Medicare and Medicaid Reimbursement Rates for Nursing Homes Motivate Select Culture Change Practices But Not Comprehensive Culture Change

Components of nursing home (NH) culture change include resident-centeredness, empowerment, and home likeness, but practices reflective of these components may be found in both traditional and “culture change” NHs. We use mixed methods to examine the presence of culture change practices in the context of an NH’s payer sources. Qualitative data show how higher pay from Medicare versus Medicaid influences implementation of select culture change practices, and quantitative data show NHs with higher proportions of Medicare residents have significantly higher (measured) environmental culture change implementation. Findings indicate that heightened coordination of Medicare and Medicaid could influence NH implementation of reform practices.     

Advancing an ethical framework for long-term care

This article represents an effort to formulate an ethical framework for long-term care with the explicit purpose of providing a catalyst to promote further discourse and expand consideration of what an ethic of long-term care might entail. Grounding the discussion, an introduction to traditional ethical philosophy is presented, focusing mainly on the fundamentals of deontological and teleological ethical theories. Attention then shifts to a review of the more frequently cited principles found in the long-term care ethics literature, followed by a critique of the current reliance upon principlism to resolve ethical dilemmas in long-term care. In response to this criticism, an agent-driven ethical framework stressing dignity and respect for personhood, drawn from the philosophy of Immanuel Kant, is advanced.     

Preliminary Development and Validation of the Social and Emotional Health Survey for Secondary School Students

This study reports on the preliminary development and validation of the Social and Emotional Health Survey (SEHS) with a sample of 4,189 (51 % female) California students in Grades 8, 10, and 12. The SEHS was designed to measure the psychological building blocks of adolescents’ positive mental health and is operationalized in the present study by a theoretical model comprised of 12 measured indicators that form four first-order domains (belief-in-self, belief-in-others, emotional competence, and engaged living) that, in turn, contribute to one underlying, second-order meta-construct called covitality. This study was the first to investigate the validity and utility of the adolescent covitality construct, which is conceptualized as the synergistic effect of positive mental health resulting from the interplay among multiple positive-psychological building blocks. Findings from confirmatory factor analyses, invariance analysis, and latent means testing all supported the theoretical model underlying the SEHS, indicating that the second-order covitality model was the best fit for both males and females. Results from a path-modeling analysis indicated that covitality was a strong predictor of students’ subjective well-being (operationalized as a composite of life satisfaction, positive affect, and negative affect), and findings from additional concurrent validity analyses indicated that adolescents’ covitality level was significantly associated with self-reported academic achievement, perceptions of school safety, substance use, and experiences of depressive symptoms. Implications for theory, practice, and future research are discussed.     

Life Satisfaction as a Distinguishing Indicator of College Student Functioning: Further Validation of the Two-Continua Model of Mental Health

The two-continua model of mental health contends that both psychological distress and psychological well-being make related-yet-distinct contributions to our understanding of human health and its relations with other quality of life outcomes. Using self-reported somatization, depression, and anxiety symptoms as indicators of psychological distress and self-reported life satisfaction as an indicator of psychological well-being, the present study classified participants into one of four mental-health-status groups—mentally healthy, mentally unhealthy, symptomatic yet content, or asymptomatic yet discontent—and investigated between-group differences across three key indicators of college student functioning: academic achievement, interpersonal connectedness, and physical health. Findings provide further validation for the two-continua model of mental health among college students, showing that, when considered in conjunction with clinical symptoms, life satisfaction serves as a distinguishing indicator of college students functioning across academic, social, and physical health domains—as well as a strong predictor of the absence or presence of clinical symptoms and comorbidity. Implications for theory, practice, and future research are discussed.     

Is the Internet Changing Social Life? It Seems the More Things Change, the More They Stay the Same

Although there has been a tremendous amount of discussion in the popular press about how the Internet is changing all facets of social life, research on the impact of the Internet is only beginning to emerge. A review of the studies reported in this issue suggests that the Internet may have had less impact on many aspects of social life than is frequently supposed. In many cases, the Internet seems to have created a new way of doing old things, rather than being a technology that changes the manner in which people live their lives. As a consequence, the policy implications of increasing Internet use may be less than is often believed.     

