Mechanisms of Adherence in a Harm Reduction Housing Program

Advances in clinical therapies for people living with HIV have greatly increased life expectancies, but the high levels of adherence that are necessary for clinical success are infrequently achieved, especially for chronically homeless substance users. The Open Door is a harm reduction housing program that seeks to improve clinical outcomes for this population. We present findings from qualitative interviews with residents of the program, conducted to explore facilitators of residents’ success in the program, which is ultimately defined as HIV clinical adherence. Two major themes developed. Positive changes captures processes or characteristics that residents reported as having changed as a result of living in the program. Mechanisms of success reflects aspects of the program to which residents attributed their improved adherence. Given that improving adherence in vulnerable populations has both clinical and public health implications, our study suggests future avenues for research and foundations on which to build future interventions.     

Implementing integrated pest management in professional lawn care: a case study

Human choices regarding land cover management practices may influence ecosystem services provided by urban green spaces. We conducted a 2-year study to compare biological (weed, insect, and disease), aesthetic (lawn quality), and economic (lawn care program cost) attributes of an integrated pest management (IPM) program, in which pesticides are applied on the basis of treatment thresholds, with a standard program, in which pesticides are applied on a calendar basis without pest monitoring. Both programs were managed by a professional lawn care operator. Although weed incidence was low, the IPM program had significantly more lawns with weed presence than the standard program during 2005 and 2006. However, only 21% of the IPM lawns required herbicide applications in 2005, and none exceeded the treatment threshold (5% weed cover) in 2006 as compared to 100% of the standard program lawns being treated for weeds in both years. The IPM program also had significantly more lawns with insect damage than the standard program during June 2005 and August 2005, but not September 2005 and throughout 2006. Only 28% of the IPM lawns required insecticide applications in 2005 and none exceeded the threshold (5% insect damage) in 2006 whereas all of the lawns in the standard program received insecticide treatments in both years. Rhizoctonia blight was present on some of the lawns, but was not a common problem. Although lawn quality was high for both programs (>8, on a scale of 1–9), it was significantly higher for standard than for IPM program lawns during 2005, and June 2006 and September 2006, but not August 2006. The annual lawn management costs were lower for the IPM (281.50) than the standard program (281.50) than the standard program (458.06). Thirty one percent of the IPM program customers who continued with the study in 2006 did so because they were satisfied with the IPM program. Among those who did not continue with the program, 33% cited weed or insect problems, while 33% expected better results. The implications of these findings for implementation of IPM in professional lawn care are further discussed.     

Therapeutic Effects of an Outdoor Activity Program on Nursing Home Residents with Dementia

Abstract

Objective: The purpose of this one-year pilot study was to obtain preliminary information on the effects of an outdoor activity program, in comparison to an indoor activity program, on sleep and behavior in nursing home residents with dementia. Structured activity programs have been shown to improve dementia-related behavior problems, and there are some indications that improved behavior is associated with improved sleep. Previous research has shown that sleep disturbance is common in nursing home residents, and that limited exposure to light bright enough to entrain circadian rhythms contributes to their sleep problems. Thus, we expected to see improvements in behavior in both the outdoor and indoor activity groups, but improvements in sleep in the outdoor activity group only.

Methodology: A two-group (outdoor program, indoor program) two phase (baseline, intervention) design was used. Subjects were randomized to the outdoor or indoor program groups. Sleep and behavior disturbance were assessed over a 10-day period at baseline (usual activity conditions, which were expected to include little or no time spent outdoors) and at intervention (daily structured activity program offered outdoors or indoors). Sleep was assessed with wrist actigraphs with photocells, which also allowed for monitoring of light exposure. Behavior disturbance was assessed with the Cohen-Mansfield Agitation Inventory. Both activity programs were offered Monday-Friday over a 2 week period, included similar content and were offered by research project staff. The analytical approach emphasized primary changes between baseline and intervention measures of sleep and behavioral symptoms in the two activity groups. Because this was a pilot study, the significance level was set a priori at p< 0.10.

