Effectiveness of the Coral Tree Family Service family inpatient unit: a longitudinal study exploring change in family functioning

Child mental health disorders represent a major burden to public health in Australia due to high prevalence rates, the widespread impact across domains, and the potential for difficulties to persist into adolescence and adulthood. Extensive evidence exists for the use of parent management training and cognitive behavioural therapy to treat difficulties experienced by children; however, a proportion of children do not benefit as expected from these treatments. The use of complementary therapeutic approaches and variations to the mode and intensity of existing intervention is warranted; family inpatient units represent a unique example of this. The aim of this study is to evaluate the effectiveness of a well-established Australian inpatient unit that admits the whole family, for children aged 12 years and younger referred with mental health, behavioural, or emotional difficulties. This study's longitudinal within-subject study design utilised routinely collected outcome data from the systemic clinical outcome and routine evaluation, 15 item (SCORE-15)—a valid and reliable measure of family functioning—from a sample of 980 participants attending the Family Residential Program. This study reported significant improvement in family functioning across all outcome variables between baseline and post-intervention, with no variables returning to pre-intervention levels at follow-up. Clinically significant changes in overall family functioning showed that 37% of participant scores moved from the clinical range at baseline to the nonclinical range post-intervention. This study represents the first empirical evaluation of the Family Residential Program, and the reported results provide compelling evidence for the program to effect improvement in family functioning for families with long-standing and severe difficulties. Poor rates of questionnaire completion following intervention frequent the literature base of family inpatient units, with low post-intervention (56%) and follow-up (12%) rates evident in this study. This study uniquely contributes to the growing evidence base of family inpatient units using rigorous evaluation methods.     

Qipao： Traditional Elegance Reinvents Itself In Modern Chinese Fashion

It was with some trepidation that I first went to teach in China, in 2004.All my information about China had come from old newsreel films. Basically,I was expecting a drab, black and white place where people queued to use the local telephone.     

The Planets Aligned: Is Child Protection Policy Reform Good Luck or Good Management?

Abstract

Governments across Australia are struggling to address escalating child protection notifications, a marked increase in the number of children in State care, a decrease in the number of foster carers and chronic workforce shortages in child welfare services. This paper explores the reform process that culminated in the proclamation of the Victorian Children, Youth and Families Act, 2005 and represents an aspect of the response in Victoria to these wider issues. It explores the history of the reform from the perspective of key actors from government, non-government sectors and academics who participated in the process. The paper explores the “ingredients of social policy reform” and how the change process was managed in Victoria. It does not seek to evaluate the reform but rather to understand the complex processes through which a propitious moment for reform was both seized and constructed.     

Sexual Orientation Victimization and Posttraumatic Stress Symptoms Among Lesbian,Gay, and Bisexual Youth

This cross-sectional study utilized data gathered from 350 lesbian, gay, and bisexual (LGB) youth, and examined the relationship between significant life experiences and posttraumatic stress symptoms (PSS), with an ultimate goal of analyzing contribution of sexual orientation victimization (SOV) to PSS among LGB youth. Results of bivariate analyses indicate that verbal and physical sexual orientation victimization, childhood gender atypicality, internalized homophobia, and stressful life events unrelated to sexual orientation were all individually related to PSS. Multivariate analysis showed that verbal and physical sexual orientation victimization explained a significant portion of variance, over and above the study's other variables. Internalized homophobia, stressful life events, and verbal sexual orientation victimization were found to be the most significant predictors of PSS among LGB youth.     

An Episodic Analysis of Substance Use and Risky Sexual Behavior in a Racially Diverse Sample of Young Men Who Have Sex with Men

Many studies have examined the relations between drug use and sexual behaviors; however, few have utilized episodic data to examine the co-occurrence of both behaviors within the same episode. This study surveyed 403 racially and ethnically diverse gay, bisexual, and other young men who have sex with men (YMSM; ages 18–29) in New York City. Men were surveyed about their sexual behavior and concurrent use of illicit substances and alcohol during their most recent sexual encounter with their main and/or casual partner(s). Logistic regression models were built to analyze predictors of unprotected oral and anal intercourse with main and casual partners. Results suggest that use of inhalant nitrates and alcohol increased the odds of men engaging in unprotected receptive anal intercourse (URAI) and men who identified as middle or high socioeconomic status (SES) were at lower odds of engaging in URAI with their main partner. Use of other illicit substances was not associated with unprotected sexual intercourse. These findings indicate a need to further consider the role of licit substances used by YMSM as a means of further reducing the incidence of HIV infection in this population. In addition, the high rates of unprotected anal intercourse among men reporting a main partner has the potential to be a significant source of HIV risk, and should be further explored among YMSM.     

GLOBAL BLACK SELF-FASHIONINGS: HIP HOP AS DIASPORIC SPACE

This essay examines how the “black” racial significance of hip hop culture is received, interpreted, and redeployed within the Afro-Atlantic world. Beyond questions of cultural consumption and reproduction, it is argued that hip hop's expanding global reach has facilitated the contemporary making and moving of black diasporic subjects themselves. Here, African descendant youth in an array of locales use the performative contours of hip hop to mobilize notions of black-self in ways that are at one time both contestive and transcendent of nationally bound racial framings. Hip hop in this way can be seen as enabling a current global (re)mapping of black political imaginaries via social dynamics of diaspora. In pursuing this argument, this essay looks toward hip hop movements in Brazil, Cuba, and South Africa as compelling, yet varying examples of how transnationally attuned identities of blackness are marshaled in the fashioning of diasporic subjects through hip hop.