A Normative Approach to Parent-Young Adult Child Communication in the Context of Substance Use Disorders: Explicating Parents’ Communication Challenges and Strategies

ABSTRACT

Despite a decrease in substance use among teens, alcohol and substance use has remained high among young adults. Young adult use of illicit substances is particularly concerning. Parents can play an important role in substance use intervention and prevention, but their efforts are sometimes unsuccessful. Therefore, it is important to consider how parents respond to and communicate about their young adult children’s substance use disorder. Most research has privileged confrontation and direct communication as effective coping responses, but evidence suggests that effectiveness hinges on the meanings interactants ascribe to behavior. Through qualitative interviews, the current study develops normative theory regarding parents’ communication challenges and strategies in response to their young adult child’s substance use disorder. Parents’ challenges center on the intersection of support with their own substance use history; others’ divergent views on substance use; uncertainty in illness; relational closeness and harmony; and illness features. Results are discussed in terms of implications for helping parents respond to their young adult child’s substance use disorder.     

Indebted Relationships: Child Support Arrears and Nonresident Fathers' Involvement With Children

Low‐income, nonresident fathers owe a disproportionate amount of child support arrears, creating potential challenges for these fathers and their family relationships. This article uses mediation analysis to provide new evidence about how and why child support debt is related to paternal involvement using information from 1,017 nonresident fathers in the Fragile Families Study. Results show that child support arrears are associated with nonresident fathers having significantly less contact with children, being less engaged with them in daily activities, and providing less frequent in‐kind support 9 years after the birth. This negative association between child support debt and father involvement is most strongly and consistently mediated by the quality of the relationship between the biological parents. Although child support policies are designed to facilitate fathers' economic and emotional support, these results suggest that the accruement of child support debt may serve as an important barrier to father involvement.     

Mexican‐Origin Mothers' and Fathers' Involvement in Adolescents' Peer Relationships: A Pattern‐Analytic Approach

Using latent profile analysis, the authors examined patterns of mother – father involvement in adolescents' peer relationships along three dimensions—support, guidance, and restrictions—in 240 Mexican‐origin families. Three profiles were identified: (a) High Mother Involvement (mothers higher than fathers on all three dimensions), (b) High Support/Congruent (mothers and fathers reported the highest levels of peer support and similar levels of guidance and restrictions), and (c) Differentiated (more guidance and restrictions by fathers than by mothers, similar levels of parent support). These profiles were linked to mothers' and fathers' familism values, traditional patriarchal gender role attitudes, and socioeconomic status and to adolescents' friendship intimacy and risky behaviors measured longitudinally from early to late adolescence. Adolescent gender moderated the linkages between parents' involvement in adolescents' peer relationships and youth adjustment.     

Young Adults' Fertility Expectations and Events: Associations With College Enrollment and Persistence

The analyses described in this article investigated the association between adolescent fertility expectations and college enrollment (N = 7,838). They also explored the potential impact of fertility expectations and events on college persistence among 4‐year (n = 2,605) and 2‐year (n = 1,962) college students. The analysis, which used data from the National Longitudinal Survey of Youth 1997 cohort, showed a significant association between expectations for early parenthood and the likelihood of going to a 4‐year college or 2‐year college for both men and women. In addition, the authors found that pregnancies were associated with an increased risk of college dropout for women; however, if all of the estimated effect of pregnancies on the risk of dropout were causal, they would still not be a major factor contributing to educational attainment because fertile pregnancies among college women are so rare.     

A review of social host policies focused on underage drinking parties: suggestions for future research

Underage drinking continues to be a public health concern, partially due to the ease in which adolescents obtain alcohol and consume it in private locations. States and municipalities have implemented strategies to counteract this, including adopting public policies called social host policies, despite limited evidence of effectiveness. Traditionally, these laws have held adults accountable for furnishing alcohol to underage drinkers. However, states and communities are using another policy, also called social host, to deter underage drinking parties where easy access to alcohol and high-risk use occurs. These innovative laws hold individuals who control the property accountable for underage drinking that occurs there, regardless of alcohol source. We conducted a critical analysis of social host policies focused on hosting underage drinking parties and constructed a conceptual model to understand their targeted factors. Future research recommendations are discussed.     

Creating employment opportunities for people with disabilities in healthcare: the Bristol Employment Collaborative

Unemployment is a significant problem among working-age adults with disabilities. The Bristol Employment Collaborative (BEC), one of five Regional Employment Collaboratives in Massachusetts, brings together State agencies, community employment service providers, educational institutions, local businesses, economic development organizations, and people with disabilities to design and implement regional strategies to enhance employment opportunities and outcomes for people with disabilities. Launched in 2009, BEC has developed an innovative model to train people with disabilities to become personal assistance services workers, a healthcare occupation with high demand. The case study describes the strategic planning process undertaken by BEC partners to develop a certificate program to be offered by the local community college. The first class enrolled in September 2010 and graduated ten weeks later. Innovative approaches such as the one being pursued and developed by the BEC could help address both unemployment for people with disabilities and the labor shortages in the healthcare sector.     

Challenges to care coordination posed by the use of multiple health IT applications

Coordinating care for hospitalized patients requires the use of multiple sources of information. Using a macroergonomic framework (i.e. the work system model), we conducted interviews and observations of care managers involved in care coordination across transitions of care. When information is distributed across multiple health IT applications, care managers experience a range of challenges, including organizational barriers, technology design problems, skills and knowledge issues, and task performance demands (i.e. issues related to individual information processing and management and sharing of information). These challenges can be used as a checklist to evaluate the proposed IT infrastructure that will allow the integration of multiple health IT applications and, therefore, support coordination across transitions of care.     

Intersectionality and Social Work: Omissions of Race,Class, and Sexuality in Graduate School Education

In 2008 EPAS Standards on Engaging Diversity and Difference in Practice (2.1.4) added intersectionality (a theory developed by feminist of color) as one aspect to understand diversity, difference, and power in social work curriculum. We consider how intersectionality is omitted in graduate student learning even when class assignments center discussions and theorizations on power. This qualitative study explores student narratives and corresponding metaphorical drawings on power within an assignment charting their role as social workers. The research emerges from data where authors noted omissions of race, class, and sexuality in discussions on professional power. This inquiry is guided by critical feminisms. Constant comparative methods were used in this study and two themes emerged: policing resources and a pretense of harmlessness.     

Supervisor Support Buffers Daily Psychological and Physiological Reactivity to Work‐to‐Family Conflict

Using a daily diary design, the current study assessed within‐person associations of work‐to‐family conflict with negative affect and salivary cortisol. Furthermore, the authors investigated whether supervisor support moderated these associations. Over 8 consecutive days, 131 working parents employed by an information technology company answered telephone interviews about stressors and mood that occurred in the previous 24 hours. On Days 2–4 of the study protocol, they also provided 5 saliva samples throughout the day that were assayed for cortisol. Results indicated a high degree of day‐to‐day fluctuation in work‐to‐family conflict, with employed parents having greater negative affect and poorer cortisol regulation on days with higher work‐to‐family conflict compared to days when they experience lower work‐to‐family conflict. These associations were buffered, however, when individuals had supervisors who offered support. Discussion centers on the use of dynamic assessments of work‐to‐family conflict and employee well‐being.