Home visiting program impacts on reducing homelessness among young mothers

In the current study, we aimed to determine the effects of Healthy Families Massachusetts (HFM), a statewide home visiting program, on young mothers’ experiences with homelessness during enrollment and after program completion. Data were drawn from a longitudinal, randomized control trial evaluation of HFM. Data collection occurred across 5 time points between 2008 and 2015 from a sample of 704 participants. The current analyses were restricted to a subsample of mothers (n?=?443) with Time 5 data (74 months post-enrollment; 59.1% program, 40.9% control), which was representative of the Time 1 sample. We used data from maternal phone interviews to assess program effects on experiences with homelessness. Young mothers who participated in HFM were less likely to experience homelessness when their children were preschool-age or older than mothers in the control group. During program participation, the number of home visits was negatively associated with concurrent homelessness when children were infants or toddlers.     

Home and school influences on the behavioral and academic outcomes of low-income children of color

Framed within contextual systems model, this study examines how home and school operate together to shape behavioral and academic outcomes for 544 low-income African American (56%) and Latino/a (44%) elementary school-aged children (mean age?=?7.88 years, SD?=?1.46, 50% male). Using data from Welfare, Children, & Families Study: A Three City Study and multiple group path analysis, we found that for children in kindergarten through third grade, the adequacy of the home resources was positively related to applied problem scores (e.g. math literacy) and negatively associated with externalizing behavior. For fourth- to sixth-graders, the adequacy of classroom resources was negatively associated with applied problem scores. For both age groups positive teacher–child relational quality was also a positive predictor of externalizing behavior. Results revealed that barriers to parental involvement in school were a negative predictor of applied problem scores for low-income children in early and later elementary school. Implications for policy and practice aimed at strengthening opportunities for children and families from marginalized communities are discussed.     

The Effects of the Healthy Families America Home Visitation Program on Parenting Attitudes and Practices and Child Social and Emotional Competence

This study examined the effects of a Healthy Families America (HFA) credentialed home visitation program on the parenting attitudes and practices of a sample of at-risk parents. It also examined the social and emotional competence of children whose parents successfully completed the program. The HFA model is an intensive early intervention program that targets at-risk families through home visitation services. Successful completion of the program is a process that takes between 3 and 5 years. Results indicate that, relative to the baseline, parents who completed the program showed significant positive change in parenting attitudes and practices. In addition, relative to other children their age, the children of families who successfully completed the program exhibited significantly higher levels of performance on measures of social and emotional competence.     

The Effects of a Healthy Families Home Visitation Program on Rapid and Teen Repeat Births

The prevention of Rapid Repeat Births (RRBs) and Teen Repeat Births (TRBs) is an important indicator of the effectiveness of home visitation programs that serve mothers who are at-risk for child maltreatment. This study examined the effects on RRBs and TRBs of a rural/small town home visitation program based on the Healthy Families America (HFA) model. The participants in this study were referred between 1999 and 2007 and included a Treatment Group of 140 at-risk mothers who met minimum engagement criteria and a Comparison Group of 241 at-risk mothers who were referred for services but not enrolled due to limits on program capacity. In addition, county-wide TRB data was used as the basis for a static group comparison. With regard to RRBs, the rates for the Treatment (18%) and Comparison (30%) groups were compared using a Chi-Square test of homogeneity. The null hypothesis that there would be no difference between the rates for the two groups was rejected at the .05 level. Similarly, with regard to TRBs, the null hypothesis that there would be no difference between the rates for the Treatment (9%) and Comparison (27%) groups was rejected at that .01 level. Furthermore, using a Chi-Square test of independence, this investigation tested the null hypothesis that the rates for the two groups would not differ from the county-wide rate (24%). This hypothesis was also rejected at the .01 level. Overall, these results of this inquiry support the conclusion that participants in a rigorously implemented HFA program show significantly lower rates of RRB and TRB when compared to a comparable group of at-risk nonparticipants. They also appear to have a significantly lower incidence of TRB than teen mothers in the general population.     

