At Midlife, Intentionally Childfree Women and Their Experiences of Regret

Based on the author’s exploratory qualitative study of the experiences at midlife of 15 intentionally childfree married or partnered women, this paper focuses on one finding and related themes. A constructivist grounded theory methodology guided data collection in many areas of midlife, including regret, menopause, and relationships. The data suggested that for most in the study, menopause, perimenopause, and reaching midlife did not awaken feelings of regret over their decision to live childfree. The author discusses implications for clinical work with childfree women at midlife.     

Concurrent reductions in psychotropic medication,assault, and physical restraint in two residential treatment programs for youth

Over the past decade, the level of clinical needs of youth in residential treatment has increased significantly. Youth in out-of-home settings typically experience higher levels of psychotropic medication use than their peers living at home, even when controlling for the severity of clinical issues. The purpose of the current study was to examine the effects of an approach to clinically reassess psychotropic medication utilization for youth residing in residential treatment settings while also observing the impact on the youth's need for physical containment. Medication changes were based on a data-informed process, using input from a multi-disciplinary treatment team. Data for 531 youth who were consecutively admitted to one of two non-affiliated intensive residential treatment programs, one in the Midwest and one in New England, was analyzed. Over half of these youth (n = 292, 55%) had their medications reduced during their stay and only 14% (n = 76) were prescribed more medication at discharge than they had been taking at admission. The remainder either saw no change during their stay (n = 104, 20%) or were never on medication at any time (n = 59, 11%). From admission to discharge there was a 62% decrease in the number of assaultive incidents as well as a 72% decrease in the use of physical restraints. These results support the view that residential treatment can provide a treatment milieu that allows for thoughtful reassessment of the clinical basis for behavioral disorders in children that can achieve the dual goals of medication reduction and behavioral stabilization.     

Sociocultural and epidemiological issues in the assessment of domestic violence

This paper presents alternative models for the integration of multicultural issues in research on domestic violence. Issues are discussed that illustrate ethnic specific strengths, concerns, and weaknesses of ethnic families and communities. These issues need to be incorporated in future research that more thoroughly examines ethnic and cultural issues in violence research. Alternative strategies for future research are also suggested which call for the incorporation of ethnic and cultural issues on an ongoing basis, so that commonalities across studies can emerge and we can begin to understand the cultural context of domestic violence.     

Perceived Risk, Stigma, and Potential Economic Impacts of a High-Level Nuclear Waste Repository in Nevada

This study investigates the potential impacts of the proposed nuclear waste repository at Yucca Mountain, Nevada, upon tourism, retirement and job-related migration, and business development in Las Vegas and the state. Adverse impacts may be expected to result from perceptions of risk, stigmatization, and socially amplified reactions to "unfortunate events" associated with the repository (major and minor accidents, discoveries of radiation releases, evidence of mismanagement, attempts to sabotage or disrupt the facility, etc.). The conceptual underpinnings of risk perception, stigmatization, and social amplification are discussed and empirical data are presented to demonstrate how nuclear images associated with Las Vegas and the State of Nevada might trigger adverse economic effects. The possibility that intense negative imagery associated with the repository may cause significant harm to Nevada's economy can no longer be ignored by serious attempts to assess the risks and impacts of this unique facility. The behavioral processes described here appear relevant as well to the social impact assessment of any proposed facility that produces, uses, transports, or disposes of hazardous materials.     

Changes in Perceived Parent Derogation in a Sample of African American and Non-Hispanic White Males Through the Middle School Years

The purpose of this study was to determine if there were racial differences in perception of parent derogation (i.e., feeling put down by one's parents) in a sample of 451 non-Hispanic White and African American males as they progressed through three years of middle school. Chi-square analyses were used to determine the proportion of participants reporting high levels of parent derogation. Independent t test analyses were utilized to determine mean parent derogation scores. Results indicated that there were no statistically significant differences in mean parent derogation scores between the two races. Furthermore, the mean scores remained stable during the three years of the study. However, the proportion of African American participants reporting high parent derogation was almost double that of their non-Hispanic White peers during the sixth grade, but almost equal in eighth grade. Cultural factors experienced by the two racial groups are discussed as possible explanations for the differences in parent derogation scores over time.     

Sharing the Baton,Not Passing It: Collaboration between Public and Private Child Welfare Agencies to Reunify Families

ABSTRACT

Increasingly, public sector child welfare agencies are contracting with private agencies for the provision of specialized services to clients while maintaining oversight and case management responsibilities. At the same time, funders, both private and public, are demanding that service providers partner and collaborate with one another. In this article, we present results from a study of a unique partnership between two state child welfare agencies and a private child welfare agency aimed at reunifying families whose children have been removed and placed in foster care. Data was obtained from 41 key informants using a questionnaire and a structured interview. Findings support earlier studies of collaboration, and indicate the strengths of this partnership and factors that facilitated and hindered it. The results have implications for agencies that both contract for and provide a range of child welfare services as well as other interagency relationships.