Findings: The outdoor activity group experienced significant improvements in maximum sleep duration. Both groups showed significant improvements in total sleep minutes. There also was a significant improvement in verbal agitation in the outdoor activity group.     

Why Trust Matters: How Confidence in Leaders Transforms What Adolescents Gain From Youth Programs

Youth's trust in program leaders is considered a key to the positive impact of youth programs. We sought to understand how trust influences youth's program experiences from their perspective. We interviewed 108 ethnically diverse youth (ages 12–19) participating in 13 arts, leadership, and technology programs. Analysis of these accounts suggested five ways in which youth's trust in leaders amplified program benefits. Trust increased youth's (1) confidence in leaders' guidance in program activities, (2) motivation in the program, (3) use of leaders for mentoring, (4) use of leaders as a model of a well‐functioning relationship, and (5) experience of program cohesiveness. Across benefits, trust allowed youth to draw on leaders' expertise, opened them to new experiences, and helped increase youth's agency.     

Confronting Islamophobia in education 1

The Religion and Diversity Education program of the Tanenbaum Center for Interreligious Understanding includes innovative training for elementary and high school educators on addressing religious pluralism in school. This paper highlights the program and its curricula which confront Islamophobia by teaching students concrete skills for living in a pluralistic society.     

Participants’ views on the strengths and limitations of drug court: Recommendations to enhance assessment and treatment of mental illnesses

ABSTRACT

Since 1989, drug courts have provided an alternative to incarceration for arrestees who have a substance use disorder. Previous research has suggested that participants who graduate from the program are less likely to recidivate than those who are terminated from the program. The majority of research on drug courts is quantitative; therefore, the benefits of qualitative methods are not fully seen in the literature. This qualitative study developed an in-depth understanding of participants’ (n = 42) views on the strengths and limitations of a Midwestern drug court. Two themes emerged from the data. First, participants felt that the drug court promoted camaraderie, which enhanced their motivation for change and supported them in graduating from the program. Second, participants felt that the drug court did not adequately treat their mental illnesses, which for some resulted in relapse and was perceived as a barrier to graduating from the program. Recommendations for drug court practice are discussed.     

Comparative evaluation of aesthetic, biological, and economic effectiveness of different lawn management programs

We evaluated aesthetic (lawn quality), biological (weeds and insect pests), and economic (management costs) effectiveness of a commercial (managed by a professional company), consumer (managed using consumer lawn care products following labeled instructions), integrated pest management (IPM) (pesticide applications based on monitoring and thresholds), organic (monitoring and need-based organic and natural product applications), and an untreated lawn care program. Percent weed cover was the lowest in the commercial followed by IPM, organic, and consumer programs. The commercial program had lower white grub density than all other programs, and the organic program had lower white grub density than the untreated program. The commercial program had the highest lawn quality while the untreated program had the lowest. The IPM and organic programs did not differ significantly in lawn quality, but both rated significantly higher than the consumer program. Annual costs were highest in the commercial ($382/0.05 ha) followed by the organic ($305/0.05 ha), IPM ($252/0.05 ha), and consumer program ($127/0.05 ha), respectively. We conclude that the commercial program produced the highest lawn quality, and weed and insect control, and was the most expensive. The IPM and organic programs were cheaper than the commercial program and produced slightly lower lawn quality. Although the consumer program was the cheapest, it produced the lowest weed control and lawn quality among treated lawns.     

