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91.
Custodial grandparenting can be especially challenging for older grandmothers facing age specific issues. Kinship navigator programs are social service delivery programs intended to inform grandparents and other relatives raising children about available resources and services, provide information specific to their individual needs, and help families navigate service systems. Our study utilizes self-report data from one kinship navigator federal demonstration project, which used a randomized control trial, to examine demographic characteristics for grandmothers under and over 55 years of age, whether grandmother caregivers (≥55 years) improve family resilience, social support, and caregiver self-efficacy, and which interventions improved outcomes for grandmothers (≥55 years). Each participant was randomly assigned to one of four groups: Usual Care (traditional child welfare services), Standard Care (family support and case management), Peer-to-Peer Care Only, and Full Kin Tech Care (peer navigators with computer access and interdisciplinary team). Thirty-nine percent of grandmothers (55-75 years) were mostly living in poverty, predominantly Caucasian, with 36% identifying as African American/Black, with at least one to two children at home. Repeated-measures ANOVAs for each subscale showed statistically significant within- and between-group differences for Family Functioning, Social Supports, Concrete Supports, Child Development, and Nurturing and Attachment, with the exception of Usual Care, which showed a decline in protective factors consistently across subscales. Future research with kinship families could qualitatively examine the experiences for older women in navigator programs and replication of kinship navigator programs could build capacity in data collection and maintenance systems to gain better perspective about how systems of care impact families.  相似文献   
92.
This article uses the evaluation of a school-aged therapy service for children with disabilities in Western Australia to investigate models of service delivery. The current literature on family-centered practice, multidisciplinary and transdisciplinary approaches, and 4 models of service are reviewed. The models include the life needs model, the relational goal-orientated model of optimal service delivery to children and families, the quality of life model, and the collaborative model of service delivery. Analysis of the data is presented together with a bespoke model of service delivery for children with disabilities, arguing that local contexts benefit from custom-made service design.  相似文献   
93.
Research suggests that bullying of lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) youth is a national problem that requires immediate intervention. The purpose of this article is to (a) discuss the critical need for a multidisciplinary approach to creating safe schools for sexual minority youth utilizing a social justice framework, (b) present an allyhood model to serve as a training framework, and (c) offer an exemplar for schools. By embracing a multidisciplinary approach to address the safety and belonging needs of LGBTQ youth, school psychologists and counselors can become leaders of systems-level change, poised to make a difference in the lives of LGBTQ students.  相似文献   
94.
Emerging research suggests that existing culture, including religious culture, serves to constrain and enable the rhetoric and claims of social actors in situations of conflict and change. Given that religious institutions continue to have significant authority in framing moral debates in the United States, we hypothesize that groups connected to each other through a religious tradition will share similar orientations towards the moral order, shaping the kinds of rhetoric they use and the kinds of claims they can make. To test this, we compare the official rhetoric of the 25 largest religious denominations on gay and lesbian issues, as well as their orientation towards the moral order more broadly, with the rhetoric of each denomination’s respective movement for lesbian, gay, bisexual, and transgender inclusion, affirmation, or rights. We use Kniss’ heuristic map of the moral order to analyze and theorize about the patterns that emerge from these comparisons. Ultimately, we find that the existing rhetoric of the parent denomination on gay and lesbian issues, along with the broader moral stances they take, do appear to shape the rhetoric and ideologies of associated pro-LGBT organizations. This provides support for the notion that existing culture, belief, and rhetoric shape the trajectories of conflict and change.  相似文献   
95.

Background

Accessibility of water immersion for labour and/or birth is often dependent on the care provider and also the policies/guidelines that underpin practice. With little high quality research about the safety and practicality of water immersion, particularly for birth, policies/guidelines informing the practice may lack the evidence necessary to ensure practitioner confidence surrounding the option thereby limiting accessibility and women’s autonomy.

Aim

The aims of the study were to determine how water immersion policies and/or guidelines are informed, who interprets the evidence to inform policies/guidelines and to what extent the policy/guideline facilitates the option for labour and birth.

Method

Phase one of a three-phase mixed-methods study critically analysed 25 Australian water immersion policies/guidelines using critical discourse analysis.

Findings

Policies/guidelines pertaining to the practice of water immersion reflect subjective opinions and views of the current literature base in favour of the risk-focused obstetric and biomedical discursive practices. Written with hegemonic influence, policies and guidelines impact on the autonomy of both women and practitioners.

Conclusion

Policies and guidelines pertaining to water immersion, particularly for birth reflect opinion and varied interpretations of the current literature base. A degree of hegemonic influence was noted prompting recommendations for future maternity care policy and guidelines’.

Ethical considerations

The Human Research Ethics Committee of the University of South Australia approved the research.  相似文献   
96.
Patterns of consumers' use of products are of interest to manufacturers. This paper is concerned with modelling diary data on the use of one product, shampoo, recorded to the nearest hour by over 500 men during 1 week. A binary response multilevel model is developed, building on similar models for consumer purchase data. The model allows for a dependence on the number of days since last use. The results of fitting various versions of this model are discussed. A problem is that the number of days since last use is missing for all times up to the first use. An approximate EM approach is considered to deal with this problem.  相似文献   
97.
An increasing number of colleges and universities have developed strategies for community engagement. The engagement, however, has been one-sided in that colleges and universities send students, faculty, and staff members out into the community. The current investigation sought to further broaden the definition of community engagement by exploring the benefits that can be accrued by a university when community members are encouraged to explore the cultural, intellectual, athletic, and artistic benefits that are provided in college and university campuses.  相似文献   
98.
This study compared respondents who completed an Internet sexuality questionnaire and those who dropped out before completion. The study was in Swedish and comprised 3,614 respondents over a 2-week period (53% males, 47% females). There were significant differences between males, of whom 51% dropped out before completion of the 175-item questionnaire, and females, of whom 43% dropped out. Dropout in both genders followed a curve of negative acceleration. The data suggest that dropout is likely to be significant and gender and demographically biased, and to occur significantly earlier for men than for women. Geography, education, sexual orientation, age, relationship status, living arrangements, and Internet connection speed were related to dropout for men, while only relationship status and living arrangements, which were in the opposite direction from men, were related to dropout in women.  相似文献   
99.
Parents seeking to balance their work lives with family responsibilities often find the challenge made more difficult by outdated images of the ideal worker, the good mother, and the good father. Social and legal constraints on mothers' choices exacerbate the problem. While other countries have implemented national work/family policies, the climate in the United States seems unreceptive to federal government mandates for meaningful changes in employees' work hours, schedules, and paid leave, or for sweeping new child care subsidies. As a viable interim measure, we propose a statute forbidding discrimination based on family responsibilities, which would tap deeply-felt values about the importance of family caregiving, serve as an important symbolic statement, and be useful to courts.  相似文献   
100.
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