Young-onset dementia: a review of the literature and what it means for clinicians

It is estimated that more than a half million people in the United States are living with young-onset dementia and another half million with mild cognitive impairment, a precursor of dementia. Relatively little has been written about the psychosocial needs of these people, but information can be extrapolated from the literature on dementia in older adults and the developmental tasks and roles of middle age. This article synthesizes this literature and provides information to help psychiatric nurses and other health care professionals better understand individuals living with young-onset dementia.     

Prevention of child maltreatment in high-risk rural families: A randomized clinical trial with child welfare outcomes

Few studies have specifically examined prevention of child maltreatment among higher-risk populations in rural communities. The overarching goal of this study was to conduct a randomized clinical trial of SafeCare augmented for rural high-risk population (SC+) compared to standard home-based mental health services (SAU) to examine reductions in future child maltreatment reports, as well as risk factors and factors proximal to child maltreatment. Parents (N = 105) of young children (5 years or less) who had identifiable risk of depression, intimate partner violence, or substance abuse were randomized to SC+ or SAU. Participants randomized to SC+ were more likely to enroll (83% vs. 35% for SAU) and remain in services (35 h vs. 8 h for SAU). SC+ (for participants who successfully completed services) may have had limited impact on child welfare reports during service provision. Further, SC+ had fewer child welfare reports related to DV than SAU. Parent self-reports of parenting behaviors, risk factors, and protective factors did not demonstrate significant sustained program impact. Limitations include power constraints related to sample size. Promising next steps entail future trials with larger sample sizes examining service compliance and further augmentation of SafeCare to bolster service impact and address risk and protective factors.     

Mental disorders among non-elderly nursing home residents

Many Medicaid beneficiaries aged 22 to 64 with serious mental illness may be admitted to nursing facilities rather than psychiatric facilities as a result of Medicaid policies prohibiting coverage of inpatient psychiatric care in institutions of mental disease while requiring states to cover nursing facility care. Using nationwide Medicaid Analytic Extract claims from 2002, we found that nearly 16% of nursing home residents aged 22 to 64 had a diagnosed mental disorder, while 45.5% received antipsychotic medication, but these rates varied widely across states. Further research is necessary to determine whether, among the nation's youngest nursing home residents, care in nursing homes is potentially substituting for care in institutions for mental disease or community-based settings.     

De Beers,Anglo American and Optima Magazine

We consider in this article how the largest corporations in Apartheid South Africa used an in‐house magazine to manipulate their shareholders' perceptions of the current political scenario. We argue that in that era, business felt compelled to respond to the portrayal of events in South Africa presented by the international media. Furthermore, we examine the motivation of business for doing so and why that motivation does not exist in post‐apartheid South Africa.     

The Effect of Social Class on the Adjudication of Criminal Cases: Class-linked Behavior Tendencies,Common Sense,and the Interpretive Procedures of Court-appointed Defense Attorneys

This article addresses some important issues concerning the effect of social class on criminal case outcomes. Although the findings reported here support Donald Black's (1989) argument that a defendant's relative social class effects the quantity of law applied to a criminal case, they also indicate that this influence occurs through actors' interpretive procedures. Specifically, one group of court-appointed defense attorneys link behavior tendencies to court actors characterized as different social class types. These behavior tendencies are expressed through the grammar and rhetoric of “common sense”—a knowledge system which is evoked throughout all types of judicial proceedings. The attorneys' expectations of court actors shape their behavior such that lower-class defendants are likely to endure a greater quantity of law. The article concludes with some suggestions on how researchers might reconsider studying the effect of social class on criminal case outcomes.     

Using the Self‐Directed Search: Career Explorer With High‐Risk Middle School Students

The Self‐Directed Search: Career Explorer was used with 98 (95% African American) high‐risk middle school students as part of 14 structured career groups based on Cognitive Information Processing theory. Results and implications are presented on the outcomes of this program.     

Home-to-Work Conflict,Work Qualities,and Emotional Distress

Among a representative sample of employed men and women in Toronto, Canada, home-to-work conflict is associated positively with anxiety and depression. Two hypotheses propose work qualities as moderators. The double disadvantage hypothesis predicts that home-to-work conflict is more distressing when work is nonautonomous, routine, or noxious. The intrusion on job status/rewards hypothesis predicts that conflict is more distressing when work is autonomous, nonroutine, or nonnoxious. Results show that the association between home-to-work conflict and distress is stronger (1) among people in more autonomous jobs; (2) among women in routinized jobs; and (3) among men in noxious environments.