Asking the Question: Childhood Sexual Abuse in Adults with Mental Illness

Enquiry about childhood sexual abuse (CSA) is not routine practice for mental health practitioners undertaking client assessment. This study audited 100 patient charts to determine rates of enquiry and response by mental practitioners around CSA. Fifty-seven mental health staff also completed a subsequent questionnaire exploring factors that influence practice in regard to sexual abuse. Staff lacked confidence in how to ask and effectively respond to sexual abuse disclosure. Mandatory training focusing on trauma informed care could improve staff confidence and capacity to identify and effectively address not only sexual abuse, but childhood trauma and abuse more generally.     

‘Coming Out Tales’: Adult Sons and Daughters' Feelings About Their Gay Father's Sexual Identity

Coming out to their children is a dilemma that concerns many gay, bisexual, and lesbian parents with children from previous heterosexual relationships. How children found out about having a father who identified himself as gay, and their feelings about their father's sexual identity, were explored through qualitative analysis of semi‐structured interviews with 36 sons and daughters (aged 19 to 36 years) whose gay fathers participated in the Gay & Bisexual Parenting Survey (Barrett and Tasker, 2001). Interpretative Phenomenological Analysis revealed that awareness of their father's sexual identity was often left unspoken for various reasons, and that acceptance came about through gradual understanding as well as direct discussion. Interview data indicated the complexity of the relationship between the young adult's personal acceptance of their father's gay identity and their consideration of social context when deciding how open to be to others about their father's sexual identity. This research has varied implications for therapeutic work with gay and bisexual fathers coming out to their children from previous heterosexual relationships.     

MULTILEVEL DISCRETE‐TIME EVENT HISTORY MODELS WITH APPLICATIONS TO THE ANALYSIS OF RECURRENT EMPLOYMENT TRANSITIONS

Data on the timing of events such as births, residential moves and changes in employment status are collected in many longitudinal surveys. These data often have a highly complex structure, with events of several types occurring repeatedly over time to an individual and interdependences between different event processes (e.g. births and employment transitions). The aim of this paper is to review a general class of multilevel discrete‐time event history models for handling recurrent events and transitions between multiple states. It is also shown how standard methods can be extended to allow for time‐varying covariates that are outcomes of an event process that is jointly determined with the process of interest. The considerable potential of these methods for studying transitions through the life course is illustrated in analyses of the effect of the presence and age of children on women's employment transitions, using data from the British Household Panel Survey.