Peer-led and adult-led school drug prevention: a meta-analytic comparison

Several studies have suggested that peer-led drug prevention programs are more effective than adult-led programs, but the evidence is not conclusive. In this article the results are presented of a meta-analysis of studies that compare drug prevention programs led by peers to the same programs led by adults. Twelve studies were identified in a systematic literature search. The quality of these studies was not optimal, and the interventions and target groups differed considerably among studies. Overall, peer-led programs were found to be somewhat more effective than adult-led programs (standardized difference d: 0.24). Large differences between studies were found, with some studies indicating greater effects for peer-led programs and other studies showing greater effects for adult-led programs. It is concluded that the effectiveness of a prevention program is determined by several characteristics of the programs. The leader may constitute one of those characteristics.     

Evidence-based programs registry: Blueprints for Healthy Youth Development

There is a growing demand for evidence-based programs to promote healthy youth development, but this growth has been accompanied by confusion related to varying definitions of evidence-based and mixed messages regarding which programs can claim this designation. The registries that identify evidence-based programs, while intended to help users sift through the findings and claims regarding programs, has oftentimes led to more confusion with their differing standards and program ratings. The advantages of using evidence-based programs and the importance of adopting a high standard of evidence, especially when taking programs to scale,are described. One evidence-based registry is highlighted—Blueprints for Healthy Youth Development hosted at the University of Colorado Boulder.Unlike any previous initiative of its kind, Blueprintsestablished unmatched standards for identifying evidence-based programs and has acted in a way similar to the FDA – evaluating evidence, data and research to determine which programs meet their high standard of proven efficacy.     

CARF adds OBOT accreditation and ASAM certification

CARF is launching two new programs: (1) an addition to its accreditation programs, this time for office‐based opioid treatment programs (OBOTs), and (2) a certification program in which CARF is partnering with the American Society of Addiction Medicine (ASAM) to certify residential treatment programs; programs eligible for the certification will be at specific levels of care in the ASAM criteria.     

The added impact of parenting education in early childhood education programs: A meta-analysis

Many early childhood education (ECE) programs seek to enhance parents' capacities to support their children's development. Using a meta-analytic database of 46 studies of ECE programs that served children age three to five-years-old, we examine the benefits to children's cognitive and pre-academic skills of adding parenting education to ECE programs for children and consider the differential impacts of: 1) parenting education programs of any type; 2) parenting education programs that provided parents with modeling of or opportunities to practice stimulating behaviors and 3) parenting education programs that were delivered through intensive home visiting. The results of the study call into question some general longstanding assertions regarding the benefits of including parenting education in early childhood programs. We find no differences in program impacts between ECE programs that did and did not provide some form of parenting education. We find some suggestive evidence that among ECE programs that provided parenting education, those that provided parents with opportunities to practice parenting skills were associated with greater short-term impacts on children's pre-academic skills. Among ECE programs that provided parenting education, those that did so through one or more home visits a month yielded effect sizes for cognitive outcomes that were significantly larger than programs that provided lower dosages of home visits.     

The nature and effectiveness of program models for adolescents at risk of entering the formal child protection system

This article compares rationales and outcome research for five areas of programming for adolescents: adolescent competence and skill development programs, family- and parent-focused programs, social integration programs, multiple component programs, and neighborhood transformation programs. The article examines program evidence for maltreated teens as well as teens coping with a variety of other challenges. The study uses a framework based on common developmental challenges and risk factors for adolescents to select and review programs.     

Social security in Africa: a brief review

Africa is the poorest region of the world and has the youngest and least developed social security programs. Most Africans are not covered by social security programs. The high prevalence of HIV/AIDS in some sub-Saharan countries and internal armed conflicts in others have created difficult problems in some countries for social security programs. As a result, some countries do not have functioning social security programs. The social security programs that do exist in Africa are influenced by their colonial heritage, with the programs in English-speaking Africa differing from those in French-speaking Africa. Six different patterns of social security provision can be identified.     

