The Relationship of Parental Alcoholism and Family Dysfunction to Stress Among College Students

Abstract

The relationship between collegiate adult children of alcoholics (ACOAs) and adult children from dysfunctional families (ACDFs) was examined to determine whether ACOAs and ACDFs were at greater risk of stress than non-ACOAs and non-ACDFs. The participants were 549 students from a midwestern university. The data collection instruments were the Children of Alcoholics Screening Test, 6-Item Version (CAST-6); the Family Adaptability and Cohesion Evaluation Scales, Version II (FACES-II); and the Perceived Stress Scale (PSS). A substantial proportion of the sample was classified as ACOA, ACDF, or both, and there was considerable overlap between the two groups. Both ACOA and ACDF status were found to be significant predictors of stress, with ACDF status being a better predictor than ACOA status. Possible explanations for the results and implications for collegiate wellness programs are discussed.     

Patients' Evaluations of Gynecologic Services Provided by Nurse Practitioners

Abstract

The development, operating principles, and users' evaluations of a broad-based gynecologic program emphasizing effective birth control on a university campus are discussed. A major feature that is explored is the use of nurse practitioners as the primary service providers. The forces that resulted in the formation of the program and the methods used to enhance its effectiveness are described. The evaluations of 3,527 users over a three-year period are indicated by summarizing responses to a questionnaire covering the following topics; whether providing such a service was helpful, likelihood of arranging for the service elsewhere if unavailable at the health center, attitudes of staff, medical procedures used, availability of services, and the opportunity to thoroughly discuss concerns. The evaluations were seen as extremely supportive of both the program and the use of nurse practitioners in this setting.     

A Comparative Study of Campus Experiences of College Students With Mental Illnesses Versus a General College Sample

Abstract

Objective: Examine campus experiences and relationships of college students with mental illnesses compared to general student norms using the College Student Experiences Questionnaire to understand potential sources of distress and retention issues. Participants: Responses were obtained from 449 former and current students with mental illnesses from more than 300 colleges and universities around the country. Methods: Participants completed an online survey available from July 2005 to July 2006. Results: Multivariate analysis of variance and t test results indicate that college students with mental illnesses report less engagement on campus and poorer relationships, and that these factors were associated with lower graduation rates. Students reporting they were treated differently “most of the time” because of a mental illness had the lowest levels of engagement and poorest relationships. Conclusions: More attention is needed to developing interventions that enhance social functioning and engagement and address stigma on campus in order to reduce distress and enhance retention.     

Mapping the Elder Mistreatment Iceberg: U.S. Hospitalizations With Elder Abuse and Neglect Diagnoses

Purpose: This study describes U.S. hospitalizations with diagnostic codes indicating elder mistreatment (EM). Method: Using the 2003 Nationwide Inpatient Sample (NIS) of the Healthcare Costs and Utilization Project (HCUP), inpatient stays coded with diagnoses of adult abuse and/or neglect are compared with stays of other hospitalized adults age 60 and older. Results: Few hospitalizations (< 0.02%) were coded with EM diagnoses in 2003. Compared to other hospitalizations of older adults, patients with EM codes were twice as likely to be women (OR = 2.12, 95% CI = 1.63–2.75), significantly more likely to be emergency department admissions (78.0% vs. 56.8%, p < .0001), and, on average, more likely to have longer stays (7.0 vs. 5.6 days, p = 0.01). Patients with EM codes were also three to four times more likely to be discharged to a facility such as a nursing home rather than “routinely” discharged (i.e., to home or self-care) (OR = 3.66, 95% CI = 2.92–4.59). Elder mistreatment–coded hospitalizations compared to all other hospitalizations had on average lower total charges ($21,479 vs. $25,127, p < .001), with neglect cases having the highest charges in 2003 ($29,389). Implications: Knowledge about EM is often likened to the “tip of the iceberg.” Our study contributes to “mapping the EM iceberg”; however, findings based on diagnostic codes are limited and should not be used to minimize the problem of EM. With the so-called graying of America, training is needed in recognizing EM along with research to improve our nation's response to the mistreatment of our elderly population.     

Consumption and digital commodities in the everyday

The category of the everyday has designated in social theory the remainder, what is left over after the important regions of politics and production. This left consumption in the under-theorized domain of the everyday. Since Veblen – and more recently Baudrillard and de Certeau – consumption has been reconfigured as significant in its own right, as a complex, articulated area related directly to culture. Liberal thinkers have also claimed consumer activity as central to society, as the domain where the individual is realized. This paper will review these positions and attempt to develop an understanding of consumption in daily life in relation to digital cultural objects. It will also argue that these mediated commodities, in the practices of appropriation connected with them, configure subjects in ways that are difficult to reconcile with existing structures of domination.     

Understanding localism

These two special issues of Policy Studies investigate various aspects of localism and draw insights from a broad range of different academic disciplines; which illustrates how ubiquitous the issue has become, both in the academy and in political discourse, particularly in the UK and increasingly in Australia. In this introduction, we begin by outlining three different types of localism – managerial, representative and community – which have underpinned both debates in the area and policy developments, before outlining our definition of the term. Subsequently, we introduce the theoretical and empirical contributions that this issue makes to understanding localism in Westminster-style democracies.     

Effects of an Individual Development Account Program on Retirement Saving: Follow-up Evidence From a Randomized Experiment

We examine the 10-year follow-up effects on retirement saving of an individual development account (IDA) program using data from a randomized experiment that ran from 1998 to 2003 in Tulsa, Oklahoma. The IDA program included financial education, encouragement to save, and matching funds for several qualified uses of the saving, including contributions to retirement accounts. The results indicate that as of 2009, 6 years after the program ended, the IDA program had no impact on the propensity to hold a retirement account, the account balance, or the sufficiency of retirement balances to meet retirement expenses.     

Development and Application of a Standards-Based Inventory of Foundation Competencies in Social Work with Groups

The International Association for Social Work with Groups Standards for the Practice of Social Work with Groups is an essential document for advancing practice and teaching about social work with groups. However, surveys have reported that many group workers know little about the Standards or about how to teach or apply group work knowledge and skills. This article summarizes the research on the development of a reliable and valid inventory based on the Standards and an effective teaching strategy to improve learning about the Standards. The inventory and teaching method provide tools for advancing evidence-based practice and teaching.     

A method for considering the acceptability of novel biotechnologies for the control of brushtail possums

Abstract

Public acceptance and regulatory approval of biotechnologies is increasingly dependent on consideration of cultural, ethical and spiritual effects, and the opportunity for community involvement. The objective of this study was to articulate a means for researchers to identify relevant issues during the development of the technologies. It encompassed the substantive issues, such as safety, the provision of credible and adequate public information, and the opportunity for citizens, as well as stakeholders, to give society's informed consent. In this initial analysis of novel toxins and infertility or sterility-inducing agents being developed to manage pest populations of brushtail possums, several issues were identified. They included the risk associated with fertility controls entering the food chain, the severity of animal welfare compromise with toxins, and the adequacy of terminology used to describe pest control agents. This approach provides a means for researchers to acknowledge the issues contributing to public acceptance of biotechnologies during their development and with the involvement of those with interests in biotechnology.