Mistrust and Self-Isolation: Barriers to Social Support for Older Adult Methadone Clients

Objectives: The purpose of this study is to explore barriers to the use, maintenance, and expansion of social supports in older adult methadone clients. Methods: The data for this analysis were derived from a qualitative study of the needs of aging methadone clients. Data were collected through face-to-face interviews with 24 methadone clients over the age of 50. Results: A lack of trust was identified as a principal barrier to the use, maintenance, and expansion of the social supports of older adult methadone clients. Causes of this mistrust include issues associated with aging, past traumatic experiences, and difficult personal relationships. Implications: These findings imply that addressing the issue of self isolation and recognizing the reason older adult methadone clients engage in this behavior is a key element in getting this specific population to use, maintain, and foster healthy social supports. A common phrase echoed throughout the interviews is that a person cannot trust anybody. Because of this mistrust, some clients keep to themselves by electing to self-isolate and decline to use, maintain, or foster new relationships. As a result, these individuals are less likely foster and/or engage in healthy social relationships, which are a key component of substance abuse treatment and abstinence maintenance.     

Towards a social history of suffering: Dignity,misery and disrespect

ABSTRACT

This article examines the working-class audience in Soviet Ukraine and the changes in its reading appetites during the 1920s. Under the Soviet nationalities policy of korenizatsiia introduced in 1923, the print-runs of Ukrainian-language literary products increased significantly. Nonetheless, as this article argues, those numerous publications often did not reach Ukrainian readers and if they did, they could hardly satisfy the interest appetites of an ever-growing Ukrainian audience. As the book reviews collected in the second half of the 1920s showed, the worker readers were interested in a certain type of literature – entertaining, easy to comprehend, dealing with contemporary issues and characters – that was not yet available in Ukrainian. Nevertheless, once that literature began to emerge in the late 1920s, the interest in contemporary books in Ukrainian increased. By examining every aspect of reading in Ukrainian – production, dissemination and consumption of the printed word – this article highlights the decisive role of Soviet readership in determining future official Soviet Ukrainian literature. The case of Soviet Ukraine emphasizes regional specifics and introduces an important language component to the Bolshevik reading revolution of the 1920s to early 1930s, largely ignored in the scholarship.     

Using alcohol to sell cigarettes to young adults: a content analysis of cigarette advertisements

OBJECTIVE: Advertising influences the health-related behaviors of college-aged individuals. Cigarette manufacturers aggressively market to young adults and may exploit their affinity for alcohol when creating advertisements designed to increase cigarettes' appeal. Internal tobacco industry documents reveal that cigarette manufacturers understood the popularity of alcohol among young adults and sought to produce pertinent marketing strategies. METHODS: The authors conducted a content analysis of cigarette and alcohol advertisements in young adult-oriented magazines to investigate portrayed associations between cigarettes and alcohol. RESULTS: The content analysis revealed that 32 of 114 cigarette advertisements referenced alcohol and that those advertisements were more likely than others to portray active smoking. Conversely, 0 of 317 alcohol advertisements referenced cigarettes, and alcohol advertisements were only slightly more likely than cigarette advertisements to feature alcohol-related settings. CONCLUSIONS: Such advertising may detrimentally affect smoking patterns of college students. An understanding of these strategies can benefit on-campus tobacco control efforts.     

A demographic examination of grandparent caregivers in the Census 2000 Supplementary Survey

As part of the 1996 Welfare Reform Act, the Census Bureau is required to determine how many grandparents are serving as caregivers to a grandchild. Using data from the Census 2000 Supplementary Survey, this paper presents demographic information on two types of grandparent households, and outlines the challenges associated with use of the new questions about grandparent care developed by the Census Bureau. We compare skipped-generation households, in which a grandparent and grandchild coreside but no parent is present, to three-generation shared-care households in which the grandparent claims primary responsibility for the grandchild. We focus on two geographic regions of the United States, New England and the Deep South, providing the first report on the prevalence and characteristics of these households, and the extent to which these attributes are geographically variable. We estimate that the population of three-generation shared-care families is at least as large as the population ofskipped-generation grandparent care families.We identify a number of differences between skipped-generation and shared-care households, especially with respect to the age of the grandchildren involved and the levels of economic hardship. Significant regional differences are also observed, with grandparent care households of both types being more common in the Deep South than in New England. We conclude that data using these new questions have the potential to greatly enrich our demographic understanding of grandparent households by shedding new light on a type of grandparent care often hidden from analysis: grandparents who are responsible for grandchildren in three-generation households.     