The Longevity of Community Aging Initiatives: A Framework for Describing NORC Programs’ Sustainability Goals and Strategies

Naturally Occurring Retirement Community Supportive Services programs (NORC programs) aim to bring together stakeholders within a local area with a large number of older adults (e.g., a neighborhood or apartment building) to facilitate activities and services that promote aging in place. Despite enthusiasm for these programs, there is ongoing concern regarding their long-term sustainability, especially as federal funding to support NORC programs nationally has dwindled in recent years. This exploratory study aimed to develop a framework to describe NORC programs’ sustainability goals and strategies. As part of a statewide study in New Jersey, this study drew on data from semi-structured in-depth interviews with staff of 10 lead organizations that represented 15 NORC programs. Using a grounded theory analytic approach, findings revealed three types of sustainability goals: continuing the program indefinitely within the lead agency (described by eight organizations); integrating the program functions across other organizations (described by one organization); and defining the program as a finite project (described by one organization). Lead organizations implemented and developed their programs in ways that reflected their goals. This framework can be used to guide efforts to maintain, expand, and evaluate NORC programs and related community aging initiatives.     

Work rehabilitation programs: a 1997 survey

By adapting to the changing health care environment, legislative reforms, and consumer needs, work rehabilitation programs have experienced a metamorphosis. This study surveyed occupational therapists currently employed in work programs to ascertain a current demographic profile of work rehabilitation programs. Respondents indicated the delivery of services in the areas of prevention, assessment and rehabilitation. The majority of work rehabilitation programs in this study provide services in the form of ergonomics, education and training, and job analyses at the worksite. The area of work injury prevention services is forecasted for increased growth among work rehabilitation programs.     

Social Security in Africa

Abstract

Africa is the poorest region of the world and has the youngest and least developed social security programs. Most Africans are not covered by social security programs. The high prevalence of HIV/AIDS in some sub-Saharan countries and internal armed conflicts in others have created difficult problems in some countries for social security programs. As a result, some countries do not have functioning social security programs. The social security programs that do exist in Africa are influenced by their colonial heritage, with the programs in English-speaking Africa differing from those in French-speaking Africa. Six different patterns of social security provision can be identified.     

A study to determine if and how bereavement support programs provided by Irish and Canadian hospices are evaluated

A study of the bereavement programs provided by hospices in Ireland and the Canadian province of Alberta was done to determine if and how these are evaluated for efficacy. All but one hospice offered multiple different bereavement programs, with routine in-house evaluations of all programs performed. In all cases, staff and client unsolicited and solicited comments made during and at the end of each program provided data for continuing program refinement. Most hospices also routinely employed a self-devised questionnaire to gain specific sought information to retain or change programs. Other information, including news about program developments elsewhere, was also actively sought for program adoption or for the improvement of existing programs. With most bereavement programs having been in place for many years, participants were confident their programs are needed, safe, and effective. Their continuing quest for high-quality programming, however, meant they were active in monitoring these programs and in seeking developments in this field.     

Provision of hepatitis C education in a nationwide sample of drug treatment programs

Hepatitis C virus (HCV) has reached epidemic proportions among drug users, and drug programs are in a unique position to provide each of their patients with HCV education. Using a nationwide sample (N = 434) of drug treatment programs, we report the results of a logistic regression analysis that differentiates programs providing HCV education to all of their patients versus programs that do not. Fifty-four percent of the programs provide HCV education to all of their patients. Programs are about four and a half times as likely to provide HCV education to all patients if they dispense methadone; almost four times as likely to provide this service if they educate most of their staff about HCV; twice as likely if they are residential; and almost twice as likely if they conduct HIV testing on-site. Our findings indicate that there is a need to increase HCV educational services in drug treatment programs.     

To participate or not to participate: that is the question

Do I wish to participate or not to participate in this program? That is the question that young people ask themselves when considering a new opportunity. What can be done to increase the likelihood that they will choose to participate in out-of-school-time (OST) programs? This chapter describes a qualitative study that examined reasons for participating or not participating in OST programs. Some common reasons emerged, but the study also revealed differences among youth from different ethnic groups. It is clear that those who design and conduct programs must understand the processes through which diverse adolescents initiate their participation in programs and either persist or drop out. Given the apparent benefits of active participation in youth programs, it is important to remove barriers and increase access and, equally important, design programs that are of interest to youth in the contexts in which they live.     

The developing workfare policy in Australia: a critical assessment

This article considers the origins, application and implication of work for unemployment benefit programs in Australia. Such programs have evolved in Canada, USA, Britain, Australia, and New Zealand over the past decade. The reasons for the development of such programs and the nature of the programs in Australia are outlined. The schemes operating in Australia are then critically examined in terms of a range of criteria including human rights and their ability to generate successful transitions into full-time employment. There are wider labour market issues to explore. Namely whether workfare programs are purely a means of enforcing reciprocal obligations upon the unemployed or whether they do generate market skills that improve the chances of transition from unemployment into employment. In this context the nature, access, duration and post-program experience of the workfare programs in Australia will be explored.     

