Predictors of short-term treatment outcomes among California's Proposition 36 participants

California's voter-initiated Proposition 36 offers non-violent drug offenders community-based treatment as an alternative to incarceration or probation without treatment. This article reports short-term treatment outcomes subsequent to this major shift in drug policy. Data are from 1104 individuals randomly selected from all Proposition 36 participants assessed for treatment in five California counties during 2004. The overall study sample was 30% female, 51% white, 18% Black, 24% Hispanic, and 7% other racial/ethnic groups. The mean+/-SD age was 37+/-10 years. Counties varied considerably in participant characteristics, treatment service intensity, treatment duration, urine testing, and employment and recidivism outcomes, but not in drug use at 3-month follow-up. Controlling for county, logistic regression analysis showed that drug abstinence was predicted by gender (female), employment at baseline (full or part-time), residential (vs. outpatient) stay, low psychiatric severity, frequent urine testing by treatment facility, and more days in treatment. Recidivism was predicted only by shorter treatment duration. Employment predictors included age (younger), gender (male), baseline employment, and lower psychiatric severity. The study findings support drug testing to monitor abstinence and highlight the need to address employment and psychiatric problems among Proposition 36 participants.     

Research Note: Managing the Financial Assets of Older People: Balancing Independence and Protection

Family involvement in managing the financial assets of olderpeople is an area of policy and practice importance. This importancerelates to the complexity of older people’s assets, systemsof paying for care and concerns around substitute decision-makingand financial abuse. Although a common task of informal care,little is known about older people’s experiences and wishesin relation to asset management. This paper reports on a qualitativestudy of the experiences and perspectives of thirty-four olderpeople receiving such assistance. It identifies three scenariosthat promote or inhibit independence in this context and drawsout the challenges for this emerging area of practice with olderadults and their families.     

Child welfare workers who are exhausted yet satisfied with their jobs: how do they do it?

In response to a study of Canadian child welfare workers that unexpectedly found participants scoring high on a measure of emotional exhaustion (burnout) and, at the same time, high on overall job satisfaction, this paper reviews research that has investigated these constructs in the social work literature as well as in selected studies from sociology, social psychology, management and women’s studies. The review reveals that some previous studies also report the coexistence of high levels of emotional exhaustion and strong job satisfaction in child welfare and social worker samples. Several studies have suggested that individual characteristics, including finding reward in helping others, having a commitment to the mandate of child welfare and believing that one’s labour is ‘making a difference’, contribute to satisfaction with child welfare work in spite of work overload and emotional exhaustion. Attributions regarding causes of exhaustion, coping strategies and goal orientation may also attenuate the expected negative effects of emotional exhaustion. Considerable evidence supports the positive influence of variables organizational managers can control, including job autonomy, supportive supervisors, workload, promotional opportunities and perception of personal safety. The degree to which this phenomenon is associated with female socialization and the ‘ethic of care’ underlying social work is discussed. Implications for child welfare research, practice and policy are offered.     

Growing Up at Centrepoint: Retrospective Accounts of Childhood Spent at an Intentional Community

A qualitative analysis of the accounts of 29 adults who grew up in a controversial New Zealand community identified positive and negative experiences and their psychological implications. In addition to highly publicized child sexual abuse that occurred at Centrepoint, children also experienced parental neglect, psychological manipulation, illegal drug use and stigma from the broader society. These factors created an adverse matrix that facilitated sexual abuse. Positive experiences included support for vulnerable families and children, recreational activities, and the opportunity to develop communication skills. While there may be positive experiences for children living in intentional communities such as this one, it is important to be aware of the potential for psychological harm to children in communities with powerful, shared systems of belief, skepticism about the broader society, and strong dynamics of dependence. These findings may have implications for other similar communities operating elsewhere in the world.     

