Walk-in Together: A pilot study of a walk-in online family therapy intervention

Many Australians are requiring mental health care, including families, leading to long wait times in order to access support. Walk-in therapy reduces barriers to mental health support services by providing support at the time that families seek help. This paper presents a proof-of-concept study investigating the acceptability and short-term effectiveness of an online walk-in family therapy service, Walk-in Together (WIT). Part 1 of the paper describes the experiences of 44 family members from 22 families who presented to a public family therapy clinic for a virtual walk-in family therapy session. The session was conducted by a team of three experienced family therapists. Family members' experiences were sought pre-session, post-session, and at 6 weeks follow-up via survey and interview. Part 2 of the paper explores therapist perceptions (n = 7) of the WIT approach, through thematic analysis of semi-structured interview data. Post-session feedback showed 85% of family members found WIT to be helpful and 50% were optimistic about their future as a family after their WIT session. Six weeks post-session it was revealed that WIT supported planning for families in equipping them to move forward with 88% of family members reporting that they knew what to do after the session. All therapists uniformly experienced the model as offering a timely and beneficial service, suitable for diverse presentations and constellations of families. These preliminary results suggest the significant utility of this WIT intervention as a well-received and helpful service for families, who valued the easy access and rapid therapeutic response afforded by the online, walk-in delivery model. This proof-of-concept paper suggests the potential for further development and growth of WIT, as well as other mental health support services using a walk-in, telehealth model to meet the rising demand for therapeutic support for families in distress.     

Are Methadone Counselors Properly Equipped to Meet the Palliative Care Needs of Older Adults in Methadone Maintenance Treatment? Implications for Training

Today's methadone patients differ greatly from those of the past. Because of the rise of polydrug use and the HIV and hepatitis epidemics, treatment has become much more complex, which multiply the concerns and complexities of treatment. Patients entering methadone programs are also more commonly presenting at ages well into their 50s, 60s, and 70s; and this phenomenon of high rates continues to grow. The majority of these individuals in treatment have presented with a number of significant comorbid medical conditions that will progress and eventually lead to death. This aging cohort must be approached with a modified treatment plan that focuses on management and promoting healthy aging, while attending to their maximum delay of illness, disease, and disability. This article argues that it is necessary for counselors working with this group to adopt a palliative care philosophy. This article also makes recommendations in areas that counselors need to be knowledgeable and skilled in to provide appropriate palliative services specific to this aging population with multiple needs as they near end of life.     

Perspectives on being a father from men involved with child welfare services

Fathers can make positive contributions to their children's well‐being. However, involving the literature and this research indicate that fathers are much less likely to be engaged with child welfare services than mothers. This paper reports the findings of life story research with 18 fathers involved with child welfare. It focuses on these men's perspectives of fatherhood and their relationships with their children. Also, reactions to these fatherhood stories from father and service provider focus groups are examined. The findings challenge common perceptions of these fathers and highlight similarities and differences in perspectives between fathers and service providers. Implications for engaging fathers in child welfare practice are discussed.     

Shocks,Stocks, and Socks: Smoothing Consumption Over a Temporary Income Loss

We investigate how households in temporarily straitened circumstances due to an unemployment spell cut back on expenditures and how they spend marginal dollars of unemployment insurance (UI) benefit. Our theoretical and empirical analyses emphasize the importance of allowing for the fact that households buy durable as well as non‐durable goods. The theoretical analysis shows that in the short run households can cut back significantly on total expenditures without a significant fall in welfare if they concentrate their budget reductions on durables. We then present an empirical analysis based on a Canadian survey of workers who experienced a job separation. Exploiting changes in the unemployment insurance system over our sample period we show that cuts in UI benefits lead to reductions in total expenditure with a stronger impact on clothing than on food expenditures. Our empirical strategy allows that these expenditures may be non‐separable from employment status. The effects we find are particularly strong for households with no liquid assets before the spell started. These qualitative findings are in precise agreement with the theoretical predictions. (JEL: D11, D12, D91, J65)     

Canadians' support for radical life extension resulting from advances in regenerative medicine

This paper explores Canadian public perceptions of a hypothetical scenario in which a radical increase in life expectancy results from advances in regenerative medicine. A national sample of 1231 adults completed an online questionnaire on stem cell research and regenerative medicine, including three items relating to the possibility of Canadians' average life expectancy increasing to 120 years by 2050. Overall, Canadians are strongly supportive of the prospect of extended lifespans, with 59% of the sample indicating a desire to live to 120 if scientific advances made it possible, and 47% of respondents agreeing that such increases in life expectancy are possible by 2050. The strongest predictors of support for radical life extension are individuals' general orientation towards science and technology and their evaluation of its plausibility. These results contrast with previous research, which has suggested public ambivalence for biomedical life extension, and point to the need for more research in this area. They suggest, moreover, that efforts to increase public awareness about anti-aging research are likely to increase support for the life-extending consequences of that research program.     

