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.     

Are midwifery clients in Ontario making informed choices about prenatal screening?

BackgroundInformed choice is often lacking in women's decisions about prenatal screening.AimThe aim of this study is to evaluate how well midwives in Ontario, Canada are facilitating informed choice in this area.MethodsAn Internet-based survey was used to investigate 171 midwifery clients’ knowledge, attitude towards and experience of prenatal genetic screening tests, and to determine the proportion of study participants who made an informed choice about prenatal screening.FindingsAll participants demonstrated adequate knowledge of prenatal screening. The vast majority (93.0%) of participants made an informed choice. Participants who chose to screen had lower knowledge scores than those who opted out of screening. Client satisfaction rates in regard to care received in this area ranged from 97% to 100%.ConclusionsResults of this study suggest that Ontario midwives are effective in conveying information on prenatal genetic screening, contributing to high levels of client knowledge and satisfaction in comparison to similar studies in other jurisdictions.     

Testing Cross-National Conflict Shifting theory: An analysis of Chiquita Brands’ transnational crisis in Colombia

This study uses the Cross-National Conflict Shifting theory to analyze Chiquita Brands’ transnational crisis originated in Colombia with consequences in the United States. The research includes a content analysis and a case study conducted by U.S. and Colombian scholars. This research contributes to the global public relations’ body of knowledge by supporting 9 out of the 10 CNCS theoretical propositions, and further supporting the theory with 3 research questions and 8 hypotheses (2 partially supported, 6 supported).     

Productive engagement across the life course: paid work and beyond

An uncertain economic outlook and the certitude of an ageing population highlight the importance of productive activity across all age groups for Australia's future. This paper reviews Australian and international research on productive ageing, which has typically focused on older age groups and specific activities, and presents national findings from Wave 10 (2010) of the Household, Income and Labour Dynamics in Australia (HILDA) Survey on productive activities across the life course. Both paid, tax‐generating and unpaid, voluntary activities are examined, including paid work, volunteering, caregiving, childcare, and domestic work. The kinds of productive activity people engaged in varied across age groups for men and women, highlighting the potential competition between paid work and other activities, and the importance of health and education for engagement across all ages. While the Government has begun leading actions to enhance and recognise these contributions that bring economic and social benefits both to the individual and the broader community, our research reinforces the value of investment in human capital for productive engagement across the lifespan inclusive of early, middle and later life.     

Exploring “Home” Through Residents’ Lenses: Assisted Living Facility Residents Identify Homelike Characteristics Using Photovoice

An increasing number of older adults are moving into assisted living facilities when living independently becomes difficult. These facilities afford older adults a home-like environment with opportunities for social activity and a minimal level of professional care, although relocation can negatively impact well-being. Because it is important to study home environments of aging adults, 10 residents of an assisted living facility were engaged in Photovoice to explore perceptions of the facility as home. Through photographic expression, residents identified environment enhancements for home at an assisted living facility. Findings of this study have implications for program planning at long-term care facilities.     

Using the RE‐AIM framework to identify and describe best practice models in family‐based intervention development: A systematic review

The family unit carries with it a responsibility of possibly being the most important predictor of positive child development. The aim of this systematic review is to identify and describe best practice models or processes in family‐based intervention development. The following databases were included in the review: PsychArticles, Academic Search Complete, ERIC, SocIndex, Sage, Sabinet, and Pubmed. Peer‐reviewed, English language, qualitative, quantitative, and mixed methods in nature conducted within the last 10 years. Interventions were required to include families as part of the programme as well as describe the model or process used in intervention development. Two self‐developed data extraction tables were developed for this review. The articles included for review were heterogeneous in terms of the outcomes, and so a narrative synthesis was used. After yielding an initial search of 400 studies, 28 articles were finally included for extraction and analysis with varying levels of intervention strength. Interventions are further described in terms of reach, effectiveness, adoption, implementation, and maintenance dimensions. A feasible intervention appears to be one that is flexible, engages processes to recruit those who are most at‐risk and is facilitated by someone known to or from the same community as the participants, can retain its participants, and can be evaluated with the same participants at a minimum of 6 months later.     

“Let’s talk about the real issue”: Localized perceptions of environment and implications for ecosocial work practice

ABSTRACT

This interpretive study investigated how residents from socioeconomically challenged communities in North St. Louis understand and make meaning of environmental change and its impact on their well-being. Based on these localized data, we argue that racial minorities facing socioeconomic challenges may experience some environmental issues as less of an immediate concern than violence and racism. However, race and racism shape both the realities of environmental threats as well as residents’ perceptions about environmental injustice in their communities. This study informs ecosocial work practices such as educating communities on local environmental issues and mobilizing community members toward environmental decision-making.     

The Missing Baby Bust: The Consequences of the COVID-19 Pandemic for Contraceptive Use,Pregnancy, and Childbirth Among Low-Income Women

Population Research and Policy Review - Multiple episodes in US history demonstrate that birth rates fall in response to recessions. However, the 2020 COVID-19 recession differed from earlier...