Factors Influencing Family-Member Perception of “Homelikeness” in Long-Term Care Homes

Background: A number of long-term care homes in Nova Scotia, Canada, have been built or redesigned with new models of care with expanded care aide scope of practice and neighborhood-style layouts. Our objective was to examine what physical characteristics (bed size, owner-operator), model of care, and relational (family–staff relationship, perceived staff–resident relationship) factors were associated with increased family-member perception of homelikeness in long-term care homes.

Methods: We analyzed surveys collected from 273 family members from 23 long-term care homes in Nova Scotia, Canada. We conducted a multivariate linear regression to assess variables associated with increased family-member perception of homelikeness.

Results: We found that relationships between family and staff, perceived resident-to-resident relationships, and family involvement in decision making were positively associated with increased family perception of homelikeness. We found no significant associations between model of care or physical characteristics and increased family perception of homelikeness.

Conclusion: Relationships among family members, residents, and staff are integral to family members feeling at home in their loved one's long-term care home. Feeling at home in long-term care is largely related to family-member perception of meaningful social interactions between family and staff, and between residents.     

Civil Citations for Cannabis Possession: Alternatives to Arrest for Adolescent Substance Use

Results from the Substance Abuse and Mental Health Services Administration (SAMHSA) National Survey on Drug Use and Health (NSDUH) have indicated that approximately 8% of responding adolescents ages 12–17 engaged in illicit substance use during the past year; the most commonly reported substance used was marijuana (Substance Abuse and Mental Health Services Administration (SAMHSA), NSDUH series H-44, HHS publication no. (SMA) 12-4713, Substance Abuse and Mental Health Services Administration, Rockville, MD, 2012). Importantly, marijuana use places adolescents at risk of arrest when found in possession of cannabis. Drug abuse violations are associated with multiple consequences for the youth, their families, and communities. Policy makers, therefore, have encouraged the use of civil citations to reduce drug abuse related arrests for youth. Purpose: The current study sought to identify and describe civil citations use for youth marijuana possession. Methods: Using a secondary dataset, we examined aggregate arrests in a Central Florida county. Results: During a 3-year period, 1635 arrests were made for cannabis possession. The vast majority of such arrests were for multiple charges (n?=?1272; 78%). For those arrested due to cannabis possession alone (n?=?363; 22%), over 75% were adults (n?=?281). Therefore, only 82 youth were arrested under the charge, accounting for less than one quarter of all arrests for F.S. §893.13.6b (2013). However, the majority of these youth were detained in juvenile assessment centers (65%, n?=?59); a rate markedly higher than their adult counterparts (37%, n?=?105). Discussion: Due to the concerns associated with arrest and detainment, the authors contend efforts should be made to increase use of civil citations for youth with cannabis possession when possible. Implications for policy are presented.     

Harmonizing databases? Developing a quasi-experimental design to evaluate a public mental health re-entry program

Our study is the first-ever initiative to merge administrative databases in Massachusetts to evaluate an important public mental health program. It examines post-incarceration outcomes of adults with serious mental illness (SMI) enrolled in the Massachusetts Department of Mental Health (DMH) Forensic Transition Team (FTT) program. The program began in 1998 with the goal of transitioning offenders with SMI released from state and local correctional facilities utilizing a core set of transition activities. In this study we evaluate the program's effectiveness using merged administrative data from various state agencies for the years 2007-2011, comparing FTT clients to released prisoners who, despite having serious mental health disorders, did not meet the criterion for DMH services. By systematically describing our original study design and the barriers we encountered, this report will inform future efforts to evaluate public programs using merged administrative databases and electronic health records.     

Practice and Research in Career Counseling and Development—2011

The Career Development Quarterly celebrated its 100th anniversary during the past year and continues to provide high‐quality research and conceptual articles of import to the study of career development and intervention. This article reviews the 2011 career counseling and development literature to highlight advances in theory, assessment, and intervention presented within the following themes: (a) from the past to the future, (b) work and well‐being, (c) diversity and career, (d) career theory and concepts, (e) career assessment, (f) career intervention, (g) career development: life‐span perspectives, and (h) international perspectives.     

