Examination of the Role of Therapeutic Alliance,Treatment Dose,and Treatment Completion in the Effectiveness of The Seven Challenges

Adolescent alcohol and illicit drug (AOD) use is a major public health concern. This longitudinal study examines the effectiveness of The Seven Challenges in reducing adolescent substance use and mental health problems, as well as the process by which it is effective. Participants were 89 adolescents (72 male, 17 female) enrolled in a 3 month intensive outpatient adolescent substance abuse treatment program using The Seven Challenges and who provided self-report data at pre- and post-treatment. Results indicated that The Seven Challenges was effective at increasing the number of days refrained from using AOD, reducing use of tetrahydrocannabinol (THC) and other drugs, and reducing substance use problems and internal mental distress. Results also indicated that The Seven Challenges drug counselors effectively established and maintained therapeutic alliance but this seems to not play a role in the effectiveness of The Seven Challenges. Both treatment dose and completion played a role in the effectiveness of The Seven Challenges; they were both positively related to post-treatment days refrained from AOD use, and negatively related to days of THC use, substance use problems, and internal mental distress. However, the strength of the influence of treatment completion was stronger when treatment dose was low than when it was high. Despite a small sample and other limitations, findings add to existing literature that suggests that The Seven Challenges is an effective substance abuse treatment for adolescents. Furthermore, findings suggest that adolescent substance abuse treatment should focus on clients meeting pre-determined program goals as well as on dose.     

Rural Environmental Concern: Effects of Position,Partisanship, and Place

The social bases of environmental concern in rural America resemble those for the nation as a whole, but also reflect the influence of place. Some general place characteristics, such as rates of population growth or resource‐industry employment, predict responses across a number of environmental issues. Other unique or distinctive aspects of local society and environment matter as well. We extend earlier work on both kinds of place effects, first by analyzing survey data from northeast Oregon. Results emphasize that “environmental concern” has several dimensions. Second, we contextualize the Oregon results using surveys from other regions. Analysis of an integrated dataset (up to 12,000 interviews in 38 U.S. counties) shows effects from respondent characteristics and political views, and from county rates of population growth and resource‐based employment. There also are significant place‐to‐place variations that are not explained by variables in the models. To understand some of these we return to the local scale. In northeast Oregon, residents describe how perceptions of fire danger from unmanaged forest lands shape their response to the word conservation. Their local interpretation contrasts with more general and urban connotations of this term, underlining the importance of place for understanding rural environmental concern.     

Challenges of Using Secondary Data to Study Rural Caregiving within the United States

When health fails, rural residents often turn to informal caregivers for assistance and are more likely to do so than those living in urban areas. Scholarship is clear in demonstrating the many burdens that accrue to those providing informal care. Furthermore, caregivers in rural areas face amplified health disparities and stressors, and limited access to resources and formalized supports. Yet, the study of informal caregiving within geographic context is made difficult by the limitations inherent in existing secondary data sources. In this report, we discuss three available data sources that provide information about US caregivers: the National Family Alliance Caregiving in the US Survey; Health and Retirement Survey; and National Survey of Midlife Development in the United States. These datasets illustrate common challenges of studying rural caregiving, including how to define rural residence, issues with data access, and difficulties attaining an adequate sample size. After reviewing these methodological issues, we identify two additional data sources that while promising, suffer from challenges of their own. We conclude by offering suggestions about how to capture the unique experiences of rural caregivers beyond the use of secondary data.     

The Paradoxical Misuse of Power by Those Who See Themselves as Powerless: How Does It Happen?

Consideration is given to the paradoxical misuse of power by those who perceive themselves as powerless. A general model is presented to account for the coercive response style often shown by adults with low perceived power when they are placed in a position of authority (e.g., as parents or teachers). Specific hypotheses are tested here concerning control-oriented cognitive activity and speech patterns shown by powerless adults when their authority is challenged. Women with high or low perceived power (as measured by the Parent Attribution Test) attempted to teach a computer game to a responsive or unresponsive child. Powerless women showed high levels of control-oriented appraisal activity preceding teaching interactions and a high level of nonfluency during teaching interactions (an ineffective speech style). It was concluded that the responses shown by powerless women set the stage for misunderstanding and future conflict.     

Tangible and Spiritual Relief After the Storm

Abstract

This study assessed the types of social services and spiritual messages that were provided by Baton Rouge area churches following Hurricane Katrina. Church representatives (n = 157) completed a 26-item survey which consisted of open and closed ended questions. The most common resources provided by churches included food, clothing, and financial assistance. Nearly 75% of churches attempted to connect evacuees with outside state and federal resources. The greatest unmet needs reported by churches included evacuee shelter and housing, and on-site computer and internet access. Churches recommend preparedness, triage care, and leadership for other churches that find themselves the first responders following a disaster. Because of their responsiveness to the needs of communities, clergy need to be trained in disaster management. Moreover, government monies could be well-spent in supporting faith-based disaster initiatives .     

The Impact of Local Labor Market Conditions on Work and Welfare Decisions: Revisiting an Old Question Using New Data

Using Maryland administrative data between 1996 and 2005, this paper examines the impact of local labor market conditions on work and welfare use among single mothers. Our estimates rely on the new Census Bureau Quarterly Workforce Indicators database, which provides county-level economic indicators filtered by industry, gender, and age-group. We specify a multinomial choice model to estimate the effects of these local labor market variables on the full set of work–welfare combinations. The results indicate that lower unemployment rates and increased new hires and new hires’ earnings in key industries increase the likelihood that women choose alternatives that include work. African American women and those with fewer years of education respond differently to changing economic conditions. Our results are robust to controls for fixed effects, county-specific time trends, and endogenous migration.     

Ecologies of Boundaries: Modes of Boundary Work in Professional Proto‐Jurisdictions

Ecological approaches to professional work, authority, and regulation have seen a resurgence in the sociology of professions, as epitomized in the linked ecologies framework of Andrew Abbott. Alongside this resurgence comes a renewed attention to the way symbolic and material boundaries within and between professions, as well as between professional, university, and political institutions, come to be defined, negotiated, and changed as part of ongoing professional projects. Building on and comparing case studies set in Denmark into three emerging professional “proto‐jurisdictions”—of water‐related climate adaptation, lifestyle disease prevention, and innovation management—this article identifies three key modes of interprofessional boundary work important for such projects. In doing so, it grounds Abbott's meso‐level framework of linked ecologies in more situated accounts of workplace‐level boundary interaction, by reconnecting to a wider tradition of symbolic interactionist studies of professions.     

The organizational design of offshoring: Taking stock and moving forward

Offshoring can be defined as the relocation of organizational tasks and services to foreign locations. At the same time as the scale and scope of offshoring have reached unprecedented levels in recent years, firms have increasingly been exposed to the challenges relating to managing an organization consisting of a number of offshored activities. In this special issue introduction paper, we argue that an organizational design perspective on offshoring can benefit research and practice in understanding how firms can coordinate and integrate offshoring activities. Specifically, we argue that offshoring implies an organizational reconfiguration consisting of three stages: disintegration, relocation and reintegration. We discuss the implications of this perspective and outline a research agenda.