Moving mountains together: strategic community leadership and systems change

Traditional leadership practice frameworks to guide systems change often fall short in today's practice environment. Reclaiming Futures is a national initiative to create an integrated, comprehensive, seamless system of care for teens with substance abuse problems involved in juvenile justice. It uses leadership and systems reform strategies to improve public health institutions. The premise is that interruption of the destructive cycle of drugs and delinquency can only be attained through the cultivation of shared strategic leadership. This article presents the limitations of traditional practice frameworks of leadership, describes the theory of this new approach to leadership development, and clarifies collaborative leadership and system change. The article includes an example of the framework in action, a discussion of lessons learned, and recommendations for community leadership development initiatives.     

Rereading The Intellectuals on the Road to Class Power

These essays were originally presented at a symposium of the same title that took place at the annual meeting of the American Association of the Advancement of Slavic Studies in Toronto on November 20, 2003. The charge to the participants was to to reread the book and make short presentations on it, its significance, the validity of its analysis in hindsight, its historical contribution to our understanding of late communism, its influence on others. The symposium was timed to commemorate the thirtieth anniversary of writing of the book in 1973–1974 as well as the twenty-fifth anniversary of its publication in English in 1979.     

Nursing care partnerships with women leaving jail. Effects on health and crime

Crime is a significant and complex social issue with profound health consequences for individuals, families, and communities. Conceptualizing criminal behaviors as health behaviors reflects the potential for innovative interdisciplinary approaches and alliances to interrupt cycles of crime as a way to improve health. Incarcerated populations have extremely high rates of undiagnosed and undertreated infectious diseases and mental illnesses. Nursing is uniquely positioned to develop prevention, intervention, and treatment strategies for individuals involved in criminal activities before, during, and after incarceration.     

Sexual assault while in the military: violence as a predictor of cardiac risk?

The purpose of this article is to determine whether known cardiac risk factors are more prevalent among women veterans who report having sustained sexual assault while in the military. We surveyed a random sample of 3,632 women veterans using Veterans Administration (VA) ambulatory care nationally. Obesity, smoking, problem alcohol use, sedentary lifestyle, and hysterectomy before age 40 were found to be more common in women reporting a history of sexual assault while in the military than in women without such history. An association between myocardial infarction and prior sexual assault history may be mediated in part by known cardiac risk factors.     

Tolerance for Environmental Health Risks: The Influence of Knowledge, Benefits, Voluntariness, and Environmental Attitudes

This study examined factors affecting risk estimates and tolerance among persons directly exposed to environmental health risks. Data were gathered from questionnaires distributed at public hearings regarding proposed air pollution standards for an arsenic emitting copper smelter located in Tacoma, Washington. Approximately 80% of the area residents who attended the hearings completed the questionnaires, and the responses of 347 subjects were analyzed. Results indicated that informal risk estimates and risk tolerance were closely associated with judged benefits of the hazard source, acceptance or denial of vulnerability, judgments of exposure voluntariness, and environmental attitudes. Neither factual knowledge of formal risk estimates and proposed standards nor residential distance from the smelter was found to be closely related to risk tolerance or informal risk estimates. Implications of the results are discussed in relation to past and future studies of reactions to risk, and in relation to risk management policy and practice.     

Does Providing Extended Relapse Prevention Bibliotherapy to Problem Gamblers Improve Outcome?

Relapse rates among pathological gamblers are high with as many as 75% of gamblers returning to gambling shortly after a serious attempt to quit. The present study focused on providing a low cost, easy to access relapse prevention program to such individuals. Based on information collected in our ongoing study of the process of relapse, a series of relapse prevention booklets were developed and evaluated. Individuals who had recently quit gambling (N = 169) were recruited (through media announcements) and randomly assigned to a single mailing condition in which they received one booklet summarizing all of the relapse prevention information or a repeated mailing condition in which they received the summary booklet plus 7 additional booklets mailed to them at regular intervals over the course of a year period. Gambling involvement over the course of the 12-month follow-up period, confirmed by family or friends, was compared between the two groups. Results indicated that participants receiving the repeated mailings were more likely to meet their goal, but they did not differ from participants receiving the single mailing in frequency of gambling or extent of gambling losses. The results of this project suggest that providing extended relapse prevention bibliotherapy to problem gamblers does not improve outcome. However, providing the overview booklet may be a low cost, easy to access alternative for individuals who have quit gambling.     

Ethnic and religious perspectives on disability and the helping professions

This note looks at ethnic and religious perspectives of people who are training for and/or working in the helping professions in regard to their views of disability. The Modified Issues in Disabilities Scale (MIDS) was administered to a sample of people training for and/or working in the helping professions. A statistically significant association was found between ethnic and religious perspectives and scores on the MIDS.     

Preschool and School Readiness of Children of Immigrants*

Objective. In this article, we use data from the Early Childhood Longitudinal Survey—Kindergarten Cohort to analyze the links between preschool attendance and the school readiness of children of immigrants. Methods. Using data from the Early Childhood Longitudinal Survey—Kindergarten Cohort, we estimate multivariate regression models for the effects of preschool on school readiness for children of immigrants and children of natives. Results. We find that children whose mothers were born outside the United States are less likely to be enrolled in school or center‐based preschool programs than other children. We find that preschool attendance raises reading and math scores as much for children of immigrants as it does for other children. Attending preschool also raises the English‐language proficiency of children of immigrants. Although not the main focus of our study, we examined the effects of Head Start, and found that this program improves children's English proficiency, with especially large effects for children of immigrants whose mothers have less than a high school education; in this latter group, Head Start also improved math scores. Conclusions. Given that preschool benefits children of immigrants as much as it does children of natives and given that children of immigrants are less likely to be enrolled, our findings strongly suggest that enrolling more children of immigrants in preschool would help reduce inequality in skills at school entry.