“What Happens at Home Does Not Necessarily Stay at Home”: The Relationship of Observed Negative Couple Interaction With Physical Health,Mental Health,and Work Satisfaction

Using data from a sample of 281 couples (the Flourishing Families data set), the authors tested a systemic theoretical model that examined the relationship among observed marital interaction, physical and mental health, and work satisfaction. The results showed that negative marital interaction was associated with significantly lower work satisfaction and poorer health for men. Higher negative marital interaction scores were significantly related to elevated depression scores for both women and men. For both men and women, negative couple interaction was associated with work satisfaction through depression and health. Overall, 34% of the variance in work satisfaction for men and 24% for the women was explained by the model. The results suggest that marriage‐to‐work spillover can be costly for families, organizations, and governments.     

A Descriptive Study of Home Modifications for People with Dementia and Barriers to Implementation

This study describes home environmental features, safety issues, and health-related modifications in a community dwelling sample of 82 elderly people with dementia. Main barriers to the accessibility of the homes were steps both inside and outside the home. The majority of the caregivers had made home modifications that pertained mainly to physical limitations. Home modifications to support cognitive deficits were made to a lesser extent. The main barrier to the implementation of home modifications to accommodate the care recipient's memory loss was skepticism about their usefulness. Regarding the removal of physical barriers, financial constraints were most frequently mentioned.     

Transition from Home Care to Nursing Home: Unmet Needs in a Home- and Community-Based Program for Older Adults

A major effort is under way nationally to shift long-term care services from institutional to home- and community-based settings. This article employs quantitative and qualitative methods to identify unmet needs of consumers who transition from a statewide home- and community-based service program for older adults to long-term nursing home residence. Administrative data, care manager notes, and focus group discussions identified program service gaps that inadequately accommodated acute health problems, mental health issues, and stressed family caregivers; additional unmet needs highlighted an inadequate workforce, transportation barriers, and limited supportive housing options. National and state-level policy implications are considered.     

The Impact of Coming from a Single Parent Household on the Labor Force Plans of College Females:

A sample of 109 female college students were surveyed to reveal the extensiveness of their labor force plans. Cross- tabulations indicated that students from single parent households anticipated a greater labor force attachment after college than students from intact households. Regression analysis demonstrated that after controlling for various family background factors, that coming from a single parent household has a positive, statistically significant impact on the number of years that these students anticipate working outside of the home. The paper also offers some economic implications based upon these findings as well as some thoughts pertaining to counseling students from single parent households.     

A Descriptive Study of Home Modifications for People with Dementia and Barriers to Implementation

This study describes home environmental features, safety issues, and health-related modifications in a community dwelling sample of 82 elderly people with dementia. Main barriers to the accessibility of the homes were steps, both inside and outside the house. The majority of the caregivers had made home modifications, which pertained mainly to physical limitations. Home modifications to support cognitive deficits were made to a lesser extent. The main barrier to the implementation of home modifications to accommodate the care recipient's memory loss was skepticism about their usefulness. Regarding the removal of physical barriers, financial constraints were most frequently mentioned.     

Testing Respite Effect of Work on Stress Among Mothers of Children with Special Needs

Extant research is ambivalent about whether or not working outside the home provides mothers of children with special needs a buffer against the stressful effects of caregiving. The empirical evidence of a respite effect is based primarily on small, non-probability samples. The study reported here used a large nationally representative sample of families from the National Survey of American Families (NSAF) and analysis that addressed the biasing effects of simultaneity between the dependent variable (parent stress) and employment. Results produced are consistent with a caregiver-specific respite effect from work, at least among mother caregivers of older children who were not concerned that working will have negative effects on their child’s well-being and who worked regular shifts in higher level occupations.     