Launching Medical Foster Home Programs: Key Components to Growing This Alternative to Nursing Home Placement

Objective: The objective of this research was to examine and explain elements that enhanced or thwarted program growth of the United States Veterans Health Administration Medical Foster Home program. Methods: This qualitative study was conducted nationally through individual interviews over the phone and in-person (n = 22) with coordinators (n = 15 at slow-growth programs; n = 6 at fast-growth programs), program support assistants (PSAs) (n = 1 at slow-growth program), and home-based primary care team members (n = 3), as well as three in-person focus groups (n = 28 total participants) with home-based primary care team members. All participants (N = 53) were involved with programs in existence for at least two years. Results: Facilitators and barriers that enhanced or thwarted program growth emerged around four themes: A full-time coordinator; Unmitigated home-based primary care team engagement; Pursuit and receipt of appropriate referrals; and Match between caregiver, home, and Veteran. Conclusions: To facilitate program growth, program leaders should consider themes identified and how to foster situations and shape policies that put themes into practice.     

Chapter 14: Fairview Alive—An Integrated Strategy for Enhancing the Health and Well-Being of Employees

Abstract

This article describes the successful integration between EAP and wellness programs at Fairview Health Services-a program called Fairview Alive.A brief history of integration between EAP and wellness at Fairview is provided including the shared mission these two programs serve at Fairview. Next, this article outlines the Population Health Model on which Fairview Alivewas built, and the specific programs and services provided under each segment of this model. This article then focuses on how Fairview addresses depressionone of their largest cost drivers-in a coordinated effort. Finally, preliminary outcomes from a comprehensive program evaluation, including the impact on medical costs, workers compensation costs and absenteeism costs, are discussed.     

Paraphrase II

SUMMARY

Paraphrase -A multimedia listening skills training program is presented and discussed. Major elements of the program include a definition of paraphrasing, some of its advantages and disadvantages, techniques of paraphrasing, and an example of how such a multimedia program might be used to deal with a problem of interpersonal conflict in an organization. Graphics, text, video images and audio were used in the design of the program.     

Graduate education at berkeley

The Berkeley Department of Sociology has a distinctive training program that encourages the student to pursue an independent course of inquiry. While clearly still within the U.S. orbit, when arrayed along a continuum, the program leans more toward the European than the American tradition of postgraduate education. The Berkeley doctoral student substantially creates his or her own mix and is also most likely the principal architect of the research design and the sole collector of primary data for the dissertation. This article briefly explains the history and describes the current program. Troy Duster is professor and chair of the Department of Sociology and director of the Institute for the Study of Social Change at the University of California, Berkeley. He is the author of “American Dilemmas and Black Responses: Purpose and Bias,” which appears in the January–February 1987 issue ofSociety.     

Examining the Ethical Utility of Social Work Program Rankings in the US: Are We Measuring One Thing and Selling Another?

Social work program rankings are frequently used in the US to communicate program identity, and no ranking structure has become as commonly accepted as the one compiled by US News & World Report. However, the metrics used to assemble these rankings, and what the rankings have been used to communicate, have come under question over recent years. This project details an analysis that was conducted on the relationship between US News rankings for social work programs in the United States (n = 200) and Carnegie research designations for the universities with which those programs are affiliated. Findings suggest that as institutional size increases, so do rankings. This study assesses the strength of that relationship and questions the ethical utility of this ranking system, particularly when used as a tool to recruit students (a common practice in the United States). Additional metrics are suggested to help potential students make more informed decisions in reference to program selection.     

Mindfulness‐Based Relationship Education For Couples Expecting Their First Child—Part 1: A Randomized Mixed‐Methods Program Evaluation

This article is Part 1 of a two‐part series, in which we report on our evaluation of a mindfulness‐based relationship enhancement program for couples who are expecting their first child. In this mixed‐methods randomized clinical trial, we assigned 33 couples to the 4‐week Mindful Transition to Parenthood Program treatment group (n = 16 couples) or to a waitlist control condition (n = 17 couples). Men in the treatment group significantly improved in relationship satisfaction, mindfulness, and negative affect; women had no significant treatment effects. Small to large effect sizes were present for treatment group men and women in multiple areas. Mixed‐methods analyses demonstrated that this intervention may be especially helpful for men because of differences in social support needs, effects of program enrollment, and relational processes in the prenatal period. Video Abstract     

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.     

