Attitudes and beliefs about mental health among African American older adults suffering from depression

Depression among older adults is a major public health concern leading to increased disability and mortality. Less than 3% of older adults utilize professional mental health services for the treatment of depression, less than any other adult age group. And despite similar rates of depression, African Americans are significantly less likely to seek, engage and be retained in professional mental health services than their white counterparts. Cultural differences in the way depression symptoms are manifested, defined, interpreted and labeled may in part explain some of these racial differences in help-seeking behaviors. Focus group methodology was utilized to identify and explore attitudes and beliefs about depression and mental health treatment utilization among 42 older African Americans who had recently suffered a major depressive episode. Thematic analysis of identified six overarching themes: (a) perceptions of depression, (b) the African American experience, (c) seeking treatment as a last resort, (d) myths about treatment, (e) stigma associated with seeking treatment and (f) culturally appropriate coping strategies. We discuss implications for practice, education and research.     

EMPLOYER CHOICES IN EAP DESIGN AND WORKSITE SERVICES

In today's complex private healthcare market, employers have varied preferences for particular features of behavioral health products such as Employee Assistance Programs (EAPs). Factors which may influence these preferences include: establishment size, type of organization, industry, workplace substance abuse regulations, and structure of health insurance benefits. This study of 103 large employer purchasers from a single managed behavioral healthcare organization investigated the impact of such variables on the EAP features that employers select to provide to workers and their families. Our findings indicate that for this group of employers, preferences for the type and delivery mode of EAP counseling services are fairly universal, while number of sessions provided and choices for EAP-provided worksite activities are much more varied, and may be more reflective of the diverse characteristics, organizational missions and workplace culture found among larger employers in the US.     

Social work with Bosnian Muslim refugee children and families: a review of the literature

More than two million Bosnian Muslims were ethnically cleansed in the Balkan region; of these, 200,000 were killed while the others were forced to flee their homes and become refugees. This article focuses on the influence of societal and cultural values coupled with wartime experiences on the transition of Bosnian refugee families to their new countries. Consideration is given to culturally competent theoretical frameworks and practice principles social workers can use to assist Bosnian Muslim children and families in their adaptation process within their resettlement communities.     

Organising Services for People with Mental Handicap: The Californian Experience

The organisation of services for California's mentally handicapped population is outlined and critically examined. Its distinctive features are noted: a concern for rights, rather than needs; an underlying free market philosophy; an explicit attempt to combine public and private enterprise; and an elaborate system of checks and balances designed to restrain the welfare bureaucracies and ensure that they remain responsive to the changing nature of individual need. It is argued that, despite certain limitations, the Californian system does seriously address three problems that bedevil all attempts to develop a satisfactory system of care for people with mental handicaps: the inherent powerlessness of the client group; the diversity and fragmentation of services; and bureaucratic inertia.     

THE INFORMATION SOCIETY AS MEGA-MACHINE

Too often the history of information and communication technologies (ICTs) is wrenched out of the history of technology and presented as something altogether separate and therefore different, rendering previous analyses irrelevant. However, there are sufficient analytical tools to hand without the continual invention of new paradigms to understand the current stage of technological advance. To support this contention, in this article, the continuing relevance of Lewis Mumford is explored. Mumford's discussion of the megalopolis and the emergence of the invisible city as its most developed state make a direct link with the networked information society, establishing a link between the information society and Mumford'sanalysis of the previous history of technology.At the centre of Mumford'sdiscussion of this history is the dialectic interaction of authoritarian and democratic technics. Mumford's notion of technics stresses that technologies can not be divided from the social relations in which they appear. In the information society,this dialectical pair map onto the twin dynamics of enclosure and disclosure. The former dynamic represents the control of information through commodification and marketization, the latter the recognition of the empowering and emancipatory qualities of ICTs. Up until now,discussions of the information society have regarded only one or other dynamic as normal, whereas utilizing Mumford'sinsight, the contradictory character of the information society can be theorized without rendering the second dynamic abnormal. Thus, the article concludes that recourse to Mumford's ideas, to re-embed ICTs in the history of technology, allows a more nuanced and fruitful treatment of current developments in information society.     

