The CLASS Act: is it dead or just sleeping?

The Affordable Care Act (ACA) established a voluntary public insurance program for long-term care: the Community Living Assistance Services and Supports (CLASS) Act. In October 2011, the Obama Administration announced that the program would not be implemented because of the high risk of fiscal insolvency. Under the legislative design, adverse selection was a major risk and premiums would have been very high. This article discusses several CLASS Act design and implementation issues, including the design features that led to the decision not to implement the program: the voluntary enrollment, the weak work requirement, the lifetime and cash benefits, and the premium subsidy for low-income workers and students.     

Understanding child sexual abuse by Catholic priests from a situational perspective

Most sexual offense research focuses on offender motivation and individual risk factors rather than the criminal events themselves. This article provides an analysis of data from two studies on child sexual abuse by Catholic priests to help understand the opportunities clergy had or created to abuse youth. Findings show that situational factors played a role in victim choice among a heterogeneous group of abusers. Priests abused more male than female victims and had significantly greater access to male youth historically. When access to female youth increased in the 1990s, abuse of females as a percentage of victims also increased. The article concludes with a discussion about how ecological information can be used to craft intervention policies to prevent sexual offenses.     

Called to Medicine: Physicians’ Experiences of Career Calling

Using consensual qualitative research methodology, the authors explored physicians’ (N = 17) career calling experiences through semistructured interviews. Eight domains emerged: definition of calling, development of calling, calling's fit with career, maintenance of calling, emotional well‐being, relationships, recreation, and future. Within these domains, 17 general and 40 typical categories emerged. Results suggest physicians’ callings were influenced by others, met with both support and barriers, and chosen because of fit with interests, prosocial motivation, or religious/spiritual influences. Calling positively and negatively influenced emotional well‐being, relationships, and recreation and was expected to continue after retirement. Counselors are encouraged to use a narrative lens to conceptualize clients’ calling development, use job crafting techniques to support calling maintenance, and prepare clients for postretirement career calling development. Future research might examine when and why a medical calling's strength may change over time.     

Development and Evaluation of an Online Acceptance and Commitment Therapy Program for Anxiety: Phase I Iterative Design

This exploratory, nonclinical study evaluated the user experience of an online acceptance and commitment therapy program for anxiety. Forty young Australian adults aged between 18 to 25 years old completed the online program over 2 weeks. System usability and perceived helpfulness were evaluated at posttest. Self-rated levels of anxiety, depression, stress, and psychological flexibility were measured at pretest, posttest, and 2-week follow up. System usability was rated above average and significant improvements were found on all mental health measures from pretest to follow-up, except for stress. These results warrant further scrutiny in a clinical randomized controlled trial on the intervention.     

Standards of Care in Assessment of Lesbian,Gay, Bisexual,Transgender, Gender Expansive,and Queer/Questioning (LGBTGEQ+) Persons

ABSTRACT

A Joint Task Force comprised of members of the Association for Lesbian, Gay, Bisexual, and Transgender Issues in Counseling (ALGBTIC) and the Association for Assessment and Research in Counseling (AARC) present standards of care for assessment of Lesbian, Gay, Bisexual, Transgender, Gender Expansive, and Queer/Questioning (LGBTGEQ+) Persons.     

Formal Alternative Transportation Options for Older Adults: An Assessment of Need

ABSTRACT

This study measured the need for formal alternative modes of transportation among older adults by applying traditional factors of the Behavioral Model. Survey participants who regularly drove were compared to those who could no longer drive. Race/ethnicity and self-reported health were significant predictors of perceived need for transportation services for both groups. However, income and service awareness were significant predictors only for drivers, while family proximity was a significant predictor only for non-drivers. Results suggest the importance of gaining a better understanding of the factors associated with need for senior-focused transportation services to more effectively plan such programs.     

Mnemonic Institutions and Residential Clustering: Jewish Residential Patterns in Toronto

In this paper, we envisage how the sociohistorical experiences of groups are related to their residential patterns. We posit that the residential clustering of a group can be strongly related to the group's mnemonic institutions, which are organizational symbols of collective identity that link the present to the past. We present the case of Jewish residential clustering patterns in Toronto to demonstrate our arguments. We employ 2001 Canadian Census tract‐level data to show Jewish residential clustering patterns in relation to the presence of a synagogue or Jewish community center, the mnemonic institutions of Jews.     

Difference in Condom Use Between Bear Concordant and Discordant Dyads During the Last Anal Sex Event

The purpose of this study was to understand how bear identity influenced condom use during the last anal sex event. Participants were recruited to complete an online, anonymous self-report survey through bear-related sexual and social networking websites. A total of 1,080 men who identified as gay or bisexual and as a member of the bear community and were 18 years or older completed the survey. Overall, fewer than a third of men reported condom use during the most recent receptive (28%) and insertive (30%) anal sex event. Men in bear concordant pairings were less likely to use a condom during receptive and insertive anal sex compared to those is discordant pairings (p < .05). Findings suggest that bear identity concordance influences condom use during anal sex after accounting for an individual’s relationship to their most recent partner as well as other confounding variables.     

Rotten spouses,family transfers,and public goods

We show that once interfamily exchanges are considered, Becker’s rotten kids mechanism has some remarkable, hitherto unnoticed, implications. Specifically, Cornes and Silva’s (J Polit Econ 107(5):1034–1040, 1999) result of efficiency in the contribution game amongst siblings extends to a setting where the contributors (spouses) belong to different families. More strikingly still, the mechanism may also have dramatic redistributive implications. In particular, we show that the rotten kids mechanism combined with a contribution game to a household public good may lead to an astonishing equalization of consumptions between and within families, even when their parents’ wealth levels differ. The most striking results obtain when wages are equal and when parents’ initial wealth levels are not too different. For very large wealth differences, the mechanism must be supplemented by a (mandatory) transfer that brings them back into the relevant range. When wages differ but are similar, the outcome will be near efficient (and near egalitarian).