Collaboration: a study of a children's initiative

In times of shrinking resources within the social services, collaboration is being promoted as a more efficient way of meeting the needs of children and families. A study of a children's initiative collaborative developed to address the problems of children is reported. The authors present and use an evaluation framework which incorporated the dimensions of context, process, and outcomes of collaboration. The findings, based on the initial two years of collaborative effort, suggested the membership of the group and the process and structure governing the group's operations impacted the process and outcomes of the collaboration.     

Placeholders and Changemakers: Women Farmland Owners Navigating Gendered Expectations

Gendered expectations are central to the continuation of agricultural land tenure systems that concentrate land and power in the control of men. These expectations about how land should be used and by whom are communicated through cultural narratives and maintained through social interactions. Through analysis of qualitative data collected through in‐depth interviews with women farmland owners in Iowa, this article identifies a pivotal person without whom the success of these stories is in jeopardy: the “placeholder.” In this article, I identify how cultural narratives place two gendered expectations on women in the placeholder position: (1) that women landowners maintain farmland through the continuance of its use and preexisting land agreements with tenants or co‐owners, and (2) that women landowners defer their authority as landowners to men. Further, I identify the “changemaker” as an emerging character within cultural narratives—one who refuses to fit the expectations of placeholder and whose behavior may or may not be accepted by the community. Finally, I find that alternative social networks provide enabling environments for changemakers as sites of potential narrative revisions or shifts.     

The Lac‐Mégantic Derailment,Corporate Regulation,and Neoliberal Sovereignty

On July 6, 2013, Montreal, Maine, and Atlantic railcar 5017 hauling 72 tanker cars of Bakken crude oil derailed over the town of Lac‐Mégantic, Quebec. The town erupted in a fiery inferno as 5,560,000 liters of highly flammable Bakken crude oil exploded over the town, killing 47 people and contaminating 558,000 tons of soil and local waterways. While Montreal, Maine, and Atlantic Rail Chairman Edward Burkhardt initially blamed the derailment on the lone engineer and local firefighters, this study shows how Transport Canada and the rail industry undermined regulatory and safety measures for several years before the derailment. This study uses a Foucauldian theoretical perspective to conceptualize and explain a new political mentality that transfers existing state regulatory authority to the corporate sector. This new mentality, neoliberal sovereignty, is composed of sovereign and neoliberal logics that monopolize “correct” trajectories of human economic development. This absolute market mentality merges with state sovereignty and eliminates existing safety and regulation frameworks to pursue unregulated corporate profits. Le 6 juillet 2013, un train de 72 wagons‐citernes transportant du pétrole brute Bakken a déraillé de la ligne de chemin de fer de la Montréal, Maine et Atlantique, dans la ville de Lac‐Mégantic au Québec. La ville c'est transformé en véritable enfer, alors que 5 560 000 litre de pétrole brute Bakken très inflammable ont fait explosé la ville, tuant quarante‐sept personnes et contaminant 558 000 tonnes d'eaux et du sol de Lac‐Mégantic et ses environs. Alors que le président de la MMA, Edward Burkhart, a d'abord blâmé l'ingénieur et le service d'incendie local, les études montrent que Transport Canada et l'industrie ferroviaire ont amoindrit les mesures de réglementation et de sécurité plusieurs années avant le déraillement. Cette étude utilise une perspective théorique foucauldienne pour conceptualiser et expliquer une nouvelle mentalité politique qui transfère l'autorité de régulations gouvernementales existantes au secteur des entreprises. Cette nouvelle mentalité, souveraines et néo‐libérale, est composé de logique souveraines et néo‐libérales qui monopolise les trajectoires « respectables » de développement économique humain. Cette mentalité de marché absolu fusionne avec la souveraineté de l'État et élimine les cadres de sécurité et les réglementations existantes pour les bénéfices des entreprises non réglementaires.