Parents of adults with developmental disabilities: Age and reasons for reluctance to use another caregiver

Parents of individuals with developmental disabilities differ in their expressed reluctance to use another caregiver depending on their age. Older parents, more than younger parents, reported a reluctance to use another caregiver because of financial reasons and the unavailability of qualified caregivers. The results suggest that elderly parents may be willing to leave their developmentally disabled child with someone else but they require financial assistance and education regarding program quality and availability.Jean L. Engelhardt is a Research Associate of the Family and Child Studies Center, Department of Home Economics and Consumer Sciences, at Miami University in Oxford, Ohio. Her current research is in the area of older parents of developmentally disabled children. Dr. Engelhardt received her Ph.D. in Psychology from Notre Dame.Dr. Lutzer is Assistant Professor of Educational Psychology and an Associate of the Family and Child Studies Center at Miami University in Oxford, Ohio. She is currently involved in research on the older parents of developmentally disabled children.Timothy H. Brubaker is Professor and Director of the Family and Child Studies Center, Department of Home Economics and Consumer Sciences, at Miami University in Oxford, Ohio. Dr. Brubaker holds a Ph.D. from Iowa State University and is currently conducting research on the older parents of developmentally disabled children.We express our gratitude to the Family Resource Services Program of the Butler County (Ohio) Board of Mental Retardation and Developmental Disabilities for their help, and to the Jacob G. Schmidlapp Trust of Cincinnati for financial support during the writing of this article.     

A non-linear mixed-effects model to predict cumulative bole volume of standing trees

For purposes of forest inventory and eventual management of the forest resource, it is essential to be able to predict the cumulative bole volume to any stipulated point on the standing tree bole, while requiring measurements of tree size that can be made easily, quickly and accurately. Equations for this purpose are typically non-linear and are fitted to data garnered from a sample of felled trees. Because the cumulative bole volume of each tree is measured to numerous upper-bole locations, correlations between measurements within a tree are likely. A mixed-effects model is fitted to account for this within-subject (tree) correlation structure, while also portraying the sigmoidal shape of the cumulative bole volume profile.     

ICONOCLASM VERSUS INNOVATION: BUILDING A SCIENCE OF FAMILY THERAPY-COMMENTS ON MOON, DILLON, AND SPRENKLE

We dispute Moon, Dillon, and Sprenkle's (1990) claims regarding the unique advantages of qualitative methods and inherent limitations of traditional quantitative approaches for addressing the needs of family therapy research. We support the role of qualitative research as a generative phase in theory development and concur that exclusive allegiance to a standard set of research methods may limit our attention to important family therapy processes. However, we also assert the need to document generalizability of informal observations through controlled procedures using appropriate quantitative techniques. Both ethical and practical considerations demand that we document treatment efficacy based on a science of family therapy.     

Chronic Homelessness Among Working-Age Adults: Personal Problems and Public Assistance

As rapid changes have occurred in the economic and cultural structures of society, some have found themselves more disadvantaged than others. The mismatch between income and the cost of housing means that some of the poor will inevitably become homeless. Given the economics of the situation, prevention of homelessness is a non-issue; more germane is the question of chronic homelessness. This paper takes the position that determining who is most likely to be chronically homeless is related to the cultural ideology of individualism and, more specifically, that the situations likely to create the greatest vulnerability are problems for which individuals are seen as personally responsible. The distress brought about by societal-level changes is manifested in the “personal” problems of individuals. The social welfare system, acting as a substitute for failed social institutions, recreates their failures by relying on a cultural ethos that blames individuals for occupying positions to which the society has relegated them.     

Promoting Transparency of Long-Term Environmental Decisions: The Hanford Decision Mapping System Pilot Project

Nuclear waste cleanup is a challenging and complex problem that requires both scientific analysis and dialogue among a variety of stakeholders. This article describes an effort to develop an online information system that supports this analytic-deliberative dialogue by integrating cleanup information for the Hanford Site, and making it more "transparent." A framework for understanding and evaluating transparency guided system development. Working directly with stakeholders, we identified information needs and developed new ways to organize and present the information so that it would be more transparent to interested parties, with the ultimate aim of fostering greater participation in decision dialogues and processes. The complexity of the information needed for dialogue suggested that several types of communication devices ("information structures") were warranted. Five information structures were developed for the pilot Decision Mapping System (http://nalu.geog.washington.edu/dms). Decision maps hyperlinked decision information to maps of Hanford. Background Information provided context in a narrative format. Decision Paths organized decision process information on a timeline and provided direct hyperlinks to online documentation. The Geographic Library hyperlinked decision documents to maps. Finally, a Discussion Forum allowed users to make comments and view remarks from others. Early lessons from this work suggest that transparency is integral to long-term management, a participatory design process contributed greatly to its perceived success, and better data integration to support decision making is needed. This work has broad implications for risk communicators and risk managers because it speaks to the design of information systems to support "analytic-deliberative" decision processes (i.e., those that rely upon both risk science and public dialogue).     

Elder abuse litigation and the duty to provide palliative care

Lawyers are targeting problems with under-treatment of pain for elderly and chronically ill patients. Learn some tactics for dealing with the legal issue.     

The effects of health and environment on exercise-class participation in older, urban women

This research investigated the effects of health and environmental factors on the dropout and intermittent nonattendance of an exercise program designed specifically for older, female, primary-care patients living in the inner city. Class-attendance records (n = 21,538) from a cohort 110 women were analyzed. Women who dropped out early had poorer perceived health and were more likely to report pain as an exercise barrier at baseline. Those who lived in a census tract where a larger percentage of workers walk to work were less likely to drop out early. Intermittent nonattendance was associated with adverse weather conditions including heat index above 90 degrees F, wind-chill index below 20 degrees F, overcast sky, and snow. Better attendance was associated with greater atmospheric pressure, as well as lower number of sunlight hours per day. This research highlights the need to better understand environmental barriers when promoting physical activities in older women.     

Fortune,Risk, and Remittances: An Application of Option Theory to Participation in Village‐Based Migration Networks1

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Personality disorders, coping strategies, and posttraumatic stress disorder in women with histories of childhood sexual abuse

Using a treatment-seeking sample of adult female survivors of childhood sexual abuse, the relationships between coping strategies, personality disorders (PD) and Posttraumatic Stress Disorder (PTSD) were explored. A variety of PDs were found to exist in this population, with avoidant, antisocial, dependent PDs having higher frequencies than borderline PD. Avoidant coping and PTSD severity significantly correlated with many of these PDs. PTSD severity and avoidant coping were also significantly correlated. Additionally, women with PTSD displayed higher rates of avoidant and dependent PDs, as well as more avoidant coping, than did women without PTSD. Results support a more complex conceptualization of the trauma-related symptoms that occur in adult survivors of childhood sexual abuse that incorporate the relationships between avoidant coping, personality disorders, and PTSD.