A 12-Month Follow-Up Evaluation of Integrated Treatment for Homeless Individuals With Co-Occurring Disorders

ABSTRACT

This study examined the effectiveness of the Comprehensive, Continuous, Integrated System of Care (CCISC) model in addressing co-occurring mental health and substance use disorders. Clients were eligible for participation if they had co-occurring disorders and were homeless or at risk of homelessness. Forty-eight clients received a comprehensive array of services consistent with the CCISC model. Measures assessing housing, employment, mental health, and substance use were completed at baseline, 6-month, and 12-month follow-up. Results demonstrated significant improvements in housing, employment, mental health, and substance use at 12-month follow-up. These results underscore the effectiveness of implementing evidence-based care.     

Understanding "elder abuse and neglect": a critique of assumptions underpinning responses to the mistreatment and neglect of older people

This article provides an overview of the ways in which the mistreatment and neglect of older people have come to be understood as a social problem, one which is underpinned by a variety of substantive and theoretical assumptions. It connects the process of conceptualizing elder abuse and neglect to political-economic and social evolution. The authors draw on a review of the literature, government sources, interest group websites, and their own research to provide a critical commentary illustrating how these understandings have become manifest in legislation, policies, and programs pertaining to "elder abuse and neglect" in Canada. Suggestions are provided for changes in direction for policies, programs, and research.     

Missing Structure: A Critical Content Analysis of the Olweus Bullying Prevention Program

School bullying is dominantly understood as an individualistic phenomenon, overlooking the sociostructural environment that creates and maintains it. A critical content analysis reveals that the Olweus Bullying Prevention Program is similarly lacking. The programme labels students as bullies and victims, ascribes these groups’ particular character traits, sidelines issues of bias and at times reproduces norms that foster bullying. The programme hyperfocuses on real‐time manifestations of bullying incidents, attempting to end bullying through universal monitoring of students and student compliance with anti‐bullying rules. It is argued that efforts to reduce school bullying should address both its individualistic and structural determinants.     

Human–environment interactions in South Florida's Everglades region: Systems of ecological degradation and restoration

This chapter examines the societal drivers of environmental change in South Florida's Everglades region during the past 150 years. This historical geography is developed through the use of a conceptual framework constructed to facilitate the analysis of human–environment interactions and nature–society systems of ecological degradation and restoration at the regional scale. The framework is composed of four basic interlinked components: interaction mechanisms (e.g., land use, direct resource utilization, pollution and external inputs, resource competition), feedback mechanisms (e.g., basic needs, quality of life, environmental ethics), control systems (e.g., governmental regimes, legal institutions, resource management), and the societal context (e.g., population and demographic patterns, social structure and organization, technology, economic conditions, societal values). A primary objective of this chapter is to determine the presence and importance of each of these components during the process of environmental change over the period of study—1845 to 1995.Data for the analysis are drawn from primary and secondary sources on the environmental, social, economic, and political history of South Florida. The results indicate that although elements of each component were present throughout the entire period, different elements of each component play more significant roles at differing moments. The shifts in importance are used to define four periods of environmental change within the region. The periods are the following: (1) frontier settlement (1845–1900), focused on basic needs acquisition and direct utilization of the resource base; (2) drainage and land conversion (1900–1930), focused on population and economic growth, land use change, and increased resource management and competition; (3) flood control and consolidation (1930–1950), focused on inputs from external sources and infusion of advanced technology, the development of governance and social structures, and increased concern for quality of life; (4) postwar boom, flood control, and water supply (1950–1970), focused on accelerated land use change, increased pollution, and further heightened concern for local quality of life; and (5) period of limits (1970–1995), focused on pollution and resource competition concerns, a developing regional environmental ethic and amenity values, and environmental preservation governance strategies.Taken together, the five periods represent the differing nature–society systems through which South Florida's regional ecosystem was degraded and which is now entering a phase of restoration.     

Religion that strengthens democracy: An analysis of religious political strategies in Israel

Theory and Society -