A psychological profile of juvenile firesetters in residential treatment: a replication study

Results of a replication study of juvenile firesetters confirms, in general, findings of the earlier study: juveniles who feel unwanted or abused or who become aroused by watching or setting fires are most likely to be firesetters. There were, however, significant differences in certain results of the first and second studies, which indicate a need for further research.     

Young female sex offenders: assessment and treatment issues

Research on the characteristics and treatment of juvenile female sex offenders is limited. This article reviews the literature on female offenders and presents the results of a nationwide survey by mail of 250 mental health providers in private settings and residential treatment centers (RTCs), on approaches to diagnosing prior sexual abuse history and/or perpetration among juvenile females. Nineteen of the most experienced practitioners were also interviewed by telephone to provide further insight to the issues highlighted by the surveys. Key findings include the lack of research, tools, and literature on young female sex offenders and perceived differences between male and female offenders including history, treatment, and characteristics. Further study and awareness of this population is encouraged to address clinical needs.     

Severe vs. nonsevere firesetters revisited.

The study reported here compares a group of 75 severe firesetters with a group of 105 nonfiresetters and minor firesetters along 32 variables that have been positively correlated with juvenile firesetting behavior. A chisquare analysis of the data revealed that the frequencies observed in the 75 "severe" cases differ significantly from those in the "nonsevere" group. A prediction equation was derived from the 14 most salient variables. This equation can be used to differentiate severe/high-risk from minor/low-risk firesetters 95% of the time.     

Bridging help-seeking options to Vietnamese Americans with parent–child conflict and depressive symptoms

To help practitioners bridge services to their clients who face family problems, this research aims to identify help-seeking behaviors among Vietnamese Americans who have experienced parent–child conflict and depression. The 2008 Asian Survey found that 46.3% of 572 Vietnamese Americans experienced parent–child conflict and 30.2% reported depressive symptoms. Having parent–child conflicts or depressive symptoms did not predict help-seeking from mental health professionals. Logistic regression results show that having parent–child conflict would increase the likelihood by 81.7% of a thinking that the problem will be naturally resolved; having depressive symptoms would increase the likelihood of seeking help from herbalists by 1.718 times and from medical doctors by 39.7%. Service strategies should include offering educational programs by multidisciplinary professionals with a focus on the natural aspect of building parent–child bonding.     

A psychological profile of juvenile firesetters in residential treatment

Psychological test data of 30 known juvenile and adolescent firesetters were compared with those of a matched control group, within a residential treatment center, to distinguish the identifying characteristics of each group. Hypotheses based on 80 variables found in the literature on firesetting were treated by using a standard test equivalent for each variable. Of the hypotheses, 14 were found to differentiate significantly the two groups, but not all in the predicted direction. Four characteristics were found to be sufficient to discriminate between the groups with greater efficiency than any other combination of variables. A predictor equation is set forth.     

Mental illness and problematic sexual behaviors. A review of the recent literature

Advanced practice nurses and other health care professionals have increasingly been working with individuals with mental illnesses who also have a history of sexual misconduct. Unfortunately, due partly to minimal research on the subject--especially in the nursing field--these professionals are addressing the needs of this population without adequate preparation. This article provides an overview of mental illness and problematic sexual behaviors (MI/PSB) and highlights the importance of additional research for the MI/PSB population as a subgroup of sex offenders.     

Placement Instability and Risky Behaviors of Youth Aging Out of Foster Care

Youth who age out of foster care are at risk of poor outcomes and risky behaviors in young adulthood. Yet, little is known about what child welfare workers can do to decrease these risks. The effect of foster care placement instability on substance use and risky sexual behaviors is examined using data from 114 young adults who aged out of care. When controlling for variables commonly associated with these behaviors, a history of foster care placement instability increased the young adults’ likelihood to use substances. Child welfare practitioners could potentially reduce the vulnerability of this population by providing them greater stability during adolescence.     

Social Support as a Potential Moderator of Adolescent Delinquent Behaviors

The issue of juvenile delinquency continues to concern both policy makers and parents. Engaging in negative behaviors or activities that are not socially acceptable can have serious implications for adolescents' physical, emotional, and social development. Therefore, it is important that human service practitioners working with adolescents understand those factors that influence their delinquent behavior in order to develop effective interventions. This paper reports the findings of a study of self-reported delinquent activity among a sample of 779 adolescents who attended middle schools in a large urban city in the southwest United States. The study examines the relationships between delinquent behavior, social support, and a variety of other psychosocial factors. The implications of those relationships for human service practice and research are discussed.     

Effective components of interventions in juvenile justice facilities: How to take care of delinquent youths?

Therapeutic interventions support change in delinquent youths rather than rely on surveillance and deterrence. This article describes successful and concrete components for therapeutic interventions in juvenile justice facilities. The effectiveness of remedial measures to best address the sources of youths' delinquent behaviors and the performance of juvenile justice system are discussed first, and then two theoretical frameworks of rehabilitative models are described that are commonly used with delinquent youths. Finally, specific recommendations for enhancing treatment in juvenile justice facilities with regard to the content of interventions, social climate, and youth motivation to engage in treatment are described and explained in a way intended to help caregivers and practitioners, supervisors of juvenile justice facilities, and policy makers improve the daily life of youths placed in this kind of environment.     

