Moving for mainstream

Written by Katie Clarke, mum of Nadia, helped by Phyllis Jones, lecturer in Special Educational Needs, University of Northumbria at Newcastle. A slightly longer version of this piece will appear in the next collection of stories for 'Parents with Attitude' due to be published in 1999.     

Going It Alone: Post-9/11 Veteran Nonuse of Healthcare and Social Service Programs During Their Early Transition to Civilian Life

Transitioning from military to civilian life is challenging for a substantial number of veterans. Successful transitions require veterans to function well in various well-being domains including employment, education, financial, health, and social relationships. There are many programs and services designed to assist veterans transition to civilian life. However, veterans rarely avail themselves of supportive resources. This study examined veteran nonuse of programs and services within the first three months of their transition to civilian life. Results revealed that male veterans often reported that they did not need programs. Female veterans and veterans from the lowest enlisted ranks were more likely to report that they did not know if they were eligible for support programs. A small percentage of veterans indicated they had not found the right program or did not know where to go to get help. Veterans need clear information about available programs, eligibility requirements, where to locate them, and how to identify which programs will benefit them. Future research should focus on what predicts veteran use of programs and services, how use changes over time, and how programs and services should be advertised/marketed to different veteran populations, particularly those at risk for poor transition outcomes.     

The Accessibility of Public Spaces for People with Dementia: a new priority for the 'open city'

The social model of disability de-medicalises disability and politicises it as an issue of universal rights. However, the rights of people with dementia have been less strongly advocated than those of people with physical disabilities. This is particularly the case with environmental planning and design. The needs of people with dementia are now informing the design of residential homes and day centres, but the issue of accessibility to public spaces and amenities has been almost completely neglected. Many outdoor environments such as shopping centres or parks may be inhospitable for people with dementia because they are disorientating, difficult to interpret and navigate, threatening or distressing. The article reviews the literature on indoor design for dementia, reports on research investigating the accessibility of outdoor environments, and describes a new approach using virtual reality technology to enable people with dementia to identify and test outdoor design and planning improvements themselves.     

Service Users' Perspectives on the Benefits System in Israel: A Participatory Action Research

This article presents a position paper on Israel's benefits system. It was produced in the framework of a participatory action research with the collaboration of welfare services users and social welfare policy practitioners, academics, social practitioners, and social activists. Some 78 persons living in poverty, from various population groups, were asked, in group settings, to describe their experiences with the benefit system and services, their coping strategies, their perceptions and attitudes towards these services, and their recommendations for ways to improve them. The position paper which emerged from this process served as the basis for discussions between service users, social welfare policy practitioners, researchers, social activists and social practitioners at an academic conference. Issues such as benefits cuts, eligibility, and definitions of poverty are discussed and recommendations are presented.     

Patterns of Sexual Behaviors in Young Men Who Have Sex With Men in Mexico

Recent research has documented the importance of understanding the multidimensional nature of sexual risk behavior. However, little is known about patterns of sexual behavior among men who have sex with men (MSM) in Mexico, men who are at greatest risk for HIV and sexually transmitted infections compared to other subpopulations in the country. This study applied latent class analysis to data from a large, HIV-negative sample of 18- to 25-year-old Mexican MSM recruited from a social and sexual networking website (N = 3,722) to uncover multidimensional patterns of sexual behaviors, partner factors, and protective behaviors, and examine how these were associated with health and well-being correlates. We selected a model with seven classes. The most common class included those who reported both insertive and receptive behaviors with more than one partner, but smaller groups of individuals were in classes marked by only insertive or receptive anal sex, romantic relationships, or sexual inactivity. Class membership differed by sexual orientation, age, depressive symptoms, alcohol problems, and self-acceptance, with individuals in a class marked by same-sex relationships generally reporting more positive outcomes. Findings suggest heterogeneity of behaviors among Mexican MSM and the possible efficacy of prevention messages tailored to individuals’ specific patterns of sexual behavior.     

Growing Pains: An Eriksonian View of the Arc of Presenting Concerns in an LGBT Community Mental Health Center

This article explores the evolving landscape of mental health practice at a New York City community health center serving lesbian, gay, bisexual, and transgender (LGBT) persons and those living with HIV/AIDS. Erikson’s theory of psychosocial development is used to understand the shift in presenting problems that has occurred over the past decade. In the authors’ analysis, the emphasis in treatment of LGBT persons has evolved from “coming out” concerns to issues related to developing intimate relationships, fostering generativity, and ego integrity in later adulthood. Case examples illustrate the changing focus of treatment over time. This article concludes by providing mental health practitioners with recommendations for working with the LGBT community now and over the following decade.     

Experiences of Latino Men in Stepfamily Education

Relationship education evaluations have historically overlooked the experiences of ethnically diverse populations and stepfamilies. Using qualitative methods, this study examines the experiences of 16 Latino men in a stepfamily relationship education program. The four emergent themes dealt with recruitment and participation, improved family relationships, the value and importance of the family, and normalization of the participants' stepfamily situation. Subthemes of findings are presented, as well as implications for future programming.     

Power-Control or Empowerment? How Women Public Relations Practitioners Make Meaning of Power

This qualitative study examines how women public relations practitioners make meaning of power. From literature regarding power-control theory, gender, and empowerment, one research question was posed: How do women public relations practitioners make meaning of power? Results suggest that women practitioners made meaning of power as influence, relationships, knowledge and information, access, results-based credibility, and empowerment. The data extended power-control theory and scholarship regarding empowerment and uniquely added a gendered lens to the examination of power in public relations. Women practitioners actively enact influence, strategically forge relationships and gain and control information to affect their power.