Efficient child care subsidies: any need for cash for care?

We model choices between caring for an infant at home or through some market provision of child care. Maternal labor supply necessitates child care purchas     

Are baby boomers who care for their older parents planning for their own future long-term care needs?

A rapidly expanding number of baby boomers provide care to aging parents. This study examines associations between caregiver status and outcomes related to awareness and anticipation of future long-term care (LTC) needs using 2007 Connecticut Long-Term Care Needs Assessment survey data. Baby boomers who were adult child caregivers (n = 353) versus baby boomers who were not (n = 1242) were more likely to anticipate some future LTC needs and to have considered certain financing strategies. Although baby boomer adult child caregivers more readily anticipate some future LTC needs, they are not taking specific actions. It is important to address the need for public education directed toward those who are currently (or have recently completed) caring for aging parents.     

Social images of residential care: How children,youth and residential care institutions are portrayed?

The literature suggests that residential care for children and youth is associated with a negative social image harmful to their wellbeing. However, the social images of children and youth in residential care and of the residential care institutions have received no systematic study. The current study seeks to examine the social images associated with children and youth in residential care and the respective care institutions in Portugal. The sample of 176 participants in the present study was comprised of individuals with and without professional contact with children and youth in residential care. Participants responded to an open-ended questionnaire requesting attributes and characteristics of children and youth living in residential care as well as attributes associated with residential care institutions. The data collected were analysed through Discriminant Analyses, Z Tests and Multiple Correspondence Analyses. Results show that children and youth are primarily described with negative attributes (e.g., sad, rebellious, deprived, lonely) while residential care institutions are mainly described with positive attributes (e.g., cosy, secure, affectionate, comfortable). Results also show that the social images of children and youth in care and the respective care institutions are heterogeneous and present different profiles. Finally, there will be a discussion of the implications of these results for practice, namely the importance of raising awareness about existing biased social images and how to deconstruct them.     

‘Nothing works’ in secure residential youth care?

A debate about the effectiveness of secure residential youth care is currently going on. While some continue to support secure residential youth care, others conclude that ‘nothing works’ in secure residential youth care, and argue that non-residential treatment is superior to secure residential treatment. This article reviews recent research on this topic. The conclusion is that evidence for the effectiveness of non-residential treatment for youth with severe behavioural problems and/or criminal behaviour is sparse if considered as an alternative for secure residential youth care. Secure residential treatment shows a modest, but positive effect. We need to overhaul the myth that ‘nothing works’ in secure residential youth care, and focus on how to optimise the effects of secure residential youth care.     

Are relaxation techniques effective in relief of chronic pain?

Alternative therapies are becoming more popular in the United States despite the lack of scientific evidence supporting that they are effective treatments. Some alternative therapies used in the relief of chronic pain are relaxation techniques, guided imagery, and biofeedback. Overall, the existing research suggests that relaxation techniques are effective in reducing pain [6,8,21]. Research concerning guided imagery has also suggested that it is helpful in reducing pain [19,22,23]. Finally, most of the research concerning biofeedback and the reduction of pain in people with chronic pain has been positive [7,10,14,20]. Despite these findings, one can not conclude that relaxation techniques, guided imagery, and biofeedback are effective in reducing pain in individuals with chronic pain. There were many problems with most of the studies, including small sample sizes and unstated reliability and validity of assessments. These limitations lower the significance of the studies, which makes it impossible to draw conclusions from the research as a whole. More research needs to be conducted to determine the effectiveness of relaxation techniques, guided imagery, and biofeedback concerning chronic pain. Information regarding the transference of these learned techniques to one's roles and daily activities should also be incorporated into the research by occupational therapists.     

Are nonprofit density and nonprofit expenditures related to youth deviance?

This study explores whether neighborhoods with greater nonprofit density (nonprofits per mile) and/or larger nonprofit expenditures (nonprofit expenditures per 10,000 people) interact with social control to experience lower levels of adolescent deviancy. Data include cross-sectional surveys of 1541 youth. The data are analyzed using Hierarchical Linear Modeling (HLM). The dependent variable is a measure of deviance that is the sum of ten items, which assess deviant behaviors. For analysis the square root of this measure is used to adjust for negatively skewed data. The sample was drawn through a two stage-geostatistical sampling procedure, with the final sample including 50 zip codes throughout California. The study finds that adolescents' deviance is not associated with an interaction between social control and either nonprofit density or nonprofit expenditures. However, the analysis found strong positive associations between being male, being older, having higher levels of mean social control and the square root of deviance.     

