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.     

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.     

Cognitive therapy and behavioural coping in the management of work-related stress: An intervention study

Transactional models of stress emphasize the importance of cognitive appraisal of potential stressors in the determination of the stress response. This appraisal can be modified by the use of techniques normally associated with cognitive therapy. The contribution of a specifically cognitive component when intervening in work-related stress has not been well evaluated to date. This research seeks to determine the effectiveness of stress management training in the treatment of the work-related effects of stress by comparing the role of modifying dysfunctional cognitions with the teaching of appropriate behavioural coping strategies. Participants were allocated to one of two intervention conditions or to a waiting list control group. Those in the intervention conditions received group stress management either with the focus on delivering cognitive therapy techniques or with the focus on behavioural coping skills. Measures of general health were taken at the beginning and end of intervention and at 3-month follow-up. Participants in the cognitive therapy groups who were reporting symptoms of general ill-health at the start of the intervention showed a significant improvement at follow-up. Cognitive therapy appears to have been an effective intervention in work-related stress. Those in the behavioural group showed a smaller but still clinically effective improvement. Results are discussed in terms of methodological issues and implications for future research. It is suggested that changes in cognitive appraisal may need to be developed.     

The duration of residence spells among Malawians: the role of established family and friend connections at migrants’ destinations

It is well-documented that established networks in a destination increase the chances of an individual moving to that destination, but rarely have migration scholars examined how these networks are linked to the duration of one’s stay. This paper examines whether the presence of kin and/or friends known at a location prior to moving is associated with one’s duration of residence. Presumably, having both kin and friends already at a destination will be associated with the longest residence spells, since migrants would likely maximise their access to diverse network resources. Using residence history data on 1069 Malawians from the Migration and Health in Malawi (MHM) Project from 2013, subtle gender differences emerge in this relationship via discrete-time event history analyses. Women who knew some friends, but no kin, prior to migrating have a significantly lower likelihood of moving away in any year compared to those who did not know anyone, or only kin. For men, knowing some friends, but no kin, does not represent a significantly lower likelihood of leaving compared to those who knew no one or only kin prior to migrating.     

Suburban ethnicities: Home as the site of interethnic conviviality and racism

This article explores the ways in which the white working-class residents of a suburban English town reflect on their relationships with their British Asian Pakistani Muslim neighbors. Its focus is on how everyday constructions of home become sites for the intermingling of discourses of intercultural conviviality and racism. My contention is that the idea of home has not yet been given the detailed critical attention that it deserves in the sociological literature on everyday manifestations of multiculturalism, conviviality, and racism. My supposition is that a special focus on the idea of home as the site of conviviality offers a productive avenue to analyze how intercultural relationships are formed and how the norms of neighborliness are thought to break down, opening a space for commonplace racialized and racist stereotypes to take hold. The idea of home is central to the rhythm and landscape of the English suburbs. It conjures up the idea of a uniform and aspirational white space. Drawing on this imaginary of home, I shall trace how “white working class” “English,” “Scottish,” and “Anglo-Italian” residents’ everyday constructions of home become embroiled with their relationships with their British Asian Pakistani Muslim neighbors.