Trauma-informed care training in a child welfare system: Moving it to the front line

The use of trauma-informed practices in the child welfare system is critically important to prevent system-induced trauma and encourage timely assessment, triage and referral for care when indicated. Ultimately, such measures have the potential over time to decrease the risk for mental health problems in children exposed to a trauma. This study evaluates an initiative in Arkansas to train child welfare front-line staff members in trauma-informed care practices. We evaluated the impact of the training on knowledge and use of trauma-informed care practices among three types of child welfare staff (Caseworkers, Program Assistants and Other front-line staff). Results suggest that this training process was highly successful in improving knowledge of trauma-informed care practices, especially among staff with the least formal education and training. We also found a significant increase in staff use of trauma-informed care practices at the three-month follow-up with little difference observed across staff groups. Barriers that may prevent staff from full implementation of training concepts are described and strategies to address barriers are proposed.     

The Salience of Multimodal Sensory Stimulation in Early Development: Implications for the Issue of Ecological Validity

Studies of infant development concerned with the emergence of specific perceptual or cognitive abilities have typically focused on responsiveness in only one sensory modality. Research on infant perception, learning, and memory often attempts to reduce multimodal stimulation to “noise” and to control or omit stimulation from other sensory modalities in experimental designs. This type of unimodal research, although important, may not generalize well to the behavior of infants in the multimodal context of the everyday world. Research from animal and human development is reviewed that documents that significant differences in infants' perceptual skills and abilities can be observed under conditions of unimodal versus multimodal stimulation. These studies provide converging evidence for a functional distinction between unimodal and multimodal stimulation during early development and suggest that ecological validity can be enhanced when research findings are generalized appropriately to the natural environment and are not overgeneralized across stimulus properties, tasks, or contexts.     

Landscapes: The Social Construction of Nature and the Environment

Abstract A theoretical framework is provided to understand a cultural group's definition of and relationship with nature and the environment. The framework draws on a social constructionist perspective that includes aspects of phenomenology and symbolic interactionism to define “landscape” as the symbolic environment created by a human act of conferring meaning on nature and the environment. This landscape reflects the selfdefinitions of the people within a particular cultural context. Attention is directed to transformation of the physical environment into landscapes that reflect people's definitions of themselves and on how these landscapes are reconstructed in response to people's changing definitions of themselves. Case studies from sociology and anthropology illustrate the social construction of nature and the environment. A discussion of the applied implications of the theoretical framework in social impact assessment and the global implications in the shifting power struggle over competing landscapes concludes the paper.     

“I Want to Feel Like a Full Man”: Conceptualizing Gay,Bisexual, and Heterosexual Men’s Sexual Difficulties

Current understandings of sexual difficulties originate from a model that is based on the study of heterosexual men and women. Most research has focused on sexual difficulties experienced by heterosexual men incapable of engaging in vaginal penetration. To better understand men’s perceptions and experiences of sexual difficulties, seven focus groups and 29 individual interviews were conducted with gay (n = 22), bisexual (n = 5), and heterosexual (n = 25) men. In addition, the extent to which difficulties reported by gay and bisexual men differ from heterosexual men was explored. Data were analyzed using thematic analysis applying an inductive approach. Two intercorrelated conceptualizations were identified: penis function (themes: medicalization, masculine identity, psychological consequences, coping mechanisms) and pain (themes: penile pain, pain during receptive anal sex). For the most part, gay, bisexual, and heterosexual men reported similar sexual difficulties; differences were evident regarding alternative masculinity, penis size competition, and pain during receptive anal sex. The results of this study demonstrate the complexity of men’s sexual difficulties and the important role of sociocultural, interpersonal, and psychological factors. Limitations and suggested directions for future research are outlined.     

Care and protection in Scottish child welfare: evidence of double jeopardy?

Since the inception of the Scottish children's hearings system, an increasing concentration of child care and protection referrals has emerged. Data on 225 children referred on care and protection grounds are examined. Children faced a double jeopardy of personal adversity against a background of social and economic disadvantage. A smaller group of children were also victims of an offence by an adult. A significant proportion of children had multiple referrals suggesting a recycling of some children. Social adversity in the backgrounds of children has been found in other child welfare studies. The significance accorded to this by social work agencies and the links between neglect and poverty may be overlooked. The importance of policy that provides comprehensive public assistance and services, as found in other European countries, is an inescapable conclusion.     

Nano Risk Analysis: Advancing the Science for Nanomaterials Risk Management

Scientists, activists, industry, and governments have raised concerns about health and environmental risks of nanoscale materials. The Society for Risk Analysis convened experts in September 2008 in Washington, DC to deliberate on issues relating to the unique attributes of nanoscale materials that raise novel concerns about health risks. This article reports on the overall themes and findings of the workshop, uncovering the underlying issues for each of these topics that become recurring themes. The attributes of nanoscale particles and other nanomaterials that present novel issues for risk analysis are evaluated in a risk analysis framework, identifying challenges and opportunities for risk analysts and others seeking to assess and manage the risks from emerging nanoscale materials and nanotechnologies. Workshop deliberations and recommendations for advancing the risk analysis and management of nanotechnologies are presented.     

Healthcare System Types: A Conceptual Framework for Comparison

This article addresses the need to establish a comprehensive conceptual framework for analysing healthcare systems and their transformations. It begins by offering an overview of the current state of the art in the field, pointing to the literature's absence of conceptual robustness in the definition of system types. By exploring the dimensions 'financing', 'provision' and 'regulation' of healthcare, the article then proceeds deductively in line with the 'Weberian method of ideal-types' to establish a taxonomy of 27 healthcare systems, of which three can be identified as 'ideal-types'. When applying this concept, not only can differences between healthcare systems be analysed, but also changes over time. The article concludes by identifying three forms of healthcare system transformation.