State authority and national welfare programs in the world system context

Recent research on national welfare programs focuses upon the organizational capacity of nation-states, but it does not directly address the issue of why state bureaucracies institute such programs. We develop an institutionalist theory that views the rationalization of authority and concomitant national welfare programs as products of a world culture. By examining the interplay between national characteristics and world-system context, we are able to interpret worldwide adoption of welfare programs as well as the difference between formal programs and their implementation. We provide preliminary tests of hypotheses predicting worldwide patterns of welfare expenditures. We find that a state's incorporation in intergovernmental organizations and its level of investment dependence positively affect social security expenditures in 1965 and 1970. We conclude by briefly discussing implications of our research for further work on the relationship between state structures and national programs.     

Chapter 10: Ceridian's Experience in the Integration of EAP,Work-Life and Wellness Programs

SUMMARY

This article considers EAP services, work-life and wellness programs and the implications of integrating these services. The concept of how wellness programs enter into this equation is explored as well as how Web-based services have played a significant role. Ceridian's experience in providing these services is explored through a case study, anecdotal information, and other data. This article reviews why integrated EAP services, work-life and wellness programs offer more value when compared to programs that contain individual components. It is concluded that wellness and the Internet continue to play a key role in programs becoming more integrated. It is also suggested that integration is now larger than traditional EAP, work-life, and wellness programs. Other human resource services are becoming more important components of integrated services.     

Sampling television programs for content analysis of sex on TV: how many episodes are enough?

Content analysis is widely used to analyze sexual themes and messages on television. Although researchers generally use a sampling procedure to identify programs for analysis, there is currently no gold standard for the number of episodes needed to establish a valid, representative sample. This study sought to explore how many episodes of weekly television programs should be examined for an accurate assessment of sexual content present throughout the season. Various sampling strategies were used to select episodes from programs that ran in the 1998-1999 season, and results were compared with data collected from all episodes of these programs to test representativeness. Findings suggest that to provide a representative assessment of sexual content on television programs for behavior-level variables, a random sample of five episodes of weekly television programs is sufficient, while three episodes may be acceptable if variation is minimal. A random sample of seven episodes is needed for character-based analyses.     

Clinic-based service programs for increasing responsible sexual behavior

Three general classes of clinic-based programs to increase responsible sexual behavior are considered: (a) clinic-based educational/counseling programs, (b) school clinic-based condom distribution programs, and (c) clinic-based STD/HIV screening programs. Consistent condom use may double in response to clinic-based counseling. However, consistent use seldom exceeds 50% of coital exposures. Extensive and personalized counseling interventions reduce incident sexually transmitted infections by 5% to 10%. Increases in responsible sexual behavior following school-based condom distribution programs is reported in some but not in all studies. Screening programs for sexually transmitted infections are associated with decreases in rates of some infections. STD/HIV screening should be considered an important aspect of healthy sexuality and an adjunct to other counseling efforts.     

Sampling Television Programs for Content Analysis of Sex on TV: How Many Episodes are Enough?

Content analysis is widely used to analyze sexual themes and messages on television. Although researchers generally use a sampling procedure to identify programs for analysis, there is currently no gold standard for the number of episodes needed to establish a valid, representative sample. This study sought to explore how many episodes of weekly television programs should be examined for an accurate assessment of sexual content present throughout the season. Various sampling strategies were used to select episodes from programs that ran in the 1998–1999 season, and results were compared with data collected from all episodes of these programs to test representativeness. Findings suggest that to provide a representative assessment of sexual content on television programs for behavior-level variables, a random sample of five episodes of weekly television programs is sufficient, while three episodes may be acceptable if variation is minimal. A random sample of seven episodes is needed for character-based analyses.     

Characteristics of sports-based youth development programs

The term "sports-based youth development programs" is coined and defined in the context of the community youth development framework. Sports-based youth development programs are out-of-school-time programs that use a particular sport to facilitate learning and life skill development in youth. Community youth development programs use a community youth development approach to create opportunities for youth to connect to others, develop skills, and use those skills to contribute to their communities. This, in turn, increases their ability to succeed. The authors describe how sports-based youth development programs can be contexts that promote positive youth development. The features of positive developmental settings for youth from the work of the National Research Council and the Institute of Medicine, as well as the features identified by other researchers, are presented in the context of sports-based youth development programs. For example, a sports program that provides appropriate structure has delineated clear rules, expectations, and responsibilities for youth, parents, coaches, officials, and other organizers.