitudes about and experiences in romantic relationships.     

‘What can I do’? Child welfare workers’ perceptions of what they can do to address poverty

Within the field of child welfare, critical questions have been posed about the intersecting issues of child maltreatment and poverty. The study of the quality and nature of this intersection has continued relevance in light of evidence showing the increased likelihood of maltreatment of children living in poverty. Although child welfare workers interact directly with families involved with the child welfare system, the study of workers’ perceptions of whether or not they address families’ poverty and, if so, how they go about it has not yet been conducted. The study presented begins to address this gap. Analysis from individual interviews with 30 child welfare workers revealed that they differed in their perception of whether or not poverty should be addressed by child welfare and how. Findings suggest workers do what they can despite various barriers, including families’ limitations and the fragile US social welfare safety net. Based on the findings, current practice models and policies that impact poverty and child maltreatment reduction are discussed.