Parental stress and factors for success in older-child adoption

By examining normal parental needs in child raising, the enormity of the task of adoptive parents taking older children become apparent. Predicting success is as yet unreliable, but it is possible to identify a set of characteristics found in successful adoptors. Although many of these qualities (or the lack thereof) are innate in families, agency philosophy and methods can affirm and enhance those that will best help parents cope. Creative parental survival is our best guarantee of healing and recovery in the children we place.     

Demographic Correlates and Judicial Determinations of Child Sexual Abuse Offenses

This study involved an in-depth evaluation of court records and various investigation reports of 532 alleged child sex offenders as well as their interactions with the typical societal intervention mechanism. The major results indicated that offenders significantly differed from the general population in various background characteristics. Generally, alleged offenders were more likely to be from certain demographic groups such as male, minorities, the poorly educated, labor workers, and the unemployed. Comparisons between subgroups defined by prior mental health, substance abuse, and childhood experiences indicated that negative background characteristics were further associated with the severity and judicial outcome of the charges. These results suggest the complexity of determining the etiology, correlates, and criminal and judicial dispositions of child sexual victimization. Finally, this study questions the sufficiency of the current quarantine approach, which segregates perpetrators through the mandatory registration and general distribution of the identities of convicted offenders. Implications were made regarding the need for integrating various academic disciplines and for coordinating the services of societal intervention units.     

Sibling kinnections: a clinical visitation program

The growing literature on sibling relationships throughout their lifespans is of great importance to those working in the child welfare system, and in adoption services in particular. Sibling bonds are important to all of us, but they are particularly vital to children from disorganized or dysfunctional families. These relationships assume even greater importance when children from these families enter the care system. Supporting and sustaining these sibling bonds should be, and most often is, a priority throughout the child welfare system, with practice literature providing guidelines for arranging and sustaining sibling contact. However, children in the care system may also have dysfunctional sibling relationships as a result of their early experiences, and sibling visitation alone may not be enough to ensure a healthy, long-lasting relationship among siblings. Some form of sibling therapy, or 'clinically supervised visitation,' may be required to help children remove the barriers to form mutually satisfying relationships and to reinforce life-long relationships with each other.     

Direct observation of computer workplace risk factors of college students

Recently, researchers have reported high musculoskeletal symptom prevalence at several US colleges. Since ergonomic interventions have been shown to prevent and reduce disability, it is important to identify the risk factors for developing symptoms among college students. A nested case-control study was completed to determine computer-related ergonomic risks associated with musculoskeletal symptoms. A trained observer completed ergonomic assessments on 52 randomly selected cases and controls. More than 75 percent (cases and controls combined) of the population was exposed to nine potential postural strains including: arms not along side during keying or mousing; lower back not supported; not having chair accessories; computer monitor not adjustable; mouse being too high or low; hand/wrist/forearm in contact with the desk edge; lack of wrist support; and keyboard not being adjustable. Cases and controls were equally likely to have substantially elevated risks but because the sample was small and lacked power, no risks were statistically significant. Since many known risk factors were prevalent in cases and controls, more research is required to evaluate and prevent injury in this population.     

Aging behind bars:health care for older female inmates

As the numbers of women in prison have increased, so have the number of older women behind bars. These older women present unique problems for institutions trying to meet their health care needs. We report findings from our national pilot study of federal and state prisons for women. Prisons report basic services for physical and mental health care, and most report having hospice services. However, those that house larger percentages or that expect to house larger percentages of older prisoners do not significantly differ in their approaches to assessing and providing health care from their counterparts. By failing to anticipate the increase in older women, prisons may be failing to provide for many of the health needs of this vulnerable population.     

Aging in poverty: making the case for comprehensive care management

A model for holistic care management that would enhance outcomes for economically vulnerable older adults who receive an array of disjointed services administered through the older Americans Act (OAA) and local Area Agencies on Aging (AAA) is proposed. Fragmented service delivery is typically wasteful and ineffectual, but comprehensive care management that includes an autonomous care manager, a single interagency plan of care and ongoing monitoring that is client-centered may protect those aging in poverty from negative health outcomes.     

Aging in the Biosocial Order: Repairing Time and Cosmetic Rejuvenation in a Medical Spa Clinic

This article examines the relationship between biosocial meanings of aging and anti‐aging culture, whereby new standards of measuring age derive from nonchronological models of plasticity. The first part explores recent models of functional age, sexual performance, and cognitive health, while the second part outlines the cosmetic rejuvenation practices, discourses, and technologies of medi‐spa clinics that promise to repair the effects of time on the bodies of aging women. Both parts illustrate the sociological significance of the aging body in posttraditional society as the object of increasing public anxieties about the health of aging populations and ethical concerns for extending life.