Smoking reduction & cessation: a hospital based survey of outpatients' attitudes

1. Most people with mental illnesses have made at least one attempt to quit smoking on their own. 2. Psychiatric diagnosis and degree of nicotine dependence do not appear to be predictive of ability to quit. 3. People with mental illnesses are aware of nicotine replacement therapy (NRT), but do not combine it with a behavioral program, possibly contributing to the higher rates of recidivism in this population. 4. The lack of participation of mental health care providers in promoting smoking cessation is a complex issue.     

The Call-Centre: a child welfare liaison program with immigrant serving agencies

Alberta, Canada, welcomed nearly 16,000 landed immigrants in 2003, of whom more than half came to the Calgary area. Approximately 200,000 immigrants of various ethnic and cultural groups now live in the region. Many of these new arrivals have no natural support networks while struggling with language, cultural, and economic barriers. Recognizing these difficulties, the Calgary and Area Child and Family Services Authority (CFSA) joined with several Immigrant Serving Agencies to develop guidelines and procedures to direct staff working with diverse cultures, including the Call-Centre pilot project, which provided CFSA staff with a one-stop telephone contact for information about an immigrant or refugee family, their culture, and available culturally-appropriate resources. The Call-Centre, which is currently being evaluated by researchers at the University of Calgary, will gradually expand to all CFSA sites in the region. This article describes the Call-Centre and the first phase of the evaluation.     

Family crisis intervention

Family crisis intervention is based on crisis theory and involves the use of individual crisis intervention techniques with one or more family members starting with the person who initiates the request for help. In addition, the relationship between the crises of the individuals involved is formulated and articulated, including the identification of distinct and common hazards and themes. The usual emphasis with children and young adolescents in crisis is on helping their parents to help them. The paper does, however, treat the issue of direct work with children. As in individual crisis intervention, the treatment contact is limited to six weeks, clients are self-selecting, and the goal is the most adaptive resolution of an immediate problem that is possible given the existing inner and outer resources of the family and its members. This implies that the resolution should not impair the functioning or well-being of any individual family member.     

Crisis intervention and social casework: Similarities and differences in problem-solving

Summary The similarities and differences between the traditional psychosocial approach to casework and that of crisis intervention have been discussed with the use of illustrative case material. It is important to recognize that while crisis intervention is justifiably subsumed under the generalist concept of social work theory and practice on the basis of their striking similarities, it is necessary for the sake of professional clarity to differentiate between the two forms of problem-solving treatment methodologies in terms of goals, process, and structure.     

Making visits better: the perspectives of parents,foster parents,and child welfare workers

Mothers of children recently placed in foster care, foster mothers, and child welfare workers participated in semistructured, clinical interviews focusing on the challenges of parent visitation with young children. Mothers described their feelings of grief, trauma, and rage about the forced separation from their children and stressed the importance of emotional expression and communication during visits. Child welfare workers described the complexities of supporting emotionally close parent-child interactions while monitoring and assessing parental behavior during visits. Foster mothers described the importance of preparing children for visits and the difficulties of supporting the children afterward. Implications of understanding mothers', foster mothers', and child welfare workers' perspectives on enhancing the quality of visits with young children are discussed.     

Psychological factors and the sexuality of pregnant and postpartum women

This study examined the influence of role quality, relationship satisfaction, fatigue, and depression on women s sexuality during pregnancy and after childbirth. Questionnaire data were obtained from 138 women pregnant with their first child, of whom 104 responded at 12 weeks postpartum, and 70 responded at 6 months postpartum. Women reported significant reductions in sexuality during pregnancy and postpartum. Relationship satisfaction explained levels of sexual satisfaction during pregnancy, and was a predictor of sexual desire in the postpartum. Depression was an important predictor of reduced sexual desire and sexual satisfaction during pregnancy, and of reduced frequency of intercourse at 12 weeks postpartum. At 6 months postpartum, the quality of the mother role strongly related to measures of sexuality. Throughout the perinatal period, fatigue impacted on measures of sexuality, either directly or/and indirectly. The implications of these results in terms of the impact of pregnancy and childbirth on relationships and sexuality are discussed.     

Restructuring for Whom? Race,Class, Gender,and the Ideology of Invisibility

This paper examines how changes resulting from economic restructuring affect views of racial inequality across different race, class, and gender groups. First reviewing some of the consequences of restructuring for different race, class, and gender groups, the paper also reviews research documenting the different views of racial inequality held by dominant and subordinate groups. The paper concludes by examining how race-blind ideologies affect discussions of race and multiculturalism and suggests that race-blind thinking has thwarted teaching about structural racism.     

Risk Assessment and Alternatives Assessment: Comparing Two Methodologies

The selection and use of chemicals and materials with less hazardous profiles reflects a paradigm shift from reliance on risk minimization through exposure controls to hazard avoidance. This article introduces risk assessment and alternatives assessment frameworks in order to clarify a misconception that alternatives assessment is a less effective tool to guide decision making, discusses factors promoting the use of each framework, and also identifies how and when application of each framework is most effective. As part of an assessor's decision process to select one framework over the other, it is critical to recognize that each framework is intended to perform different functions. Although the two frameworks share a number of similarities (such as identifying hazards and assessing exposure), an alternatives assessment provides a more realistic framework with which to select environmentally preferable chemicals because of its primary reliance on assessing hazards and secondary reliance on exposure assessment. Relevant to other life cycle impacts, the hazard of a chemical is inherent, and although it may be possible to minimize exposure (and subsequently reduce risk), it is challenging to assess such exposures through a chemical's life cycle. Through increased use of alternatives assessments at the initial stage of material or product design, there will be less reliance on post facto risk‐based assessment techniques because the potential for harm is significantly reduced, if not avoided, negating the need for assessing risk in the first place.