THE ROLE OF MARITAL STATUS IN HEALTH SERVICES EXPENDITURES FOR PSYCHIATRIC OUTPATTIENTS

This study tested the hypothesis that married psychiatric outpatients would have lower total health services expenditures than divorced or separated patients. Chart review of the 471 individuals attending an academic medical center outpatient psychiatric clinic during 1994 identified 131 married, 40 separated, and 93 divorced patients. Separated men had significantly higher average total charges ($16,890) than married ($5,279) or divorced ($5,539) men by one-way ANOVA (p < .05). The nonparametric Mann-Whitney test also showed that separated men had higher charges than married or divorced men. There were no differences between marital status groups for women.     

Social work and the shadow father: lessons for engaging fathers in Northern Ireland

The legislative framework of social work practice has consistently highlighted the need to work in partnership with parents, with far‐reaching implications for families. However, the importance of engaging fathers in social work practice is an issue that has received limited attention within academic debate and research. A research study undertaken across six family centres, investigated paternal involvement in family centre social work in Northern Ireland. The study involved 46 semi‐structured interviews with social workers, fathers and mothers. This paper presents the views of 22 social workers on the barriers to paternal involvement in family centre interventions. A range of factors were identified which served to inhibit or promote engagement of fathers. There were substantially more deterrents than promoters, a clear indicator of the problematic nature of paternal involvement. The findings highlight that both attitudes and practices of social workers influence the engagement of fathers. Recommendations drawn from the findings are presented for the development of father – inclusive social work practices and research.     

Bureaucratization and Goal Succession in Alternative Organizations

Abstract

A review of the literature of counterculture-inspired efforts at organizing alternatives to commercialism and technocracy reveals that the duration of many of these organizations was quite short. However, in spite of a general fading away of the larger counterculture, some of these efforts did indeed survive. Among the survivors are the crisis centers, organizations originally seeking to provide nondirective, empathetic, problem-solving help to individuals undergoing a personal crisis. An analysis of a sample of crisis centers based in midwestern states reveals that the internal structure of most of them has, with the passage of time, become increasingly formalized. Furthermore, many of these alternative organizations now serve persons who are less socially marginal and more socially acceptable than were the centers' original clients. Our results seem to suggest that, for both internal organizational reasons and external societal reasons, such groups may provide feelings of worth for their members but often change their initial goals somewhat. Also, despite their initial commitment to a less bureaucratic structure alternative organizations in fact become more bureaucratic.     

Appalachian Women: A Study of Resiliency Assets and Cultural Values

ABSTRACT

There is scant literature addressing Appalachian women, their resiliency, and their cultural values. The purpose of this phenomenological study was to explore what constitutes resiliency for Appalachian women. The following research questions were explored: (a) Are Appalachian values reflected in Appalachian women's perceived resiliency during their school-age years, ages 5–18; and (b) if so, which Appalachian values emerged in these women's external and internal developmental assets? Ten Appalachian women were interviewed and asked to reflect on developmental assets during their school-age years. The study results indicated a relationship between developmental resiliency assets during youth as they corresponded with nine Appalachian values. The results indicate that Appalachian women's cultural values foster their strengths and resilience. This study supports the significance of practitioners acknowledging the importance of cultural values in counseling strategy. Implications and suggestions for future research are suggested     

Assessing the validity of a single-item HIV risk stage-of-change measure

This study examined the validity of a single-item measure of HIV risk stage of change that HIV prevention contractors were required to collect by the California State Office of AIDS. The single-item measure was compared to the more conventional University of Rhode Island Change Assessment (URICA). Participants were members of Los Angeles County-defined behavioral risk groups recruited from a mobile HIV testing program (N = 123). The study found low correspondence between participants' stage of change on the single-item and the URICA, suggesting that they do not assess the same construct, and that the single item may not provide a valid measure. The current data suggests that the single-item measure should be revised or abandoned in favor of more conventional stage-of-change measures.     

“They're not my favourite people”: What mothers who have experienced intimate partner violence say about involvement in the child protection system

Although the primary aim of child protection services (CPS) is to ensure the well-being and safety of children, policy decision-makers and service providers are increasingly concerned about the potential harm children encounter when they witness the abuse of their caregivers. Researchers who have conducted reviews of child protection files in both Canada and the United States report that few cases in which intimate partner violence (IPV) is substantiated are referred for additional services. In this article, we question whether this response is appropriate. Through examining the results of a qualitative study with sixty-four women who experienced IPV and were thus involved in the child protection system, we have been able to analyze the impact of CPS practices on those women who received services and those who did not. Our findings suggest that CPS can be an important resource for women who experience IPV, but changes to current practices are necessary to ensure that services offered are beneficial.     

Maltreatment prevention through early childhood intervention: A confirmatory evaluation of the Chicago Child-Parent Center preschool program

Increased recognition of the consequences associated with child maltreatment has led to greater emphasis on its prevention. Promising maltreatment prevention strategies have been identified, but research continues to suffer from methodological limitations and a narrow focus on select prevention models. This investigation uses data from the Chicago Longitudinal Study to examine mediating mechanisms that link the Chicago Child-Parent Center preschool program to a reduction in overall child maltreatment and, more specifically, child neglect. We use structural equation modeling to test child, family, and school measures hypothesized to mediate the effects of CPC participation on maltreatment and neglect. Results indicate that a substantial proportion of the program's impacts can be accounted for by family support processes, including increased parent involvement in school and maternal educational attainment as well as decreased family problems. The CPC program's association with reduced school mobility and increased attendance in higher-quality schools also significantly mediated its effects on maltreatment and neglect. Further, a decrease in troublemaking behavior contributed modestly to mediating the program's association with maltreatment but not neglect. We discuss the implications of these results for the field of maltreatment prevention.     

The growing divide: the marginalisation of young Roma children in Bulgaria

This article evaluates how evolving social policies for very young children and their families affect the marginalisation of Roma children from mainstream Bulgarian society. The Roma (or 'gypsies') have long been ostracised by various societies and since the fall of communism in 1989 have become increasingly vulnerable to income poverty and social exclusion. The exclusion of Roma threatens Bulgaria's economic and political growth because the Roma constitute an increasing proportion of the population. The article compares the effects of current child and family policies on modifying the social and economic differences between very young Roma children under the age of three and those of majority Bulgarian children. It demonstrates how both universal social policies directed at helping all children and policies targeted on helping the most deprived children in a population, can, because of previous employment and other factors, further marginalise the most disadvantaged children in a population.     

Music,rowing, and the aesthetics of rhythm

Having “good rhythm” is essential in both music and competitive rowing, but what exactly constitutes “good rhythm,” and how do we achieve it? Although rhythm is often discussed in purely auditory terms, I argue that rhythm is fundamentally a multisensory, kinesthetic phenomenon. By drawing parallels between music and rowing, I illustrate how biological motion principles underlie the parameters of rhythm in both disciplines, and how the cognition and appreciation of rhythm is deeply embodied. I suggest that the two main ways in which rhythms generate pleasure in both music and rowing are by enabling behavioral synchrony between individuals, and by engaging the body in the cognitive process of rhythm perception and prediction. In essence, “good rhythm”—a rhythm that is enjoyed and appreciated—is rhythm that moves.