An Internet-Based Self-Help Program for the Treatment of Fear of Public Speaking: A Case Study

ABSTRACT

This article discusses the development of the first totally self-administered online CBT program for the treatment of a specific social phobia (fear of public speaking) called talk to me. The online program includes three parts. The assessment protocol gives the patient information about the problem, including impairment, severity, and the degree of fear and avoidance regarding the main feared situations. The structured treatment protocol ensures that the patient does not skip any steps in the treatment. The treatment protocol is a CBT program that provides exposure to the feared situation using videos of real audiences. Finally, the control protocol assesses treatment efficacy, not only at posttreatment, but also at every intermediate step. In this work we describe talk to Me and its practical application through a case study.     

MULTIFACETED AID FOR LOW‐INCOME STUDENTS AND COLLEGE OUTCOMES: EVIDENCE FROM NORTH CAROLINA

We study the evolution of a campus‐based aid program for low‐income students that began with grant‐heavy financial aid and later added a suite of nonfinancial supports. We find little to no evidence that program eligibility during the early years (2004–2006), in which students received additional institutional grant aid and few nonfinancial supports, improved postsecondary progress, performance, or completion. In contrast, program‐eligible students in more recent cohorts (2007–2010), when the program supplemented grant‐heavy aid with an array of nonfinancial supports, were more likely to meet credit accumulation benchmarks toward timely graduation and earned higher grade point averages than their barely ineligible counterparts. (JEL I21, I23, I24, J08)     

Surabaya green and clean: Protecting urban environment through civic engagement community

ABSTRACT

This study explores the involvement of townspeople in efforts to protect their environment through environmental awareness program. The environmental program implemented is Surabaya Green and Clean (SGC) which was initiated by Surabaya City government since 2005 in kampung (community-based housing) in Surabaya (Indonesia). This study employed a qualitative approach with semi-structured interviews, observations, and literature studies as data collection technique. The data were taken in Kampung Margorukun with a total of 14 informants involving the head of kampung, environmental cadres, and residents who are engaged in developing Kampung Margorukun to be one of the ecotourism models. The research results indicate that the resident involvement in SGC includes environmental cadres formation, environmental awareness education, waste recycling, waste bank management, and ecotourism development. The implementation of SGC in Kampung Margorukun is a form of operationalization of residents’ concern for environmental protection and sustainable development from ecological citizenship perspective.     

A Not Merely Charitable Alliance: Anti-Poverty Workers Within and Against the State

This essay explores the insurgent practices of members of the Volunteers in Service to America (VISTA) program from 1965–1973. VISTA is situated historically in relation to New Left community organizing projects and the War on Poverty. Testimonials of VISTA workers demonstrate that many developed political perspectives critical of the “war” in which they had enlisted. Records of collective mobilization chart how VISTA workers attempted to form a labor union and bring the program under community control. Their largest organization, the National VISTA Alliance, represented a form of social justice unionism ante litteram within and against the U.S. state.     

ENVIRONMENTALISM,STIMULUS, AND INEQUALITY REDUCTION THROUGH INDUSTRIAL POLICY: DID CASH FOR CLUNKERS ACHIEVE THE TRIFECTA?

The 2009 American Cash for Clunkers program, which subsidized consumers who scrapped old vehicles and purchased new vehicles, was promoted by appealing to multiple constituencies. We evaluate the policy and alternatives according to its stated goals: emissions reductions, economic stimulus, and reducing inequality. We calibrate a dynamic partial equilibrium portfolio model to match consumer expenditure data from 1998 to 2011 focusing on heterogeneity across cars and trucks. We find the program generated $0.17 in environmental benefits, $0.28 in consumer surplus, and $0.31 in net discounted additional spending per subsidy dollar. Since subsidies largely went to middle-income infra-marginal consumers, the program exacerbated consumption inequality. We evaluate alternative policy designs and find no policy which simultaneously improves all outcomes. (JEL H23, L52, L92, D63)