Sex-positive criminology: Possibilities for legal and social change

This article provides an introduction to sex-positive criminology and its goals for change. Sex-positive criminology draws from the “thick desire” organizing principle, which is a rights-based approach to human sexuality, as well as from positive sexuality approaches. It also draws from critical, queer, and feminist criminological traditions and abolitionist sensibilities. We discuss examples that pertain to key tenets of sex-positivity: consent and bodily autonomy, education, medical access, harm reduction, and ways to increase agency. Main topics of discussion include addressing deeply harmful and sex-negative laws and policies that perpetuate state violence, such as coerced or forced sterilization, criminalization of abortion and pregnancy loss, sexual and physical assault of sex workers by police, criminalization through medically inaccurate laws, and legislation such as Allow States and Victims to Fight Online Sex Trafficking Act and the Stop Enabling Sex Traffickers Act that puts marginalized populations at risk. Throughout, we reflect on possibilities for sex-positive laws and policies and the social impacts they would have, such as improving health and well-being.     

Parents' beliefs about children's emotions,children's emotion understanding,and classroom adjustment in middle childhood

To explore how parental socialization of emotion may influence children's emotion understanding, which then guides children's interpretations of emotion‐related situations across contexts, we examined the pathways between socialization of emotion and children's adjustment in the classroom, with children's emotion understanding as an intervening variable. Specifically, children's emotion understanding was examined as a mediator of associations between mothers' beliefs about the value and danger of children's emotions and children's adjustment in the classroom within an SEM framework. Classroom adjustment was estimated as a latent variable and included social, emotional, and behavioral indices. Covariates included maternal education, and child gender and ethnicity. Participants were a diverse group of 201 third‐graders (116 African American, 81 European American, 4 Biracial; 48.8% female), their mothers, and teachers. Results revealed that emotion‐related beliefs (value and danger) had no direct influence on classroom adjustment. However, children whose mothers endorsed the belief that emotions are dangerous demonstrated less emotion understanding and were less well‐adjusted in the classroom. Mothers' belief that emotions are valuable was not independently associated with emotion understanding. Findings point to the important role of emotion understanding in children's development across contexts (family, classroom) and developmental domains (social, emotional, behavioral) during the middle childhood years.     

Relative effect sizes for measures of risk

Effect sizes are an important component of experimental design, data analysis, and interpretation of statistical results. In some situations, an effect size of clinical or practical importance may be unknown to the researcher. In other situations, the researcher may be interested in comparing observed effect sizes to known standards to quantify clinical importance. In these cases, the notion of relative effect sizes (small, medium, large) can be useful as benchmarks. Although there is generally an extensive literature on relative effect sizes for continuous data, little of this research has focused on relative effect sizes for measures of risk that are common in epidemiological or biomedical studies. The aim of this paper, therefore, is to extend existing relative effect sizes to the relative risk, odds ratio, hazard ratio, rate ratio, and Mantel–Haenszel odds ratio for related samples. In most scenarios with equal group allocation, effect sizes of 1.22, 1.86, and 3.00 can be taken as small, medium, and large, respectively. The odds ratio for a non rare event is a notable exception and modified relative effect sizes are 1.32, 2.38, and 4.70 in that situation.     

Childcare and parental work schedules: a comparison of childcare arrangements among Finnish,British and Dutch dual-earner families

This study examined the association between parental work schedules and non-parental childcare arrangements among dual-earner families in Finland, the Netherlands and the UK. Data from the ‘Families 24/7’ web survey were used, including 937 parents with children aged 0–12 years. Results showed a negative association between non-standard work and formal childcare across all countries. A similar association was found for using a combination of formal and informal childcare, whereas solely using informal childcare was not associated with work characteristics. Country differences showed that, compared with Finland, the probability of using formal childcare was lower in the Netherlands, whereas the probability of using informal childcare was higher in the UK. Interaction effects showed that the negative association between non-standard work and formal childcare was stronger in the Netherlands, compared with Finland. Also, the positive association between working hours and formal childcare was weaker for Dutch and British parents. This study identified the challenges that parents face when arranging childcare outside of office hours. Although the supply of formal childcare seems to be insufficient, using informal childcare introduces other potential problems. Because a considerable proportion of employees work non-standard hours, governments should help these parents in meeting their need for high quality childcare.