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Block Grant, Health Care Reform, Parity Challenges for Field Despite Uncertainties, Providers See Working in Primary Care as a Must More Trends and Developments from 2011 Reflections from Readers: Hopes and Fears for 2012 Coming up     

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Obama Budget: Safe and Drug Free Schools Cut, Block Grant Level Funded Providers See Facility Licensure Rules as Barrier to Integrated Treatment Ala. Treatment Funding Increases Help Department in Lean Times How to Comment on the Parity Request for Information (RFI) Health Care Reform: Parity Included in Senate Committee Report Briefly Noted State News Business Coming up     

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Block Grant Still Essential Under Health Reform, Report on Three States Shows Flexibility, Timely Response Crucial to Kaiser's Integrated Care Approach Hanley to Start Giving All Patients $600 SPECT Scans Parity Still Required in Grandfathered Plans SAMHSA/ONC: No Changes in 42 CFR Part 2 In New York, Providers Eye Cuts to Inpatient Detox Briefly Noted State News Resources Coming up     

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CMS Announces Dollar Values for New SBI Codes, and New Codes for Medicare States Focus on Equipping Workforce to Treat Gambling Problems CRAFFT Screen Finds 14.8% Positive Results Reality of Relapse Requires Changing to a Chronic Care Approach Veto Looms for Health Spending Bill, Including the Block Grant Letter to the Editor Briefly Noted Resources State Watch Coming up     

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New York Moves Ahead on Integrating Co‐Occurring Disorders Treatment Colorado Medicaid RFP Opens Up Substance Abuse Treatment to MH Centers Longtime R.I. Program Director Leaving Amid Court's Concerns No ONDCP Director Nominee Yet — But Hopes Are High Army Seeks to Bolster Privacy for Soldiers Seeking Care No Stimulus Money for Block Grant Briefly Noted State Watch Coming up     

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States and Providers Face Increased Accountability on How Block Grant is Spent Agencies Progress in Veterans' Care by Embracing Military Culture NOMs Measures Alabama to Investigate 112 Uncertified Programs SAMHSA Gives ASAM $1.5 Million to Train M.D.s in Prescribing Methadone DASIS Report Looks at Differences Between First‐Time, Repeat Admissions Briefly Noted State Watch Names in the News Resources Business Coming up     

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SA Counselors of the Future: Recovery Coaches, Care Coordinators, or Ph.Ds? Sole‐Source Detox Services Help Protect Agency from Major Cuts Report to Congress More Reflections from Readers: Hopes and Fears for 2012 SAMHSA Gets $3.5 Million for Military Families Policy Academies Briefly Noted In the States Names in the News Coming up     

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Samaritan Village Program Aimed at Veterans' PTSD and Substance Abuse Oklahoma to Merge Medicaid, State Grant, and Block Grant Fee Systems TCA's Principles of Care for Returning Veterans Oklahoma Treatment Stats Drinking Associated with Earlier Onset of Colorectal Cancer Underage Drinking the Theme of Tuesday's 1,200 Town Hall Meetings Support for Faith‐Programs Continues in Face of Increasing Controversy Briefly Noted Business Resources Coming Up     

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NAATP Cites $500,000 in Credit Card Charges in Hunsicker Firing Research Findings Assist Prescribers in Spotting Risk Factors for Rx Abuse To Integrate Addiction Treatment, Physicians Call for Collaboration JAMA on Integration Models of Integrated Care Calif. Budget Proposal Would Eviscerate Methadone Treatment WHO Calls for Restrictions on Alcohol Marketing Binge‐Drink Risk Drops Dramatically After Age 25 $210 Million Increase Requested for SAPT Block Grant Briefly Noted State News Coming up     

