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11.
A Cost–Benefit Analysis of a Family Systems Intervention for Managing Pediatric Chronic Illness
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![点击此处可从《Journal of marital and family therapy》网站下载免费的PDF全文](/ch/ext_images/free.gif)
Brian J. Distelberg Natacha D. Emerson Paul Gavaza Daniel Tapanes Whitney N. Brown Huma Shah Jacqueline Williams‐Reade Susanne Montgomery 《Journal of marital and family therapy》2016,42(3):371-382
Despite recent increases of psychosocial programs for pediatric chronic illness, few studies have explored their economic benefits. This study investigated the costs–benefits of a family systems‐based, psychosocial intervention for pediatric chronic illness (MEND: Mastering Each New Direction). A quasi‐prospective study compared the 12‐month pre–post direct and indirect costs of 20 families. The total cost for program was estimated to $5,320. Families incurred $15,249 less in direct and $15,627 less in indirect costs after MEND. On average, medical expenses reduced by 86% in direct and indirect costs, for a cost–benefit ratio of 0.17. Therefore, for every dollar spent on the program, families and their third payers saved approximately $5.74. Implications for healthcare policy and reimbursements are discussed. 相似文献
12.
Deporting Fathers: Involuntary Transnational Families and Intent to Remigrate among Salvadoran Deportees
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![点击此处可从《The International migration review》网站下载免费的PDF全文](/ch/ext_images/free.gif)
Jodi Berger Cardoso Erin Randle Hamilton Nestor Rodriguez Karl Eschbach Jacqueline Hagan 《The International migration review》2016,50(1):197-230
One‐fourth of deportees from the United States are parents of US‐citizen children. We do not know how separation from families affects remigration among deportees, who face high penalties given unlawful reentry. We examined how family separation affects intent to remigrate among Salvadoran deportees. The majority of deportees with children in the United States were also separated from their spouse, and the vast majority had US‐citizen children. Family separation was the single most important factor affecting intent to remigrate. We interpret these findings in light of immigration policy debates. 相似文献
13.
Jacqueline A. Miller Edward A. Smith Donna Coffman Catherine Mathews Lisa Wegner 《Journal of research on adolescence》2016,26(4):673-686
Nearly 20% of South African youth experience forced or coerced sexual intercourse. Understanding the factors associated with forced sex is important for informing prevention programs aimed at reducing sexual violence and HIV and AIDS. Multilevel regression models test the association between sexual situation self‐efficacy and forced sex among 2,893 South African adolescents. Findings suggest that youth are more likely to experience forced sex after periods of time when their levels of self‐efficacy are lower than their average levels of self‐efficacy. Furthermore, youth who are lower on their self‐efficacy compared to their peers are more likely to experience forced sex. Implications for prevention research are discussed. 相似文献
14.
Jacqueline Martin Tracy Gladstone Anne Diehl William Beardslee 《Journal of Technology in Human Services》2016,34(3):267-284
This study evaluated the acceptability, feasibility, and satisfaction associated with a newly developed online clinician training program for the Family Talk preventive intervention, both alone and together with a redesigned, shortened, face-to-face component. Fifty-eight predominately in-home therapy clinicians participated in the study. Results indicated that clinician participants found the online training to be enjoyable and comprehensive, and they reported that the most beneficial training package involved the combination of web-based and in-person training. This combined training could efficiently cover necessary didactic material online while also delivering important clinical skill practice and in-person discussion. Exceptions, limitations, and important future research questions are discussed. 相似文献
15.
Jacqueline M. Williams-Reade Daniel Tapanes Brian J. Distelberg Susanne Montgomery 《Journal of marital and family therapy》2020,46(1):135-148
In pediatric chronic illness, little is known about the relational interactions between adolescent patients, parents, and illnesses and how they influence self-management of illness. We conducted interviews with 32 individuals (16 dyads) representing adolescents diagnosed with a chronic illness and their primary parent who had been referred to a psychosocial treatment program for challenges with illness management. Interviews were conducted individually and analyzed dyadically using grounded theory to better understand the relational processes that may be contributing to illness management difficulties. Results include a theory of patient–parent illness responses and how parental illness meanings play a role in adolescent self-management. Results can be used to better understand and treat family relational patterns that may be influencing pediatric illness management challenges. 相似文献
16.
