Exposure Therapy for Problem Gambling via Videoconferencing: A Case Report

This case report of a 31 year old woman who described her main problem as an uncontrollable urge to gamble on electronic gaming machines describes the application of exposure therapy (ET) by videoconferencing and the use of a clinical therapy assistant in the treatment of pathological gambling. The case study is used to demonstrate the effectiveness of this treatment with six sessions of therapy and 4 year follow up. The use of videoconferencing is discussed in relation to treatment effectiveness, ongoing follow up for the client and education and support for a community mental health nurse, therapy assistant, in a rural setting in South Australia. The implications of using this modality for the treatment of rural patients with problem gambling is discussed.     

Health benefits of volunteering in the Wisconsin longitudinal study

We investigate positive effects of volunteering on psychological well-being and self-reported health using all four waves of the Wisconsin Longitudinal Study. Confirming previous research, volunteering was positively related to both outcome variables. Both consistency of volunteering over time and diversity of participation are significantly related to well-being and self-reported health. The relationship of volunteering to psychological well-being was moderated by level of social integration, such that those who were less well integrated benefited the most. Mattering appears to mediate the link between volunteering and wellbeing. Controls for other forms of social participation and for the predictors of volunteering are employed in analyses of well-being in 1992. We find volunteering effects on psychological well-being in 2004, controlling for 1992 wellbeing, thus providing strong evidence for a causal effect.     

Organizational constructs as predictors of effectiveness in child welfare interventions

Organizational context, including line worker characteristics and service settings, may help explain the equivocal findings of intervention studies in the field of child welfare. Yet organizational context has been largely ignored in studies of child welfare interventions. The purpose of this article is to expound upon the likely role of the organizational context in explaining service effectiveness in child welfare. Several bodies of literature within child welfare and human service organization and administration are reviewed and synthesized. A conceptual framework that can be used to guide future child welfare research is then proposed.     

Analysis and treatment of self-neglectful behaviors in three elderly female patients

Three cases of self-neglect in elderly female patients are presented. Ranging in age from 84 to 92, subjects suffered from chronic, non-terminal illnesses, and engaged in such behaviors as refusal to eat, non-adherence to a prescribed therapeutic regimen, and extreme social withdrawal.One lived in the community and two resided in assisted living facilities in Louisville, Kentucky. Initial interviews strongly suggested that the patients' engagement in self-neglect was an inappropriate yet purposeful response to aversive events or other negative stimuli. Goals of treatment were to (1) identify specific factors which precipitated patient use of potentially life-threatening behavior, and (2) employ behavioral methods of intervention in response to the identified precipitators. Outcomes were moderately positive. Behavioral interventions reduced engagement in self-neglectful behaviors for each of the participants to a clinically significant degree. Positive results were maintained during the three-month period following treatment termination.     

The experience of trauma recovery: a qualitative study of participants in the Women Recovering from Abuse Program (WRAP)

The efficacy of intensive group treatment programs for child maltreatment has been established. The aim of this qualitative study was to understand how women with a history of child maltreatment experienced the Women Recovering from Abuse Program (WRAP), an existing intensive group treatment program. Seven women were interviewed following their participation in WRAP. Three themes emerged: Breaking Trauma-Based Patterns, Doing Therapy, and The Healing Journey as a Continuous Process. These findings deepen our understanding about how participants view the recovery process. Theoretical and clinical implications are discussed.     

Do-It-Yourself Social Policy: Searching for a New Paradigm?

One of the most significant trends of recent decades has been the growing importance of do-it-yourself social policy: i.e. individuals constructing their own welfare mix both within the public sector and in private markets. This paper argues that this challenges the traditional top-down bias of social policy studies and requires a shift of focus within the discipline. The implications for normative theory, research strategy and policy analysis are explored. Some of the arguments for and against choice as a guiding principle are sketched out; some existing research on benefit take-up and choice in education and health is reviewed and the case for moving away from the economist's simple model of rationality is put forward. Finally, we argue, there should be more emphasis in social policy on developing a better understanding of the way in which individuals take their decisions, the context of public policy within which they act and the interaction between the two.     

Activation as a Common Framework for Social Policies towards Lone Parents

This article compares recent social policy reforms in respect of lone-parent families in three different national contexts: France, the Netherlands and the UK. In all three countries there is an increasing focus on activation policies to promote employment among lone parents. The authors examine whether this common framework of activation has led to a policy convergence across these three countries.     

AIDS Risk Behaviors among American and Australian Homeless Youth

We examined HIV/AIDS risk behaviors among homeless youth in cross-national data collected in Melbourne, Australia ( n = 398), and Los Angeles, California ( n = 498). Using structural equation modeling, we found that the Australian youth reported greater involvement in AIDS risk behaviors than the American youth and the Australian youth were more involved in intervening risk factors that promote risk behaviors and less involved with protective factors that reduce risk behaviors. Youth reporting the highest rates of delinquent behaviors also had peers engaging in delinquent acts, used alcohol and marijuana, and were more likely to utilize social services. These findings underscore the importance of having a service sector that is able to adequately address the needs of homeless youth .     

Predicting Presence and Level of Nonresident Fathers' Involvement in Infants' Lives: Mothers' Perspective

A nonresident father's involvement can be divided into two components: presence (if a father is involved in his child's life) and level (how much he is involved). Guided by role saliency theory, this study simultaneously examined predictors of these two components. Data were drawn from 1,215 mothers of the Fragile Families and Child Wellbeing Study. Zero-inflated negative binomial regression models revealed that the coparental relationship had different influences on the presence and level of father involvement. Although relationship status, quality, and conflict influenced presence of father's involvement, parents' positive relationship was the major factor that predicted level of involvement.