Interaction without walls: Analysing leadership discourse through dramaturgy and participation

Goffman's dramaturgical model of interaction is often used to examine how communicative events are framed differently in public and private settings. However, this idea has restrictively been conflated with specific spatial locations. This paper contends that it is not the place where discourse is performed that styles it as front or backstage, but rather the stances taken in interactions, and the participation framework involved. Furthermore, backstage can be used to negotiate stances later performed frontstage, where they may index wider, ideological aspects of identity. This is demonstrated through the analysis of a sequence of linked backstage and frontstage interactions that involve two rugby coaches. The extracts presented and analysed take place in a New Zealand rugby team, a type of organisation in which space is particularly fluid. The dramaturgical model is demonstrated to be of use in examining leadership discourse within organisations, particularly in organisations in which multiple leaders exist.     

Equity vs. Invisibility: Sexual Orientation Issues in Social Work Ethics and Curricula Standards

The responsibility of the social work profession to be inclusive and equitable in its service provision is reviewed via policies relating to professional training regarding sexual orientation issues. A comparative review of Canada, the United Kingdom (UK) and the United States of America (USA) and international standards regarding sexual orientation issues in social work codes of ethics and curricula standards was undertaken. A consistency exists in the USA between its ethics code and curriculum standards further backed by a mandated approach, but it is weak in the area of ethically principled practice skills. Both Canada and the UK are less consistent and comprehensive and lack a mandated approach. The results speak to where consistencies exist and where they need to be established in order to develop an infrastructure that properly trains social workers in cultural competency for these populations.     

Family policy and couples’ labour supply: an empirical assessment

This paper empirically examines the effect on couples’ labour supply of a universal at-birth cash benefit and a government subsidy equal to 50% of child care expenditure for working parents. The method is first to simulate the effects on labour supply over the adult lifecycle using a calibrated dynamic utility maximisation model of a representative couple, using data drawn from waves of a longitudinal survey for Australia. Then using the same data, the effect of family benefits and the child care subsidy on couples’ hours worked is econometrically estimated. The 50% child care subsidy was found to increase the average couple’s labour supply by the equivalent of 0.75 to 1 h per week whilst children are of pre-school age, and less on average over the couple’s working lifetime. The cash benefit changes were found to have a negligible effect on labour supply.     

An Experiment on the Measurement of Political Knowledge in Surveys

In a series of articles, Mondak and colleagues argue that theconventional way of measuring political knowledge in surveysis flawed. Personality related "propensity to guess" underestimatesthe level of political knowledge in the population and distortsestimates of between group differences, when a DK alternativeis offered. This has led Mondak to recommend the use of closed-endeditems on which DKs are not explicitly offered, following bestpractice in the field of educational testing. In this article,we present the results of an experimental study which callsinto question the wisdom of this approach. Our results showlittle evidence of partial knowledge concealed within DK responses;when people who initially select a DK alternative are subsequentlyasked to provide a "best guess," they fare statistically nobetter than chance. We conclude that opinion researchers shouldbe cautious about adopting Mondak's recommendations for thedesign of political knowledge items in surveys. Received for publication February 22, 2005. Revision received October 19, 2006. Accepted for publication October 25, 2006.     

(Net)Working out: social capital in a private health club

In Bowling Alone Robert Putnam considers the possibility that the growth of private health clubs and the rising rates of membership to such clubs might represent a counter-trend to his thesis on the decline in social capital. In this paper I explore this idea using ethnographic data and social network analysis. I show both that and how networks form in health clubs and I discuss the ways in which these networks constitute social capital for their members. In addition, however, I explore the 'dark side' of this form of social capital. I argue that high integration amongst some members of a fitness class can generate a power differential between those members and other, less integrated members who experience this negatively. Furthermore, with an eye on Burt's (2005 ) important thesis on brokerage and closure, I argue that brokerage between relatively closed clusters of agents can lead to inter-group rivalry and conflict, which, in turn, is experienced negatively by those involved.