HIV/AIDS fifty and older: a hidden and growing population

Contrary to common belief, HIV and AIDS are prevalent in the older adult population. Currently, between ten to fifteen percent of HIV/AIDS new cases occur in individuals fifty and older (Chiao, Ries, & Sande, 1999). With the aging of the baby boomer generation, and the introduction of erectile dysfunction medications, such statistics are guaranteed to increase at alarming rates. This population also faces hazardous risk factors that increase its possibility of contracting the disease. Stereotypes and lack of information continue to limit older adults from receiving the medical, educational, and psychological attention they need to avoid and to combat the virus. This article discusses the rising trends in the fifty and older population as well as some of the factors that increase the prevalence of HIV/AIDS among this population. Prevention, assessment, and treatment practices are also outlined; if instituted, these interventions may help promote a significant reduction in the rate of HIV/AIDS infection in the older adult population.     

Community-building principles: implications for professional development

This article reviews a Think Tank meeting among child welfare practitioners at the 2003 Building Communities for 21st-Century Child Welfare Symposium. The Child Welfare League of America's focus on community building is recognition of the vital importance of promoting and fostering collaboration with community members to enhance the well-being of children, families, and communities. The Think Tank participants responded to four questions concerning the knowledge, policies, and strategies that are needed for the development of strategies for community building and child welfare. This article highlights several of the findings of the preconference, which addressed the challenges and opportunities inherent in community-building practices and discusses the key principles that emerged from the Think Tank. The article emphasizes implications for professional education and cites selected examples of innovative community-building initiatives with families.     

Drug-endangered children need a collaborative community response

The United States is facing an epidemic of the use of methamphetamine drugs. Child welfare has not yet addressed the needs of the children living in so-called "meth homes." These children are endangered not only from the chemicals involved, but also from parental abuse and neglect. Communities are recognizing the need for interagency collaboration to address the consequences of this epidemic. Spokane, Washington, has created a Drug-Endangered Children Project, whose mission is to implement a collaborative response among law enforcement, prosecutorial, medical, and social service professionals to the needs of drug-endangered children. This article presents the findings from the evaluation of the first year of the project, including a baseline assessment of the needs of drug-endangered children and the extent of community-based collaboration achieved. This article makes recommendations for future community-based partnerships to improve the well-being of drug-endangered children.     

Psychiatric comorbidity in women with a history of childhood sexual abuse

Childhood sexual abuse (CSA) is associated with the development of numerous adult mental disorders. Women with a history of CSA were surveyed concerning their abuse experience and prevalence of DSM-IV mental disorders. The 63 women in the low morbidity cluster had a mean of 1.02 disorders. The 11 women in the moderate morbidity cluster had a mean of 2.36 disorders. The 16 women in the severe morbidity cluster had a mean of 4.75 disorders. Childhood family environment and CSA during preschool years were important predictors of morbidity cluster membership.     

Predicting participation and outcomes in out-of-school activities: similarities and differences across social ecologies

The majority of research on out-of-school-time activity participation has focused on its relation to academic and social development, presumed to be consequences of participation, rather than on antecedents or predictors of participation. Understanding who participates in these programs can assist program directors in improving and sustaining youth involvement. This chapter uses data from two research study samples to examine differences in children's activity participation based on family social ecology and child gender and how the relations between participation and outcomes vary based on sample, gender, and activity type. Although children in both samples were of roughly the same age and were assessed for similar outcomes, their family incomes, socioeconomic status, ethnicity, and neighborhoods were very different. Findings suggest that participation in activities varies depending on the young person's social ecology, age, and gender. Furthermore, participation in activities was typically associated with positive youth outcomes, but these relations varied depending on the level of youth participation, type of activity, and social ecology.     

Implementing a Trauma Recovery Framework for Youths in Residential Treatment

This paper describes an intervention designed to address the special needs of youths with histories of maltreatment and exposure to family and community violence. The primary components of the model include an enhanced therapeutic community environment and a psychoeducation program that is aimed at changing non-adaptive cognitive and behavioral patterns which developed as means of coping with traumatic experiences. The implementation of the model and proximal effects on the therapeutic communities and youths are being examined in comparison to standard residential services. Initial perceptions of staff illustrate the challenges in applying an intervention that calls for changing the organizational culture.     

Declining first-marriage rates in England and Wales: A change in timing or a rejection of marriage?

During the 1970s, first-marriage rates in many Western European countries declined sharply. We use two different methods (devised by Ryder and by Le Bras and Roussel) to assess how far the changes in first-marriage rates in England and Wales arise from a shift to marrying at later ages or from a decline in the popularity of formal marriage. The two methods yield consistent results, and indicate that the majority of young people in England and Wales will continue to marry but that during the 1970s many were postponing marriage. The pattern of cohabitation and prevailing attitudes to marriage are compatible with such a finding. Recent marriage patterns in England and Wales are found to differ from those in France and Sweden.     

Limits to population size: Three scenarios of energy interaction between human society and ecosystem

A simple theoretical model describing the interaction between humans and their environment in terms of energy flows is proposed to check the compatibility between the density of energy throughput in human society and the density of energy throughput in the ecosystem. This model is then applied to analyze three different scenarios of energy interaction between human society and the ecosystem: (i) societal activity is supported exclusively by biophysical processes for energy input and conversion; (ii) society is fueled by biofuels (biogas and alcohol) but power is generated by exosomatic technological devices (engines, etc.); (iii) society has ample access to a high-density energy input and exosomatic technological devices. For each scenario limits to human development are discussed, and estimates of a sustainable population size provided on the basis of compatibility between energy throughput in society and the environment.     

A network approach to clinical social work

This article describes a technique that attempts to combine the best of the traditional clinical psychotherapeutic method with the advantages of a social systems approach. The technique is based on the assumption that the solution to a variety of human dilemmas lies within the collective resources of an individual's social network. The vehicle for accomplishing this is the Network Session in which professional, care-givers meet with a client and his natural social network to facilitate client growth, and to design and implement a strategy for more effective service delivery. Two case studies are included to demonstrate the method.The authors wish to acknowledge the helpful comments of Joseph Greaney and Ellen Galligan.     

Negotiating Imitation: Examining the Interactions of Consultants and Clients to Understand Institutionalization as Translation

Organizational scholars increasingly view institutionalization as a process through which actors adapt or translate seemingly successful practices in a field to create variations that are specific to their own organization. Yet little is known about how outsiders who seek to diffuse ‘best practice’ affect translation. We examined interactions between management consultants and their clients in two different consulting projects, which focused on embedding the practice of ‘lean’ in one and the practice of a quality improvement framework in the other. Our findings provide insights into the processes of translation through which promoters and adopters iterate at different stages to reach a compromise, illuminating how the evolution of an imported practice signals the outcome of a negotiation. Furthermore, we demonstrate that management practices are not translated in isolation but enveloped by peripheral practices that are adopted by association. We highlight how the peripheral practice of benchmarking, in both cases, was rarely contested or negotiated and thus proved more resistant to translation. Our analysis allows us to unpack the agency inherent within translation‐as‐negotiation and integrate research on diffusion and translation.