Mental Illness in Assisted Living: Challenges for Quality of Life and Care

ABSTRACT

An unknown number of mentally ill elders in the United States receive care in assisted living, along with persons facing physical or cognitive challenges. While dementia is familiar in assisted living, our data indicate that neither staff nor residents are prepared to work or live with the mentally ill. Challenges are created for professionals, since these residents bring diverse needs. Daily interresident interactions are also disrupted or stressful. Qualitative data describe the impacts on quality of resident life as well as care and management dilemmas identified within five assisted-living settings having varying presence of mental illness among residents.     

Challenges,Changes, and Impact of the Council on Social Work Education Women’s Council: An Update

This article highlights the contributions of the Council on the Role and Status of Women in Social Work Education (Women’s Council) as well as the role and status of women in social work education. For this historical analysis update, the authors drew on several primary and secondary data sources. The first major theme was organizational development (e.g., organizational commitment, strategic planning, and sustainability). The second major theme was contributions to social work education (e.g., furthering the knowledge base, influencing accreditation standards, and monitoring equity). These major themes and subthemes remained constant from the previous publication on the history of the WC (Alvarez et al., 2008), underscoring the resilience, commitment and persistence of the WC to keep a sharp focus on infusing feminist perspectives into social work education.     

Effects of Placement Changes on Health Insurance Stability Among a National Sample of Children in the Child Welfare System

ABSTRACT

Children in the child welfare system have entitlements to health insurance coverage—critical because of their considerable physical and mental health needs—based largely on their placement status. This study conducted path and transitions analyses on data from the National Survey of Child and Adolescent Well-Being (3,801 children followed-up for 3 years) to examine the interplay between placement changes and insurance stability. Children maintained in-home at Wave 1 had significantly lower odds of being insured (OR = 0.7); children transitioning from out-of-home placement to in-home care had significantly lower odds of maintaining insurance coverage (OR = 0.6). Child welfare workers working with children maintained in-home and those being reunified should safeguard the children's insurance status. Policy makers should consider extension of categorical eligibility to all children presenting to child welfare agencies in order to assure access to needed services for these vulnerable children.     

“As Needed” Case Management Across Aging Services in Response to Depression

A lack of clarity on how and where case management for older adults is delivered persists, even as evidence supports its use to respond to depression. We used in-depth interviews with managers (n = 20) and staff surveys (n = 142) from 17 service agencies to explore the provision of case management services in adult day services, homecare, senior centers, and supportive housing. Limited case management services were found. Barriers included limited time and resources, especially for senior centers and supportive housing. Results revealed a concern about the role, feasibility, and availability of case management for older adults within these settings.     

Results of a survey on research practices,completed by attendees at the third conference on research policies and quality assurance

A survey was conducted to evaluate the responses of attendees at the Third Conference on Research Policies and Quality Assurance, in May, 1993, as to their perceptions of the frequency of questionable research studies, the desirability of good research practices (GRP) guidelines, and whether all research organizations should perform routine data audits. The vast majority of respondents had suspicions or evidence of other researchers performing questionable studies. Most respondents supported the development of GRP guidelines and preferred that they not be in the form of federal regulations. Most respondents also favored routine data audits.     

Community Literacy Resources and Home Literacy Practices Among Immigrant Latino Families

ABSTRACT

This paper reports relationships among communities, families, and Spanish-speaking children's language and literacy development in kindergarten and grade 1. Findings from a study of 35 communities show that communities with greater concentrations of Latinos are less likely to have printed materials, and available materials are more likely to be in Spanish. Communities with higher income and education levels have more literacy materials in English. Contrary to predictions, there are few associations among community literacy resources, frequency of children's home reading activities, and children's literacy achievement. This lack of association is due to within-community variation in home literacy practices and to schools' impact on home literacy. However, there are associations among community and family language characteristics and child literacy outcomes in Spanish and English, suggesting that at least in the early stages of literacy development, communities' influence on Spanish-speaking children's literacy development is through language-learning opportunities rather than literacy-learning opportunities per se.     

Effects of Photovoice: Civic Engagement Among Older Youth in Urban Communities

Youth civic engagement is critical to many community empowerment initiatives. Photovoice is a popular empowerment technique for disenfranchised groups, including youth. The technique has little published empirical support. This research assesses Photovoice as a youth mobilization project within the context of an ongoing community development initiative. It was hypothesized that Photovoice participation would (a) improve students' interest in civic engagement and (b) have greater impact on older rather than younger adolescents. Thirty-three (33) youths (15–21 years of age) completed a Survey of Youth Engagement before and after Photovoice participation. Results indicate a main effect for age, with youths 18 years of age and older scoring significantly higher than youths under 18 years of age. This study suggests that Photovoice promotes significant changes in perceived civic engagement among older youths.     

Structural and Dynamic Process Family Risk Factors: Consequences for Holistic Adolescent Functioning

This study utilized a dynamic cumulative family risk model to explain changes in adolescent functioning. We used a person‐centered approach to detect patterns of academic, emotional, and behavioral functioning and the stability of these patterns using two waves of the National Longitudinal Study of Adolescent Health (N= 10,173). Four adjustment profiles emerged at both time points. Although most (91%) adolescents remained in the same classifications at both waves, some experienced shifts in functioning. Changes in family process risk factors predicted these shifts in adjustment, whereas changes in structural risk factors predicted stable adjustment. We concluded that even short‐term changes in family processes are significant sources of risk for some adolescents.