Strengths of caregivers raising a child with foetal alcohol spectrum disorder

Birth, foster and adoptive parents raising a child with foetal alcohol spectrum disorder know their children best and are well positioned to inform professionals how to help alcohol‐affected children. Telephone interviews with 32 parents were conducted to explore strengths of caregivers raising a child with foetal alcohol spectrum disorder, and responses analyzed using concept mapping methodology. Four themes emerged from 74 unique responses: ‘change parenting strategy for different children’, ‘use non‐verbal, sensory and physical strategies’, ‘stay patient and understanding’ and ‘locate and maintain external supports’. Results were compared and contrasted with the existing literature. Although many responses were consistent with the literature, strengths previously unreported by caregivers in the literature included cultural practices, communication, generalizability of skills, soothing music and use of a service dog.     

Post-Occupancy Evaluation of a Transformed Nursing Home: The First Four Green House® Settings

To study how well the physical environments of four Green Houses® served the residents, staff, and visitors and to develop recommendations for similar small-house nursing home projects. Longitudinal post-occupancy evaluation of four houses using mixed-methods, including behavioral mapping, checklist ratings of individual bedrooms and bathrooms, place-centered time scans, environmental tracers, and questionnaires and interviews. The small residential environments achieved the desired functional results for residents and staff. Some components of the environment proved problematic, especially bathroom designs, lighting and fixtures, and storage spaces. Certain areas of the buildings were under utilized, particularly a den. Space was used differently in the two houses dedicated to residents with dementia compared to the other two houses. In the latter, residents tended to use their own rooms for a variety of activities, including visits, and often kept their doors closed, whereas in the former the central hearth area was used more frequently. The physical design of the Green Houses was associated with desired behavior and outcomes in residents and staff. Post-occupancy evaluation methods were useful to elicit detailed information about environmental performance and suggest modifications for the next iteration of Green Houses.     

Toward a More Data-Driven Supervision of Collegiate Counseling Centers

Abstract

Hearing the national call for higher education accountability, the author of this tripartite article urges university administrators to move towards a more data-driven approach to counseling center supervision. Toward that end, the author first examines a key factor—perceived increase in student pathology—that appears to shape budget and staffing decisions in many university centers. Second, she reviews the emerging but conflicting research of clinician-scholars who are trying to empirically verify or refute that perception; their conflicting results suggest that no study alone should be used as the “final word” in evidence-based decision-making. Third, the author delineates the campus-specific data that should be gathered to guide staffing and budgeting decisions on each campus. She concludes by reminding readers that data-driven decisions can and should foster high-quality care that is concurrently efficient, effective, and in sync with the needs of a particular university and student body.     

Psychosocial and Environmental Determinants of Eating Behaviors,Physical Activity,and Weight Change Among College Students: A Qualitative Analysis

Abstract

Objective: The goal of this study was to identify factors that college students perceived as contributing to healthy and unhealthy eating patterns, physical activity (PA) levels, and weight change. Participants: Forty-nine 18- to 22-year-old students at a midwestern university participated. Methods: Six focus groups (3 with each gender) were conducted, and data were analyzed using qualitative software to code and categorize themes and then reduce these to clusters according to commonly practiced methods of qualitative analysis. Results: Eating and PA behaviors appear to be determined by a complex interplay between motivations and self-regulatory skills as well as the unique social and physical environment comprising college life. Moreover, there appear to be gender differences in how these determinants impact behavior. Conclusions: Future research should examine these interactions in the college context in order to further our understanding of potential interventions or environmental modifications that support healthy eating and PA.     

Steps Together: Children’s Experiences of Participation in Club Activities With the Elderly

The amount of time that children and elderly people spend alone has grown in recent years in Finland. Based on sociocultural theory, children’s development and learning occur in close interaction with the surrounding society, place, and time. The aim of this study is to research children’s experiences of participation in club activities for children and the elderly. The qualitative research data were collected by observing activities and interviewing children. The key factors in supporting children’s participation were common interests in rewarding activities. A warm atmosphere and humor during activities were also found to be important elements in creating positive interactions between children and the elderly.     

Subtypes of Problem Gamblers,Sociocultural Factors,and Availability of Gambling

Finnish treatment-seeking gamblers were examined in light of predominant problem gambler subtype models. “Psy science” oriented problem gambler subtypes were found to be considerably influenced by gambling cultures and treatment traditions in the countries from which the mainstream problem gambler research originates. Thus, models that emphasize the psychopathology of the individual might cause some friction when applied to countries like Finland with a quite particular gambling culture and addiction treatment system that traditionally functions on a social work basis. It is suggested that specialists helping problem gamblers should acquire local knowledge with which to complete psychiatrically oriented scientific knowledge.