This paper uses the concept of aesthetic formation to examine the practices through which diasporic imaginations become tangible and experienced as ‘real’. The authors interpret sport as an embodied aesthetic practice through which diasporas materialise, with important implications for identification and belonging. Drawing on ethnographic fieldwork on a transnational community-based sports event, the Amsterdam Futsal Tournament, the paper discusses how articulations of Somali diasporism become tangible and embodied in subjects who participate in this event. The authors conclude that these materialisation practices can simultaneously elicit multiple forms and levels of belonging that also foster a sense of integration and belonging to the nation. 相似文献
17.
ABSTRACTThis study describes a community-university partnership to support a gerontological social work student-delivered respite program, the Houseguest Program (Houseguest). Houseguest was designed using a community-engaged scholarship model of integrating research, teaching, and service. Houseguest was piloted with a small group of community-dwelling, coresiding dementia caregivers and care recipients. We examined caregivers’ experiences with student-delivered respite using qualitative data analysis. Thematic analysis produced 8 themes: (a) respite from full time caregiving role, (b) information on caregiving strategies, (c) no-cost supportive services, (d) opportunity for care recipients to socialize, (e) tailored activities for care recipients, (f) rapport-building between students and family dyad, (g) reciprocity between students and family dyad, and (h) program continuation. We conclude with a proposed community-engaged scholarship model for dementia caregiving. Through a community-university partnership, Houseguest reduced the impact of caregiver burden and created an opportunity for students to serve families affected by dementia through respite and tailored activities. 相似文献
18.
Health research traditionally has focused on the health risks and deficits of lesbian, gay, bisexual, transgender, and queer (LGBTQ) populations, obscuring the determinants that can promote health across the life course. Recognizing, appropriately measuring, and rendering visible these determinants of health is paramount to informing appropriate and engaging health policies, services, and systems for LGBTQ populations. The overarching purpose of this article is to provide an overview of the findings of a scoping review aimed at exploring strengths-based health promotion approaches to understanding and measuring LGBTQ health. Specifically, this scoping review examined peer-reviewed, published academic literature to determine (a) existing methodological frameworks for studying LGBTQ health from a strengths-based health promotion approach, and (b) suggestions for future methodological approaches for studying LGBTQ health from a strengths-based health promotion approach. The findings of this scoping review will be used to inform the development of a study aimed at assessing the health of and improving pathways to health services among LGBTQ populations in Nova Scotia, Canada. 相似文献
19.
Jacqueline Huscroft-D’Angelo Alexandra L. Trout Matthew C Lambert Ronald Thompson 《Journal of Family Social Work》2017,20(5):433-456
ABSTRACTResidential care is one of the most restrictive out-of-home care settings; however, this is a temporary placement and youth eventually reintegrate into the home and community setting. Reintegration presents many challenges, and aftercare becomes critical for maintaining youth gains and promoting family stability. Aftercare programs and supports should align to individual family needs that entail understanding individual and familial characteristics. Previous studies have explored characteristics related to family functioning, mental health, behavior, and perceptions of need during reintegration; yet little is known regarding how affective characteristics (i.e., self-efficacy, empowerment) factor into reintegration, or the implications this may have for providers. The purpose of this study was to address this gap by exploring empowerment and self-efficacy in caregivers (N = 120) who had a child return home within 1 month of departing residential care. Overall, caregivers reported high levels of empowerment and self-efficacy during the initial transition period. Significant differences for empowerment and self-efficacy were present in characteristics such as race, income, number of children in the home, and free/reduced lunch status. 相似文献
20.
Jacqueline Kennelly 《Journal of youth studies》2017,20(2):145-161
Drawing on a five-year qualitative study on the impacts of the Olympic Games on homeless and marginally housed youth in two host cities (Vancouver 2010 and London 2012), this paper explores the instances of ‘symbolic violence’ perpetuated by the institutional infrastructure associated with the Olympics. Following Pierre Bourdieu’s use of the term, symbolic violence refers to the manner in which the young people turned dominant notions of what the desirable Olympic city looks and feels like into a sense of their own non-belonging and/or inadequacy, experienced bodily and emotionally. Feeling pressured to vie for elusive Olympic jobs and volunteer positions, and to be less visible to the thousands of tourist-spectators for the Games, youth in both cities reported a defiant mix of frustrated indignation and resigned acceptance that they did not ‘fit’ the image of the global Olympic city that organizers were trying to convey. The paper argues that this social harm, difficult to measure yet real nonetheless, is an important though unintended legacy of the Olympic Games for homeless and marginally housed youth living in its shadows. The paper also calls for a more sustained engagement with Bourdieu’s concept of symbolic violence in youth studies as a discipline. 相似文献