An Exploratory Study of Substance Abuse Among Latino Older Adults

ABSTRACT

Substance abuse among older adults is on the rise. Of particular concern is the increase in alcohol and drug use predicted among Latino elders, expected to result from an upsurge in the Latino population and concurrent growth in the number of older adults. Providing effective treatment for this group will require age-specific, culturally competent interventions. However, few studies have focused on geriatric substance abuse among Latinos. This study aims to lay the groundwork for further research by examining perceptions of the problem among treatment providers and researchers in aging and substance abuse. Implications for social work research and practice are addressed.     

State Variations in Nursing Home Social Worker Qualifications

ABSTRACT

This is the first published account of state administrative code variations in nursing home social worker qualifications. It is important to review state codes because the majority of nursing homes in the U.S. have fewer than 121 beds and therefore are not required by the federal government to employ at least one full-time qualified social worker. States have the option of extending the federal regulations to homes with 120 or fewer beds, or strengthening the federal requirements in other ways. Findings indicate enormous variation in state requirements for qualifications of nursing home social workers, and even when states define a qualified nursing home social worker (not all do), they often exempt facilities from employing one. Seven states were found to be out of federal compliance. Research describing the qualifications of people employed in nursing home social services is called for, as well as research documenting effective psychosocial interventions, especially as they relate to resident quality of life. Ten recommendations for enhancing nursing home social work services are included.     

Hand force of men and women over 65 years of age as measured by maximum pinch and grip force

This cross-sectional study aimed to assess the impact of age and gender on 4 measures of grip and pinch force of well elderly community dwellers and to provide normative values. The hypotheses were that age and gender affect pinch and grip force and that these 2 factors might interact. Hand strength of 224 seniors 65-92 years old was tested. Grip and pinch force decreased in successively older age groups past 65 years. Men's grip force exceeded that of women in all age groups. Men's hand-force decline was steeper than that of women over successive age groups, suggesting that gender differences in force decreased with age. Trends were the same for all 4 types of grip- and pinch-force measurement but were most clearly visible in grip and key-pinch force. Norms were provided for seniors age 65-85+ years in 5-yr increments.     

On the Diaconis-Gangolli Markov chain for sampling contingency tables with cell-bounded entries

The problems of uniformly sampling and approximately counting contingency tables have been widely studied, but efficient solutions are only known in special cases. One appealing approach is the Diaconis and Gangolli Markov chain which updates the entries of a random 2×2 submatrix. This chain is known to be rapidly mixing for cell-bounded tables only when the cell bounds are all 1 and the row and column sums are regular. We demonstrate that the chain can require exponential time to mix in the cell-bounded case, even if we restrict to instances for which the state space is connected. Moreover, we show the chain can be slowly mixing even if we restrict to natural classes of problem instances, including regular instances with cell bounds of either 0 or 1 everywhere, and dense instances where at least a linear number of cells in each row or column have non-zero cell-bounds.     

Successful adoption and implementation of a comprehensive casework practice model in a public child welfare agency: Application of the Getting to Outcomes (GTO) model

In recent years, several states have been developing or adopting casework practice models in an effort to shape the thinking and behavior of front line child welfare workers with a commitment to improving the safety, permanency and well-being outcomes of vulnerable children in their care (Antle, Christensen, Barbee & Martin, 2008; Christensen, Todahl & Barrett, 1999; Courtney, 2009; Folaron, 2009). This article presents one framework for approaching the organizational changes that need to be made in order to support a practice model. The Getting to Outcomes” Framework (Wandersman, 2009) is a useful approach for ensuring that all areas to support practice change are addressed.     

Conventional and expanded adverse childhood experiences (ACEs) and maternal functioning among low-income Black mothers

A paucity of research has examined the individual and cumulative effects of conventional and expanded adverse childhood experiences (ACEs) on maternal functioning, especially among low-income Black mothers. Using self-report data from a subsample of Black mothers (N = 157) who participated in a larger study to evaluate the effectiveness of an urban public prekindergarten program in the mid-Atlantic region of the United States, we examined the prevalence of ACEs and the individual and cumulative effects of conventional (i.e., family trauma and dysfunction) and expanded (i.e., community stressors) ACEs on depression and health among low-income Black mothers. Findings indicated that Black mothers had more exposure to expanded than conventional ACEs. Hierarchical regression analyses revealed that experience of physical neglect was significantly associated with depression and physical abuse with compromised health, and perceived experience of racism was a predictor of depression and compromised health. More conventional and expanded ACEs were associated with clinical levels of depression and compromised health. Findings highlight the need for more research related to the impact of ACEs, especially expanded ACEs, on mental and behavioural health outcomes. Additionally, our findings indicate the need for more trauma-informed care to reduce and address the impact of individual and community-level adversities on low-income Black mothers.     

Progressive Community Organizing by Pyles,L.

No abstract available for this article.     

The incorporation of gender scholarship into sociology

The prospects of an intellectual revolution in sociology informed in part by a feminist perspective loomed large in the early 1970s. Following Ward and Grant's (1985) empirical examination of gender and feminist scholarship in sociology journals between 1974 and 1983, our research provides an empirical assessment of the “second ten years” after the feminist critique of the discipline, 1984–1993. Specifically, we examine the incorporation of gender-content scholarship into mainstream sociology journals. Our research also assesses the extent to which gender-content scholarship published in these journals is feminist-oriented or not and the extent to which this is influenced by the sex of authors, the type of journal, and the sex composition of editorships and editorial boards. Our findings indicate that although there were more gender- and feminist-oriented articles published in the recent ten-year period, proportionally there were fewer feminist-oriented articles than in the previous ten-year period. Our findings suggest that a feminist revolution in sociology is not likely to occur anytime soon, although the assimilation of feminist scholarship into sociology is occurring along the lines of other critical intellectual movements in recent decades. David V. Waller current research focuses on intellectual and social changes in the social sciences including the impact of electronic journals on communication among scientists, and on the geopolitical and economic determinants of change in the contemporary world system. Dana Dunn has authored articles on gender stratification, sex-based earnings inequality, and women in political office, and is editor of Workplace/Women's Place, a textbook addressing women's experiences in the workplace. Please direct all correspondence to David V. Waller, Assistant Professor of Sociology, Department of Sociology and Anthropology, Box 19599, University of Texas, Arlington, TX 76019 or to Waller@uta.edu.