Understanding and Utilizing Parallel Processes of Social Interaction for Attachment-based Parenting Interventions

In an effort to meet both the parenting and treatment needs of substance-abusing women who are parents, residential drug treatment programs have been struggling to find the best approach. A qualitative-quantitative study of the parenting experience of mothers in residential drug treatment programs housing both mothers and their children found that relational processes characterized how these mothers perceived parenting as well as treatment. The findings presented the interplay and mutuality between a mother’s interactions (natural or facilitated) with the external social world that includes her child and those connected to the treatment facility and the internal formation of her sense of herself, her child, and others, along with the changes in both areas that took place in the facility. These findings lend important support to the use of attachment-based parenting interventions in residential drug treatment programs by drawing on these relational processes.

Implications of Recent Research on Eastern European Adoptees for Social Work Practice

Social workers engaged in preparing and supporting families that adopt non-infants and sibling groups from Russia and other Eastern European countries need to be well-versed in: (1) the issues that affect this population of adoptees and adopters; and (2) the recent research on both. They also need to expand the model of adoptive families that drives their work. The authors identify three areas of risk to successful older-child adoptee and adoptive family functioning, explore the consequences of detrimental adoption policies and practices on the micro and macro-levels, and make recommendations for needed changes. The changes the authors identify are framed through an investigation of recent research on international adoptees and their adoptive families. The authors use adoptive parents’ own words to make the issues they discuss more concrete. Implications for social worker training and practice, and expanded roles for social workers, are identified.     

Who Shall Decide? The Relevance of Theory and Research to Decision-making by People with an Intellectual Disability

In the context of normalisation and rights recognition, capacity for decision-making by people with an intellectual disability has emerged as an important but potentially contentious issue. Although increased community integration has opened up many new options, opportunities for greater autonomy are still unnecessarily constrained. Perceptions of limited competence, the issue of who has control over choices, and organisational structures are some of the factors which influence the extent to which clients are able to make decisions. This paper argues that, in order to resolve these issues, decision-making by people with an intellectual disability should be studied within the broader context of psychological theories of decision-making and human behaviour. Theoretical findings are reviewed and areas identified in which decision-making behaviour may break down. The relevance of theoretical research to issues of competence and empowerment, and to the small body of research on decision-making and choice by people with an intellectual disability is discussed. It is concluded that future research should focus on contextual variables, including the nature of the decision to be made, which affect decision-making competence in people with an intellectual disability.     

The Place of Single Session Family Consultations: Five Years’ Experience in Canberra

Open Day, in the form of two half day single session family clinics, has operated weekly in the ACT Child and Adolescent Mental Health Service since April 1993 and over a thousand families have been seen. Clinicians are often resistant to the concept of single sessions and frequently overestimate the amount of assistance that clients feel they require. However in an era of sharply increasing demand for services, selective use of single family sessions for milder problems, screened by a telephone intake process, has value to both families and workers. Telephone follow-ups of 100 families in 1994 and 70 families in 1996 found that single session family interviews were well accepted by the large majority of families seen. Clinicians see the program as reducing pressure from clients for early attention, enhancing client motivation when seen at crisis times, providing readily available consultation support from peers, increasing learning opportunities and building inter-disciplinary team work.     

Projections of Cancer Risks Attributable to Future Exposure to Asbestos

To assess the maximum possible impact of further government regulation of asbestos exposure, projections were made of the use of asbestos in nine product categories for the years 1985-2000. A life table risk assessment model was then developed to estimate the excess cases of cancer and lost person-years of life likely to occur among those occupationally and nonoccupationally exposed to the nine asbestos product categories manufactured in 1985-2000. These estimates were made under the assumption that government regulation remains at its 1985 level. Use of asbestos in the nine product categories was predicted to decline in all cases except for friction products. The risk assessment results show that, although the cancer risks from future exposure to asbestos are significantly less than those from past exposures, in the absence of more stringent regulations, a health risk remains.     

The clubhouse model: An outcome study on attendance,work attainment and status,and hospitalization recidivism

The purpose of this outcome study is to assess the effectiveness of one clubhouse program model, Connections Clubhouse. The study was conducted on 117 randomly selected members attending Connections Clubhouse from January 1998 to June 1999. The study examines the effect of attendance rates on members' employment attainment and status, and on rate of hospitalization recidivism. Rate of hospitalization recidivism was conceptualized as the difference between number of hospitalizations after enrollment and before enrollment in the program. It is hypothesized that adult psychiatric patients, with a high rate of attendance at Connections Clubhouse, will demonstrate (a) a high rate of employment attainment and more advanced employment status; and (b) a low rate of hospitalization recidivism as compared to those with a low attendance rate. As hypothesized, the proportion of members with a high rate of attendance with no employment of any kind was significantly lower than the proportion of members with a low rate of attendance. Though less pronounced, the proportion of members with a high rate of attendance holding a more advanced employment status was significantly higher than the proportion of members with a low rate of attendance. As expected, the recidivism rate of members with a high rate of attendance was significantly lower than for members with a low rate of attendance.     

Fertility and replacement: Some alternative stochastic models and results for Brazil

The observed joint distribution of births and child deaths for a cohort of women at a given point in time depends on the number of children that would have been born had the family experienced no deaths, the number of child deaths experienced, and the proportion of these deaths that are replaced by a subsequent birth. In this paper we estimate the parameters of the assumed distributions of these three events using a minimum distance estimation model and data from the 1970 Brazilian census. The parameter estimates are shown to be similar to those obtained previously using a maximum likelihood estimation model. When the data are subdivided according to women's years of schooling, estimates of probability of a child death and mean and variance of children born if no deaths decrease while estimates of probability of replacement of a dead child increase as years of schooling increase.