Iowa Case Management for Rural Drug Abuse

OBJECTIVE: The purpose of this research was to evaluate the effectiveness of a comprehensive, strengths-based model of case management for clients in drug abuse treatment. METHOD: 503 volunteers from residential or intensive outpatient treatment were randomly assigned to one of three conditions of Iowa Case Management (ICM) plus treatment as usual (TAU), or to a fourth condition of TAU only. All were assessed at intake and followed at 3, 6, and 12 months. RESULTS: Clients in all four conditions significantly decreased substance use by 3 months after intake and maintained most gains over time. However, the addition of ICM to TAU did not improve substance use outcomes. CONCLUSION: Overall, the addition of case management did not significantly improve drug treatment as hypothesized by both researchers and clinicians. Some results were mixed, possibly due to the heterogeneous sample, wide range of case management activities, or difficulty retaining participants over time.     

White Ethnic Diversity and Community Attachment in Small Iowa Towns

Objectives . This study examines the relationship between white ethnic diversity and community attachment in 99 small Iowa towns. Methods . Our data come from the U.S. Census Bureau and the Rural Development Initiative (RDI) at Iowa State University. The RDI data, which consist of interviews with approximately 110 people in each of the 99 towns, are used to develop a community attachment score for each town. These scores serve as the dependent variable in ordinary least squares regression models to assess the extent to which ethnic diversity is related to attachment. Results . The findings show that towns with high levels of white ethnic diversity tend to have low levels of community attachment. Moreover, residents of diverse towns tend to view their communities with more suspicion and tend to be less involved in community activities than citizens in more homogeneous towns. Conclusions . Looked at narrowly, these results indicate that white ethnic diversity may be detrimental to community building in small Iowa towns. More broadly, the findings provide support for the idea that white ethnic diversity is alive and well in America.     

A Comparison of Rural and Urban Older Adults in Iowa on Specific Markers of Successful Aging

This study examines the differences between rural and urban older adults on level of life satisfaction and depressive symptoms, focusing on the effect of social support. Data were collected through structured interviews at senior centers and senior meal sites in eastern and southeastern Iowa. The Duke Social Support Index (DSSI), the Life Satisfaction Index-Z (LSI-Z), and the Geriatric Depression Scale 15 (GDS15) were used. Correlations (Pearson's r), independent sample t-tests, and multiple regression were computed. Findings indicated that urban residents reported more depressive symptoms, as compared to rural residents. Subjective level of social support was a stronger predictor of life satisfaction and was more negatively related to depressive symptoms among rural than among urban older adults. Results suggest that social workers who work with aging people need to be aware of rural–urban differences in mental health. Furthermore, social workers need to have knowledge of older adults' social networks and work to ensure greater opportunity for social interaction.     

Privatizing Social Services in the U.S.A.

Governmental and private sector social services organizations have traditionally shared important roles for provision and delivery of social services in the United States. Over the past fifty years, however, a predominant position has developed for the public sector, especially through federal funding for social service programmes. Recent challenges to the prevailing role of public sector dominance have been expressed by the proponents for privatization at a time when decreasing federal funds are made available for social service programmes. The analysis presented here examines the potential and problems associated with the privatization strategies offered through load shedding, limited-government arrangements, fee charging and competition. As a macro level approach for a comprehensive system of social service provision and delivery, these privatization strategies raise more questions than immediate solutions. A more optimistic view is taken if privatization leads to a more meaningful balance with increased co-operation between public and private social welfare auspices.