Psychotropic medication management for youth in state care: consent, oversight, and policy considerations

The use of psychotropic medications in youth with emotional disturbances in state custody is increasing and presents unique challenges concerning consent and oversight. We examine various means that state child welfare agencies use to provide consent for and oversight of psychotropic medications for children in state custody and describe benefits of a consent process that provides for expert consultation to the child welfare agency and prescribing clinicians, case-specific and systemic oversight of psychotropic medication use, and education for stakeholders.     

The work ability web: A tool for job matching

A rural community in the Eastern Cape, South Africa, requested assistance in finding a solution for the dilemma of unemployment for persons with disabilities (PWD). The researcher was involved in a multi disciplinary development programme in the community and investigated the possibilities of integrating the PWD in the income generating projects planned for the community at large. This article reports on one of the objectives of this participatory research study: exploring possible ways of job placement in the projects by community workers. The challenge was to find a simplified process by which uncomplicated placements could be handled by community workers, and complex cases identified and referred to the regional occupational therapists. The researcher used a functional assessment kit to assess the level of dependence/independence of each PWD as well as an interview on employment history and personal aspirations and needs. A job analysis was done on five planned projects for the community that would generate income. The data of the functional analysis of each person and the job requirements were then plotted on one web, the work ability web (WAW) to illustrate compatibility. One of the cases from the sample is described to demonstrate the process.     

Invisible mobilities: stigma,immobilities, and female sex workers’ mundane socio-legal negotiations of Dhaka’s urban space

ABSTRACT

Drawing on ethnography, this paper conceptualizes invisible mobilities by exploring the linkages between mobility, invisibility and hotel and residence based sex work in Dhaka, Bangladesh. Since both are illegal in Bangladesh, hotel and residence based sex workers (HRSWs) become targets of the different laws and sex work related social stigma. We show, in this paper, how invisible mobilities is used to strategize and counter-enact against the existing exploitative gendered socio-political-legal regimes and practices involved in sex work. Invisible mobilities refers to the way HRSWs move in order to hide their occupation from society and the law. Invisibility is at the core of all these connections: It enables HRSWs to continue sex work and avoid exclusion from family and members of their communities. While making themselves invisible permits them to continue their daily ways to earn a living, it also reinforces the same social stigma they are constantly trying to avoid. In doing so, this paper reveals the political economy of sex work in the city and provides a new theoretical window to understand the connections between gender, mobility and the city, constructing a bridge between mobility and sex work studies literature.     

Parenting a 6-Year Old Is Not What I Planned in Retirement: Trauma and Stress among Grandparents Due to the Opioid Crisis

ABSTRACT

There is little research about trauma, financial stress, and social service needs emanating from the experience of parenting grandchildren caused by the opioid crisis in the United States. We conducted a qualitative study with 15 grandparents who currently or in the past had custodial care of their grandchildren. We also interviewed nine issue-related stakeholders in Eastern Massachusetts. Specific inquiries centered on events leading up to a change in guardianship, stressors related to legal, financial, and family issues, and system-wide response to the grandparents’ needs. Results indicate that the opioid crisis presents distinct challenges for the grandparent-led families and for the systems that serve the new family arrangement. Crisis triggers a change in guardianship and continues throughout the years. The continued crises stem from events related to the parent’s opioid use disorder (OUD) and from expenses related to raising a young family, especially when the grandchild has adverse childhood experiences. Our analysis shows that systems break down on a number of levels, and the fluidity of custodial arrangements due to parents’ OUD status does not map onto existing support or benefit systems. Policy responses must focus on the immediate and long-term needs of grandparent caretakers, especially since the opioid crisis is likely to continue.     

Intrasensory Redundancy Facilitates Infant Detection of Tempo: Extending Predictions of the Intersensory Redundancy Hypothesis

Research has demonstrated that intersensory redundancy (stimulation synchronized across multiple senses) is highly salient and facilitates processing of amodal properties in multimodal events, bootstrapping early perceptual development. The present study is the first to extend this central principle of the intersensory redundancy hypothesis (IRH) to certain types of intrasensory redundancy (stimulation synchronized within a single sense). Infants were habituated to videos of a toy hammer tapping silently (unimodal control), depicting intersensory redundancy (synchronized with a soundtrack) or intrasensory redundancy (synchronized with another visual event; light flashing or bat tapping). In Experiment 1, 2‐month‐olds showed both intersensory and intrasensory facilitation (with respect to the unimodal control) for detecting a change in tempo. However, intrasensory facilitation was found when the hammer was synchronized with the light flashing (different motion) but not with the bat tapping (same motion). Experiment 2 tested 3‐month‐olds using a somewhat easier tempo contrast. Results supported a similarity hypothesis: intrasensory redundancy between two dissimilar events was more effective than that between two similar events for promoting processing of amodal properties. These findings extend the IRH and indicate that in addition to intersensory redundancy, intrasensory redundancy between two synchronized dissimilar visual events is also effective in promoting perceptual processing of amodal event properties.     

The Educational Gradient in Health Among Children in Immigrant Families

Population Research and Policy Review - Educational inequality in the health of US children—what social scientists refer to as the “educational gradient” in health—is...