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Federal Officials Concerned About ‘Bath Salts’ and Related Designer Drugs Company Steps in to Maintain Care for Gay Clients in California N.D. Counselors Would Have Access to PDMP in Landmark Bill NASADAD, NASMHPD Team up to Preserve Separate Block Grants NASADAD Outlines Core Policy Priorities for Health Reform Cuts Proposed Across the Board in N.Y., With 6.4 Percent for OASAS Harm‐Reduction Approaches Not as Effective for HCV as for HIV Briefly Noted In the States Coming up     

Independent Comment on Audio‐visual and Print Materials

Book reviewed in this article: Feminist Family Therapy: Empowerment in Social Context. Louise B. Silverstein & Thelma Jean Goodrich (Eds) How it Feels to Have a Gay or Lesbian Parent: A Book by Kids for Kids of all Ages. Judith Snow The Internal and External Worlds of Children and Adolescents: Collaborative Therapeutic Care. Lesley Day & Denis Flynn (Ed.) Children's Solutions Work. Insoo Kim Berg and Therese Steiner Spiritual Resources in Family Therapy. Froma Walsh (Ed.) In the Firing Line: Violence and Power in Child Protection Work. Janet Stanley and Chris Goddard Sperm Wars: The Rights and Wrongs of Reproduction Heather Grace Jones and Maggie Kirkman (Eds) The Work/Life Collision. Barbara Pocock, Annandale, NSW, The Federation Press     

Does Nursing Home Ownership Change Affect Family Ratings on Experience with Care?

Person-centeredness may suffer in nursing homes (NHs) with recent ownership changes. This study identifies associations between ownership change and reported care experiences, important measures of person-centered care for long-term residents in Maryland NHs. Care experience measures and ownership change data were collected from Maryland Health Care Commission reports, which reported data on 220 Maryland NHs from 2011 and 2012. Facility and market covariates were obtained from 2011 NH Compare and Area Health Resource Files. Linear regression was used to examine whether ownership change in 2011 was associated with lower care experience ratings reported during April to June 2012. Dependent variables were overall care rating (scale 1–10), percentage of respondents answering that they would recommend the NH, and assessments of five care and resident life domains (scale 1–4). Care experiences reported in 2012 were high; however, after controlling for covariates, ownership change was associated with significant decreases in 6 out of 7 measures, including a 0.39-point decrease in overall care rating (p = .001). NH managers and policy makers should consider strategies to improve patient-centeredness after ownership change.     

Book Reviews

Women's Work Is Never Done: Comparative Studies in Care‐Giving, Employment, and Social Policy Reform. Sylvia Bashevkin. (Ed.) Learning to Be Old: Gender, Culture, and Aging. Margaret Cruikshank. How Families Still Matter: A Longitudinal Study of Youth in Two Generations. Vern L. Bengtson, Timothy J. Biblarz, & Robert E. L. Roberts. New Family Values: Liberty, Equality, Diversity. Karen Struening. Involved Fathering and Men's Adult Development: Provisional Balances. Rob Palkovitz. For Better and for Worse: Welfare Reform and the Well‐Being of Children and Families. Greg J. Duncan & P. Lindsay Chase‐Lansdale. (Eds.) The Power of Good Deeds: Privileged Women and the Social Reproduction of the Upper Class. Diana Kendall. Child Care and Inequality: Rethinking Carework for Children and Youth. Francesca M. Cancian, Demie Kurz, Andrew S. London, Rebecca Reviere, & Mary C. Tuominen.     