Mindfulness theory and professional family caregivers in long-term care facilities

This study utilized Ellen Langer's theory of mindfulness to better understand how individuals who work in nursing homes apply their professional knowledge to their personal lives within the context of nursing home family caregiving. Using a sample of 10 professional and 10 non-professional family caregivers (n = 20), qualitative and quantitative methods were used to compare levels of mindfulness and nursing home knowledge. Qualitative analysis revealed similar responses for both types of caregivers in three out of four attributes of mindfulness. This indicates that being a family caregiver of an institutionalized parent is novel for both professional and non-professional caregivers. Narrative data indicates professionals were more mindful than non-professionals when using their nursing home knowledge to approach staff in a non-confrontational manner. Professionals were also more accepting of care-related problems than non-professionals.     

Family Support in Nursing Homes Serving Residents with a Mental Health History

Using 2003 nursing home data from the Minimum Data Set (MDS) database, this study investigated the role of family support among nursing homes serving residents with a mental health history. Exploratory factor analysis was used to create and test a conceptual model of family support using indicators located within the MDS database. Families were found to be in regular contact with their relatives and supportive of their care. In nursing homes, daily contact, an ongoing relationship, involvement in assessment, and being responsible for the resident constitute the model family support. This study advances the understanding of family support in nursing homes and conveys information to guide practice through proposing ways to enhance family support and involvement in nursing homes.     

Home, Home Ownership and the Search for Ontological Security

The central focus of this paper is the notion that the home can provide a locale in which people can work at attaining a sense of ontological security in a world that at times is experienced as threatening and uncontrollable. The paper builds on and develops the ideas of Giddens and Saunders on ontological security and seeks to break down and operationalise the concept and explore it through a set of empirical data drawn from interviews with a group of older New Zealand home owners. The extent to which home and home life meets the conditions for the maintenance of ontological security is assessed through an exploration of home as the site of constancy in the social and material environment; home as a spatial context in which the day to day routines of human existence are performed; home as a site free from the surveillance that is part of the contemporary world which allows for a sense of control that is missing in other locales; and home as a secure base around which identities are constructed. The paper also argues that meanings of home are context specific and thus the data need to be seen in relation to New Zealanders' long standing pre-occupation with land and home ownership. The paper concludes by speculating on how meanings of home may be changing.     

Family-Faculty Trust As Measured with the ESSP

The degree to which parents and teachers perceive they are working together in the best educational interests of children is a critical aspect of school culture. In previous work by Hoy, Tarter, and Woolfolk Hoy (2006), the phenomenon was named Faculty Trust and was measured with data from teachers. The current study builds upon Hoy et al.'s work by recommending that measures of Faculty Trust capture the important reciprocal nature of trust and cooperation between schools and families that is theoretically part of the original construct. Data collected from parents and teachers with the Elementary School Success Profile (ESSP) were used to test a broadened construct called Family-Faculty Trust. Confirmatory factor analyses (CFA) with Mplus indicated that items and composites on the ESSP could be used to measure a multidimensional Family-Faculty Trust construct. Implications for how school social workers can improve this aspect of school culture when total or subscale scores are found to be low are discussed.     

An intensive mental health home visiting model for two at-risk early childhood populations

This study examined proximal outcomes of a mental health home visiting model for two populations at risk for child maltreatment: families with young children referred by child protective services (CPS) and at-risk pregnant women (Prenatal) referred by community agencies. Family- and caregiver-level outcomes were measured using the Family Assessment Form (FAF). Families (n = 215) showed significant improvement in all eight family functioning factors over the course of their participation in mental health home visiting services. Initially, CPS-referred families (n = 84) scored higher on the FAF measure of Interactions between Caregivers, indicating greater conflict between caregivers in the family. Prenatal referred families (n = 131) were at greater risk initially on Housing. Prenatal-referred families demonstrated greater risk reduction on measures of Supports to Caregivers, Developmental Stimulation, Caregiver Personal Characteristics and Housing. In addition, all families demonstrated significant improvements in functioning on 11 of 12 items comprising the Caregiver Personal Characteristics factor. Overall, CPS-referred families scored at higher risk on items reflecting externalizing problems, while Prenatal-referred families showed greater improvement on items reflecting internalizing problems. This model was successful in reducing risk factors and promoting protective factors for CPS-referred and Prenatal at-risk families. Implications and future directions are discussed.     

