A Decade of Change: Measuring the Extent,Depth and Severity of Food Insecurity

Rates of food insecurity in the US have been rising since 2000 spiking with the onset of the Great Recession in 2008, and have remained essentially unchanged since then despite improvements in the economy. The present study employed a series of indices adapted from the poverty literature to examine the depth and severity of food insecurity across the decade by race and ethnicity among low-income households with and without children. The most rapid increases in the depth and severity of food insecurity were found among low-income households without children. Non-Hispanic White households with and without children had lower prevalence rates but steeper increases in the depth and severity of food insecurity throughout the decade. Non-Hispanic Black households with and without children were at the most disadvantaged among low-income populations.     

Child protection decision-making

The effects of interagency collaboration on risk assessment in child protection practice were analysed in respect of the decision-making processes in child death inquiries. Universal features in the assessment of risk as identified in psychological literature were applied; in particular, the concepts of ‘groupthink’, the ‘certainty effect’ and ‘group polarization’. It is suggested that case conference decisions are inherently more risky than those taken by professionals with individual responsibility because of the way in which cases are framed in terms of losses.     

Issue Information

In 2017, the number of applications for care orders in England and Wales was the highest ever recorded at 14,207. This is a significant factor, contributing to the rise in the number of children who are looked after, which is at the highest level since 1985. The authors reflect on the recently published Care Crisis Review 2018, a sector‐led review, which examines the reasons for the rise in care proceedings and the number of children in care. The review sought to identify changes to policy and practice within local authorities and the family justice system, in an attempt to divert cases away from the family courts and to reduce the number of children in care, where it is safe to do so. Whilst the legislative framework is largely effective and the system generally works well, there is insufficient funding and resources to meet the needs of children and their families when they seek help, regardless of whether this is at an early stage or when they are in crisis and most in need of care and protection.     

LGBTQ Women,Appearance Negotiations,and Workplace Dress Codes

The purpose of this study was to explore LGBTQ women’s experiences with unwritten or formal dress codes at work. I asked: What are LGBTQ women’s experiences in the workplace with appearance management, and what are LGBTQ women’s experiences navigating the written and unwritten dress codes in the workplace? To answer the research question, interviews were conducted with 24 self-identifying LGBTQ women. Six key themes emerged from the data. Themes included (1) expressed sexual identity in appearance, (2) unwritten dress codes in work environments did not always allow for expression of sexual identity in appearance, (3) motivations for pressure or desire to conceal expression of sexual identity in appearance at work, (4) negotiations of revealing or concealing sexual identity in appearance in the workplace impacted levels of comfort and confidence, (5) verbal and nonverbal negative experiences related to appearance at work, and (6) received compliments about appearance at work.     

Who Is the Residential Parent? Understanding Discrepancies in Unmarried Parents' Reports

Research examining parental reports of children's living arrangements has often relied on information about legally ordered custody agreements following divorce. This analysis used data from matched pairs of parents (N = 1,156) in the Fragile Families and Child Wellbeing Study who live apart to compare mother and father reports of their child's residence 5 years after a nonmarital birth. The authors found that over one third of unmarried parents disagreed about who their child lived with and that conflicting reports were much more likely when fathers spent nights with the mother (an indicator of part‐time cohabitation) and had overnights with the child on their own. The results further suggest that discrepancies in unmarried parents' reports were more closely associated with the complexity and ambiguity of their living situations than with the quality of their relationships with each other. Implications for measuring children's living arrangements in families formed outside of marriage are discussed.     

Changing attitudes about self-injury prevention management: lessons learned

In the behavioral health environment, nurses often use continuous staff monitoring and, at times, physical restraints, to manage the severity of patients' self-injury. Both options put staff in control, are the most restrictive in nature, and can be financially draining on the hospital's budget. This can result in negative reactions by both patients and staff. It is important to develop a program that will empower patients to control their behavior and allow staff to be aware of their perceptions and attitudes toward patients who self-injure. This article describes the leadership initiative that drove the development, training, and implementation of a self-injury prevention project and the lessons learned by staff.     

Enclosed versus open nursing stations in adult acute care psychiatric settings: does the design affect the therapeutic milieu?

Specific efforts by hospital accreditation organizations encourage renovation of nursing stations, so nurses can better see, attend, and care for their patients. The purpose of this study was to examine the effect of nursing station design on the therapeutic milieu in an adult acute care psychiatric unit. A repeated cross-sectional, pretest-posttest design was used. Data were collected from a convenience sample of 81 patients and 25 nursing staff members who completed the Ward Atmosphere Scale. Pretest data were collected when the unit had an enclosed nursing station, and posttest data were collected after renovations to the unit created an open nursing station. No statistically significant differences were found in patient or staff perceptions of the therapeutic milieu. No increase in aggression toward staff was found, given patients' ease of access to the nursing station. More research is needed about the impact of unit design in acute care psychiatric settings.     

Nationwide Newspaper Coverage of Posttraumatic Stress: A Community Structure Approach

This study utilized the community structure approach to analyze newspaper coverage of posttraumatic stress (PTS) in veterans in 26 U.S. cities. The study examined whether media placed responsibility for PTS treatment on government or society through a review of 353 articles from March 20, 2003, to March 20, 2013. Researchers coded articles for “prominence” and “direction” to produce a “Media Vector” for each paper, ranging from 0.8403 to ?0.3592. Results showed that 25 of 26 Media Vectors (96%) supported government responsibility. Pearson correlations yielded nine significant findings. Results disconfirmed buffer hypotheses linking privilege with support for government responsibility (privilege defined by percentage of college educated, percentage of family income $100,000 or more, and percentage of professional/technical occupational status; r = ?.486, ?.524, ?.553, respectively, significant at the .006 level). Stakeholder hypotheses were also disconfirmed; greater percentages of age 65 and older correlated with more emphasis on government responsibility (r = .340, p = .048), whereas greater percentages of age 25 to 44 correlated with less emphasis (r = ?.342, p = .047). The only confirmed hypothesis linked percentage of age 45 to 64 with less emphasis on government responsibility (r = ?.559, p = .002). A regional finding was noteworthy: Media in the Midwest supported government responsibility more than other regions. Regression analysis revealed three variables influencing coverage most significantly: Family Income $100K+ (26% of variance), Percentage of Hispanic (8%), and Professional/Technical Occupational status (5%). It must be noted that nearly all newspapers yielded positive Media Vectors. This indicates that coverage in major cities generally favors government responsibility for veterans' PTS treatment, and Pearson correlation results may represent differences in the degree of support and demographic characteristics influencing this support.