A 12-Month Follow-Up Evaluation of Integrated Treatment for Homeless Individuals With Co-Occurring Disorders

ABSTRACT

This study examined the effectiveness of the Comprehensive, Continuous, Integrated System of Care (CCISC) model in addressing co-occurring mental health and substance use disorders. Clients were eligible for participation if they had co-occurring disorders and were homeless or at risk of homelessness. Forty-eight clients received a comprehensive array of services consistent with the CCISC model. Measures assessing housing, employment, mental health, and substance use were completed at baseline, 6-month, and 12-month follow-up. Results demonstrated significant improvements in housing, employment, mental health, and substance use at 12-month follow-up. These results underscore the effectiveness of implementing evidence-based care.     

Spirituality Among Alzheimer's Caregivers: Psychometric Reevaluation of the Intrinsic Spirituality Scale

ABSTRACT

The purpose of this study was to reevaluate psychometric properties of the Intrinsic Spirituality Scale (ISS) and to compare its results to the original psychometric report. Attendees of Alzheimer's caregiver support groups constituted the sample, relevant to this measure given their traditional, frequent use of spirituality as a coping resource. Data were randomly split for factor and reliability analyses (N ₁= 152) and validity analysis (N ₂= 152). Factor analysis on the ISS loaded all items on a single dimension of spirituality. Reliability was strong. Convergent validity was suggested via significant correlations with prayer measures. Enhanced with the original findings, these results lend credibility to the ISS as a viable spiritual assessment tool. The ISS offers social service professionals a valuable tool for assessing spirituality that is inclusive of individuals whose spirituality is nontheistic or for whom spirituality exists independently from, or outside of, organized religious structures. Future analyses with additional populations may broaden the ISS applicability among persons with diverse demographic and spiritual backgrounds.     

The demise of leadership: Positivity and negativity biases in evaluations of dead leaders

Five studies compared evaluations of living versus dead leaders. In Studies 1 and 2, participants displayed a death positivity bias, forming more favorable impressions of dead leaders than of equivalent living leaders. Study 3 demonstrated the death positivity bias in evaluations of real-world leaders in politics, sports, and entertainment. Study 4 showed that death polarizes morality judgments: Moral leaders were posthumously judged as more moral while immoral leaders were posthumously judged as more immoral. Study 5 demonstrated the St. Augustine effect: Dead leaders who had changed from sinners to saints were judged more favorably than living leaders who had undergone the same change. The implications of these findings for theory and research on leadership legacy and organizational impression management are discussed.     

From Serodiscordant to Magnetic: The Feasibility and Acceptability of a Pilot Psychoeducational Group Intervention Designed to Improve Relationship Quality

Serodiscordant or magnetic couples experience HIV-related issues that can compound daily stressors. Psychoeducational couples group interventions can build coping skills and increase relationship satisfaction. Throughout Summer 2014, 6 gay male magnetic couples (n = 12) collaboratively designed and participated in an 8-session psychoeducational support group. The intervention was feasible (i.e., recruitment was <2 weeks, it was easy to coordinate) and acceptable (i.e., each session was consistently rated very good or outstanding). Relationship quality improved significantly in all couples regardless of whether couples agreed on how to manage HIV within their relationship. Implementation of this model is encouraged to fully evaluate this promising intervention.     

Variational Bayes with synthetic likelihood

Synthetic likelihood is an attractive approach to likelihood-free inference when an approximately Gaussian summary statistic for the data, informative for inference about the parameters, is available. The synthetic likelihood method derives an approximate likelihood function from a plug-in normal density estimate for the summary statistic, with plug-in mean and covariance matrix obtained by Monte Carlo simulation from the model. In this article, we develop alternatives to Markov chain Monte Carlo implementations of Bayesian synthetic likelihoods with reduced computational overheads. Our approach uses stochastic gradient variational inference methods for posterior approximation in the synthetic likelihood context, employing unbiased estimates of the log likelihood. We compare the new method with a related likelihood-free variational inference technique in the literature, while at the same time improving the implementation of that approach in a number of ways. These new algorithms are feasible to implement in situations which are challenging for conventional approximate Bayesian computation methods, in terms of the dimensionality of the parameter and summary statistic.     

Working with parents to reduce juvenile sex offender recidivism

Although there is very little research in the area of including parents in juvenile sex offender treatment, one of the factors that might be worth exploring is how the parental relationship may aid in successful relapse prevention. Since the family environment is a potential risk factor for adolescent sex offenders, integration of relapse prevention into daily family life may be a significant part of these youths' success or failure in the community. This article focuses on the concept of including parents in juvenile sex offender treatment. Issues addressed include what treatment providers can do to involve parents in relapse prevention, treatment providers' misconceptions about the inclusion of parents in treatment, a rationale for including parents in treatment, and research regarding different parenting styles.     

How Will Reforms of Marital Institutions Influence Marital Commitment? A Theoretical Analysis

Many recently policy proposals are intended to alter the incentives to establish or terminate family relationships, often with the goal of encouraging marriage. This paper develops a model of family structure decisions and uses it to argue that some such reforms may actually have the opposite effect. A pro-marriage reform raises both the value of marrying ones current partner and the value of search. When the latter effect dominates, singles are less likely to form a match, and couples are more likely to separate and optimally make fewer commitments to their relationships.This paper has benefitted from conversations with Gary Becker, Robert Michael, Victor Lima, Janice Compton, Emek Basker, Shoshana Grossbard-Shechtman (the editor), several anonymous referees, and the participants of workshops at the University of Chicago and the Midwest Economics Association. I also gratefully acknowledge financial support from the University of Chicago and the National Institute for Child Health and Human Development (Grant number T32HD07302). Any remaining deficiencies are solely my responsibility.     

Sexual activity and risk taking in young heterosexual men: the relevance of sexual arousability, mood, and sensation seeking

In this research we explored three aspects of personality relevant to sexual activity and sexual risk taking in heterosexual men. Men with low inhibition of sexual arousal in the face of risk (low SIS2) reported more partners with whom they use no condoms and more lifetime "one night stands." Men who experience increased sexual interest in states of depression (MSQ) reported more partners in the past year and more one night stands. The disinhibition subscale of the Sensation Seeking Scale was predictive of whether sexual intercourse had occurred in the past 6 months, and also of the number of sexual partners in the past year. A measure of an intention to practice safer sex was strongly related to measures of sexual arousability and inhibition (SIS/SES). We discuss some clear similarities and also some interesting differences with a parallel study of gay men. Individual differences in sexual excitation and inhibition proneness and the relation between mood and sexuality are clearly relevant to high-risk sexual behavior and should be taken into consideration when designing behavioral interventions.