Achieving the indeterminate: Accomplishing degrees of certainty in life and death situations

This paper explores technology's pivotal position at the intersection of control and uncertainty. It examines two areas: Intensive Care and a Labour Ward. Building on the work of Davis (1960), it argues that certainty and uncertainty are socially constructable and reconstructable. This is actively achieved by the deployment of strategies involving particular paradigms (the biomedical model) and artefacts (medical technology). Power lies in control over knowledge and the structures and practices which sustain it, including those embedded in advanced technology. The contribution of medical technology to the achievement of certainty in Intensive Care and end-game Obstetrics (the Labour Ward) is considered. Achieved certainty in medical situations is seen as: the structured masking of uncertainty by the application of medical iconography, artefacts and techniques to create the illusion of certainty. The accomplishment of uncertainty in Obstetrics (as a precursor to technological intervention) is also explored. The accomplishment of uncertainty in medical situations is seen as associated with the structured projection of uncertainty, involving using medical discourse rooted in the medical paradigm to exaggerate the generality of risk and the probability of pathology. It is argued that the highly structured and routinised settings of ICU and the labour Ward, not only aid control by the medical profession but diminish perceptions of uncertainty.     

Factors Associated with Adoption and Adoption Intentions of Nonparental Caregivers

ABSTRACT

Data from the 2011–2012 National Survey of Children's Health and the 2013 National Survey of Children in Nonparental Care were used to fit a multinomial logistic model comparing three groups to those who never considered adoption: those who ever considered but are not currently planning adoption, those planning adoption, and those who adopted. Adoption may be more likely when the caregiver is a non-kin foster parent, a foster care agency was involved, and/or financial assistance is available. Those with plans to adopt but who have not adopted may face adoption barriers such as extreme poverty, lower education, and being unmarried.     

Book Reviews/Comptes rendus

Ben Carniol Case Critical: Challenging Social Services in Canada.
Margrit Eichler (ed.) Change of Plans: Towards a Non-Sexist Sustainable City.
Richard Himelfarb Catastrophic Politics: The Rise and Fall of the Medicare Catastrophic Coverage Act of 1988.
Rhoda E. Howard Human Rights and the Search for Community.
Ellen R. Judd Gender and Power in Rural North China. Stanford
Kirsten Johnson Undressing the Canadian State: The Politics of Pornography from Hicklin to Butler.
Dany Lacombe Blue Politics: Pornography and the Law in the Age of Feminism.
Martha Mcmahon Engendering Motherhood: Identity and Self-Transformation in Women's Lives.
Raymond Murphy Rationality and Nature: A Sociological Inquiry into a Challenging Relationship. Boulder
Sonia Nieto Affirming Diversity: The Sociopolitical Context of Multicultural Education.
Philip D. Oxhorn Organizing Civil Society: The Popular Sectors and the Struggle for Democracy in Chile.
Lisa Philips Valentine Making It Their Own: Severn Ojibwe Communicative Practices.
Jeffrey Ian Ross (ed.) Violence in Canada: Sociopolitical Perspectives.
Stephen K. Sanderson Social Transformations: A General Theory of Historical Development.
Peter H. Stephenson Susan J. Elliott Leslie T. Foster Jill Harris (eds.) A Persistent Spirit: Towards Understanding Health Care in British Columbia.
James Tully Strange Multiplicity: Constitutionalism in an Age of Diversity.
James P. Waldram D. Ann Herring T. Kue Young Aboriginal Health in Canada: Historical, Cultural, and Epidemiological Perspectives.
David Weeks Jamie James Eccentrics: A Study of Sanity and Strangeness.
Stephen K. White (ed.) The Cambridge Companion to Habermas.
Roy C. Wood The Sociology of the Meal.     

Book Reviews

Book reviewed in this article: Lakota Culture, World Economy, by Kathleen Ann Pickering. Where We Live, Work and Play: The Environmental Justice Movement and a Struggle for a New Environmentalism, by Patrick Novotny. The Failure of National Rural Policy: Institutions and Interests, by William P. Browne. Waltzing With the Ghost of Tom Joad: Poverty, Myth, and Low‐Wage Labor in Oklahoma, by Robert Lee Maril. An Hour Before Daylight: Memories of a Rural Boyhood, by Jimmy Carter. Microenterprise Development for Better Health Outcomes, by Rosalia Rodriguez‐García, James A. Macinko, and William F. Waters. The Sociology of Health, Illness, and Health Care: A Critical Approach, by Rose Weitz. Social Integration in the Second Half of Life, edited by Karl Pillemer, Phyllis Moen, Elaine Wethington, and Nina Glasgow. State and Community in Fisheries Management: Power, Policy, and Practice, edited by Paul E. Durrenberger and Thomas D. King. The East European Gypsies: Regime Change, Marginality, and Ethnopolitics, by Zoltan Barany.     

