Does Engagement Matter? Marital Intentions and Relationship Quality Among Cohabiting African Americans

Despite growing cohabitation rates, few studies have examined the relationship between engagement status and relationship quality among cohabiting couples, especially among Black Americans. This study used data from 30 cohabiting Black couples (n = 60) to examine whether perceptions of love, commitment, relationship satisfaction, and intimacy problems differ by whether cohabitors are engaged to be married. Results indicated that engaged Black cohabitors reported higher love scores than non-engaged Black cohabitors. They also had slightly more intimacy problems, but only in bivariate models. There were no significant differences in commitment or satisfaction between engaged and non-engaged Black cohabitors. Additional analyses revealed no variation in effect of engagement on relationship quality by gender. Results suggest that practitioners and policymakers should be careful not to make assumptions about relationship quality according to engagement status or gender in cohabiting Black relationships. The meaning and implications of engagement among cohabiting Black Americans may be changing.     

Process Recording: It's More than You Think

Abstract

Process recording has been used in social work field education for many years. The traditional format for a process recording is a written verbatim report of the transaction between worker and client. This article argues that it may be useful to reconceptualize process recording as a continuum of techniques. The proposed continuum is outlined, strengths and weaknesses of the various methods are described, suggestions are made for incorporating a range of techniques into an enhanced learning experience for social work students, a model for training field instructors in these methods is described, and the article concludes with a recommendation for ongoing renewal of teaching methodologies.     

A National Survey of Child Advocacy Center Directors Regarding Knowledge of Assessment,Treatment Referral,and Training Needs in Physical and Sexual Abuse

Mental health services are a core component of child advocacy centers in the United States. Child advocacy center directors were surveyed about (a) trauma and posttraumatic stress disorder; (b) referral criteria for treatment of abuse victims; (c) evidence-based treatments for abused children; (d) reliable, valid, and normed measures helpful in assessment; and (e) training needs. Directors accurately identified posttraumatic stress disorder symptoms, but additional symptoms were misidentified. Directors identified best practices for assessment and treatment, but they misidentified non-evidence-based practices. Primary reasons for referral for services included severity of abuse and emotional response of the child. However, referrals based on assessment findings were not a high priority. Directors expressed some training needs for staff consistent with issues identified in the study.     

Multiple assessors of child welfare youths' mental‐health functioning: comparing perceptions of adolescents,caregivers and teachers

For youth involved with the child welfare system, accurate assessment of mental‐health functioning is a critical factor in case planning. To assess correspondence among multiple reporters of child welfare youths' mental‐health difficulties, this study, using data drawn from the National Survey of Child and Adolescent Well‐being dataset, examined the caregiver, teacher and youth (aged 11–16 years) reports on the Child Behavior Checklist (n = 464). Perceptions about symptomatology on a variety of externalizing and internalizing behaviour problem scales were measured with a correlation analysis. Subsequently, logistic regression models were created, which explored how each reporter category matched a fourth reporter category: the child welfare investigation caseworkers' identification of youths' mental‐health needs. Results show that in several models, the odds of matching caseworkers' determination of youths' mental‐health needs significantly increased as youths' perceptions of psychopathology increased. A similar pattern was found for caregivers' perceptions in some of the models, across both internalizing and externalizing domains. Implications for child welfare practice and research with child welfare youth are discussed.     

Object Representation in Infants' Coordination of Manipulative Force

This study examined infants' use of object knowledge for scaling the manipulative force of object‐directed actions. Infants 9, 12, and 15 months of age were outfitted with motion‐analysis sensors on their arms and then presented with stimulus objects to examine individually over a series of familiarization trials. Two stimulus objects were used in the familiarization phase, and were identical in size, shape, and material, but different in color and weight. Following familiarization, two test objects that had been hidden from view were presented. The test objects were identical in appearance to the familiarization objects, but their color‐weight correspondence was reversed. Infants' actions on the test objects revealed selective, differential preparation for the specific weights experienced during familiarization. Because the objects were equivalent in their visual affordances for action, the differential preparation and coordination of manipulative force was based on knowledge acquired during the familiarization phase. Infants are capable of utilizing object representations to coordinate manipulative force in object‐directed actions.     

