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171.
OBJECTIVES: The authors examine if some of the reason clients from racial and ethnic minority groups experience outcome disparities is explained by their therapists. METHOD: Data from 98 clients (19% minority) and 14 therapists at two community mental health agencies where clients from racial and ethnic minority groups were experiencing outcome disparities were analyzed using hierarchical linear modeling with treatment outcomes at Level 1, client factors at Level 2, and therapists at Level 3. RESULTS: There were substantial therapist effects that moderated the relationship between clients' race and treatment outcomes (outcome disparities). Therapists accounted for 28.7% of the variability in outcome disparities. CONCLUSIONS: Therapists are linked to outcome disparities and appear to play a substantial role in why disparities occur. 相似文献
172.
Loring Jones David Engstrom Patricia Hilliard Decha Sungakawan 《International Journal of Social Welfare》2011,20(2):203-211
Jones L, Engstrom D, Hilliard P, Sungakawan D. Human trafficking between Thailand and Japan: lessons in recruitment, transit and control Int J Soc Welfare 2011: 20: 203–211 © 2009 The Author, International Journal of Social Welfare © 2009 Blackwell Publishing Ltd and the International Journal of Social Welfare. In this study, four women describe their experiences of human trafficking. The women were recruited in Thailand for sex work in Japan. The research sought to understand the dynamics of human trafficking from recruitment through transit and maintenance in the destination country. Content analysis was used to examine the women's stories to develop themes that described the dynamics of trafficking. The analysis revealed the following two dimensions of the victimised women's experiences: (i) vulnerability and strategies for recruitment; (ii) the methods used for transportation across borders. The implications of these findings for combating trafficking are described. 相似文献
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ABSTRACTThis study evaluated the success of researcher-generated recruitment, enrollment, data collection, and safety protocols for field research with victims of elder abuse and neglect (EAN) identified from police incident reports in terms of their success including cost-effectiveness, ability to generate a representative sample, and safety. After reviewing 492 police incident reports involving victims age 65 years or older to identify cases of EAN 62 victims were identified. Mail, phone, and in-person recruitment strategies were used. After 259 recruitment attempts, 52 (84%) eligible victims were contacted, of which 24 (46%) consented to participate. Phone calls were the least expensive mechanism to produce a successfully enrolled participant. Findings from a regression show completion of a research interview could not be predicted by victim, suspect, or offense characteristics, indicating that the recruited victims likely represent the population they were drawn from. No safety or adverse events occurred. 相似文献
176.
J. Christopher Westland 《Journal of divorce & remarriage》2013,54(5):271-308
Divorce can subject both parties in a troubled marriage to one of the most emotionally and financially trying periods they will experience in their life. Much attention has been given toward life after divorce—either the decisions such as custody of children that will influence this, or the changed circumstances that both parties will find themselves facing. Yet the period from filing to final grant of a divorce poses additional challenges on top of the emotional uncertainties suffered during this period. Total household expenses might double or triple as a result of spouses seeking separate residences, legal bills, added travel, and other expenses forced by a divorce. At the same time, disruptions in one's personal life due to a divorce can disrupt job performance, and in certain situations, even make it difficult or impossible to work; household income can drop accordingly. This article proposes a workable insurance solution to alleviate this second lesser known challenge that a changed financial situation imposes on couples during the divorce adjudication period. 相似文献
177.
Grace S. Hubel Christopher Campbell Tiffany West Samantha Friedenberg Alayna Schreier Mary Fran Flood 《Journal of child sexual abuse》2013,22(3):304-325
The present study examines initial symptom presentation among participants, outcomes, and social validity for a group treatment for child sexual abuse delivered at a child advocacy center. Participants were 97 children and their nonoffending caregivers who were referred to Project SAFE (Sexual Abuse Family Education), a standardized, 12-week cognitive-behavioral group treatment for families who have experienced child sexual abuse. Sixty-four percent of children presented with clinically significant symptoms on at least one measure with established clinical cutoffs. Caregivers of children who presented with clinically significant symptoms reported more distress about their competence as caregivers. Children who presented as subclinical were more likely to have experienced intrafamilial sexual abuse. Posttreatment results indicated significant improvements in functioning for all children who participated in treatment, with greater improvements reported for children who initially presented with clinically significant symptoms. Overall, the program was rated favorably on the posttreatment evaluation of social validity. 相似文献
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Janis Davis Catherine R. Thompson Amy Foley Christopher D. Bond Jean DeWitt 《International Journal of Listening》2013,27(2):152-167
This study explores the perceived conceptualizations of listening in a healthcare context. The review of literature focusing on communication and listening in healthcare supports the belief that listening is an essential element in patient satisfaction. This study sought to determine which activities physicians, nurses and healthcare administrators perceive as similar or identical to listening. A survey of 203 health care professionals, using a web-based version of the Imhof-Janusik Listening Concepts Inventory (Imhof and Janusik, 2006) was completed. The results suggest the listening conceptualizations vary among physicians, nurses, and administrators with administrators exhibiting the most flexibility in their conceptualization of listening. It is concluded that these conceptualizations may play a critical role in the behaviors displayed by nurses, physicians and hospital administrators. 相似文献
180.
Regina T. Praetorius Diane B. Mitschke Christopher D. Avila Don R. Kelly Jeremiah Henderson 《Journal Of Human Behavior In The Social Environment》2013,23(6):549-560
ABSTRACTThe multidimensional needs of recently resettled refugees have been well documented and range from elevated rates of mental illness and health care challenges to difficulties accessing resources due to language and literacy barriers. These factors are largely responsible for the challenges resettled refugees face in acquiring and maintaining stable employment. It is possible that achieving financial stability through steady employment and purposeful money management may alleviate some stressors associated with the resettlement process, though research in this area that is specific to refugees is in its infancy. What is clear, however, is that a traditional approach to mental health treatment (i.e., therapy in a traditional office setting) may lack effectiveness because of the lack of attention to extraneous stressors such as poverty, transportation, and language and literacy challenges that impact resettled refugees. The purpose of this study was to qualitatively assess the impact of a group-based financial education course and social enterprise on the self-reported mental health (i.e., post-traumatic stress symptoms, depression, anxiety, and somatization) of Bhutanese refugee women resettled in the United States. The study also sought to evaluate the acceptability and overall satisfaction with various components of the intervention. This qualitative study was a follow-up to a larger quantitative study that included 65 Bhutanese women who were resettled to the southwestern United States by a large resettlement agency. The results of this study offer insights into the lived experiences of Bhutanese refugees in the United States, particularly related to cultural integration bolstered by group-based education and shared learning opportunities. 相似文献