Green Care Farms Promote Activity Among Elderly People With Dementia

In the Netherlands, an increasing number of green care farms are providing day care to community-dwelling elderly people with dementia. Currently, it is unknown whether activities, activity participation, and facility use of elderly people with dementia at green care farms differ from those at regular day care facilities. The authors performed group and individual observations at 11 green care farms and 12 regular day care facilities. Activities of elderly people at green care farms were more frequent, occurred outdoors more often, were of a higher physical intensity, and more often were aimed at individuals than activities at regular day care facilities. Therefore, the green care farms’ environment may be more beneficial for elderly people with dementia than the regular day care facility environment.     

Human Trafficking in Australia: The Challenge of Responding to Suspicious Activities

This paper relates to the Australian government's community awareness campaign, as part of the Action Plan to Eradicate Trafficking in Persons, which was announced in October 2003 in response to evidence of human trafficking in Australia. The authors explore the challenges that are likely to be encountered during the implementation of the campaign using empirical data from two Victorian studies, the first of which explored community awareness of trafficking and the second of which examined Victoria Police and local government's responses to trafficking. We conclude that there are significant barriers to both the community and authorities identifying suspicious activities and acting on reports by community. In addition, institution challenges faced by Victoria police and local government in dealing with referred information appropriately will jeopardise the success of the initiative.     

High-Conflict Couple Interaction and the Role of Relative Power

All romantic couples experience some conflict. However, some couples seem to fight often enough, or severely enough, that the relationship suffers and the partners become emotionally distanced. For other couples, a breakup or divorce does not allow them to cut ties because of shared parenting responsibilities. In such cases, ongoing conflict likely deepened during the divorce process may continue indefinitely. This paper explores the designation of high-conflict couples, and groups these couples by those that are still together and by those that have dissolved a partnership and yet must still interact. In each case, the suggested contributors to high-conflict interaction are given. I argue that current sociological understanding of high-conflict partnerships is limited by false dichotomies between intact and unpartnered couples, as well as between violent and nonviolent conflict. I draw from the psychoanalytic and counseling literature as well, to suggest that interpersonal power, and perceived relative lack of power in relation to the other, is a common factor that bridges these discrete groups. Finally, I discuss negative consequences of such interaction and reiterate the need for further scholarship in this area.     

Access barriers to mental health services for older adults from diverse populations: perspectives of leaders in mental health and aging

This project is based on the results of telephone surveys with 52 local, state, and national informed respondents including policymakers, county leaders, planners, and advocates in mental health and aging with a particular focus on the states of California and Florida. This article addresses challenges to access to mental health services for diverse older adults including barriers related to race and ethnicity, socioeconomic status, location, age, gender, immigrant status, language, sexual orientation, and diagnosis. The article also highlights broad themes that emerged including (1) the importance of outreach and transportation tailored to diverse elders, and (2) recruitment of diverse staff and training related to diversity. The article concludes with policy and practice recommendations to reduce these disparities in access to mental health services for diverse populations of older adults.     

Menopause and sexual desire: the role of testosterone

The present short review underlines the role of testosterone (T) in the motivational and satisfaction components of women's sexuality and critically discusses the strategies to treat hypoactive sexual desire disorder (HSDD), a condition of low desire associated with personal and/or interpersonal difficulties, which is more common in surgical menopausal women. There are multiple ways androgens target the brain regions (hypothalamic, limbic and cortical) involved in sexual function and behaviour. Even though circulating available androgens have been implicated in several domains of sexual response, they seem to be related weakly to symptoms, such as low sexual desire, poor sexual arousal, orgasm and diminished well-being in postmenopausal women. The possibilities of treating low sexual desire/HSDD are multifaceted and should include the combination of pharmacological treatments able to maximize biological signals driving the sexual response, and individualized psychosocial therapies in order to overcome personal and relational difficulties. Transdermal T has been shown to be effective at a dose of 300 μg/day both in surgically and naturally menopausal women replaced with estrogen or not, without any relevant side-effects. However, the decision to treat postmenopausal women with HSDD with T is mainly based on clinical judgement, after informed consent regarding the unknown long-term risks.