Positive and negative sexual cognitions: Subjective experience and relationships to sexual adjustment

Some individuals appraise their sexual cognitions negatively and/or experience negative affect in association with their sexual cognitions. However, sex researchers have tended to subsume different types of sexual cognitions under the term sexual fantasy and have assumed that these cognitions are positively experienced. The purpose of this study was to clarify past research on sexual‐cognitions by exploring the distinction between sexual cognitions that are perceived as positive by individuals and those that are perceived as negative. Two‐hundred and ninety‐two (148 women and 144 men) heterosexual undergraduate students completed a 56‐item positive and negative sexual cognition checklist along with measures of sexual adjustment. Results revealed that compared to negative sexual cognitions, positive sexual cognitions were associated with more positive affect, less negative affect, more frequent subjective general physiological and sexual arousal, and less frequent self‐reported upset stomach. In addition, positively experienced sexual cognitions were experienced as more deliberate and less intrusive, and were associated with less frequent attempts to control the thought, than were negative sexual cognitions. Further, while a higher frequency of positive sexual cognitions was related to better sexual adjustment for men and women, the frequency of negative sexual cognitions was not related to sexual maladjustment. Indeed, overall the results suggest that negative sexual cognitions have little to do with sexual adjustment. Together, these findings highlight the importance of distinguishing between positive and negative sexual cognitions in research.     

Preparing Social Workers for Child Welfare Practice: An Innovative University–Agency Learning Collaborative

This paper describes the evolution of a university–community child welfare learning collaborative based on an adaptation of the teaching hospital concept. This partnership between an agency providing a range of child and family welfare services and two university units, the school of social work and outreach, was intended to accomplish multiple agency, university and community goals: implement best practices in the agency, enhance social work education, increase staff resources in child welfare, influence public policy, and improve the lives of children and families in the child welfare system. The major strategy was ‘Grand Rounds’ modeled after the system used to train medical students through multiple transactions with experts in a clinical setting. The first year was very successful, with students, agency staff and faculty giving the sessions high ratings in content, quality and utility. One key to the success of the initiative was that it was an agency‐driven process and was based on working relationships of mutual respect and trust. Building such relationships takes both time and effort. Future challenges will include garnering the resources, both human and financial, to sustain the collaboration over time.     

Trends in higher education in Canada and implications for social work education

Canada, like other countries around the globe, is facing new challenges and opportunities with respect to post-secondary education. Trends in higher education in Canada include rising enrolments and falling revenues; a focus on enhancing employability of graduates through experiential and interactive learning; increased calls for accountability through the assessment of teaching and learning; and the rise of technology-enabled teaching and learning. Social work education is, in many ways, well positioned to take advantage of the opportunities presented by these trends due to the focus on case-based learning and practicum education, the focus on assessment of practice competencies as learning outcomes, and the long-standing commitment to teaching innovation and excellence. Nevertheless, meeting fiscal challenges and finding ways to exploit new technologies will require creativity and the development of an expanded body of research on social work education.     

Restoring and Sustaining Home: The Impact of Home Modifications on the Meaning of Home for Older People

ABSTRACT

The importance of a supportive home environment to successful aging has been well-established in the literature, with home modifications increasingly acknowledged as ways of removing barriers to function and increasing independence for older people. Home modification literature and practice primarily focus on the home environment as a physical space in which to perform tasks and on the impact of modification on competencies and function. Home, however, is much more than a physical environment. Within a transactive framework, people and places are seen as engaged in a dynamic, reciprocal relationship through which home becomes a place of significant personal meaning. Through a qualitative framework, this study examines the experience of older people living in the community who are recipients of a home modification service. It explores the impact modifying the physical environment has on their experience of home as a place of meaning and provides insight into how home modifications can strengthen the home as a place of personal and social meaning as well as improve safety and comfort for the older person at home.     

Undergraduate students survey their peers on mental health: Perspectives and strategies for improving college counseling center outreach

Abstract

Objective: The purpose of the study was to examine student perspectives about college mental health including the primary mental health issues affecting students, common college student stressors, student awareness of campus mental health resources, and mental health topics students want more information about. Participants: Participants were 822 undergraduate and graduate students enrolled in a private university. The study was conducted during September 2016. Methods: As part of a public health course in program planning, undergraduate students surveyed their peers about their experience with mental health and mental health resources. Results: Stress was perceived as the largest mental health issue. Students most wanted more information about school/work/life balance followed by stress management. Electronic newsletters, social media, and on-campus seminars were the top strategies that students suggested as ways to reach them. Conclusions: The results provide student perspectives on mental health that may be useful in developing effective outreach efforts.