The Relationship Between Depression and Other Psychosocial Problems in a Sample of Adolescent Pregnancy Termination Patients

At-risk adolescents experience troubling levels of depression but there is a dearth of research related to the levels of depression and associated psychosocial problems experienced by adolescent abortion patients. The relationship between depression and 16 other psychosocial life problems is examined in a sample of adolescent pregnancy termination patients. Using the Multidimensional Adolescent Assessment Scale (MAAS), depression and related psychosocial problems are assessed in a sample of 120 U.S. abortion patients ages 14–21. In general, patients scoring above the clinical cutscore for depression also reported higher levels of psychosocial problems in the other areas. Depression was significantly associated with problems with self-esteem, stress, guilt and confused thinking. Implications for practice and research are discussed.     

"Shielding" the Knowledge Transfer Process in Human Service Research

Knowledge utilization studies aim to understand the pathwayswhereby research moves from a specific set of producers to aspecific set of consumers. Broadly speaking, two sets of explanationsexist: (1) the engineering model, which focuses on the inevitabilityof science in advancing knowledge, and (2) the socio-organizationalmodel, which stresses the importance of communication betweenand among groups as the critical factor in promoting utilization.This study asks both research managers at the Department ofHealth and Human Services and representatives from a particularset of consumer organizations to elaborate on the qualitiesof the research process that make knowledge most useful to them.We find that the qualities valued in both communities signalconvergence around a novel third approach—the shield model—inwhich aspects of the original two models reinforce a powerfulprofessional norm of objectivity that shelters the knowledgeproduction and transmission process from external politicalpressures.     

From humor to horror: genre and narrative purpose in abortion stories on American television

A recent increase in the number of comedic films and television programs that include abortion stories has prompted a cultural conversation about whether this is an appropriate treatment for such a topic: Can abortions be funny? Are there any genres that should not include plotlines about abortion? Indeed, most prior examinations of abortion on television have focused on dramas and their impact, without explicitly exploring the ways different genres offer a range of types of stories and creative opportunities. Using a comprehensive data-set of abortion plotlines on American television, this analysis provides a historical overview of how varying genres have addressed abortion in the past, as well as closer case studies within each of five genres: drama, soap opera, horror, science fiction, and comedy. This paper provides insight into the different narrative functions of abortion stories, with consideration of how such narratives support (in)accurate and (de)stigmatizing cultural ideas about abortion.     

Abortion Policy and Vulnerable Women in the United States: A Call for Social Work Policy Practice

Repressive abortion policy in the United States creates undue burdens for groups of vulnerable women, including adolescents, women of color, women living in rural areas, and women with economic disadvantages. Repressive abortion policy creates a two-tiered system of access to reproductive health care that is a particular disadvantage to vulnerable women. In this study, current policy is discussed with examples of such policies outlined in three areas: insurance coverage and Medicaid restrictions, mandatory waiting periods, and mandated state counseling. Social workers' role in policy practice is emphasized in regard to advocacy and abortion policy.     

NCWWI Traineeships: A National Cross-Site Evaluation of Child Welfare Stipend Programs for Ethnically Diverse Students

The task of recruiting and retaining ethnically diverse, qualified, and committed social workers in child welfare is challenging. Federal funding supporting BSW and MSW education has been a catalyst for university–agency partnerships across the country. An important goal of these partnerships is to prepare social work students with the knowledge, skills, and competencies for effective child welfare practice. The National Child Welfare Workforce Institute’s innovative child welfare traineeships program prepares students from 12 social work programs around the country. This study focused on diversity, competency attainment, and readiness for the job. Results showed that programs recruited ethnically diverse students, and after receiving child welfare–specific content and hands-on experiences in the field, students felt competent and prepared for child welfare work.     

Where are They from and How Far Must They Go? Examining Location and Travel Distance in U.S. Abortion Fund Patients

The current study examines a secondary data analysis of 3,452 administrative cases from a national abortion fund representing patients who received pledges for financial assistance to pay for an abortion from 2010 to 2015 in the United States, where abortion costs are not covered under federal public health programs. Case data were analyzed to assess patients' geographic origin, and whether or not cases were more likely to originate from states with Medicaid and private insurance restrictions. The anticipated travel distance to the provider and whether or not travel distances had been increasing over time were also examined. Results indicate that the majority of pledges are made to residents of the South, Midwest, states without expanded Medicaid access to abortion, and states that have private insurance restrictions on abortion coverage. Results further indicate that those who receive funding pledges anticipated traveling approximately 225 kilometers (140 miles) on average to access the abortion. This distance increased from 2010 to 2015, with patients seeking second trimester procedures expecting to travel nearly 3 times farther than patients in their first term. Abortion fund patients travel great distances to access an abortion and those distances are increasing over time. It is recommended that policy restricting public funding of abortion be repealed to improve access to abortion not only in the United States, but also in other countries where policy restrictions may impede access to abortion, even when it is legal.