Validating the Gambling Functional Assessment—Revised in a United Kingdom Sample

The gambling functional assessment-revised (GFA-R) was designed to assess whether the respondent’s gambling was maintained by positive reinforcement or escape. The present study attempted to validate the GFA-R’s psychometric properties using United Kingdom (UK) university students and to compare the results to those from a sample of American university students. Two hundred seventy four UK students completed the GFA-R, and 153 also completed the South Oaks gambling screen (SOGS). Two hundred one United States (US) university students completed both measures. A confirmatory factor analysis indicated that the original model of the GFA-R provided an excellent fit for the UK data and internal consistency was high. These outcomes were similar, if not superior, to those from the US sample. SOGS scores strongly correlated with GFA-R escape subscale scores in both samples, replicating previous results. These findings indicate that the GFA-R is a valid measure for use in the UK, which is potentially useful to both practitioners and researchers. They also suggest that the strong relationship between endorsing gambling as an escape and measures of disordered gambling may be ubiquitous.     

Leaving Home for College: Expectations for Selective Reconstruction of Self

This paper describes how 23 primarily upper-middle-class high school seniors anticipated identity changes as they prepared to leave home for college. The transition from high school to college is a period of “liminality” during which students are structurally in between old and new statuses. We discuss how students anticipated change, planned to affirm certain of their identities, imagined creating new identities, and contemplated discovering unanticipated identities. Such interpretive effort must be understood in the context of the ambivalence they felt about leaving home and achieving independence. The data also provoke discussion of how social class membership might be implicated in people's ability to control identity change as they move through the life course.     

Disabling Spaces and Spatial Strategies: Feminist Approaches to the Home Environment of Family Caregivers of People with Dementia

ABSTRACT

The home environment becomes very important for family caregivers of people with dementia as a place of safety, retreat and care provision. Using a gender-based perspective, the authors analyzed thirteen interviews with family caregivers to understand how they perceived their home space. The data was analyzed thematically with the help of adjacency diagrams. Our analysis identified three main themes: compact layout, spatial flexibility, and the wider neighborhood. Given the gendered nature of caring, the findings are discussed drawing on the work of feminist architects regarding the home environment. The authors argue that feminist architectural approaches can usefully inform spatial strategies regarding dementia, ageing friendly housing, accessible living and the wellbeing of the caregiver. Different bodies and users’ needs should be at the epicenter of design, as opposed to conventional design and the current practices by developers, which may create a series of disabling spaces.     

Home virtuality and the platformized life of Chinese international students in the United Kingdom

This article examines a nascent phenomenon in which a cluster of digital platforms mimicking popular Chinese apps has popped up in various cities in the United Kingdom (UK). They have been eagerly adopted by a strong clientele composed mainly of Chinese international students and young working migrants from China. Drawing on data we gathered from the British city of Manchester, one of the most popular destinations for Chinese international students, we propose the concept of home virtuality to illustrate how Chinese student migrants’ frequent surfing of these Chinese-style digital platforms has created a ‘virtual home’ that is quite reminiscent of the platformized lifestyle in China, and that thus offers them a sense of connection to home. We argue that this ‘home virtuality’ does not only imply a virtual connection but is also a home environment materialized through the familiar app services of the new Chinese platform businesses in the UK.     

Reaching the Breaking Point:

This study was designed to examine the phenomenon of mistreatment associated with mood disturbance of the caregiver in elder caregiving situations. The data were obtained from 110 caregivers aged 55 and over caring for a physically or mentally ill elder at home. A causal model was developed to examine the effects of personal and situational variables on mistreatment by abuse or neglect. Results indicated there were seven predictors of potential to mistreat: total mood disturbance, an external locus of control orientation, a low level of social support, income inadequacy, poor physical health, and two emotional coping strategies. These variables accounted for 46% of the variance.