Child sexual abuse evaluations: adherence to recommendations

Sixty-eight parents of children with alleged child sexual abuse (CSA) were surveyed 4 months after visiting an interdisciplinary CSA evaluation clinic in order to examine the extent to which recommendations were recalled and implemented. Of those parents for whom specific recommendations were provided, 9% recalled recommendations for medical follow-up, 79% recalled recommendations for child therapy, and 43% recalled recommendations for parental therapy. Families were more likely to receive and adhere to recommendations when there were behavioral problems and a strong indication of CSA. To improve communication with families, the reasons for recommendations must be clearly conveyed, and possible barriers to implementation should be anticipated and addressed. In addition, recommendations need to be realistic, and professionals need to facilitate the implementation of their treatment plan.     

What is sex and why does it matter? A motivational approach to exploring individuals' definitions of sex

What sexual experiences qualify as "having sex"? We investigated two assumptions apparently underlying research on how individuals make these judgments: that individuals have clear definitions regarding what qualifies as sex and that these judgments depend on how closely the activity being assessed matches their definitions of sex. Using open-ended questionnaires, 100 students, 51 women and 49 men, described their experiences that were "almost but not quite sex" or "just barely sex" and situations where there was uncertainty or disagreement about whether the experience qualified as "sex." In contrast to the above assumptions, many respondents expressed ambiguity about their definitions of sex, and their decisions about labeling an experience as "sex" often seemed influenced by the consequences of applying this label.     

Conceptualizing the "wantedness" of women's consensual and nonconsensual sexual experiences: implications for how women label their experiences with rape

Sex is often conceptualized either as wanted and consensual or as unwanted and nonconsensual, reflecting an implicit model of wanting that is unidimensional and dichotomous and that conflates wanting and consenting. This study had three objectives: developing a multidimensional model for conceptualizing the wantedness of a sexual act, using this model to compare women's experiences with rape and consensual sex, and assessing whether wantedness is related to rape acknowledgement. Participants were college women who described their experiences with rape (n = 77) or consensual sexual intercourse (n = 87). Results supported a multidimensional model of sexual wanting and a wanting-consenting distinction. Compared with acknowledged rape victims, unacknowledged rape victims reported wanting the sexual intercourse more, despite not having consented.     

Estimating the expense of a mandatory home-and community-based personal assistance services benefit under Medicaid

Personal assistance services (PAS) are essential for many people of all ages with significant disabilities, but these services are not always available to individuals at home or in the community, in large part due to a significant bias toward institutions in the Medicaid program. This study aims to provide an estimate of the expense of a mandatory personal assistance services (PAS) benefit under Medicaid for persons with low incomes, low assets, and significant disability. DESIGN AND METHODS: We use year 2003 data from the Survey of Income and Program Participation to estimate the number of people living in households who would be eligible, based on having an institutional level of need and meeting financial criteria for low income and low assets, combined with additional survey data on annual expenditures under Medicaid programs providing PAS. RESULTS: New expenditures for PAS are estimated to be $1.4-$3.7 billion per year (in 2006 dollars), depending on the rate of participation, for up to half a million new recipients, more than a third of whom would be ages 65 and older. These estimated expenditures are a tenth of those estimated by the Congressional Budget Office for implementing the Medicaid Community-Based Attendant Services and Supports Act (MiCASSA). IMPLICATIONS: Creating a mandatory PAS benefit for those with an institutional level of need is a fiscally achievable policy strategy to redress the imbalance between institutional and community-based services under Medicaid.     

Women's financial planning for retirement: the impact of disruptive life events

Providing care for an aged parent has immediate financial, emotional, psychological, and physical consequences for the primary caregiver. This pilot study of 138 middle aged and older females analyzes the long term financial consequences of providing care to aged relatives for female caregivers. The impact of this disruptive life event (e.g., caring for an aged relative) on retirement planning among middle aged and older adult women was analyzed using quantitative data collected from women residing in the Midwest region of the United States.