Just for fun? Alcohol and drugs in youth lifestyles: a survey

The article presents an analysis of the relationship between young people and alcohol and drug use, examining both their attitudes and behaviors. The analysis is based on statistics collected through a structured-questionnaire survey of 1071 students from the secondary schools of Rome and the Province. The first part of the article examines patterns and levels of alcohol and drug use and typical places of use. The central part is dedicated to the perceptions and opinions on alcohol and drugs, with particular regard to the dimensions of risk and sociality, and to the different roles of school and family in raising risk awareness. Sociality appears as a crucial element in young people's tendency to associate alcohol and drugs with an effect of relaxation and disinhibition that makes social relations easier. The article finally examines the relationship between young people and social norms, identifying transgressive models and habits. On the whole, the study highlights a connection between alcohol and drug use and desire of sociality, which is experienced more as a situational and ever-changing practice than as a search for close friendships.     

Are you ready for ssmos?

While welfare reform altered entitlements, introduced time-limited benefits, and capped reimbursements for administrative costs, little was done to control service utilization by those who remain on welfare, or to realign the financial incentives and administrative infrastructure for the delivery of social services. This essay explores the advent of the Social Service Maintenance Organization and discusses the steps that social service agencies need to take to ready themselves for this altered system of service delivery. Without a thorough understanding of the way in which managed care delivery systems operate, as well as the sophisticated information systems and the financial resources necessary to assume risk, social service agencies will find themselves increasingly ill-equipped to meet the challenges of this new environment.     

Are there homeless youth in my community? Differences of perception between service providers and high school youth

While teen homelessness, like all homelessness, is increasing, there have been few solid estimates of the actual number of teens effected. A twofold methodology to count homeless teens was used in the Seacoast region of New Hampshire and Maine. Social service agencies were contacted to obtain a count of homeless adolescents, and over 3000 high school age teens were surveyed in the seacoast of New Hampshire and southwestern Maine to identify how many were homeless. By using different definitions of homelessness, it was found that a minimum of 5% of all teens in high school reported that they had been homeless sometime during the past year. When using a broadened definition of homelessness, it was found that 20% of the teens regularly stayed with others. However, this experience was not identified by social service providers, who reported that teen homelessness simply was not a problem in their communities. In order to more accurately describe the phenomenon experienced by teens, it is proposed that the term homelessness should be replaced with a more inclusive word, such as housing distress.     

National certification for child and youth workers: Does it make a difference?

This article examines the impact of professional certification on worker performance as well as the incremental validity of key facets of the national child and youth care practitioner certification (e.g., education, years of experience, certification exam, and professional portfolio) sponsored by the Association for Child and Youth Care Practice and administered by the Child and Youth Care Certification Board. Findings reveal that certified practitioners receive higher performance ratings from their supervisors than non-certified practitioners. Education, experience level, certification exam result (pass/fail), and successful completion of the application packet including a professional portfolio were all significant predictors of performance (as reported by supervisors). Each component progressively accounts for additional variance in the performance criterion. Certified practitioners are 2.7 times more likely to be high performers than non-certified practitioners after accounting for the effect of race, gender, education, experience and certification exam result.     

Endothelial progenitor cell therapy for atherosclerosis: the philosopher's stone for an aging population?

Much of the increased risk for atherosclerosis progression with age may be a result of age-related declines in the capacity of precursor cells to repair damage in the arterial endothelium. To estimate the impact of progenitor cell therapy for atherosclerosis on cardiovascular disease (CVD) mortality, life expectancy, and survival, as compared with the lifetime control of conventional risk factors, we modeled the health effects of bone marrow-derived endothelial progenitor cell therapy using data from the 1950 to 1996 follow-up of the Framingham Heart Study. To model cardiovascular disease mortality, we assumed that progenitor cell therapy was applied at age 30, with the effect assumed to be a 10-year delay in atherosclerosis progression. Age projections were constructed analytically using the stochastic process model for risk factor dynamics and mortality and microsimulation techniques. We considered three types of interventions: (i) keeping risk factors within selected limits to model current clinical recommendations; (ii) an age shift of 10 years to model the effects of progenitor cell therapy; and (iii) elimination of a competing risk (such as cancer). Our study suggests that progenitor cell therapy might increase life expectancy in the population as much as the complete elimination of cancer (in females, an additional 3.67 versus 3.37 years; in males, an additional 5.94 versus 2.86 years, respectively).     

