Homeless youths' perceptions of services and transitions to stable housing

Use of available services is low among homeless youths, and how youth make decisions to access services or seek housing is unclear. This study explored perspectives of current and former street youth about these processes. Recruited from the streets and a drop-in center, 27 youth ages 16–24, participated in individual qualitative interviews. Findings from consensual qualitative analyses indicated choices to use services were embedded within developing autonomy and identification with street lifestyles. Themes of self-reliance, substance use, and relationships with street and housed persons were expressed as critical for both using services and transitioning to stable housing. Agency-related factors such as caring staff, a nonjudgmental atmosphere, and flexible policies were perceived as important for service use while youth-related factors such as experiencing major events, being internally motivated, and embracing mainstream values were seen as conducive to transitioning off the streets. Implications for service providers and future research are discussed.     

Assessment and management of hospitalized suicidal patients

Suicide in inpatient psychiatric settings is a critical problem. A comprehensive literature review was performed to determine risk factors for inpatient suicide, instruments for assessing suicide, and treatment of hospitalized suicidal patients. Findings suggested that root causes of inpatient suicide were factors related to the treatment environment, failure to assess patient behavioral characteristics, and staff reliance on no-suicide contracts. Recommendations include assessing suicide risk regularly throughout hospitalization, including on admission, during changes in a patient's mental or physical status, after a change in observation level, and before discharge. Orientation and inservice education for all staff and additional research on the psychometric properties of available suicide assessment instruments are also essential.     

The Freshman 15: is it real?

OBJECTIVE: The belief that college students gain 15 lbs during freshman year is widespread, yet the evidence for this is limited. The authors aimed to determine whether college students gain weight during freshman year. PARTICIPANTS: The authors studied unmarried freshmen living on-campus at a private university in the northeastern United States. METHODS: The authors used an online survey to collect information about social behaviors and weight. RESULTS: The authors observed an average weight gain of 2.7 lbs. About half of the students gained weight, and 15% lost weight. Men gained more weight than did women. CONCLUSIONS: Freshman weight gain was 5.5 times greater than that experienced by the general population.     

Anticipating relocation: concerns about moving among NORC residents

Most older adults prefer to live at home as long as possible, requiring supports and services to help them age in place. This study examines the relocation concerns of a group of older adults in a suburban naturally-occurring retirement community (NORC). Twenty-six percent of the 324 residents interviewed expressed concern about having to move in the next few years. Residents who were worried differed from those who did not worry on a number of demographic and biopsychosocial characteristics. Overall, residents present a profile of vulnerability that calls for preemptive action to help them stay in their homes. A NORC is an ideal setting in which to provide supportive services.     

Ethnic and Marital Differences in Family Structure,Risk Behaviors,and Service Requests Among Young Minority Fathers

The purpose of this study was to examine ethnic and marital status differences in family structure, risk behaviors and service requests among African American and Hispanic adolescent fathers participating in a community-based fatherhood program. Demographic factors, risk behaviors, and service requests were gathered at program entry. The results indicated that each group demonstrated distinct patterns associated with family structure, sexual risk behaviors, substance use, and criminal behavior. In comparison to African American fathers, Hispanic fathers were younger and were more likely to be married and present at the delivery of their child. African American fathers reported having more children than Hispanic fathers. Disparities in school-related measures were also found, with African American fathers having higher high school graduation rates than Hispanic fathers. The impact of marriage on risk behaviors had mixed results. Services requests were similar for both groups. The finding that different ethnic groups have specific patterns of risk behaviors highlights the importance of considering the ethnic composition of a population when developing future research and interventions.     

BLOOD MATH

The text takes the form of a dialogue - a series of spoken fragments developed in correspondence by Phelan and Heathfield and written in an interleaved structure. The performance of this dialogue employed slide imagery and a musical score, and the correspondence was pursued through a game of spelling in which the participants gradually chalked out a word on a board. Each letter of the word stands for a thematic concern elaborated in the speaker's writing. Working from various anthropological, psychoanalytic and philosophical discourses on the nature of the gift, the dialogue examines the place of performance within various economies of cultural and personal exchange. Writing letters to one another, the authors move through the intertexts of Beckett, Boltanski, Heidegger, Nabokov and Franko B. The resonance of the act of giving is explored as it is played out in the relations between language and loss, calculation and love, memory and the object, the body and sacrifice, the arts of living and the arts of death. Aside from its conceptual address the presentation explores possibilities within the practice of performative writing and opens the form of the scholarly paper.     

It is not just scale that matters: Political trust in Utah

While the traditional assumption is residents have more confidence in governments that are closest to them, empirical studies supporting this claim remain limited. In this study, we test the claim that ‘small is beautiful’ by comparing citizen reactions to similar types of decisions affecting Utah residents made by political leaders at different levels of governance. Our primary goal is to test the claim that trust is higher for local governments. Our secondary goal is to examine potential determinants of trust and whether they vary across levels of governance. The central finding from this study is that, despite claims to the contrary, citizens are not necessarily more trusting of government closer to the people and higher levels of government can engender as much trust as more local levels of government. Our findings also emphasize that regardless of the level of governance considered, interrelations exist between residents’ views of procedural justice and trust in these officials.     

Clinical management of gender dysphoria in children and adolescents: the Dutch approach

The Dutch approach on clinical management of both prepubertal children under the age of 12 and adolescents starting at age 12 with gender dysphoria, starts with a thorough assessment of any vulnerable aspects of the youth's functioning or circumstances and, when necessary, appropriate intervention. In children with gender dysphoria only, the general recommendation is watchful waiting and carefully observing how gender dysphoria develops in the first stages of puberty. Gender dysphoric adolescents can be considered eligible for puberty suppression and subsequent cross-sex hormones when they reach the age of 16 years. Currently, withholding physical medical interventions in these cases seems more harmful to wellbeing in both adolescence and adulthood when compared to cases where physical medical interventions were provided.     

The relation of economic factors to perceived stress in mobile families

The purpose of this research is to examine the relationship between objective and subjective measures of economic well-being, amount of and satisfaction with control, and perceived stress level of subjects, who have relocated with their families within the past year. Both males and females indicate more stress if their financial condition is worse following the move than before, if their employment status is not satisfying, and when they have little control over their lives and are not satisfied with their level of control. Stress is negatively related to satisfaction with the specific aspects of economic situation studied for both males and females with limited exception.Peggy S. Berger received her Ph.D. from Pennsylvania State University. She is an Associate Professor in the Department of Consumer Sciences, Colorado State University, Fort Collins, CO 80523. Her research interests include socioeconomic issues related to geographic mobility and to gender, and work and family issues.Judith Powell received her Ph.D. from Oklahoma State University. She is a Professor of Child and Family Studies, and Head of the Department of Home Economics, University of Wyoming, Laramie, WY 82071. Her research interests include parent-child relations and effects of relocation on families.Alicia Skinner Cook received her Ph.D. from Arizona State University. She is a Professor in the Department of Human Development and Family Studies at Colorado State University, Fort Collins, CO 80523. Her research interests include grief and loss issues, family stress, and adjustment to relocation.