A 12-Month Follow-Up Evaluation of Integrated Treatment for Homeless Individuals With Co-Occurring Disorders

ABSTRACT

This study examined the effectiveness of the Comprehensive, Continuous, Integrated System of Care (CCISC) model in addressing co-occurring mental health and substance use disorders. Clients were eligible for participation if they had co-occurring disorders and were homeless or at risk of homelessness. Forty-eight clients received a comprehensive array of services consistent with the CCISC model. Measures assessing housing, employment, mental health, and substance use were completed at baseline, 6-month, and 12-month follow-up. Results demonstrated significant improvements in housing, employment, mental health, and substance use at 12-month follow-up. These results underscore the effectiveness of implementing evidence-based care.     

Environmental stewardship footprint research: linking human agency and ecosystem health in the Puget Sound region

Urbanization processes challenge ecosystem health in many metropolitan areas. New policy and program approaches are needed to restore and sustain natural systems as public agencies and organizations face greater demands and declining budgets. Environmental stewardship is an often overlooked intervention strategy, and the full potential of civic engagement by citizens on behalf of ecosystem health is little understood. Using a coupled systems approach, integrated analysis of social and ecological footprints can lead to greater theoretical understanding and more effective programs at the landscape scale. Here we outline two pilot studies as part of an emergent research program that is investigating the extent and impact of environmental stewardship. Qualitative interviews of stewardship managers revealed multiple dimensions of motivations and purposes for stewardship, ranging from the practical to the conceptual. A regional organization census yielded a surprisingly large number of organizations that conduct stewardship, with social and ecological values being of comparable emphasis. The initial research is based in the Puget Sound area of Washington State, U.S., but results have relevance to other urban areas. Pilot study findings now guide additional research effort about motivations, organizational networks, and theory of integrated socio-ecological systems to be derived from comprehensive footprint analysis of stewardship activity.     

The factor structure of generalized workplace harassment

We describe the development and psychometric characteristics of the Generalized Workplace Harassment Questionnaire (GWHQ), a 29-item instrument developed to assess harassing experiences at work in five conceptual domains: verbal aggression, disrespect, isolation/exclusion, threats/bribes, and physical aggression. Over 1700 current and former university employees completed the GWHQ at three time points. Factor analytic results at each wave of data suggested a five-factor solution that did not correspond to the original five conceptual factors. We suggest a revised scoring scheme for the GWHQ utilizing four of the empirically extracted factors: covert hostility, verbal hostility, manipulation, and physical hostility. Covert hostility was the most frequently experienced type of harassment, followed by verbal hostility, manipulation, and physical hostility. Verbal hostility, covert hostility, and manipulation were found to be significant predictors of psychological distress.     

Can a Poll Affect Perception of Candidate Traits?

During presidential elections, poll results frequently are presentedin the news. Reporters use these polls to tell the public whatit thinks about the presidential candidates. We argue that pollingresults tell the public what it should think about the presidentialcandidates as well. This study outlines how a character traitthat is not usually used to assess presidential candidates wasput into play during the 2004 presidential campaign. By repeatedlyascribing "stubbornness" to incumbent president George W. Bush,Democratic challenger John Kerry may have prompted this trait’sinclusion in a Los Angeles Times summer 2004 survey. The poll’sevidence that the public saw Bush as more stubborn than Kerrythen produced an attribute agenda-setting effect that strengthenedthe link between that term and Bush. Using data from the NationalAnnenberg Election Survey, we argue that the news coverage ofthis Los Angeles Times poll increased the salience of the trait"stubborn" in assessing President George W. Bush during Juneof the 2004 presidential campaign.     

Awareness of Gambling-Related Problems, Policies and Educational Programs Among High School and College Administrators

This brief report summarizes a survey of high school and college representatives and their awareness toward gambling-related problems. The Massachusetts Council on Compulsive Gambling developed a survey instrument to review the policies and training programs of 20 high schools and 10 colleges that were located within the catchment areas of Massachusetts Department of Public Health state-sponsored gambling treatment programs. The results revealed that there is an important discrepancy between the prevalence of gambling-related problems among young people and the awareness of these problems among educators. High school and colleges evidence a paucity of existing gambling-related regulations or policies. There is little opportunity for students and educators to learn within the school setting about gambling and its potential hazards. Without sufficient in-service education and training for faculty and staff, there is little likelihood that this group of educators can engage in the early identification or prevention efforts that are so vital to advancing the health and welfare of young people.     

Leaving home: Living arrangements of young people in six west-European countries

The timing with which young people leave their parents' home is a critical element in household formation rates. Direct data on this transition are scarce. Information on the current living arrangements of 16–24 year-olds collected in a 1982 EEC Survey provides some insights. The data suggest quite large cross-national variations in the timing of leaving home and particularly marked differences in the living arrangements of young people. Reasons for the variation, particularly housing-market differences, are postulated.