A trauma-informed social work framework for the abortion seeking experience

ABSTRACT

This purpose of this article is to discuss the abortion seeking experience in relation to stress, trauma, and trauma-informed care. Definitions of stress and trauma are provided, and potential points of stress during the abortion seeking experience will be discussed in the areas of unintended pregnancy, policy barriers, provider access, and the external clinic environment. Abortion stigma will also be discussed in relation to individual stigma, mass media stigma, community stigma, social work practitioner stigma, and the impact of stigma on the abortion seeking experience. Next, we discuss a trauma-informed lens for considering the abortion seeking experience in the United States, and a trauma-informed social work framework for interacting with clients during the abortion experience is presented as a practice approach for reducing and eliminating trauma and trauma triggers. We then present the potential benefits of this approach. The article concludes with some additional recommendations for a trauma-informed approach to aspects of social work advocacy.     

Fiscal externalities of becoming a parent

Theoretical and empirical results suggest that there are externalities to childbearing, but those results usually assume that these externalities accrue uniformly within a homogeneous population. We advance this argument by developing separate estimates of the fiscal externalities associated with parents—those who devote time or material resources to minor children—and nonparents. Our analysis uses data from the US Panel Study of income Dynamics on the age profiles of taxes paid and publicly funded benefits consumed by parents and nonparents, together with a previously developed intertemporal economic-demographic accounting model. The accounting framework takes into account the net fiscal impacts of future generations as well as the present population. Our findings indicate that, with a 3 percent discount rate, parents produce a substantial net fiscal externality, about $217,000 in 2009 dollars. This is equivalent to a lifetime annuity of nearly $8,100 per year beginning at age 18. The results are sensitive to both the discount rate used and the proportion of parents within the cohort.     

Minding the (Information) Gap: What Do Emerging Adult Adoptees Want to Know About Their Birth Parents?

Abstract

The formation of an adoption information gap was examined for a group of 169 emerging adults (M?=?25.0?years) who were adopted as infants. Participants completed interviews and questionnaires at adolescence and emerging adulthood (late teens to 20s). The Adoption Curiosity Pathway model guided research questions about formation of an adoption information gap, which exists when there is a difference between what an adopted person knows and what he or she desires to know regarding his or her adoption. In addition, specific issues were identified about which emerging adults were curious. Differences in these specific issues were examined across gender and openness arrangement with birth parents at emerging adulthood. The most frequently sought information was medical and health history. Logistic regression analyses revealed that the formation of an adoption information gap, which contains the specific items of curiosity, was more likely for those who were less satisfied with the amount of openness with birth parents during both adolescence and emerging adulthood. Implications for practice are presented.     

Building bridges: the interface between adult mental health and child protection

Bringing together two distinct professional systems such as adult mental health and child protection challenges our strategies for making effective working together/working in partnership arrangements. And yet failures to make these arrangements increase the risk for children who may be suffering or likely to suffer significant harm as an outcome of their parents'/carers' mental health problems. This paper offers an analysis of the challenges inherent in bringing these systems together at the assessment interface, and offers some insights into the contribution each system can make to an integrated assessment process for children and their families. Copyright © 1999 John Wiley & Sons, Ltd.     

Are there crisis-led fertility declines? Evidence from central Cameroon

Past demographic transitions have beenobserved with and without economic progress, but thereis little empirical record of crisis-driven fertilitytransitions. In recent years, several authors haveargued that conditions for such transitions are met inAfrican countries under economic crisis and structuraladjustment. Using retrospective family histories,this study examines fertility responses to crisis inCameroon, a country with a particularly abrupteconomic reversal. The thesis of a crisis-led declineis tested on the basis of five criteria includingtiming of the decline, statistical and substantivesignificance, rural-urban response differentials andsocial salience. Findings are consistent with acrisis-led effect.     

Health care professionals' perspectives on barriers to elder abuse detection and reporting in primary care settings

The purpose of this study was to explore health care professionals' perspectives on elder abuse to achieve a better understanding of the problems of reporting and to generate ideas for improving the detection and reporting process. Through a mailed survey, nurses, physicians, and social workers were invited to participate in an interview. Nine nurses, 8 physicians, and 6 social workers were interviewed, and thematic analysis was used to identify the following core themes: preconceptions, assessment, interpretation, systems, and knowledge and education. Participants suggested a reorganization of the external reporting system. More frequent and pragmatic education is necessary to strengthen practical knowledge about elder abuse.     

Depression screening,education, and treatment at the workplace: A pilot study utilizing the CDC Health Scorecard

Depression is a significant health issue for many Americans, ranking among the top worksite issues resulting in referrals to Employee Assistance Programs (EAPs) with prevalence rates in the working population of more than 6%. This study was part of a larger statewide assessment conducted using the Centers for Disease Control and Prevention (CDC) Worksite Health Scorecard. The purpose of this study is to examine the number of Kentucky workplaces currently offering screening, education, and treatment related to depression. The study also aims to compare the number of Kentucky workplaces offering these elements by size and industry type. The one-time, cross-sectional assessment surveyed a random sample of 1,200 worksites to examine worksite offerings of screening, education, counseling, management training, and health insurance coverage related to depression. Results showed that the majority of worksites do not provide employee depression screening, education and counseling, management training on identifying warning signs of depression, or comprehensive treatment and follow-up for employees with depression. Smaller worksites (<250 employees) were even less likely than larger companies to provide screening, education, counseling, training, and insurance coverage for depression. Increasing the provision of these wellness components at the worksite has potential to improve the quality of life for employees and reduce the financial burden to employers.     

Preschool-aged children's responses to unfairness and subsequent sharing behavior in dyadic contexts

Recent research implicates the importance of social and contextual factors in children's fair behavior. Here, we explored the social and emotional influences that might contribute to fair behavior in young children. We examined 79 pairs of 3- to 5-year-old children (N = 158; 85 female; M = 4.3 years; Range = 3.03–5.54) in a naturalistic sharing interaction to measure their verbal, emotional, and behavioral responses to an unfair distribution of rewards, as well as their subsequent sharing behavior. Children who received fewer rewards responded verbally, behaviorally, and emotionally as predicted, protesting the unfair distribution. However, children who received more rewards either failed to notice their partner's responses, or they failed to consider these responses when given the chance to behave prosocially and correct the unfair distribution. The only cue that predicted prosociality was a negative affective response from the disadvantaged peer.     

Connecting Social Psychology and the Sociology of Sport: Using Goffman as a Framework for Sociological Sports Research

Research on the sociology of sports has much to contribute to public discourse on sports and is well positioned to do so through the connection between sociology of sports and social psychology. This article uses the work of Erving Goffman ( 1967 ) as a framework for situating research in the sociology of sports into the themes of courage and gameness, integrity, and composure. This framework provides a way of organizing research in the field and also highlights areas where further research is needed.