The decision making process of older adults who elect to receive ECT

Although there is extensive literature on electroconvulsive therapy (ECT), little documentation exists about how an individual makes the decision to receive ECT. This phenomenological study is an exploratory examination of the decision making process of older adults with mental illness who elect to receive ECT. Study participants included 7 older adults without dementia from a suburban geriatric medicine/psychiatry practice who elected to receive ECT. The lived experience of decision making as perceived by these 7 participants was a process that moved them toward wellness. The data revealed four significant themes: Support, Trust, Past Experience, and Desperation. An overriding substantive theme identified as an obstacle was the Stigma of Mental Illness. This study provided a basis for planning clinical practice and building further research.     

Self- and caregiver-reported experiences of young adults with developmental disabilities

The purpose of this study was to describe the experiences of young adults with developmental disabilities (DD) who were living in community settings with the aid of government-supported services. Six male and 10 female volunteer subjects (mean age = 24 years) were interviewed and the narrative data were analyzed revealing themes in six categories: (1) Home Life, (2) Relationships, (3) Health and Health Care, (4) Personal Growth and Accomplishments, (5) Occupation, and (6) Transportation. Subjects' most positive experiences were associated with integrated, comprehensive and timely services delivered by knowledgeable and sensitive service providers. Strong parental advocacy facilitated these features. Additionally, experiences were most positive when daily activities occurred within the sphere of either family or the disability community, as opposed to the broader community. Research is suggested to further understand the dynamics of integration in the broader community and to devise strategies to successfully facilitate this integration.     

Gender and Organizational Justice Preferences

Despite evidence that women and men possess similar workplace values, debate continues regarding gendered preferences for justice in the workplace. In particular, some have argued that women and men have fundamentally different justice orientations, which lead men to value fair outcomes and women to value fair procedures. Recent research finds that such beliefs may influence managers to reward men with greater monetary rewards than those provided to women. Here, we review this literature and argue that men and women do not have fundamentally different justice orientations. Instead, the few findings of gender difference in preferences for procedural vs. distributive justice in the workplace are a function of status differences between men and women.     

Cost analysis of the strengthening families program in reducing time to family reunification among substance-affected families

Decision makers typically face uncertainty in determining whether the outcomes of promising child welfare interventions justify the investment. Despite repeated calls for cost analysis in child welfare, original studies that evaluate the costs and effects of child welfare programs have been limited. Moreover, no cost analyses have focused on family reunification programs that address the needs of substance-affected families. The purpose of this study was to evaluate the costs and effects of a federally funded implementation of the Strengthening Families Program (SFP), a 14-week family training curriculum, on time to reunification with a substance-involved child welfare population. Based on event history analysis, we find the typical child participating in SFP spends 190 fewer days in out of home care when compared to a propensity score matched comparison group of children in out-of home care receiving treatment as usual. Re-entry rates between the two groups were not significantly different at follow-up. At an average out-of-home care rate of $86 per child per day in this state, SFP saves approximately $16,340 per participating child in out-of-home care costs. From a cost–benefit perspective, every $1 invested in SFP yields an average savings of $9.83 in this Midwestern demonstration.     

Principal component analysis of canine hip dysplasia phenotypes and their statistical power for genome-wide association mapping

The aims of this study were to undertake principal component analysis (PCA) of hip dysplasia (HD) and to examine the power of the principal components (PCs) in genome-wide association studies. A cohort of 278 dogs for PCA and that of 369 dogs for genotyping were used. The distraction index (DI), the dorsolateral subluxation (DLS) score, the Norberg angle (NA), and the extended-hip radiographic (EHR) score were used for the PCA. One thousand single-nucleotide polymorphisms (SNPs) (of 23,500) were used to simulate genetic locus sharing between the HD phenotypes and 1000 SNPs were used to calculate the genetic mapping power of the PCs. The DI and the DLS score (first group) reflected hip laxity and the NA and the EHR score (second group) reflected the congruency between the femoral head and acetabulum. The average hip measurements of the two groups reflected in the first PC captured 55% of total radiographic variation. The first four PCs captured 90% of the total variation. The PCs had higher statistical mapping power to detect pleiotropic quantitative trait loci (QTL) than the raw phenotypes. The PCA demonstrated for the first time that HD can be reduced mathematically into simpler components essential for its genetic dissection. Genes that contribute jointly to all four radiographic hip phenotypes can be detected by mapping their first four PCs, while those contributing to individual phenotypes can be mapped by association with the individual raw phenotype.     

Family–Peer Linkages: The Mediational Role of Attentional Processes

The goal of this study was to examine the role of attention regulation as a mediator between parent–child relationships and peer social skills. Using the National Institute of Child Health and Human Development (NICHD) Study of Early Child Care and Youth Development data set, mother–child and father–child relationships measured at 54 months and grade 1 predicted peer social skills at first and third grades. Attentional control processes, especially ability to sustain attention and ratings of attention problems, served as mediators between parent–child relationships and peer outcomes. The implications of these processes for theories of family-peer relationships are noted.     

What happens during and after school: Conditions faced by working parents living in poverty and their school-aged children

Past research has not looked directly at how parental working conditions are affecting the lives of school-age children living in or near poverty. This study examines the effects that the working conditions faced by low-income parents have on the care their school-age children receive and on parental involvement in their children's education and development. In-depth, semistructured interviews were conducted with 74 families with school-age children, including 44 families living at or below 150% of the federal poverty level and 30 families living above 150% of poverty. Teachers at every public afterschool program in the city were interviewed. One out of two low-income working parents faced barriers to becoming involved in their children's education. Two out of five faced barriers to participating in school meetings, school trips, or school events. Many parents had difficulty finding any time to spend with their children, let alone time to assist them with their schoolwork. The difficulties they faced are described in detail. Implications for educational and labor policy are discussed.     

Is Locally Led Conservation Planning Working? A Farm Town Case Study1

Abstract A qualitative case study of a rural Illinois community whose water supply has been compromised by a farm chemical is used to highlight the social, cultural, and economic factors that shape locally led planning efforts of a type now being advocated by natural resources governmental agencies. The paper answers the question: why did the central Illinois watershed planning effort craft a cooperative rather than a conflictual solution? Trust of and attachment to farmers, both evidence of social capital, helped community members to balance economic, social and health risks. The balance arrived at created a tacit mandate for a farmer-led planning committee to solve the atrazine problem in a way acceptable to farmers and townspeople. The cooperative solution represents a consensus: concerns remain, but people are willing to support the plan. Consensus also demonstrates that planning as a positive action can create new social capital, which can support further planning.