Parent-adolescent concordance on perceived need for mental health services and its impact on service use

Mental health service underutilization among African American adolescents is well documented, yet not fully understood. Discordance between adolescents and their parents on perceived need for seeing a counselor for an emotional need or psychiatrist for psychiatric or medical services may help explain low service use among this population. This exploratory, prospective study examined the relationship between parent-adolescent concordance on perceived need for emotional counseling or psychiatric services and mental health service use. The relationships between gender and perceived service need and concordance and adolescent severity of depressive symptoms were also explored. Parent-adolescent dyads (n = 108) receiving community-based adolescent outpatient mental health services responded to interview questions concerning their perception of whether an emotional counselor and a psychiatrist were needed in the past six months. Findings revealed low parent-adolescent concordance on perceived need for an emotional counselor and a psychiatrist. A greater proportion of adolescents reported a need than parents. There was no association between gender and perceived need for an emotional counselor and a psychiatrist. Lower rates of parent-adolescent concordance were found among youth reporting elevated depressive symptoms compared to youth reporting normal range symptoms. Concordant dyads kept a higher number of appointments than discordant dyads. Implications for clinical social work practice and future research are discussed.     

Improving human resources for health planning in developing economies

There is a universal consensus that human resources represent the heart and soul of effective health systems everywhere. However, despite this consensus, human resource planning in low income countries remains a neglected, often poorly implemented and ineffective component of health-system development. The planning exercises that do take place are often inefficient, use inappropriate planning models or fail to adequately prioritize human resource investment decisions. This article briefly discusses possible reasons why this failure occurs and describes four key steps that can help health system planners more effectively prioritize and link human resource for health investment decisions to health system strategy and programmatic initiatives. Implications for human resource development practice and national human resource development are discussed.     

What Does it Mean to Listen to People with Dementia?

A total of 19 people with dementia were interviewed as part of a study into unmet respite care need amongst caregivers and day-care attenders in Sheffield. Some important contextual debates associated with conducting social research with people with dementia are considered. These include informed consent, competency, and how the interests of caregivers and people with dementia are bound together. A form of process consent was used in conducting semi-structured interviews with day-care attenders. Day-care attenders spoke about 'being here' in a number of ways. These include their initial experiences, their sources of satisfaction and their sense of being in families. These substantive findings and the associated methodological insights suggest day-care attenders have important things to say as service-users if appropriate strategies for listening are employed. Service-providers can collaborate imaginatively with day-care attenders to actively explore how care might be shaped by the experiences of persons with dementia.     

Where Do Our Problems Lie?: Comparing Rates of E-Access Problems Across Three Research Institutions

Abstract

In order to build upon the research of Brett, the author categorized over three hundred e-resources troubleshooting tickets at The University of Alabama Libraries into a coding scheme originally created by Goldfinger and Hemhauser with the goal of cross-comparing the results with that of two other research libraries. The results of the analysis shed light upon the most commonly reported types of problems among the three institutions, and patterns emerged that could be indicative of industry-wide concerns. The author also developed a more specific, local classification schema in order to identify areas in which local solutions could be implemented to improve user experience.     

Minority Report: Prevalence of Fear of Violent and Property Crimes Among a Diverse College Sample

Social Indicators Research - Fear is associated with several adverse health behaviors and outcomes. Fear of crime is associated with less exercise and outdoor activity, worse self-rated health...