Forensic Patients and Forensic Mental Health in Victoria: Legal Context,Clinical Pathways,and Practice Challenges

Forensic mental health services in Australia have evolved and developed considerably over the past two decades. To clinicians unfamiliar with them, the contemporary practice environments in which professionals deliver specialised forensic mental health services and the legislation governing offenders with a mental illness can appear extremely complex. This article outlines the legislation applying to individuals found not guilty of a serious offence on the grounds of mental impairment in the State of Victoria, describes the characteristics of the forensic patient population, and delineates the clinical pathway forensic patients typically take, using an illustrative case example. The competencies and attributes required by forensic practitioners are highlighted, along with the clinical challenges they face, including the inherent need to address risk in a service that has become recovery-focused in orientation. A central theme of the discussion is how social workers adapt their practice within these highly regulated settings to effectively meet forensic patients' needs.     

Substance use on school property among students attending alternative high schools in the United States

We analyzed nationally representative data from the 1998 National Alternative High School Youth Risk Behavior Survey, conducted by the Centers for Disease Control and Prevention, to determine the prevalence of substance use on school property among alternative high school students in the United States, to describe the characteristics of students who use substances on school property, and to examine the interrelationships of substance-use behaviors. During the 30 days preceding the survey, nearly 48 percent of students used at least one substance on school property and 17 percent used more than one substance on school property. Males were more likely than females and white students were more likely than black or Hispanic students to have used substances on school property. The results of this and other studies suggest that school administrators, public health practitioners, and policy makers should work to improve strategies for reducing substance use in this heterogeneous, hard-to-reach population.     

Examining the impact of gender, race/ethnicity, and family factors on mental health issues in a sample of court-involved youth

Faced with anywhere between one half and two thirds of its youth having a diagnosable mental illness, the identification and treatment of mental health concerns is a critically important endeavor for professionals working with youth who have contact with the juvenile justice system. In addition, the literature suggests that factors related to both the family and to the gender of the adolescent must be incorporated into any approach to assessment and intervention within this special population. Further, prior work that has documented the interaction of gender and family issues with adolescent race/ethnicity warrants further empirical attention, as does the intermediary role that the family may play in the development of both internalizing and externalizing behaviors. The present study extends this literature by examining factors related to gender, race/ethnicity, family factors, and mental health issues in a sample of 2,549 Caucasian and African American youth coming to the attention of juvenile courts. Multivariate analysis of variance results indicated significant main effects for gender and race/ethnicity, as well as a significant gender x race/ethnicity interaction for the family and externalizing variables. A multiple group structural equation modeling procedure was employed in order to test the hypothesis that family environment mediates the relationship between gender and mental health problems, as well as to test for potential differences in these relationships as a function of race/ethnicity. Results indicated support for the mediation model in the sample of African American youth but not in the sample of Caucasian youth.     

Peer Behaviors and Co-occurring Disorders Among Adolescents

The complexity of co-occurring substance use disorders and mental health problems among adolescents challenges both researchers and practitioners. The purpose of this study was to further disentangle those relationships and examine the role that peers who engage in deviant activities plays in that relationship. A subset of variables from a larger study of adolescents referred for substance use assessment was analyzed in this study. The results suggest that as the severity of substance use and mental health problems increases so does the number of peers who engage in deviant activities; peers partially mediates the relationship between those two variables. Implications for social work practice and other professionals are discussed.     

Using structural equation modeling to assess the impact of factors on sexual risk and delinquent behavior in Dutch female offenders

Research shows that juvenile female offenders have a higher prevalence rate of sexual risk behaviors than girls from the general population and that similar factors underlie both SRBs and delinquent behavior. Contributing to findings derived from young female delinquent samples, this study examines the impact of risk factors on delinquent behaviors and sexual risk behaviors in 146 delinquent girls (12 to 18 years) in outpatient forensic treatment. While controlling for ethnicity, results from structural equation modeling through bootstrapping showed that sexual risk behaviors (explained variance 26%) were predicted by the number of negative life events, peer rejection, and substance use, whereas the number of previous convictions and treatment dropout were predictive of delinquent behavior (explained variance 14.1%). Affiliation with deviant peers, parental monitoring, and conduct problems did not contribute to the explained variance in both outcome measures. These findings will be elaborated on in the discussion.     

Lesbian and Bisexual Girls in the Juvenile Justice System

This article examines the experiences of lesbian and bisexual girls in the juvenile justice system. Its purpose is to document how the juvenile justice system serves this population. The researcher interviewed six lesbian or bisexual youth and six staff participants who work with them and found that the system is lacking in its awareness and treatment of this population. Some problems include homophobia and heterosexism in policy, staff attitudes, and by other girls, disparate treatment of lesbian and bisexual girls motivated by stereotypes and misinformation, and little understanding of the role that sexual orientation may play in a girl's life. Implications for future practice and policy are offered.     

