A Collaboratively Designed Child Mental Health Service Model: Multiple Family Groups for Urban Children with Conduct Difficulties

This paper presents preliminary outcomes associated with an experimental, longitudinal study of a Multiple Family Group (MFG) service delivery approach set within thirteen urban outpatient clinics serving children and their families living in inner-city, primarily African American and Latino communities. Specifically, this paper focuses on parent reports of child oppositional behavior and parenting stress over time. MFG is a flexible, protocol-driven approach designed to address the most common reason for referral to outpatient child mental health clinics, childhood behavioral difficulties. The MFG also aims to enhance family-level engagement and retention in ongoing care. Further, the service delivery model was collaboratively developed with intensive input from parents rearing children with conduct difficulties, parent advocates, community-based child mental health providers and services research staff in order to ultimately expand the number of effective service models that can be situated within "real world," urban child mental health settings.     

Storymining: eliciting stories and mining their content for cultural levers

This article describes storymining, a process that involves gathering stories and mining their content to ‘bring to the surface’ a deeper understanding of the adaptive and cultural aspects of the system. These aspects, or cultural levers, can then be used to inform action. The article aligns storymining with qualitative research and differentiates it from other storytelling interventions. The article also includes a case study of a storymining experience in a healthcare organization. The author suggests that HRD practitioners can use this approach in a variety of ways, including moving individuals, organizations and/or communities towards action and navigating complexity.     

Stillbirth and the Couple: A Gender-Based Exploration

ABSTRACT

The stillbirth of a baby occurs in about 1 in 110 families yearly. Yet, little is understood about the ways in which grieving mothers and fathers experience the baby's death. This study is intended to explore the ways in which bereaved parents perceive and cope with the death of their baby and how the baby's death affects them both individually and as a couple. Respondents answered open-ended questions about their experiences. Results suggest that mothers and fathers grieve individually and collectively, struggling to find meaning in their losses. Responses to a baby's death may depend, in part, on the parent's gender, as well as on the individual's locus of control, couple and family cohesion, the degree of attachment to the baby, and social support. The death of a baby may create conflict in a marital dyad, yet many couples also experience a greater sense of closeness. A therapeutic relationship that is nonhierarchical and egalitarian, focusing on “keeping the therapist close to the experience of each partner” (Vatcher &; Bogo, 2001 Vatcher , C. , &; Bogo , M. ( 2001 ). The feminist/emotionally focused therapy practice model: An integrated approach for couple therapy . Journal of Marital and Family Therapy , 27 ( 1 ), 69 – 83 .[Crossref], [PubMed], [Web of Science ®] , [Google Scholar], p. 76) may offer a place where the marital relationship can flourish after such a tragic experience.     

Chinese Twin Children Reared Apart and Reunited: First Prospective Study of Co-Twin Reunions

China's one-child policy led to the abandonment of tens of thousands of infants. Included among these children were twins who were adopted and reared separately. Since 2006, 10 reunited twin sets participated in the first prospective study of twins reared apart. This exploratory study reports a qualitative analysis of the children's reactions to their first meeting with, and departure from, their co-twin. The majority of twins 18 months of age and older displayed strong attraction upon first meeting. Leave-taking included sadness, but responses varied across pairs. Theoretical interpretations of the findings and implications for parenting reared-apart adopted twins are provided.     

Development of a Preliminary Framework for Informing the Risk Analysis and Risk Management of Nanoparticles

Decisions are often made even when there is uncertainty about the possible outcomes. However, methods for making decisions with uncertainty in the problem framework are scarce. Presently, safety assessment for a product containing engineered nano-scale particles is a very poorly structured problem. Many fields of study may inform the safety assessment of such particles (e.g., ultrafines, aerosols, debris from medical devices), but engineered nano-scale particles may present such unique properties that extrapolating from other types of studies may introduce, and not resolve, uncertainty. Some screening-level health effects studies conducted specifically on engineered nano-scale materials have been published and many more are underway. However, it is clear that the extent of research needed to fully and confidently understand the potential for health or environmental risk from engineered nano-scale particles may take years or even decades to complete. In spite of the great uncertainty, there is existing research and experience among researchers that can help to provide a taxonomy of particle properties, perhaps indicating a relative likelihood of risk, in order to prioritize nanoparticle risk research. To help structure this problem, a framework was developed from expert interviews of nanotechnology researchers. The analysis organizes the information as a system based on the risk assessment framework, in order to support the decision about safety. In the long term, this framework is designed to incorporate research results as they are generated, and therefore serve as a tool for estimating the potential for human health and environmental risk.     

Relationships Among Caregiving,Income, Gender,and Health: A Cross-Sectional Examination of a Representative Sample of Older Americans

Although there is substantial evidence to support the effect of burden on caregivers, few studies have compared caregivers to their noncaregiving counterparts on the basis of health and well-being outcomes. This study examines the relationship between caregiving and health and whether other factors may have stronger influence on well-being measures. Using a nationally representative sample of older adults in the United States (N = 3,005), this study examines relationships between caregiving status, gender, and income, and 9 outcomes (self-rated physical and mental health, time since seeing a doctor, time since most recent pap smear or prostate-specific antigen [PSA] test, depression, loneliness, stress, anxiety), using logistic and linear regression models. Results support that paradoxically, caregiving was associated with increased likelihood of PSA test in male caregivers, although data also indicated higher levels of anxiety and stress, as might be expected. Income was associated with 8 of 9 outcomes, and gender predicted depression, anxiety, stress, and self-rated mental health. The study highlighted the importance of psychosocial stressors, such as income and gender, on the health outcomes of older adults who may be caregiving. Considering complexity of unique experience is necessary to accurately assess vulnerability to poor mental health or health-related outcomes.     

Automations influence on nuclear power plants: a look at three accidents and how automation played a role

Nuclear power is one of the ways that we can design an efficient sustainable future. Automation is the primary system used to assist operators in the task of monitoring and controlling nuclear power plants (NPP). Automation performs tasks such as assessing the status of the plant's operations as well as making real time life critical situational specific decisions. While the advantages and disadvantages of automation are well studied in variety of domains, accidents remind us that there is still vulnerability to unknown variables. This paper will look at the effects of automation within three NPP accidents and incidents and will consider why automation failed in preventing these accidents from occurring. It will also review the accidents at the Three Mile Island, Chernobyl, and Fukushima Daiichi NPP's in order to determine where better use of automation could have resulted in a more desirable outcome.     

'I can see parents being reluctant': perceptions of parental involvement using child and family teams in schools

The purpose of this study is to examine the attitudes beliefs, and perceptions of school and community personnel regarding parental involvement via the implementation of child and family team meetings. Interviews were conducted with 10 school and community personnel in a high school in a small county in the south-eastern region of the USA. Several themes emerged from the data, including the definition of parental involvement, parental work and life circumstances, and parental esteem and position within schools. Findings suggest that school and community personnel hold conflicting beliefs regarding parents' desire and ability to be involved in their children's schooling. Recommendations for social work practitioners' implementation of child and family team meetings in the school context are provided.