Marriage and family therapists working with couples who have children with autism

Current research about families and couples who have children with autism is discussed using the Double ABCX model as a guide. A case study is presented along with recommendations for therapists who work with couples who have children with autism. Marriage and family therapists are encouraged to use the Double ABCX model as both an assessment tool as well as for intervention. More research and effective therapists in this area are needed in order to keep up with the rising rates of families that include children diagnosed with autism.     

Private woodland owners’ perspectives on multifunctionality in English woodlands

Increasing emphasis is being placed in forest policies to deliver public goods such as biodiversity, recreation, landscape and carbon sequestration, alongside timber production. In light of this, it is important to understand how woodland owners themselves perceive their role in delivering these multiple benefits. With up to 80% of woodland in some areas in England in private ownership, and with an increasing number of owners with non-financial objectives for their woodland, the private sector may offer opportunities for delivering public goods. The purpose of this study was to investigate the perceptions and attitudes of private woodland owners to multifunctional woodland management in three study areas in England: Cornwall, the Lake District and the High Weald Area of Outstanding Natural Beauty (AONB). Q Methodology was used to identify four perspectives of woodland ownership and management, which can be described as: the Hobby Conservationist; the Individualist; the Custodian and the Multifunctional Owner. The implications of the findings for forest policy are discussed.     

Transition from home care to nursing home: unmet needs in a home- and community-based program for older adults

A major effort is under way nationally to shift long-term care services from institutional to home- and community-based settings. This article employs quantitative and qualitative methods to identify unmet needs of consumers who transition from a statewide home- and community-based service program for older adults to long-term nursing home residence. Administrative data, care manager notes, and focus group discussions identified program service gaps that inadequately accommodated acute health problems, mental health issues, and stressed family caregivers; additional unmet needs highlighted an inadequate workforce, transportation barriers, and limited supportive housing options. National and state-level policy implications are considered.     

Provider Preparedness for Treatment of Co-occurring Disorders: Comparison of Social Workers and Alcohol and Drug Counselors

Substance use and mental health disorders remain significant behavioral health concerns in the United States and other Western nations. Nearly half of the 20.3 million adults with substance use disorders in the US have a co-occurring mental illness . Despite growing research support, integrated treatment by providers with expertise in both mental health and substance use is critically lacking. As part of a co-occurring disorders (COD) training initiative in the USA, this study investigated providers' (n = 438) past training, current COD service provision, and future training needs. Specifically, we examined the extent to which social workers were prepared to treat individuals with COD compared to alcohol and drug counselors. Unsurprisingly, social workers reported receiving significantly more mental health related training, while alcohol and drug counselors reported more substance use related training. Alcohol and drug counselors reported significantly more COD-specific training including general COD, psychopharmacology, COD treatment, and relapse prevention. Social workers were significantly more likely than alcohol and drug counselors to report wanting more training in substance use disorders and culturally-specific intervention techniques. These findings suggest that tailored training and licensure changes are needed to enhance social workers' capacity for competent COD treatment.     

Disabled occupational therapists – asset,liability … or ‘watering down’ the profession?

Activists and academics advocate the involvement of disabled people in the education and training of health professionals and it has also been argued that the professions would benefit from including disabled healthcare professionals within their ranks. With increased numbers of disabled people entering all areas of higher education, it is likely that the numbers of disabled healthcare professionals will grow. This paper describes a small-scale study of the experiences of disabled occupational therapists who were asked to recount their journeys and to provide first-hand accounts of the reality of being a disabled health professional. The findings suggest that there is further work to be done before the profession benefits fully from the inclusion of disabled therapists, and the paper concludes by giving possible explanations and making recommendations to help facilitate this inclusion.     

Flattening the learning curve of leadership development: reflections of five women higher education leaders during the Coronavirus pandemic of 2020

ABSTRACT

For an adult, non-traditional student focused college, the pandemic brought into stark reality the challenges that the dislocation brought ‘home,’ literally, for many people. This article presents a set of reflections of five women leaders at a public institution of higher education. Through their reflections, they discuss their responses to the challenges faced by faculty, staff and students during the pandemic. Issues of gender, race, class, precarious work, technological access, and related challenges are raised to the surface. We offer three implications for HRD and leadership development research and practice.     

Mental health and breast cancer screening utilization among older Hispanic women

Considerable racial and ethnic differences exist in the way the burden of cancer is experienced in the United States for older Hispanic women. This study utilized data from the 2008 wave of the Health and Retirement Study to investigate the mental health factors associated with older Hispanic women’s participation in breast cancer screening services. Logistic regression models were used. Findings indicated that anxiety and positive affect were associated with a greater likelihood of participating in breast cancer screening. Despite ongoing national conversations, evidence indicates there is agreement that underserved women need to be screened, particularly the older Hispanic population.