Health and Aging-in-Place: Implications for Community Practice

ABSTRACT

There is increasing interest in helping elders to remain independent in their homes. As the nation experiences the unprecedented growth among its oldest residents, public and private efforts are emerging to facilitate aging-in-place. However older people, particularly the oldest old, experience a myriad of issues impacting their health and ability to remain at home. This article presents the findings from a needs assessment of a Naturally Occurring Retirement Community (NORC) (n?=?114) that revealed multiple health-related issues among older people residing in high-need neighborhoods. The study utilized a holistic perspective of health to measure physical, mental, and social well-being among the older residents. Implications for community-based health interventions to enhance aging-in-place are discussed.     

The self-interview: a new method in social science research

This article presents the new method of self-interviewing as an empirical tool specifically for use in memory studies research. The article traces some of the empirical limitations specific to the field of memory studies and reviews the existing tools used in this area. It particularly focuses on some of the limitations of qualitative interviewing, the memory work method and diary methods in generating data on the processes of vernacular remembering at the same time as making visible the meaning that remembering has for participants in their everyday lives. We propose the self-interview as a method which addresses some of these limitations. In elaborating the value of the self-interview, we draw extensively on fieldwork that we have conducted using this method. Although the self-interview does not divest memory studies of the need for a range of other methods, the self-interview is an important addition to its currently rather sparse methodological tool kit.     

Trauma-informed care training in a child welfare system: Moving it to the front line

The use of trauma-informed practices in the child welfare system is critically important to prevent system-induced trauma and encourage timely assessment, triage and referral for care when indicated. Ultimately, such measures have the potential over time to decrease the risk for mental health problems in children exposed to a trauma. This study evaluates an initiative in Arkansas to train child welfare front-line staff members in trauma-informed care practices. We evaluated the impact of the training on knowledge and use of trauma-informed care practices among three types of child welfare staff (Caseworkers, Program Assistants and Other front-line staff). Results suggest that this training process was highly successful in improving knowledge of trauma-informed care practices, especially among staff with the least formal education and training. We also found a significant increase in staff use of trauma-informed care practices at the three-month follow-up with little difference observed across staff groups. Barriers that may prevent staff from full implementation of training concepts are described and strategies to address barriers are proposed.     

Demographics of the gay and lesbian population in the United States: Evidence from available systematic data sources

This work provides an overview of standard social science data sources that now allow some systematic study of the gay and lesbian population in the United States. For each data source, we consider how sexual orientation can be defined, and we note the potential sample sizes. We give special attention to the important problem of measurement error, especially the extent to which individuals recorded as gay and lesbian are indeed recorded correctly. Our concern is that because gays and lesbians constitute a relatively small fraction of the population, modest measurement problems could lead to serious errors in inference. In examining gays and lesbians in multiple data sets we also achieve a second objective: We provide a set of statistics about this population that is relevant to several current policy debates.     

Not in the Same Mental Drawer: Internalized Sexual Stigma,Dissociation, and the Role of Religion in a Sample of Italian Gay Men

ABSTRACT

Several studies have highlighted the relationship between internalized sexual stigma (ISS) and dissociation. The aim of the present study was to empirically investigate this relationship through a quantitative study. The Measure of Internalized Sexual Stigma for Lesbians and Gay Men (MISS-LG) and the Dissociation Scale (DIS) of the Trauma Symptom Inventory (TSI) were administered to 120 Caucasian participants who self-identified as gay men. Findings suggested that dissociative symptomatology, as measured by DIS—an estimation of the use of dissociation as a defense mechanism—was positively associated with MISS general index and all dimensions of MISS, especially the sexuality dimension (ISS-S). Moreover, the effect of the ISS-S on DIS was amplified in Catholic participants, suggesting a moderating role of religiosity. Implications for future research and clinical practice are discussed.     

Belohnungen und Bestrafungen im Netz: Verhaltenskontrolle in Chat-Foren

It is often lamented that the anonymity and physical distance of the Internet prevent effective punishment for antisocial behavior such as insulting, racist or sexist comments. It is thus claimed that anomie regins on the Internet. However, if we look at individual Internet forums and the virtual groups which frequent them, it becomes evident that behavioral rules are often explicated and a row of rewards and punishments are used for behavioral control. With the help of systematic behavioral observations, analysis of documents and field experiments in 24 selected chat forums in the IRC and WWW this study examines how people use technical and social sanctions to control each other’s behavior in computer-mediated communication. Boundaries and possibilities of behavioral control on the Internet are of interest both for those who use chat forums as well as for those who offer chat forums. Accordingly, practical consequences of the results of the study are discussed with special consideration given to the danger of abuse of power.     

“Control frauds” as financial super-predators: How “pathogens” make financial markets inefficient

White-collar criminology scholarship shows that “control frauds” (frauds led by the CEO) use accounting fraud to deceive (or suborn) sophisticated financial market participants. Large control frauds cause greater financial losses than all other forms of property crimes combined. Weak regulation, supervision and ethics produce epidemics of control fraud that cause systemic economic damage. As with the natural world, these financial super-predators act like pathogens that take over a firm and act as a “vector” to cause ever greater damage. Control fraud theory poses a major challenge to the efficient markets hypothesis and the resulting praxis that devalues financial regulation.     

THE MICROECONOMIC FOUNDATIONS OF MEASURING BRACKET CREEP and OTHER TAX CHANGES

We derive a measure of the bracket-creep-induced inflation tax based on an income-compensation function that recognizes that consumers substitute among deductible and nondeductible goods as the incentives to consume the goods change over time. The measure of the inflation tax is decomposed into a convenient function of marginal tax rates and the change in expenditures on tax deductible goods relative to nondeductible goods that are required to maintain a fixed level of utility. Tentative estimates suggest that the inflation tax as a percentage of constant utility income during the 1970s averaged about 1 percent per year.     

Separation-individuation and speech and language development in the psychotherapy of an atypical child

Children with psychiatric disorders often experience speech and language problems, however, the association between the two is not fully understood. The literature lacks explorative case examples to suggest how attention to language and speech difficulties may serve as a vehicle for diagnosis and intervention. A case study is presented to examine psychother-apeutic techniques and activities to improve psychic structuring and attendant communication skills in a child. Speech and language concepts and the affect induced by the child in the therapist serve as major organizers to demonstrate how therapy proceeds within Mahler's stages of separation-individuation.The treatment of the child occurred during a Post-Master's Fellowship Program at the Institute of Living, Dept. of Child Psychiatry under the supervision of Michael Hayes, M.S.W. Ms. Streit is in private practice, but currently on leave in Adelaide, Australia.