Gambling and the Health of the Public: Adopting a Public Health Perspective

During the last decade there has been an unprecedented expansion of legalized gambling throughout North America. Three primary forces appear to be motivating this growth: (1) the desire of governments to identify new sources of revenue without invoking new or higher taxes; (2) tourism entrepreneurs developing new destinations for entertainment and leisure; and (3) the rise of new technologies and forms of gambling (e.g., video lottery terminals, powerball mega-lotteries, and computer offshore gambling). Associated with this phenomenon, there has been an increase in the prevalence of problem and pathological gambling among the general adult population, as well as a sustained high level of gambling-related problems among youth. To date there has been little dialogue within the public health sector in particular, or among health care practitioners in general, about the potential health impact of gambling or gambling-related problems. This article encourages the adoption of a public health perspective towards gambling. More specifically, this discussion has four primary objectives:1. Create awareness among health professionals about gambling, its rapid expansion and its relationship with the health care system;2. Place gambling within a public health framework by examining it from several perspectives, including population health, human ecology and addictive behaviors;3. Outline the major public health issues about how gambling can affect individuals, families and communities;4. Propose an agenda for strengthening policy, prevention and treatment practices through greater public health involvement, using the framework of The Ottawa Charter for Health Promotion as a guide.By understanding gambling and its potential impacts on the public's health, policy makers and health practitioners can minimize gambling's negative impacts and appreciate its potential benefits.     

FEMALE CAREGIVERS’ REFLECTIONS ON ETHICAL DECISION-MAKING: THE INTERSECTION OF DOMESTIC VIOLENCE AND ELDER CARE

As our population ages, increasing numbers of social workers and other therapists will provide counseling to women who are caregivers of frail elders. These female caregivers often face complex ethical dilemmas in caring for a frail elder. Furthermore, these dilemmas are compounded by domestic violence in the caregiver/frail elder relationship initiated before the onset of caregiving. Illustrated with case examples, this article presents an ethical decision-making model based on an empowerment framework for helping practitioners work with caregivers who face difficult dilemmas impacted by domestic violence. Implications for strengthening clinical practice with these caregivers are discussed.     

Competencies of senior communication practitioners in the UK: An initial study

There is now a considerable body of knowledge conceptualizing the roles that public relations practitioners enact. A key element in the enactment of those roles is the competencies, or behaviors of those who occupy them, however there are no systematic studies of these competencies. Occupational psychologists who conducted in-depth interviews with 17 ‘top’ communicators in the UK, discovered 10 core competencies or behaviors specific to the senior communication practitioner role in publicly quoted companies, and 10 core competencies for those working in the public sector. These competencies are elucidated and compared and the implications discussed. Avenues for further research are also identified.     

MEDICAL SOCIOLOGYAND PUBLIC HEALTH: PROBLEMS AND PROSPECTS FOR COLLABORATION IN THE NEW MILLENNIUM

Medical sociology and public health share many of the same concerns in the study of social and cultural factors that affect the health of the population. Differences in theoretical approaches, methodological procedures, conceptualization and measurement, and research objectives, however, often serve to limit the potential for collaboration between the two disciplines. Sociologists possess many of the theoretical models and analytical techniques needed in public health for the study of the impact of socioeconomic status, poverty, inequality, differentials in power, and social and cultural differences on disease outcomes and health status. Although in the past, public health professionals were dependent primarily on the theoretical and analytical models offered by epidemiology and social psychology, current trendsin public health research have opened a wider variety of opportunities for sociologists to contribute to public health research. Public health has reached a crossroads that leads in two directions: a broad approach that addresses the sociocultural foundations of health and a more narrow approach focusing on more proximal risk factors such as individual lifestyles or health risk behaviors. This article presents a review of the factors that led to this crossroads in public health and offers suggestions as to how sociologists might take advantage of the opportunities afforded by the broader approach to public health that is gaining momentum among some public health practitioners. Medical sociologists are uniquely equipped to assist public health in recapturing its historical commitment to social justice in the maintenance of health for the entire population.     

Domestic Minor Sex Trafficking in a Rural State: Interviews with Adjudicated Female Juveniles

Domestic minor sex trafficking (DMST) is defined as the “recruitment, harboring, transportation, provision, or obtaining of a person for the purpose of a commercial sex act” (TVPA, 2000) where the person is a citizen of the U.S. and under age 18 years. The purpose of this study was to gain a more informed understanding of the scope of the problem of DMST for adjudicated juvenile females, to identify factors associated with DMST for this vulnerable population, and enhance our understanding of the pathways in and out of DMST from the victims’ perspective (especially rural vs. urban). Qualitative interviews were conducted with 40 adjudicated juvenile females in a southern, rural state. Results indicate a significant number of adjudicated female youth are engaged in sex trafficking, often to obtain drugs, and that a significant number feel forced to perform sex acts in exchange for drugs and/or for a place to sleep which is also highly correlated with being a victim of sexual abuse. Early intervention for juvenile females who fit the noted vulnerabilities needs to be implemented in time to prevent our youth from being victimized. Suggestions for future research are addressed.