Research with Older Adult Methadone Clients: The Importance of Monitoring Suicide Ideation

ABSTRACT

This study reports on the importance of monitoring suicide ideation among older adult research participants. A recently completed randomized controlled trial of older adults who are current clients in methadone maintenance treatment (MMT) served as a case study to elucidate a suicide protocol that was designed to account for the potential instances of suicide ideation within the research project structure. As the numbers of older adult heroin users increases, this study’s findings seek to influence research protocols that involve older adults with addictions who may be particularly vulnerable to suicide risk due to comorbid psychiatric conditions and psychosocial adversities.     

Fathers Facing Advanced Cancer: An Exploratory Study

Adults who are living with cancer while raising young children are faced with distinct challenges particularly when that cancer is advanced. While the literature examining parental cancer continues to grow, very little has focused on families facing advanced cancer and the father’s perspective is nearly absent. To address these gaps, grounded theory methods were used to study the experiences of 11 fathers living with advanced cancer while raising minor children. The participants were all married with between one and six children living in their household. Semistructured, in-person interviews revealed concerns for their children permeated the “ordeal” and these fathers described the ongoing challenge of “teeter-tottering between hope and despair.” The fathers used key protective strategies to counterbalance the weight of the barriers to achieve resilience throughout the cancer experience. Primary barriers were characterized as physical impairments, uncertainty, and financial strain. Fathers described relying on flexibility in their roles as fathers, open communication patterns, use of supportive resources, and the ability to find meaning in their experiences as crucial to fostering resilience. Recommendations include interdisciplinary family centered interventions that consider gendered parental roles as well as financial burden.     

What Kind of War? “Mommy Wars” Discourse in U.S. and Canadian News, 1989–2013

The “Mommy Wars” is a cultural frame asserting the existence of a battle between employed mothers and homemakers. We perform critical discourse analysis of U.S. and Canadian news articles using this term from 1989 through 2013 (N = 402). Building upon the concept of symbolic annihilation, we highlight how the frame distorts and trivializes mothers' experiences. First, ironically, although some authors describe the Mommy Wars as not real, usage grows rapidly over time. Moreover, the meaning expands to include “alternative wars” on a multitude of childrearing differences and on disputes outside of mothering altogether (e.g., type of water used); this serves to equate trivialities like tap versus filtered water with work‐family conditions, effectively rendering them equally inconsequential battles among “mommies.” Finally, the frame trivializes social problems through a focus on (middle‐class) mothers' individual choices as a solution to Mommy Wars. Privileging maternal “choice” with only passing mentions of fathers and the state absolves these groups of responsibilities for the next generation. The use of Mommy Wars rhetoric acts as a divisive, symbolic wedge, ultimately perpetuating a war against mothers.     

MITIGATING HYPOTHETICAL BIAS IN STATED PREFERENCE DATA: EVIDENCE FROM SPORTS TOURISM

One of the major criticisms of stated preference data is hypothetical bias. Using a unique dataset of both stated and actual behavior, we test for hypothetical bias of stated preference survey responses. We consider whether respondents tend to overstate their participatory sporting event behavior ex ante when compared to their actual behavior at different registration fees. We find that stated behavior accurately predicts actual behavior at a middle level of respondent certainty, overpredicts actual behavior at a lower level of certainty, and underpredicts behavior at a higher level of certainty. This result suggests that respondent uncertainty corrections can be used to mitigate hypothetical bias and stated preference data can be used to better understand actual behavior in situations where no data exist. (JEL L83, Q51, Z2)     

The Role of Self-Efficacy in Reading Achievement of Young Children in Urban Schools

Academic self-efficacy has been found to be important in predicting educational success among older children and adolescents, but scant work has addressed this for very young children. This study explored (a) whether academic self-efficacy appears to be associated with reading achievement among children in urban elementary schools in primary grades, (b) whether one can differentiate between concepts of self-efficacy and self-concept within this age group, and, if so, which has more predictive power for reading achievement, and (c) whether student motivation and classroom behavior mediate the relationship between self-efficacy and reading. Findings from random-effect multi-level modeling show that children in primary grades can differentiate between self-efficacy and self-concept, and it was task-specific self-efficacy tha1t significantly influenced reading achievement. Of the two possible mediators, student motivation significantly mediated the relationship between self-efficacy and reading achievement. Implications for the role of school social workers in enhancing achievement among young, vulnerable children are discussed.     

Interventions that Foster Healing Among Sexually Exploited Children and Adolescents: A Systematic Review

Sexual exploitation of children and adolescents is a pressing, yet largely under-recognized form of child abuse. The goals of this review were to identify interventions that have been implemented with sexually exploited children and adolescents and to better understand their effectiveness for fostering healing with this population. Our systematic search generated 4,358 publications of which 21 met our inclusion criteria. Based on their objectives and delivery, we organized the interventions into five categories: (a) focused health and/or social services, (b) intensive case management models, (c) psychoeducational therapy groups, (d) residential programs, and (e) other. Most programs were gender-specific, targeting girls and young women with just one being for boys and young men only. Studies reported on a range of outcomes including psychosocial outcomes, risky behaviors, trauma responses, mental health, protective factors, and public health outcomes. Despite differences in delivery, most of the interventions did, to some degree, appear to foster healing among sexually exploited children and adolescents. Findings from this review have implications for researchers, policy and program developers, and frontline practitioners who, through partnerships with one another, can advocate for the creation of evidence-informed, purpose-built, and thoughtfully delivered interventions.     

The Receipt of Government Food Assistance: Differences Between Metro and Non-Metro Households

This research investigated differences in households’ receipt of government food assistance through such programs as the Supplemental Nutrition Assistance Program; Special Supplemental Nutrition Program for Women, Infants, and Children; free and reduced school meals; and related local and/or federal programs. With panel data from the Survey of Income and Program Participation that span the Great Recession, differences in the receipt of government food assistance in metro and non-metro areas were identified. Longitudinal random effects models suggest that despite relatively similar levels of food insecurity in 2005 and 2010, a higher proportion of non-metro households received government food assistance. Results also suggest that this assistance gap widened post-recession when government resources were expanded. These results inform a continuing debate about the efficient allocation of resources intended to reduce food hardship disparities, and increase family economic well-being, in metro and non-metro areas.     

Generations learning together: pilot study for a multigenerational program

Generations need to spend time in meaningful activities to facilitate more healthy interactions. An interdisciplinary team worked together to implement an enriching, intergenerational project with 4 year olds, college students, and older adults. College students played an active role in planning/facilitating activities. The overall objective of the research was assessing perceptional change between the generations using pre/posttests with college students, pre-post interviews with older adults, and pre-post teacher led discussions with children. Findings suggest that older adults and college students had improved perceptions. Children’s perceptions remained negative with some positive perceptions.     

Young bisexual people’s experiences of microaggression: Implications for social work

ABSTRACT

This article focuses on negative identity experiences reported by young bisexual people in a 28-day daily study, and the implications of these experiences for social work practice. Participants ranged in age from 18–30 years, had Internet access, could read and write in English, and identified as bisexual or felt the label applied to them. Participants who completed at least one diary entry (n = 91) included 49 women, 30 men, and seven genderqueer people. Using a constructivist grounded theory approach, data were organized according to the social ecological model. Erasure, stereotyping, and oppressive discourse microaggressions occurred at both the institutional and interpersonal levels. The majority of reported microaggressions occurred at the interpersonal level, with erasure and stereotyping being most common. Participants also reported three types of intrapersonal microaggressions: internalized oppressions, internalized stereotypes, and ambivalence about coming out. Findings can inform social workers’ efforts to increase their capacity to support bisexual people.