Addressing the impact of trauma before diagnosing mental illness in child welfare

Congress set requirements for child welfare agencies to respond to emotional trauma associated with child maltreatment and removal. In meeting these requirements, agencies should develop policies that address child trauma. To assist in policy development, this study analyzes more than 14,000 clinical assessments from child welfare in Illinois. Based on the analysis, the study recommends child welfare agencies adopt policies requiring that (1) mental health screenings and assessments of all youth in child welfare include measures of traumatic events and trauma-related symptoms; (2) evidence-based, trauma-focused treatment begin when a youth in child welfare demonstrates a trauma-related symptom; and (3) a clinician not diagnose a youth in child welfare with a mental illness without first addressing the impact of trauma. The study also raises the issue of treatment reimbursement based on diagnosis.     

Linking child welfare and mental health using trauma-informed screening and assessment practices

An abundance of research suggests that children in the child welfare system (CWS) have experienced numerous traumatic events and are exhibiting traumatic stress symptoms. Therefore, it is critical that the CWS work closely with the mental health system to ensure that these children receive the appropriate trauma screening, trauma-focused assessment, and referral to the appropriate trauma-focused mental health services. This paper will begin by providing a concrete definition of trauma-focused screening and highlighting how that differs from a more comprehensive trauma-focused assessment process and a psychological evaluation. From there, the authors will highlight existing trauma-focused screening and assessment tools that are used widely within CWSs and the challenges related to integrating trauma-focused screening practices into CWSs. The authors will provide recommendations for ways in which child welfare jurisdictions can integrate trauma-focused screening practices into their daily practice.     

Adopted foster youths' psychosocial functioning: a longitudinal perspective

Researchers have long debated whether adopted youth manifest disproportionate levels of psychological dysfunction compared with non‐adopted youth. Yet, missing from the debate has been a clear understanding of the specific subgroups of adopted youth who may develop behaviour problems and of the risk factors associated with various vulnerable populations. This longitudinal study examined one subpopulation of adopted youth – former foster children – in order to determine their immediate and long‐term functioning, particularly in comparison with their adopted non‐foster care peers. The central goal of this study was to ascertain the prevalence of behavioural problems in adopted foster youth compared with adopted non‐foster youth and to chart the longitudinal course of their behavioural problems. Participants included adopted foster youth (n = 293) and adopted non‐foster youth (n = 312) from a statewide sample of adopted youth, aged 2–18 years. Data were collected from the adoptive parents at approximately 2, 4 and 8 years after adoption. Adoptive parents rated youths’ functioning with the Behaviour Problems Inventory. According to parental report, a striking number of the foster youth displayed behaviour problems, although the non‐foster care group of children also displayed noteworthy levels of problem behaviours. The rates of behaviour problems in both groups far exceed what is observed in the general population of children.     

Sponsor-Imposed Publication Restrictions Disclosed on ClinicalTrials.gov

We investigated whether sponsor-imposed publication restrictions for ClinicalTrials.gov trials were reasonable, based on consistency with Good Publication Practice 2 (GPP2). ClinicalTrials.gov trial record data were electronically imported (October 7, 2012) and screened for eligibility (phase 2–4, interventional, recruitment closed, results available, first received for registration after November 10, 2009, any sponsor type, investigators not sponsor employees). Two authors categorized restrictions information as consistent or not consistent with GPP2, resolving discrepancies by consensus. Of the eligible trials (388/484, n = 81,768 participants), 80.7% (313/388) had restrictions disclosed, and 92.5% (311/388) were industry-sponsored. Significantly more trials had restrictions that were consistent with GPP2 than not (74.1% [232/313], n = 55,280 participants vs. 25.9% [81/313], n = 19,677 participants; P < .001). Reasons for inconsistency were insufficient, unclear, or ambiguous information (48.1%, 39/81), sponsor-required approval for publication (35.8%, 29/81), sponsor-required text changes (8.6%, 7/81), and outright bans (7.4%, 6/81). Follow-up of trials with insufficient information and a contact email (response rate, 46.9% [15/32]) revealed 2 additional bans. A total of 776 participants had consented to trials that had publication bans. Many, but not all, sponsor-imposed publication restrictions disclosed on ClinicalTrials.gov may be considered reasonable. Sponsors should ensure restrictions are appropriately disclosed. Volunteers should be alerted to any restrictions before consenting to participate in a clinical trial.