Well balanced: 8 steps to wellness for adults with mental illness and diabetes

Serious mental illness places a tremendous burden on clients, their families, and behavioral and medical health care providers. The co-occurrence of diabetes with mental illness may further compromise daily functioning. Psychiatric nurses can make a significant difference in improving the health and medical outcomes of this client population. A partnership was developed between the University of Rochester School of Nursing and the Western New York Care Coordination Program to evaluate a novel nursing model for adults with both serious mental illness and diabetes mellitus. The Well Balanced program incorporated health promotion, disease management, nursing care management, and evidence-based practice guidelines into 8 Steps to Wellness for a community-based mental health population. During a 16-visit intervention period, psychiatric nurses interacted with 74 clients. As a result of the program, clients experienced improvements in health risk status and in their hemoglobin A1C and reported high satisfaction with the Well Balanced program.     

Staying safe while consuming alcohol: a qualitative study of the protective strategies and informational needs of college freshmen

OBJECTIVE: In this qualitative study, the authors examined how students attempt to minimize harm to themselves and others when drinking. PARTICIPANTS: The authors recruited freshmen at a large, mid-Atlantic US public university during the fall semester of 2005 to participate in 8 focus groups. METHODS: The moderator's guide was developed through an iterative process that included input from experts and pilot testing. The researchers audiotaped focus group conversations, transcribed them, and subjected them to an interrater reliability check. Analysis was based on the framework of Information-Motivation-Behavioral Skills Model and a phenomenological approach. RESULTS: College students have a repertoire of coping strategies they use in an attempt to safeguard themselves and their friends from harm when drinking. Strategies encompass planning a safe context for drinking, using safety measures to minimize harm when drinking, and taking care of someone who has consumed too much alcohol. CONCLUSIONS: A harm-reduction focus that acknowledges and builds on existing protective strategies may be a promising avenue for alcohol interventions.     

The intersections of lesbian studies and postcolonial studies: one possible future for class

This position piece addresses the decline of class as a mode of inquiry in Lesbian Studies and Postcolonial Studies. It argues that in spite of this decline, class continues to forcibly pervade all areas of our lives and, therefore, should be fundamental to the research praxis of these fields of study. It goes on to suggest that the intersections of these two disciplines are able to open up a space where questions regarding class and its global dimension in the twenty-first century can be addressed. It concludes by reflecting on the possibility of an ethical methodological approach to research.     

Social Representational Communities and the Imagined Antebellum South

Tourists come to museums with varied expectations and leave appreciating different aspects of their presentations. Thus, tourists/audiences are primed to see, hear, and experience certain representations and narratives when they enter museums. This is particularly so with plantation museums. Most Americans possess at the very least a vague sense of the antebellum South. They have a vague sense of a time and of a place populated by wealthy and esteemed plantation owners and their Black enslaved labor. We use, as our raw material, visitors’ responses to the question: “What is your level of interest in ...,” ten topics related to plantations’ presentations. This question was asked of visitors returning from tours at three plantation museums. Specifically, all three differ in their presentation of enslavement and as so, have been selected to represent the spectrum of plantation museums in regards to presentation of slavery and enslaved labor. It is expected that the differences in presentations at the three sites reflect differences in plantation audiences. To this effect, plantation audiences are mapped and viewed through the framework of social representation theory in an attempt to discern social representation communities using visitors’ levels of interest in topics/items presented on plantation tours at sites. Disregarding incidental cultural tourists, we found there to be basically two social representations that visitors to these three plantation museums hold: a nostalgic social representation and a Janus social representation.     

Segregation and protectionism: Institutionalised views of Aboriginal rurality

Rurality is a complex and contested term, with multiple notions and gazes amid calls for theoretical pluralism. In Australia, the spatial categories of ‘remote’, ‘rural’, ‘regional’ and ‘urban’ are applied to places that vary in their distance from an economic and political core and have differing population densities. We argue that natural resources institutions in rural Australia demand an ‘authentic’ performance of Aboriginality that is framed within orthodox and stable constructions of an Indigeneity associated with the remote category. Dominant representations of remote Aboriginal people living on traditional homelands and engaged in ‘traditional’ environmental protection are assumed to hold for all places and transposed when natural resources institutions satisfy compulsory Indigenous engagement. Such institutional requirements for authenticity exclude alternative and multiple Indigenous voices in natural resources management. Rather, Aboriginal people seek engagement across a portfolio of natural resources activities typically found in rural areas (such as mining, grazing, forestry, water allocation planning, and natural resources service delivery and enterprise development), and not just isolated in natural and cultural heritage conservation. This broad participation would more completely match their expressed aspirations and the multiple lived realities of their fluid and networked rural worlds. Using the rural town of Eidsvold in Australia as a case study, we discuss the findings of participant observation and semi-structured interviews with Indigenous people at regional natural resources management meetings and at ‘home’ in Eidsvold. Rather than a generic institutional approach, a place-based approach to understanding the complex ruralities of Aboriginal people is needed.     

Evaluation of <Emphasis Type="Italic">Safer,Smarter Kids:</Emphasis> Child Sexual Abuse Prevention Curriculum for Kindergartners

This study assessed the effectiveness of the Safer, Smarter Kids kindergarten sexual abuse prevention curriculum in meeting its educational objectives of increasing children’s knowledge of safety risks and self-protection strategies. The study utilized a two-phase non-probability convenience sample of public school kindergarten students. The sample consisted of 1169 students in four school districts in Florida. Using an alpha level of .05, a paired-samples t test was calculated to compare the mean pretest scores to the mean posttest scores of the youth participants. The mean difference was significantly greater than zero (p-value ≤.001). The measurement instrument used to assess student gains functioned well in terms of reliability (α = .82). The effect size was large with a Cohen’s d effect size of 1.09. The results indicated that completion of the Safer, Smarter Kids curriculum was followed by a significant increase in students’ knowledge of key prevention concepts with a 77 % increase in scores post intervention.     

Availability of Mental Health Services for Individuals Who Are Deaf or Deaf-Blind

A survey of state mental health agencies found that a majority have no specific policy or procedure regarding how to provide mental health services to persons who are deaf or who are deaf-blind. Agency representatives report that staff lack knowledge of how to provide mental health services to persons who are deaf-blind and the agencies lack qualified interpreters. They recommend training for social workers and counselors to address best practices in working with people who are deaf-blind concerning communication methods and strategies, physical interaction, cultural issues, everyday life, sensory deprivation, ethics, use of an interpreter, and other general issues.     

Feminism and science in Masters of Sex

This article examines the fictional characterization of the real-life sex researchers and scientists William H. Masters and Virginia E. Johnson in the Showtime television program Masters of Sex (2013–2016). The historical Johnson had a complicated relationship with second-wave feminism: she disdained the movement and was interested primarily in improving heterosexual marriages and the sex lives of married couples. The Johnson character speaks in a language of postfeminism with minimal interest in collective action and broader social change. However, second-wave feminists later used her and Masters’ research in order to support their own beliefs about sexual autonomy and freedom, within and beyond marriage and heterosexuality. The television program demonstrates Johnson’s importance to both phases of her and Masters’ research—in the first phase, when they are based in a hospital and university environment, and in the second, when they establish their own research institute and raise funds directly from the clients that they serve. Johnson exemplifies postfeminist depictions of ambitious women in prestige television, her aim to have a successful career and marriage conflict, and while she is willing to compromise scientific values to serve her own goals, her male colleagues temper that ambition in service of “objective” science.