Research outcomes of prenatal substance exposure and the need to review policies and procedures regarding child abuse reporting

Research on the outcomes of drug-exposed children evinces elevated developmental risks from the interaction of subtle biological vulnerabilities and compromised parenting. States, however, have generally not reviewed the procedures and policies they developed in the early 1990s when there was less research and experience with these children. At that time the gravest risks related to perinatal substance exposure seemed to be excessively punitive treatment of mothers by over-zealous criminal justice prosecutors. This article clarifies policy options for reporting and serving children who are born testing positive for controlled substances and also calls for strengthening existing state policies regarding child abuse reporting and response.     

Parental views of in-home services: what predicts satisfaction with child welfare workers?

Evidence on client satisfaction deserves consideration in the design of child welfare policies, programs, and practices. Data in this study come from the National Survey of Child and Adolescent Well-Being. Clients receiving in-home services reported moderate levels of satisfaction with their child welfare workers. Caregiver reports of having less than two child welfare workers, having more recent contact, and receiving timely, responsive services were associated with higher perceived quality of relationships with child welfare workers. The child welfare workers' reports of cooperativeness by the caregiver were also associated with higher caregiver-reported relationship quality.     

Power through choices: the development of a sexuality education curriculum for youths in out-of-home care

Youths in out-of-home care demonstrate high rates of sexual risk-taking behavior and elevated rates of unintended pregnancy and sexually transmitted infections (STIs). This article profiles the development and characteristics of an innovative pregnancy/HIV/STI prevention curriculum tailored to the needs of youths in out-of-home care. Promising results from an implementation study suggest the need for further dissemination and rigorous testing.     

Frozen in Time: Idealization and Parent-Blaming in the Therapeutic Process

Contemporary theory and culture can lead a therapist to view a client’s positive feelings towards parents as defensive idealization, while negative or hostile feelings may be seen as “deeper” and more important. This article suggests that both idealization of and critical feelings about parents can serve as defenses against other painful emotions and both are developmentally necessary. Contemporary neurobiological and attachment research indicate that “talk therapy” helps individuals manage emotions. This work can be derailed if anger is privileged over idealization. Clinical examples illustrate these ideas and show how unpacking both critical and overly positive attitudes can encourage development. Clients increase their capacity to tolerate a wider range of feelings, maintain a consistent and cohesive sense of self, and build meaningful relationships. Therapists’ countertransferential identification with clients’ parent-blaming and a not uncommon desire to reduce complex and confusing experiences to a more manageable subset of emotions are also addressed.     

What was I thinking? A theoretical framework for analysing panel conditioning in attitudes and (response) behaviour

Though panel data are increasingly used in the social sciences, the question whether repeatedly participating in a panel survey affects respondents’ attitudes and (response) behaviour is still largely unsolved. Drawing on a model of associative networks that is extended by assumptions on survey satisficing, we present a theoretical framework that emphasizes the role of strength-related attributes of attitudes (accessibility, internal consistency, extremity) and motivation in respondents’ information processing. In particular, we argue that – depending on respondents’ predispositions – occupation with survey questions enhances attitude strength, which results in increasing attitude stability and influence on thoughts and behaviours. Against this background, we bring together hitherto unconnected results from previous research and thus contribute to a more thorough understanding of both the mechanisms and the multifaceted outcomes of panel conditioning.     

Relationship of Religiosity and Spirituality to Hazardous Drinking,Drug Use,and Depression Among Sexual Minority Women

Using data from Wave 3 of the Chicago Health and Life Experiences of Women (CHLEW) study (N = 699), we explored whether religiosity and spirituality were associated with risk of hazardous drinking, drug use, and depression among sexual minority women (SMW; i.e., lesbian, bisexual) and possible differences by race/ethnicity. Participants were more likely to endorse spirituality than religiosity, and endorsement of each was highest among African American SMW. We found no protective effect of religiosity or spirituality for hazardous drinking or drug use. An association initially found between identifying as very spiritual and past-year depression disappeared when controlling for help-seeking. Among SMW with high religiosity, African American SMW were more likely than White SMW to report hazardous drinking. Latina SMW with higher spirituality were more likely than White SMW to report drug use. Results suggest that religiosity and spirituality affect subgroups differently, which should be considered in future research on resiliency among SMW.     

Lean in Swedish agriculture: strategic and operational perspectives

The purpose of this article is to present and test a framework for lean implementation in the agricultural sector, addressing challenges from an operational and strategical perspective. The article builds on the previous literature on the use of Lean and reports empirical data from a lean implementation project in the south-western Sweden, including interviews, observations, diaries and questionnaires. A framework is developed to examine strategic and operational perspectives on Lean Thinking. Using this framework, a number of challenges encountered in Lean implementation are presented. This article is limited to the study of Lean among a group of Swedish farms although its findings may have implications for the wider agricultural sectors. Many societal challenges are linked with agricultural sustainability, stressing the need for productive, resource-efficient, resilient and less wasteful food production. This article is the first to develop and test a Lean implementation framework in the agriculture sector.     

Mortality and Attrition Processes in Longitudinal Studies in Africa: An Appraisal of the Iford Surveys

This paper considers the impact of sample-attrition through dropouts on mortality analyses, using the pioneering IFORD survey of Yaounde (Cameroon). The essential issue in the IFORD surveys is the possibility that mortality of members of the cohort may differentially select some children, with specific underlying characteristics. The paper implements a method to assess the following three distinct concerns that may arise in the analysis of the IFORD data: (a) the estimation of the relationship between the covariates and the rate of occurrence of mortality or attrition over time; (b) the study of the interrelation between processes under a specific set of conditions during intervals between rounds for those children still alive and in the survey at the beginning of each interval; and (c) the issue of whether mortality and mortality differentials are affected when attrition is ignored. This approach accounts for sample-selection bias that may have resulted in the attrition process. The analyses provide insights into the debate, which has been ongoing since the late 1970s among students of African demography, regarding the selection problem in the IFORD surveys. Based on a multinomial survival modelling and bivariate probit with sample-selection framework, the results substantiate the belief that average levels and differentials of mortality would not have been different for children who dropped out from the survey than for those who remained in the survey. This is evidence that mortality estimates are virtually unaffected if attrition is ignored.