Social and psychological resources among homeless youth: protection against risk for physical victimization?

ABSTRACT

This study examines child physical abuse, social and psychological resources, and street physical victimization among 150 homeless youth from the Midwest. Path analyses results show that males have higher self-efficacy than females, while older youth and those who experienced less child physical abuse reported higher self-esteem. Self-efficacy and self-esteem were positively associated with social support as was being younger and having experienced less child physical abuse. Younger respondents reported fewer difficulties obtaining basic necessities, and those who had less trouble finding these necessities experienced less street physical victimization. Females, younger youth, and those who experienced less child physical abuse reported lower rates of physical victimization. Agencies should be aware that many youth experiencing homelessness have trouble obtaining basic necessities, which increases risk for victimization. Moreover, the ability to obtain necessities appears to override the influential role of social support, further affirming the foundational importance of agencies helping youth meet their basic needs.     

Is anybody there? Informal supports accessed and sought by youth from foster care

Young people's ‘ageing out’ of foster care has been described as stark and abrupt, in sharp contrast with the gradual process of transitioning to adulthood experienced by parented youth in the general population. Research has demonstrated that being supported during this transition is associated with a variety of health, social, and educational outcomes. The purpose of this article is to report former foster youths' perspectives on their informal supports, what difference these supports made for them, and what they believed would be useful in their transition to adulthood. Data came from semi-structured interviews with 43 former foster youth aged 19–26. Findings revealed that while approximately half the informants reported having support from family, most did not have family whom they regularly relied upon for emotional, practical and/or financial support. Further, while nearly all youths indicated that having support made a difference to them, many also noted that for daily living, they were on their own. The study's findings are an important reminder of the gulf existing between youth from care and parented youth in terms of their access to support during their journey to adulthood.     

Do fines for violating possession-use-purchase laws reduce youth tobacco use?

The present brief report followed children exposed to consequences for violating Purchase, Use, and Possession (PUP) laws over time to assess changes in their smoking status. Youth in 24 towns were surveyed once a year for 3 years, and rates of tobacco use for those fined for PUP law violations were assessed. Of those who were given a ticket for a PUP law violation, 35 (39%) reported not smoking during year 1. Students in grade 7 were more likely to have quit smoking (84%) than those in grade 8 (35%), grade 9 (32%), or grade 10 (21%). For the two follow-up years, 45% and 41% reported not smoking. Assuming those who attrited were smokers, it is possible that about 15% to 24% of the original sample of children cited actually quit smoking over the follow-up period. The implications of these findings are discussed.     

Testing the ‘overburdening’ hypothesis: Do work and school attendance together place youth transitioning from care at risk for negative housing outcomes?

Youth aging out of the foster care system are often placed in the precarious position of both providing for themselves financially and securing their own housing at a young age. Many also choose to take on the difficult tasks of school attendance and work simultaneously during this challenging time in their lives. The current study tests the ‘overburdening’ hypothesis that examines whether taking on the demands of work and school at the same time could overwhelm and actually hinder the healthy development of youth as they transition from foster care. This question was addressed using longitudinal administrative data from 2913 youth enrolled in a transitional living program at a national nonprofit organization serving youth aging out of foster care in five states between October 2010 and July 2014. Random-intercept and lagged regression models were used to examine the association between school attendance, employment, and housing insecurity. Individually, both school attendance and employment placed youth at decreased risk for housing insecurity and little evidence emerged to support the ‘overburdening’ hypothesis. Results from lagged models suggest that the single best predictor of housing insecurity is a previous episode of housing insecurity. The evidence presented here suggests that for some youth, the decision to attend school and find employment may be a symptom, rather than a cause, of their housing insecurity. Results highlight the importance of practitioners' use of research evidence together with sound clinical judgment to support youth as they navigate the challenging developmental task of transitioning into adulthood.     

Treatment Outcome Research: How Effective Are Treatments for Abused Children?

The effectiveness of treatments with abused children is supported by only a limited number of studies. Yet despite the lack of an empirical base, many interventions remain popular in clinical practice. This paper introduces social work clinicians to the primary issues involved in the evaluation of psychotherapy with children and adolescents in general, and applies these issues to an understanding of interventions with abused children. Toward this end, current findings on child abuse treatments are synthesized and critically analyzed. This paper speaks to the continuing gap between empirically-based outcome research and clinical practice.