Medicare and Medicaid Reimbursement Rates for Nursing Homes Motivate Select Culture Change Practices But Not Comprehensive Culture Change

Components of nursing home (NH) culture change include resident-centeredness, empowerment, and home likeness, but practices reflective of these components may be found in both traditional and “culture change” NHs. We use mixed methods to examine the presence of culture change practices in the context of an NH’s payer sources. Qualitative data show how higher pay from Medicare versus Medicaid influences implementation of select culture change practices, and quantitative data show NHs with higher proportions of Medicare residents have significantly higher (measured) environmental culture change implementation. Findings indicate that heightened coordination of Medicare and Medicaid could influence NH implementation of reform practices.     

The challenges of poverty and social welfare in the Caribbean

Poverty and related social problems have presented a long-standing challenge to policy makers and development planners throughout the Caribbean. This article is a social primer on anti-poverty strategies and welfare programmes established in Caribbean countries. It presents a comprehensive overview of poverty and attendant problems, discusses the social welfare approach and poverty reduction strategies, and outlines practical proposals for pursuing social development.     

Cognitive Pretesting and the Developmental Validity of Child Self-Report Instruments: Theory and Applications

OBJECTIVE: In the context of the importance of valid self-report measures to research and evidence-based practice in social work, an argument-based approach to validity is presented and the concept of developmental validity introduced. Cognitive development theories are applied to the self-report process of children and cognitive pretesting is reviewed as a methodology to advance the validity of self-report instruments for children. An application of cognitive pretesting is presented in the development of the Elementary School Success Profile. METHOD: Two phases of cognitive pretesting were completed to gather data about how children read, interpret and answer self-report items. RESULTS: Cognitive pretesting procedures identified validity problems with numerous items leading to modifications. CONCLUSIONS: Cognitive pretesting framed by an argument-based approach to validity holds significant potential to improve the developmental validity of child self-report instruments.     

Rabbits in the fields: Temporal, spatial, and behavioral explanations of dryland crop failure in the Great Basin, 1912–1920

Records of dryland homesteaders in three parts of the Great Basin between 1912 and 1920 show that crop failures were common occurrences, and that failure was more often attributed to jackrabbits than to drought. These records demonstrate that most failures caused by rabbits conformed to well-defined temporal and spatial patterns, but they also make it clear that some losses can be explained only by specific actions taken by the farmers, their families, and neighbors.     

Texting among United States young adults: An exploratory study on texting and its use within families

The current study examines general text messaging tendencies, patterns of and reasons for texting family members, and the impact of texting on familial relationships among a young U.S. adult sample. Participants were recruited through Facebook; they then completed an online questionnaire. Data from 127 young adults (men: 38; women: 87; unidentified: 2) are analyzed and compared by gender. Findings suggest that young adults text at high rates per month. Participants generally report a prompt response to texts and their ability to honestly express feelings within these messages. Results also suggest participants text family members for a variety of reasons, such as to convey information, plan activities, and engage in general conversation. Distinct gender differences, however, are evident regarding who men and women text as well as texting's effects on familial relationships. Overall, these findings expand researchers’ understanding of texting in general and its impact within the family.     

Social work ‘logged on’: contemporary dilemmas in an evolving ‘techno-habitat’

Information and communication technologies have become an integral part of daily life. This article explores the impact of the social networking site, Facebook, e-mail and text messaging for social workers in the Republic of Ireland. The study is small-scale and the findings, derived from a number of research interviews with practitioners and a survey of social work students, cannot be regarded as representative. However, the findings illuminate key dilemmas which are becoming apparent in social work’s evolving ‘techno-habitat’ and these are likely to be replicated, to different degrees, elsewhere in Europe.     

Puerto rican drug users’ experiences of physical and sexual abuse: Comparisons based on sexual identities

This study integrates the results of quantitative and qualitative methods to elucidate the association between sexual identity and physical and sexual abuse among Puerto Rican drug users. A structured questionnaire was administered to 800 subjects in New York and 399 in Puerto Rico. A total of 93 subjects (7.9%) self‐identified as homosexual or bisexual. Gay males were significantly more likely than heterosexual males to report first occurrence of physical abuse by a family member in childhood. Both gay and bisexual males were more likely than their heterosexual counterparts to report first experiencing unwanted sex in childhood and intimate partner physical abuse later in life. Lesbians were more likely than female heterosexuals to report unwanted sex in childhood. Qualitative data were collected through in‐depth life histories with 21 subjects and suggest that gay and lesbian subjects perceive antihomosexual prejudice on the part of family members as one cause of childhood physical and sexual abuse.     

A qualitative study investigating adolescents' understanding of aggression,bullying and violence

There is a general consistency across the research literature regarding the definition of bullying. This has filtered down into the construction of governmental and school anti-bullying policies around the world. However, research suggests that children and adolescents are failing to accurately identify cases of bullying. This in turn has implications upon the accuracy of our perception of the extent of the problem of bullying within schools. The current study aimed to investigate how 11–17 year olds understand and differentiate between terms relating to interpersonal peer aggression, violence and bullying. Fifty-seven (twenty male, thirty-seven female) participants were recruited via an opportunity sample. Participants took part in focus group interviews within which they were asked to provide a definition for a list of words relating to both traditional and cyber forms of aggression, bullying and violence. Thematic analysis revealed that the participants held a shared understanding of the terms relating to aggression, bullying and violence. Participants defined each term by describing the behaviors involved, their perception of the level of control the perpetrators of each type of negative peer interaction have and the perception of those involved. The implications of these findings for both policy and future research are discussed.