Improving the Mental Health Outcomes of LGBTQ Youth and Young Adults: A Longitudinal Study

ABSTRACT

The purpose of this groundbreaking study was to evaluate outcomes of 482 LGBTQ (lesbian, gay, bisexual, transgender, or questioning) youth and young adults who received services and supports through the Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances Program (CMHI). This study was a secondary data analysis using data from a larger study of 3208 LGBTQ and non-LGBTQ youth ages 11 through 21 who had a serious emotional disturbance (SED). This study is significant in that it evaluates functional outcomes for young people identified as LGBTQ based on a specialized service framework (i.e., system of care approach). In essence, do LGBTQ youth with SED benefit from a specific approach to intervention? In addition, a comparison at intake on suicidality, bullying and victimization was conducted between the LGBTQ and non-LGBTQ identifying youth from the larger sample. The youth and a caregiver were interviewed face-to-face separately at intake, 6-months, and 12-months. Significant improvements were found across all of the dependent variables, supporting the viability of SOC for improving outcomes for LGBTQ youth. Future research should continue to build on this study by adding to the design a control group to improve internal validity of the findings.     

Exploring Definitions of Financial Abuse in Elderly Korean Immigrants: The Contribution of Traditional Cultural Values

The purpose of this study is to explore the cultural definitions of financial abuse from the perspective of 124 elderly Korean immigrants and to examine the role of traditional cultural values in their definitions by using a mixed methods approach. The qualitative analysis generated four themes relevant to definition of financial abuse. A binary logistic regression indicated that those with stronger cultural adherence to traditional values had higher odds of providing culture-based definitions of financial abuse. Education is needed for health professionals, social service providers, and adult protective workers to increase their understanding of culture-specific experiences of financial abuse among ethnic minority elders.     

(Imagining) Erotic Mutuality: Negotiating Difference in Sexual Orientation in an Analysis

This article explores the clinical limitations of an exclusive adherence to the oedipal paradigm for the understanding of erotic material in the transference/countertransference in analytic treatments where the participants identify with differing sexual orientations. Its central argument posits that possibilities for recognizing developmentally significant, evolved connections with patients of all genders and sexual orientations is subtly circumscribed when understanding of these phenomena is partitioned chiefly by the “either/or” of a positive or negative form of oedipal desire.

The argument goes on to query and challenge formulations of a universal bisexuality as a satisfactory resolution to this conundrum, again, particularly when the 2 analytic partners claim different sexual orientations. Part object relations as residue of an early and ubiquitous polymorphous perversity are proposed as useful theoretical and clinical alternatives. Case material is also provided.     

Lesbian Parent Activism and Meaning-Making in the Current Political Environment

This article discusses the impact of lesbian mothers' activism on legislation and personal well-being. Using a meaning reconstruction framework, the activism of lesbian parents is evaluated as a source of resilience and strength in the current political climate. A case history of one community where lesbian mothers formed a local coalition in response to a statewide proposition to ban same-sex marriage in Texas is described. This community example shows how the activism of lesbian parents can transform both community and activists. Implications for community organizers, therapists and LGBT parents/allies are discussed.     

Public Attitudes toward Partisan and Neutral Symbols in Post-Agreement Northern Ireland

Using original data from the Northern Ireland Life and Times survey, this article assesses public attitudes toward key issues of symbolism intimately connected with the Northern Ireland conflict and peace process. It uses public attitudes toward the symbolic expressions of Northern Ireland's politico-religious blocs as indicators of the extent of intercommunity tolerance in the delicate post-Belfast Agreement period. Survey questions on attitudes toward flags, including the idea of a new flag for Northern Ireland; loyalist and republican murals; and memorials to the dead of the conflict, including the idea of a memorial for all of the victims of the conflict, reveal that partisan attitudes toward communal symbols of identity and commemoration persist, despite macro-level political changes heralded by the 1998 peace accord. It is argued that the consociational design of the Belfast Agreement facilitates the perpetuation of the single-identity politics of Irish nationalism and Ulster unionism. In this context, public attachment to partisan symbols remains strong.     

Utilizing Social Support to Conserve the Fighting Strength: Important Considerations for Military Social Workers

This article is a continuation of a conference panel dialogue that focused on providing individualized, culturally responsible treatment of secondary traumatic stress (STS) for military social workers. Key aspects of the roles and responsibilities, professional and ethical challenges of military social workers and social work officers serve as focal points for understanding the importance of social support. This article discusses ways social support might help to moderate the impact of STS. The “buddy system” describes a culturally unique protective factor, which is a well‐known and effective type of social support utilized throughout the military. This article provides valuable information on how the “buddy system” can serve as a blueprint for managing STS experienced by military social workers. The article concludes with research, policy, and practice implications.     

The Legacy of War: An Intergenerational Perspective

Children of combat veterans are affected to varying extents by the physical and psychological aftermath of war as experienced by the parent. Traumatic experiences exist on a continuum; trauma related messages can be communicated by a parent who does not have Post Traumatic Stress Disorder. An intergenerational perspective explores the complex family processes by which those who did not experience the actual events come to exhibit varying degress of emotional, psychological and behavioral manifestations of their parents' traumatic experiences.     

Case Management with Displaced Survivors of Hurricane Katrina

Abstract

Case management is a staple of post-disaster recovery, but there is limited research on this topic. Utilizing in-depth interviews, observations, and document analysis, based on 78 interviews and attendance at approximately 50 public meetings, this longitudinal case study examined case management with displaced hurricane Katrina survivors in one host community between December 2005 and December 2006. Case managers identified, assessed, planned, linked, monitored, and advocated for survivors. They described engaging survivors and understanding their backgrounds and experiences as challenging. Lack of jobs, transportation, and affordable housing coupled with survivors' trauma and preexisting needs presented barriers to long-term recovery. Despite these difficulties, case managers felt positively about their efforts and identified coordination as a critical element for successful human/social services responses to natural disasters.