The Family Team at Boston Healthcare for the Homeless Program: an integrated approach to care in outreach settings

Since 1986, the Family Team at Boston Health Care for the Homeless Program has implemented an integrated, inter-professional, team-based model of care to serve families experiencing homelessness. The Family Team employs key strategies delineated by the well-established Health Care for the Homeless model, which emphasizes the importance of outreach medicine and a case management “one-stop shop approach”. We include an account of a specific case where the Family Team’s unique model helped a refugee family in Massachusetts access medical and social services otherwise more difficult to obtain. The Family Team’s onsite presence in the hotel-shelter and the team-based approach facilitated diagnosis of and successful treatment for cervical cancer in a mother of eight children. This case report suggests that the Health Care for the Homeless model of care should be more widely adopted in order to best serve homeless families.

Abbreviations: Boston Health Care for the Homeless Program (BHCHP); Emergency Assistance (EA); Health Care for the Homeless (HCH); Massachusetts General Hospital (MGH)     

Modeling the mental health service utilization decisions of university undergraduates: A discrete choice conjoint experiment

Objective: We modeled design factors influencing the intent to use a university mental health service. Participants: Between November 2012 and October 2014, 909 undergraduates participated. Method: Using a discrete choice experiment, participants chose between hypothetical campus mental health services. Results: Latent class analysis identified three segments. A Psychological/Psychiatric Service segment (45.5%) was most likely to contact campus health services delivered by psychologists or psychiatrists. An Alternative Service segment (39.3%) preferred to talk to peer-counselors who had experienced mental health problems. A Hesitant segment (15.2%) reported greater distress but seemed less intent on seeking help. They preferred services delivered by psychologists or psychiatrists. Simulations predicted that, rather than waiting for standard counseling, the Alternative Service segment would prefer immediate access to E-Mental health. The Usual Care and Hesitant segments would wait 6 months for standard counseling. Conclusions: E-Mental Health options could engage students who may not wait for standard services.     

BOOK REVIEWS

Book Reviewed in this article: A Sociology of Organisations by J. E. T. Eldridge and A. D. Crombie. Political Woman by Melville Currell. The Crisis of Industrial Civilization. The Early Essays of Auguste Comte, edited and introduced by Ronald Fletcher. Critical Criminology edited by Ian Taylor, Paul Walton and Jock Young. The Mafia of a Sicilian Village, 1860–1960: A Study of Violent Peasant Entrepreneurs by Anton Blok. Early Child Care in Sweden by Ragnar Berfenstam and Inger William Olsson Population and Its Problems: A Plain Man's Guide edited by H. B. Parry. Contemporary Research in the Sociology of Education edited by John Eggleston. The Structure of Social Science by Michael Lessnoff. Social Stratification in Science by Jonathan R. Cole and Stephen Cole. The Decline in Fertility in Germany, 1871–1939 by John E. Knodel. Religion and Social Class: The Disruption Years in Aberdeen by A. Allan MacLaren. To Do the Sick No Harm, A Study of the British Voluntary Hospital System to 1875 by John Woodward. What School is For by Gabriel Chanan and Linda Gilchrist. Measuring Disability by Sally Sainsbury. Bradstow: A Study in Status, Class and Power in a Small Australian Town by R. A. Wild. Power and the Structure of Society by James S. Coleman. British Factory—Japanese Factory by R. Dore. Marxist Perspectives in the Sociology of Education by Maurice Levitas. Communication in Science by A. J. Meadows.