Development and Validation of a Tool to Improve Physician Identification of Elder Abuse: The Elder Abuse Suspicion Index (EASI)©

ABSTRACT

This study aimed to develop and validate a brief tool for physician use to improve suspicion about the presence or absence of elder abuse. A literature review on elder abuse, obstacles to its identification, limitations of detection tools, and characteristics of screeners employed by physicians were used to generate elder abuse detection questions for critique by 31 doctors, nurses, and social workers in focus groups. Six resulting questions became the Elder Abuse Suspicion Index (EASI) administered by 104 family doctors to 953 cognitively intact seniors in ambulatory-care settings. Findings were compared to a recognized, detailed elder abuse Social Work Evaluation (SWE) later administered to participants by social workers blinded to the results of the EASI. The EASI had an estimated sensitivity and specificity of 0.47 and 0.75, usually took less than 2 minutes to ask, and 97.2% of doctors felt it would have some or big practice impact. This research is a first phase in the development and validation of a user-friendly tool that might sensitize physicians to elder abuse and promote referrals of possible victims for in-depth assessment by specialized professionals.     

Education and the Non-financial Employment Commitment in Times of Economic Recession Among the Youth

In this paper, we study the non-financial employment commitment using the so-called “lottery question”, which asks if you would continue working if you won the lottery. This is the first study that reports results using data from a Southern-European country and this is done both before and 3 years into the recession following the financial crisis of 2008. We find that the willingness to continue working in Spain is shockingly lower than in previous research done in other countries. Additionally, we find two important moderators of the non-financial employment commitment at the individual level. The willingness to work increases by education level and it is negatively correlated with the time spent searching for jobs. We find some regional effects, but in general, we do not find that the non-financial employment commitment is higher during the financial recession.     

Central Bank Transparency as a Dialogical Accomplishment

This paper is a case study of the Czech central bank's communication with the public following the bank's decision to devalue the Czech currency. The aim is to contribute to knowledge of how central banks discharge their obligations to be transparent in communicating controversial decisions and actions. It is argued that transparency cannot be considered an individual act of the bank, but a joint dialogical accomplishment, which includes, among others, media and the public. The analysis of the interactions shows that the concepts of “dialogical networks” and “practical historians” are useful tools for elucidating how controversies in media develop over time.     

Exposure to Parent and Peer Alcohol Use and the Risk of Drinking Onset and Escalation Among Adolescents

Although the rate of alcohol use among adolescents has declined, it remains their drug of choice. Parent and peer alcohol use are powerful risk factors for youth alcohol use. However, questions remain about how these factors influence underage drinking. The present study investigates the relationship between exposure to parent or peer alcohol use and two stages of adolescent drinking—onset and escalation—overall and at five age points during adolescence. Participants were 9348 adolescents in Waves I (WI) and II (WII) of the National Longitudinal Study of Adolescent Health, whose parents completed interviews at WI, and who identified themselves as either non-drinkers or experimental drinkers at WI. Reports of WII alcohol use were used to measure onset among WI non-drinkers and escalation among WI experimenters. Risk ratios were calculated to assess the overall impact of exposure to parent or peer alcohol use on onset and escalation, and at five age points (i.e., ≤?13, 14, 15, 16, and ≥?17). Findings show that exposure to either parent or friend alcohol use increased the risk of onset and escalation. Age-based analyses reveal a more nuanced relationship, showing variability in the nature and strength of influence by stage of drinking and by age. This study highlights the relevance of both parent and peer modeling on youth drinking throughout adolescence. Implications in advancing prevention and treatment include parental education about the impact of their own behaviors and the importance of monitoring teens’ friendships.     

Estimating free-roaming cat populations and the effects of one year Trap-Neuter-Return management effort in a highly urban area

Free-roaming cat populations are increasing in urban areas around the world. Management strategies remain controversial, as attempts to rapidly minimize the impact of cats may conflict with finding an ethical means of population reduction in this domesticated species. Trap-Neuter-Return (TNR) is a non-lethal strategy which can theoretically lead to population decline with an ethical approach. The present study aimed to estimate free-roaming cat populations and also to measure the efficacy of a one-year TNR campaign in a highly urban area. Using a sight/resight methodology, we examined free-roaming cat populations in four sites across two neighbourhoods (Harlem and Bedford-Stuyvesant) in New York City. Sampling was repeated after 1 year, during which an intensive TNR effort occurred in each of those areas. Results from this study found population estimates range from 2.6-4.1 cats/km. Additionally, we found between 78-98% turnover in each study area. After one year of TNR, the proportion of sterilised individuals in our treatment sites increased to 50%. Model results suggest there is no evidence that sterilised individuals are more likely to be encountered, indicating that sterilisation may not affect movement patterns of cats. Free-roaming cats occur at high densities at all study sites, though populations varied, even within the same neighbourhood. We found evidence of considerable migration within study sites, which further complicates the application of a sterilisation management strategy. Management strategies directed toward free-roaming cats, such as TNR, may require a broad-scale approach, involving different facets of the community and should occur over multiple years.     

Renaissance of a rural artifact in a city with a million people: biodiversity responses to an agro-forestry restoration in a large urban traditional fruit orchard

The rural landscapes surrounding large cities are rapidly becoming incorporated into the urban environment. The most conspicuous changes involve green spaces, such as former agro-forestry systems like fruit orchards. In this paper, we assess the influence on biodiversity of restoring a large urban traditional fruit orchard as reflected by six selected taxa: plants, lichens, butterflies, beetles, orthopteroids and birds. The study was performed in Prague, which is the capital city of the Czech Republic and has more than a million inhabitants. We studied the effect of orchard renewal in 45 patches (15 for birds and 30 for other taxa). The majority of taxa responded positively to the restoration. The restoration had a significant positive effect on the species richness of lichens, butterflies and beetles. All taxa showed significantly altered species compositions, and the number of red-listed species increased. Orchards have a high potential for multi-functional use. Orchards are productive agro-forestry systems and host numerous possible human activities. Therefore, orchard restoration also has a social aspect. Moreover, our research in this artificial ecosystem revealed that its restoration increased the biodiversity and conservation potential of the associated areas.

     

Social work in Israel: professional characteristics in an international comparative perspective

This article employs a comparative framework in the analysis of the professional characteristics of social work in Israel. Using the attributes and the power approaches to professions, Israeli social work is analysed according to eight variables: a protected 'trademark', monopoly over social care and delivery of services within state welfare systems, occupational autonomy, length of training and control over training, internal differentiation by levels of expertise and competence, professional organisation, a sanction-backed code of ethics, and material and symbolic rewards. The analysis reveals that Israeli social work has undergone an extensive professionalisation process and that it has characteristics that are not common in other countries. Initial explanations for this process are offered and discussed.