The Utilisation of Music by Casino Managers: An Interview Study

Music is ubiquitous in retail and commercial environments, with some managers believing that music can enhance the customer experience, increase footfall and sales and improve consumer satisfaction. Casino gambling is popular in the United Kingdom and anecdotal evidence suggests that music is often present. However, little is known about the rationale for music use from the perspective of casino managers. In this study semi-structured interviews were conducted with five casino managers to establish their motivations for utilising music, the factors informing their choice of music and the extent to which music is used with the intention of influencing gambling behaviour. Results showed that casino managers utilised two types of music—recorded background music, often sourced via external music supply companies and live music. Live music was often situated away from the gaming floor and used primarily to accompany participation in non-gambling activities. Recorded background music was not used with the direct aim of influencing customers’ gambling behaviour, but to create the right atmosphere for gambling and to promote certain moods within the casinos. To achieve these aims casino managers manipulated the tempo, volume and genre of the recorded background music. Casino managers also reported that some gamblers listen to music via portable music players, possibly with the intention of customising their gambling experience. This study is unique as it has provided a first-hand account of casino managers’ implicit theories with regards to why they utilise music and the roles which music is considered to fulfil in casinos.     

Latent Classes of Adolescent Sexual and Romantic Relationship Experiences: Implications for Adult Sexual Health and Relationship Outcomes

Adolescents’ sexual and romantic relationship experiences are multidimensional but often studied as single constructs. Thus, it is not clear how different patterns of sexual and relationship experience may interact to differentially predict later outcomes. In this study we used latent class analysis to model patterns (latent classes) of adolescent sexual and romantic experiences, and then examined how these classes were associated with young adult sexual health and relationship outcomes in data from the National Longitudinal Study of Adolescent to Adult Health (Add Health). We identified six adolescent relationship classes: No Relationship (33%), Waiting (22%), Intimate (38%), Private (3%), Low Involvement (3%), and Physical (2%). Adolescents in the Waiting and Intimate classes were more likely to have married by young adulthood than those in other classes, and those in the Physical class had a greater number of sexual partners and higher rates of sexually transmitted infections (STIs). Some gender differences were found; for example, women in the Low-Involvement and Physical classes in adolescence had average or high odds of marriage, whereas men in these classes had relatively low odds of marriage. Our findings identify more and less normative patterns of romantic and sexual experiences in late adolescence and elucidate associations between adolescent experiences and adult outcomes.     

Social work students in the aftermath of Hurricanes Katrina and Rita: correlates of post-disaster substance use as a negative coping mechanism

Social work students’ post-disaster coping while in the field is an important workforce issue with ethical implications. The current study utilized secondary data collected in a previous study examining post-disaster alcohol and other drug (AOD) use among social work student volunteers (N = 416) in the wake of Hurricanes Katrina and Rita (HKR). The current sample included participants from the original study who responded to a single-item measure of AOD use as a negative coping mechanism (N = 290). The present study examined potential explanatory variables of AOD use in the aftermath of HKR, including demographic (age, gender, and race) and psychosocial characteristics (hurricane-related stressors, previous traumatic stressors, and post-traumatic stress). The multivariate logistic regression model distinguished between students who never or rarely used AOD and those who used AOD often to cope with HKR, accounting for 24% of model variance. Social work students who report post-disaster AOD use may risk experiencing additional, trauma-related vulnerabilities, should be further assessed, and provided necessary specialized supports to enable their well-being and to prevent impaired practice.     

Typical and Atypical Development of Visual Attention in 3‐ to 9‐Month‐Old Infants

The interactions between attention and stimulus encoding in infancy were examined using heart rate (HR) and visual habituation measures. At 3, 6, and 9 months of age, infants (N = 119) were habituated to an adult face; longest look (LL) duration was measured as an indicator of encoding speed. Three groups were formed based on LL change from 3 to 9 months: Large Decrease, Small Decrease, and Increase. Using concurrent electrocardiograph recordings, attention was measured through the percentage of looking time in orienting, sustained attention, and attention termination. We partially replicated previous findings regarding developmental patterns of attention in these three groups, notably that these patterns were different for the Increase group. Looks away from the stimulus were also assessed in each attentional phase and, as predicted, HR acceleration phases showed less visual engagement than HR deceleration phases. We also found anomalous behavior for the LL Increase group. In general, this small but distinct group showed similarities at 3 months to the presumably more mature behavior of typical 9 month olds, but by 9 months, they behaved more like typical 3 month olds regarding some, but not all, cognitive measures. These results are discussed in the context of the development of endogenous attention.     

Political influence across generations: partisanship and candidate evaluations in the 2008 election

Recent scholarship in political socialization has moved beyond traditional transmission models of parent-driven socialization to consider alternative pathways, like trickle-up socialization and its predictors. However, these studies have paid less attention to the diverse ways in which parents and children develop discrete political orientations, especially during a competitive presidential campaign. In this study, we examine various pathways through which influence occurs across generations in terms of partisanship and candidate evaluations. Our results suggest that while harmonious attitudes remain the norm, there are substantial opportunities for youth to demonstrate their independence, particularly when gaining perspectives from schools and digital media sources. Our findings indicate the importance of exploring how youth and their parents come to understand politics and the forces that shape youth socialization.