Complementing SBIRT for Alcohol Misuse with SBIRT for Trauma: A Feasibility Study

Reducing alcohol misuse is a priority for U.S. health officials considering that misuse of alcohol is a leading preventable cause of morbidity and mortality. Consequently, health centers are integrating Screening, Brief Intervention, and Referral to Treatment (SBIRT) for alcohol misuse within usual care. Although SBIRT is well validated among general patient samples, results have not generalized to drinkers with probable alcohol use disorder; moreover, little is known about the efficacy of SBIRT with patients who are of low-income or ethnic or racial minority status. Members of these groups are of particular concern because they are at risk to experience trauma, potentially in concert with alcohol misuse. Therefore, translational approaches to delivering SBIRT particularly with these groups of interest might be needed to meet the Grand Challenge of reducing alcohol misuse. Accordingly, this study combined SBIRT with a model designed to address psychological trauma: T-SBIRT. With a sample of 112 adults, most of whom were African American or Latino/a, authors analyzed multiple indicators of feasibility. Results indicated that T-SBIRT is suitable for and acceptable to patients accessing community-based health services, and T-SBIRT can promote high referral acceptance rates to specialty treatment, particularly among patients with probable alcohol use disorder.     

Standards of Care in Assessment of Lesbian,Gay, Bisexual,Transgender, Gender Expansive,and Queer/Questioning (LGBTGEQ+) Persons

ABSTRACT

A Joint Task Force comprised of members of the Association for Lesbian, Gay, Bisexual, and Transgender Issues in Counseling (ALGBTIC) and the Association for Assessment and Research in Counseling (AARC) present standards of care for assessment of Lesbian, Gay, Bisexual, Transgender, Gender Expansive, and Queer/Questioning (LGBTGEQ+) Persons.     

Formal Alternative Transportation Options for Older Adults: An Assessment of Need

ABSTRACT

This study measured the need for formal alternative modes of transportation among older adults by applying traditional factors of the Behavioral Model. Survey participants who regularly drove were compared to those who could no longer drive. Race/ethnicity and self-reported health were significant predictors of perceived need for transportation services for both groups. However, income and service awareness were significant predictors only for drivers, while family proximity was a significant predictor only for non-drivers. Results suggest the importance of gaining a better understanding of the factors associated with need for senior-focused transportation services to more effectively plan such programs.     

Mnemonic Institutions and Residential Clustering: Jewish Residential Patterns in Toronto

In this paper, we envisage how the sociohistorical experiences of groups are related to their residential patterns. We posit that the residential clustering of a group can be strongly related to the group's mnemonic institutions, which are organizational symbols of collective identity that link the present to the past. We present the case of Jewish residential clustering patterns in Toronto to demonstrate our arguments. We employ 2001 Canadian Census tract‐level data to show Jewish residential clustering patterns in relation to the presence of a synagogue or Jewish community center, the mnemonic institutions of Jews.     

Difference in Condom Use Between Bear Concordant and Discordant Dyads During the Last Anal Sex Event

The purpose of this study was to understand how bear identity influenced condom use during the last anal sex event. Participants were recruited to complete an online, anonymous self-report survey through bear-related sexual and social networking websites. A total of 1,080 men who identified as gay or bisexual and as a member of the bear community and were 18 years or older completed the survey. Overall, fewer than a third of men reported condom use during the most recent receptive (28%) and insertive (30%) anal sex event. Men in bear concordant pairings were less likely to use a condom during receptive and insertive anal sex compared to those is discordant pairings (p < .05). Findings suggest that bear identity concordance influences condom use during anal sex after accounting for an individual’s relationship to their most recent partner as well as other confounding variables.     

Why are there so few women in information technology? Assessing the role of personality in career choices

Despite increases in female labor force participation, women remain substantially under represented in most scientific and technical fields. The small number of women in engineering, physics, chemistry, computer science and other similar fields has variously been attributed to discrimination, differences in ability or choice. This paper uses a unique data set containing information on vocational interests to examine the determinants of entry in to Information Technology occupations. We show that men and women differ systematically in their interests, and that these differences can account for an economically and statistically large fraction of the occupational gender gap.     

The emergence of Sub-Replacement Family Size Ideals in Europe

Period fertility started to drop significantly below replacement in most Western European countries during the 1970s and 1980s, while most fertility surveys, value studies and opinion polls have found that the number of children considered ideal for society or for one's own family has remained above two children per woman. These surveys have led to the expectation that, sooner or later, period fertility would recover in Europe. The most recent data from the Eurobarometer 2001 survey, however, suggest that in the German-speaking parts of Europe the average ideal family sizes given by younger men and women have fallen as low as 1.7 children. This paper examines the consistency and the credibility of these new findings, which – if they are indeed indications of a new trend – may alter the current discussion about future fertility trends in Europe.