An Empirical Model of Perceived Mortality Risks for Selected U.S. Arsenic Hot Spots

Researchers have long recognized that subjective perceptions of risk are better predictors of choices over risky outcomes than science‐based or experts’ assessments of risk. More recent work suggests that uncertainty about risks also plays a role in predicting choices and behavior. In this article, we develop and estimate a formal model for an individual's perceived health risks associated with arsenic contamination of his or her drinking water. The modeling approach treats risk as a random variable, with an estimable probability distribution whose variance reflects uncertainty. The model we estimate uses data collected from a survey given to a sample of people living in arsenic‐prone areas in the United States. The findings from this article support the fact that scientific information is essential to explaining the mortality rate perceived by the individuals, but uncertainty about the probability remains significant.     

Impact of Empowerment Training on the Professional Work of Family Peer Advocates

A pilot study using a prospective design examined the impact of a collaboratively developed training model, called the Parent Empowerment Program (PEP), for professionally-employed family peer advocates who work with caregivers of children with mental health needs. This training used a combination of didactic, practice exercises, and group discussion. It targeted specific mental health knowledge content and collaborative skills to facilitate the work of family peer advocates in empowering caregivers. Co-delivered by a family peer advocate and clinician, the training consisted of a 40-hour face-to-face training, followed by six monthly face-to-face booster sessions. A total of 15 advocates participated in assessments conducted at baseline and post-training. This group of experienced family peer advocates showed no significant increase in knowledge about mental health content, but post-training assessments indicated increased collaborative skills and mental health services self-efficacy. This initial evaluation has implications for expanding training and support for the emergent workforce of professionally-employed family peer advocates in children's mental health.     

Glorious Work: employment of adults with a learning disability in Guangzhou from the perspective of their parents

Promises and policies in ensuring employment opportunities for disabled people are stipulated in the State Laws and local regulations of the People's Republic of China. It is assumed that having a job implies better integration in society. However, the experience of young adults with learning disability in finding jobs tells a very different story. This article analyses the experience, perceptions and worries of parents of such young adults who are employed or have striven hard to obtain a job, comparing the ideal with a very different reality.     

Through Civil War, Food Crisis and Drought: Trends in Fertility and Nuptiality in Post-Soviet Tajikistan

This article has two objectives. First, it aims to complement and extend existing research on post-socialist demographic change, which has thus far tended to focus on Central and Eastern Europe. It does this by describing the nature of post-Soviet trends in nuptiality and fertility in Tajikistan, the republic with the highest rate of population growth during the Soviet period. It finds evidence for a decrease in period fertility after independence: initially, through a decline at higher orders; then, through a significant decrease in the rate of first births, associated with a dramatic decrease in the rate of first union formation since the mid-1990s. Second, it aims to contribute to the demography of conflict and of food crisis. Most clearly, it finds strong evidence for a decrease in nuptiality and fertility associated with the 1995 food crisis.     

Competency-Based Training: Objective Structured Clinical Exercises (OSCE) in Marriage and Family Therapy

The field of marriage and family therapy (MFT) has recently engaged in the process of defining core competencies for the profession. Many MFT training programs are adapting their curriculum to develop more competency-based training strategies. The Objective Structured Clinical Examination (OSCE) is widely used in the medical profession to assess clinical competence. These examinations involve using simulated clinical situations as a tool in conducting summative evaluations of trainee competence. This article describes an adaptation of the OSCE procedures for competency-based training of MFT students. Instead of using the procedures as a summative examination as is typical in medical education, this article proposes how to use them as formative exercises in the development of student competence. The development of the OSCE is discussed, including “blueprinting,” focused competencies, procedures, and feedback protocols. The article concludes with suggestions of how to continue the development of the OSCE for evaluation in MFT education.